Nanotechnology to diagnose and monitor cancer? Nanopills and smartwatches in disease management and treatment? Sounds like science fiction but that is what researchers at Google are working on right now! Dr Ami Nwosu discusses this in more depth.


Copyright Amara Nwosu
www.amaranwosu.com


Music by Year of the Fiery Horse
https://soundcloud.com/year-of-the-fiery-horse


References:
http://news.sciencemag.org/biology/2014/07/google-x-sets-out-define-healthy-human

Nanotechnology to monitor cancer? The GoogleX project #4

In this episode of MyPal Dr Amara Nwosu discusses the recent BMJ editorial (by Mahiben Maruthappu) detailing the potential use of 3D printing in clinical practice.


Copyright Amara Nwosu
www.amaranwosu.com


Music by Year of the Fiery Horse
@year-of-the-fiery-horse


Image copyright of endgaget.com
http://www.engadget.com/2012/09/26/form-1-delivers-high-end-3d-printing-for-an-affordable-price/


References:


Mahiben Maruthappu, Bruce Keogh. How might 3D printing affect clinical practice?
BMJ 2014; 349 doi: http://dx.doi.org/10.1136/bmj.g7709 (Published 30 December 2014)


Surgeon creates pelvis using 3D printer (Telegraph article)
http://www.telegraph.co.uk/news/health/10627556/Surgeon-creates-pelvis-using-3D-printer.html


3D printed heart saves baby's life (article in Independent newspaper).
http://www.independent.co.uk/life-style/gadgets-and-tech/news/3d-printed-heart-saves-babys-life-as-medical-technology-leaps-ahead-9776931.html


3-D printed windpipe gives infant breath of life (Nature)
http://www.nature.com/news/3-d-printed-windpipe-gives-infant-breath-of-life-1.13085



3D printing in clinical practice #5

In this episode of MyPal Dr Amara Nwosu provides an overview publishing in palliative care, discussing the importance of this and sharing some tips for potential authors. The audio was recorded to support an educational session as part of the Merseyside & Cheshire Palliative Care Network Audit Group.


Copyright Amara Nwosu
www.amaranwosu.com


Music by Year of the Fiery Horse
@year-of-the-fiery-horse


Publishing in palliative care: importance, opportunities and tips for publication #6

In this episode of MyPal Dr Amara Nwosu discusses a recent article from the BMJ by Bjorn Morten Hofmann, University College of Gjovik which poses the question of whether there is too much technology in healthcare.


Too much Technology by Bjørn Morten Hofmann - BMJ 21/02/2015 (subscription required to access link)
http://www.bmj.com/content/350/bmj.h705


Copyright Dr Amara Nwosu, KingAmi media 2014. http://www.amaranwosu.com


Music by 'Year of the Fiery Horse' (YOTFH). Soundcloud link: https://soundcloud.com/year-of-the-fiery-horse

Is there too much technology in healthcare? #7

Dr Amara Nwosu discusses his paper about peer-led learning as a mechanism to facilitate palliative care education in medical undergraduates.


Nwosu A, Mason S, Roberts A, Hugel H. Does peer-led education have a role in teaching medical students about palliative care? The evaluation of an examination question-writing task. The Clinical Teacher 2013;10(3):151-4
http://www.ncbi.nlm.nih.gov/pubmed/23656675


Copyright Dr Amara Nwosu, KingAmi media 2014. http://www.amaranwosu.com


Music by 'Year of the Fiery Horse' (YOTFH). Soundcloud link: https://soundcloud.com/year-of-the-fiery-horse

Peer Led Learning In Palliative Care  #8

Dr Amara Nwosu interviews Jane Isaac (Occupational Therapist at Marie Curie Hospice Liverpool) to discuss the role and services offered by of palliative care day therapy.


Copyright Dr Amara Nwosu, KingAmi media 2014. www.amaranwosu.com


Music by 'Year of the Fiery Horse' (YOTFH). Soundcloud link: @year-of-the-fiery-horse

Palliative Care Day Therapy - Interview with Jane Isaac #9

Dr Amara Nwosu interviews Dr Daniel Monnery (Speciality trainee registrar in Palliative Medicine in the Mersey Deanery) to discuss a variety of topics including: postgraduate training in palliative medicine, medical handover, undergraduate medical education and its relevance to palliative care.


Copyright Dr Amara Nwosu, KingAmi media 2014. www.amaranwosu.com


Music by 'Year of the Fiery Horse' (YOTFH). Soundcloud link: @year-of-the-fiery-horse

Undergraduate medical education in palliative care - interview with Dr Daniel Monnery #10

Dr Amara Nwosu provides an overview of his PhD research "The use of bioelectrical impedance vector analysis (BIVA) to assess hydration in patients with advanced cancer in a specialist palliative care inpatient unit". This study was the winner of the 2014 Twycross Research prize of the Association of Palliative Medicine.


