Mobile Cardiologist

A Peacemaking Project by Omid G.

What is the injustice we are solving?

The problems that motivated us towards innovating Mobile Cardiologist are as follows. According to World Heart Organization (WHO) worldwide 17.7 million people die annually from Cardio-vascular diseases, 80% from sub-Saharan Africa and this is expected to rise to 23.6 million by 2030. Furthermore, personal involvement, considering heart failures occurrence in families, has brought us towards this significant challenge. According to the Uganda Heart Institute (UHI), 40% of the Ugandans, including many children where by 1 of every 4 children is born with a heart defect. Many have faced issues caused by Cardio-vascular diseases such as heart failure or acute cardiac arrest, high blood pressure and Rheumatic heart fever etc. Our research shows the four main reasons causing a huge death toll annually. 1) In case of heart failure, first aiders must act through BLS (basic life support) procedures within 6 minutes before the situation becomes irreversible. Often the ambulances take more than 10 minutes to reach the patients in developed countries due to traffic and distance reasons and more than 30 minutes in less developed countries due to the lack of proper infrastructures in rural areas also in mountains isolated city of 1° world countries. 2) Hospitals are out of reach and 80% of all heart failures happen far from hospitals. Since many Ugandans are in rural areas and undeveloped provinces, many do not survive when they receive the cardiac arrest because the hospitals could be150 Km far. This has also lead to the rise in premature burials since many aren’t taken to hospitals for death reports. Considering the first two points we can understand why the survival percentage in developed countries is 2% and in third world country the survival percentage is less than 1%. 3) Everywhere often continuous monitoring is not performed. Prevention does not exist properly and that is why we cannot detect typical anomalies of the heart electro activities before it is too late for a diagnosis or a heart attack. In fact 91% never had Electro cardio-graph recording before and many people aren’t concerned about having regular health/medical checkups after long working days and some face unavailability of these services in their localities. According to World Health Organization (WHO) if medicals checkups are made on time and monitored, one’s life can be saved and there is a good chance of recovering from these diseases. 4) Currently there are existing heart monitoring devices usable after a medical surgery like Implantable Cardioverter defibrillator (ICD) and pacemaker. Their disadvantageous costs of 30000$ and 19000$ respectivily makes them not affordable for middle and low income people unless if one has private or public insurance. This has lead to the increase in number of unserved cardiovascular affected patients. - In conclusion there is a worrying problem in common worldwide: with the development of the digital technologies Patients progressively get further from Doctors taking the Web diagnosis as professionals ones.

Our Compassionate Solution:

To solve this injustice of Cardiovascular diseases in second and third world countries
we will address out of reach hospitals and lack of medical services
by creating digital online platform to monitor heart patients and providing cheap defibrillators and ECG monitors in a portable size

Our Project Plan:

Goals

  • Improve the portability of the defibrillator + ECG sized 10 x 15 x 2.5, near a phone size
  • Connect patients and doctors with our mobile APP which shares ECG waves
  • Develop a software who improves the rescue system in case of heart failure
  • Develop the website platform who guide people on finding the nearest BLS course
  • Reach rural population
  • Develop a sleep monitoring system to include in the app
  • ECG monitoring for Italy

We will increase my / our compassion by...

reaching the part of population that is not served by the National Healthcare system for different reasons. In fact, often people are not included in the Healthcare system because of lack of services (in case of a rural village), economic problems, bad ties with doctors and inaccurate knowledge about health. That's why we effort to listen, converse and support people having these issues. Furthermore, after this step, we will increase our compassion by organising meetings or awareness-campaigns in specific locations in our communities. Surely, our first method is to meet in person the patients in local hospitals; the first great thing is that their eyes look at us finding in us a real solution in order to prevent diseases maybe from his/her sons or next generation. You really can feel the atmosphere made of curiosity, confidence and passion. Few hours of interviews supported by doctors, patients and hospital Staff. We aim to build a society aware of the risks of Cardiovascular diseases, through meetings and BLS courses in our city. Everybody has the right to healthcare and everybody must know that Cardiovascular diseases are the most deadly. We don't need to go far from our community, actually what has built our compassion are the victims of heart failures in families of our friends. Every day we proceed with the compassion journey thanks to the possibility to be part of Emergency Rescuers of my region. Surely Mobile Cardiologist will use innovative Technology to INNOVATE our society towards a better future. Finally, we managed to interview personally people coming from 10 different countries on BLS knowledge in their countries and their government visions and efforts towards the right of Healthcare.

