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Hacking Health in Hamilton Ontario - Let's hear that pitch!

What compelled me to register for a weekend Health Hackathon? Anyway, I could soon be up to my ears in it. A pubmed search on Health Hack...

Showing posts with label Health Research. Show all posts
Showing posts with label Health Research. Show all posts

Friday, February 3, 2023

The Healthy Minds Meditation App - Designed by Neuroscience and Tibetan Buddhism

I have tried several meditation apps and online meditation programs. I started out reluctantly because I didn't think the electronic format would be that appropriate, as I was used to practicing meditation by way of instructions from traditional meditation teachers. The apps that I have tried - I have stayed away from many so can't provide a wide ranging assessment - have been excellent additional supports to my main practice. I refer mostly  to the Healthy Minds program app, developed by a group of scientists and Tibetan meditation experts inspired by the neuroscience meets meditation research of Dr. Richard Davidson. Dr. Davidson, or "Richie" as he is known, is famous for conducting fMRI research on Tibetan Buddhist monk, Matthieu Ricard, dubbed the "happiest man in the world" by science,.  Richie is one of the leading research scientists in the Mind and Life Institute, a group of scientists who have been meeting annually with His Holiness the Dalai Lama to discuss science and contemplative practices, "in order to bring about positive change in the world". 

This "happiest man in the world" thing has to do with EEG brain recordings of areas of the brain when an advanced meditation practitioner is contemplating compassion. Happiness is not pleasure seeking. It is giving to others. It is wishing or acting for the benefit of others. ;

I wrote an article before about how I found the MUSE head band meditation technology that tracks EEG readings in the brain, and I have also discussed the Mindfulness Based Stress Reduction 9 week online course designed at Palouse Mindfulness, modeled after the work of Jon Kabat-Zinn.  One more app that I have not discussed, but which I heartily recommend, is the Imagine Clarity app, hosted by said Tibetan monk Matthieu Ricard and his organization based in France and Nepal. It too is inspired and based on Tibetan Buddhist meditation practices. 

Meditation apps to me are just vitamins in the diet, and not the main course. I suppose then you'd call them supplements. But I am speaking as a person who was initiated into meditation practices by bona fide spiritual masters or teachers, many decades ago. I don't know how anyone with no teachers or guides would get by just using the app itself. I suspect however, that the Healthy Minds app would be a great support for those new to the practices. I will go out on a limb here and also say I suspect it might be excellent for those dealing with mental health issues who need more mental fortification. The Healthy Minds app is free (or by donation), as is the Palouse mindfulness mediation course. Imagine Clarity has free lessons, but to go deeper, for example to get the brilliant sessions with Tibetan Buddhist meditation master and scholar Allan B. Wallace, you have to pay for the premium version. I paid several years for the premium version and felt better for the altruism behind the Karuna Shechen program that Matthieu Ricard oversees and supports with those donations.

In a way all three of these programs just washed over me, bathing me with their enlightened words, logic, spaces, and images. I mostly put to the side my own meditation practice, which is based on Tibetan Buddhist practices, in order to concentrate just on the app offerings. I am still doing the Healthy Minds app every morning and it has been almost 5 months of daily practices since I started! There is a lot of programming that goes into it. Initially I was doing a half hour every day per lesson. Each session gives you a choice of not only how much time  you want spend on the meditation, varying from 5 to 10, to 20 to 30 minutes, but for many of the sessions, you also get to choose which instructor voice you want to listen to - there are five - which also gives you more of a sense of choice for inclusion or identification with different genders or ethnicity. At least, you don't have to listen to Cortland Dahl all the time, the chief "contemplative instructor", though he is the main instructor and the default voice on my many modules, when only one voice is needed.  Lately I am only doing the shorter versions of the meditations as I have reverted back to my main practice. But when I say these programs just wash over me, looking back, not just to yesterday, but to the nine years ago when I did the Palouse course - what did I really remember or integrate into daily use? Though, I do remember I took the nine week course during the time when my father had passed away and it helped me a lot with the way I was daily grieving that loss.

I wonder why the Healthy Minds app is so loaded with meditation sessions? It could be that to complete it is to really do a house cleaning on your mind, emotions, and over all state of well being. All these lessons and meditations are based on research on the psychology of the mind. I would like to stress this - every session almost has a reference to a research study about the mind, from the research of Richie, or from a host of other scientific studies, references to which are often given in text at the end of the session. In that regard, this is kind of the university level meditation app, non-secular and based on real evidence of how our minds actually work. Since the foundation of all these is thousands of years of meditation practice, it looks like science is finally catching up to Buddhism. Many Tibetan Buddhist practices are meant to be purification practices, and it takes a long time to purify our karma before we become enlightened. I remember I was on an 11 day Vipassana meditation retreat, 12 hours a day sitting, vow of silence, and S. N. Goenka, the videotape recorded meditation instructor said something like "now we are going to preform a surgical operation on your mind", in other words, the methodology of the Vipassana meditation was a proven scientific method of gaining insight into the mind. 

