Archive for the ‘Free’ Category

The Pros and Cons of ARUPconsult “Physicians Lab & Test Guide”

Tuesday, May 6th, 2008

The famous ARUP laboratories made their database lab reference available for us, The ARUPconsult.

The ARUPconsult “physicians lab and test guide” is available in all sorts of formats that we can think of; online access, a PDA version, as an AvantGo channel, and also as a mobile site, this is what we are talking about other developers should think seriously to do the same if they want their software to be used / purchased by as many as possible.

The fun part is that all these platforms are just free… yes free. You don’t need even to register with them!

OK now let’s start with the Pros of this laboratory guide

1)Free download 2)Multiple platforms as mentioned above 3)Easy and clean interface 4)Pages load quickly 5)Appropriately cross linked 6)Beautiful disease centered theme 7)Enough detailed clinical background for each test  8th)Standard reference from the national guideline clearinghouse 9)frequent updates “6 times a year”

But there are a number of Cons of the ARUPconsult program

1)Not pediatric specific and age specific references of normal values are missing 2)No panels like CBC, Urine, or others 3)Algorithms do not work (I tried the mobile site and the AvantGo channel) the list is there but they are dead links 4)No information about preparation and patient instructions 5)Several lab tests are missing such as C reactive protein and procalcitonin! 6)I tried to download the PDA version from their web page which mentions that we have to register BUT there is no registration link! If you find that link please comment on this post.

In a netshell, this piece of software is very useful at the bedside although there are many enhancements needed which is hopefully are going to be there as the reference is updated relatively frequently.

If you wish to read more detailed review check out these pda4peds web pages

ARUPconsult Mobile Site      Review    AAG     Video Demo

ARUPconsult AvantGo Channel       Review     AAG      Video Demo

Finally if you like this program please vote for it in our Best Pediatric Programs page and choose either the Free category or the Labs and Tests category to vote. NB- Voting for the best pediatric mobile site is not yet available.

Shots 2008, Again please NO Skyscape.

Saturday, March 1st, 2008

Once again The Society of Teachers of Family Medicine delights us with this newly updated 2008 version of their wonderful and free vaccine reference. Just like last year’s version Skyscape provides a similar product for $15 but please don’t buy it (know why) unless Skyscape changes mind and be realistic and provides a free version.

Just like 2007; the Palm, The Pocket PC, and the online versions are updated with the latest ACIP recommendations and the result is the most useful most updated and referenced vaccine tool ever available to the handheld.

[Update 01-05-09] Shots 2009 is reviewed here.

Pediatric Podcasts, What do we have available?

Saturday, November 24th, 2007

As with any other field, pediatrics is no exemption. people started to post blogs and RSS feeds and ultimately podcasts over the world wide web.

The number of pediatric podcasts (AKA Pedcasts) is on the rise and there are very useful podcasts that we can subscribe to, Have a look at the list of pediatric podcasts published in Pda4peds Podcasts Category.

If you ever know any other pediatric podcasts that worths inclusion in the list please comment on this post or use the pda4peds contribution form.

If you would like to know more about podcasts and how to download them into the PDA have a look at this Pda4peds Guide.

To see a video tutorial on how to add a pediatric podcast to your handheld then see this Pda4peds Video Tutorial.

Bilitool

Thursday, October 4th, 2007

As the name implies this is a bilirubin tool. A calculator which intelligibly computes the risks at a given bilirubin level and baby age. Not only that but it also stratifies the risks into low, medium, and high with explanations, this is certainly useful and obviates the need for looking at NICU board mounted nomograms!

Honestly, though, I was using the freely available AAP risk nomogram (have a look here), I just downloaded the jpg picture to my PDA and opened it whenever I need (see picture below). However Bilitool clearly replaced the trick and is much more useful and easier to use.

AAP's bilirubin nomogram

Read Pda4peds Review

Read Pda4peds AAG

View Pda4peds Video

Bilitool is also available online check it out here

Medical Eponyms … Pediatric Perspective

Wednesday, October 3rd, 2007

One of the common questions that arise at the bedside, What is the name of that syndrome? What do we call that physical sign? Oh my god I forgot the components of Alagille syndrome…

Here comes Medical Eponyms written by Andrew Yee and thankfully availble as a freeware with immediate download in all the formats that we may possibly think of! Palm, Pocket PC, .pdf, Doc, Jfile ….etc. The Pocket PC version is also available from SegueMD.

The Medical Eponyms website is where we can download all the versions. BUT it is little confusing “it is mentioned Windows Mobile version and Pocket PC version, these OS’s are basically the same, in fact these just different names for the same OS check this Blog, Anyway one would expect the WM version to be newer “as the name is newer” but in fact the Pocket PC version is the latest on that website!

The Pocket PC version is also available from SegueMD.

Nevertheless, the software is brilliant and really useful at the bedside with short consice monographs about eponyms with a very useful pediatric chapter “that is Syndromes” see picture below

Read Pda4peds review for further details

Shots 2007 ‘ Why should we buy it?

Sunday, September 16th, 2007

The society of teachers of family medicine has been offering “Shots” through their Group on Immunization Education. The program has always been free whether in its Palm, Pocket PC, or online versions. Suddenly, they decided to offer it in a Skyscape’s format for $14.95!

For more details about Shots read the latest 2009 review.

