1) The document discusses the promise and potential perils of eHealth technologies like remote monitoring devices, virtual assistants, and personalized health records.
2) Factors driving eHealth include patient demand for convenient access to information, the ability to link separate health services, and using technology to address staffing shortages. However, eHealth may also shift costs to patients and change the role of healthcare providers.
3) Potential benefits of eHealth include improved patient information and choice, better communication between providers, and links to vetted external health resources. However, ensuring privacy and appropriate access to personal health data is also discussed.
IRJET - Blockchain for Medical Data Access and Permission ManagementIRJET Journal
This document discusses using blockchain technology for medical data access and permission management. It begins with an abstract that outlines how medical data is currently created, distributed, stored, and accessed, and how blockchain could help improve healthcare by enhancing patient care and reducing costs. It then describes the objectives, benefits, and challenges of the system. The rest of the document provides details on the proposed system, including module descriptions, architectural design, literature review on related work, and a conclusion discussing challenges of using blockchain for healthcare data like immutability and data size.
This document presents a multi-agent system approach for clinical diagnosis. It proposes an algorithm for an intelligent medical diagnosis system called Clinical Diagnosis System (CDS) that uses multiple intelligent agents. The CDS architecture includes various agents like the User Agent, Master Agent, Specialist Doctor Agents, and Report Agent. The algorithm describes the step-by-step process of how a problem or symptom is input, analyzed, assigned to a specialist agent, diagnosed and reported back to the user. The proposed CDS system aims to provide an improved and user-friendly clinical diagnosis approach.
The document proposes an architecture and process for nationwide patient-centric consent management. It discusses the need for improved electronic consent management given the limitations of paper-based consent. The proposed approach uses an internet-based consent service that stores a patient's consent preferences in one place and can provide the most current preferences to any record holder. This allows patients to manage consent in a centralized way without needing to interact directly with each individual record holder. The proposed architecture aims to balance the needs of patients, providers, and other stakeholders to enable greater data sharing while respecting patient privacy preferences.
The document discusses several topics related to imaging in healthcare:
1) Stage 2 MU requirements call for remote viewing of patient records and images to increase access for physicians and patients. Patient portals may play a larger role in remote monitoring programs for chronic conditions.
2) Clinical decision support and CPOE are now required to improve safety, eliminate errors, and justify expensive tests. VNAs can enable remote access via mobile devices.
3) The future is moving from hospital-centric, episodic, fee-for-service care to being more patient-centric, continuous, and value-based with an emphasis on wellness in addition to sickness.
4) Data liquidity, or ensuring the
A survey of VA primary care practitioners found that nearly 30% acknowledged missing abnormal test result notifications due to EHR alert overload. Respondents reported receiving a median of 63 alerts per day, which most felt was excessive. Too many alerts and poor EHR usability were linked to missed results and delayed patient care. Interventions are needed to reduce low-value alerts and improve EHR usability to enhance patient safety.
International Journal of Computational Engineering Research(IJCER)ijceronline
This document summarizes a study on developing a decision support system (DSS) for patient care using electronic health records (EHRs). The authors conducted a survey of doctors, medical staff, and patients which found that a DSS could help doctors spend less time on management and more with patients, and help patients in remote areas without doctors. The DSS was designed with modules to help both doctors and patients make healthcare decisions. An evaluation found the DSS could improve healthcare delivery by making information more accessible and reducing medical errors.
3 Round Stones at the New England Health Datapalooza Oct 3, 20123 Round Stones
3 Round Stones' co-founder Bernadette Hyland discusses a new mobile application that uses federal open government data about weather and healthcare to improve management of chronic health conditions including asthma and COPD.
Self Organizing Genomes with Real Time Consent - DNA GuideDNA Compass
Advocates for self organizing genomes with real time consent . Pattern in evolution of digital humanity is aspect of life gets digitized and once it's affordable a platform emerges that allows people to:
1. Upload their data
2. Control who they share it with.
Describes a personal biological domain model that allows for industry integration based on individual ownership of raw genetic data.
IRJET - Blockchain for Medical Data Access and Permission ManagementIRJET Journal
This document discusses using blockchain technology for medical data access and permission management. It begins with an abstract that outlines how medical data is currently created, distributed, stored, and accessed, and how blockchain could help improve healthcare by enhancing patient care and reducing costs. It then describes the objectives, benefits, and challenges of the system. The rest of the document provides details on the proposed system, including module descriptions, architectural design, literature review on related work, and a conclusion discussing challenges of using blockchain for healthcare data like immutability and data size.
This document presents a multi-agent system approach for clinical diagnosis. It proposes an algorithm for an intelligent medical diagnosis system called Clinical Diagnosis System (CDS) that uses multiple intelligent agents. The CDS architecture includes various agents like the User Agent, Master Agent, Specialist Doctor Agents, and Report Agent. The algorithm describes the step-by-step process of how a problem or symptom is input, analyzed, assigned to a specialist agent, diagnosed and reported back to the user. The proposed CDS system aims to provide an improved and user-friendly clinical diagnosis approach.
The document proposes an architecture and process for nationwide patient-centric consent management. It discusses the need for improved electronic consent management given the limitations of paper-based consent. The proposed approach uses an internet-based consent service that stores a patient's consent preferences in one place and can provide the most current preferences to any record holder. This allows patients to manage consent in a centralized way without needing to interact directly with each individual record holder. The proposed architecture aims to balance the needs of patients, providers, and other stakeholders to enable greater data sharing while respecting patient privacy preferences.
The document discusses several topics related to imaging in healthcare:
1) Stage 2 MU requirements call for remote viewing of patient records and images to increase access for physicians and patients. Patient portals may play a larger role in remote monitoring programs for chronic conditions.
2) Clinical decision support and CPOE are now required to improve safety, eliminate errors, and justify expensive tests. VNAs can enable remote access via mobile devices.
3) The future is moving from hospital-centric, episodic, fee-for-service care to being more patient-centric, continuous, and value-based with an emphasis on wellness in addition to sickness.
4) Data liquidity, or ensuring the
A survey of VA primary care practitioners found that nearly 30% acknowledged missing abnormal test result notifications due to EHR alert overload. Respondents reported receiving a median of 63 alerts per day, which most felt was excessive. Too many alerts and poor EHR usability were linked to missed results and delayed patient care. Interventions are needed to reduce low-value alerts and improve EHR usability to enhance patient safety.
International Journal of Computational Engineering Research(IJCER)ijceronline
This document summarizes a study on developing a decision support system (DSS) for patient care using electronic health records (EHRs). The authors conducted a survey of doctors, medical staff, and patients which found that a DSS could help doctors spend less time on management and more with patients, and help patients in remote areas without doctors. The DSS was designed with modules to help both doctors and patients make healthcare decisions. An evaluation found the DSS could improve healthcare delivery by making information more accessible and reducing medical errors.
3 Round Stones at the New England Health Datapalooza Oct 3, 20123 Round Stones
3 Round Stones' co-founder Bernadette Hyland discusses a new mobile application that uses federal open government data about weather and healthcare to improve management of chronic health conditions including asthma and COPD.
Self Organizing Genomes with Real Time Consent - DNA GuideDNA Compass
Advocates for self organizing genomes with real time consent . Pattern in evolution of digital humanity is aspect of life gets digitized and once it's affordable a platform emerges that allows people to:
1. Upload their data
2. Control who they share it with.
Describes a personal biological domain model that allows for industry integration based on individual ownership of raw genetic data.
