This document discusses stakeholders in healthcare including patients, providers, policymakers, payers, and the public. It then discusses the intersection of clinical informatics, public health informatics, and consumer health informatics. The remainder of the document summarizes the history of health information technology policy and adoption in the United States, including key reports, legislation, and programs that have aimed to increase adoption of electronic health records and health information exchange.
Presented at Healthcare CIO Certificate Program (Class of 2015), Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 14, 2015
Interoperability is one of the most critical issues facing the health care industry today. A universal exchange language is needed to assist health care providers in sharing health information in order to coordinate diagnosis and treatment, while maintaining privacy and security of personal data. Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network. This presentation provides an overview of HIE and the Meaningful Use requirement related to the exchange of clinical information as well as information about standards of exchange and the recommended "next steps" for providers.
Presented at Healthcare CIO Certificate Program (Class of 2015), Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 14, 2015
Interoperability is one of the most critical issues facing the health care industry today. A universal exchange language is needed to assist health care providers in sharing health information in order to coordinate diagnosis and treatment, while maintaining privacy and security of personal data. Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network. This presentation provides an overview of HIE and the Meaningful Use requirement related to the exchange of clinical information as well as information about standards of exchange and the recommended "next steps" for providers.
Consumer health informatics for people who use AAC: Views on e-health records...Bronwyn Hemsley
Paper presented at the International Society for Augmentative and Alternative Communication (ISAAC) Biennial Conference in Toronto, Canada, August 8th to 12th 2016.
Eysenbach: eHealth: Transforming the dynamics of a complex health systemGunther Eysenbach
Keynote for the Australian 10th Annual Health Care Congress ( http://www.webcitation.org/5Vlz9j0HO ) in Sydney, 27th - 29th February 2008. Keynote contains a run-down of what ehealth is all about, and then focusses a fair bit on Personal Health Records (PHR 2.0) and Personal Health Applications. This is partly because the new Australian government under its new prime minister Kevin Rudd has set a couple of priorities for reforming health care, among them is "focussing on preventative health care and health promotion to help keep Australians healthy and out of hospital", which is a goal that can - in my opinion - be attained or at least greatly supported with Personal Health Records, or more specifically with what I call second generation PHRs or PHR 2.0. Contains screenshots of our Healthbook (TM) project, which was subsequently mentioned mentioned in the preliminary report of the 2020 Summit to the Prime Minister in Australia, see http://gunther-eysenbach.blogspot.com/search/label/healthbook
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
This research paper outlines the idea of cost-effective health care, which minimizes 'unnecessary' patients tests and procedures that do not improve patient outcomes. The analysis focused on examining current trends in cost-effective health care, the rise of modern medical technologies involved in cost-effective health care, and the benefits of the U.S. implementing a cost-effective health care system. Mrs. McCallister and Dr. Pahwa were instrumental in the formation of this paper.
Part of the "2016 Annual Conference: Big Data, Health Law, and Bioethics" held at Harvard Law School on May 6, 2016.
This conference aimed to: (1) identify the various ways in which law and ethics intersect with the use of big data in health care and health research, particularly in the United States; (2) understand the way U.S. law (and potentially other legal systems) currently promotes or stands as an obstacle to these potential uses; (3) determine what might be learned from the legal and ethical treatment of uses of big data in other sectors and countries; and (4) examine potential solutions (industry best practices, common law, legislative, executive, domestic and international) for better use of big data in health care and health research in the U.S.
The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School 2016 annual conference was organized in collaboration with the Berkman Center for Internet & Society at Harvard University and the Health Ethics and Policy Lab, University of Zurich.
Learn more at http://petrieflom.law.harvard.edu/events/details/2016-annual-conference.
Consumer Health Information & Telehealth andreakyer
Week 7 presentation on Consumer Healthcare Informatics and Telehealth for INFO648 - Biomedical Informatics, iSchool Drexel University, Professor Michelle Rogers, PhD, Fall 2009
Created as a podcast for the Dental Informatics Online Community [http://www.dentalinformatics.com/], this is snapshot of what is going on with social technologies and Web 2.0 in various healthcare communities.