How will you show courage?

We are not going to stop our social innovation in front of the problems. We believe in it and we are ready to convince everybody who has doubt on the potential benefits of Mobile Cardiologist. Courage is when we do not regret a crucial decision for Mobile Cardiologist. We will prove and show that the decision was made for a better development of the idea. Courage for us is talking in front of National Health Care Commission supporting thesis taking our risks and responsibility. It is important because we will make all the possible to build a workable system and prove our thesis when requested. Courage increase when in your community recent heart failures have hit our friends family. We visit heart patients in hospitals in order to avoid what happened to our friends and having the courage to understand their problems and needs. Without taking risks, our project will not succeed in our country challenges.

How will you collaborate with others?

We have a collaboration with Uganda heart institute and USL toscany in order to get reliable information and make collaboration with internal cardiologists. It is very important to have collaboration with government or powerful institutions in order to get advice on the points of focus. Our other element of collaboration is made by the Citizens. We need them to get opinions and views on Mobile Cardiologist. The website and the app will be meet the opinion of the users, before the official release, Finally, we are aiming to get in touch with local humanitarian agencies in order to collaborate in other countries like Uganda or Liberia on a common field of interest like: awareness-campaigns on BLS or Health.

How will you know you are moving in the right direction? (What are specific ways you can measure your impact?)

USL toscany gave us the authorization of using their company logo, they believe in us and demonstrated in some conferences that our project will work. Finally, we will know our progress after months of developments getting feedbacks on app usages and various opinions from people with different backgrounds.

Key Steps

  • Complete the website by May
  • Publishing Mobile Cardiologist APP
  • Get subscriptions in our database
  • Make some patients use our device in order to connect with their doctor
  • Organise with local humanitarian agencies BLS courses in Kampala city
  • Spend on research in order to reduce device test and improve app
  • Building of a sleep monitoring system to integrate in Mobile Cardiologist APP

Our Updates:

Mobile Cardiologist at Technology HUB 2018, Milan, Italy

Omid G. 24 May 2018 9:49 On May 18th I went to Technology Hub 2018, based annually in Milan, northern Italy. The most advanced city in Italy hosted thousand of professional visitors and hundreds of international companies, Scientific Research Universities, NGO and Startups show their innovative products. As representative member of Mobile Cardiologist, I was invited by Biorobotics Institute of Pisa to get this international fair as an opportunity to increase our researches on the Medical area getting in touch with professionals. This rewarding experience permitted us to build many contacts and to participate to E-Health conferences. Our field of interests was biomedics applied in electronics,  rehabilitation robots, E-Health progress in EU and future perspectives.  I met HealthCare operators and cardiologists. They have positive views about the digitalization of the country in terms of Health. Thanks to University (Politecnico Milano) professors of Artificial Intelligence  and professor of health prevention, we have a clear panorama of opportunities and potential of Mobile Cardiologist. That's why we always find essential advice and conferences of professionals, because we get ideas and learn from them. This experience was very useful for our project.

Soon with other updates!

Italian and Uganda scenario: current health situation

Omid G. 30 May 2018 16:12 Today is the 30th of May and it is the beginning of our action plan officially! I find important to give a first preview of nowadays situation of Italy and Uganda in terms of health, using some data from World Health Organisation. The survival percentage after a heart failure in Italy and in all the developed countries is around 2%,while in Uganda is of 0,8%. The factors are different in both countries. Actually Italian healthcare is very efficient, but sometimes extra-check ups are not cheap for everyone, that's why we aim to build a E-health platforms in order to delete the long waiting lists and reduce costs of operations. About the knowledge on BLS (basic life support) procedures, there are not enough promotions of BLS activities in various cities, and often people does not know the existance of BLS courses organised by Volunteer associations, with whom we try to collaborate. According to this our project aims also to develop an awareness on BLS starting from small cities. For further information check our Project! In the following days we are happy to show you the current status of the project!