National Cancer Research Institute (NCRI) Conference prize winning abstract presented in 2014:
http://conference.ncri.org.uk/abstracts/2014/abstracts/A222.html


Information about Early Career Researcher Award of the European Association of Palliative Care (EAPC)
http://www.eapc-2015.org/Early_Researcher_Award.html


Nwosu AC, Mayland CR, Mason S, Khodabukus AF, Varro A, Ellershaw JE. Hydration in advanced cancer: can bioelectrical impedance analysis improve the evidence base? A systematic review of the literature. Journal of Pain and Symptom Management 2013; 46(3):433-446.e6
http://www.jpsmjournal.com/article/S0885-3924(12)00499-X/abstract


Nwosu AC, Mayland CR, Mason SR, Varro A, Ellershaw JE. Patients want to be involved in end-of-life care research. BMJ Support Palliat Care 2013, Dec;3(4):45.
http://spcare.bmj.com/content/early/2013/07/23/bmjspcare-2013-000537.extract


Copyright Dr Amara Nwosu, KingAmi media 2014. www.amaranwosu.com


Music by 'Year of the Fiery Horse' (YOTFH). Soundcloud link: @year-of-the-fiery-horse

Bioelectrical impedance to assess hydration in advanced cancer (overview) - Twycross prize #11

The death of a Teenage Mutant Ninja Turtle? The Lion King and Palliative Care? Changing the direction a river flows? Intrigued? Well listen on!


In this episode Dr Amara Nwosu asks the question "what is culture?" and asks how a society's culture can affect how Palliative Care is considered and delivered. Can we change and create a culture where death and dying are not considered taboo subjects? This is from a UK perspective but hopefully it will be of interest. Topics covered in this podcast:


Barbara Gomes - end of life intelligence network - what we know now:http://www.endoflifecare-intelligence.org.uk/resources/publications/what_we_know_now_2013


Andy Couch - Culture Making
https://setsnservice.wordpress.com/2008/10/27/a-summary-and-review-of-andy-crouchs-new-book-culture-making-01-05-culture/


Dr Atul Gawande - 2014 BBC Reith Lectures
http://www.bbc.co.uk/programmes/articles/6F2X8TpsxrJpnsq82hggHW/dr-atul-gawande-2014-reith-lectures


Dr Atul Gawande - Being Mortal
http://www.amazon.co.uk/Being-Mortal-Medicine-What-Matters/dp/0805095152


The death of Donatello (Teenage Mutant Ninja Turtles)
http://www.techtimes.com/articles/40753/20150321/teenage-mutant-ninja-turtle-44-donatello-gruesomely-killed-in-action.htm


Story of the dragonfly
http://www.achildofmine.org.uk/The-story-of-the-Dragonfly/I8.htm


Copyright Dr Amara Nwosu, KingAmi media 2014. www.amaranwosu.com


Music by 'Year of the Fiery Horse' (YOTFH). Soundcloud link: @year-of-the-fiery-horse

Culture and Palliative Care #12

Does wearable technology have a role in improving heath, monitoring fitness and helping deliver personalised medical therapies or is it just a fad which will disappear in time? In this episode of MyPal Dr Amara Nwosu discusses the potential wearable technology has for healthcare and also highlights the limitations of the current technology.
 

Wearable Devices as Facilitators, Not Drivers, of Health Behavior Change by Mitesh S. Patel et al (JAMA)
http://jama.jamanetwork.com/article.aspx?articleid=2089651


Copyright Dr Amara Nwosu, KingAmi media 2015. www.amaranwosu.com


Music by 'Year of the Fiery Horse' (YOTFH). Soundcloud link: @year-of-the-fiery-horse

Wearable technology in healthcare - can palliative care benefit? #13

In this episode of MyPal Dr Amara Nwosu talks about five apps/web applications he uses that help his daily life as a clinical academic.


