Know thy health
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This document discusses patient access to medical records and the effects of increased access. It finds that there is a lack of clear evidence on how increased access affects outcomes and that there are competing rationales for and against greater access. The document also examines how healthcare is being impacted by the information revolution, including how it may change relationships between patients and providers and impact quality of care, professional responsibilities, privacy, health inequalities, and the roles of alternative providers and the private sector. Overcoming barriers will require interventions to realize the potential benefits of increased access to medical records.
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Home health care & long-term conditions: How to succeed with personal health ...
Dr Mohammad Al-Ubaydli (CEO of Patients Know Best)
Dr Al-Ubaydli is author of the book "Personal health records: A guide for clinicians", in which he surveyed the different ways in which patients can work with their clinical team using software. A new generation of tools allows patients to manage their health and Mohammad will cover some of these in his talk, including products by large US companies like Google and Microsoft, as well as the UK software industry. He will also describe the experiences of his own company, Patients Know Best, which integrates its patient-controlled medical records platform into the NHS secure network.
Cloud computing in healthcare
Lecture by Dr Mohammad Al-Ubaydli from Patients Know Best at the State of the Cloud 2010 summit in Boston.
Value Of Communities
The document discusses how clinicians can leverage online communities to better connect with key stakeholders. It describes 8 types of online communities and provides statistics on social media usage. It then outlines a 6 phase relationship cycle for using communities as a relationship building tool, including researching needs, setting goals, developing a community plan, acquiring members, measuring results, and maintaining engagement. The key is using communities for transparent, engaged, consistent collaboration and celebrating successes to build trusted relationships.
Direct-to-consumer genomics offerings
1) The document provides information on various direct-to-consumer genomics companies and their offerings, including 23andMe, deCODEme, Navigenics, and others.
2) It discusses the declining prices of whole genome sequencing from $99,500 down to $48,000.
3) The document also briefly describes next-generation DNA sequencing technologies like Pacific Biosciences that can read DNA in real time.
Transformation In Chronic Disease Management Through Technology: Improving Pr...
June 22, 2009 presentation to Cambridge Health Network at King's Fund by Molly Joel Coye, MD, MPH, Founder and CEO Health Technology Center
Working with patients online: tips for the real world
Presentation by Dr Mohammad Al-Ubaydli from Patients Know Best as part of the Health 2020 conference at the Royal Society of Medicine.
NHS Number Programme
The NHS Number Programme aims to improve patient safety by minimizing clinical risks caused by misallocation of patient information and resolving barriers to safely sharing information across healthcare settings. Incidents of patient confusion and errors due to reliance on local hospital number systems have endangered patient safety. Priority settings for implementing the NHS Number include general practice, secondary care, ambulance services, and social care. Current projects include developing published standards for general practice and secondary care, as well as social care standard development and a public awareness campaign.
Real-Time Digital Medicine
The document discusses enabling patients to access their electronic health records. It notes that doing so can help rebuild trust after a high-profile murder case, as patients are able to verify their records. It describes building partnerships with patients by giving them online access to records, appointments, and medical information through a patient portal. Studies show patient record access improves communication, patient outcomes and satisfaction. The document advocates a blended approach combining patient access with tools like HealthSpace and Google Health.
07.09.02
- The document discusses exploring the use of digital and wireless technologies in healthcare, focusing on a presentation about using smartphones at VCU Hospital.
- It describes how VCU Hospital successfully used smartphones with multi-tasking capabilities instead of PDAs to allow physicians to access patient records and billing systems remotely, improving charges and billing.
- The presentation also discusses refining medication reconciliation processes and combining technologies like barcoding with nurses' feedback to improve safety while balancing various needs.
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Personal health records presentation at Cambridge Refresh
Personal health records presentation at Cambridge Refresh
Meeting healthcare challenges: what are the challenges and what is the role o...
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Long Term Conditions: Long Term Conditions What’s wrong and what do we need?
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Evolving the Management of Patient Care in the Home
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Home health care & long-term conditions: How to succeed with personal health ...
Home health care & long-term conditions: How to succeed with personal health ...
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Working with patients online: tips for the real world
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The purpose of this webcast is to:
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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.
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STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
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geriatric patients (e.g., hypertension).
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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.
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Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
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Breast cancer: Post menopausal endocrine therapy
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
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Know thy health
- 1. KNOW THY HEALTH An overview of patient access to medical records
- 4. WHAT HAPPENS WHEN PEOPLE HAVE MORE ACCESS TO THEIR MEDICAL RECORDS?
- 7. HEALTHCARE AND THE INFORMATION REVOLUTION
- 14. WHAT NEXT?
- 23. TODAY
- 24. PERCEPTIONS
- 25. BARRIERS
- 26. WHAT INTERVENTIONS ARE NEEDED?