The document discusses some challenges clinicians face in the information era, including information overload due to the rapid production and easy transmission of information. It notes contradictions and lack of structure in available information. The document also discusses fragmented medical literature repositories and the need for specialized search strategies. Finally, it proposes some ideas for the future, including a "Super search" that could provide contextual, comprehensive, easy and fast searches across medical literature. It also proposes the idea of using large healthcare databases and semantics to potentially replace expensive clinical trials.
This presentation was given as part of a searching workshop in the 6th GCC Evidence-Based Healthcare & Knowledge Translation in Riyadh, December 11-12, 2010. Organized by Sheikh Abdullah S Bahamdan Research Chair, at King Saud University. The presentation assumes prior knowledge of EBM principles. It goes over the hierarchy of information sources & how to get the information effectively & efficiently.
A presentation given during the orientation day (Sept 11, 2011) for UQUDENT students to go through the different learning resources at Umm Al-Qura University.
This presentation was given as part of a searching workshop in the 6th GCC Evidence-Based Healthcare & Knowledge Translation in Riyadh, December 11-12, 2010. Organized by Sheikh Abdullah S Bahamdan Research Chair, at King Saud University. The presentation assumes prior knowledge of EBM principles. It goes over the hierarchy of information sources & how to get the information effectively & efficiently.
A presentation given during the orientation day (Sept 11, 2011) for UQUDENT students to go through the different learning resources at Umm Al-Qura University.
Remote presentation by Atul Butte at the NSTC Interagency Working Group on Biological Data Sharing on 2019-06-12.
The working group is charged by the National Science and Technology Council to develop a road map to enable robust sharing and maximize reuse of biological data, identifying opportunities for interagency coordination, and academic, industrial, and international partnerships. The workshop will bring together a diverse community of government, academic, and industrial stakeholders to identify key bottlenecks and challenges that interfere with the open exchange of information and to identify potential solutions that will accelerate biological science research.
Summary, outcomes and action plan presented by Dr. Angela Christiano at the end of the two-day Alopecia Areata Research Summit held November 14-15, 2016 in New York, NY.
ROLE OF LIBRARIAN IN HEALTH CARE INSTITUTIONSAnaivko
Librarians in health care institutions get an increasing role in searching adequate literature. New technologies and open access to medical databases offer new ways in providing medical literature. In addition clinicians have more possibilities to get scientific information. The aim of this research is to assess the role of information specialists in supporting Evidence Based Health Care as a part of activities of Continuing Medical Education (CME). The research is based on 91 clinicians’ requests to the information specialist for searching databases concerning patients’ care during October 2006. They could not reach adequate literature by themselves for different reasons. Using only Google for their search was not enough.
By searching Evidenced Based Medicine (EBM) sources, the information specialist solved 85% of the requests. Searching for literature failed in 15 % only, caused by copyright of publisher and denied access to the data source. EBM has an increasing influence on information specialists’ work and includes only the best evidence from recent clinical practices.
Experience and skills of information specialist in the retrieval process supporting EBM avoids accumulation of unnecessary literature, makes searching databases short, valuable, time -efficient and useful to the maximal extent.
An overview of the National Institutes of Health new rules that aim to improve the rigor and reproducibility of research, especially research involving animals.
Issues Related to Gene Therapy Assignment - Virtual High School (VHS) - SBI4UMichael Taylor
After reviewing the issues and opinions posted by your peers and receiving
feedback from your teacher, write an opinion paper that will show you have
thoroughly researched and reflected on this issue. Be sure to choose a particular
disorder/disease to use as an example.
Below are a couple of links to sites that may help you in organizing your opinion
paper. If you have any questions, please contact your teacher.
Resources:
Writing a Science Paper
Writing an Opinion Essay
Note on Writing In Science
All information and relevant data are to be included in a logically sequenced
manner. In your writing, it is important to use appropriate writing style, tone, and
scientific terminology. Conduct your research using reliable, peerreviewed and
industry sources and ensure that sources listed in your reference list are directly related to information presented in your paper. Use the appropriate referencing
style for science to cite your sources. For more information, see the page titled
“References” in the Scientific Skills and Formatting module of the Introduction unit in your course.
Most people have heard the statistic that heart disease is a leading cause of death in America today source: Centers for Disease Control. But how do we know this fact to be a true where did that information come from
Back in 1948, when a lot wasn't known about the factors leading to the heart disease and stroke, a health research study -- known as the Framingham Heart Study -- was done the on 5,209 people living in the town of Framingham, Mass. These are participants hadn't developed any known symptoms of cardiovascular disease and hadn't had a stroke or heart attack.
