Patient engagement can be improved through the use of information technology like MyChart and home monitoring devices. These tools allow patients to upload health data like vitals from home to their electronic health records for their doctors to review. Physicians can then better monitor patients between office visits and patients have more access to their health information to stay informed and engaged in their care.
Just as a corporation can improve its products and services by analyzing data and using relevant data points to steer future action, the healthcare industry can leverage big data in future decisions to the improvement of personalized medicine. But healthcare can use big data on more fronts than most industries, especially considering transition of healthcare into precision medicine. Visit: https://www.rockwestsolutions.com/sensors/medical-devices/
Health Informatics Mobile Health, Telemedicine, and the Consumerjetweedy
Health informatics involves the use of information technology and systems to deliver healthcare. Mobile health or mHealth uses mobile devices to improve health outcomes through platforms like mobile apps and sensors. Telemedicine uses technology to provide remote healthcare services and overcome geographical barriers. Consumers are increasingly using mobile apps, fitness trackers, and online resources for health information. However, challenges include issues with costs, privacy, user-friendliness, and low health literacy.
This document provides an overview of common informatics standards, including HL7, ANSI, CDA, and FHIR. It describes HL7 as an organization formed in 1987 to develop standards for exchanging electronic health information internationally. HL7 standards regulate how data is packaged and exchanged, and can be normative or informative. Primary HL7 standards include CDA, Context Management, HL7 Version 2 and 3, and CCD. FHIR is presented as aiming to replace HL7 Version 3 with a new ground-up standard to better support integration. ANSI is described as the organization that regulates standards development organizations.
This document defines and compares telemedicine and telehealth. Telemedicine involves remote clinical services using telecommunications like videoconferencing, while telehealth includes additional remote services like home health monitoring. The document outlines clinics supported by telemedicine/telehealth, how accessibility has increased as technology has advanced, and current restrictions and pilots in Kansas. It describes how libraries can serve as telemedicine sites by providing private spaces meeting technical and assistance requirements.
2007 Hrh Doctors & Art In Cambodia 1478 4491 5 12wvdamme
1) The study examines the use of doctor time for antiretroviral treatment (ART) delivery in Siem Reap, Cambodia between 2004 and 2005.
2) It finds that the doctor time needed per patient was reduced by 14-33% from 2004 to 2005 due to fewer patient visits and shorter consultations.
3) Extrapolating to 2013, the clinic will need between 2 to 5 full-time doctors to provide ART based on assumptions about patient survival and further reductions in doctor time per patient.
1) The document discusses the need for increased patient participation and a virtual health practice model to deal with challenges of an aging population, consumer driven models, and economic constraints.
2) It proposes a virtual health practice strategy that promotes consistent use of technology across the care cycle to increase patient contact, reduce face-to-face visits, and maximize health outcomes in a sustainable way.
3) The key features of virtual health practice are that it is personalized, predictive, preventive, participatory, and relies on disruptive innovations using big data and multiple ICT tools in a systemic approach.
This document discusses common challenges in healthcare including clinical, financial, and managerial issues. Clinically, there are increased patient acuity, age and deterioration without adequate monitoring leading to issues like pressure ulcers and falls. Financially, there are concerns around increased ICU length of stay, overuse of telemetry and ICU beds, and reimbursement cuts for adverse events and readmissions. Managerially there are issues with staff accountability, inadequate management tools, alarm fatigue, and readmission prevention. The document advocates for first improving efficiency, effective care, safety, coordinated care, and reducing cost-related problems.
Patient engagement can be improved through the use of information technology like MyChart and home monitoring devices. These tools allow patients to upload health data like vitals from home to their electronic health records for their doctors to review. Physicians can then better monitor patients between office visits and patients have more access to their health information to stay informed and engaged in their care.