Adoption of Integrated Healthcare Information System in Nairobi County: Kenya...Editor IJCATR
Health care information systems are aimed at facilitating the smooth running and interoperability of the health care
delivery processes to ensure efficiency and effectiveness; however, the complexity, heterogeneity and diversity of the health care
sector especially in Kenya poses serious challenges especially in relation to integration of the systems. There is a large disconnect
between the public and private health care delivery systems characterized by fragmentation of services, locally within hospitals
(among primary, secondary and tertiary health care settings) and across different health care centers. This research is aimed at
examining the adoption of integrated healthcare information system in Nairobi County; Kenyatta National Hospital represents the
public sector and The Mater Hospital the private sector. A sample size of 100 users on information system from the two hospitals
picked from the primary secondary and tertiary levels were selected and questionnaires administered to them. Data was analyzed
through descriptive statistics with the aid of SPSS. The results of the study indicated that there was a huge disparity between
healthcare information system adoption in the public and private sectors with the private sector’s adoption being at an advanced
stage. The major barriers to adoption including social political barriers, financial constraints and technical/technological barriers
also presented.
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
Interoperable EHR Systems Roundtable Day will provide the unique opportunity for attendees to network with policy makers, EHR service providers, IT specialists, EHR purchasers, and the medical professionals using EHR technology on a daily basis. There is no better way to understand EHR implementation than to put all the players in one room and facilitate an open discussion focused on addressing concerns and obstacles and then discovering applicable solutions.
An edited version of my presentation at the Mobile Health Workshop for Engineers and PhD scholars at National Institute of Technology Surathkal, Mangalore.
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on September 15, 2016
Presented at the 8th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 21, 2018
Consumer health informatics for people who use AAC: Views on e-health records...Bronwyn Hemsley
Paper presented at the International Society for Augmentative and Alternative Communication (ISAAC) Biennial Conference in Toronto, Canada, August 8th to 12th 2016.
Eysenbach: eHealth: Transforming the dynamics of a complex health systemGunther Eysenbach
Keynote for the Australian 10th Annual Health Care Congress ( http://www.webcitation.org/5Vlz9j0HO ) in Sydney, 27th - 29th February 2008. Keynote contains a run-down of what ehealth is all about, and then focusses a fair bit on Personal Health Records (PHR 2.0) and Personal Health Applications. This is partly because the new Australian government under its new prime minister Kevin Rudd has set a couple of priorities for reforming health care, among them is "focussing on preventative health care and health promotion to help keep Australians healthy and out of hospital", which is a goal that can - in my opinion - be attained or at least greatly supported with Personal Health Records, or more specifically with what I call second generation PHRs or PHR 2.0. Contains screenshots of our Healthbook (TM) project, which was subsequently mentioned mentioned in the preliminary report of the 2020 Summit to the Prime Minister in Australia, see http://gunther-eysenbach.blogspot.com/search/label/healthbook
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
This research paper outlines the idea of cost-effective health care, which minimizes 'unnecessary' patients tests and procedures that do not improve patient outcomes. The analysis focused on examining current trends in cost-effective health care, the rise of modern medical technologies involved in cost-effective health care, and the benefits of the U.S. implementing a cost-effective health care system. Mrs. McCallister and Dr. Pahwa were instrumental in the formation of this paper.
Part of the "2016 Annual Conference: Big Data, Health Law, and Bioethics" held at Harvard Law School on May 6, 2016.
This conference aimed to: (1) identify the various ways in which law and ethics intersect with the use of big data in health care and health research, particularly in the United States; (2) understand the way U.S. law (and potentially other legal systems) currently promotes or stands as an obstacle to these potential uses; (3) determine what might be learned from the legal and ethical treatment of uses of big data in other sectors and countries; and (4) examine potential solutions (industry best practices, common law, legislative, executive, domestic and international) for better use of big data in health care and health research in the U.S.
