Smartphones and medical apps provide new opportunities for digital medicine and big data analysis of personal health information. However, issues around privacy, regulation, and the limitations of correlation versus causation still need to be addressed. Future directions may include remote monitoring via implanted sensors, predictive analytics, and shifting from treatment to prevention through personalized metrics.
PYA Healthcare Thought Leader Explores Ten Technology “Game Changers”PYA, P.C.
PYA Principal Kent Bottles, MD, who is also Chief Medical Officer of PYA Analytics, was a recent guest speaker at Community Hospital 100, a gathering of community healthcare executives and visionaries. His presentation, “Ten Innovations That Will Change the Game for Community Hospitals,” outlined technological advances from “big data” to gamification, 3D biological printing to mobile medicine.
Spatiotemporal Analysis of Infant and Maternal Morality of Mother and Child T...IJMTST Journal
Community healthcare is significant societal issue with profound suggestions for government organization
and with huge effect on individual standards of livelihood. The maintaining and monitoring of numerous
health associated government schemes are done through information technology where involvement of
Geographic Information System (GIS) is missing. This Project intends in integrating a GIS with Infant and
Maternal Mortality of Mother and Child Tracking System (MCTS). Thematic Mapping is a component of GIS
where it has constantly characterized to demonstrate the current status of health issues in an influential
way. The open source tool Quantum GIS (QGIS) is used to represent Infant and Maternal Mortality on
Thematic Maps which helps in identifying the areas with higher and weaker distributions of affected
population.
Please cite as: Kamel Boulos MN. Creating self-aware and smart healthy cities. Invited plenary keynote address followed by sub-plenary round table at WHO 2014 International Healthy Cities Conference, Athens, Greece, 25 October 2014. http://www.healthycities2014.org/ehome/89657/192014/?&
PPT updated in May 2015.
Oct 2017: See also https://www.slideshare.net/sl.medic/how-the-internet-of-things-and-people-can-help-improve-our-health-wellbeing-and-quality-of-life
Augmented Personalized Health: using AI techniques on semantically integrated...Amit Sheth
Keynote @ 2018 AAAI Joint Workshop on Health Intelligence (W3PHIAI 2018), 2 February 2018, New Orleans, LA [Video: https://youtu.be/GujvoWRa0O8]
Related article: https://ieeexplore.ieee.org/document/8355891/
Abstract
Healthcare as we know it is in the process of going through a massive change - from episodic to continuous, from disease-focused to wellness and quality of life focused, from clinic centric to anywhere a patient is, from clinician controlled to patient empowered, and from being driven by limited data to 360-degree, multimodal personal-public-population physical-cyber-social big data-driven. While the ability to create and capture data is already here, the upcoming innovations will be in converting this big data into smart data through contextual and personalized processing such that patients and clinicians can make better decisions and take timely actions for augmented personalized health. In this talk, we will discuss how use of AI techniques on semantically integrated patient-generated health data (PGHD), environmental data, clinical data, and public social data is exploited to achieve a range of augmented health management strategies that include self-monitoring, self-appraisal, self-management, intervention, and Disease Progression Tracking and Prediction. We will review examples and outcomes from a number of applications, some involving patient evaluations, including asthma in children, bariatric surgery/obesity, mental health/depression, that are part of the Kno.e.sis kHealth personalized digital health initiative.
Background: Background: http://bit.ly/k-APH, http://bit.ly/kAsthma, http://j.mp/PARCtalk
Towards a successful implementation of game mechanics (gamification) in e-hea...Maged N. Kamel Boulos
Cite as: Kamel Boulos MN. Towards a successful implementation of game mechanics (gamification) in e-health interventions (updated: 09//2015). In: Baptista TM, Kamel Boulos MN, Rodrigues FM, Rocha A. E-Health, psychology and medicine: the future of a close cooperation (invited symposium). In: Proceedings of the 14th European Congress of Psychology, Milan, Italy, 7-10 July 2015. URL: http://www.ecp2015.it/scientific-program/invited-symposia/ - WebCite cache: http://www.webcitation.org/6YIHINbi0
Top Health Trends: An information visualization tool for awareness of local h...Mirjam-Mona
Presentation of Sung Pil Moon, Yikun Liu, Steven Entezari, Afarin Pirzadeh, Andrew Pappas, and Mark Pfaff on the topic "Top Health Trends: An information visualization tool for awareness of local health trends" at ISCRAM2013
PYA Healthcare Thought Leader Explores Ten Technology “Game Changers”PYA, P.C.
