IT Forum - 15 Apps 15 Minutes!
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The document discusses several mobile apps that may be useful for healthcare professionals and patients. It provides the names and brief descriptions of apps for reviewing medical literature, anatomy images, identifying stars, listening to heart sounds, interpreting electrocardiograms, accessing drug information, finding local healthcare providers, navigating the New York City subway system, identifying good times for breaks during movies, interpreting CT scans, creating panoramas and more. Many of the apps are available across different mobile platforms and are free to use.
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This document provides an overview of evaluating and managing chest pain. It discusses the many potential causes of chest pain including cardiac, pulmonary, gastrointestinal and psychiatric conditions. Key points include that up to 30% of cardiac catheterizations for suspected coronary artery disease are negative. The diagnostic workup involves considering the patient's history, symptoms, physical exam, ECG, cardiac biomarkers, imaging and ruling out life-threatening causes like aortic dissection and pulmonary embolism. For suspected acute coronary syndrome, treatment involves antiplatelet agents, anticoagulants, nitroglycerin, beta-blockers, oxygen and considering cardiac catheterization if within 90 minutes of symptoms.
Nf and tls
1. Neutropenic fever and tumor lysis syndrome are hematologic oncologic emergencies that require prompt assessment and treatment to prevent complications and death.
2. Patients at high risk for complications from neutropenic fever should receive inpatient empiric antibiotics targeting pseudomonas such as an antipseudomonal beta-lactam with vancomycin.
3. For persistent fevers, the treatment regimen should be modified based on cultures and the patient should be reassessed for new infections, including invasive fungal infections if fevers persist for more than 4 days. Catheter-related bloodstream infections also require prompt management.
Empiric antibiotic management for major infections
This document provides guidance from an infectious diseases physician on various infectious disease topics. It addresses appropriate workups, empiric antibiotic choices, and treatment durations for common infections seen at MSKCC including bloodstream infections, pneumonia, intra-abdominal infections, C. difficile colitis, skin and soft tissue infections, and febrile neutropenia. Emphasis is placed on obtaining appropriate cultures prior to antibiotics and tailoring treatment based on culture results and patient risk factors.
Pneumonia ty boot camp
This document discusses various types and classifications of pneumonia, including community acquired pneumonia (CAP), hospital acquired pneumonia (HAP), healthcare associated pneumonia (HCAP), and ventilator-associated pneumonia (VAP). It then presents four clinical case studies of patients presenting with pneumonia and discusses the likely pathogens involved, appropriate testing, and treatment recommendations for each case. Key considerations included distinguishing between various pneumonia types and selecting initial empiric antibiotic therapy based on likely pathogens and patient risk factors or comorbidities.
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
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- 2. © 2011 Memorial Sloan-Kettering Cancer Center. All rights reserved.
- 18. Photosynth Application: iPhone NO FEE http://itunes.apple.com/us/app/photosynth/id430065256?mt=8 Easily piece together a panorama, or even take photos in 360 degrees for a 3D experience. © 2011 Memorial Sloan-Kettering Cancer Center. All rights reserved.
- 19. © 2011 Memorial Sloan-Kettering Cancer Center. All rights reserved. “ Normally, this project would require weeks of research and verification….but luckily there’s an app for it.”