A brief, 3-minute, tutorial to help researchers understand the recent changes to the NCBI tool, My NCBI. In particular, it addresses adding citations to "My Bibliography".
Remote presentation by Atul Butte at the NSTC Interagency Working Group on Biological Data Sharing on 2019-06-12.
The working group is charged by the National Science and Technology Council to develop a road map to enable robust sharing and maximize reuse of biological data, identifying opportunities for interagency coordination, and academic, industrial, and international partnerships. The workshop will bring together a diverse community of government, academic, and industrial stakeholders to identify key bottlenecks and challenges that interfere with the open exchange of information and to identify potential solutions that will accelerate biological science research.
Summary, outcomes and action plan presented by Dr. Angela Christiano at the end of the two-day Alopecia Areata Research Summit held November 14-15, 2016 in New York, NY.
ROLE OF LIBRARIAN IN HEALTH CARE INSTITUTIONSAnaivko
Librarians in health care institutions get an increasing role in searching adequate literature. New technologies and open access to medical databases offer new ways in providing medical literature. In addition clinicians have more possibilities to get scientific information. The aim of this research is to assess the role of information specialists in supporting Evidence Based Health Care as a part of activities of Continuing Medical Education (CME). The research is based on 91 clinicians’ requests to the information specialist for searching databases concerning patients’ care during October 2006. They could not reach adequate literature by themselves for different reasons. Using only Google for their search was not enough.
By searching Evidenced Based Medicine (EBM) sources, the information specialist solved 85% of the requests. Searching for literature failed in 15 % only, caused by copyright of publisher and denied access to the data source. EBM has an increasing influence on information specialists’ work and includes only the best evidence from recent clinical practices.
Experience and skills of information specialist in the retrieval process supporting EBM avoids accumulation of unnecessary literature, makes searching databases short, valuable, time -efficient and useful to the maximal extent.
An overview of the National Institutes of Health new rules that aim to improve the rigor and reproducibility of research, especially research involving animals.
Issues Related to Gene Therapy Assignment - Virtual High School (VHS) - SBI4UMichael Taylor
After reviewing the issues and opinions posted by your peers and receiving
feedback from your teacher, write an opinion paper that will show you have
thoroughly researched and reflected on this issue. Be sure to choose a particular
disorder/disease to use as an example.
Below are a couple of links to sites that may help you in organizing your opinion
paper. If you have any questions, please contact your teacher.
Resources:
Writing a Science Paper
Writing an Opinion Essay
Note on Writing In Science
All information and relevant data are to be included in a logically sequenced
manner. In your writing, it is important to use appropriate writing style, tone, and
scientific terminology. Conduct your research using reliable, peerreviewed and
industry sources and ensure that sources listed in your reference list are directly related to information presented in your paper. Use the appropriate referencing
style for science to cite your sources. For more information, see the page titled
“References” in the Scientific Skills and Formatting module of the Introduction unit in your course.
Most people have heard the statistic that heart disease is a leading cause of death in America today source: Centers for Disease Control. But how do we know this fact to be a true where did that information come from
Back in 1948, when a lot wasn't known about the factors leading to the heart disease and stroke, a health research study -- known as the Framingham Heart Study -- was done the on 5,209 people living in the town of Framingham, Mass. These are participants hadn't developed any known symptoms of cardiovascular disease and hadn't had a stroke or heart attack.
A brief, 3-minute, tutorial to help researchers understand the recent changes to the NCBI tool, My NCBI. In particular, it addresses adding citations to "My Bibliography".
Power Point Presentations With PizzazzDoug Devitre
Doug Devitre presents Power Point Presentations With Pizzazz, a one hour webinar to help agents, brokers, instructors and professional speakers learn some shortcuts to create effective PowerPoint presentations.
Using the lessons from Cliff Atkinson and Lynell Burmark to depart from the traditional method for creating PowerPoint presentations. Learn to create presentations that will actually facilitate learning.
