This document provides an introduction to health information technology (IT) applications in hospitals from Dr. Nawanan Theera-Ampornpunt. It discusses her background and credentials in health informatics. The presentation covers why healthcare differs from other industries in needing IT, examples of common health IT tools, and the value of health IT in improving quality, safety and efficiency. It summarizes landmark reports calling for healthcare reform and modernization through increased IT adoption. The concept of "meaningful use" of electronic health records is introduced as a strategy to promote effective health IT implementation in the US.
Theera-Ampornpunt N. Global or glocal e-Health approaches in Asia: what is new or next? Presented at: Globalizing Asia: Health Law, Governance, and Policy - Issues, Approaches, and Gaps!; 2012 Apr 16-18; Bangkok, Thailand.
Theera-Ampornpunt N. Global or glocal e-Health approaches in Asia: what is new or next? Presented at: Globalizing Asia: Health Law, Governance, and Policy - Issues, Approaches, and Gaps!; 2012 Apr 16-18; Bangkok, Thailand.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 12, 2020
Introduction to Health Informatics and Health IT (Part 1) (February 10, 2021)Nawanan Theera-Ampornpunt
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 10, 2021
New Normal, New Future - Free Download E bookkevin brown
Healthcare is shifting from the traditional provider-centric,
in-patient setting to patient-centric, virtual consultations
with increased remote care monitoring. This transition
has prompted the need for MedTech industry to relook
at the products they develop and enhance value in care
delivery.
The COVID-19 pandemic has increased the use of
digital health technologies, and the need to develop
innovative devices or systems that support virtual
health. The last couple of years have seen increased
use of wearables, mobile and app-based technologies
along with data and analytics have been transforming
healthcare delivery.
Advancements in healthcare technologies like
Artificial Intelligence (AI), Virtual Reality and Augmented
Reality 3D-printing, robotics and nanotechnology are
shaping the future of healthcare. This technology boom
is helping address disease and medical conditions
through provision of cheaper, faster and more effective
solutions for diseases.
A Cognitive-Based Semantic Approach to Deep Content Analysis in Search EnginesMei Chen, PhD
We present a cognitive-based semantic approach that uses rule-based Natural Language Processing (NLP) in conjunction with a world model and cognitive frames to semantically analyze, understand, and rank digital text in search engines. The goal is to improve the relevance, accuracy, and efficiency of information search. The world model represents things existing in the real world (e.g., subject-related ontologies or classifications essential for understanding the topics to be analyzed) whereas cognitive frames specify possible users’ interactions with the world, including things that people should know or do (e.g., tasks, methods, procedures, cognitive processes) in such interactions. Using a rule-based semantic approach in conjunction with a subject-related world model and task-relevant cognitive frames to understand and evaluate text is innovative approach in search engine technology. It addresses three limitations of the existing approaches: the inadequate measure of the meaningful content in web pages; a poor understanding of users’ intention and tasks in their search and, the irrelevance and inaccuracy of search results. This method has led to the successful implementation of a full-scale semantic search engine in medicine (available at Seenso.com). The method is applicable and adaptable to other disciplines and other types of computer applications.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 7, 2020
Introduction to Health Informatics and Health IT (Part 2) (February 10, 2021)Nawanan Theera-Ampornpunt
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 10, 2021
People & Organizational Issues in Health IT Implementation (February 26, 2020)Nawanan Theera-Ampornpunt
Presented at the 10th Healthcare CIO Certificate Program, Ramathibodi School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 19, 2020
AI in Healthcare: From Hype to Impact (updated)Mei Chen, PhD
The primary goal of this workshop is to help health professionals gain a critical understanding of the various types of AI technologies available so they can make wise decisions and invest AI for healthcare improvement.
Lluch 2013 de la literatura anglesa a la catalana un canvi de circuit lector ...Gemma Lluch
L’article analitza com es relacionen els relats escrits per a adolescents en la cultura escrita en anglès i les traduccions al català. Partim de l’anàlisi de tres relats claus de la història de la lectura i en completem l’anàlisi amb la investigació dels circuits de lectura en català que acullen la traducció dels relats. La investigació vol conèixer com s’hi adapten, en quin circuit funcionen i quins canvis generen en la cultura d’arribada. En les conclusions mostrarem com aquests relats en arribar al circuit de lectura en català representen models de comunicació literari i creen circuits de lectura diferents de la cultura d’origen. Són circuits lligats al poder polític, a la selecció captiva del docent a l’escola o al mercat.