The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School 2016 annual conference was organized in collaboration with the Berkman Center for Internet & Society at Harvard University and the Health Ethics and Policy Lab, University of Zurich.
Learn more at http://petrieflom.law.harvard.edu/events/details/2016-annual-conference.
Consumer Health Information & Telehealth andreakyer
Week 7 presentation on Consumer Healthcare Informatics and Telehealth for INFO648 - Biomedical Informatics, iSchool Drexel University, Professor Michelle Rogers, PhD, Fall 2009
Created as a podcast for the Dental Informatics Online Community [http://www.dentalinformatics.com/], this is snapshot of what is going on with social technologies and Web 2.0 in various healthcare communities.
Adoption of Integrated Healthcare Information System in Nairobi County: Kenya...Editor IJCATR
Health care information systems are aimed at facilitating the smooth running and interoperability of the health care
delivery processes to ensure efficiency and effectiveness; however, the complexity, heterogeneity and diversity of the health care
sector especially in Kenya poses serious challenges especially in relation to integration of the systems. There is a large disconnect
between the public and private health care delivery systems characterized by fragmentation of services, locally within hospitals
(among primary, secondary and tertiary health care settings) and across different health care centers. This research is aimed at
examining the adoption of integrated healthcare information system in Nairobi County; Kenyatta National Hospital represents the
public sector and The Mater Hospital the private sector. A sample size of 100 users on information system from the two hospitals
picked from the primary secondary and tertiary levels were selected and questionnaires administered to them. Data was analyzed
through descriptive statistics with the aid of SPSS. The results of the study indicated that there was a huge disparity between
healthcare information system adoption in the public and private sectors with the private sector’s adoption being at an advanced
stage. The major barriers to adoption including social political barriers, financial constraints and technical/technological barriers
also presented.
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
Interoperable EHR Systems Roundtable Day will provide the unique opportunity for attendees to network with policy makers, EHR service providers, IT specialists, EHR purchasers, and the medical professionals using EHR technology on a daily basis. There is no better way to understand EHR implementation than to put all the players in one room and facilitate an open discussion focused on addressing concerns and obstacles and then discovering applicable solutions.
An edited version of my presentation at the Mobile Health Workshop for Engineers and PhD scholars at National Institute of Technology Surathkal, Mangalore.
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on September 15, 2016
Presented at the 8th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on March 21, 2018
Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
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
Public Health Informatics, Consumer Health Informatics, mHealth & Personal He...Nawanan Theera-Ampornpunt
Presented at the Health Informatics and Health Information Technology Course, Doctor of Philosophy and Master of Science Programs in Data Science for Health Care (International Program), Faculty of Medicine Ramathibodi Hospital, Mahidol University on October 24, 2017
POST EACH DISCUSSION SEPARATELYThe way patient data is harvested.docxLacieKlineeb
POST EACH DISCUSSION SEPARATELY
The way patient data is harvested and used is rapidly changing. Patient data itself has become quite complex.
In the future
, patient data will be combined with financial data, product or drug data, socioeconomic factors, social patterns, and social determinants of health. Cognitive behavior and artificial intelligence will be applied to the data to help prevent and depict rather than cure disease.
Evaluate the future of Healthcare information technology.
Include the following aspects in the discussion:
Find two articles related to the future of information systems (IS) in healthcare
Include telehealth, wearable technology, patient portals, and data utilization
Analyze potential benefits from advances
Discuss, from your own perspective, the advantages and disadvantages of having a system where the patient manages their own data
REPLY TO MY CLASSMATE’S DISCUSSION TO THE ABOVE QUESTIONS AND EXPLAIN WHY YOU AGREE. MINIMUM OF 150 WORDS EACH
Classmate’s Discussion 1
The technological advancements that have occurred in the field of healthcare have greatly changed the way people view and interact with the healthcare system. They have also led to the reduction of costs and the increasing efficiency of the system. We expect that the future of healthcare will continue to be influenced by information technology.