PYA Principal Kent Bottles, MD, who is also Chief Medical Officer of PYA Analytics, was a recent guest speaker at Community Hospital 100, a gathering of community healthcare executives and visionaries. His presentation, “Ten Innovations That Will Change the Game for Community Hospitals,” outlined technological advances from “big data” to gamification, 3D biological printing to mobile medicine.
Spatiotemporal Analysis of Infant and Maternal Morality of Mother and Child T...IJMTST Journal
Community healthcare is significant societal issue with profound suggestions for government organization
and with huge effect on individual standards of livelihood. The maintaining and monitoring of numerous
health associated government schemes are done through information technology where involvement of
Geographic Information System (GIS) is missing. This Project intends in integrating a GIS with Infant and
Maternal Mortality of Mother and Child Tracking System (MCTS). Thematic Mapping is a component of GIS
where it has constantly characterized to demonstrate the current status of health issues in an influential
way. The open source tool Quantum GIS (QGIS) is used to represent Infant and Maternal Mortality on
Thematic Maps which helps in identifying the areas with higher and weaker distributions of affected
population.
Please cite as: Kamel Boulos MN. Creating self-aware and smart healthy cities. Invited plenary keynote address followed by sub-plenary round table at WHO 2014 International Healthy Cities Conference, Athens, Greece, 25 October 2014. http://www.healthycities2014.org/ehome/89657/192014/?&
PPT updated in May 2015.
Oct 2017: See also https://www.slideshare.net/sl.medic/how-the-internet-of-things-and-people-can-help-improve-our-health-wellbeing-and-quality-of-life
Augmented Personalized Health: using AI techniques on semantically integrated...Amit Sheth
Keynote @ 2018 AAAI Joint Workshop on Health Intelligence (W3PHIAI 2018), 2 February 2018, New Orleans, LA [Video: https://youtu.be/GujvoWRa0O8]
Related article: https://ieeexplore.ieee.org/document/8355891/
Abstract
Healthcare as we know it is in the process of going through a massive change - from episodic to continuous, from disease-focused to wellness and quality of life focused, from clinic centric to anywhere a patient is, from clinician controlled to patient empowered, and from being driven by limited data to 360-degree, multimodal personal-public-population physical-cyber-social big data-driven. While the ability to create and capture data is already here, the upcoming innovations will be in converting this big data into smart data through contextual and personalized processing such that patients and clinicians can make better decisions and take timely actions for augmented personalized health. In this talk, we will discuss how use of AI techniques on semantically integrated patient-generated health data (PGHD), environmental data, clinical data, and public social data is exploited to achieve a range of augmented health management strategies that include self-monitoring, self-appraisal, self-management, intervention, and Disease Progression Tracking and Prediction. We will review examples and outcomes from a number of applications, some involving patient evaluations, including asthma in children, bariatric surgery/obesity, mental health/depression, that are part of the Kno.e.sis kHealth personalized digital health initiative.
Background: Background: http://bit.ly/k-APH, http://bit.ly/kAsthma, http://j.mp/PARCtalk
Towards a successful implementation of game mechanics (gamification) in e-hea...Maged N. Kamel Boulos
Cite as: Kamel Boulos MN. Towards a successful implementation of game mechanics (gamification) in e-health interventions (updated: 09//2015). In: Baptista TM, Kamel Boulos MN, Rodrigues FM, Rocha A. E-Health, psychology and medicine: the future of a close cooperation (invited symposium). In: Proceedings of the 14th European Congress of Psychology, Milan, Italy, 7-10 July 2015. URL: http://www.ecp2015.it/scientific-program/invited-symposia/ - WebCite cache: http://www.webcitation.org/6YIHINbi0
Top Health Trends: An information visualization tool for awareness of local h...Mirjam-Mona
Presentation of Sung Pil Moon, Yikun Liu, Steven Entezari, Afarin Pirzadeh, Andrew Pappas, and Mark Pfaff on the topic "Top Health Trends: An information visualization tool for awareness of local health trends" at ISCRAM2013
Artificial intelligence to fight against covid19saritamathania
Artificial intelligence (AI) and machine learning are playing a significant role in understanding and addressing the crisis caused by COVID-19. The technology mimic human intelligence and ingest great volumes of data to quickly chart patterns and identify insights.
