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Total 436 results found since Jan 2013.

How to Build Better Metrics: Focus on Physician Outcomes
By NIRAN AL-AGBA, MD Quality measures began as tools to quantify the healthcare process, using outcomes, patient perceptions, and organizational structures associated with the provision of high-quality health care. Overall, the goals should focus on delivery of care that is effective, safe, efficient, and equitable. Did you notice a particular word missing? Yes, I missed the word physician too, because they have been left out of the conversation entirely. Measuring quality healthcare by a patient lab result is like recording a patient’s temperature by waving the thermometer near their face. One has little to do wit...
Source: The Health Care Blog - August 8, 2016 Category: Consumer Health News Authors: John Irvine Tags: 2016 Town Hall Source Type: blogs

DM / DNB Cardiology Entrance New Test Series 5
Time limit: 0 Quiz-summary 0 of 30 questions completed Questions: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Information This new test series requires ...
Source: Cardiophile MD - August 6, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs

Artificial Intelligence Will Redesign Healthcare
Artificial intelligence has an unimaginable potential. Within the next couple of years, it will revolutionize every area of our life, including medicine. I am fully convinced that it will redesign healthcare completely – and for the better. Let’s take a look at the promising solutions it offers. There are various thought leaders who believe that we are experiencing the Fourth Industrial Revolution, which is characterized by a range of new technologies that are fusing the physical, digital and biological worlds, impacting all disciplines, economies and industries, and even challenging ideas about what it means to be hum...
Source: The Medical Futurist - August 4, 2016 Category: Information Technology Authors: nora Tags: Artificial Intelligence in Medicine Future of Medicine AI big data GC1 google deepmind Healthcare Hospital ibm watson Innovation Source Type: blogs

Soluble ST2 as a biomarker in heart failure
ST2 (suppression of tumorigenicity 2) region on chromosome 11 is a locus associated with various forms of cancer. IL1R1 on chromosome 2 has the alias ST2 and encodes a member of the interleukin 1 receptor family [1]. These two are often confused with each other in published literature. Soluble form of ST2 (sST2) is a novel biomarker for cardiac risk prediction, which is secreted into the circulation. It has been used in the management of heart failure [2]. The other variant is transmembrane ST2 isoform known as ST2L [3]. sST2 values have been positively correlated with the severity of acute heart failure, B-type natriureti...
Source: Cardiophile MD - August 2, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Featured Source Type: blogs

BIOTRONIK ’s New E-Series Pacemakers Rolling Out in Europe
BIOTRONIK is touting the first implantation of a pacemaker from the newly EU-approved E-Series of the company’s devices. The Enitra 8 HF-T QP is now pacing a woman with a history of failure and complete heart block who received the device at ...
Source: Medgadget - August 2, 2016 Category: Medical Equipment Authors: Editors Tags: Cardiology Radiology Source Type: blogs

Absolution
By ANISH KOKA, MD Like many cities, Philadelphia is a city defined by its neighborhoods. I practice in two neighborhoods separated by a few miles but leagues apart in every other way. One of the hospitals is a tertiary care facility in the heart of Center City – a well to do upcoming part of town – and the other is a small community hospital a few miles South. The patients at the two locations are quite different, and the mechanism of health care delivery is also starkly different. Medical care at the Center City campus is provided mostly by employed physicians, and care at the community hospital is provide...
Source: The Health Care Blog - August 2, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