This document proposes a patient self-driven multi-stage confidentiality safeguard supportive verification scheme (PSCSV) for distributed mobile health care cloud computing systems. The PSCSV allows patients to authorize different access privileges to physicians located across various health care providers. It establishes multi-level privacy-preserving cooperative authentication through an access tree supporting flexible authorization thresholds. The PSCSV enhances security and anonymity by associating it with cryptographic problems and the number of patient attributes. It aims to efficiently manage access control and protect patient privacy and confidentiality at three different authorization levels: directly authorized physicians, indirectly authorized physicians, and unauthorized individuals.
This document discusses implementing clinical decision support (CDS) in electronic health records (EHRs). It defines CDS and describes common CDS tools like alerts, order checks, and reminders. It discusses the value of CDS in improving healthcare quality and addressing medical errors. The document then covers topics like the history and definitions of CDS, approaches to modern CDS, issues around alerts, and grand challenges in the field. Hands-on exercises are provided to demonstrate CDS tools in a simulated EHR environment.
Case Study: Advanced analytics in healthcare using unstructured dataDamo Consulting Inc.
This document summarizes a case study on using unstructured data like images to analyze diabetic retinopathy. Retinal images from half a million patients were analyzed using neural networks and computer vision to detect disease patterns. This automated analysis compressed 50 years of clinical experience into 24 hours to more accurately diagnose patients. The results complemented physician expertise. This case study demonstrates the potential of advanced analytics and large datasets to enhance medical diagnosis using unstructured data like images.
Data Visuallization for Decision Making - Intel White PaperNicholas Tenhue
Clinicians must analyze large amounts of patient data from various sources to assess health and develop treatment plans. This process is becoming more complex with new sources of data. The study explored creating data visualization tools to help clinicians make sense of growing data volumes and varieties. Participants provided feedback on prototype tools, identifying challenges and beneficial design approaches. The tools showed potential to improve the speed and accuracy of healthcare decisions by making implicit thought processes more explicit.
Nicholas Tenhue completed his Master's degree in MSc ICT Innovation at University College London, this document is his thesis on Making Sense of Risk by Visualizing Complex Health Data.
Find out more about Nicholas at http://nicholastenhue.com
International Journal of Engineering Research and Applications (IJERA) is an open access online peer reviewed international journal that publishes research and review articles in the fields of Computer Science, Neural Networks, Electrical Engineering, Software Engineering, Information Technology, Mechanical Engineering, Chemical Engineering, Plastic Engineering, Food Technology, Textile Engineering, Nano Technology & science, Power Electronics, Electronics & Communication Engineering, Computational mathematics, Image processing, Civil Engineering, Structural Engineering, Environmental Engineering, VLSI Testing & Low Power VLSI Design etc.
IJERA (International journal of Engineering Research and Applications) is International online, ... peer reviewed journal. For more detail or submit your article, please visit www.ijera.com
White paper examines the unstructured data management challenges healthcare organizations face and how the Hitachi Data Systems solution employs metadata to address the data storm.
www.charisma.ro
www.totalsoft.ro
Charisma Medical Software is a modular software solution that integrates and optimizes the processes, the flows, the operational and financial activities specific to hospitals, clinics, pharmacies and medical laboratories. The product offers the possibility of electronic tenders for selecting the suppliers of drugs, instruments, repairs, consumable items or food, while being integrated with HL7 transmission protocol for retrieving and processing data from laboratory analyzers or third party applications.
Using NLP and curation to make clinical data available for researchWarren Kibbe
While at Northwestern we developed a chart abstraction tool using a data mart to present EHR data to research personnel without double entry. Used in the Brain Tumor Institute. Mike Gurley did the majority of the development.
The document discusses the future of health records and genomic data on the internet. It proposes a system called the "Biological Network - Internet of Human Beings" where individuals would have portable health records stored with a trusted registrar. This would allow for real-time consent over exponential amounts of health and genomic data being collected in a decentralized, patient-centric manner while maintaining data privacy. Quality ratings and categories would help provide dynamic interpretations and reports from the individual's raw biological data organized over location and time.
Ethical Issues and Safety in the Use of Clinical Decision Support Systems (CDSS)inventy
Research Inventy : International Journal of Engineering and Science is published by the group of young academic and industrial researchers with 12 Issues per year. It is an online as well as print version open access journal that provides rapid publication (monthly) of articles in all areas of the subject such as: civil, mechanical, chemical, electronic and computer engineering as well as production and information technology. The Journal welcomes the submission of manuscripts that meet the general criteria of significance and scientific excellence. Papers will be published by rapid process within 20 days after acceptance and peer review process takes only 7 days. All articles published in Research Inventy will be peer-reviewed.
IHE / RSNA Image Sharing Project - IHE Colombia Workshop (12/2014) Module 5bIHE Brasil
This document summarizes a presentation about the USA Pilot Radiology National Image-Sharing Program. The program aims to enable sharing of medical images and reports between healthcare providers using standards-based interoperability profiles from the Integrating the Healthcare Enterprise (IHE) initiative. The pilot implemented an image exchange network between five academic medical centers using IHE profiles for cross-enterprise document sharing and consumer-directed sharing of medical images and reports through patient-controlled personal health records. Over 6,400 patients have enrolled in the program to date.
A clinical information system (CIS) is a technology-based system used at the point of care to support processing and storing patient information. It includes electronic health records, clinical data repositories, decision support, and communication tools. Implementing a CIS requires representation from all areas of healthcare to ensure success. Effective CIS can reduce errors, improve guideline-based care, and decrease healthcare utilization through components like clinical decision support systems. However, ensuring data security, accuracy, and privacy is important when using and networking CIS.
Will Mobile Apps Bring Wound Care Technology to the “Cutting Edge”?Chrissy Stanojev
For wound care providers and other clinicians, 2017 continued to bring about a chaotic storm of healthcare reform based on quality measures, data registry requirements, and documentation standards. As has been previously stated in this journal, it remains to be seen if wound care practitioners will pool their limited resources and harness the power of their electronic health records to battle the “giant of healthcare reform.”1 This country’s push to enact and substantiate quality of care delivery can be seen through the uniting of clinical practice with increasingly sophisticated digital technology that allows for more accurate documentation and communication. For good reason, the focus of this union is being placed on the perspective of the patient (ie, how the patient receives healthcare information). However, it is becoming increasingly clear that there is a need for clinicians to be armed with devices that more easily and effectively facilitate the means to that end. This article will discuss the proliferation of healthcare-related digital apps that are both patient and clinician focused in an attempt to lay a foundation for wound care clinicians to become more technologically savvy and clinically compliant.
https://www.todayswoundclinic.com/articles/will-mobile-apps-bring-wound-care-technology-cutting-edge
Development of an expert system for reducing medical errorsijseajournal
The document describes the development of an expert system for reducing medical errors. The system was developed using the CLIPS expert system shell. It classifies medical errors based on 225 rules across 52 parameters and 830 pieces of advice. The system prompts the user for input and checks it for consistency, providing explanations if needed. It was validated through consultations with medical experts and can help reduce errors by providing recommendations to prevent future incidents.
The document provides an overview of big data analytics for healthcare. It begins with motivating examples that demonstrate how big data can help improve healthcare outcomes and lower costs. It then discusses the main sources of healthcare data, including structured EHR data like billing codes, labs, and medications, as well as unstructured clinical notes. The document outlines challenges in analyzing these different types of complex healthcare data. It also introduces a healthcare analytics platform that can extract and select features from various data sources to build predictive models. Finally, it discusses techniques for clinical text mining, including named entity recognition and negation analysis.
