Cyber neurology in the digital era

CYBER NEUROLOGY IN THE CYBER NEUROLOGY IN THE DIGITAL ERADIGITAL ERA

LAKSHMI NARASIMHAN R

KAKUTHAN G

BHANU K

YOGARAJ S

MUTHURAJ K

SRINIVASAN A V

INSTITUTE OF NEUROLOGY

CHENNAI

AIM INTERNET BASED RESOURCES AND

DIGITAL TOOLS ASSIST NEUROLOGISTS IN CLINICAL PRACTICE, TEACHING, RESEARCH AND PATIENT MANAGEMENT.

THIS PRESENTATION AIMS TO ORGANISE ALL SUCH DIGITAL TOOLS, CYBER RESOURCES TO MAKE IT “NEUROLOGISTS FRIENDLY” .

DIGITAL TOOLS “CATCH AND CARRY” TOOLS

“MOBILE COMPUTING HEALTH

DEVICES”

“ASSISTIVE DEVICES FOR

NEUROLOGICALLY DISABLED”

“VIRTUAL REALITY” TOOLS

CATCH AND CARRY TOOLS

DIGITAL CAMCORDER /CAMERA DIGITAL VAULTDIGITAL SCANNERPORTABLE DIGITAL ALBUMLASERGRAPHICS DIGITAL FILM

RECORDER

PORTABLE DIGITAL VAULT

Plug ‘n’ play; Stores, shares and transports data; Driver less; Most handy; Compatible with any pc, laptop, palmtop, and compatible with ny versions of windows and macintosh

They’re perfect for sharing PowerPoint presentations, digital photos, MPEG video and MP3s, transporting files between

work and home, or sharing files with friends and colleagues.

DIGITAL SCANNER

Transfer scanned text to your PC or Mac using the supplied serial cable or via infra red. Transfer

articles, notes, business cards and figures directly to your computer and say good-bye to all that

tiring, time consuming input!

PORTABLE DIGITAL ALBUM

CompactFlash, SmartMedia or Memory Sticks are common intermediate storage devices used by most digital cameras today. The user normally needs a personal computer to download the

stored images once this intermediate media becomes full. With the innovative and highly versatile 5,10 & 20GB Digital Album, the user

has just to take the memory stick and transfer the images to the album and the memory stick can be reused.

MOBILE COMPUTING HEALTH DEVICESTRADITIONAL COMMERCE

E-COMMERCE

M-COMMERCE

TRADITIONAL NEUROLOGY

E-NEUROLOGY

M-NEUROLOGY

MOBILE NEUROLOGY

POSSESS A MOBILE DEVICE (PALMTOPS, PALMPILOTS, PSIONS, VISORS, HANDHELD PCS, POCKET PCS) DOWNLOAD PALM COMPATIBLE NEUROLOGY FREEWARES FROM THE WEB.

INSTALL IT IN THE MOBILE DEVICE; YOU HAVE AN ECTOPIC BRAIN IN YOUR PALM.

Handheld Tools

AAN Recommendations for Hand Held User Guides & Tutorials

Nearly mobile.com : http://www.nearlymobile.com/ pdaMD Learning center :

http://www.pdamd.com/vertical/tutorials.xml About.com “ How to” Guide :

http://palmtops.about.com/ Top 10 palm pilot tips & tricks :

http://palmos.oreilly.com/news/tipstricks_0698.html

Hand held applications as recommended by AAN are

Medcalc : http://www.medcalc.be/index.html Epocrates : http://www.epocrates.com/Patientkeeper : http://www.patientkeeper.com/ 5min consult: : http://www.lww.com/ Documents to go : http://www.dataviz.com/

Vendor Applications as Recommended by AAN

pdaMD : http://www.pdamd.com/vertical/home.xml Handheldmed : http://www.handheldmed.com/ Ectopic brain: http://pbrain.hypermart.net/medapps

.html RNPalm.com : http://www.rnpalm.com/PDAs for providers :

http://educ.ahsl.arizona.edu/pda/index.htmHealthy Palm Pilot :

http://www.healthypalmpilot.com/ … contd

Vendor Applications as Recommended by AAN

Doctor’s Palm : http://www.doctorspalm.com/index.htm

DocMD.com PDA : http://www.docmd.com/pdasoftware

FP handheld.com : http://www.fphandheld.com/

Jim’s Palm Pages : http://www.jimthompson.net/palmpda

AvantGo This is a free service provides wealth of web information in

your hand held devices. Recommended by AAN PDA center

The answer place : https://ami.avantgo.com/channels/detail.html?cha_id=2952

Handekeeper : https://ami.avantgo.com/channels/detail.html?cha_id=2790

Handheldmed : https://ami.avantgo.com/channels/detail.html?cha_id=1371

Pocket doctor : https://ami.avantgo.com/channels/detail.html?cha_id=2513

pdaMD : https://ami.avantgo.com/channels/detail.html?cha_id=2557

Soft wares for Diagnosis Glasgow Coma Scale :

http://www.healthypalmpilot.com/cgi-bin/review?ID=592

Ment Stat for Psychiatric evaluation : http://www.healthypalmpilot.com/cgi-bin/review?ID=640

Differential Diagnosis : http://www.healthypalmpilot.com/cgi-bin/review?ID=182

Softwares for Investigations ECG :

http://www.healthypalmpilot.com/cgi-bin/review?ID=380 EKG :

http://www.healthypalmpilot.com/cgi-bin/review?ID=187 Folstein :

http://www.healthypalmpilot.com/cgi-bin/review?ID=592 Mental Status Examination :

http://www.healthypalmpilot.com/cgi-bin/review?ID=9 Paternity Blood type :

http://www.healthypalmpilot.com/cgi-bin/review?ID=9201

Software for Treatment & Procedural protocol

Stroke Prevention : http://www.healthypalmpilot.com/cgi-bin/review?ID=80

ATLS Protocol : http://www.healthypalmpilot.com/cgi-bin/review?ID=211

On Call Floor Emergencies : http://www.healthypalmpilot.com/cgi-bin/review?ID=276