Due to the technological advancements that have occurred in the field of healthcare, physicians are now able to spend less time with their patients. This has allowed them to provide more effective and efficient care to their patients. In the future, we can expect that the increasing number of specialists who can delegate their work to other doctors will have a significant impact on the healthcare system. The increasing efficiency of doctors is expected to have a significant impact on the shortage of specialist physicians in the future. This issue could be solved using technology. Hopefully, the use of information technology can help boost the number of specialist physicians (Patric, 2022).
Electronic health records have revolutionized the way healthcare is done. Despite the progress that has been made in terms of keeping and tracking these records, they are still not widely used yet. This means that the kind of growth that was expected from the adoption of these records has not materialized. Although the adoption of electronic health records has been made in various parts of the world, it’s still not widely used in all areas. This means that the ability to keep track of one’s medical history is still very important (Patric, 2022).
The increasing importance of information technology in healthcare has led to the prediction that the cost of healthcare will eventually come down. Various factors such as better accessibility and efficiency will help make healthcare more affordable and more effective.
It’s widely believed that keeping one's health is much cheaper and easier than treating a.
HEC 2016 Panel: Putting User-Generated Data in Action: Improving Interpretabi...Pei-Yun Sabrina Hsueh
Chair/Moderator: Pei-Yun Sabrina HSUEH, PhD (IBM T.J. Watson Research Center)
Panelists: XinXin ZHU, Bian YANG, Ying-Kuen CHEUNG , Thomas WETTER, and Sanjoy DEY
a IBM T.J. Watson Research Center, USA
b Norwegian University of Science and Technology, Norway
c Mailman School of Public health, Columbia University, USA
d, Department of Biomedical Informatics, University of Washington, USA
e Department of Medical Informatics, University of Heidelberg, Germany
The rise of consumer health awareness and the recent advent of personal health management tools (including mobile and health wearable devices) have contributed to another shift transforming the healthcare landscape. Despite the rise of health consumers, the impact of user-generated health data remains to be validated. In fact, many applications are hinged on the interpretability issues of this sort of data. The aim of this panel is two-fold. First, this panel aims to review the key dimensions in the interpretability, spanning from quality and reliability to information security and trust management. Secondly, since similar issues and methodologies have been proposed in different application areas ranging from clinical decision support to behavioral interventions and clinical trials, the panelists will also discuss both the success stories and the areas that fall short. The opportunities and barriers identified can then serve as guidelines or action items individuals can bring to their organizations to further improve the interpretability of user-generated data.
Plenary presentation at the first EHR Summit of the UP Manila Medical Informatics Unit and the Philippine Medical Informatics Society, 10 Nov 2019. Philippine Heart Center.
Surveys a series of ethical, economic, clinical and also safety issues relating to the application of informatics to healthcare, focusing especially on the role of informatics in the Patient Protection and Affordable Care Act. Talk presented in the University at Buffalo Clinical/Research Ethics Seminar - Ethics, Informatics and Obamacare, November 20, 2012. Slides are available here: http://ontology.buffalo.edu/13/ethics-informatics-obamacare.pptx
Eysenbach AMIA Keynote: From Patient Needs to Personal Health ApplicationsGunther Eysenbach
AMIA Spring Conference, May 29th-31st, 2008, Phoenix/AZ. PHR Track Keynote covers: An international perspective on the importance of PHR/PHA development & research; patient needs (and other drivers of Personal Health Records); Emerging technological trends, with an emphasis on what Eysenbach calls PHR 2.0 – impact of Web 2.0 approaches e.g. to reduce attrition in ehealth applications
Eysenbach: Personal Health Applications and Personal Health RecordsGunther Eysenbach
Keynote talk at the AMIA Spring Conference in the PHR track (Personal Health Records), focussing on international develoments and a new paradigm which I call PHR 2.0
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
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 8, 2021
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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 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
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.
