3/4/2014 The Players SmartPhones in Optometry Alan N Glazier, O D, FAAO Andrew Morgenstern, OD, FAAO • Android – Open source mobile OS developed ny the Open Handset Alliance led by Google. Based on Linux 2.6 kernel • iOS – Apple’s proprietary mobile OS, iPhone, iPod Touch, iPad. Derived from OS X, very UNIX like • Symbian – acquired by Nokia 2008 • Windows Phone 7 – Microsoft – Kin, discontinued 6 weeks after initial launch • Blackberry OS – RIM (Research in Motion), proprietary OS The Smartphone Platform What is Android • With the iPhone being the first to the marketplace it sets the configuration of the Smartphone Platform • Android is an open source operating system, created by Google specifically for use on mobile devices (cell phones and tablets) • Linux based (2.6 kernel) • Can be programmed in C/C++ but most app development is done in Java (Java access to C Libraries via JNI (Java Native Interface)) • Supports Bluetooth, Wi-Fi, and 3G and 4G networking – – – – – – – – 3G/4G connectivity WiFi connectivity Bluetooth connectivity accelerometer w/compass ambient light sensor proximity sensor GPS gyroscope 1 3/4/2014 What is iOS What is the iOS again? • Apple’s mobile OS for phones (iPhone), tablets (iPad), handhelds (iPod), • based on BSD Unix • Application programming done in Objective C • Supports Bluetooth, Wi-Fi, and 3G and 4G networking • iOS (previously iPhone OS) in a nutshell is a mobile operating system developed and distributed by Apple Inc. for several product lines currently available. • Since its release in 2007 (initially for the iPhone alone), it has been extended to other Apple technologies including the popular iPad as well as Apple T.V, with plans for implementing iOS on other various devices in the future. History of the iOS Various Button Displays General iOS Home Page Interface Swiping gesture (VERY important with iOS interaction!) And some more ways of interacting with the interface…sliders / switches • iOS 1.0 – The iPhone was Born • iOS 2.0 – App Store & Apps • iOS 3.0 – Features • iOS 3.2 – iPad • iOS 4.0 - Multitasking • iOS 5.0 – Siri, iMessage & more • iOS 6.0 – Good Bye Google • iOS 1.0 - Released: June 2007 • Until iOS, smartphones either didn't have a touchscreen or used a resistive touchscreen and a stylus • iOS 1.0 introduced a new computing paradigm that broke from smartphone tradition: hiding the filesystem from the user • MobileMe – Apple Cloud Base Services 2 3/4/2014 Bluetooth • Open wireless technology – Developed by Ericsson (1994) – Originally supposed to replace wired RS-232 – Short distance via low power, short distance radio – Allows creation of personal area networks • Mostly to connect wireless peripheral devices to a host computer (mice, headsets, microphones, keyboards…) – Can also be used to communicate between two host computers wirelessly (replace serial cables) Wi-Fi • Used to brand certified products that belong to a class of wireless local area network based on IEEE Standard 802.11 • Currently there are 3 versions of 802.11 in common use: 3G ( 3rd Generation Network) • Must allow simultaneous use of speech and data servicesand provide peak data rate of 200 kbits/sec – B, about 150 feet indoors, 300 ft outdoors – G, 54 Mbits about 150 feet indoors, 300 ft outdoors – N, 600 Mbits, about 1.5 miles in open air, uses MIMO (multiple input and output antennas) 3 3/4/2014 4G Operating Systems • Provides a comprehensive and secure IP based solution for IP based telephony, ultra broadband internet, gaming services and streamed multimedia. • Peak data rate of 100 Mbit for high mobility devices and 1 Gbit for low mobility devices. • designed primarily for touchscreen mobile devices such as smartphones and tablet computers Open Handset Alliance • • consortium of 84[1] firms to develop open standards for mobile devices. Member firms include Google, HTC, Sony,Dell, Intel, Motorola, Qualcomm, Texas Instruments, Samsung Electronics, LG Electronics, T-Mobile, Sprint Corporation, Nvidia, and Wind River Systems.[2] OHA members are contractually forbidden from producing devices that are based off incompatible forks of Android.[4][5] SmartPhone Wars • ongoing business battle by smartphone manufacturers including Sony, Google, Apple Inc., Samsung, Microsoft, Nokia,Motorola, and HTC, among others 4 3/4/2014 Android • • • • Google acquired Android Inc. on August 17, 2005 Android was unveiled in 2007 along with the founding of the Open Handset Alliance—a consortium of hardware, software, and telecommunication companies devoted to advancing open standards for mobile devices first publicly available smartphone running Android, the HTC Dream, was released on October 22, 2008.