 

First update: Splash Screen APP

Omid G. 6 June 2018 10:09 Here you are our first concrete update, this is called "Splash Screen", which is opened once you click on the app and it permits the loading of the whole app with some special effects and a progress bar. This screen is tested in our phones and last 4000ms, 4 seconds. Long programming and now we have time  to develop the part of design. Next: "About us" screen.

From 31 may, Mobile Cardiologist member, Omid Gholamzadeh is in France, to study the HealthCare system in the city of Strasbourg,Lyonand Montélimar

About us app screen

Omid G. 20 June 2018 12:46 Here you are, the following app screen after the splash screen.
The "About us" Screen send the user into the discovering of our product, organisation and terms of use. After that, the user will be able to start the log in.
I appreciate and love the new design of the project dashboard.

Method of work

Omid G. 20 June 2018 12:48 I did not find the way to add more than one photo per Update, so here I upload this image that shows some programming codes for the screens. The language used is Java.

4 more app screens: 1. Contact details

Omid G. 22 July 2018 15:42 After the Login screen you will be requested to fill 3 other pages, that are technically called "Fragments" because they depend from the Main screen (Login). In the first fragment you will be asked for contact information. All information are stored and will permit the correct building of "Patient dossier" for the doctor. NOBODY else can visualize the patients information.

2nd fragment

Omid G. 22 July 2018 15:46 After the Login screen you will be requested to fill 3 other pages, that are technically called "Fragments" because they depend from the Main screen (Login). In the second fragment you will be asked for physical information. All information are stored and will permit the correct building of "Patient dossier" for the doctor. NOBODY else can visualize the patients information. Physical information like age, weight and height permit to fix a Starting point for the future progress of Patient and decide the status of him/her, following specific paramenters (e.g. ratio between height and weight)

3rd fragment

Omid G. 22 July 2018 15:48 After the Login screen you will be requested to fill 3 other pages, that are technically called "Fragments" because they depend from the Main screen (Login). In the third fragment you will be asked for health information in order to do/plan a first check up and start a resume of all past health problems file. All information are stored and will permit the correct building of "Patient dossier" for the doctor. NOBODY else can visualize the patients information.

HOME PAGE

Omid G. 22 July 2018 16:08 This is the heart of the app and the manager of all data. Actually it is based on 8 functions, each represented by an intuitive icon. In fact, we find important that also the older people must feel comfortable in the app, Intuition is essential and customers will rate the level of comprehensibility.
8 functions that we will explain each later:
1. ECG screening and sharing
2. Doctor desk (contact doctor)
3. Food and diet advice
4.Medicines prescriptions
5. Community chat
6. Sport activities tracker
7. SOS
8. Sleep activities tracker
The function disposal could be changed in the following days and possibly some functions will be suppressed in order to make possible a high-quality service for the main functions.

Sleep monitoring System preview

Omid G. 22 July 2018 16:16 Here you are the sleep monitoring system built and tested the capability. This is made with several materials bought thanks for your aid. Other implementations will be done with the new materials bought in order to finalize the product. As you can see the product is quite big and not practical, but anyway with 3D circuit printing it will become a small PCB. Looking forward sending you specific material photo of the product and the materials bought with the shipping box.
Thank you for your patience

Comments:

Amani A.
13 July 2018 12:36

Hi Omid and Kakooza, any new updates on your project, please? I look forward to reading about July's activity.

Please let me know if you need any help.

Amani A.
5 July 2018 12:36

Thanks for your reply, Omid! I am excited about the final result! Unfortunately, mine is not an android device!

Please let me know if you need any help.

Omid G.
22 June 2018 10:08

Thank you. Yes, you can look the app in your phone for the first 3 screens for the moment. A question, is your phone an android device? I am optimizing all the media of the app for all the versions of android

Amani A.
20 June 2018 13:52

Dear Omid and Kakooza,

Thanks for keeping us updated on the progress of your project! Can I look for the app on my phone?

Also, thanks for your feedback on Peace First new project dashboard! Glad to hear this!

Amani A.
29 January 2018 14:40

Hi Omid and welcome to Peace First Community! Please share with us more about your project; is it an app or what? I look forward to reading more about your project.

Omid G.
1 February 2018 11:04

Good Morning, it is a device with an app support, I am going to update the project information as soon as possible!
Thank you!