Possible Solution for Managing the Worlds Personal Genetic Data - DNA Guide, ...DNA Compass
World DNA Day and Genome Day, Dalian China 2011
"Possible Solution for Managing the Worlds Genetic Data" given by Alice Rathjen, Founder & President DNA Guide, Inc.
Proposes genetic tests be given a rating for quality of science, medical utility and viewing risk so as to facilitate the flow of genetic information in a responsible manner from the lab to the physician and patient. Explains how technology combined with public policy could enable both privacy and personalized medicine to thrive. Advocates individual ownership over personal genetic data and suggests the genome as a data format could provide the foundation for digital human rights.
tags: DNA, genetic testing, privacy, personalized medicine, FDA regulation
The Case Study of an Early Warning Models for the Telecare Patients in TaiwanIJERA Editor
The document presents a case study on developing an early warning analysis model for telecare patients in Taiwan using data mining techniques. The study used data from a private clinic's telecare database including demographic information, physiological signals, medical records, and emergency notifications of 442 patients. Three data mining methods (discriminant analysis, logistic regression, and artificial neural networks) were used to construct early warning models to classify patients by disease severity and risk of onset. The artificial neural network model achieved the highest correct classification rate of 85.52% indicating it is the most accurate technique for early warning analysis in this case. The early warning models can help telecare systems identify high-risk patients for closer monitoring and preventive care.
1) The article discusses health informatics and how it helps doctors make better decisions by improving how patient data and medical knowledge is captured, processed, communicated and applied.
2) It focuses on how information is handled during routine clinical tasks like consultations and covers broader issues related to things like medical record keeping, communicating with colleagues and patients, and keeping clinical knowledge up to date.
3) It explains the differences between actual information, representations of that information, and how individuals may interpret it, noting that information is best captured and represented in a way that helps both human and computer users find and interpret it.
1) The document discusses the promise and potential perils of eHealth technologies like remote monitoring devices, virtual assistants, and personalized health records.
2) Factors driving eHealth include patient demand for convenient access to information, the ability to link separate health services, and using technology to address issues like staff shortages.
3) Potential benefits include improved patient information and choice, better communication between providers, and links to vetted external health resources. However, issues around privacy and control of personal data still need solutions.
This document proposes a patient self-driven multi-stage confidentiality safeguard supportive verification scheme (PSCSV) for distributed mobile health care cloud computing systems. The PSCSV allows patients to authorize different access privileges to physicians located across various health care providers. It establishes multi-level privacy-preserving cooperative authentication through an access tree supporting flexible authorization thresholds. The PSCSV enhances security and anonymity by associating it with cryptographic problems and the number of patient attributes. It aims to efficiently manage access control and protect patient privacy and confidentiality at three different authorization levels: directly authorized physicians, indirectly authorized physicians, and unauthorized individuals.
This document discusses implementing clinical decision support (CDS) in electronic health records (EHRs). It defines CDS and describes common CDS tools like alerts, order checks, and reminders. It discusses the value of CDS in improving healthcare quality and addressing medical errors. The document then covers topics like the history and definitions of CDS, approaches to modern CDS, issues around alerts, and grand challenges in the field. Hands-on exercises are provided to demonstrate CDS tools in a simulated EHR environment.
Case Study: Advanced analytics in healthcare using unstructured dataDamo Consulting Inc.
This document summarizes a case study on using unstructured data like images to analyze diabetic retinopathy. Retinal images from half a million patients were analyzed using neural networks and computer vision to detect disease patterns. This automated analysis compressed 50 years of clinical experience into 24 hours to more accurately diagnose patients. The results complemented physician expertise. This case study demonstrates the potential of advanced analytics and large datasets to enhance medical diagnosis using unstructured data like images.
Data Visuallization for Decision Making - Intel White PaperNicholas Tenhue
Clinicians must analyze large amounts of patient data from various sources to assess health and develop treatment plans. This process is becoming more complex with new sources of data. The study explored creating data visualization tools to help clinicians make sense of growing data volumes and varieties. Participants provided feedback on prototype tools, identifying challenges and beneficial design approaches. The tools showed potential to improve the speed and accuracy of healthcare decisions by making implicit thought processes more explicit.
Nicholas Tenhue completed his Master's degree in MSc ICT Innovation at University College London, this document is his thesis on Making Sense of Risk by Visualizing Complex Health Data.
Find out more about Nicholas at http://nicholastenhue.com
International Journal of Engineering Research and Applications (IJERA) is an open access online peer reviewed international journal that publishes research and review articles in the fields of Computer Science, Neural Networks, Electrical Engineering, Software Engineering, Information Technology, Mechanical Engineering, Chemical Engineering, Plastic Engineering, Food Technology, Textile Engineering, Nano Technology & science, Power Electronics, Electronics & Communication Engineering, Computational mathematics, Image processing, Civil Engineering, Structural Engineering, Environmental Engineering, VLSI Testing & Low Power VLSI Design etc.
IJERA (International journal of Engineering Research and Applications) is International online, ... peer reviewed journal. For more detail or submit your article, please visit www.ijera.com
White paper examines the unstructured data management challenges healthcare organizations face and how the Hitachi Data Systems solution employs metadata to address the data storm.
www.charisma.ro
www.totalsoft.ro
Charisma Medical Software is a modular software solution that integrates and optimizes the processes, the flows, the operational and financial activities specific to hospitals, clinics, pharmacies and medical laboratories. The product offers the possibility of electronic tenders for selecting the suppliers of drugs, instruments, repairs, consumable items or food, while being integrated with HL7 transmission protocol for retrieving and processing data from laboratory analyzers or third party applications.
Using NLP and curation to make clinical data available for researchWarren Kibbe
While at Northwestern we developed a chart abstraction tool using a data mart to present EHR data to research personnel without double entry. Used in the Brain Tumor Institute. Mike Gurley did the majority of the development.
The document discusses the future of health records and genomic data on the internet. It proposes a system called the "Biological Network - Internet of Human Beings" where individuals would have portable health records stored with a trusted registrar. This would allow for real-time consent over exponential amounts of health and genomic data being collected in a decentralized, patient-centric manner while maintaining data privacy. Quality ratings and categories would help provide dynamic interpretations and reports from the individual's raw biological data organized over location and time.
Ethical Issues and Safety in the Use of Clinical Decision Support Systems (CDSS)inventy
Research Inventy : International Journal of Engineering and Science is published by the group of young academic and industrial researchers with 12 Issues per year. It is an online as well as print version open access journal that provides rapid publication (monthly) of articles in all areas of the subject such as: civil, mechanical, chemical, electronic and computer engineering as well as production and information technology. The Journal welcomes the submission of manuscripts that meet the general criteria of significance and scientific excellence. Papers will be published by rapid process within 20 days after acceptance and peer review process takes only 7 days. All articles published in Research Inventy will be peer-reviewed.
IHE / RSNA Image Sharing Project - IHE Colombia Workshop (12/2014) Module 5bIHE Brasil
This document summarizes a presentation about the USA Pilot Radiology National Image-Sharing Program. The program aims to enable sharing of medical images and reports between healthcare providers using standards-based interoperability profiles from the Integrating the Healthcare Enterprise (IHE) initiative. The pilot implemented an image exchange network between five academic medical centers using IHE profiles for cross-enterprise document sharing and consumer-directed sharing of medical images and reports through patient-controlled personal health records. Over 6,400 patients have enrolled in the program to date.