The article analyses the links between the stories written for teens in an English culture and their translation into Catalan. Our starting point is the analysis of three key stories in the history of reading, and we complete this analysis with the investigation of circuit readers in Catalan that deal with translations of the accounts. The main aim of this research is to analyse how do they adapt to a new and different society, what is the context where they operate and what changes do they produce into the target culture. The conclusions show to what extend these translated stories represent a model of literary communication once they enter the Catalan circuit readers and how do they create different circuit readers than the ones created by the original culture. These circuits are always linked to political power, selection of teachers at school or at the cultural market.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 12, 2020
Introduction to Health Informatics and Health IT (Part 1) (February 10, 2021)Nawanan Theera-Ampornpunt
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 10, 2021
New Normal, New Future - Free Download E bookkevin brown
Healthcare is shifting from the traditional provider-centric,
in-patient setting to patient-centric, virtual consultations
with increased remote care monitoring. This transition
has prompted the need for MedTech industry to relook
at the products they develop and enhance value in care
delivery.
The COVID-19 pandemic has increased the use of
digital health technologies, and the need to develop
innovative devices or systems that support virtual
health. The last couple of years have seen increased
use of wearables, mobile and app-based technologies
along with data and analytics have been transforming
healthcare delivery.
Advancements in healthcare technologies like
Artificial Intelligence (AI), Virtual Reality and Augmented
Reality 3D-printing, robotics and nanotechnology are
shaping the future of healthcare. This technology boom
is helping address disease and medical conditions
through provision of cheaper, faster and more effective
solutions for diseases.
A Cognitive-Based Semantic Approach to Deep Content Analysis in Search EnginesMei Chen, PhD
We present a cognitive-based semantic approach that uses rule-based Natural Language Processing (NLP) in conjunction with a world model and cognitive frames to semantically analyze, understand, and rank digital text in search engines. The goal is to improve the relevance, accuracy, and efficiency of information search. The world model represents things existing in the real world (e.g., subject-related ontologies or classifications essential for understanding the topics to be analyzed) whereas cognitive frames specify possible users’ interactions with the world, including things that people should know or do (e.g., tasks, methods, procedures, cognitive processes) in such interactions. Using a rule-based semantic approach in conjunction with a subject-related world model and task-relevant cognitive frames to understand and evaluate text is innovative approach in search engine technology. It addresses three limitations of the existing approaches: the inadequate measure of the meaningful content in web pages; a poor understanding of users’ intention and tasks in their search and, the irrelevance and inaccuracy of search results. This method has led to the successful implementation of a full-scale semantic search engine in medicine (available at Seenso.com). The method is applicable and adaptable to other disciplines and other types of computer applications.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 7, 2020
Introduction to Health Informatics and Health IT (Part 2) (February 10, 2021)Nawanan Theera-Ampornpunt
Presented at the 11th Healthcare CIO Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 10, 2021
People & Organizational Issues in Health IT Implementation (February 26, 2020)Nawanan Theera-Ampornpunt
Presented at the 10th Healthcare CIO Certificate Program, Ramathibodi School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 19, 2020
AI in Healthcare: From Hype to Impact (updated)Mei Chen, PhD
The primary goal of this workshop is to help health professionals gain a critical understanding of the various types of AI technologies available so they can make wise decisions and invest AI for healthcare improvement.
Lluch 2013 de la literatura anglesa a la catalana un canvi de circuit lector ...Gemma Lluch
L’article analitza com es relacionen els relats escrits per a adolescents en la cultura escrita en anglès i les traduccions al català. Partim de l’anàlisi de tres relats claus de la història de la lectura i en completem l’anàlisi amb la investigació dels circuits de lectura en català que acullen la traducció dels relats. La investigació vol conèixer com s’hi adapten, en quin circuit funcionen i quins canvis generen en la cultura d’arribada. En les conclusions mostrarem com aquests relats en arribar al circuit de lectura en català representen models de comunicació literari i creen circuits de lectura diferents de la cultura d’origen. Són circuits lligats al poder polític, a la selecció captiva del docent a l’escola o al mercat.
The article analyses the links between the stories written for teens in an English culture and their translation into Catalan. Our starting point is the analysis of three key stories in the history of reading, and we complete this analysis with the investigation of circuit readers in Catalan that deal with translations of the accounts. The main aim of this research is to analyse how do they adapt to a new and different society, what is the context where they operate and what changes do they produce into the target culture. The conclusions show to what extend these translated stories represent a model of literary communication once they enter the Catalan circuit readers and how do they create different circuit readers than the ones created by the original culture. These circuits are always linked to political power, selection of teachers at school or at the cultural market.
A presentation in March 2012 presented at the Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University in Bangkok, Thailand. Presentation partly in English and partly in Thai.
A presentation in February 2011 presented at the Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University in Bangkok, Thailand. Presentation partly in English and partly in Thai.
Theera-Ampornpunt N. Health informatics: the next “stethoscope” in healthcare. Presented at: Intelligent logistics for innovation hospitals; 2010 Dec 23; Faculty of Engineering, Mahidol University, Thailand. Invited speaker, in Thai.