The apps are:


1) Evernote / Google Keep / Onenote / Todoist
https://evernote.com/
http://www.google.com/keep/
https://www.onenote.com/
https://en.todoist.com/


2) Google Drive / Dropbox / Onedrive 
https://www.google.co.uk/drive/
https://www.dropbox.com/
https://onedrive.live.com/about/en-us/


3) Feedly / Flipboard
https://feedly.com/
https://flipboard.com/


4)Pocket
https://getpocket.com


5) Twitter
https://twitter.com/


Other apps to mention:
If this then that (now know as IF or IFTTT)
https://ifttt.com/


Social media and palliative medicine: a retrospective 2-year analysis of global twitter data to evaluate the use of technology to communicate about issues at the end of life. Nwosu et al, BMJ Spcare.
http://www.ncbi.nlm.nih.gov/pubmed/25183713


Copyright Dr Amara Nwosu, KingAmi Media 2015. www.amaranwosu.com


Music by 'Year of the Fiery Horse' (YOTFH). Soundcloud link: @year-of-the-fiery-horse

Five apps that help my clinical-academic life #14

Dr Amara Nwosu discusses social media and palliative medicine. He focuses on his recent blog published on the EAPC website about his study about the use of Twitter to evaluate communication about palliative care on social media.


‘Social media and palliative medicine: a retrospective 2-year analysis of global Twitter data to evaluate the use of technology to communicate about issues at the end of life’ by Nwosu AC, Debattista M, Rooney C, et al published in BMJ supportive & palliative care2015;5(2):207-12. http://spcare.bmj.com/content/5/2/207


EAPC Blog - Social media and palliative medicine: An opportunity for community and professional engagement
https://eapcnet.wordpress.com/2015/08/17/social-media-and-palliative-medicine-an-opportunity-for-community-and-professional-engagement/

EAPC Blog: With great power comes great responsibility: Using Facebook to explain palliative care - Dr Leeroy William
https://eapcnet.wordpress.com/2015/08/12/with-great-power-comes-great-responsibility-using-facebook-to-explain-palliative-care/


Palliative Medicine Teaching - Facebook and Twitter
https://www.facebook.com/PallMedEd
https://twitter.com/PallMedEd


E-Hospice: Discussion of palliative care on Twitter is largely positive, and increasing - Dr A Nwosu
http://www.ehospice.com/uk/Default/tabid/10697/ArticleId/12212/

E-Hospice: Harnessing social media to enhance hospice care #learnhospice
http://www.ehospice.com/uk/Default/tabid/10697/ArticleId/11617/


E-Hospice: Social media and palliative care
http://www.ehospice.com/uk/Default/tabid/10697/ArticleId/10009/


Symplur and the Heathcare Hashtag project - Dr Mark Taubert
http://blogs.bmj.com/spcare/2015/08/16/symplur-and-the-heathcare-hashtag-project/?q=w_spcare_blog_sidetab


Palliative social media - Mark Taubert et al
http://spcare.bmj.com/content/4/1/13.abstract?sid=95d81aaf-38ce-4e34-943e-bce5b3763321



Why don't end-of-life conversations go viral? A review of videos on YouTube. Imogen Mitchell et al
http://spcare.bmj.com/content/early/2015/07/16/bmjspcare-2014-000805.abstract?sid=16527997-aa5a-4ae7-be1a-bcbfa3a40024


Copyright Dr Amara Nwosu, KingAmi Media 2015. www.amaranwosu.com


Music by Bensound
http://www.bensound.com/royalty-free-music



Social media and palliative care #15

In this episode of MyPal Dr Amara Nwosu provides an overview of the health secretary's recent speech to the Health Service Journal which outlined the potential role of technology in healthcare.


Patient power: threat or opportunity? Health Secretary's speech on the opportunities offered by the shift to a patient-powered, technologically advanced health service.
Department of Health and The Rt Hon Jeremy Hunt MP
Health Service Journal, Barber-Surgeons‘ Hall, London
https://www.gov.uk/government/speeches/patient-power-threat-or-opportunity

Smart patients
Emma Hill, Lancet Volume 15, No. 2, p140–141, February 2014.
http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(14)70044-0/abstract

The Patient Will See You Now: The Future of Medicine is in Your Hands by Eric Topol 
http://www.amazon.com/The-Patient-Will-See-You/dp/0465054749

Patient reported outcomes
http://sites.duke.edu/rethinkingclinicaltrials/patient-reported-outcomes/

Use of an electronic patient-reported outcome measurement system to improve distress management in oncology
Palliat Support Care. 2014 Feb; 12(1): 69–73.
Sophia K. Smith,  Krista Rowe, Amy P. Abernethy
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4066540/


Copyright Dr Amara Nwosu, KingAmi Media 2015. www.amaranwosu.com

Music by Bensound
www.bensound.com/royalty-free-music

MyPal - Technology in the delivery of healthcare: patient power in medicine #16

In this episode of MyPal I interview Dr Laura Chapman (Palliative Medicine Consultant and Training Programme Director for Palliative Medicine in Health Education North West- Mersey) and Dr Daniel Monney (Specility Trainee in Palliative Medicine) about the Eportfolios' Case Based Discussion (CBD) supervised learning events (SLEs). We discuss practical tips for educational supervisors to help conduct these SLEs.

