bioneural.net » public health

Swine flu apps pervert free informatics

Bruce — Sun, 24 May 2009 07:17:42 +0000

From http://www.bioneural.net doi:tSglPpAB7a8nfM :

Information wants to be exploited—and that's generally a good thing. Exploitation has downsides too and these seem to be manifest when you look at the growing epidemic of iPhone apps pertaining to swine (novel, Mexican, or H1N1) influenza that you can pay to download from Apple's iTunes for use on your iPhone. As of today I count nineteen paid apps (in the UK store) and thirteen provided free-of-charge (although these may include paid advertisements). Do we need so much choice? Do we need flu updates on mobile devices at all? What are the risks associated with this expeditious development? 'Greedy pigs' priced from 0.59p to £2.99. Some of the apps, such as Swine Flu Tracker Map (free), appear to be fairly well implemented, often merely aggregating content from online information sources but sometimes paraphrasing static material such as FAQs: Other apps are very clearly rush-jobs, some even turning what is a serious global threat into a game. None of these applications are produced by authoritative official information sources such as WHO or the CDC, and most have the audacity to charge for information they had no hand in producing but have extracted verbatim from freely available sources. Information that is constantly changing. Can these authors maintain the motivation to constantly update the static advice within their applications? Can Apple's App Store approval process, with it's virtually non-existant quality assurance standards, possibly keep up? Some apps—specifically those incorporating Google Maps—are in violation of the data provider's terms of use (others are using OpenStreetMap, presumably ...

A return to academia

Bruce — Mon, 06 Oct 2008 09:58:04 +0000

From http://www.bioneural.net doi:tSglPpAB7a8nfM :

With introductory week and the first week of lectures behind me it seems like an opportune time to reflect on my initial experiences upon returning to campus. I'm hoping to relearn some of what I thought I knew about "health", gaining a perspective somewhat removed from my erstwhile clinical observation of individuals. To do this I need to study new subjects, fully engage with a new learning environment, take on the new adventure of commuting by public transport, and consider utilizing opportunities for extracurricular learning and activities. Different courses for different horses It's 16 years since I last graduated from a university, and I'm at the beginning of an intensive postgraduate taught course that should lead, initially, to a Master of Public Health. Full-time study entails 2 days of direct teaching but most postgraduate education is self-directed (they say 3 hours of independent study for every hour taught). Other buzz words used to distinguish it from undergraduate teaching include "critical thinking", "challenging assumptions", and "problem-centered learning". A Master degree requires 180 credits—60 of those being derived from a dissertation. There are four core (obligatory) modules on my course worth 15 credits each, all delivered in the first semester: Introduction to public health; Introduction to research methods; Introduction to statistics; Needs assessment, planning and economic evaluation. I have made up the remaining 60 credits by choosing the following optional modules: Systematic review and critical appraisal (systematic reviews are one of three possible dissertation types, and good preparation for a PhD); Epidemiological research design (essential for the FPH exam—see below); Public health ...

Transitions

Bruce — Sat, 20 Sep 2008 06:00:49 +0000

From http://www.bioneural.net doi:tSglPpAB7a8nfM :

When I met with Professor Crampton from the Department of Public Health at the University of Otago in Wellington last year, I was concerned about the difficulty I might face in making a transition from general practice (focussing on the problems of individuals) to public health (focussing on the problems of communities). The Prof. helpfully drew a graph on his whiteboard that I duly jotted down, illustrating three other crucial aspects of a career transition to be aware of aside from a shift in mindset. Beware of the dip The graph he drew is actually pretty generic, applicable to virtually any career transition (as in significant change that involves re-training; I'm not talking about getting promoted). Anyway, I've jazzed it up a bit and added in a "sink or swim" metaphor: Beware of the dip: keep swimming, or risk sinking I think it's pretty self-explanatory, but in case not it suggests that as you move over time from career A into career B you will experience a drop in professional competence, income, and self-esteem. As you become established in the new career, these losses are reversed. But there is a danger period in which you are not competent in the procedures & practice of either career, not well remunerated, and not feeling all that great about being in a kind of limbo. The best way to survive it, the Prof. says, is to tell everyone around you about it so they know to expect it and come to understand it. Sounds like good advice ...

Last post from New Zealand

Bruce + Simone — Wed, 05 Sep 2007 05:46:27 +0000

From http://www.bioneural.net doi:tSglPpAB7a8nfM :

We've left Wellington and will shortly leave New Zealand and begin our journey back to the UK via Australia. Project Koru, our "year out" from life in the UK, has essentially run its course. Watching Wellington's harbour disappear from the rear view mirror as we turned into the Ngauranga Gorge for the last time was a sad moment for both of us. Wherever we go next, we'll always be Wellingtonians, as the city at the heart of the world's edge has left a permanent impression upon us. We'll miss Wellington, we've no doubts about that. We had hoped to stay, as Wellington seemed to hold reasonable answers to a few of life's basic questions. What to do? One of the primary reasons for embarking on Project Koru was to allow Bruce to make a difficult decision concerning his career. Would general practice (GP) in New Zealand be a viable alternative to the same in the UK? Should he re-train in a non-clinical discipline such as public health, or leave medicine for IT (where everyone we know personally seems to be under high pressure). The opportunity to try out GP here helped Bruce be clear about his desire to move away from clinical work, and in this respect Project Koru was an unqualified success. Bruce decided on public health as a new career path, complementary to his experience in primary care and medical informatics. Simone was quite happy to continuing working in her chosen speciality of family planning and reproductive healthcare. Where to work? Bruce applied ...

Google maps and public health surveillance

Bruce — Sat, 21 Apr 2007 08:08:42 +0000

From http://www.bioneural.net doi:tSglPpAB7a8nfM :

Public health doctors are apparently "hopeless" at using traditional media (BMJ 2003;327(7422):1056); it's probable that their use of new media is even worse. WhoIsSick have come up with the idea to use Google Maps to track illnesses in local communities. Perhaps this is something that public health physicians should explore as a means to both inform populations about disease patterns and for encouraging their participation in reporting? There is no need to register with WhoIsSick (as of this writing). To post a sickness anonymously you enter your city (or ZIP code; UK postcodes work too) and detail how many days since the onset of your symptoms; the symptoms you are experiencing; your age; your sex; and additional details (optional): Enter the details of your sickness Make sure to include all your symptoms! Posting this will get you added to the map, with a colour-coded disc to indicate certain common symptoms: Red for "Runny nose" linked to a UK postcode In the search tab you can look for specific symptoms in a specific location within a specific timeframe, narrowed by sex or age: Filter results according to your epidemiological interest In terms of reporting the site offers a number of features: Receive outbreak alerts by e-mail; Percentage breakdown of symptoms (in a pie chart); A graph of no. of cases against timing of sickness (potentially indicating onset of an epidemic or recovery!); A tag cloud for filtering results on a per-symptom basis. Statistics may offer comfort in knowing you're not suffering alone Imagine the consumer power that could be brought to bear if local residents ...