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2012 Plenary Sessions

Saturday 15th September

Opening Keynote Address

Dr Lucy Lyons

Experiences of Ageing – Dr Lucy Lyons

Ageing is not a disease. It is a natural occurrence that is often ignored. Elements of ageing are so commonplace they are not thought to be interesting or have aesthetic value. They almost become invisible. This presentation, drawn from a 2-year postdoctoral research fellowship undertaken at Medical Museiona, which culminated in the exhibition Experiences of ageing, explores drawing as a method for gaining understanding and developing greater insight into the familiar – in this case the overlooked everyday aspects of ageing.

Lucy is a freelance artist who has exhibited internationally, most recently, in 2012, at the Medical Museion at the University of Copenhagen, where she was Postdoctoral Fellow at the Center for Healthy Ageing. She has also worked as Artist in Residence in Lisbon and has exhibited at the Royal College of Surgeons’ Hunterian Museum. As well as being an artist, Lucy is an academic. She has worked as Tutor in Painting at the City & Guilds of London Art School. Lucy has a PhD from Sheffield Hallam University and is a Member of the Medical Artist Association. In 2012 she published a number of articles on the relationships between drawing, disease and the human body.

Closing Keynote Address

Mark Burns

Reach the ‘Hard-to-Reach’: Improving service uptake, improving health: A good illustration – Mark Burns

Health service modernisation requires the health sector to engage with the public, particularly the so-called 'underserved' or 'hard to reach' in a value for money way. Too often in the past health professions have made the assumption that others are as interested in health issues as they are. More recently it has been recognised by some experts that targeting health messages through the interests that target groups feel passionate about, could make a real difference in getting the message across.

In this presentation Mark will explore how these interests can be used visually in the form of leaflets, posters, photo stories, cartoon strips and YouTube video to promote the use of NHS services, adopt a healthy lifestyle or to raise awareness of other health problems such as poverty.

Mark Burns is a health promotion and communication consultant (with a focus on the use popular culture). He has worked in public health and health education for over 20 years. He has worked with musicians around health themes and even won an award for his use of an escapologist for health! He was also heavily involved in the Common Knowledge Arts & Health initiative in North East England. His website looks at how to use popular culture to engage people who otherwise would not be interested in health. The site contains sections on story and comics, as well as football, music and computer games. (www.sexanddrugsandrockandhealth.com) 

Plenary Session

Multimedia Presentations in Criminal Proceedings

Craig Dewar

The SPSA Forensic Multimedia Unit was formed specifically to embrace technology and provide a variety of digital media techniques to support the presentation methods of criminal casework. They say a picture is worth a 1,000 words and with this technology it really is. Through a variety of quality digital media including interactive presentations and 3D reconstruction, the SPSA Forensic Multimedia Unit can present complex evidence types in a way that is clear, concise and easily understood. We can instantly transport detectives, lawyers, jurors and judges back to a crime scene, taking them on an interactive tour of the criminal investigation without a single person leaving their seat. Forensic animation and 3D reconstruction can be used to aid a jury in visualising hard to explain situations.  It paints a picture based on forensic evidence and can be used to illustrate a number of incidents and examples, from anatomically correct 3D body mapping of injuries and vehicle crash reconstructions to reconstruction of a crime scene and suspects movements.  (http://www.spsa.police.uk/services/forensic_services/spsa_forensic_multimedia_unit)

Go Zambia - A Healthcare Collaboration

Paul Crompton

Go Zambia is a collaboration between healthcare and education communities is Cardiff and the Chongwe province of the Zambian capital Lusaka. The aim of the objective is to identify and establish sustainable interventions which will help the Chongwe community attain the UN's Millennium Goals, which included improving maternal mortality, child health, education and women's rights.
This paper focuses on the role played by the author in an initial, multidisciplinary team's visit to the district in March 2012. The opportunity, generously supported in part by IMI's Pat Turnbull travel fund, allowed the author to contribute by professionally documenting the visit photographically. It also discusses what opportunities were identified for telemedicine to contribute to the collaborations objectives.

Halsted: Our Surgical Heritage

Norm Barker

This is the true story of the most important and innovative surgeon America ever produced. Surgery in the mid-19th Century chiefly consisted of crude and hurried amputations conducted in filthy operating rooms, often followed by horrendous infection. The successful, daring and inventive William Stewart Halsted pioneered the use of local anesthesia, but at a terrible personal price – in the process of revolutionizing surgery he became addicted to cocaine and was institutionalized. It was Halsted who introduced a scientific approach to medicine, but one set of experiments nearly ended his life and career. These experiments cost Halsted his reputation, his friendships, and his piece of mind. Halsted tried the new wonder drug cocaine as a local anesthetic and became addicted for life. His friend and colleague William Welch gave Halsted a second chance at the newly established Johns Hopkins Hospital, where Halsted went on to become the first Chairman of Surgery. This story follows a man who rose to prominence, plummeted into addiction, and then rose again, like a phoenix, to become one of the most influential physicians of the 20th Century.