A clinical information system (CIS) is a technology-based system used at the point of care to support processing and storing patient information. It includes electronic health records, clinical data repositories, decision support, and communication tools. Implementing a CIS requires representation from all areas of healthcare to ensure success. Effective CIS can reduce errors, improve guideline-based care, and decrease healthcare utilization through components like clinical decision support systems. However, ensuring data security, accuracy, and privacy is important when using and networking CIS.
Will Mobile Apps Bring Wound Care Technology to the “Cutting Edge”?Chrissy Stanojev
For wound care providers and other clinicians, 2017 continued to bring about a chaotic storm of healthcare reform based on quality measures, data registry requirements, and documentation standards. As has been previously stated in this journal, it remains to be seen if wound care practitioners will pool their limited resources and harness the power of their electronic health records to battle the “giant of healthcare reform.”1 This country’s push to enact and substantiate quality of care delivery can be seen through the uniting of clinical practice with increasingly sophisticated digital technology that allows for more accurate documentation and communication. For good reason, the focus of this union is being placed on the perspective of the patient (ie, how the patient receives healthcare information). However, it is becoming increasingly clear that there is a need for clinicians to be armed with devices that more easily and effectively facilitate the means to that end. This article will discuss the proliferation of healthcare-related digital apps that are both patient and clinician focused in an attempt to lay a foundation for wound care clinicians to become more technologically savvy and clinically compliant.
https://www.todayswoundclinic.com/articles/will-mobile-apps-bring-wound-care-technology-cutting-edge
Development of an expert system for reducing medical errorsijseajournal
The document describes the development of an expert system for reducing medical errors. The system was developed using the CLIPS expert system shell. It classifies medical errors based on 225 rules across 52 parameters and 830 pieces of advice. The system prompts the user for input and checks it for consistency, providing explanations if needed. It was validated through consultations with medical experts and can help reduce errors by providing recommendations to prevent future incidents.
The document provides an overview of big data analytics for healthcare. It begins with motivating examples that demonstrate how big data can help improve healthcare outcomes and lower costs. It then discusses the main sources of healthcare data, including structured EHR data like billing codes, labs, and medications, as well as unstructured clinical notes. The document outlines challenges in analyzing these different types of complex healthcare data. It also introduces a healthcare analytics platform that can extract and select features from various data sources to build predictive models. Finally, it discusses techniques for clinical text mining, including named entity recognition and negation analysis.
Possible Solution for Managing the Worlds Personal Genetic Data - DNA Guide, ...DNA Compass
World DNA Day and Genome Day, Dalian China 2011
"Possible Solution for Managing the Worlds Genetic Data" given by Alice Rathjen, Founder & President DNA Guide, Inc.
Proposes genetic tests be given a rating for quality of science, medical utility and viewing risk so as to facilitate the flow of genetic information in a responsible manner from the lab to the physician and patient. Explains how technology combined with public policy could enable both privacy and personalized medicine to thrive. Advocates individual ownership over personal genetic data and suggests the genome as a data format could provide the foundation for digital human rights.
tags: DNA, genetic testing, privacy, personalized medicine, FDA regulation
The Case Study of an Early Warning Models for the Telecare Patients in TaiwanIJERA Editor
The document presents a case study on developing an early warning analysis model for telecare patients in Taiwan using data mining techniques. The study used data from a private clinic's telecare database including demographic information, physiological signals, medical records, and emergency notifications of 442 patients. Three data mining methods (discriminant analysis, logistic regression, and artificial neural networks) were used to construct early warning models to classify patients by disease severity and risk of onset. The artificial neural network model achieved the highest correct classification rate of 85.52% indicating it is the most accurate technique for early warning analysis in this case. The early warning models can help telecare systems identify high-risk patients for closer monitoring and preventive care.
1) The article discusses health informatics and how it helps doctors make better decisions by improving how patient data and medical knowledge is captured, processed, communicated and applied.
2) It focuses on how information is handled during routine clinical tasks like consultations and covers broader issues related to things like medical record keeping, communicating with colleagues and patients, and keeping clinical knowledge up to date.
3) It explains the differences between actual information, representations of that information, and how individuals may interpret it, noting that information is best captured and represented in a way that helps both human and computer users find and interpret it.
1) The document discusses the promise and potential perils of eHealth technologies like remote monitoring devices, virtual assistants, and personalized health records.
2) Factors driving eHealth include patient demand for convenient access to information, the ability to link separate health services, and using technology to address issues like staff shortages.
3) Potential benefits include improved patient information and choice, better communication between providers, and links to vetted external health resources. However, issues around privacy and control of personal data still need solutions.
This document summarizes key concepts around using clinical data and informatics tools to improve healthcare services. It discusses how data from multiple sources can be linked and analyzed to provide intelligence to decision-makers. However, issues around data protection, privacy and ensuring data is used appropriately must be addressed. Effective presentation of data is important so clinicians view it as valid and are motivated to change practices. Feedback of performance data can improve quality when done constructively and by considering the local context.
This document provides definitions for various terms related to health informatics. It defines terms such as algorithm, bioinformatics, clinical coding system, clinical data system, clinical decision tool, communication, database, electronic health record, and medical knowledge. The definitions cover topics such as the use of informatics methods and technologies in research, clinical practice, public health, and consumer health contexts.
Ms. Amulya Patel uses the internet to research her risk of breast cancer after her mother's diagnosis. She finds many resources online, including patient portals and medical literature, but may have difficulty interpreting information without professional help. The document describes how electronic tools can provide initial information for health issues, but a consultation is still beneficial for personalized risk assessment and advice. Online information prompted Ms. Patel to ask her family about their cancer history, finding a strong familial link, so she sought a genetics expert's opinion. While the internet can satisfy some health questions, patients may need a doctor's expertise to properly interpret data.
How computers can help to share understanding with patientseduardo guagliardi
This document provides an overview of how computers and interactive health applications can help doctors share information and clinical understanding with patients. It discusses the case of Ms. Patel, who met with her doctor and genetics clinic team to discuss her family history of breast cancer and 30% lifetime risk of also developing breast cancer. The team created a genogram to visualize her family history and risks. The document then discusses the benefits of interactive tools for improving patient understanding, reducing uncertainty, and better supporting patients. It provides some examples of how images, videos and other multimedia can help explain clinical information to patients during consultations.
This clinical review document provides an overview of health informatics and discusses key concepts around clinical information including how it is captured, represented, interpreted, stored, and used. It examines these issues through the example of a clinical encounter between Dr. McKay and patient Ms. Smith. The document also discusses where clinical information comes from, how to assess its quality, and the various costs associated with capturing and processing information.
This document summarizes key aspects of clinical review and use of health informatics in patient assessment. It discusses 1) using open questions rather than closed questions to understand the patient's reason for visiting, 2) considering symptoms and non-verbal cues to form an initial hypothesis, 3) gathering a medical history over time to understand recurring issues, 4) reviewing records such as laboratory results, prescriptions, and family history to inform the diagnosis, and 5) the importance of coding clinical data for storage and communication between healthcare providers and systems.
1. Ms Smith developed symptomatic renal impairment that may have been avoided if her underlying medical issues were properly diagnosed and treated earlier at multiple points in her care.
2. Ensuring appropriate follow-up and continuity of care between primary care physicians and specialists can help reduce risks for patients with chronic conditions like Ms Smith.