ASSESSMENT OF BIOMEDICAL LITERATURE
Components of internal and external validity of controlled clinical trials
Internal validity — extent to which systematic error (bias) is minimized in clinical trials
Selection bias: biased allocation to comparison groups
Performance bias: unequal provision of care apart from treatment under evaluation
Detection bias: biased assessment of outcome
Attrition bias: biased occurrence and handling of deviations from protocol and loss to follow up
Requirements, needs
Planning, direction
Information collection
Information Assessment
- Evaluation for accuracy, correctness, relevance, usefulness
- Source reliability assessment (competency and past behavior based)
- Bias assessment (motivators, interests, funding, objectives)
- Conflicts of interest
- Sources of funding, important business relationships
- Grading of individual items (study, report, analysis, article)
Collation of information
- Exclusion of irrelevant, incorrect, and useless information
-Arrangement of information in a form which enables real-time analysis
- System for rapid retrieval of information
External validity — extent to which results of trials provide a correct basis for generalization to other circumstances
Patients: age, sex, severity of disease and risk factors, comorbidity
Treatment regimens: dosage, timing and route of administration, type of treatment within a class of treatments, concomitant treatments
Settings: level of care (primary to tertiary) and experience and specialization of care provider
Modalities of outcomes: type or definition of outcomes and duration of follow up
The Learning Health System: Thinking and Acting Across ScalesPhilip Payne
A Learning Health System (LHS) can be defined as an environment in which knowledge generation processes are embedded into daily clinical practice in order to continually improve the quality, safety, and outcomes of healthcare delivery. While still largely an aspirational goal, the promise of the LHS is a future in which every patient encounter is an opportunity to learn and improve that patient’s care, as well as the care their family and broader community receives. The foundation for building such an LHS can and should be the Electronic Health Record (EHR), which provides the basis for the comprehensive instrumentation and measurement of clinical phenotypes, as well as a means of delivering new evidence at the patient- and population levels. In this presentation, we will explore the ways in which such EHR-derived phenotypes can be combined with complementary data across a spectrum from biomolecules to population level trends, to both generate insights and deliver such knowledge in the right time, place, and format, ultimately improving clinical outcomes and value.
discussing all aspects of evidence based medicine, Introduction
History of EBM
Need of EBM
Steps to practice
Discussion - advantages/disadvantages/critical analysis
Presentation given at Health Informatics and Knowledge Management conference
(http://publichealth.curtin.edu.au/HIKM/), as part of Australasian Computer Science Week 2012.
http://www.cs.rmit.edu.au/acsw2012/
MEDINFO 2013 Panel on Personalized Healthcare and Adherence: Issues and Chall...Pei-Yun Sabrina Hsueh
Venue: The 14th World Congress on Medical and Health Informatics will take place in Copenhagen, Denmark.
http://medinfo2013.dk
Moderator: Dr. Marion Ball (IBM Research/JHU); Panelists: Dr. Vimla Patel (NYAM), Dr. Bern Shen (Healthcrowd), Dr. Pei-Yun Sabrina Hsueh (IBM Research)
Organizer: Dr. Pei-Yun Sabrina Hsueh (phsueh@us.ibm.com)
Personalization is key to the delivery of wellness care including preventive measures and disease management regimes, where patients take on increased responsibility for
their own health. While personalized care has already taken a giant leap through genomics, it remains a challenge to understand how individual differences play a role in patient adherence and manage recommended changes accordingly.
Practical methods of creating and evaluating personalized
systems have not been fully established. In particular, the role of data-driven analytics in producing actionable insights for practitioners is unclear, and the use of behavioral data has created additional challenges to the understanding of patient adherence for effective care delivery.
The panel will discuss the challenges that face many countries around personalized care from various perspectives. These range from behavioral aspects such as maintaining good practices, cognitive aspects such as how do individuals make decisions in the lights of good evidence, social aspects such as how to engage patients in sustaining adherence behavior, to technological aspects such as how to evaluate individual applicability of data-driven analytics and personalized technological systems.
The panel is expected to contribute to the global community by presenting lessons learned from
existing pilot designs and a collective list of recommendations for pilot design of personalized services at the conclusion of this panel.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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.
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
6-005-1430-Keeppanasseril
1. Medicine and web 3.0 - A wishlist
Arun Keepanasseril, BDS, MDS (Prosthodontics)
Msc e Health candidate
McMaster University
Hamilton
Canada
2. Some problems faced by clinicians
in the information era
• Information overload
• Interruptions.
• Technology adaptation
3. Information overload - Reasons
• Rapid production of information
• The ease of duplication and transmission .
• An increase in the available channels of incoming
information.
4. Information overload - Reasons
• Contradictions and inaccuracies in available information
• A lack of a method for comparing and processing different
kinds of information
• The pieces of information are unrelated or do not have any
overall structure to reveal their relationships
7. Why search?
• 0.07 - 1.85 questions per patient
visit.