Infrared ocular transillumination

Bård Kjersem & Jørgen Krohn

Proper imaging of the size and location of melanomas in the far periphery of the ocular fundus is not possible with an ordinary fundus camera.
The documentation can be carried out with transocular or transpupillary transillumination. Normally, a light source producing a continuous white light in the visible part of the spectrum is used. This is a time consuming and unpleasant method for the patient, and the long exposure time and eye movements may cause blurred images images.
This talk is about a study where occular transillumination was  carried out with a modified photo slit lamp. The photo slit lamp's flash light requires short exposure times, hence sharp images. The method is more pleasant for the patient. In addition to conventional colour photography, patients were photographed with an infrared digital camera attached to the photo slit lamp. The infrared images provide a better delination of the melanomas. This presentation will show the audience how the photo slit lamp can be modified and how easy it is put back to normal use, and to show how infrared transillumination photography enhances the image quality.

Working with Cultural Diversity - A South Auckland Story

Steven Hay

South Auckland (New Zealand) is home to one of the most culturally diverse and impoverished patient bases in the world. Majority populated by Maori, Polynesian, Micro and Melanesian communities, who collectively speak over one hundred languages, the area Counties Manukau District Health Board serves forms a distinctly unique working environment. A place where lack of cultural understanding can make or break the sensitive relationship between healthcare staff and patient - and ultimately treatment success or failure.
This presentation will share my experience of adjusting to become part of the pakeha minority working for CMDHB, and introduce the delegates to a special workplace where handshakes are replaced by the shared breathing of souls (hongi), facial tattoos denote royalty (ta moko), buildings and medical equipment are blessed before use (wairuatanga) and how the ever present earth spirit (taniwha) really does exist. Being aware of patient cultural diversity is an important yet often dismissed aspect of healthcare provision. For your patient to better understand you, perhaps you should first better understand your patient?

Important Considerations When Evaluating a 3D Photography System

Chris Lane

With a number of 3D surface capture systems available for applications ranging from reverse-engineering and Hollywood to healthcare, this session will focus on key technology and usability considerations when capturing human subjects to the level of precision required for clinical application. This session will discuss the following fundamentals:
• 3D technology basics… understanding how this translates to the accuracy and reliability of an anatomically-accurate 3D surface image.
• Data integrity… why it is important to clinicians.
• Ultra-fast acquisition speed… why it is a must when photographing live patients in 3D.
• Patient workflow… the impact of 3D photography in a busy clinical environment.

The Role of Expert Systems in Medical Screening

John Blackledge & Bruce Murray

Moletest is an online interface between the public and an expert system providing a melanoma screening service. This talk deals with the many challenges of making cutting edge technology accessible to everyone. The photographic requirement for the system is only now technically possible and Moletest had to develop both a web interface and image suitability system to ensure that only good quality images are passed to the expert system.
Building the knowledge base for the expert system is an ongoing task as a wide range of dermatological conditions, presented using non-standrad imaging, need to be assessed by class and precision. NHS statistics show that almost two million people in the UK go to their GP because they are worried about a mole. Far too many are referred to dermatologists which lengthens waiting times and wastes precious resources.

Co-ordinating International Images for Science Exhibition

Afzal Ansary

The Royal Photographic Society is one of the oldest and most respected learned photographic societies in the world, covering visual art, documentary, landscape, portraiture and travel to name a few, and all are well propagated by international exhibitions. Exhibitions concerned solely with images for science have sadly been lacking in recent years and the International Images for Science Exhibition 2011 (IISE 2011) exhibition was curated to redress this balance. The 2011 exhibition comprises fifty images that are both full of scientific merit and pictorially outstanding. This exhibition showcases the extensive applications of photography in areas of modern day science, showing various techniques from electron microscopy to astro-photography.
Photography continues to play a significant role in all areas of science, documenting the research process and allowing scientists to communicate their discoveries to their peers and to the general public. This presentation will show some examples from the exhibition and will discuss the development of the project, from the initial idea, through to seeking approval, raising funds, securing sponsors, production of the exhibition prints, and the design and printing of the catalogue towards the completion of the project at a high standard, in time and within budget.


 

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Clinical photography, design and video in healthcare