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
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Personal Health Records and Consumer Health Informatics
1. Nawanan Theera-Ampornpunt, MD, PhD
Healthcare CIO Program
Ramathibodi Hospital Administration School
Aug. 30, 2013 SlideShare.net/Nawanan
Except where
citing other works
2. Stakeholders in Health Care
Patient
Providers
Policy-
Makers
Public
Payers
Diagram modified from Supachai Parchariyanon’s 4Ps Concept
• High bargaining
power
• Benefit with
improved quality in
fee-for-service
• Needs to satisfy many “bosses”
• Faces up-front costs in health IT
investments
• Long-term benefits depend on
payment schemes
• Require data for
policy-making
• Limited budget
• Often face
bureaucracies
• Highly political
• Concerns about resource allocation &
community’s well-being, but not
necessarily individual patients
• Directly benefits from
improved quality of care
• Knowledge gap between
patient & providers
5. Public Policy in Informatics: A US’s Case
1991: IOM’s CPR Report published
1996: HIPAA enacted
2000-2001: IOM’s To Err Is Human &
Crossing the Quality Chasm published
2004: George W. Bush’s Executive
Order establishing ONCHIT (ONC)
2009-2010: ARRA/HITECH Act &
“Meaningful use” regulations
6. Political Support Behind Health IT
“...We will make wider use of electronic records and other
health information technology, to help control costs and
reduce dangerous medical errors.”
Source: Wikisource.org Image Source: Wikipedia.org
President George W. Bush
Sixth State of the Union Address
January 31, 2006
?
7. U.S. Adoption of Health IT
• U.S. lags behind other Western countries
(Schoen et al, 2006;Jha et al, 2008)
• Money and misalignment of benefits is the
biggest reason
Ambulatory(Hsiao et al, 2009) Hospitals (Jha et al, 2009)
Basic EHRs w/ notes 7.6%
Comprehensive EHRs 1.5%
CPOE 17%
8. President Obama Backs Health IT
“...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
Source: WhiteHouse.gov
9. 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
10. U.S. National Leadership
David Blumenthal, MD, MPP
National Coordinator for
Health Information
Technology
(2009 - 2011)
Farzad Mostashari, MD, ScM
National Coordinator for
Health Information Technology
(2011 - 2013)
Robert Kolodner, MD
National Coordinator for
Health Information Technology
(2006 - 2009)
David Brailer, MD, PhD
National Coordinator for
Health Information Technology
(2004 - 2007)
Office of the National Coordinator for Health Information
Technology (ONC -- formerly ONCHIT)
Photos courtesy of U.S. Department of Health & Human Services
11. What is in HITECH Act?
Blumenthal D. Launching HITECH. N Engl J Med. 2010 Feb 4;362(5):382-5.
13. “Meaningful Use” of Health IT
Stage 1
- Electronic capture of
health information
- Information sharing
- Data reporting
Stage 2
Use of
EHRs to
improve
processes of
care
Stage 3
Use of
EHRs to
improve
outcomes
Better
Health
(Blumenthal D, 2010)
15. Health Information Exchange in the U.S.
Regional Health Information Organizations
(RHIOs)
State e-Health initiatives
Nationwide Health Information Network
(NHIN)
Still ongoing efforts, but with significant
progress
16. Other Public Health Informatics Applications
e-Health & m-Health
m-Health in disaster management: #ThaiFlood
Data reporting to government agencies
Claims & reimbursements
Diseases
Utilization statistics
Quality measures
etc.