[15] • • • user interface of Android is based on direct manipulation, using touch inputs that loosely correspond to real-world actions, like swiping, tapping, pinching and reverse pinching to manipulate on-screen objects Internal hardware such as accelerometers, gyroscopes and proximity sensors are used by some applications to respond to additional user actions, for example adjusting the screen from portrait to landscape depending on how the device is oriented Android allows users to customize their home screens with shortcuts to applications and widgets, which allow users to display live content, such as emails and weather information, Android Apps • • • • • • Android's source code is released by Google software to be freely modified and distributed by device manufacturers, wireless carriers and enthusiast developers. Android has the largest number of applications ("apps"), available for download in Google Play store which has had over 1 million apps published, A developer survey conducted in April–May 2013 found that Android is the most used platform amon Android's open nature has encouraged a large community of developers and enthusiasts to use the open-source code as a foundation for community-driven projects, which add new features for advanced usersg developers: it is used by 71% of the mobile developers population. As of May 2012, Android became the most popular mobile OS, having the largest installed base, and is a market leader in most countries • • • Google Play or the Amazon Appstore, Play Store application allows users to browse, download and update apps published by Google and third-party developers, and is pre-installed on devices that comply with Google's compatibility requirements Various applications like ophthalmology glossary, advanced eye charts, Skyscape, Wills eye manual, color blindness test, glaucoma calculator, ophthalmological societies, PubMed Mobile Pro, eye quiz, medical terminology flash cards, ICD9 / ICD10 medical code search, Taber's medical dictionary, etc. are available for Android phones.[17] Since fall of 2011, the EHB is available for Android devices, free of charge. 5 3/4/2014 Cloud Storage • Social Media • i Cloud is the storage device for iOS – Tweetcaster for droid – LinkedIn for droid – Google + – YouTube – Vine – Instagram – Examples – What does it hold? • Cloud storage for drive - Android – Drive Maps • Apple Maps – Difficulty – Current Status – No Google maps on iOS devices • Google “Maps” for mobile – “Search” for mobile – Develop mobile friendly website on Android platform Advertising, Sales, Coupons • • • • Admob Google “Advertising, Sales, Shopping and Coupons – List, Keyword and Tag Products Google “Offers” – Groupon competitor – Your competition might be there/why you need to be – Offers “Pushed” to mobile devices Google “Shopper” – Mobile – Mostly Apps – – Develop offering or apps 6 3/4/2014 Binocular Vision and Vision Therapy Apps Social Check-in • Google Partner Location Based Networking Sites – Yelp – Yahoo – Gowalla – Foursquare Social Media • • • • • Facebook Twitter Instagram Vine Jelly • • • • vision therapy app for the iPad G-Labs Vision Therapy App | The 2013 Mobileys Finalist http://bit.ly/mobileys G-Labs Vision Therapy App is a finalist in The Mobileys competition, to vot Parks 3 Step Patient Communication • Eyeminder on iOS for $2.99 7 3/4/2014 Medical Apps • • • • • • • • Epocrates iMedsXL - The Medication Reference FDAble LLC, $3.99 Eponyms Pascal Pfiffner, $1.99 Medical Lab Tests Medicon Apps, $2.99 iPhone Testing Tools • • • • • • • • • • • While these tools will not replace office-based testing under ideal conditions, they can be particularly useful, especially in the setting of inpatient consults and emergency room visits. near vision cards, color vision plates, a pupil gauge and ruler, a pen light, a fluorescein light, pediatric fixation targets, Amsler grids, a Worth 4 Dot test and accommodation targets, red desaturation tests, and an OKN drum simulator [Fig. [Fig.1a1a and andb].b]. Vision Testing Apps • • • • • • iChart 2000, do all my near point ,binocular, color vision testing , as well as Amsler grid about an hour ago · Like Jason