Just as a corporation can improve its products and services by analyzing data and using relevant data points to steer future action, the healthcare industry can leverage big data in future decisions to the improvement of personalized medicine. But healthcare can use big data on more fronts than most industries, especially considering transition of healthcare into precision medicine. Visit: https://www.rockwestsolutions.com/sensors/medical-devices/
Health Informatics Mobile Health, Telemedicine, and the Consumerjetweedy
Health informatics involves the use of information technology and systems to deliver healthcare. Mobile health or mHealth uses mobile devices to improve health outcomes through platforms like mobile apps and sensors. Telemedicine uses technology to provide remote healthcare services and overcome geographical barriers. Consumers are increasingly using mobile apps, fitness trackers, and online resources for health information. However, challenges include issues with costs, privacy, user-friendliness, and low health literacy.
This document provides an overview of common informatics standards, including HL7, ANSI, CDA, and FHIR. It describes HL7 as an organization formed in 1987 to develop standards for exchanging electronic health information internationally. HL7 standards regulate how data is packaged and exchanged, and can be normative or informative. Primary HL7 standards include CDA, Context Management, HL7 Version 2 and 3, and CCD. FHIR is presented as aiming to replace HL7 Version 3 with a new ground-up standard to better support integration. ANSI is described as the organization that regulates standards development organizations.
This document defines and compares telemedicine and telehealth. Telemedicine involves remote clinical services using telecommunications like videoconferencing, while telehealth includes additional remote services like home health monitoring. The document outlines clinics supported by telemedicine/telehealth, how accessibility has increased as technology has advanced, and current restrictions and pilots in Kansas. It describes how libraries can serve as telemedicine sites by providing private spaces meeting technical and assistance requirements.
2007 Hrh Doctors & Art In Cambodia 1478 4491 5 12wvdamme
1) The study examines the use of doctor time for antiretroviral treatment (ART) delivery in Siem Reap, Cambodia between 2004 and 2005.
2) It finds that the doctor time needed per patient was reduced by 14-33% from 2004 to 2005 due to fewer patient visits and shorter consultations.
3) Extrapolating to 2013, the clinic will need between 2 to 5 full-time doctors to provide ART based on assumptions about patient survival and further reductions in doctor time per patient.
1) The document discusses the need for increased patient participation and a virtual health practice model to deal with challenges of an aging population, consumer driven models, and economic constraints.
2) It proposes a virtual health practice strategy that promotes consistent use of technology across the care cycle to increase patient contact, reduce face-to-face visits, and maximize health outcomes in a sustainable way.
3) The key features of virtual health practice are that it is personalized, predictive, preventive, participatory, and relies on disruptive innovations using big data and multiple ICT tools in a systemic approach.
This document discusses common challenges in healthcare including clinical, financial, and managerial issues. Clinically, there are increased patient acuity, age and deterioration without adequate monitoring leading to issues like pressure ulcers and falls. Financially, there are concerns around increased ICU length of stay, overuse of telemetry and ICU beds, and reimbursement cuts for adverse events and readmissions. Managerially there are issues with staff accountability, inadequate management tools, alarm fatigue, and readmission prevention. The document advocates for first improving efficiency, effective care, safety, coordinated care, and reducing cost-related problems.
Poster: Spirometer and eDiary Integration for Asthma TrialsCRF Health
An electronic asthma diary was developed with integrated spirometer functionality to reduce patient burden in asthma clinical trials. Feedback from sites and sponsors was used to refine the diary which can now directly transfer peak expiratory flow and forced expiratory volume measurements from a spirometer via Bluetooth. The streamlined diary led to high compliance rates of 88-92% in multiple global asthma studies and allows sites to remotely monitor patients' conditions between visits.
This study assessed the prevalence of neonatal sepsis and associated risk factors among neonates admitted to neonatal intensive care units (NICUs) at two hospitals in Ethiopia from February 2016 to February 2017. The overall prevalence of neonatal sepsis was found to be 77.9%. Age of neonates, birth asphyxia, and use of oxygen via mask were significantly associated with increased risk of neonatal sepsis. The study recommends focusing prevention efforts on modifiable risk factors to reduce neonatal sepsis.
