This document summarizes healthcare IT news from November 1987 and discusses how the industry has changed. It provides ads and articles from that time period about leading vendors like Cerner, Sunquest, and NCR. It also discusses the evolution of technologies like mainframes, minicomputers, microcomputers, and today's cloud-based systems. Additionally, it accurately predicts that the number of hospitals and beds in the US would decrease by 2000. The document highlights how healthcare IT has progressed over the last 30 years.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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2. Ads From November 1987
• We’re starting this month with a couple of interesting ads from
Bill Child’s Healthcare Computing & Communications magazine.
• First, a stunning 2-page ad for one of the leading LIS systems at
the time – do you recognize the name “PathNet?” Amazing to
think today’s #1 HIS vendor with over $5B in annual revenue
started out as “only” an LIS vendor during the 80s, not releasing
their Millennium HNA clinical system until the early 1990s…
• Cerner’s major competitor
back then was Sunquest -
the two duked it out in
several LIS selection our
firm ran in the ‘90s.
• Amazing that Sunquest is
still around 30 years later
too, though not quite as big
3. A Four-Page Ad!
• This vendor spent quite a lot of dough on a 4-full-page series of
ads, that alternated with 4 pages of content, inviting the reader
to guess just who it was that they were talking about…
• My guess after the first 2 ads was either SMS, McAuto or HBO,
the three HIS giants back then, but then the 3rd page had me
stumped: $5 Billion! Maybe it was Cerner projecting their
revenue in 30 years time? Who would you guess it was??
4. Who’d A Thunk It!?
• NCR (National Cash Register)!
I’d have never guessed…
• NCR was headquartered in
Dayton OH at the time, with
62K employees most of whom
worked on… guess what?
• They were one of the BUNCH
group battling IBM in the
mainframe market, with
MEDNET as their main HIS
that ran on their 9300 IP box,
featuring 32-bit system
architecture and VLSI tech.
• They claimed 77 MEDNET
hospital clients back then.
5. Fast FAX Facts
• Interesting story on Delta
Medical Center in MS that
installed a FAX system to send
STAT orders from nurse
stations to ancillaries, and
then get the results back.
• Reminds me of a similar one
called “TeleVideo” I saw on my
second SMS installation at
Good Samaritan Hospital up in
Suffren, NY, way back in 1970.
• Ironically, we helped Delta
replace the FAX system
around Y2K with Meditech’s
order entry & results
reporting.
6. Brilliant Forecast
• Art Randall wrote fascinating
columns in HCC, and his November
one described how the healthcare
industry is rapidly changing in 1987:
• Art predicted: “the 7,000 plus hospitals will
decrease to perhaps 5,000 by the year
2000… and the 1.2 million acute-care beds
will decrease to perhaps 75% of that size.”
• I worked for Art for 2 years at McAuto
where he was in charge of Sales & Marketing
– such a bright, witty and charming guy it’s a
shame that he passed away far too early…
• So how did his above statistical predictions
work out? Check the stats on the next page
to see just how smart this man was:
7. 2017 Hospital Stats
• Recent studies by the AHA, CDC, etc., sure bear Art’s forecast out:
• Anyone dare to predict what the
#s will be like in 30 more years?
8. Self-Developed
• In the 1960s, only the largest hospitals could afford an inhouse
mainframe and dozens of programmers to write HIS software,
which in those days were mainly financial systems: AR, BL, GL, etc.
• By the 1970s, shared systems like SMS & McAuto started to
blossom, selling hundreds of hospitals each their financial systems.
• In the 80s, mini-computer vendors like HBO, DCC, JS Data, etc.,
sold thousands of hospitals their highly affordable HIS systems,
which by then included early clinicals like Orders and Results.
• A feature article by the CIO of
Baptist Memorial Hospital in
TN, a 3-hospital IDN with over
2,000 beds, on their self-
developed approach for an HIS.
Interesting to review how IT
platforms evolved over time:
9. - The vendor has all your data,
- They charge as much as they can,
- Slow response-times are on your end,
- You trust their security & back-ups,
- You’re at the mercy of telecom (web),
- Hard to get data when you convert.
Yeah, I am a bit of a Luddite but these parallels are cute...
Today’s Platforms
• In the 90s, micro-computer (PC) systems took off, starting with
bedside systems, growing into most ancillary departments.
• In the 2000s, server-based systems ruled, with VM-ware devices
whose tiny physical size was the opposite of their Terra capacity.
• Where is hardware technology going today? Why, in the cloud,
which might be where some people’s heads are when they think
it’s different than the shared system approach of the 1970s:
10. PCs Back Then
• To end on a more positive note, check
out the growth of PCs from 1977 in
this article on device integration.
• The author goes on to describe 1987
PCs with “minicomputer levels of
processing capacity (32-bit processors,
a megabyte of memory, and up to four
gigabytes of hard disk storage).”
• I remember well buying my first Mac
SE back in 1987 – cost about $2K ( a lot
of $s then), and ran on 400K diskettes.
• After running out of room for the
disks, I added a 1 Meg hard drive for
about $1K – it hurt, but as a new
entrant into HIS consulting, I was
writing an awful lot of proposals…
11. Flash!
• Just got my latest copy of
one of the few print HIT
magazines still being
published these days:
Health Data Management.
• When I got to this ad on
the back cover, I couldn’t
believe my eyes – have
they been snooping into
my emails with Mr. HIStalk
about this 1987 episode?!
• Anyway, cute to see how
someone else appreciates
how hot the Mac SE was
back in the 1980s…
12. Next Month
• Some interesting news & articles from December 1987:
– Pay phones – remember them? Ever wonder what they
cost?? Answers from the New York Telephone company.
– Meditech – a review of how this upstart LIS vendor from the
1970s was now becoming a major player in the HIS market.
– CyberSecurity – no, they didn’t use that term in 1987, but a
fascinating article on computer fraud digs deeply into it.
– Sunquest – interesting article by Dr. Sidney Goldblatt who
founded it way back in… can you guess how long ago?
Hope you enjoy jumping back to these early days of HIS-tory –
glad to hear any of your memories or negative feedback:
Vince Ciotti HIS Professionals, LLC
505.466.4958 vciotti@hispros.com