Biosurveillance (case reporting vs. predictive)
Epidemiologic & health services research
22. Examples of Areas within
Consumer Health Informatics
Image Source: http://www.webmd.com/
23. Examples of Areas within
Consumer Health Informatics
Image Source: http://www.greatdreams.com/cancer-cure.htm
24. Examples of Areas within
Consumer Health Informatics
Image Source: http://www.hon.ch/, http://socialmarketing.blogs.com/r_craiig_lefebvres_social/2007/02/health_literacy.html
25. Examples of Areas within
Consumer Health Informatics
Image Source: http://michaelcarusi.com/2012/01/01/when-you-should-not-become-a-social-media-manager/
26. Examples of Areas within
Consumer Health Informatics
Image Source: http://ucedtech.wikispaces.com/Welcome
30. Roles of ICT in Consumer Health Informatics
Access to information
Networking opportunities
Education/Self-study
Personalization
Effective & efficient communications
Empowerment
“User Experience”
31. Issues in Consumer Health Informatics
Health literacy & IT literacy
Cultural diversity & sensitivity
Usability, information presentation
Impact of ICT on behavioral modifications
Integration with provider’s systems
Information exchange & interoperability
Business model
Privacy & security
32.
33. Personal Health Records (PHRs)
“An electronic application through which individuals can
access, manage and share their health information, and that
of others for whom they are authorized, in a private, secure,
and confidential environment.” (Markle Foundation, 2003)
“A PHR includes health information managed by the
individual... This can be contrasted with the clinician’s record
of patient encounter–related information [a paperchart or
EHR], which is managed by the clinician and/or health care
institution.” (Tang et al., 2006)
34. Types of PHRs
Patient portal from a provider’s EHRs
(“tethered” PHRs)
Online PHRs
Stand-alone
Can be integrated with EHRs from multiple providers
(unidirectional/bidirectional data sharing)
Stand-alone PHRs
PC-based applications
USB Drive
CD-ROM or other data storage devices
Paper
36. Ideal PHRs
Integrated
Accessible
Secure
Comprehensive
Accurate & current
Patient able to
manage sharing &
update information
Engaging &
educational
User-friendly,
culturally & literacy
appropriate
The “Hub and Spoke” Model
(Kaelber et al., 2008)
37. Use Cases of PHRs
Data entry/update by patients
Data retrieval by providers
With patient’s consent
“Break-the-glass” emergency access
Data update from EHRs
Privacy settings
Personalized patient education
Communications with providers
39. Other IT for Consumer Health
Traditional Web
MedlinePlus
Other sites
Social Media
The Usuals: MySpace, Facebook, Twitter
Blogs, forums
PatientsLikeMe
Telemedicine & Telehealth
Home monitoring/recording devices
Tele-consultations, virtual visits
http://media.nstda.or.th/video/viewVideo.php?video_id=1273
40. The Future
Microsoft Health: Future Vision
http://www.microsoft.com/showcase/en/us/details/b112da1c-c918-
41ee-bb45-d6a553496168
NECTEC’s Smart Health
http://media.nstda.or.th/video/viewVideo.php?video_id=1273
41. References
Blumenthal D. Launching HITECH. N Engl J Med. 2010 Feb 4;362(5):382-5.
Blumenthal D, Tavenner M. The “meaningful use” regulation for electronic health
records. N Engl J Med. 2010 Aug 5;363(6):501-4.
Connecting for Health. The personal health working group final report. Markle
Foundation; 2003 Jul 1.
Hsiao C, Beatty PC, Hing ES, Woodwell DA. Electronic medical record/electronic health
record use by office-based physicians: United States, 2008 and preliminary 2009
[Internet]. 2009 [cited 2010 Apr 12]; Available from:
http://www.cdc.gov/nchs/data/hestat/emr_ehr/emr_ehr.pdf
Jha AK, DesRoches CM, Campbell EG, Donelan K, Rao SR, Ferris TG, Shields A,
Rosenbaum S, Blumenthal D. Use of electronic health records in U.S. hospitals. N Engl
J Med. 2009;360(16):1628-38.
Kaelber DC, Jha AK, Johnston D, Middleton B, Bates DW. A research agenda for
personal health records (PHRs). J Am Med Inform Assoc. 2008 Nov-Dec;15(6):729-36.
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.
Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ. Personal health records:
definitions, benefits, and strategies for overcoming barriers to adoption. J Am Med
Inform Assoc. 2006 Mar-Apr;13(2):121-6.