One example is when BenevolentAI, a global leader in the development and application of artificial intelligence for drug discovery, took just few days to find that Baricitinib (a drug currently approved for rheumatoid arthritis, owned by Eli Lilly) is a strongest candidate and can be a potential treatment for COVID-19 patients.
This accelerated the clinical trials of #Baricitinib and Eli Lilly (a giant American Pharmaceutical company) has already commenced phase III clinical trials of Baricitinib to treat COVID-19.
Few more names include Deepmind, ImmunoPrecise, Insilico, healx, Imperial College, Tech Mahindra, and Deargen. Some Indian companies include NIRAMAI, Staqu, Qure.AI, Tech Mahindra, and DiyCam.
A wearable device for machine learning based elderly's activity tracking and ...journalBEEI
The number of older people is increasing in many countries. By 2030, it is estimated that 15% of the overall population will be comprised of people aged 65 and above. Hence, the monitoring and tracking of elder activities to ensure they live an active life has become a major research topic in recent years. In this work, an elderly sub-activity tracking system is developed to detect the sub-activity of the elderly based on their physical activities and indoor location. The physical activities tracking system and indoor location system is combined in this project to enhance the context of the elderly activities (i.e. sub-activities as defined in this project). An indoor location system is developed by using Bluetooth Low Energy (BLE) beacon and BLE scanners to measure the Received Signal Strength Indicator (RSSI) signal to detect the location of the elderly. The activity tracking is carried out via a waist wearable device worn by the elderly. Random forest and Support Vector Machine (SVM) are used as machine learning classifiers to predict the activity and indoor location with an accuracy of 95.03% and 86.58%, respectively. The data from activity tracking and indoor location sub-systems will then be combined to derive the sub-activity and push to an online Internet of Things (IoT) platform for remote monitoring and notification.
How one Hospital Shaved Off 88 Minutes from their ALOSEmCare
With goals of getting the right processes and staffing in place, the administration and staff at LewisGale Medical Center in Salem, Virginia put a priority on patient-centered process improvements that would shorten wait times and length of stay in the emergency department (E.D.). Here’s how they improved metrics including decreasing the ED ALOS by 45 percent.
In 2011, we took it upon ourselves to break down our patient care and examine it from the time the patient arrived (regardless of method) to the time they departed (again, regardless of method). Over the next year, we developed and implemented an end-to-end strategy of patient care and flow, where all decisions were under the scrutiny of what was deemed to be ‘patient-centric’. This process of self-improvement led us to develop a scalable, replicable template for hospitals of all shapes and sizes. Too often, patient flow hurdles and patient care problems are addressed solely through the vantage of individual departments at the expense of efficiency. Our presentation is the result of a personal, real-time experience.
This Genesis Cup 2012 runner-up presentation by Medical Director, Harry "Tripp" Wingate, MD and Shayne Middleton, RN, RDCS describes the process used at EMH ED to “flip” the complaint to compliment ratio – a crude measure of customer service performance in a rural ED. The presentation details steps from training on AIDET to the key issues in providing effective feedback to ED staff. Special emphasis is given to the tricky issue of email communication and compliance with HIPAA. New web-based tools (WinZip.com and MyFax.com) for safe email communication are introduced to the audience with comments on benefits and usage.
OPERATIONAL INTEGRATION: CREATING A HIGH-PERFORMING HEALTHCARE ORGANIZATIONEmCare
What strategies are in your arsenal to combat and conquer the thorny challenges
of healthcare reform? Reducing costs? Improving quality, productivity and efficiency? Redesigning processes? Improving the patient experience? Transforming your organization from one that delivers episodic sick care to one that nurtures wellness and personal responsibility is daunting, but absolutely necessary. While consultants
have prospered by touting the “solution-of-the-day,” a handful of approaches have gained traction. One of those is clinical integration.
Much has been written in the business literature about managing the waiting experience. Federal Express has noted that “waiting is frustrating, demoralizing, agonizing, aggravating, annoying, time consuming, and incredibly expensive.” We intuitively know this from our own experience as well as from our patients. In this #ACEP13 presentation, Dr. Jensen gives practical tips to improve your patients' ED experience.