I won't go into specific lessons in the Healthy Minds app but will say it is divided into five main sections:

  1. Foundations: Learn the foundational skills of training your mind - 10 Lessons / 14 Meditations
  2. Awareness: Learn to be more present in your daily life - 22 Lessons / 27 Meditations
  3. Connection: Practice the skills of appreciation 18 Lesson  / 27 Meditations
  4. Insight: Examine how your thoughts, emotions, and beliefs shape the way you see the world 18  Lessons  / 27 Meditations
  5. Purpose: Connect with your deeper motivations and core values 18 Lessons / and 27 Meditations

The app tracks your progress, or you path through the course. There are also areas to "Explore" off the path including a recently added Dalai Lama's Guide to Happiness, which looks like it is chock full of happiness meditation vitamins, or,  as advertised "Join His Holiness the Dalai Lama, Dr. Richie Davidson, Dan Harris, and Roshi Joan Halifax to unlock a happier life".  You only learn by doing and not all the life lessons you will learn in this program will be relevant, but you will learn to relax your mind, become self-aware, learn to breath, and when it all comes down to it - just to let yourself be. But they call these "practices" for a reason. It is mind training, and that takes practice. There is a neuroplastic science of entraining brain cells in order to change behaviour. It can happen.

Meditation apps that are any good (and there are probably so many apps now  (not all good probably) that it would be difficult to track them all, if not impossible, or maybe only if doing a deep research project on the phenomenon ) are also the ones that bring a sense of community. In these Covid times where people are living more in isolation, the sense of community is vital. It is the Buddhist idea of "sangha" or community of practitioners (sometimes organized as monasteries). Of course, the online community should not be a replacement for the actual physical community, but I don't think that matters in some cases. A feeling of belonging is the same. It is in that spirit that I say I am very grateful to the Healthy Minds program and wish it will continue to inspire and serve all those who are searching inner well being. And trust the science - it works! 




Thursday, March 26, 2020

digital health initiatives in the wake of COVID-19


6. 17-year-old builds a website to closely track the Coronavirus epidemic and now millions are using it:https://www.democracynow.org/2020/3/13/meet_the_17_year_old_behind

7. Flatten the Curve. Volunteer engineers and clinicians big data real-time heatmap of potential and confirmed COVID-19 cases: https://flatten.ca/

8. Ontario, Alberta, etc., billing codes for primary virtual visits: https://ontariomd.news/

9. Wildly Popular South Korean covid-19 tracker app: https://www.marketwatch.com/story/wildly-popular-coronavirus-tracker-app-helps-south-koreans-steer-clear-of-outbreak-areas-2020-03-18

10. South Korean coronavirus tracking apps: https://www.businessinsider.com/coronavirus-south-korea-photos-apps-location-outbreak-where-2020-3#the-app-collects-data-from-public-government-info-including-the-korea-centers-for-disease-control-to-show-the-date-a-patient-was-diagnosed-with-covid-19-along-with-the-persons-nationality-age-gender-and-where-they-visited-2

11. WeDoctor - free consultation from medical clinicians: https://promo.guahao.com/en/global/pneumonia

12. Donate PPE in Canada: https://togetherwecandothis.ca/

13. National Emergency Library - Free books online: http://www.openculture.com/2020/03/the-national-emergency-library-makes-nearly-1-5-million-books-free-to-read-right-now.html

14. MIT Emergency Ventilator Project: https://e-vent.mit.edu/

15. Canadian MD Ventilator Hack 1 ventilator for 9 people: https://www.upworthy.com/canadian-doctors-brilliant-evil-genius-hack-turns-one-ventilator-into-nine

16. Nobel Laureate Leads Push for Made in Canada Ventilator: https://www.theglobeandmail.com/canada/article-nobel-laureate-leads-push-for-simple-made-in-canada-ventilator/

17. Medical Futurist - COVID-19 Was Needed for Telemedicine to Finally Go Mainstream: https://medicalfuturist.com/covid-19-was-needed-for-telemedicine-to-finally-go-mainstream/

18. Project Northern Lights - Groups of Canadians using Slack to hack projects for COVID:  https://www.theglobeandmail.com/canada/article-canadians-use-crowdsourcing-to-produce-medical-supplies-for-health/

19. SECDEV looking for Cybersecurity IT Professionals to volunteer to protect healthcare centres from disinformation, ransom ware attacks, etc:https://www.secdev.com/

20. FutureLoop - Pandemic Edition: https://futureloop.com/register/coronavirus/












32. How is my Flattening?  includes vaccination percentages for Ontario

33. Canada's Public Health Data Meltdown - MacLeans article by Justin Ling


35. ProMed - International Society for the Infectious Diseases









Saturday, February 11, 2017

Pushing Drugs - American Style: Watching the news makes people sick.