Aims -
* Diabetes – the big picture
* IoW – the context
* Self-management - a way forward
* Inspiring clinicians with what's possible, new patient pathways etc
* How we’ve turned things around, outcomes
Modern society is highly dependent on the provisioning of clean water, healthy and plentiful food, breathable air, and prompt intervention to curtail disease outbreaks. The public health system is critical in supporting these activities. Today’s information technology provides public health practitioners key capabilities in maintaining the health of the population. This lecture will provide a basic foundation of knowledge about public health practice for clinical informaticians, and highlight specialized information systems and data standards used in public health today. We will explore the existing public health informatics infrastructure including surveillance systems, the process of electronic laboratory reporting (ELR) of notifiable diseases, vital statistics systems, and the critical importance of GIS systems in the public health
By 2030, telehealth will play a key role in managing the growing geriatric population and those with chronic conditions due to a shortage of healthcare providers. Nurses will have more autonomy and be able to monitor patients remotely using wearable devices that track vital signs and send data to electronic health records. Patients will be empowered to access their records and input medical information through online portals. Knowledge management tools embedded in records will help providers make evidence-based care decisions for chronic condition management like diabetes. This virtual care model aims to provide cost-effective care while maintaining patient independence and quality of life.
Transforming the NHS through genomic and personalised medicine, pop up uni, 1...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Big Data and the Promise and Pitfalls when Applied to Disease Prevention and ...Philip Bourne
Big data and data science have implications for healthcare and biomedical research. Large amounts of data are being generated but much of it remains unused. Integrating data through common standards could provide new insights into rare diseases. The National Institutes of Health is working to establish data standards and cloud resources to enable data sharing and advance precision medicine through its Precision Medicine Initiative. Data science has the potential to improve disease prevention and health promotion by identifying patterns in large, diverse datasets.
1) The document discusses the concept of a "digital phenotype", which refers to aspects of a person's interactions with technology that can provide diagnostic or prognostic insights into their health conditions.
2) Previous research has found correlations between depressive symptom severity and certain location-based smartphone sensor data, such as increased location variance and disrupted circadian rhythms.
3) This study replicates previous findings using GPS smartphone sensor data collected from 48 college students over 10 weeks, finding significant correlations between depressive symptoms and location variance, entropy, and circadian movement patterns. The relationships were stronger when analyzing weekend versus weekday data.
Christopher A. Longhurst, MD, MS
Chief Medical Information Officer
Lucile Packard Children’s Hospital
Clinical Associate Professor of Pediatrics
Stanford School of Medicine
Case Study "Using Big Data to Shift from Evidence-based Practice to Practice-based Evidence"
Packard Children's Hospital at Stanford has been on a journey towards a comprehensive electronic medical record (EMR) since 2004. These efforts resulted in national attention in 2010 with the publication of the first-ever correlation between implementation of computerized physician order entry (CPOE) and a decrease in hospital-wide mortality. This landmark was followed in 2011 with a paper in the NEJM describing the first documented use of aggregate EMR data to make a real-time patient care decision. In this talk, Dr. Chris Longhurst will share the "story behind the story" of these accomplishments and highlight opportunities for using applied clinical informatics to improve the value of healthcare we deliver to our patients.
NSLHD LEADING THE WAY WITH ARTHRITIS RESEARCH AND CLINICAL CARE (https://onli...- A3BC -
#NSLHD NEWS: The latest edition of North Sydney Local Health District newsletter published 1st August 2019 featured an article highlighting the ground-breaking research into musculoskeletal disease presented at the Inaugural Northern Lights showcase.
Professor Lyn March AM spoke of the devastating cost of the diseases to individuals and the broader community, and the Australian Arthritis and Autoimmune Biobank Collaborative (A3BC)’s vision (https://a3bc.org.au/vision-and-values-2/).
To find out more about the A3BC and how you can get involved, visit our website at https://a3bc.org.au/
We also have a twitter and Facebook page:
Twitter: https://twitter.com/TheA3BC
Facebook: https://www.facebook.com/TheA3BC/
The NSLHD’s newsletter can be found at: https://online.flippingbook.com/view/805008/
This study compared same day sputum microscopy (two sputum samples collected one hour apart) to conventional sputum microscopy (spot sample and early morning sample collected over two days) for tuberculosis diagnosis in Chhattisgarh, India. The study found that same day microscopy missed 17% of smear-positive tuberculosis cases compared to 1% missed by conventional microscopy. Additionally, same day microscopy had a lower proportion of presumptive tuberculosis patients providing both required samples and had a lower proportion of samples with good quality. These findings suggest that same day microscopy may not be as effective as conventional microscopy for tuberculosis diagnosis in this setting.