Learn how a shift in processes, leadership and culture to an integrated solution can put your hospital on track to achieve improved clinical outcomes, metrics and patient experiences, each of which can have a potentially dramatic financial impact.
The Pros and Cons of Big Data in an ePatient WorldPYA, P.C.
PYA Principal Dr. Kent Bottles, who is also PYA Analytics’ Chief Medical Officer, presented “The Pros and Cons of Big Data in an ePatient World” at the ePatient Connections 2013 conference.
Presentation Looks into the Future of Oncology Nursing in a Digital AgePYA, P.C.
In the opening keynote address for 160 attendees at the 34th annual University of Iowa Scofield Advanced Oncology Nursing Conference in Iowa City, PYA Principal Kent Bottles, MD, explored “The Future of Oncology in a Digital Age”—a thought-provoking analysis of what lies ahead in the field of medicine.
From “Big Data” to Digital Medicine--PYA Explores Innovations in HealthcarePYA, P.C.
With reform in healthcare and advancements in technology, the future of medicine is in a state of flux. What it all means can be heard in discussions from coast-to-coast, in the halls of hospitals, at conferences, and in board rooms.
Among the thought leaders who have broached this timely subject is PYA Principal Kent Bottles, MD, who is also PYA Analytics’ Chief Medical Officer. He recently spoke at The North American Menopause Society Annual Meeting on the topic: “The Perils and Prospects of Practicing Medicine in a Digital Era.”
Sdal air health and social development (jan. 27, 2014) finalkimlyman
The American Institutes for Research (AIR) and Virginia Tech are collaborating to explore and develop new approaches to combining, manipulating and understanding big data. The two are also looking at how big data analytics can help answer questions critical to solving issues in education, workforce, health, and human and social development. They held two workshops on January 7 and 27, 2014- the first on Education and Workforce Analytics and the second on Health and Social Development Analytics.
Artificial intelligence to fight against covid19saritamathania
Artificial intelligence (AI) and machine learning are playing a significant role in understanding and addressing the crisis caused by COVID-19. The technology mimic human intelligence and ingest great volumes of data to quickly chart patterns and identify insights.
One example is when BenevolentAI, a global leader in the development and application of artificial intelligence for drug discovery, took just few days to find that Baricitinib (a drug currently approved for rheumatoid arthritis, owned by Eli Lilly) is a strongest candidate and can be a potential treatment for COVID-19 patients.
This accelerated the clinical trials of #Baricitinib and Eli Lilly (a giant American Pharmaceutical company) has already commenced phase III clinical trials of Baricitinib to treat COVID-19.
Few more names include Deepmind, ImmunoPrecise, Insilico, healx, Imperial College, Tech Mahindra, and Deargen. Some Indian companies include NIRAMAI, Staqu, Qure.AI, Tech Mahindra, and DiyCam.
A wearable device for machine learning based elderly's activity tracking and ...journalBEEI
The number of older people is increasing in many countries. By 2030, it is estimated that 15% of the overall population will be comprised of people aged 65 and above. Hence, the monitoring and tracking of elder activities to ensure they live an active life has become a major research topic in recent years. In this work, an elderly sub-activity tracking system is developed to detect the sub-activity of the elderly based on their physical activities and indoor location. The physical activities tracking system and indoor location system is combined in this project to enhance the context of the elderly activities (i.e. sub-activities as defined in this project). An indoor location system is developed by using Bluetooth Low Energy (BLE) beacon and BLE scanners to measure the Received Signal Strength Indicator (RSSI) signal to detect the location of the elderly. The activity tracking is carried out via a waist wearable device worn by the elderly. Random forest and Support Vector Machine (SVM) are used as machine learning classifiers to predict the activity and indoor location with an accuracy of 95.03% and 86.58%, respectively. The data from activity tracking and indoor location sub-systems will then be combined to derive the sub-activity and push to an online Internet of Things (IoT) platform for remote monitoring and notification.
How one Hospital Shaved Off 88 Minutes from their ALOSEmCare
With goals of getting the right processes and staffing in place, the administration and staff at LewisGale Medical Center in Salem, Virginia put a priority on patient-centered process improvements that would shorten wait times and length of stay in the emergency department (E.D.). Here’s how they improved metrics including decreasing the ED ALOS by 45 percent.