This is a post from the blog of Professor emeritus Dr. Richard Hayes, who taught Buddhism and Sanskrit at McGill University, and is now back home in the 4 corners area of the United States. Dayamati Hayes is also a Quaker, peace activist, vegan, and a conscientious objector from the Viet Nam war. As a friend who I have known on internet lists and now on social media for more than several decades, Dr. Hayes is well known and respected for his wit, wisdom, and insight into our human condition. In fact, there are too many excellent posts one could share from Richard, but this one is only a sample, and one that has some relevance to digital health:

http://dayamati.blogspot.ca/2017/02/pushing-drugs-american-style.html

Watching the news makes people sick

At the outset I must confess to being addicted to watching the news on television. Although my favorite televised news sources are on PBS, on most nights I supplement the PBS News Hour with the news on one of the traditional network stations or a cable news channel. Something that has repeatedly struck me in watching the evening news on traditional network stations is that advertisers have obviously learned that the vast majority of people who watch the evening news are suffering from indigestion, irritable bowel syndrome, erectile dysfunction, atrial fibrillation not caused by a heart-valve problem, moderate to severe psoriasis, rheumatoid arthritis, osteoporosis, depression, insomnia, restless leg syndrome or dry eye disease. If not afflicted by one of those conditions, they are being assaulted by meatballs or chicken wings.

Not all the commercials are pushing drugs, of course. Interspersed with all the pharmaceutical products are commercials featuring lawyers who are prepared to sue pharmaceutical companies for offering products that have life-changing side effects, and health insurance plans that complement Medicare to provide coverage to pay for all those pharmaceuticals that TV viewers are urged to ask their doctors about. Given the evidence of television commercials, remarkably few of the people who watch the televised news are under the age of sixty-five and have sound minds in sound bodies.
An often-heard claim of those who are convinced that the Affordable Care and Patient Protection Act has all but destroyed the health-care system in the United States is that the ACA (which they persist in calling Obamacare) has driven insurance premiums through the ceiling, thus bringing financial ruin to small businesses and confronting hard-working Americans with having to choose between health insurance and sending their children to overpriced universities. What is missed in this analysis, of course, is that health insurance is expensive because medical care and pharmaceuticals are expensive. Also left out of consideration is that almost every pharmaceutical product sold in the United States is available in Canada for a fraction of the cost.

Why don’t Canadians pay their share of the cost of drugs?

A claim I have heard many American make, clearly a claim that they have learned from the pharmaceutical companies themselves, is that the prices of pharmaceutical products are so high in the United States because it costs pharmaceutical companies a great deal of money to do the research necessary to develop new products. Some American friends have even showed indignation that Americans are subsidizing Canadians, who derive all the benefits of expensive medical research but pay none of the cost. Once, when I was still living in Canada, I received an email from a (former) friend in the United States who accused me, in language unsuitable for anyone not in either the navy or a motorcycle gang, of being a freeloader who was enjoying good health at the expense of poor Americans. That claim was false for two reasons. First, I have almost never been prescribed a pharmaceutical product and tend to avoid over-the-counter medical products. Second, there are better explanations for why pharmaceutical prices are outrageously high in the United States. So the answer to the question “Why don’t Canadians pay their share of the cost of drugs?” is that they in fact do pay their fair share. Americans pay more, not because they are subsidizing freeloading Canadians, but because Americans pay far more for products than it costs to develop and manufacture those products.

Why do Americans pay for overpriced pharmaceuticals?

The pharmaceutical companies typically claim that they must charge high prices for their products because of the high cost of developing them. It cannot be denied that running controlled tests on new products and making sure the products meet safety standards is costly. It should also be pointed out, however, that advertising the products once they are developed is also costly. To that can be added that pharmaceutical companies also tend to pay shareholders rather high dividends. When health care products are manufactured by for-profit corporations that have investors to reward with high dividends, then costs naturally rise. While the claim of many advocates of free-market capitalism is that competition keeps costs down, the opposite is often the case. If two companies are competing for a share of the market, the cost of the competition—the advertising of products to potential consumers of the products and to potential prescribers of those products—can be quite high.