3. Integrating medical records electronically across different parts of a healthcare system can improve information sharing, guide treatment according to best practices, and ultimately enhance patient outcomes.
The Indian Parliament passed the Companies Bill 2013, replacing the previous Companies Act of 1956. The new law aims to modernize corporate regulation in India and promote business-friendly initiatives. It provides for greater transparency, accountability, and protection of minority shareholders and investors. Some key changes include allowing more members in private companies, introducing one-person companies, mandatory CSR spending for large companies, restrictions on related party transactions and loans to directors, and establishing a new National Company Law Tribunal to handle corporate matters instead of the High Court. The new law is expected to facilitate business while improving governance.
Ms. Patel uses the internet to research her risk of breast cancer after her mother's diagnosis. The document discusses how eHealth tools allow people to research health issues without a doctor's consultation. It describes search engines, patient portals, and ways to access medical literature. Risk is often described in complex ways, so many people prefer professional help interpreting information. Guidelines suggest when to see a genetics specialist based on family cancer history.
How decision support tools help define clinical problemseduardo guagliardi
1) The document discusses using informatics resources like decision support tools to consider issues beyond a patient's presenting problem during a clinical consultation, including management of continuing problems, opportunistic health promotion, and modification of help-seeking behaviors.
2) It provides an example of how these tools could help in the consultation of a patient, Mr. Evans, who presented with headaches and sleep issues but was also found to have high blood pressure and undisclosed alcohol use, which are relevant to understanding his overall health situation and treating his depression.
3) The document examines how electronic prompts can help bring hidden issues to light and make both doctors and patients aware of all factors that could impact the patient's health, though clinical judgement
This document summarizes key concepts around using clinical data and informatics tools to improve healthcare services. It discusses how data from multiple sources can be linked and analyzed to provide intelligence to decision-makers. However, issues around data protection, privacy and ensuring data is used appropriately must be addressed. Effective presentation of data is important so clinicians view it as valid and are motivated to change practices. Feedback of performance data can improve quality when done constructively and by considering the local context.
This document provides definitions for various terms related to health informatics. It defines terms such as algorithm, bioinformatics, clinical coding system, clinical data system, clinical decision tool, communication, database, electronic health record, and medical knowledge. The definitions cover topics such as the use of informatics methods and technologies in clinical care, research, public health, and consumer health contexts.
This document summarizes an article about how clinical informatics tools can help make patient consultations more efficient. It discusses how computers can help clinicians obtain relevant patient information, assess the patient's status, and take effective management steps. It also explains how recording consultation data can produce useful information to improve local healthcare services and inform broader health system policies. The document provides a flow chart outlining the acute asthma management process in emergency departments for children over 5 years old.
This document summarizes how clinical information can help doctors understand patients and their health issues. It provides examples of how a doctor uses a patient's medical history, including prior visits, prescriptions, lab results, and family history to inform their assessment of the patient's current issues. The document also contrasts experienced doctors' hypothetico-deductive approach to less experienced doctors' more exhaustive checklist method. Overall, it discusses how electronic medical records can provide doctors important context to help identify health problems and guide their consultation with patients.
Ehr by jessica austin, shaun baker, victoria blankenship and kayla borokayla_ann_30
This document provides an overview of electronic health records (EHR) including what they are, key components, considerations for implementation, and security and costs. It discusses that EHRs provide a centralized digital patient record accessible by healthcare providers. The eight essential components that must be included are things like health information, order entry, decision support, and administrative functions. Proper implementation requires input from various stakeholders like medical staff, IT, and leadership. Security and privacy are also important considerations, as are the financial costs of purchasing and maintaining an EHR system.
Team Sol2 01 Health Care Informatics Power PointMessner Angie
The document discusses clinical information systems and their components. It provides an overview of electronic health records and describes key parts of a clinical information system including health information, order entry, decision support, and clinical documentation. It also discusses clinical decision making systems and their importance in reducing variation, costs, and improving diagnosis. Safety, education and costs related to clinical information systems are also evaluated.
ICEGOV2009 - Tutorial 4 - E-Health Standards in Practice: Challenges and Oppo...ICEGOV
This document discusses challenges and opportunities related to e-health standards. It begins with an overview of why e-health is important and the complexity of healthcare. It then discusses the need for interoperable health information and progress that has been made, as well as challenges that remain. The document uses examples like the H1N1 outbreak and physician reimbursement to illustrate issues. It outlines major types of e-health standards and examples of standards in use. It concludes by discussing the ongoing challenge of implementing standards and the journey ahead to make e-health and standards easier to use.
1. The document discusses the advantages and disadvantages of implementing an electronic health record (EHR) system to replace a paper-based system.
2. A key disadvantage is the high cost of implementation, with the cost of Alberta's new clinical information system estimated at $1.6 billion over 10 years.
3. Another disadvantage is a lack of interoperability between existing EHR systems, which prevents patient information from being shared and understood across health settings.
Welcome to the age of cognitive computing: where intelligent machines have
moved from the realms of science fiction to the present day. This groundbreaking
technology is driving advanced discoveries and allowing improved decision-making –
resulting in better patient care
Is Pervasive Healthcare Old Wine on a New Bottle?Jakob Bardram
The document discusses the concept of pervasive healthcare and provides examples of pervasive healthcare technologies and research. It defines pervasive healthcare as applying ubiquitous computing technologies to healthcare to make it available everywhere and integrate it more seamlessly into daily life. Examples discussed include home health monitoring systems, interactive hospital displays to improve awareness and coordination, and a context-aware patient safety system in operating rooms.
Computer Information Systems and the Electronic Health RecordRebotto89
Paper-based health records are being replaced by electronic health records (EHRs) to improve patient care. A clinical information system (CIS) is a collection of applications that provides centralized access to patient information across locations. Choosing a CIS requires input from all users and consideration of costs, which can range from $1-2 million for small hospitals to over $1 billion for large hospitals. Ensuring security of patient data and regular system updates are also important factors in selecting and implementing a CIS/EHR.
The document discusses the National Institute for Health Innovation in New Zealand and its goals of developing health technologies, improving health outcomes, and strengthening the health system. It describes several initiatives, including creating a Health Data Interoperability Laboratory to facilitate adoption of interoperability standards, examining use of prediction tools for cardiovascular disease and diabetes, and developing business intelligence tools and quality reporting for healthcare providers. The overall aim is to empower citizens through supported self-management and appropriate consumer technologies.
Cis evaluation final_presentation, nur 3563 sol1SBU
An overview of a Computer Information System (CIS) and considerations that need to be taken with implementing an Electronic Health Record (EHR) in a healthcare setting.
The document discusses computer-based patient records (CPRs). It defines CPRs and compares them to electronic medical records (EMRs). CPRs contain complete patient data across providers and are designed to support users. EMRs focus on a single provider and usually stay within a practice. The document also outlines characteristics of CPRs like accountability, flexibility, interoperability and comprehensiveness. Benefits include coordinated care, reduced errors and costs. Legal issues involve privacy and patients' rights to access their health records.
An AI-based Decision Platform built using unified data model, incorporating systems biology topics for unit analysis using semi-supervised learning models
Acelacare aims to provide do-it-yourself healthcare through a mobile platform. The platform would allow users to self-diagnose and treat common medical conditions using connected diagnostic devices without visiting a doctor. It was founded by Patricia Salber, an experienced healthcare entrepreneur, and Akshar Kharebov, a mobile technology entrepreneur. They plan to develop an AI-powered virtual doctor to assess patients via questions and integrate diagnostic data to provide treatment recommendations over video calls if needed. The goal is to improve access to care and reduce costs by enabling self-care. Acelacare is currently in the early conceptual stage of development.