In 2011, we took it upon ourselves to break down our patient care and examine it from the time the patient arrived (regardless of method) to the time they departed (again, regardless of method). Over the next year, we developed and implemented an end-to-end strategy of patient care and flow, where all decisions were under the scrutiny of what was deemed to be ‘patient-centric’. This process of self-improvement led us to develop a scalable, replicable template for hospitals of all shapes and sizes. Too often, patient flow hurdles and patient care problems are addressed solely through the vantage of individual departments at the expense of efficiency. Our presentation is the result of a personal, real-time experience.
This Genesis Cup 2012 runner-up presentation by Medical Director, Harry "Tripp" Wingate, MD and Shayne Middleton, RN, RDCS describes the process used at EMH ED to “flip” the complaint to compliment ratio – a crude measure of customer service performance in a rural ED. The presentation details steps from training on AIDET to the key issues in providing effective feedback to ED staff. Special emphasis is given to the tricky issue of email communication and compliance with HIPAA. New web-based tools (WinZip.com and MyFax.com) for safe email communication are introduced to the audience with comments on benefits and usage.
OPERATIONAL INTEGRATION: CREATING A HIGH-PERFORMING HEALTHCARE ORGANIZATIONEmCare
What strategies are in your arsenal to combat and conquer the thorny challenges
of healthcare reform? Reducing costs? Improving quality, productivity and efficiency? Redesigning processes? Improving the patient experience? Transforming your organization from one that delivers episodic sick care to one that nurtures wellness and personal responsibility is daunting, but absolutely necessary. While consultants
have prospered by touting the “solution-of-the-day,” a handful of approaches have gained traction. One of those is clinical integration.
Much has been written in the business literature about managing the waiting experience. Federal Express has noted that “waiting is frustrating, demoralizing, agonizing, aggravating, annoying, time consuming, and incredibly expensive.” We intuitively know this from our own experience as well as from our patients. In this #ACEP13 presentation, Dr. Jensen gives practical tips to improve your patients' ED experience.
Learn how a shift in processes, leadership and culture to an integrated solution can put your hospital on track to achieve improved clinical outcomes, metrics and patient experiences, each of which can have a potentially dramatic financial impact.
The Pros and Cons of Big Data in an ePatient WorldPYA, P.C.
PYA Principal Dr. Kent Bottles, who is also PYA Analytics’ Chief Medical Officer, presented “The Pros and Cons of Big Data in an ePatient World” at the ePatient Connections 2013 conference.
Presentation Looks into the Future of Oncology Nursing in a Digital AgePYA, P.C.
In the opening keynote address for 160 attendees at the 34th annual University of Iowa Scofield Advanced Oncology Nursing Conference in Iowa City, PYA Principal Kent Bottles, MD, explored “The Future of Oncology in a Digital Age”—a thought-provoking analysis of what lies ahead in the field of medicine.
From “Big Data” to Digital Medicine--PYA Explores Innovations in HealthcarePYA, P.C.
With reform in healthcare and advancements in technology, the future of medicine is in a state of flux. What it all means can be heard in discussions from coast-to-coast, in the halls of hospitals, at conferences, and in board rooms.
Among the thought leaders who have broached this timely subject is PYA Principal Kent Bottles, MD, who is also PYA Analytics’ Chief Medical Officer. He recently spoke at The North American Menopause Society Annual Meeting on the topic: “The Perils and Prospects of Practicing Medicine in a Digital Era.”
Sdal air health and social development (jan. 27, 2014) finalkimlyman
The American Institutes for Research (AIR) and Virginia Tech are collaborating to explore and develop new approaches to combining, manipulating and understanding big data. The two are also looking at how big data analytics can help answer questions critical to solving issues in education, workforce, health, and human and social development. They held two workshops on January 7 and 27, 2014- the first on Education and Workforce Analytics and the second on Health and Social Development Analytics.
Presentation that gives an overview of the impact of IT on radiology, including the growing role of biomarkers and artificial intelligence and deep learning on the (future) radiology profession. The shift to precision medicine and personalized care are explained, the reasons for a re-definition of radiology are addressed.
"Big Data for Development: Opportunities & Challenges” - UN Global PulseUN Global Pulse
Presentation from UN Global Pulse event to launch a new white paper "BIg Data for Development: Challenges and Opportunities" on July 10, 2012 event at UN Headquarters.