Role of In Vitro Diagnostics in Saudi ArabiaSolidiance
Saudi Arabia’s healthcare system currently relies heavily on government funding, which accounts for 65% healthcare spending in the country. Healthcare trends in Saudi Arabia's, e.g. demographic shifts, high incidence rates of lifestyle related diseases, growing demand for private healthcare services, and strategic investments made by the government have driven demands for in vitro diagnostic (IVD) devices. Solidiance co-developed this exclusive white paper with Kind Abdulaziz Medical City and Abbott Diagnostics, highlighting the contribution, value and future of in vitro diagnostics in Saudi Arabia’s healthcare system. According to the report, the future looks bright for IVD in Saudi Arabia, however it depends on how fast it can be adopted and implemented in order to benefit the government, healthcare players seeking to improve and invest on the sector, and also the people.
This document provides information about various research projects and areas of expertise at the UVM Medical Center. It describes projects related to osteoporosis, inter-hospital transfers, chronic kidney disease, asthma, vaccinations, liver disease, critical care, and more. Contact information is provided for principal investigators studying topics like statin use in chronic kidney disease, acute kidney injury following cardiopulmonary bypass, and physiological phenotyping of asthma.
UCSF Informatics Day 2014 - Keith R. Yamamoto, "Precision Medicine"CTSI at UCSF
Keith R. Yamamoto, PhD — Opening Remarks – Precision Medicine
Vice Chancellor for Research
Executive Vice Dean of the School of Medicine
Professor of Cellular and Molecular Pharmacology
UCSF
Socio-demographic Characteristics of Clients Visiting Integrated Counseling and Testing Centre (ICTC) at SMS Medical College, Jaipur (Rajasthan) India-Human immunodeficiency virus (HIV) infection is a global pandemic and India counts for 10% of the global HIV burden and 65% of that in the South and South-East Asia. This study of clients of ICTC was carried out to know the association of HIV positivity with socio-demographic variables. Total 2412 clients have visited at ICTC of SMS Medical College, Jaipur, either voluntarily or referred by various department of this institute in ICTC in 1st quarter of 2009. They Overall HIV positivity was found 12.35% with a significant difference in voluntary and referred clients i.e. 83.59% v/s 8.36%. It was also found that HIV positivity is more in reproductive age group than extremes of ages, more in females than males, more in person who were married but presently single because of separation of spouse, divorce form spouse or death of spouse than the unmarried or married living with their spouses.
This document discusses Denmark's national health registries and their use for epidemiological research. It notes that Denmark assigns unique personal identification numbers to all citizens, allowing accurate linkage between various health registries. This enables large population-based cohort studies with long-term follow up. The registries contain information on healthcare utilization, prescriptions, and diagnoses. Several studies are described that use the registries to study topics like MMR vaccination and autism, quality of diabetes care, and blood pressure control. Challenges with using registry data include ensuring validity of diagnoses and missing data. However, strengths include no selection bias, large sample sizes, and prospectively collected data.
This document summarizes literature on the use of telehealth in Australia to manage chronic leg ulcers, particularly in remote populations. It discusses how telehealth can help assess ulcers, provide nurse interventions, and improve healing rates. Several Australian examples are described where telehealth was used by podiatrists, in remote indigenous communities, and integrated into a health information system. The conclusion emphasizes identifying target group needs, evaluating improved health outcomes, and balancing direct patient contact with telehealth benefits.
The document discusses health surveillance and informatics. It defines surveillance as the systematic collection and analysis of health data for decision making. The purposes of surveillance include monitoring disease trends, evaluating programs, and informing policy. Health informatics involves the management and analysis of health information and can include fields like nursing informatics, clinical informatics, and public health informatics. Sources of health data include censuses, vital statistics, disease notification systems, health surveys, and hospital records.