Kahane S, Stutz E, Aliarzadeh B.Must we appear to be all-knowing?: patients' and family physicians' perspectives on
information seeking during consultations Can Fam Physician. 2011 Jun;57(6):e228-36
8. Information seeking behavior
HC Coumou-How do primary care physicians seek answers to clinical questions? A literature review. J Med Libr Assoc. 2006 Jan;94(1):55-60
9. Information seeking behavior
HC Coumou-How do primary care physicians seek answers to clinical questions? A literature review. J Med Libr Assoc. 2006 Jan;94(1):55-60
10. Medical Literature
Pubmed Proquest
Psychinfo
CINAHL
Cochrane MD Consult
Global Health
EMBASE
AMED
Fragmented repositories
24. Zhiyong Lu: PubMed and beyond: a survey of web toolsfor searching biomedical
literature, Database, Vol. 2011, Article ID baq036, doi:10.1093/database/baq03
25. 8 in 10 Internet users have looked
online for health information.
26. “Year of the Empowered Patient.”
- 2011.
• Challenge a doctor’s treatment/diagnosis,
• Ask a physician to change a treatment,
• Discuss information found online with a physician,
• Use the Internet instead of seeing a doctor
• Made a healthcare decision because of online information.
27. Consumer information online
• Unreliable.
• No contextual information
• Likely to confuse the patient and the doctor at times!
46. Unintended consequences of EHR
• More/New Work for • Changes in Communication
Clinicians Patterns and Practices
• Workflow Issues • Negative Emotions
• Never Ending System • Generation of New Kinds of
Demands Errors
• Problems Related to Paper • Unexpected and Unintended
Persistence Changes in Institutional
http://www.ohsu.edu/academic/dmice/research/cpoe/unintended_consequences.php
47. Semantic-aware
Electronic Health Records
• Intelligent patient summary.
• Detection of medication conficts
• Diagnosis support
• Chronic disease monitoring
• De Potter P, Debevere P, Mannens E. Next generation assisting clinical applications by using semantic-aware
electronic health records. 2009;
48. Context aware applications
• Entities sense and automatically adapt to their changing contexts.
• Personalized, context-aware services in real- time to improve
patient safety and quality of care.
USING ONTOLOGY TO SUPPORT CONTEXT AWARENESS IN HEALTHCARE :Wen Yao1, Chao-Hsien Chu, Akhil Kumar, Zang Li
Family physicians encounter between 0.07 and 1.85 questions that they need to look up per patient visit.\n
J Med Libr Assoc. 2006 Jan;94(1):55-60.\nHow do primary care physicians seek answers to clinical questions? A literature review.\n \n Colleagues and paper sources - despite the enormous increase in and better accessibility to electronic information sources. \nCoumou HC, Meijman FJ.\nSource\n\n
J Med Libr Assoc. 2006 Jan;94(1):55-60.\nHow do primary care physicians seek answers to clinical questions? A literature review.\n \n Colleagues and paper sources - despite the enormous increase in and better accessibility to electronic information sources. \nCoumou HC, Meijman FJ.\nSource\n\n
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Formulating an appropriate search question \nFinding an optimal search strategy, \nInterpreting the evidence found.\n
encouraged better communication between physicians and patients? Or it is leading to a breakdown between the two?.\n\n
Manhatten research 99 million U.S. adults “Empowered Consumers” –\n
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the oldest and cheapest of the drugs, known as thiazide-type diuretics, were more effective at reducing hypertension than the newer, more expensive ones.\nBut what should patients do if their blood pressure was not controlled by a diuretic alone, as happened with 60 percent of the ALLHAT patients?\nA follow up study is too expensive to conduct\n
We have huge ware house of data in our medical institutions.\n
We have huge ware house of data in our medical institutions. a gigantic distributed database with hidden data held in individual hospitals, research centres, and institutes. Is access to these data useful? Yes. Ground-breaking discoveries can be made if researchers in medicine are exposed to data rich in diversity. Is access to these data easy? Yes and no. The sheer size of the data available is more than any one can handle. Semantic web technologies serve to provide us access to such data and make good use of such data.\n
The rapid increase of linked data poses new challenges for knowledge engineering.\nData may need to be reengineered before reusing\n
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\n Context-embedded Intelligent Hospital Ontology (CIHO) to support semantic interoperability and context-aware applications using OWL-DL\n \n For instance, a monitor in a surgery room will be able to display the information of a patient in that room to prevent misidentification and treatment errors.\n \n