Understanding basics of software development and healthcareBharadwaj PV
The document discusses key principles for designing software for healthcare applications. It covers understanding the different layers of software, following a software development life cycle, using object-oriented design principles and use case modeling to define system requirements and functionality. Centralizing electronic health records across different systems and locations is proposed to improve patient care, data availability and information sharing between stakeholders.
The document discusses the "meaningful use" regulation for electronic health records (EHRs) in the US. It notes that while EHRs can improve care, widespread adoption has been slow. The HITECH Act provides $27 billion over 10 years to encourage EHR adoption through Medicare and Medicaid incentive payments. To receive payments, providers must meet objectives for meaningful use of EHRs to advance care processes and outcomes. The regulation outlines a core set and menu set of objectives providers must achieve, such as maintaining up-to-date patient health information, engaging patients, coordinating care, and reporting quality measures. The goals are widespread EHR use and improved healthcare through healthcare IT.
The New York Patient Portal allows patients to access and manage their medical records online through a secure web portal. It offers features such as viewing visit summaries, test results, and medications. The portal aims to empower patients and reduce healthcare costs by facilitating communication between patients and providers and avoiding unnecessary follow-up visits. It also includes educational resources and a module for patients to communicate with each other.
Digital Health: Medicine at the CroosroadsSteven Peskin
This document discusses the implications of mobile health and social media in clinical practice. It describes the three components of digital health as applications, devices, and infrastructure. Mobile technologies and social media have tremendous potential to improve care delivery, patient safety, information dissemination, and chronic disease management. The document outlines how physician communities on social media can facilitate knowledge sharing and discusses the growth of medical apps. It predicts that mobile health and social media will become integrated into everyday healthcare through digital tools and communities.
DB Question for Public Health in Disaster Management.docxwrite22
1) Public health surveillance involves the ongoing collection and analysis of health data to understand population health needs and influence public health. Emergency departments are well-suited for collecting this data as over 100 million Americans visit EDs annually.
2) Effective surveillance systems require collecting standardized data from multiple sources, analyzing trends, communicating findings, and applying insights to prevention and policy.
3) Syndromic surveillance focuses on pre-diagnostic identification of disease clusters through real-time monitoring of symptom patterns, allowing earlier detection and response before definitive diagnoses are made.
DB Question for Public Health in Disaster Management.docxsdfghj21
1) Public health surveillance involves the ongoing collection and analysis of health data to understand population health needs and influence public health. Emergency departments are well-suited for collecting this data as over 100 million Americans visit EDs annually.
2) Effective surveillance systems require collecting standardized data from multiple sources, analyzing trends, communicating findings, and applying insights to prevention and policy.
3) Syndromic surveillance focuses on pre-diagnostic identification of disease clusters through monitoring symptoms to enable early detection and response before definitive diagnoses are made. It uses data from healthcare visits and alternative sources.
Similar to E health and the future, promise or peril (20)
Curso de introdução à informática em saúde apresentação ao colegiadoeduardo guagliardi
Este documento descreve um curso introdutório sobre informática em saúde ministrado por Renato Sabbatini na UNIPLAC em 2012. O curso será online e assíncrono, dividido em 10 módulos sobre diversos tópicos como prontuário eletrônico, telemedicina e sistemas de informação hospitalar. Os alunos serão avaliados por questionários, exercícios e discussões em fórum, podendo obter certificado se alcançarem nota mínima de 70%.
O documento discute a importância do prontuário médico para proteger médicos éticos, ameaçar aqueles sem escrúpulos, e proteger contra reclamações de pacientes insatisfeitos.
1. Ms Smith developed symptomatic renal impairment that may have been avoided if her underlying medical issues were properly diagnosed and treated earlier at multiple points in her care.
2. Ensuring appropriate follow-up and continuity of care between primary and secondary healthcare providers is challenging but important to reduce risks to patients.
3. The integration of clinical records and guidelines across healthcare locations and providers could help improve diagnosis, investigation, referral and follow-up to reduce risks to patients like Ms Smith.
1) Doctors must continue learning after medical school to keep up with changing knowledge, but traditional continuing education methods may not optimally impact clinical practice.
2) Workplace learning, where doctors learn by answering clinical questions that arise during patient care, is more effective for retaining knowledge and applying it.
3) However, workplace learning faces barriers like lack of time and clear questioning skills. Prioritizing urgent questions and using efficient knowledge resources can help address these barriers.
How decision support tools help define clinical problemseduardo guagliardi
1) The document discusses how decision support tools can help doctors consider issues beyond a patient's presenting problem during a consultation, including management of ongoing medical problems, opportunistic health promotion, and modifying patient help-seeking behaviors.
2) It provides an example consultation with patient Mr. Evans, who presented with headaches and sleep issues, but is also found to have high blood pressure and an alcohol problem complicating his known diabetes.
3) The document examines how electronic prompts can help bring hidden health issues to light to provide more effective treatment that addresses underlying problems driving a patient's symptoms.
How computers can help to share understanding with patientseduardo guagliardi
This document provides an overview of how computers and interactive health applications can help doctors share information and clinical understanding with patients. It discusses the case of Ms. Patel, who met with her doctor and genetics clinic team to discuss her family history of breast cancer and 30% lifetime risk of also developing breast cancer. The team created a genogram using software to visualize her family history and risk factors. The document then discusses the benefits of interactive tools for improving patient understanding, reducing uncertainty, and supporting patients. It also notes challenges in using these tools during medical consultations due to time constraints.
Directory information is vital for navigating healthcare services but is often inadequate. It provides contact details of local services, specialists' preferences, and how to access tests and referrals. However, directory information is difficult to maintain as it is locally specific and changes frequently. While new technologies may help, current solutions are fragmented without a consistent format or centralized responsibility. Improving the collection and use of accurate, up-to-date directory information could support clinicians and reduce patient frustrations when navigating the healthcare system.
Este documento discute o prontuário eletrônico do paciente (PEP) na assistência, informação e conhecimento médico. Ele apresenta o PEP e sua importância, discute padrões de registro e transmissão de dados em saúde, e examina aplicações do PEP em diversas áreas como educação, pesquisa, telemedicina e gestão da qualidade. O documento é direcionado a profissionais de saúde e tem como objetivo difundir os conceitos e benefícios do PEP.
O documento discute as diferenças entre depressão unipolar e bipolar, enfatizando que: 1) a depressão é frequentemente a apresentação inicial do transtorno bipolar, mas é erroneamente diagnosticada como unipolar; 2) os bipolares passam mais tempo deprimidos do que maníacos/hipomaníacos; 3) vários sintomas e características sugerem um diagnóstico de bipolaridade ao invés de unipolar.
O documento discute a importância da informática na saúde e propõe várias iniciativas de colaboração entre a Sociedade Brasileira de Informática em Saúde (SBIS) e a Uniplac, incluindo cursos online sobre o tema para alunos e professores e a exibição de webconferências gravadas.