Copyright Dr Amara Nwosu, KingAmi Media 2015. www.amaranwosu.com

Music by Bensound
www.bensound.com/royalty-free-music

What makes a good Case Based Discussion (CBD)? Interview with Dr Laura Chapman & Dr Daniel Monnery

In this episode of MyPal I discuss the potential uses of virtual reality (VR) in healthcare and what this may mean for palliative care.

Beyond gaming: virtual reality in healthcare. Claire Bower. BMJ Blogs 2014.
http://blogs.bmj.com/bmj-journals-development-blog/2014/03/27/beyond-gaming-virtual-reality-in-healthcare/

What can Oculus Rift do for healthcare?Mike Miliard. HealthcareIT news 2014.
http://www.healthcareitnews.com/news/what-can-oculus-rift-do-healthcare

The future of pain relief? Dutch burns unit trialling new virtual reality computer system that distracts patients from the agony of their wounds. Paul Donnelly, Daily Mail 9th Aug 2014.
http://www.dailymail.co.uk/sciencetech/article-2720712/The-future-pain-relief-Dutch-burns-unit-trialling-new-virtual-reality-computer-distracts-patients-agony-wounds.html

IS VR CHANGING HEALTHCARE?
http://weareformation.com/is-vr-changing-healthcare/

A Survey of Health-Related Activities on Second Life. Leslie Beard et al. J Med Internet Res. 2009 Apr-Jun; 11(2): e17.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2762804/

Virtual reality for the palliative care of cancer. Oyama 1997
http://www.ncbi.nlm.nih.gov/pubmed/10175345

Copyright Dr Amara Nwosu, AmiPal Media 2016. www.amaranwosu.com

Music by Purple Planet
http://www.purple-planet.com

Photo by Jordi Boixareu
https://www.flickr.com/photos/jobopa/16696929145/in/photolist-rrs8jH-rrs8mM-3MDfx-qKnTu4-rGanMp-b9mcPi-rpHzg8-rpB6SJ-kSPP9-bi5sXZ-rGatMF-rpHwT2-u74s5N-rGarCk-oAL3wY-6bRG9s-uoDHj8-saUyek-r7ATWe-Q2c6b-n7C2b-6bMx48-72SPhm-oWS4dH-tpyDhR-qrZC-wFc2p5-pcoahT-qrZy-trCizL-oMvrvF-bi5s4a-4XAPsx-rpacFf-riz3TM-pendcM-yNhwvM-iqg34e-w1W2Zr-cLEPq7-a1YL7s-qUsiSS-5V44RG-qUE9Bx-ryZR18-ryTgFf-ryTfNJ-4TkycL-49wC8u-4HYWqe

Virtual reality and palliative care #18

In this episode of AmiPal I talk with Dr Hannah Sammut (Renal Physician and Royal College of Physicians post-CCT fellow in Palliative Medicine) about the importance of palliative medicine and palliative care.



The prevalence of symptoms in end-stage renal disease: a systematic review. Murtagh FE et al. Adv Chronic Kidney Dis. 2007 Jan;14(1):82-99.
http://www.ncbi.nlm.nih.gov/pubmed/17200048



Is maximum conservative management an equivalent treatment option to dialysis for elderly patients with significant comorbid disease?Carson RC et al.Clin J Am Soc Nephrol. 2009 Oct;4(10):1611-9. doi: 10.2215/CJN.00510109
http://www.ncbi.nlm.nih.gov/pubmed/19808244


AmiPal and it's content is copyright of Dr Amara Nwosu, KingAmi Media 2016. www.amaranwosu.com

Music by Bensound
www.bensound.com/royalty-free-music

Renal Medicine and Palliative Care - Interview with Dr Hannah Sammut #19

In this episode I will provide an overview between the differences between research, audit and service evaluation. This is important to distinguish as research studies require ethical approval before they commence, whereas the other project types do not.

Is your project research, evaluation or audit? (Avon Primary Care Research Collaborative website)
http://www.apcrc.nhs.uk/governance/is_it_research.htm

NRES Defining Research leaflet.
http://www.hra.nhs.uk/documents/2013/09/defining-research.pdf

Copyright Dr Amara Nwosu, AmiPal Media 2016. www.amaranwosu.com

Music by Purple Planet
http://www.purple-planet.com

A comparison between studies:  research, audit and service evaluation #20

In this episode I provide an overview of the use of bioimpedance analysis to assess hydration over time in a patient with POEMS syndrome. This was published in the BMJ Supportive and Palliative Care journal and can be found through the link provided below.

