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Why It Is Important To Understand Multimodal Large Language Models In Healthcare
The future of medicine is undoubtedly inextricably linked to the development of artificial intelligence (AI). Although this revolution has been brewing for years, the past few months marked a major change, as algorithms finally moved out of the specialized labs and into our daily lives.
The public debut of Large Language Models (LLMs), like ChatGPT which became the fastest-growing consumer application of all time, has been a roaring success. LLMs are machine learning models trained on a vast amount of text data which enables them to understand and generate human-like text based on the patterns and structures they̵...
Source: The Medical Futurist - September 5, 2023 Category: Information Technology Authors: Andrea Koncz Tags: TMF Artificial Intelligence in Medicine large language models multimodal AI multimodal large language models multimodal LLM Source Type: blogs
Development and validation of a multimodal feature fusion prognostic model for lumbar degenerative disease based on machine learning: a study protocol
In this study, we develop and validate a clinical prognostic model to determine whether patients will experience complications within 6 months after percutaneous endoscopic lumbar discectomy (PELD). Baseline data will be collected from patients’ electronic medical records. As of now, we have recruited a total of 580 participants (n=400 for development, n=180 for validation). The study’s primary outcome will be the incidence of complications within 6 months after PELD. We will use an ML algorithm and a multiple logistic regression analysis model to screen factors affecting surgical efficacy. We will evaluate the...
Source: BMJ Open - September 5, 2023 Category: General Medicine Authors: Wang, Z., Zhao, X., Li, Y., Zhang, H., Qin, D., Qi, X., Chen, Y., Zhang, X. Tags: Open access, Surgery Source Type: research
Outcomes of Pain Management Training for the Fourth- and Fifth-Year Medical Students
In this study, we assessed students' understanding of pain management based on the results of pretests and posttests performed before and after their practicum. These tests were administered from November 2019 to April 2022 to 263 fourth- and fifth-year medical students who took the clinical pain study class. The test results were compared in terms of the percentage of correct answers and the total score for each question using McNemar's chi-square test and paired t-tests, respectively. The results showed a significant improvement in the mean of the total score, confirming the improvement in medical students' knowledge (6....
Source: Pain Research and Management - September 4, 2023 Category: Anesthesiology Authors: Ayano Saeki Yumiko Takao Keiichiro Suzuki Munetaka Hirose Source Type: research
Dancing around the hexaflex: Using ACT in practice 3
Acceptance and commitment therapy (ACT) can be slippery to describe. It’s an approach that doesn’t aim to change thought content, but instead to help us shift the way we relate to what our mind tells us. It’s also an approach focused on workability: pragmatic and context-specific analysis of how well a strategy is working to achieve being able to do what matters. Over the next few posts I want to give some examples of how non-psychologists can use ACT in session (remember ACT is open for anyone to use it!).
Cognitive defusion
I’m guessing that for psychologists and those who primarily work wit...
Source: HealthSkills Weblog - September 4, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Coping strategies Occupational therapy Pain conditions Physiotherapy Psychology Science in practice acceptance and commitment therapy cognitive fusion pain managem Source Type: blogs
A 50-something with chest pain.
This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4 days of intermittent central boring chest pain initially responsive to nitroglycerin, but is now more constant and not responsive to nitroglycerin. It is unknown when this pain recurred and became constant.More past history: hypertension, tobacco use, coronary artery disease with two vessel PCI to the right coronary artery and circumflex artery several years prior. He reports feeling nauseated with emesis. He reports that this chest pain feels different than prior chest...
Source: Dr. Smith's ECG Blog - September 3, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Clinical phenotypes and quality of life to define post-COVID-19 syndrome: a cluster analysis of the multinational, prospective ORCHESTRA cohort
EClinicalMedicine. 2023 Jul 21;62:102107. doi: 10.1016/j.eclinm.2023.102107. eCollection 2023 Aug.ABSTRACTBACKGROUND: Lack of specific definitions of clinical characteristics, disease severity, and risk and preventive factors of post-COVID-19 syndrome (PCS) severely impacts research and discovery of new preventive and therapeutics drugs.METHODS: This prospective multicenter cohort study was conducted from February 2020 to June 2022 in 5 countries, enrolling SARS-CoV-2 out- and in-patients followed at 3-, 6-, and 12-month from diagnosis, with assessment of clinical and biochemical features, antibody (Ab) response, Variant o...