Este documento apresenta os resultados de uma pesquisa realizada pelo Conselho Regional de Medicina do Estado de São Paulo (Cremesp) para avaliar 85 Centros de Atenção Psicossocial (CAPS) no estado de São Paulo, representando cerca de 40% da rede instalada. A pesquisa identificou lacunas no funcionamento dos CAPS, como falta de profissionais, ausência de atendimento médico e retaguarda para emergências. As conclusões apontam para a necessidade de aprimorar a supervisão, capacitação de equipes, atividades comunitárias e
Este documento discute como os coordenadores dos Centros de Atenção Psicossocial Infantojuvenil (CAPSi) percebem o valor e a utilidade dos prontuários de pacientes. Os coordenadores veem os prontuários como valiosas ferramentas de trabalho, importantes para intervenção clínica e acompanhamento. No entanto, eles não percebem qual seria a utilidade dos prontuários para os próprios pacientes.
This document summarizes an article about how clinical informatics tools can help make patient consultations more efficient. It provides guidelines for assessing the severity of asthma exacerbations in children and outlines the steps for acute asthma management in an emergency department. Recording clinical data from patient encounters enables clinicians to better understand local service needs, compare performance to other health systems, and continuously improve care over time.
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
This presentation gives information on the pharmacology of Prostaglandins, Thromboxanes and Leukotrienes i.e. Eicosanoids. Eicosanoids are signaling molecules derived from polyunsaturated fatty acids like arachidonic acid. They are involved in complex control over inflammation, immunity, and the central nervous system. Eicosanoids are synthesized through the enzymatic oxidation of fatty acids by cyclooxygenase and lipoxygenase enzymes. They have short half-lives and act locally through autocrine and paracrine signaling.
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- 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
Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...Jim Jacob Roy
In this presentation , SBP ( spontaneous bacterial peritonitis ) , which is a common complication in patients with cirrhosis and ascites is described in detail.
The reference for this presentation is Sleisenger and Fordtran's Gastrointestinal and Liver Disease Textbook ( 11th edition ).
Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...
E health and the future, promise or peril
1. Clinical review
ABC of health informatics
eHealth and the future: promise or peril?
Jeremy C Wyatt, Frank Sullivan
Despite the futuristic sound of the scenario in the box below, all
This is the last in a series of 12 articles
the technologies mentioned are available, and some, such as
A glossary of terms is available at http://bmj.com/cgi/
computer interviewing, have been used since the 1960s.
content/full/331/7516/566/DC1
Such a scenario raises questions about the nature of clinical
practice and healthcare systems—for example, how much
information and responsibility should be transferred to patients
when technology allows it. This final article examines some of It is 2014 and Mrs Smith has ongoing trouble with her
these issues, and ends the series where it started, with a high blood pressure. One morning she wakes with a
reminder that health informatics is more about understanding headache and worries that the reservoir of her implanted
people and new models of care than it is about technology. drug delivery system may be running down. Her bedside
ambient health orb (see www.ambientdevices.com) is a
reassuring green, but she turns to her video wall and asks
“Cyberdoc, how are my recent blood pressure levels?” The
Factors encouraging eHealth simulated voice responds “Your records show that the
drug reservoir needs a refill in three weeks time. Your
Gustafson and Wyatt define eHealth as “patients and the public telemetered blood pressure readings have been under
using the internet or other electronic media to disseminate or control for the past month and today’s figures are normal.
provide access to health and lifestyle information or services.” Your implanted blood sugar sensor shows normal
This differs from telemedicine, in which there is a health readings too. Do you have some symptoms that you want
professional at one or both ends of the communication. to discuss?” Meanwhile Mrs Smith’s wall graphs her
Pressures towards the use of eHealth include: recent blood pressure readings, and a list of the most
x Patient demand—Information and services can be delivered in common 20 symptoms affecting people of her age group
a personalised way, where and when they are wanted. eHealth in the locality. She responds, “No, don’t worry. Remind me
provides simple, easy access to health information, support serv- to book my repeat prescription (for a refill) in two weeks,
please.”
ices, and goods. It can lead to loss of the general practitioner’s
role as mediator (for example, a patient and specialist could
email each other directly) and enhanced self expression (for
example, in weblogs)
x New functions—eHealth can link previously distinct services
and information. For example, all the information and forms
from different government departments relevant to having a
baby could be accessed from one portal
x Democracy—eHealth could allow citizens to form pressure
groups, lobby for services, or even set up their own health
organisations (see box at bottom of page 1392)
x Health workforce—eHealth may help deal with staff shortages
or requests from staff for improved working lives (for example,
working from home)
x Technology—Futuristic devices (like implanted sensors and
drug delivery systems) are made possible as technology becomes
more reliable, functional, and cheaper
x National policy—eHealth could help move towards services
that are better coordinated, promote equity and patient
independence, and adhere to government targets and lower
carbon dioxide emissions (eHealth favours home based care)
x Economics—eHealth shifts some costs to the patient or com-
munity
x Safety—For example, eHealth may allow improved self
management and avoidance of exposure to methicillin resistant
Staphylococcus aureus (MRSA).
How will eHealth develop?
In the short term, general practice and hospital websites may
evolve from passive “brochure ware” (practice information and Potential benefits of developments in eHealth
general patient advice) to active ecommerce-like applications x Better information and choice for patients, carers, and others
that allow information exchange and transactions. So, general x Better communication of patient information to and between
primary care team, leading to fewer phone calls, appointments,
practice websites may soon cater for patients, carers, and others and improved adherence to treatment
by providing the facilities listed on page 1392.
BMJ VOLUME 331 10 DECEMBER 2005 bmj.com 1391
2. Clinical review
x Links to external sites that have been selected for quality—for
A personal agent is a piece of software on a computer,
example, patient support organisations and leaflets
mobile phone, or handheld computer that represents the
x A secure personal page for each patient providing access to
interests of an individual
their official medical record, including their lists of drugs,
results of tests, copies of letters, and discharge summaries
x A link to NHS HealthSpace, which allows patients to construct
their own “health biography,” and enter data about long term
conditions, rather than using a diary card Hospital GP surgery
x Forms to book appointments or request repeat prescriptions
x A secure structured clinical enquiry form to capture patient Patient agent
symptoms and prompt a response from a general practitioner Suitable? History
(GP) in the requested time. Trials Data?
Web service: trials list Collator
Personal agents
Personal agents (also known as multiagent systems) are a Logs Anonymised
technology that may enable patients to retain more control over Access? Data?
their health and personal information. A patient record agent Audit and regulations Trials
could take care of a patient’s health data and provide
appropriate views only to authorised users to ensure that the
integrity of the data is maintained. It would also let the patient Personal agents could support clinical research. Patients’ electronic rights could
know when data are accessed, and by whom. be represented and protected by their agents. Personal agents could interact on
behalf of patients with electronic systems such as web services, databases, and
Patients would be able to authorise health professionals to
agents representing other individuals, organisations, and functions
access their data via their mobile phones, and they could receive
updates through wireless technologies, such as Bluetooth. A
clinical research agent could help patients who want to
Community Shared communication space Physical NHS
participate in research. The agent could find trials for which the (Telephone, email, text
patient would be eligible (by checking for patients’ specific messages, interactive
diagnoses, demographic characteristics, or other inclusion digital television)
criteria) and notify the researcher without compromising the Clinical Virtual health
patient’s preferences for privacy or anonymity. In such a case, it device record
might be unclear to a patient’s usual GP or specialist whether
Specimen, Browse Browse
suitable research was being done, but a software agent data
Physical
programmed to seek out trials for which the patient is eligible Simultaneous
services
discussion
opens up new possibilities. Patient at Telecarer at Face to face
home, at work work, at home encounters,
Store and tests,
Will clinicians become telecarers? forward procedures
Browse Browse
In the future, health professionals may move towards spending
some of their working lives as telecarers. A telecarer is a health Knowledge
professional who delivers responsive, high quality information, resources
services and support to remote patients or clients using the
most appropriate communication, such as telephone, email, or Information systems and flows needed to support the telecaring process
instant messaging. The advantages of telecaring include better
continuity of care for patients and telecarers being able to work
from home some days of the week. Telecaring also brings the Some health professionals are already adopting a
need for training and new codes of practice. For example, what telecaring role. They include NHSDirect nurses (who
responsibility do telecarers have to respond to patient emails respond to six million calls annually), dermatologists and
promptly, and how do they hand this responsibility over when psychiatrists, and GPs (who use telemedicine to answer
they go off duty? One health informatics organisation has patient email)
developed a code of practice for medical use of the internet.