Presented at the Data Science for Healthcare Graduate Programs, Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 7, 2019
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 4, 2021
Introduction to Health Informatics and Health IT in Clinical Settings (Part 2...Nawanan Theera-Ampornpunt
Presented at the 10th Healthcare CIO Certificate Program, Ramathibodi School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on February 17, 2020
Presented at the Intermediate Certificate Courses - Good Governance for Medical Executives, King Prajadhipok's Institute and the Medical Council of Thailand, Bangkok, Thailand on March 13, 2021
Presented at the Healthcare CEO50 Certificate Program, School of Hospital Management, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 4, 2021
Presented at the Navamindradhiraj University National Conference 2018 "Networking in the Smart City : Collaboration of Smart Health and Smart Community" on July 13, 2018
Presented at the BDMS Golden Jubilee Scientific Conference 2022 "BDMS Beyond 50 years: Looking towards the centennial," Bangkok Dusit Medical Services Public Company Limited (BDMS), Bangkok, Thailand on October 19, 2022
Presented at The Thai Medical Informatics Association Annual Conference and The National Conference on Medical Informatics (TMI-NCMedInfo) 2021, Bangkok, Thailand on November 26, 2021
Presented at the Master of Science Program in Medical Epidemiology and the Doctor of Philosophy Program in Clinical Epidemiology, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 25, 2021
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 15, 2021
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
2. A Few Words About Me...
2003 M.D. (1st-Class Honors) Ramathibodi (Rama 33)
2009 M.S. (Health Informatics) University of Minnesota
2011 Ph.D. (Health Informatics) University of Minnesota
Currently
• Acting for Deputy Chief, Health Informatics Division, Ramathibodi
Contacts
nawanan.the@mahidol.ac.th
SlideShare.net/Nawanan
www.tc.umn.edu/~theer002
groups.google.com/group/ThaiHealthIT
2
3. IT Competencies
Internet & E‐mail
Literature searches & EBM
Preparing presentation slides
Bibliographic tools
Manuscript preparation
Statistical analysis
Health IT and Informatics
3
4. Today’s Contents
Healthcare & Health IT
Health IT Applications in Hospitals
4
9. Why Health care Isn’t Like Any Others?
Life‐or‐Death
Many & varied stakeholders
Strong professional values
Evolving standards of care
Fragmented, poorly‐coordinated systems
Large, ever‐growing & changing body of
knowledge
High volume, low resources, little time
9
10. Why Health care Isn’t Like Any Others?
Large variations & contextual dependence
Input Process Output
Patient Decision‐ Biological
Presentation Making Responses
10
11. But...Are We That Different?
Banking
Input Process Output
Transfer
Location A Location B
Value‐Add
‐ Security
‐ Convenience
‐ Customer Service
11
12. But...Are We That Different?
Manufacturing
Input Process Output
Raw Assembling Finished
Materials Goods
Value‐Add
‐ Innovation
‐ Design
‐ QC
12
13. But...Are We That Different?
Health care
Input Process Output
Sick Patient Patient Care Well Patient
Value‐Add
‐ Technology & medications
‐ Clinical knowledge & skills
‐ Quality of care; process improvement
‐ Information
13
15. Various Forms of Health IT
Hospital Information System (HIS) Computerized Provider Order Entry (CPOE)
Electronic
Health
Records Picture Archiving and
(EHRs) Communication System
(PACS)
15
16. Still Many Other Forms of Health IT
Health Information
Exchange (HIE)
m‐Health
Biosurveillance
Personal Health Records
(PHRs)
Telemedicine &
Information Retrieval Telehealth
16 Images from Apple Inc., Geekzone.co.nz, Google, PubMed.gov, and American Telecare, Inc.
17. Why Adopting Health IT?
“To Go paperless” “To Computerize”
“To Get a HIS”
“Digital Hospital”
“To Have EMRs”
“To Modernize”
“To Share data”
17
18. Some Quotes
“Don’t implement technology just for
technology’s sake.”
“Don’t make use of excellent technology.
Make excellent use of technology.”
(Tangwongsan, Supachai. Personal communication, 2005.)