Savochka ICD9 Codes. iExaminer Intuitive Medical Technologies, free iPhone Testing Tools • Eye Handbook” (EHB) is one of the most comprehensive ophthalmology applications available (free application) 8 3/4/2014 Optics Apps • Optics Clinical Calculator • Evan Schoenberg, $4.99 Patient Companion • • Calgary Vision Centre, $0.99 The Calgary Vision Centre Patient's Companion is a revolutionary app designed to streamline Calgary Vision Centre's appointment booking process, allowing our patient's (new and established) to not only book their annual eye examination, but to also triage any medical problems with the eye. Coding Apps • • • • • various apps on ophthalmic coding that allow the user to search various CPT and ICD codes STAT ICD-9, ICD 9 (With - 2012 Codes) T V N, $0.99 (via an iPhone developer I follow). http://www.visitcoding.com/ Neurology Apps • Neurology Suite • Börm Bruckmeier Publishing, free • Neuro-Ophthalmology of Texas (Droid) deals with diagnostically challenging cases. Dr. Rosa Tang 9 3/4/2014 Ophthalmology Reference & Education • • • • • • • • • • Ophthalmology i-pocketcards Börm Bruckmeier Publishing, $4.99 Eye Handbook Cloud Nine Development skyscape with Wills eye manual Ophthalmology (Droid) Focus Ophthalmology (Droid) Ophthalmic Terms & Guidelines (Droid) TLA Ophthalmolgy - Common (and uncommon) three-letter-acronyms used in the ophthalmology medical field. (Droid) Education • • – Forums and Education • ODwire.org • End of Time • Studios, free AAO eBooks (Droid) • Access your purchased eBooks online, or download them for offline use • Search and browse across all AAO eBook titles • Customize your learning with easy highlighting, note-taking and bookmarking • Quickly find relevant images and videos • Participate in activities that provide opportunities for earning continued medical education (CME) credits (select titles only, see individual publications for more information) Ophthalmology Core Journals (Droid) RSS-reader with journals indexed as "Ophthalmology" in The Abridged Index Medicus (AIM) or Core Clinical Journals preinstalled. Contents is based on journal-feeds and can vary in the amount of content . Most of the journals provides complete abstracts, while others only provides headlines.Features - Social network sharing: Facebook, Twitter, Friend Stream, Wordpress - Bluetooth, E-mail and SMS sharing - Open abstract page in default webbrowser Patient Education • • • • • • • • • LUMA Vision Simulator Eyemaginations Inc Eyedecide for iOS to show patients anatomy “Eye Handbook”, (EHB) IKONION IKONION (IKONION Digitale Medien GmbH) available on the iPhone, downloaded by patients wanting more information about their disease process. It provides patients with a brief description of eye diseases along with high-resolution pictures, videos, and animations which facilitate a better understanding of common eye conditions like cataract. These images can be used by physicians in the office to explain patients about various ophthalmic conditions.[8 10 3/4/2014 Physician Education • • • • resources include a list of diagnoses not to miss, color-coded diagram of retinal drawings, questionnaires for commonly encountered ophthalmic diseases, summary of benchmark randomized control trials in ophthalmology, – – – – – • such as Collaborative Initial Glaucoma Treatment Study (CIGTS),[9] Normal Tension Glaucoma Study (NTGS),[10] Advanced Glaucoma Intervention Study (AGIS),[11] Early Manifest Glaucoma Trial (EMGT),[12] and Ocular Hypertension Treatment Study (OHTS).[13] Clinical trial information “Clinical Trials” (StopWatch Media Inc., Philadelphia, PA, USA) utilizes databases by the National Library of Medicine and National Institutes of Health to list over 86,000 clinical trials registered with the US government. – advanced search options, including • • • • Physician Ed • • • • • • • • type trial (observational, interventional, or expanded access), l ocation, clinical trial phase, enrolment status. Education • Lens Opacities Classification System IIIThe LOCS III contains an expanded set of standards that were selected from the Longitudinal Study of Cataract slide library at the Center for Clinical Cataract Research, Boston, Mass. It consists of six slit-lamp images for grading nuclear color (NC) and nuclear opalescence (NO), five retroillumination images for grading cortical cataract (C), and five retroillumination images for grading posterior