Nwosu AC, Morris L, Mayland C, Mason S, Pettitt A, Ellershaw J.
Longitudinal bioimpedance assessments to evaluate hydration in POEMS syndrome. BMJ Supportive and Palliative Care doi:10.1136/bmjspcare-2015-000991
http://spcare.bmj.com/content/early/2016/04/28/bmjspcare-2015-000991.full

Nwosu AC, Mayland CR, Mason S, Khodabukus AF, Varro A, Ellershaw JE. Hydration in advanced cancer: can bioelectrical impedance analysis improve the evidence base? A systematic review of the literature. Journal of Pain and Symptom Management 2013; 46(3):433-446.e6
www.jpsmjournal.com/article/S0885-3…0499-X/abstract

Researchgate link: https://www.researchgate.net/publication/233826517_Hydration_in_Advanced_Cancer_Can_Bioelectrical_Impedance_Analysis_Improve_the_Evidence_Base_A_Systematic_Review_of_the_Literature

Nwosu AC, Mayland CR, Mason SR, Varro A, Ellershaw JE. Patients want to be involved in end-of-life care research. BMJ Support Palliat Care 2013, Dec;3(4):45.
spcare.bmj.com/content/early/201…13-000537.extract

Copyright Dr Amara Nwosu, AmiPal Media 2016. 
www.amaranwosu.com
https://twitter.com/amaranwosu

Music by Bensound
www.bensound.com/royalty-free-music

Assessing hydration in POEMS syndrome using bioimpedance analysis #21

This episode of AmiPal is about the development of this  podcast. I’ll discuss my paper which was recently published in BMJ Supportive and Palliative Care:

Use of podcast technology to facilitate education, communication and dissemination in palliative care: the development of the AmiPal podcast.
http://spcare.bmj.com/content/early/2016/08/31/bmjspcare-2016-001140.full?sid=0f2fff3a-9f6e-4c80-bab6-eab94e775c39


Edison Research. The podcast consumer 2015. Website of Edison Research 2015. http://www.edisonresearch.com/the-podcast-consumer-2015/.  

Davidson L. How Serial shook up the podcasting industry.  Website of the Telegraph 2015. http://www.telegraph.co.uk/finance/newsbysector/mediatechnologyandtelecoms/11513025/How-Serial-shook-up-the-podcasting-industry.html. 

Sinclair C. Palliative Care Podcasts. Website of Pallimed 2015.
http://www.pallimed.org/2015/05/palliative-care-podcasts.html. 

Lin M, Thoma B, Trueger NS et al. Quality indicators for blogs and podcasts used in medical education: modified Delphi consensus recommendations by an international cohort of health professions educators. Postgraduate Medical Journal 2015;91(1080):546-50.
http://pmj.bmj.com/content/91/1080/546.long

Adam Lella. Number of Mobile-Only Internet Users Now Exceeds Desktop-Only in the U.S. (April 2015)
https://www.comscore.com/Insights/Blog/Number-of-Mobile-Only-Internet-Users-Now-Exceeds-Desktop-Only-in-the-U.S

Tommy Helgevold. Build a radio in less than 1 minute
https://www.youtube.com/watch?v=3Zzmi_Kno4w

AmiPal - SoundCloud: https://soundcloud.com/mypal
AmiPal - Stitcher: http://www.stitcher.com/podcast/mypal-technology-innovation-palliative-care
AmiPal - TuneIn: http://tunein.com/radio/AmiPal-Palliative-Care-p837382/
AmiPal - Acast: https://www.acast.com/amipal

Audacity® is free, open source, cross-platform software for recording and editing sounds
http://www.audacityteam.org/

Copyright Dr Amara Nwosu, AmiPal Media 2016. 
www.amaranwosu.com
twitter.com/amaranwosu

Music by Bensound
www.bensound.com/royalty-free-music

Use of podcasts to facilitate education, communication and dissemination in palliative care #22

AmiPal is a podcast about palliative care, technology, innovation and research. 

If you want to learn more about palliative care, hospice care, research, innovation and health technology - this podcast is for you! This podcast will be of interest to healthcare professionals and students with an interest in palliative medicine. The podcast is hosted by Dr Amara Nwosu MBChB, MRCP, PhD, who is a Academic Clinical Lecturer in palliative medicine in the University of Liverpool, UK. Come and join the conversation about these issues in a way you just might like.

Copyright Dr Amara Nwosu, AmiPal media 2016. http://www.amaranwosu.com


AmiPal: Palliative Care

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