The public may even become telecarers for their friends or
family, wherever they are—for example, “Dad, will you keep an A patient owned healthcare organisation facilitated by the
eye on my diabetes while I’m clubbing in Ibiza?” This raises the internet
question of how much responsibility and information to hand x Asthma patient activists bring together patient organisations and
over to patients, parents, or carers. Ultimately, eHealth could key health professionals as a foundation
allow patients with a chronic disease to club together and set up x Member patients capture and record data on activity, diet, inhaler
their own private healthcare organisation in exchange for data use, peak expiratory flow rate, night waking
(see box opposite).The implications for the local primary care x The foundation negotiates service contracts for asthma care
according to national clinical guidance with GPs, the NHS, and
trust or chest physician need to be considered
private health providers
x The foundation receives income or free services from health
Concerns about eHealth insurers, researchers, or industry in return for data
x This raises the question: who owns patient data—the health system,
Despite its promise for some patients or clinical settings, doctors, or patients? Can the patient give away, sell, or exchange
their data for membership of an independent healthcare
eHealth technology may not be safe or cost effective. A “plague
foundation?
of pilots” (James Barlow, personal communication, 2004) have
1392 BMJ VOLUME 331 10 DECEMBER 2005 bmj.com
3. Clinical review
been done, but systematic reviews have shown the evidence
GPs already feel the “Monday pressure” of health scares
about the cost effectiveness of eHealth and telemedicine is that are carried in the Sunday papers. Might rumours
poor. It is not clearly understood how telephone triage services from the internet overwhelm the health system?
influence the use of primary care or emergency services. When
triage services go online, changes in demand for health care will
follow, but how will emergency and routine services be affected?
Purchases made on credit cards and supermarket loyalty
An eHealth nightmare
cards could be linked with mobile phones and health records
(containing a person’s genetic profile) to generate individualised Consumer choice and a plethora of commercial eHealth providers
lead to multiple, fragmented patient records and supplier-dominated
lifestyle advice. But when people are in the supermarket, do
services. There is no single patient identifier or even disease coding
they want text messages warning them to avoid fatty food and system. This results in a health system that cannot access much
cut down on alcohol? patient data, and NHS records that hold only a fraction of what is out
Computers can make control of data easier because there. Poor or elderly people feel ever more disconnected from the
clinicians can give the encryption key to individual patients. high tech National eHealth Service. As a result, no National eHealth
This could allow some people to opt out of the NHS altogether, Service provider can offer a patient centred service. Health scare
stories and urban myths spread across the internet like viruses with
or only make their data available to clinicians in the NHS for
uncontained fears about privacy, safety and fragmentation of care
the duration of the consultation. To support quality affecting even cautious patients. Society, led by the media, starts to
improvement, health surveillance, and research activities, a see technology as inhuman and eHealth becomes the scapegoat (as
compromise between the libertarian position (“it’s my data and occurred with genetically modified foods). This leads to eHealth and
you can only use it for the period that I say”) and a free-for-all electronic patient records being rejected by the middle classes, with
must be found. substitution by a conservative “Holistic health service” emphasising
eHealth has implications for the education, training, and face to face contact and individual freedom of choice—for those who
can afford it.
supervision of health professionals. Support will be needed to Acknowledgement: Muir Gray
become a telecarer, and organisations need to explore the
implications of substituting telecare for face to face
consultations. New ethical and legal issues will arise
The internet has always stood up for individuality, Further reading
competition, and freedom. Surely a wider market for health
x Foresight Health Care Panel. Healthcare 2020. London:
services, information, and products should be welcomed? Department of Trade and Industry, 2000
However, if the internet means that commercial suppliers can
x Gustafson DH, Wyatt JC. Evaluation of ehealth systems and
influence (or mislead) patients, or that “cyber physicians” can services. BMJ 2004;328:1150
undercut physical primary healthcare services, whether and
x Borowitz S, Wyatt J. The origin, content and workload of electronic
how to regulate eHealth must be considered. mail consultations. JAMA 1998;280:1321-4
The “cyber divide” worries many policy makers. People with
x Wyatt JC. The telecarer: a new role for health professionals. In:
lower educational achievement or income have worse health. Lissauer R, Kendall E (eds). New practitioners in the future health
They also make less use of the internet. If more healthcare service. London: Institute for Public Policy Research, 2002
services are shifted to new media, will health inequalities x eHealth code of ethics: www.ihealthcoalition.org/ethics/ethics.html
worsen? Interactive digital television is a promising way to reach (accessed 28 November 2005)
these communities. The cyber divide also includes the senses— x Bessell TL, McDonald S, Silagy CA, Anderson JN, Hiller JE,
older people rarely use the telephone NHSDirect service, Sansom LN. Do Internet interventions for consumers cause more
perhaps because of deafness. A web chat alternative has been harm than good? A systematic review. Health Expect 2002;5:28-37
piloted, and it was appreciated by elderly people, but it seemed x Whitten PS, Mair FS, Haycox A, May CR, Williams TL, Hellmich S.
too slow to roll out nationally. Systematic review of cost effectiveness studies of telemedicine
Given some of these concerns, people may rise up en masse interventions. BMJ 2002;324:1434-7
and reject the use of such technologies in health care, leading to x Turner R. Big brother is looking after your health. BMJ
a “Great Revulsion” (Muir Gray, personal communication, 1993;307:1623-4
2000), by analogy with the anti-genetically modified foods x Rigby M, Forsström J, Roberts R, Wyatt JC. Verifying quality and
campaign (see an eHealth nightmare box above). safety in health informatics services. BMJ 2001;323:552-6
x Eminovic N, Wyatt JC, Tarpey AM, Murray G, Ingrams GJ. First
evaluation of the NHS Direct Online Clinical Enquiry Service: A
Summary Nurse-led Web Chat Triage Service for the Public. J Med Internet
Res 2004;6:E17
The balance of benefits and risks of eHealth for individual
patients and clinicians over the next two to three years is
unclear. Healthcare organisations and policy makers need to
consider the issues that will arise. In the long term, eHealth Jeremy C Wyatt is professor of health informatics, and Frank Sullivan
offers many opportunities for prevention, choice, home based is NHS Tayside professor of research and development in general
care, and chronic disease management, and it will widen access practice and primary care, University of Dundee.
to health care for most patients. We all need to join the The series will be published as a book by Blackwell Publishing in
discussion and decide what we want for the future before spring 2006.
others, who could be guided by commercial motives rather than Competing interests: None declared.
quality and equity, do so. BMJ 2005;331:1391–3
BMJ VOLUME 331 10 DECEMBER 2005 bmj.com 1393