“Health care IT is not a panacea for all that ails
medicine.” (Hersh, 2004)
18
21. Value of Health IT
Guideline adherence
Better documentation
Practitioner decision making or
process of care
Medication safety
Patient surveillance &
monitoring
Patient education/reminder
21
25. Landmark IOM Reports: Summary
Humans are not perfect and are bound to make
errors
Highlight problems in the U.S. health care system
that systematically contributes to medical errors and
poor quality
Recommends reform that would change how health
care works and how technology innovations can
help improve quality/safety
25
26. Why We Need Health IT
Health care is very complex (and inefficient)
Health care is information‐rich
Quality of care depends on timely availability &
quality of information
Clinical knowledge body is too large
Short time during a visit
Practice guidelines are put “on‐the‐shelf”
“To err is human”
26
27. To Err Is Human
Perception errors
27 Image Source: interaction‐dynamics.com
28. To Err Is Human
Lack of Attention
Image Source: aafp.org
28
29. To Err Is Human
Cognitive Errors - Example: Decoy Pricing
# of
The Economist Purchase Options People
• Economist.com subscription $59 16
• Print subscription $125 0
• Print & web subscription $125 84
# of
The Economist Purchase Options People
• Economist.com subscription $59 68
32 Ariely (2008)
• Print & web subscription $125
29
32. U.S.’s Efforts on Health IT Adoption
?
“...We will make wider use of electronic records and
other health information technology, to help control
costs and reduce dangerous
medical errors.”
President George W. Bush
Sixth State of the Union Address, January 31, 2006
32 Source: Wikisource.org Image Source: Wikipedia.org
33. U.S. Adoption of Health IT
Ambulatory (Hsiao et al, 2009) Hospitals (Jha et al, 2010)
Basic EHRs w/ notes 9.2%
Comprehensive EHRs 2.7%
CPOE for medications 34%
• U.S. lags behind other Western countries
(Schoen et al, 2006;Jha et al, 2008)
• Money and misalignment of benefits is the biggest
reason
33
34. We Need “Change”
“...we need to upgrade our medical
records by switching from a paper to
an electronic system of record
keeping...”
President Barack Obama
June 15, 2009
34
35. The Birth of “Meaningful Use”
“...Our recovery plan will invest in
electronic health records and new technology
that will reduce errors, bring down costs,
ensure privacy, and save lives.”
President Barack Obama
Address to Joint Session of Congress
February 24, 2009
35 Source: WhiteHouse.gov
36. American Recovery & Reinvestment Act
Contains HITECH Act
(Health Information Technology for Economic and
Clinical Health Act)
~ 20 billion dollars for Health IT investments
Incentives & penalties for providers
36
38. “Meaningful Use”
“Meaningful Use”
Pumpkin
of a Pumpkin
38 Image Source & Idea Courtesy of Pat Wise at HIMSS, Oct. 2009
39. “Meaningful Use” of Health IT
Better
Stage 1
Stage 3
Health
‐ Electronic capture of
health information
‐ Information sharing Stage 2
Use of
‐ Data reporting EHRs to
Use of EHRs improve
to improve outcomes
processes of
care
39
(Blumenthal, 2010)
42. References
Ariely D. Predictably irrational: the hidden forces that shape our decisions. New York City
(NY):HarperCollins; 2008. 304 p.
Blumenthal D. Launching HITECH. N Engl J Med. 2010 Feb 4;362(5):382‐5.
Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them.
Acad Med. 2003 Aug;78(8):775‐80. 81 p.
Friedman CP. A "fundamental theorem" of biomedical informatics. J Am Med Inform Assoc.
2009 Apr;16(2):169‐70.
Hersh W. Health care information technology: progress and barriers. JAMA. 2004 Nov
10:292(18):2273‐4.
42
43. References
Institute of Medicine, Board on Health Care Services, Committee on Data Standards for
Patient Safety. Key Capabilities of an electronic health record system: letter report [Internet].
Washington, DC: National Academy of Sciences;2003.
31 p. Available from: http://www.nap.edu/catalog/10781.html
Institute of Medicine, Committee on Quality of Health Care in America. To err is human:
building a safer health system. Kohn LT, Corrigan JM, Donaldson MS, editors. Washington, DC:
National Academy Press;2000. 287 p.
Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality
chasm: a new health system for the 21st century. Washington, DC: National Academy Press;
2001. 337 p.
43
44. References
Klein JG. Five pitfalls in decisions about diagnosis and prescribing. BMJ. 2005 Apr
2;330(7494):781‐3.
Mamede S, van Gog T, van den Berge K, Rikers RM, van Saase JL, van Guldener C, Schmidt HG.
Effect of availability bias and reflective reasoning on diagnostic accuracy among internal
medicine residents. JAMA. 2010 Sep 15:304(11):1198‐203.
Miller RA, Masarie FE. The demise of the "Greek Oracle" model for medical diagnostic
systems. Methods Inf Med. 1990 Jan;29(1):1‐2.
Pongpirul K, Sriratana S. Computerized information system in hospitals in Thailand: a national
survey. J Health Sci. 2005 Sep‐Oct;14(5):830‐9. Thai.
Schoen C, Osborn R, Huynh PT, Doty M, Puegh J, Zapert K. On the front lines of care: primary
care doctors’ office systems, experiences, and views in seven countries. Health Aff (Millwood).
2006;25(6):w555‐71.
44