Neither of those kinds of advertising is necessary. There is no justification whatsoever for running expensive advertisements on television that end with the line “As you doctor whether…is right for you.” There is no need to make the patient into a sales representative for a product that the patient may end up buying. If someone has, say, osteoporosis, then it should be sufficient for the physician to suggest a range of possible treatments, and to tell the patient the desired effects and the likely side effects of each of the possible treatments. And that information should be given directly to the physician in the form of the results of clinical trials, not in the form of slick presentations delivered in the context of work-vacations at expensive resorts. The cost of disseminating objective information is relatively low, whereas the cost of trying to persuade a physician to prescribe product A rather than the almost-identical product B is much higher.

One way to bring medical costs down is to make advertising of medical products illegal, as it is in some countries that have lower costs for pharmaceuticals and hands-on medical care. Another way is to have government-imposed limits on the amount of profit a company can make on a product, as is also the case in some countries that have reasonable consumer-costs for health-related products. A third way is to have a government-run insurance plan that negotiates prices with pharmaceutical companies and imposes a cap on how much a pharmaceutical company can receive for its products. There is no need for a government-run plan to be managed by the central government. In Canada each province has its own plan, and no two provinces have exactly the same setup.

Health care is far too important to be left to the vagaries of markets in a for-profit corporate scheme. The good health of the entire citizenry is far more important than the bank accounts of capitalist shareholders. There are plenty of other markets in which investors can make or lose their money. Pharmaceutical companies, manufacturers of medical devices, clinics, hospitals and retirement homes for the elderly should not be in the private investment sector of the economy. (Neither should correctional facilities, but that is a matter for another day.)

Americans desiring affordable health insurance should first advocate for more affordable treatments, and that is best achieved by a not-for-profit health-care system. They should be asking for, in fact demanding, more government involvement and less private-sector investment in products designed for health. Such a change in outlook would, however, require that Americans first seek a cure for their addiction to free-market capitalism and the delusion that the best way to keep costs down is to let the market determine prices. That strategy has been tried again and again, and it has failed again and again. It is time for Americans to considered an alternative system (not to be confused with “alternative facts”).

Next time you see a television commercial for an expensive treatment that you have seen a hundred times before, instead of simply reaching for the mute button on the remote control, ask your doctor whether socialized medicine is right for you. If you doctor says No, then consider seeking a second opinion. 

Saturday, August 4, 2012

Automatic Tape-collecting Lathe Ultramicrotome (ATLUM) device - In search of Immortality

I have always thought that one of the goals of ehealth was towards life extension, and this research article is indicative of the advances being made towards immortality, specifically - mind uploading - and a new word that I wonder might make head way in the English language lexicon - connectomics!


The strange neuroscience of immortality

July 30, 2012
[+]ken-hayworth
Kenneth Hayworth with his Automatic Tape-collecting Lathe Ultramicrotome (ATLUM) device (credit: Kenneth Hayworth)
Neuroscientist Kenneth Hayworth believes that he can live forever, the Chronicle of Higher Education reports. But first he has to die.
“The human race is on a beeline to mind uploading: We will preserve a brain, slice it up, simulate it on a computer, and hook it up to a robot body,” he says.
He wants that brain to be his brain. He wants his 100 billion neurons and more than 100 trillion synapses to be encased in a block of transparent, amber-colored resin — before he dies of natural causes.
The connectome grand theory
To understand why Hayworth wants to plastinate his own brain you have to understand his field — connectomics, a new branch of neuroscience. A connectome is a complete map of a brain’s neural circuitry. Hayworth looks at the growth of connectomics — especially advances in brain preservation, tissue imaging, and computer simulations of neural networks — and sees a cure for death.
Among some connectomics scholars, there is a grand theory: We are our connectomes. Our unique selves — the way we think, act, feel — is etched into the wiring of our brains. Unlike genomes, which never change, connectomes are forever being molded and remolded by life experience.
A human connectome would be the most complicated map the world has ever seen. Yet it could be a reality before the end of the century, if not sooner, thanks to new technologies that “automate the process of seeing smaller,” as Sebastian Seung puts it in his new book, Connectome: How The Brain’s Wiring Makes Us Who We Are.
Hayworth looks at the growth of connectomics — especially advances in brain preservation, tissue imaging, and computer simulations of neural networks — and sees something else: a cure for death. In a new paper in the International Journal of Machine Consciousness, he argues that mind uploading is an “enormous engineering challenge” but one that can be accomplished without “radically new science and technologies.”
Hayworth has founded the Brain Preservation Foundation, which offer a cash prize for the first individual or team to preserve the connectome of a large mammal. A dependable brain-preservation protocol is possible within five years, Hayworth says. “We might have a whole mouse brain preserved very soon.”
The foundation has published a Brain Preservation Bill of Rights on its Web site. ”It is our individual unalienable right to choose death, or to choose the possibility of further life for our memories or identity, as desired,” the document declares.
Hayworth’s brain-preservation and mind-uploading protocol
Before becoming “very sick or very old,” he’ll opt for an “early ‘retirement’ to the future,” he writes. There will be a send-off party with friends and family, followed by a trip to the hospital. After Hayworth is placed under anesthesia, a cocktail of toxic chemicals will be perfused through his still-functioning vascular system, fixing every protein and lipid in his brain into place, preventing decay, and killing him instantly.
[+]
Preserved in amber resin (Credit: Bad Robot/Fringe)
Then he will be injected with heavy-metal staining solutions to make his cell membranes visible under a microscope. All of the water will then be drained from his brain and spinal cord, replaced by pure plastic resin.
Every neuron and synapse in his central nervous system will be protected down to the nanometer level, Hayworth says, “the most perfectly preserved fossil imaginable.”
Using a ultramicrotome (like one developed by Hayworth, with a grant by the McKnight Endowment Fund for Neuroscience), his plastic-embedded preserved brain will eventually be cut into strips, and then imaged in an electron microscope. The physical brain will be destroyed, but in its place will be a precise map of his connectome.
In 100 years or so, Hayworth says, scientists will be able to determine the function of each neuron and synapse and build a computer simulation of the mind. And because the plastination process will have preserved his spinal nerves, the computer-generated mind can be connected to a robot body.
“This isn’t cryonics, where maybe you have a .001 percent chance of surviving,” he said. “We’ve got a good scientific case for brain preservation and mind uploading.”