Poster: Spirometer and eDiary Integration for Asthma TrialsCRF Health
An electronic asthma diary was developed with integrated spirometer functionality to reduce patient burden in asthma clinical trials. Feedback from sites and sponsors was used to refine the diary which can now directly transfer peak expiratory flow and forced expiratory volume measurements from a spirometer via Bluetooth. The streamlined diary led to high compliance rates of 88-92% in multiple global asthma studies and allows sites to remotely monitor patients' conditions between visits.
This study assessed the prevalence of neonatal sepsis and associated risk factors among neonates admitted to neonatal intensive care units (NICUs) at two hospitals in Ethiopia from February 2016 to February 2017. The overall prevalence of neonatal sepsis was found to be 77.9%. Age of neonates, birth asphyxia, and use of oxygen via mask were significantly associated with increased risk of neonatal sepsis. The study recommends focusing prevention efforts on modifiable risk factors to reduce neonatal sepsis.
Aims -
* Diabetes – the big picture
* IoW – the context
* Self-management - a way forward
* Inspiring clinicians with what's possible, new patient pathways etc
* How we’ve turned things around, outcomes
Modern society is highly dependent on the provisioning of clean water, healthy and plentiful food, breathable air, and prompt intervention to curtail disease outbreaks. The public health system is critical in supporting these activities. Today’s information technology provides public health practitioners key capabilities in maintaining the health of the population. This lecture will provide a basic foundation of knowledge about public health practice for clinical informaticians, and highlight specialized information systems and data standards used in public health today. We will explore the existing public health informatics infrastructure including surveillance systems, the process of electronic laboratory reporting (ELR) of notifiable diseases, vital statistics systems, and the critical importance of GIS systems in the public health
By 2030, telehealth will play a key role in managing the growing geriatric population and those with chronic conditions due to a shortage of healthcare providers. Nurses will have more autonomy and be able to monitor patients remotely using wearable devices that track vital signs and send data to electronic health records. Patients will be empowered to access their records and input medical information through online portals. Knowledge management tools embedded in records will help providers make evidence-based care decisions for chronic condition management like diabetes. This virtual care model aims to provide cost-effective care while maintaining patient independence and quality of life.
Transforming the NHS through genomic and personalised medicine, pop up uni, 1...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Big Data and the Promise and Pitfalls when Applied to Disease Prevention and ...Philip Bourne
Big data and data science have implications for healthcare and biomedical research. Large amounts of data are being generated but much of it remains unused. Integrating data through common standards could provide new insights into rare diseases. The National Institutes of Health is working to establish data standards and cloud resources to enable data sharing and advance precision medicine through its Precision Medicine Initiative. Data science has the potential to improve disease prevention and health promotion by identifying patterns in large, diverse datasets.
1) The document discusses the concept of a "digital phenotype", which refers to aspects of a person's interactions with technology that can provide diagnostic or prognostic insights into their health conditions.
2) Previous research has found correlations between depressive symptom severity and certain location-based smartphone sensor data, such as increased location variance and disrupted circadian rhythms.
3) This study replicates previous findings using GPS smartphone sensor data collected from 48 college students over 10 weeks, finding significant correlations between depressive symptoms and location variance, entropy, and circadian movement patterns. The relationships were stronger when analyzing weekend versus weekday data.
Christopher A. Longhurst, MD, MS
Chief Medical Information Officer
Lucile Packard Children’s Hospital
Clinical Associate Professor of Pediatrics
Stanford School of Medicine
Case Study "Using Big Data to Shift from Evidence-based Practice to Practice-based Evidence"
Packard Children's Hospital at Stanford has been on a journey towards a comprehensive electronic medical record (EMR) since 2004. These efforts resulted in national attention in 2010 with the publication of the first-ever correlation between implementation of computerized physician order entry (CPOE) and a decrease in hospital-wide mortality. This landmark was followed in 2011 with a paper in the NEJM describing the first documented use of aggregate EMR data to make a real-time patient care decision. In this talk, Dr. Chris Longhurst will share the "story behind the story" of these accomplishments and highlight opportunities for using applied clinical informatics to improve the value of healthcare we deliver to our patients.