Acute renal failure : http://www.healthypalmpilot.com/cgi-bin/review?ID=1

Database for tracking health information

Seizure Log Think DB version : http://www.healthypalmpilot.com/cgi-bin/review?ID=698

Guinea brain : Scratch pad that have drawing for each entry http://www.healthypalmpilot.com/cgi-bin/review?ID=808

Cardio file desk top : For administering clinical files, progress notes, appointments etc http://www.healthypalmpilot.com/cgi-bin/review?ID=769

Grab Bag of Medical Knowledge Base

Clinical Neurology by CG Webber : http://www.healthypalmpilot.com/cgi-bin/review?ID=757

Black Book Medical text book : http://www.healthypalmpilot.com/cgi-bin/review?ID=703

Phobias by Jim Ollerhead : http://www.healthypalmpilot.com/cgi-bin/review?ID=400

Neo natal Immunity : http://www.healthypalmpilot.com/cgi-bin/review?ID=151

Research Tools Mednotes : http://www.healthypalmpilot.com/cgi-

bin/review?ID=834 EBM Tools :

http://www.healthypalmpilot.com/cgi-bin/review?ID=114

ECR tools : http://www.healthypalmpilot.com/cgi-bin/review?ID=466

Assistive technical devices for disabled

Accessible Online Learning Tools Alternative Keyboards Alternative Mouse Systems Electronic Aids to Daily Living System Haptic Devices Neural Interface Devices Text-to-Speech Systemshttp://www.utoronto.ca/atrc/reference/tech/techgloss.html

Mechnical tools for disabled

Head wands Low vision reading systems

Screen magnifiers Book holder Pen with light Thermo pen

HANDS FREE COMPUTER ACCESS FOR SEVERELY DISABLED

Alternative computer input devices are now available in a variety of options like frontalis muscle switch, head and eye-tracking devices, chin switch, "sip and puff," voice activation, Cyberlink Control System – CCS uses brain and body forehead bio potentialsWhy Fore head potentials?EOG – 0.2 Hz to 3.0 Hz – differentiate left and right eye glances by detecting phase reversalEEG – 1.0 Hz to 45 Hz – decoding algorithm divides this into 10 frequency bands.EMG – 70 Hz – 3000 Hz – responds to subtle contractions of masseter and frontalis muscle – suited for on / off closure, keyboard commands, left / right button of mouse etc.

Eye tracker The miniature optics module is

ideal for applications requiring the use of virtual reality helmets, head mounted displays and wearable computers. The optics module can be easily modified to suit the particular device into which it will be mounted. The digital camera attached to this tracks the eye movements, analyses saccades, pursuits and other eye movements.

Infant Eye Tracker Allows researchers to track

infants without attaching the optics to their head – no head movement restriction

Locating camera for quick location of infant eye

Face Lab Face lab is head, face and gaze

tracking technology that measures the position of a human head, gaze direction and blink events. Face lab does not use corneal illumination or magnetic sensors making it an extremely flexible system. faceLAB is the first embodiment of Face Interface technology. It is a Human Performance

Measurement (HPM) tool designed to assist in the study of human behaviour.

Eye Mouse Its purpose is dual:

fundamental research into voluntary eye movements connected with drawing, and assessment of potential for assisting disabled users, who can move their eyes much more effectively than their hands, to control computers.

VIRTUAL COMPUTER MONITOR FOR VISUALLY HANDICAPPED

This virtual computer monitor (VCM) moves the user's line of sight across an enlarged virtual document, instead of vice-versa, using a virtual reality head-mounted display (HMD). The wearer's head position is sensed using a head-tracking device, and translated into mouse output in software. The simulated mouse data is used to scan the enlarged computer output across the HMD field-of-view in the opposite direction from the wearer's physical head movement, causing the impression of moving one's view about a fixed, enlarged document.

Artificial vision for the blind

Virtual RealityVirtual reality is the new form of

computer technology, which provides human-computer interface.

The interface is so convincing that the user believes that he is actually in a 3-D computer generated world.

This environment besides immersion has navigation and interaction.

Types of interface Virtual helmet - The person wearing it can see

and hear only what is generated by the computer Data glove - This is a hand in the virtual world

by which the user can pickup and manipulate objects by grasping

Biomuse - Using body’s bio electricity to activate the computer by amplifying it by 10,000 times, by attaching special sensors musing non-invasive transdermal electrodes. These digitized signals are processed to act like a computer mouse

VR tools

Bio Muse

Cyber Glove

Robotic hand

VRASP (Input) - Allows surgeons to interactively visualize 3-D CT/MRI data.

Teletactile hand - Allowing doctors to touch the patients through cyber space.

VRAMS- Allows neuropsychological assesment of neuro rehabilitation

Virtual Perambulator - Bodily movements coordinates with visual images.

VR Input / Output Devices

VR Applications

Remote / Telepresence surgery Surgical simulation Epilepsy monitoring Virtual Reality motor assistance Virtual Reality in pain management by

immersion technology

VR in Neuro rehabilitation

VR and hemineglect / VR box of

Dr. Ramachandran et alVR in hemiparesis - Faster recovery and

avoids plateauing of acting functionsVR in cerebral palsy - Aid in producing

more refined movements and taps the neuro plasticity

Conclusion Cyber technology, innovative

neurologists, a good affordable hardware and user friendly interactive softwares will revolutionize neurological practice.

THANKS