Details, and webcast, of the event can be found at: http://unglobalpulse.org/bd4dwebcast
Exploring the potential of technology and innovation - everything from wearables, genomics and robotics that are washing over healthcare at an exponential rate and influencing every aspect of our lives and what it will mean to our healthcare system and in particular to how we deliver healthcare to the population.
What are the next big innovations that will affect telehealth and how might they affect you and your organization. How should you plan for these changes and what can you do to incorporate them into your business? What small incremental improvements can you take to move you along the path towards the next leap in innovation.
Data Science Deep Roots in Healthcare IndustryDinesh V
Data Science transforms the healthcare industry with impeccable solutions that can improve patient care through EHRs, medical imaging, drug discovery, predictive medicines and genetics and genomics.
Similar to Maximizing The Use of Your Smart Phone: Medical Apps & Digital Medicine (20)
The Future of OB Hospitalist Programs: The Unexpected DeliverablesEmCare
You might expect that with an OB hospitalist onsite 24/7, hospitals are better equipped to manage obstetric and gynecologic care and emergencies, providing the ultimate in patient safety while reducing liability and risk. That’s true. But there are unexpected benefits as well.
Wayne L. Farley, Jr., D.O., FACOG, presents “The Future of OB Hospitalist Programs: The Unexpected Deliverables.” This webinar was September 21, 2016, hosted by Becker’s Hospital Review.
Alexander Strachan, Jr., MD, MBA, and Asim Usman, MD, of EmCare Hospital Medicine, discuss bundled payments for care improvement (BPCI) and how hospitalists are leading the charge.
Originally presented May 4, 2016, as a webinar in partnership with Becker's Hospital Review.
PowerPoint: Practical Approaches to Improving Patient Pre-Op PreparationEmCare
Michael Hicks, MD, MBA, FACHE, CEO of EmCare Anesthesia, and Lisa Kerich, PA-C, VP of Operations for EmCare Anesthesia, provide expert advice for improving the performance of your O.R. through an integrated, collaborative approach. Learn how Pre-Anesthesia Testing (PAT) clinics are being used successfully to improve patient readiness, surgeon satisfaction and financial performance.
Originally presented Sept. 17, 2015, as a webinar in partnership with Becker's Hospital Review.
Hardwiring Hospital-Wide Flow To Drive Competitive PerformanceEmCare
Thom Mayer, MD, FACEP, FAAP and Kirk Jensen, MD, MBA, FACEP, authors of “Hardwiring Flow” and “The Patient Flow Advantage, " share their secrets for streamlining processes, changing behaviors, and achieving sustainable advances in hardwiring flow throughout your hospital system.
This presentation is an abridged version of the webinar that Drs. Jensen and Mayer delivered July 9, 2015, in partnership with Becker's Hospital Review.
Efficiency in the emergency department is always at the forefront of the minds of hospital leaders -- and for good reason. The infographic below reveals the true cost of inefficiency in the emergency department when it comes to patients who leave without treatment (LWOT) and why hospitals can't afford to leave this issue unaddressed.
Learn how Methodist Richardson Achieved Fastest Total Patient Treatment Time ...EmCare
Methodist Richardson Medical Center (MRMC) and the Richardson Fire Department (RFD) were recognized by the American Heart Association for having the fastest total combined patient treatment time for cardiac events for the first quarter of 2011 for the state of Texas.
[HOW TO] Create High Performance Emergency DepartmentsEmCare
EmCare’s latest White Paper on implementing a system-wide approach to providing emergency care. At Baylor Health Care System, the initiative has fostered the development of numerous approaches to managing the challenges faced by its emergency departments, including an innovative protocol to manage overcrowding at the system’s flagship facility.
Proven Techniques to Boost Lean Implementation in Your Emergency DepartmentEmCare
Six facilities of a national hospital chain located in the Southeast United States teamed up with EmCare® to review recent best practice publications, incorporate individual ideas, implement changes, modify processes and develop a standard best practice recommendation for efficient, quality ED care. The main goal was to satisfy the patient’s primary need in presenting to an ED – the desire to see a physician as soon as possible.
The concepts herein have been proven to work in various size and volume EDs. The following chart outlines the descriptions of the six facilities involved in this effort.