NSLHD LEADING THE WAY WITH ARTHRITIS RESEARCH AND CLINICAL CARE (https://onli...- A3BC -
#NSLHD NEWS: The latest edition of North Sydney Local Health District newsletter published 1st August 2019 featured an article highlighting the ground-breaking research into musculoskeletal disease presented at the Inaugural Northern Lights showcase.
Professor Lyn March AM spoke of the devastating cost of the diseases to individuals and the broader community, and the Australian Arthritis and Autoimmune Biobank Collaborative (A3BC)’s vision (https://a3bc.org.au/vision-and-values-2/).
To find out more about the A3BC and how you can get involved, visit our website at https://a3bc.org.au/
We also have a twitter and Facebook page:
Twitter: https://twitter.com/TheA3BC
Facebook: https://www.facebook.com/TheA3BC/
The NSLHD’s newsletter can be found at: https://online.flippingbook.com/view/805008/
This study compared same day sputum microscopy (two sputum samples collected one hour apart) to conventional sputum microscopy (spot sample and early morning sample collected over two days) for tuberculosis diagnosis in Chhattisgarh, India. The study found that same day microscopy missed 17% of smear-positive tuberculosis cases compared to 1% missed by conventional microscopy. Additionally, same day microscopy had a lower proportion of presumptive tuberculosis patients providing both required samples and had a lower proportion of samples with good quality. These findings suggest that same day microscopy may not be as effective as conventional microscopy for tuberculosis diagnosis in this setting.
Role of In Vitro Diagnostics in Saudi ArabiaSolidiance
Saudi Arabia’s healthcare system currently relies heavily on government funding, which accounts for 65% healthcare spending in the country. Healthcare trends in Saudi Arabia's, e.g. demographic shifts, high incidence rates of lifestyle related diseases, growing demand for private healthcare services, and strategic investments made by the government have driven demands for in vitro diagnostic (IVD) devices. Solidiance co-developed this exclusive white paper with Kind Abdulaziz Medical City and Abbott Diagnostics, highlighting the contribution, value and future of in vitro diagnostics in Saudi Arabia’s healthcare system. According to the report, the future looks bright for IVD in Saudi Arabia, however it depends on how fast it can be adopted and implemented in order to benefit the government, healthcare players seeking to improve and invest on the sector, and also the people.
This document provides information about various research projects and areas of expertise at the UVM Medical Center. It describes projects related to osteoporosis, inter-hospital transfers, chronic kidney disease, asthma, vaccinations, liver disease, critical care, and more. Contact information is provided for principal investigators studying topics like statin use in chronic kidney disease, acute kidney injury following cardiopulmonary bypass, and physiological phenotyping of asthma.
UCSF Informatics Day 2014 - Keith R. Yamamoto, "Precision Medicine"CTSI at UCSF
Keith R. Yamamoto, PhD — Opening Remarks – Precision Medicine
Vice Chancellor for Research
Executive Vice Dean of the School of Medicine
Professor of Cellular and Molecular Pharmacology
UCSF
Socio-demographic Characteristics of Clients Visiting Integrated Counseling and Testing Centre (ICTC) at SMS Medical College, Jaipur (Rajasthan) India-Human immunodeficiency virus (HIV) infection is a global pandemic and India counts for 10% of the global HIV burden and 65% of that in the South and South-East Asia. This study of clients of ICTC was carried out to know the association of HIV positivity with socio-demographic variables. Total 2412 clients have visited at ICTC of SMS Medical College, Jaipur, either voluntarily or referred by various department of this institute in ICTC in 1st quarter of 2009. They Overall HIV positivity was found 12.35% with a significant difference in voluntary and referred clients i.e. 83.59% v/s 8.36%. It was also found that HIV positivity is more in reproductive age group than extremes of ages, more in females than males, more in person who were married but presently single because of separation of spouse, divorce form spouse or death of spouse than the unmarried or married living with their spouses.
This document discusses Denmark's national health registries and their use for epidemiological research. It notes that Denmark assigns unique personal identification numbers to all citizens, allowing accurate linkage between various health registries. This enables large population-based cohort studies with long-term follow up. The registries contain information on healthcare utilization, prescriptions, and diagnoses. Several studies are described that use the registries to study topics like MMR vaccination and autism, quality of diabetes care, and blood pressure control. Challenges with using registry data include ensuring validity of diagnoses and missing data. However, strengths include no selection bias, large sample sizes, and prospectively collected data.
