Stanford Biodesign

BIOE 273 Biodesign for Mobile Health

Projects

2013 - 2014

The Village: New Parents Network
It does takes a village to raise a child. We spend our lives in a community, sharing our joys, difficulties and experiences with others. We reach to our community for understanding, for compassion and for help. When a person becomes a parent, the need for community support grows. A vital nurturing community is crucial to the development of a healthy and happy child. In our world, many parents live far from their extended families, and therefore don't have their built-in family community to help with child-rearing. In many cases, young couples become parents shortly after they move to another country to pursue their careers, leaving behind their families, friends, and networks of support. To solve the need for parents to find valuable information, we propose an app that aggregates the necessary tools and resources in one simple interface—a “one-stop-shop” for parent-neworking needs and parenting-related questions that provides meaningful—and, localized—information.

re.Connect: Connecting Low-Income Patients to Basic Resources with Positive Health Outcomes

A significant portion of the factors that impact health outcomes cannot be fixed in the clinic. A patient may just need to rest up and drink fluids to get over the flu – but what happens when he does not have a roof over his head or, more commonly, has to work two jobs to keep the water running? Many problems exist outside of the doctor’s control. Some issues you just cannot solve with another prescription. Our application would be designed to contain information about government programs and community resources other than health care that are targeted at low income populations. The goal of providing a centralized source of information for these resources would be to easily connect users with a wide range of programs for which they are eligible and also to provide a tool for physicians to connect their patients to programs aimed at improving their overall health without placing the burden on the physician to research these programs. At present, numerous online and paper resources are available regarding available resources. However, the fragmentation of these sources adds to the burden of keeping them up to date. No single application exists to allow less technically savvy locations to provide up to date information for their patient base.
Podiatrics
About 347 million people worldwide are living with diabetes. According to WHO, diabetes is predicted to become the seventh leading cause of death in the world by the year 2030. Diabetes is a leading cause of non-traumatic leg amputation. In United States alone over 90,000 nontraumatic lower leg amputations were performed in people with diabetes. Direct cost per amputation is estimated to be $38,000. Annual diabetes related to ulcer treatment and amputations cost run approximately 70 billion dollars per year only in the USA. This costs and individual sacrifices can be reduced dramatically with the use of simple foot monitoring devices. We will provide early foot ulcer detection device for diabetic patients. Our in-home consumer product has two different configurations: 1. Photographic imaging device, and, 2. Thermographic imaging device. In the long term, we envision to expand to clinical diagnostic configurations, which can simplify monitoring procedure for physicians in hospital settings.

BalEns: A Mobile Health Monitoring Ecosystem for Congestive Heart Failure Patients
Congestive Heart Failure (CHF) is a complex clinical syndrome characterized by cardiac dysfunction leading to inappropriate fluid accumulation in the body. It is one of the leading causes of death worldwide, and affects 5.7 million people in the U.S. (1). The economic burden due to the costs of health care services, medications, and lost productivity is $34 billion annually. Treatments for this condition involve careful monitoring of diet (especially salt intake), physical activity, and medications to prevent fluid retention and improve cardiac function. Despite treatment, hospitalizations due to acute decompensated heart failure (ADHF) remain high. One of the main reasons for this is fluid retention when patients fail to comply with treatment guidelines. We propose a consumer-facing mobile health tool to provide patients with fluid status feedback and a socio-mobile platform to reinforce positive lifestyle changes. This tool will provide relevant data and social support to help patients manage their disease and prevent costly CHF admissions.

Pulmonary Rehabilitation for COPD
COPD, Chronic Obstructive Pulmonary Disease, defined by WHO (1), is a lung disease characterized by chronic obstruction of lung airflow that interferes with normal breathing and is not fully reversible, which includes Chronic Bronchitis and Emphysema. Currently, COPD is the third leading cause of death in America. In 2011, 12.7 million US adults were estimated to have COPD. WHO estimate the global COPD patient population will be above 80 million by 2014. COPD results great social, clinical and financial burdens. COPD is an important cause of hospitalization in our aged population; approximately 65% of discharges were in the 65 years and older population in 2010 (2). Over a half of COPD patients claim their condition limits their ability for work, physical exercise, social activity and sleep. In 2010, the cost to the nation for COPD was projected to be approximately $49.9 billion. We propose an integrated solution based on wearable health device and mobile health technology. The system is designed as a platform to connect COPD patients to the doctors/staffs at rehab center so that they can practice the rehab exercises at home. In the meantime, the wearable health device, with a pulse oximetry embedded, will record the performance of the patients in terms of heart rate and blood oxygen saturation level, and send the data to user’s smart phone, where later the record will be transmitted back to the rehab center for future reference. On the patients’ side, three key features are included: rehab data collecting, psychosocial factor recording and educational information.