We are all engaged in a hospital-wide a system of
patient flow or patient care. We are each part of the
whole. The emergency department is connected
to the ICU. The ICU is connected to the OR. The
discharge and discharge processes are connected
to our admission capabilities and capacity. It’s
like the “Dry Bones” song you learned as a child,
“The foot bone’s connected to the leg bone, the
leg bone’s connected to the knee bone, the knee
bone’s connected to the thigh bone” and so forth.
Overall flow, or “the system,” can only be improved
by applying several key strategic concepts to these
disparate but equal parts.
Fast and Efficient Practice: The Emergency Department Clinician on the Emerge...EmCare
Patient safety and satisfaction are the focus
within any emergency department. To streamline
navigation on the ED autobahn, i.e., flow, and
thus accomplish these goals most efficiently
can be accomplished by the consideration of
several factors and the application of several
key techniques.
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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Maximizing The Use of Your Smart Phone: Medical Apps & Digital Medicine
1. Maximizing The Use of Your
Smart Phone: Medical Apps &
Digital Medicine
Kent Bottles, MD
Kent@kentbottlesmd.com
www.kentbottlesmd.com
610 639 4956
37th Semi-Annual Spring Temple University Family Practice
Review Course
March 22, 2013
3. Harvard Health Letter on
Smartphone Apps
• Harness phone’s computing power, cameras,
audio, video, motion sensors, and GPS to
create new ways to manage your health and
wellness
• Uncharted
• Unstable
• Unregulated
http://ow.ly/3gVzg
4. Smartphones
• “The paradigm of healthcare has changed.
You used to bring the patient to the doctor.
Now you take the doctor, hospital, and
entire healthcare ecosystem to the patient”
• “You cannot call your gastroenterologist
every time you buy a new product.”
• “The technology of telehealth is well ahead
of the socialization of the telehealth idea
and we are at tipping point for utilization to
take off.”
5. Traditional Medicine
• Biomedical model reduces every illness to a
biological mechanism of cause and effect
• Attention on acute episodic illness
• Generalists replaced by specialists
• Focus on individuals
• Cure as uncompromised goal
• Focus on disease
• Antibiotics & infectious disease
6. Traditional Medicine
• Diagnose and treat
• Health is defined as absence of disease
• Patient story is subjective and
untrustworthy
• Lab results are objective and true
• Pathologists are the most important doctors
• Clinicians are paralyzed until lab provides
dx
7. Digital Medicine
• Digitizing a human being
– Genome
– Remotely, continuously monitor vital signs,
mood, activity
– Image any part of body, 3d reconstruction, print
an organ
– Readily available on your smartphone,
integrated with traditional medical record,
constantly updated
8. Digital Medicine Convergence
• Genomics
• Wireless sensors
• Imaging
• Information Systems
• Social networks
• Ubiquity of smartphones
• Unlimited computing power via cloud server
farms
9. Eric Topol on MI prevention
• “Monitoring would ideally use an implanted
nanosensor, smaller than a grain of sand
and capable of finding its targets in even
one-millionth of a liter of blood,
communicating with a patient’s
smartphone. Individuals who would get the
nanosensors would be those whose genome
sequence or other biomarkers had already
put them at risk for a heart attack.
10. Eric Topol on MI prevention
• Well before the horse was out of the barn,
the nanosensor could alert the individual to
seek attention; therapy then would consist
of both ant-clotting and anti-inflammatory
medications. At some point in the future,
nanosensors will likely have the capacity to
release medications on their own in
response to high levels of circulating cells
or nucleic acids”
11. Digital Medicine of Present &
Future
• Human body and disease is complex
emergent system that may never be fully
understood
• Attention on chronic diseases
• Managing chronic diseases rather than cure
• Focus on person and the disease
12. Digital Medicine of Present &
Future
• Predict and Prevent
• Health is a state of complete physical,
mental, and social well-being and not
merely absence of disease
• Patient story is essential for development of
personal metrics which will be unique to
each individual
• Pathologist sadly becomes less important
13. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Google Nature article predicts flu spread in USA
• Compared 50 million search terms with CDC data
on spread of flu from 2003 to 2008
• 450 million different mathematical models
• 45 search terms had strong correlation with spread
of flu
• H1N1 crisis in 2009 Google approach worked
14. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Big data refers to things one can do at a
large scale that cannot be done at a smaller
one, to extract new insights or create new
forms of value, in ways that change
markets, organizations, the relationship
between citizens and governments.