This document summarizes literature on the use of telehealth in Australia to manage chronic leg ulcers, particularly in remote populations. It discusses how telehealth can help assess ulcers, provide nurse interventions, and improve healing rates. Several Australian examples are described where telehealth was used by podiatrists, in remote indigenous communities, and integrated into a health information system. The conclusion emphasizes identifying target group needs, evaluating improved health outcomes, and balancing direct patient contact with telehealth benefits.
The document discusses health surveillance and informatics. It defines surveillance as the systematic collection and analysis of health data for decision making. The purposes of surveillance include monitoring disease trends, evaluating programs, and informing policy. Health informatics involves the management and analysis of health information and can include fields like nursing informatics, clinical informatics, and public health informatics. Sources of health data include censuses, vital statistics, disease notification systems, health surveys, and hospital records.
This document provides an overview of digital health for nursing students. It defines digital health and discusses key areas like big data, genomics, and artificial intelligence. It outlines drivers of digital health in India like lifestyle diseases and an aging population. Key aspects of digital health are discussed, including telemedicine, electronic health records, robot-assisted surgery, self-monitoring devices, the internet of medical things, and mHealth. The future of digital health in India is seen to involve expanded telemedicine, electronic medical records, artificial intelligence, and more. Digital health tools were also discussed in the context of COVID-19, along with advantages and challenges of digital health.
This document provides information about the "BioData World West 2017" conference taking place April 26-27, 2017 in San Francisco. The conference will bring together over 200 participants from various backgrounds to discuss disruptive approaches in drug development, personalized medicine, and clinical applications using big data in precision medicine. Expert speakers will present on topics including genomics, precision medicine, and a new AI track in partnership with Merck. Registering online reserves a place at the conference and featured sessions will explore various applications and challenges of harnessing big data in healthcare and biomedicine.
This document summarizes the history and strategies of India's National AIDS Control Programme (NACP). It notes that HIV was first detected in India in 1986 among female sex workers in Chennai. In response, the government established an AIDS task force and initiated NACP in 1987 with World Bank support. NACP has since launched multiple phases (NACP I-IV) to expand targeted interventions for high-risk groups, increase testing and treatment, and reduce stigma. The current phase (NACP IV) aims to accelerate response efforts and integrate HIV services into the national health system from 2014-2017.
Similar to Big data for prevention - Clinical applications in Israel (20)
This document summarizes measles and rubella surveillance data from the WHO European Region from March 2021 to February 2022. It finds that 22 countries reported 222 measles cases, with the majority (87%) occurring in 10 countries including Tajikistan, Turkey, Belgium, and Poland. 107 rubella cases were reported by 12 countries, with 96 cases in 5 countries including Poland, Turkey, Ukraine, and Germany. The data also examines case trends over time and genotypes in an effort to monitor elimination goals for these vaccine-preventable diseases.
This document summarizes reported measles cases in the WHO European Region from March 2021 to February 2022. It shows the total number of measles cases and incidence rate per country over this period. The highest numbers of cases were reported in Poland, Germany, Italy, and Ukraine. Overall, there were 222 measles cases reported in March 2021, rising to a peak of 35 cases in October 2021, before declining to 33 cases in February 2022.
The document summarizes measles and rubella surveillance data from the WHO European Region. It provides data on measles and rubella cases, incidence, genotypes, and vaccination coverage from 2021-2022. The top countries for measles and rubella cases in this period are reported, with Turkey, Poland, and Ukraine among those with the highest numbers of measles cases and Poland reporting the most rubella cases.
The document provides an overview of measles and rubella cases and vaccination coverage in the WHO European Region from 2021-2022. It summarizes measles and rubella data for 2021, including the top 10 countries by cases. Turkey had the most measles cases in 2021 while Poland had the most rubella cases. Vaccination coverage for measles-containing vaccines was over 90% from 2010-2021.