Amani A.
2 February 2018 12:45

This is amazing, Omid! It's clear that you got the solution, but I would encourage you to use the peacemaking tools to understand the injustice you are interested in solving by submitting a compassionate insight, and created your plan for taking action: https://www.peacefirst.org/peacemaking-tools Please let us know how can we help.

Amani A.
23 February 2018 13:10

Hi Omid, any updates on your project, please? Thanks for sharing the video!

It would be great to make sure to complete writing your compassionate insight (To solve this injustice of; what's the injustice/issue you are trying to solve. We will address; what's the root causes of the issue. By; the solution you will create). You can use the compassionate tool here: https://www.peacefirst.org/resource/understand-4-compassionate-insight, which will help you in re-writing your compassionate insight.

Please let us know how can we help.

Amani A.
27 February 2018 15:51

Hi Omid, thanks again for sharing your project! Any new updates on your project? I sent you an email :)
I also noticed that you applied for mini-grant, which is really great! However, as a first step, I would encourage you to read about the International Verification Process here: https://www.peacefirst.org/faq , then fill the following form, please: http://bit.ly/2EO4tzb

Please let us know how can we help. Thanks!

Amani A.
2 March 2018 18:54

Hi Omid, thanks for sharing all the updates! I received your reply to my email, and I will get back to you early next week.

A quick question, please: are you getting any other fund to help you in the implementation of your project?

Talking to you very soon :)

Omid G.
3 March 2018 7:03

Good morning,
The reply to your question is "No". I am not getting fund from somebody and even I did not get funding in the past. Actually, the estimated price in order to reach everybody is cheap, that means that I have funded my project my own getting the right materials in order to develop. All activities of reasearch and collaborations with others are only in terms of improving project reliability and develop the platform getting advices from Professionals in healthcare field.
Thank you!

Amani A.
6 March 2018 16:43

Thanks for sharing, Omid! I will get in touch with you through email :)

Amani A.
7 March 2018 17:09

Hi Omid, I hope you are doing well. I just replied to your email with more clarification/request :) Please make sure to write me back.

I look forward to hearing from you :)

Kakooza H.
10 March 2018 3:16

hello,
Should we both fill in the international verification form or its okay for one team member to fill it.
thanks..

Kakooza H.
10 March 2018 3:16

hello,
Should we both fill in the international verification form or its okay for one team member to fill it.
thanks..

Amani A.
12 March 2018 9:51

Hello Kakooza, it would be great if you could please fill the International Verification Form as well :) Thanks for reaching out to ask about this!

Amani A.
20 March 2018 11:39

Hi Omid and Kakooza,

I hope you are doing well. Do you have any updates regarding the international verification process form, please?

I look forward to hearing from you. Please let me know if there is anything that I can help with.

Amani A.
9 April 2018 15:39

Hi Omid, I reached out to you through email and I look forward to hearing from you. Thanks!

Omid G.
3 May 2018 9:53

Mobile Cardiologist is progressing towards his main aim: fight cardiovascular diseases worldwide. Actually, our project will focus on European Union and Uganda country. Two different continents but a common problem, the key is proceeding with a common view, which makes Vital team find sustainable and accessible solutions despite the region, ethnicity, country and economic status. Soon other updates of our steps!

Amani A.
4 May 2018 13:36

Thanks for sharing this and for your enthusiasm, Omid! I look forward to your next steps of the project!

Amani A.
10 May 2018 13:32

Dear Omid and Kakooza,

Congratulations! Your project has been selected to receive a Peace First Challenge mini-grant. We will be in touch soon with details about this payment.

The mini-grant process is also space for you to get feedback on your peacemaking project. We hope you will use this feedback to further strengthen your project. Please see the feedback on your mini-grant below.

Strengths:
I really appreciate that you continue to take the feedback provided into consideration! Thank you! I also appreciate that you sat a specific action plan for your project starting from June until September, and you articulated indicators to measure the success of this project.

Things to Consider:
Please make sure to remember the 3 Cs during the implementation of your project. Also, make sure to share updates about your project on the platform during the upcoming months. It would be great if you could collect lessons learned during the implementation of your project as it will help you to plan for the next phase of your project.

Congratulations and best of luck with your project!