The Spectacular Incompetence of 3rd Party Payers
By SAURABH JHA, MD To paraphrase Tolstoy, all competence is alike, but every incompetence is incompetence in its own way. Every time I think I’ve seen the horizon of incompetence, I’m dealt a surprise. The sun never sets on incompetence. In healthcare, incompetence can be found in odd places, such as three recent examples I encountered with third party payers. Case 1: Downgrading Caviar to Boiled Salmon A patient was referred for a CT angiogram run off – which is a CT scan of the arteries of the belly, pelvis, both legs and feet – a very detailed and costly study. The cardiologist suspected a pseudoaneurysm of the ...
Source: The Health Care Blog - July 31, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Reversed mismatch on PET scan – Cardiology MCQ
Reversed mismatch on PET (Positron Emission Tomography) scan is seen in: a) Left bundle branch block b) Right ventricular pacing c) Non ischemic cardiomyopathy d) All of the above Correct answer: d) All of the above ‘Reversed mismatch’ means normal perfusion, with reduced uptake of 18-fluoro-deoxy-glucose (FDG). In addition to the above conditions, this situation can also be seen in the setting of revascularization early after myocardial infarction and sometimes in diabetes mellitus. Usual perfusion-metabolism mismatch is reduced myocardial perfusion and contractile function in with relatively preserved or inc...
Source: Cardiophile MD - July 1, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Nuclear Cardiology Positron emission tomography Source Type: blogs

McKesson Sells IT Division...To Dump Earlier Mistake???
You've all heard by now that healthcare giant McKesson will spin off its IT division. Here's the bullet from Fortune:Healthcare services provider McKesson said it would combine most of its information technology business with Change Healthcare Holdings to form a new company with combined pro forma annual revenue of $3.4 billion.Change Healthcare, a provider of software and analytics, network solutions, and technology-enabled services, will contribute all of its businesses to the new company, with the exception of its pharmacy switch and prescription routing business.Tennessee-based Change Healthcare is majority owned by Bl...
Source: Dalai's PACS Blog - July 1, 2016 Category: Radiology Source Type: blogs

Fight Aging! Newsletter, June 20th 2016
We examined the engraftment and differentiation of alkaline phosphatase-positive NSCs expanded from the postnatal subventricular zone (SVZ), 3 months after grafting into the intact young or aged rat hippocampus. Graft-derived cells engrafted robustly into both young and aged hippocampi. Although most graft-derived cells pervasively migrated into different hippocampal layers, the graft cores endured and contained graft-derived neurons. The results demonstrate that advanced age of the host at the time of grafting has no major adverse effects on engraftment, migration, and differentiation of grafted subventricular zone...
Source: Fight Aging! - June 19, 2016 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Big news in AF ablation from HRS 2016
I have recently returned from the 2016 Heart Rhythm Society Sessions in San Francisco. I wrote three articles for Medscape. I also did two podcasts from HRS. I will link these below. You need to sign up for Medscape (free) to read the essays and listen to the podcast. In the first article, I discussed the good and bad of AF ablation. The good being the increase in quality of life seen in about two-thirds of patients who have ablation. The bad being a study from a Japanese registry which found 1 in 3 patients sustained post-procedural “sub-clinical cerebral ischemic” lesions on brain MRI scans. To translate, tha...
Source: Dr John M - May 15, 2016 Category: Cardiology Authors: Dr John Source Type: blogs

The Tangled Hospital-Physician Relationship
By GOLDSMITH, KAUFMAN and BURNS Together, hospital and physician services account for more than half of national health spending. In its 2014 National Health Expenditures estimates, the Centers for Medicare and Medicaid Services’ actuaries make the hospital (nearly $1 trillion) and physician practice (nearly $600 billion) sectors appear to be independent and non-overlapping. This is an optical illusion. Hospitals and physicians are, in day-to-day practice, hopelessly intertwined. And while power appears to be shifting from physicians to hospitals with the increasing salaried employment of physicians, appearances can be d...
Source: The Health Care Blog - May 12, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

A Hayekian Defense of Evidence-Based Medicine
BY ANDREW FOY, MD It’s a lousy Saturday morning in Southeastern Pennsylvania. The 100-mile bike ride I had scheduled, the first century of the year, was cancelled at 5 AM due to inclement weather. I’ve been scanning my Twitter feed ever since. I only joined Twitter yesterday, so I’m a bit obsessed at this point. The synapses in my prefrontal cortex are getting fresh hits of dopamine every time I land on another exciting science/political story, journal article, or blog that’s been tweeted about. Yes, I’m a nerd. Through Twitter, I was introduced to Michel Accad less than 24 hours ago. He’s a cardiologist, phil...
Source: The Health Care Blog - May 11, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

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