The document summarizes measles and rubella surveillance data from the WHO European Region from December 2020 to November 2021. It finds that 148 measles cases were reported in this period, with the majority (89%) occurring in 11 countries including Turkey, France, Poland, and Belgium. 103 rubella cases were reported in the same period, with over 90% concentrated in 5 countries including Italy, Germany, Turkey, and Ukraine. Overall measles and rubella cases have declined in the region since 2018 but surveillance and vaccination efforts need to remain vigilant to prevent further outbreaks.
Reported measles cases for the period November 2020—October 2021 (data as of 02 December 2021).A monthly summary of the epidemiological data on selected vaccine-preventable diseases in the WHO European Region
The document summarizes measles and rubella surveillance data from the WHO European Region from October 2020 to September 2021. It finds that Turkey, Ukraine, and Poland reported the most measles cases, with Turkey reporting 35 cases. It also finds that Azerbaijan, Germany, Turkey, Ukraine, and Poland reported the most rubella cases, with Poland reporting 47 cases. Overall, measles and rubella cases have decreased in the region since 2019, but ongoing vaccination efforts are still needed to eliminate both diseases.
The document provides information on measles and rubella cases in the WHO European Region from September 2020 to August 2021. It summarizes that Turkey, Ukraine, and Poland reported the most measles cases, while Poland, Ukraine, and Turkey reported the most rubella cases. Overall measles and rubella cases have declined compared to previous years but outbreaks still occur periodically in some countries. The document also provides links to additional measles and rubella surveillance resources on the WHO website.
The document provides an overview of measles and rubella cases in the WHO European Region from August 2020 to July 2021. It summarizes measles and rubella data, including the number of reported cases by country, genotype information, and monthly trends over multiple years. Turkey had the highest number of measles cases while Poland had the most rubella cases. Measles cases were highest among unvaccinated children under 5 years old.
The document summarizes measles and rubella surveillance data from the WHO European Region from July 2020 to June 2021. It finds that for measles, Turkey, Ukraine, Belgium, Poland and France reported the most cases, with Turkey reporting 30 cases. For rubella, Italy, Turkey, Germany, Ukraine and Poland reported most of the 80 total cases. The number of measles cases decreased from 2020 to 2021 while the number of rubella cases remained low. Vaccination coverage and outbreaks varied by country.
The document provides measles and rubella surveillance data for the WHO European Region from May 2020 to April 2021. It shows that:
- Kazakhstan reported the highest number of measles cases, while Poland, France, and others also reported cases.
- For rubella, Poland reported the highest number of cases between May 2020 to April 2021, while Italy, Turkey, Germany and Ukraine also reported cases.
- Both measles and rubella cases were highest in 2020 compared to previous years, though rubella cases remained low overall, with 188 cases reported for 2020.
Uzbekistan and Kazakhstan reported the highest numbers of measles cases between April 2020-March 2021, with 446 and 423 cases respectively. Overall, 1,511 measles cases were reported in this period in the WHO European Region, with 96% occurring in the top 10 reporting countries. For rubella, 86 total cases were reported between April 2020-March 2021, with 97% found in the top 5 countries of Italy, Turkey, Germany, Ukraine, and Poland.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
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The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
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Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Osteoporosis - Definition , Evaluation and Management .pdf
Big data for prevention - Clinical applications in Israel
1. Big data for prevention
Clinical applications in Israel
Prof. Ran Balicer MD, PhD, MPH
Director, Health Policy Planning, Clalit Healthcare Services, Israel
Director, Clalit Research Institute, Israel
Chair, The WHO Collaborating Center on NCD Research, Prevention and Control
June 2017
2. Using data to enhance prevention and care
1. Real world assessment - what works?
2. Predictive proactive prevention
3. Enhanced diagnostics for prevention
3. Clalit Health Services:
Israel’s integrated Sick Fund
»53% of Israelis - 4.2 million members
»All services under one ‘roof’
->1,500 community clinics, 30% of Israel hospital beds
»Decades of Claims + EMR data
- ID-tagged, geo-coded, cross-linked
- Over 6 million lives
4. Are we providing futile care? 1
Real world study – > 70,000 cases & controls:
OR = 1.00 (0.97-1.04) for admitted pneumonia
OR = 0.66 (0.44-0.86 ) for invasive disease