subcapsular (P) cataract. PubMed on tap PubMed on Tap (Serhiy Duminskyy© 2009, References on Tap) is an application on iPhone, allows to search PubMed while on the go. = Full text of references (based on subscriber status) is accessible through a built-in web interface. PDF files can be downloaded, saved in a personal, fully searchable library, and emailed directly using the iPhone's built-in email service. The personal library can be formatted so that it can be easily imported into reference management applications such as EndNote, Reference Manager, or Bookends. Skyscape Medical Resource app (Skyscape, Inc.) free medical information and decision support resources for medical professionals. including Wills Eye Manual, Mass Eye and Ear Illustrated Manual of Ophthalmology, Evidence Based Medicine Guidelines – Ophthalmology, and Cochrane Reviews in Eyes and Vision. Skyscape's patented SmartLink technology combines all resources into an intelligent whole by cross-referencing freely among them, which helps in the greatest degree of decision support at the point of care. Optometric Education • • • • • • • • Optometric Management (Droid) Optometry Students.com (Droid) Optometry (Flash card ) (Droid) Optometry Glossary (Droid) Optometry’s Meeting (Droid) Optometry Portal (Droid) OE Tracker App (Droid) HUNDREDS of others 11 3/4/2014 Contact Lens • • • • • • EyeDock Todd M Zarwell OD, free Created by optometrist Todd M CL Calcs Todd M Zarwell OD, $7.99 Contact Lens Reminder, $0.99, + app, no reviews yet (iOS) Organization Apps • optics, AOA, Color Vision • App Calculators • glaucoma risk calculator, • back vertex distance calculator, • IOL calculator 12 3/4/2014 Diagnostic Hardware • iPhone with panoptic Photography • • Newer smartphones have camera resolutions up to 8-megapixel. a smartphone is often used to document external pictures of the attention, slit-lamp photos of – – – – Image Management • • • • • • The EyeRoute Ophthalmic Image Management System (Anka Systems Inc./Topcon Medical Systems Inc. McLean, VA) the capacity to combine images and reports from over a hundred different manufacturing systems including Topcon into a uniform, single digital database which is also secure. It allows the user to not only view but also compare and transmit patient images smoothly. web browser based system that provides the user with quick access to patient-related information from any location and at any time with the help of the iPhone. capable of integration with most of the EMR systems in use and is designed to help in the conversion to a paperless environment. EyeRoute is fully standard compliant, flexible, and scalable. Patient images which are stored in EyeRoute may be accessed easily with the help of the EyeRoute®Mobile's touch screen. These images may be sorted by modality and date of visit, and may be viewed, zoomed, or enhanced. The user will also be able to add text annotations and make use of the audio dictation option provided. When a patient image has been reviewed, this information may be shared with other users who have access to EyeRoute.[15] anterior phase, fundus biomicroscopy, indirect ophthalmoscopy findings Recording of anterior and posterior segment surgeries Comprehensive Apps • • • • The EHB most comprehensive iPhone application available on iTunes and Android Stores, can be downloaded for free. all the above-mentioned tools, – – – – – – – – – eye atlas, link to meetings various societies, and ophthalmic instruments information. Several references to ophthalmic genetics, ophthalmic acronyms and eponyms, differential diagnosis and classifications, ophthalmic dictionary, and mnemonics are also available. Various coding systems including ICD-9, E and M, and CPT codes can be accessed Important journals with access to their websites and contents are available on EHB. Treatment section of EHB has ophthalmic medications, preparation of the fortified antibiotics, and laser settings for ophthalmic procedures. Free download of lectures, flash cards and patient and physician educational movies are available. Through its collaboration with the American Academy of Ophthalmology, educational videos, . Access to the O.N.E. Network (ophthalmic News and Education Network) is also available. An interface to the EyeWiki has also been enabled. 13 3/4/2014 Comprehensive • Ophthalmology e-Partner (android) Widgets • Droid Widgets – Assistive light – Calendar – Snote 14