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We spend our lives in a community, sharing our joys, difficulties and experiences with others. We reach to our community for understanding, for compassion and for help. When a person becomes a parent, the need for community support grows. A vital nurturing community is crucial to the development of a healthy and happy child. In our world, many parents live far from their extended families, and therefore don't have their built-in family community to help with child-rearing. In many cases, young couples become parents shortly after they move to another country to pursue their careers, leaving behind their families, friends, and networks of support. To solve the need for parents to find valuable information, we propose an app that aggregates the necessary tools and resources in one simple interface—a “one-stop-shop” for parent-neworking needs and parenting-related questions that provides meaningful—and, localized—information. re.Connect: Connecting Low-Income Patients to Basic Resources with Positive Health Outcomes A significant portion of the factors that impact health outcomes cannot be fixed in the clinic. A patient may just need to rest up and drink fluids to get over the flu – but what happens when he does not have a roof over his head or, more commonly, has to work two jobs to keep the water running? Many problems exist outside of the doctor’s control. Some issues you just cannot solve with another prescription. Our application would be designed to contain information about government programs and community resources other than health care that are targeted at low income populations. The goal of providing a centralized source of information for these resources would be to easily connect users with a wide range of programs for which they are eligible and also to provide a tool for physicians to connect their patients to programs aimed at improving their overall health without placing the burden on the physician to research these programs. At present, numerous online and paper resources are available regarding available resources. However, the fragmentation of these sources adds to the burden of keeping them up to date. No single application exists to allow less technically savvy locations to provide up to date information for their patient base. Podiatrics About 347 million people worldwide are living with diabetes. According to WHO, diabetes is predicted to become the seventh leading cause of death in the world by the year 2030. Diabetes is a leading cause of non-traumatic leg amputation. In United States alone over 90,000 nontraumatic lower leg amputations were performed in people with diabetes. Direct cost per amputation is estimated to be $38,000. Annual diabetes related to ulcer treatment and amputations cost run approximately 70 billion dollars per year only in the USA. This costs and individual sacrifices can be reduced dramatically with the use of simple foot monitoring devices. We will provide early foot ulcer detection device for diabetic patients. Our in-home consumer product has two different configurations: 1. Photographic imaging device, and, 2. Thermographic imaging device. In the long term, we envision to expand to clinical diagnostic configurations, which can simplify monitoring procedure for physicians in hospital settings. BalEns: A Mobile Health Monitoring Ecosystem for Congestive Heart Failure Patients Congestive Heart Failure (CHF) is a complex clinical syndrome characterized by cardiac dysfunction leading to inappropriate fluid accumulation in the body. It is one of the leading causes of death worldwide, and affects 5.7 million people in the U.S. (1). The economic burden due to the costs of health care services, medications, and lost productivity is $34 billion annually. Treatments for this condition involve careful monitoring of diet (especially salt intake), physical activity, and medications to prevent fluid retention and improve cardiac function. Despite treatment, hospitalizations due to acute decompensated heart failure (ADHF) remain high. One of the main reasons for this is fluid retention when patients fail to comply with treatment guidelines. We propose a consumer-facing mobile health tool to provide patients with fluid status feedback and a socio-mobile platform to reinforce positive lifestyle changes. This tool will provide relevant data and social support to help patients manage their disease and prevent costly CHF admissions. Pulmonary Rehabilitation for COPD COPD, Chronic Obstructive Pulmonary Disease, defined by WHO (1), is a lung disease characterized by chronic obstruction of lung airflow that interferes with normal breathing and is not fully reversible, which includes Chronic Bronchitis and Emphysema. Currently, COPD is the third leading cause of death in America. In 2011, 12.7 million US adults were estimated to have COPD. WHO estimate the global COPD patient population will be above 80 million by 2014. COPD results great social, clinical and financial burdens. COPD is an important cause of hospitalization in our aged population; approximately 65% of discharges were in the 65 years and older population in 2010 (2). Over a half of COPD patients claim their condition limits their ability for work, physical exercise, social activity and sleep. In 2010, the cost to the nation for COPD was projected to be approximately $49.9 billion. We propose an integrated solution based on wearable health device and mobile health technology. The system is designed as a platform to connect COPD patients to the doctors/staffs at rehab center so that they can practice the rehab exercises at home. In the meantime, the wearable health device, with a pulse oximetry embedded, will record the performance of the patients in terms of heart rate and blood oxygen saturation level, and send the data to user’s smart phone, where later the record will be transmitted back to the rehab center for future reference. On the patients’ side, three key features are included: rehab data collecting, psychosocial factor recording and educational information.