Apart from the indexing and cross linking with Skyscape’s other titles there is no real benefit actually of the Skyscape’s platform. In fact there are drawbacks like for example missing the excellent and wonderful one interface of the original program and also the absence of pictures in the Skyscape’s version!

We recommend (without any hesitation) to download the free version from immunizationed.org and not to buy the Skyscape’s version wasting 15 bucks!

Skyscape Point of Care CME

Friday, June 15th, 2007

A new concept developed by Skyscape that help us earn CME credits as we use or handhelds during the daily practice..

Unlike Skyscape’s CME360, This one does not need to be worked out specifically to get our credits. Just as we use any of the Skyscape titles during our clinical practice we can then just claim CME credit for the information that we have gained.

Here’s an example;

I used the Harriet Lane title to look up whether we should use Dexamthasone in pneumococcal meningitis, then I logged into My Account page in Skyscape’s website and clicked on POC “stands for Point of Care” CME. The Next step you choose any of your registered products for which you have purchased CME credits previously and then answer the following online questionnaire;

When this form is filled and submitted they will add the activity and the credit to your CME Vault in the online account.

This is a new concept in CME taking and it may later revolutionize the way people ask for credits because in this way we don’t need to attend lectures or conferences and even we don’t need to read a specific CME activity and answer its related questions.

It is just what we are doing regularly in our daily rounds and patients encounter and the credits accumulate.

However such a kind of CME needs to be standardized so that only new and updated clinical information “which is usually the case when you look up info over the handheld, otherwise we wouldn’t look it up if we already know it” is eligible for credit because the goal of CME is to keep physicians abreast of updates and to maintain a reasonable level of knowledge so as to be safe pediatricians.

The big disadvantage of Skyscape POC CME is that it is not free and credits needs to be purchased, Personally I think Epocrates will follow with a similar solution and it could well be free…

Pediatric CME On Our PDA, Epocrates Vz Skyscape Comparison

Sunday, June 10th, 2007

Both of Epocrates and Skyscape have developed a CME solution for the PDA to our liking and convenience

In this blog I attempt to compare the two programs

View Web Based Table

  Epocrates
MobileCME
Skyscape
CME 3600
Pda4peds Review
Click Here Click Here

Updates and Synchronization

Updates Available Available
Automatic Updates
Yes, as part of Epocrates Autoupdate Yes, when the device is docked the Skyscape SmARTsync synchronizes with server
Frequency of Updates
Not impressive as new items added after long periods Little better with new items added every now and then
Wireless Updates
Possible, all Epocrates program components can be updated via wireless connection Unlike other Skyscape titles there is no way that we can update CME 360 remotely
Removal of expired and completed activities No, sometimes outdated credits still appear Yes, Specific items can be deleted

Accreditation and Certificates

Retrieval of certificates
Yes, via email and the online account Yes, via the online account
Accreditation
ACCME, AMA PRA Category 1 Credits ACCME, AMA PRA Category 1 Credits
Cross linking to other parts of the Epocrates program No
No
Requesting Duplicate Certificates
Yes, can be asked from the device itself
No
Fees
Free
Free
Specialties and Content
Number of Specialties covered
Not many (8 at the time of this review) Many (20 at the time of this review)
Pediatric-Only Option
Yes and can be pre-selected
Yes, but it is not pre-selected, every time you need to select pediatric
Sources
MedPageToday, University of Pennsylvania School of Medicine, Johns Hopkins University School of Medicine MedPageToday
Enjoyable Content
Very enjoyable and relevant to clinical practice The pediatric content is not very interesting
Case Based Learning Sometimes Not seen
Literature Based Learning Yes Yes
Reviewers and Authors Mentioned Mentioned
Overview and Objectives Mentioned Mentioned
Evaluation Forms Requested at end Requested at end

Software and Interface

Device Compatibility Palm and Windows Mobile Palm and Windows Mobile
Synchronization
Flawless
Some problems and bugs noted on PPC platform
Vista Compatibility Yes Yes
Indexing and Search
A find icon placed at the bottom that can search the entire CME database A look for search is placed at the bottom but it can only search titles and not the contents of each activity and there is no indexing as is the case with other Skyscape titles
Point of Care credit earning
No, Only designated CME activities can be claimed for credits Yes, clinical questions answered using any other Skyscape title can be claimed for CME credits
Look and Colors Simple Epocrates interface Very colorful and attractive
Navigation Easy Very easy
Email Notification Yes No
Online Account Yes Yes

For a web based table click here

Personally I don’t prefer one over the other both of them are great and both of them have revolutionized the way we earn CME credits, very convenient, no need for conferences, free, right onto our Handhelds!

Skyscape Medalerts New Feature!

Thursday, May 31st, 2007

We noticed a new feature in the Skyscape Medalerts that we get on our handhelds..

We can see the new button here “Request Info via Email”, well I did tap on it

But I did not receive any info! further more there was no more such an option with their subsequent alerts!

It seems that they changed their minds and removed the option, I guess..

Any one knows more about this issue?

Epocrates improved linking

Thursday, April 26th, 2007

The recent version of Epocrates Essentials included an improvement to the cross linking between their products.

Now we can link from Rx to Dx as we were able to link from Dx to Rx only in the previous versions. BUT still they need to improve the cross linking as for example many drugs and diseases mentioned in their Tables still unliked to Rx and Dx.

Watch a presentation on this issue.