Source: Cell Research - September 1, 2023 Category: Cytology Authors: Elisa Gentilotti Anna G órska Adriana Tami Roy Gusinow Massimo Mirandola Jes ús Rodríguez Baño Zaira R Palacios Baena Elisa Rossi Jan Hasenauer Iris Lopes-Rafegas Elda Righi Natascia Caroccia Salvatore Cataudella Zeno Pasquini Thomas Osmo Lidia Del Pi Source Type: research
A middle-aged man with acute chest pain.
A 50-something male had onset of chest pain 1 hour prior to ED arrival. It is constant, 9/10, left-sided CP that radiates into left arm and jaw. Endorses some associated SOB, but denies back pain, fever, cough, chills, leg swelling, or other new symptoms. Has never had this before. Takes metoprolol for HTN. Here is the triage ECG:What do you think?This was not identified as OMI by either the conventional algorithm nor the triage faculty physician.Smith: I think leads V3 and V4 are highly concerning, and all but diagnostic, for acute LAD occlusion. I would activate the cath lab, or at least look f...
Source: Dr. Smith's ECG Blog - September 1, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Revolutionizing Fertility Care: Femtech CEO Weighs in on the Power of Remote Monitoring and Advancing Technologies
In conclusion, fertility care is on the cusp of a revolutionary transformation, and embracing at-home remote monitoring and advancing technologies are keys to unlocking its full potential. As a thought leader in the Femtech industry, I believe these innovations will continue to improve patient experiences, reduce barriers to care, and empower individuals and couples as they navigate the intricacies of their reproductive health.
By championing the adoption of remote monitoring and fostering collaboration between fertility tech and clinics, we can create a future where fertility care is more accessible, personalized, and suc...
Source: EMR and HIPAA - August 31, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Clinical Health IT Company Healthcare IT Telemedicine and Remote Monitoring 7wireVentures At Home Care FemTech Fertility Care Fertility Tech Healthcare RPM IVF Mira Remote Care Reproductive Health Sylvia K Source Type: blogs
Clinical presentations of suicidality in relation to medical assistance in dying
CONCLUSION: It is important that mental health clinicians learn to differentiate between MAiD requests due to an ongoing and irremediable mental disorder, and MAiD requests in response to circumscribed psychological suffering that could be relieved via a change in circumstances and/or access to different treatment options amenable to the patient.PMID:37646301 | DOI:10.1111/sltb.12985
Source: Suicide and Life-Threatening Behavior - August 30, 2023 Category: Psychiatry & Psychology Authors: Peter Baylis Jessica Shaw Ella-Jean Schatzmann Veronique Pouliot Lise Lalonde Source Type: research
Patients With Mental Illness May Not Receive Cancer Symptom Screening
Cancer patients with major mental illness are less likely to be screened for common cancer symptoms such as pain and fatigue than cancer patients without a major mental illness, suggests areport inPsycho-Oncology.“There is evidence that patients with [major mental illness] are at a greater risk for delayed cancer diagnosis, experience unequal standards of care, and generally poorer disease outcomes due to a constellation of patient, provider, and health care system factors,” wrote Laura E. Davis, a Ph.D. student at McGill University; Alyson Mahar, Ph.D., of ICES in Toronto; and colleagues. Routine cancer symptom screen...
Source: Psychiatr News - August 29, 2023 Category: Psychiatry Tags: bipolar disorder cancer cancer symptoms depression psycho-oncology psychotic illness schizophrenia Source Type: research
Sexual Choking/Strangulation During Sex: A Review of the Literature
AbstractPurpose of ReviewSexual choking/strangulation —usually done as part of consensual sex—has increased in prevalence among U.S. adolescents and young adults. Thus, it is critical for sexual health professionals to become aware of this emerging sexual behavior, how people engage in it, as well as short-term and potential long-term health conseq uences. The present review addresses these issues.Recent FindingsSexual choking refers to a sexual practice in which people apply external pressure to the neck in order to reduce blood flow and/or air flow. Although hands are most often used, people sometimes use a limb (e.g...
Source: Current Sexual Health Reports - August 29, 2023 Category: Sexual Medicine Source Type: research
A meta-analytic review of acceptance-based interventions for migraine
CONCLUSION: Results suggest that acceptance-based interventions are effective in improving disability among adults with migraine and are a viable non-pharmacological treatment option, in addition to well-established behavioral migraine management approaches, for patients seeking functional improvement.PMID:37635382 | DOI:10.1111/head.14614
Source: Headache - August 28, 2023 Category: Neurology Authors: Ashley N Polk Todd A Smitherman Source Type: research