• Causality is replaced by correlation
• Not knowing why but only what
15. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Statistics allows richest findings using the
smallest amount of data
• Randomness trumped sample size
• 2007 300 exabytes of stored data
• 2013 1,200 exabytes of stored data
• 2013 only 2% is non-digital
18. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Increasing volume of data leads to inexactitude
• Big data is probabilistic rather than precise
• Microsoft’s Banko & Brill tested 4 algorithms
with 10 million, 100 million, 1 billion words
• Accuracy rate of one went from 75% to 95%
• Only 5% of digital data is structured
• Without accepting messiness 95% of unstructured
data is useless
19. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• To analyze & understand the world we used to test
hypotheses driven by theories
• Big data discards theories & causality for
correlations
• Univ of Ontario premature baby studies
• 1,260 data points per second
• Diagnose infections 24 hours before apparent
• Very constant vital signs indicate impending
infection
20. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Datafication: unearthing data from material
nobody thought held any value
• Digitization: process of converting analog
information into zeroes and ones of binary
code so computers can handle it.
• Data is something that allows it to be
recorded, analyzed, and reorganized
21. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• GPS allows us to establish location quickly,
cheaply, and without requiring specialized
knowledge
• UPS uses geo-loc data from sensors,
wireless modules, and GPS on vehicles
• 2011 UPS shaved 30 million miles off
routes, saved 3 million gallons of fuel, and
30,000 metric tons of carbon dioxide
emissions
22. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Datafication of acts of living
• Zeo large database of sleep patterns
• Asthmapolis sensor to inhaler that tracks
location via GPS identifies environmental
triggers
• Fitbit and Jawbone
• iTrem monitors Parkinson’s tremors almost
as well as the tri-axial accelerometer used in
specialized office medical equipment
23. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Search data can be reused
• Hitwise is web traffic measurement
company that lets clients mine search traffic
to detect consumer preferences
• Telefonica mobile phone created Telefonica
Digital Insights to sell subscriber location
data to retailer
24. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Recombinant data
• Danish Cancer Society study on cell phone/cancer
• Cellphone users from 1987 to 1995 (358,403)
• Brain cancer patients (10,729)
• Registry of education and disposable income
• Combining the three databases found no increase in risk of
cancer for those who used cell phones
• Not based on sample size; based on N=all
25. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Multiple uses of same database
• Data exhaust: digital trail people leave in
their wake
• Google spell checking system uses bad data
to improve search, autocomplete feature in
Gmail, Google Docs, and translation system
26. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Paralyzing privacy
– Notice and consent
– Cannot give informed consent for secondary uses
– Anonymization does not work
• AOL 2006 20 million search queries from 657,000
users: NY Times identified user number 4417749 as
Thelma Arnold (“My goodness, it’s my whole
personal life. I had no idea somebody was looking
over my shoulder”)
• Netflix Prize 100 million rental records from
500,000 users. Mother and closeted lesbian in
Midwest was reidentified
27. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Probability and punishment
– Minority Report: People are imprisoned not for what
they did, but for what they are foreseen to do, even
though they never actually commit the crime
– Blue CRUSH (Crime Reduction, Utilizing Statistical
History in Memphis, Tennessee
– Homeland Security FAST (Future Attribute Screening
Technology)
– Big data based on correlation unsuitable tool to judge
causality and thus assign individual culpability
28. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Dictatorship of Data
– Relying on numbers when they are far more fallible
than we think
– Robert McNamara’s body count numbers in Viet Nam
– Michael Eisen tried to buy The Making of a Fly on
Amazon in April 2011. Two established sellers offering
the book for $1,730,045 and $2,198,177. Two week
escalation to a peak of $23,698,655.93 on April 18
– Unsupervised algorithms priced the books for the two
sellers.
29. Big Data
Viktor Mayer-Schonberger & Kenneth Cukier, 2013
• Regulatory shift from “privacy by consent”
to “privacy through accountability”
• “Differential privacy” through deliberately
blurring the data so hard to reidentify
people
• Openness, Certification, Disprovability
• Algorithmists to perform “audits”
30. What Big Data Can’t Do
David Brooks, NY Times, February 26, 2013
• Data struggles with the social
• Data struggles with context
• Data creates bigger haystacks (spurious
correlations that are statistically significant)
• Data has trouble with big problems
• Data favors memes over masterpieces
• Data obscures values