Monday, March 26, 2012

The Panic Virus

Books! I am reading the Panic Virus by Seth Mnookin. Might even see him at a conference next month where he is the key speaker at the Canadian Association of Research Ethics Board. The first 70 pages or so about vaccines and those in the public who advocate AGAiNST them, reminded me of another book I read recently by Michael Bliss on the smallpox epidemic in Montreal in the last century. The role the media plays with science stories is huge, but so is the role parents play who advocate for their kids. This book is not about ehealth or technology. It is mostly about Autism and how bad science created the impression that vaccinations were responsible for causing it.

Wednesday, March 21, 2012

Institute for Ethics and Emerging Technologies

Just joined the website < Institute for Ethics and Emerging Technologies >. Was happy to see they have a Cyborg Buddhist. Very interesting. Bioethics should be looking at transhumanism more, from many different perspectives and realms of experience. This site reminded me of the work of Dr. Nick Bostrom, and I just found out he is mentioned on the site, which in fact is how I remembered him. More digging around, I find out Bostrom founded the IEET! His group at Oxford university is looking at the future of humanity. I don't think they are that optimistic. I would highly recommend reading some of his papers, even if you don't have a scholarly bent. Here is his website: http://www.nickbostrom.com/

Sunday, March 11, 2012

HL7 and NCI collaborate on clinical trial link to EHR

The HL7 group is trying to do UML models for almost anything that has health related data. This new initiative is a hat tip to Big Data and Public Health. The patient, the little guy in the whole operation, might even benefit. Hopefully, there will no longer be a disconnect between the evidence collected through participation in clinical trials, and electronic medical records. That goes as well for Personal Health Records. Both record systems are potentially rich sources of evidence based medical data, if only there were more efficient ways to capture it, without jeopardizing the autonomy and consent of patients. http://www.fiercehealthit.com/story/hl7-and-nci-collaborate-clinical-trial-link-ehrs/2012-02-28

Tuesday, February 28, 2012

Playing video games 'improves eyesight'

I know the researcher in this study quite well. I wanted to sign up for one of the video game studies on amblyopia (lazy eye) because I have lazy eye, and I would get a free X-Box. I am not a gamer, but if I had the technology, I know I would become addicted to it. Now that scientist like Dr. Maurer suggest in this research, that playing video games is therapeutic for eyesight, I don't see why I don't invest in a gaming system. There is a caveat here, and that is not to believe everything you read in headlines, or anything you might happen to find on the internet. Going to the scientific article to study the findings is the best idea. Since hearing about Dr. Maurer's research, I have become hopeful that newer and better forms of vision therapy can be developed. I have read and tried the eye improvement exercises in the Bates Method and the book by Aldous Huxley called "The Art of Seeing". The cognitive basis of vision is so clear in these books and this research. http://www.telegraph.co.uk/science/science-news/9088262/Playing-video-games-improves-eyesight.html