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Weekly Overseas Health IT Links – 30th December, 2017.
Here are a few I came across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----https://www.healthdatamanagement.com/news/app-monitors-symptom-severity-in-patients-undergoing-chemotherapyApp monitors symptom severity in patients undergoing chemotherapy By Greg SlabodkinPublished December 22 2017, 7:04am ESTUsing a smartphone and Fitbit device, cancer patients undergoing chemotherapy were able to be remotely monitored in real time by their p...
Source: Australian Health Information Technology - December 30, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The 1000th Thread!
This is the 1000th presentation to my bioethics blog since starting on Google Blogspot.com in 2004.There has been many topics covered. Though comments by the visitors has always been encouraged and, since as a " discussion blog " , comments leading to discussions I have felt was the definitive function here. Virtually none of the thread topics have gone unread and most have had some commentary, some with mainly particularly strong and emphatic opinions http://bioethicsdiscussion.blogspot.com/2013/01/should-pathologists-be-physicians.html, some with extensive up to 12 years long continued discussion http://bioethicsdiscussi...
Source: Bioethics Discussion Blog - December 24, 2017 Category: Medical Ethics Source Type: blogs

This Looks Like Another Worthwhile Initiative From Government. Worth Knowing About!
This appeared last week:27 November 2017New cancer database a key resource for GPsCancer Clinical Posted by Felicity Nelson Cancer Australia ’s new searchable database is giving GPs quick access to population data on cancers.The National Cancer Control Indicators website, launched this month, brings together information on 17 cancers from trusted sources.Quick fact cards present up-to-date data on prevention, incidence rates, treatment , and five-year relative survival.“Cancer is a pretty scary word,” says Dr Liz Marles, the director of the Hornsby GP Unit in Sydney and member of Cancer Australia’s Advisory Council...
Source: Australian Health Information Technology - December 8, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

National Hospice and Palliative Care Month: Divide and Conquer
by Christian Sinclair (@ctsinclair)Now thatNational Hospice and Palliative Care Month (NHPCM) is in the books for 2017, December is a good time to reflect on what these awareness months can (and cannot) accomplish and how we can make a better strategy for the future. Awareness campaigns have blazed brightly through the bracelet and ribbon eras, and are firmly in the social media era with no signs of stopping (other than possibly fatigue from so much awareness about awareness campaigns.)No single group is technically is in charge of National Hospice and Palliative Care Month. Very few calendar-based advocacy campaigns (CBAC...
Source: Pallimed: A Hospice and Palliative Medicine Blog - December 4, 2017 Category: Palliative Care Tags: hospice palliative sinclair The profession Source Type: blogs

It Looks Like The New National Cancer Registry Is Still Struggling!
This appeared last week:13 November 2017Data delays hinder cancer registerPosted by Ruby Prosser Scully As the Department of Health delays the rollout of the National Cancer Screening Register yet again, clinicians are being urged to be aware that women ’s clinical histories may be separated between state and national registers for several months. The transition from two-yearly Pap smears to five-yearly HPV testing has been almost universally praised as life-saving and cost-effective, but the rollout has been beleaguered by repeated delays and cost blowouts. Now another partial delay to the program has been con...
Source: Australian Health Information Technology - November 24, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

LGBTQ at the End-of-Life: Needs and Challenges
By Vivian LamHolistic care is essential in the mission to fully meet a patient ' s needs. And a holistic perspective is the backbone of end of life and palliative care--it ' s the basis of having an interprofessional team that acknowledges that quality of life is multifaceted, and lives are diverse. But getting to know a patient enough to be able to be " holistic " can be difficult. And in the case of LGBTQ individuals, getting to know the patient as a whole is not only all the more important —it’s integral.According to a2016 Gallup survey, 4.1% of U.S. adults openly identify as LGBTQ, or around 10 million adults. Of t...
Source: Pallimed: A Hospice and Palliative Medicine Blog - November 13, 2017 Category: Palliative Care Tags: closet end of life gay hospice lesbian LGBT LGBTQ palliative transgender vivian lam Source Type: blogs

Weekly Overseas Health IT Links – 11th November, 2017.
Here are a few I came across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----https://www.healthdatamanagement.com/news/artificial-intelligence-helps-detect-ovarian-cancer-early-and-accuratelyArtificial intelligence helps detect ovarian cancer early and accurately By Greg SlabodkinPublished November 03 2017, 7:47am EDTOvarian cancer is difficult to diagnose, particularly in its early stages, when survival rates are much higher. Because th...
Source: Australian Health Information Technology - November 11, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

One Last Story on How Life Sucks After Breast Cancer
Okay, maybe I have been in a rut because I have been stuck at home after knee surgery because I can ' t drive. Or maybe because I have a cold that I am obsessing on crappy lives after cancer. Or maybe the internet gods had their stars align and all these stories ended up on my laptop in the same time period. But I hope this will be the last one for a while.Here ' s the story of a young woman who lost both her husband and her sister because of her lengthy cancer treatment." “The reality is that probably four out of seven days I’m in bed,” explains the 39-year-old, who lives with her mother at Bundall.“I’ve had my ...
Source: Caroline's Breast Cancer Blog - November 6, 2017 Category: Cancer & Oncology Tags: being a patient breast cancer bonds breast cancer treatment stress Source Type: blogs

Blockchain + Gold
ConclusionI am not endorsing or recommending investment in any of these projects. Caveat emptor. But I think the last three listed warrant our attention as attempts, in the spirit of E-gold, to provide modern gold-based payment systems with online access. All three explicitly promisenot to hold fractional reserves, and say that you can track the volume of cryptoasset on their ledger to see that it matches the number of gold grams or ounces held in their vaults. But if one of them becomes popular as a one-hundred-percent-reserved   goldpayment system, perhaps a subsequent innovator will offer zero storage fees and interest...
Source: Cato-at-liberty - October 26, 2017 Category: American Health Authors: Lawrence H. White Source Type: blogs

Funtabulously Frivolous Friday Five 209
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 209. Question 1 Who wrote in their journal “I did not sleep at all last night. It hurts like the devil! A snowstorm whipping through my soul, wailing like a hundred jackals. Still no obvious symptoms that perforation is imminent, but an oppressive feeling o...
Source: Life in the Fast Lane - October 13, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Anosmia Antartica appendicitis body packing Boring and Boring cocaine Edwin Boring Freesias ketones Leonid Rogozov Lucy Boring sleep temporal reference toponymous disease Source Type: blogs

I ’ m 35 Years Old And I ’ m Realizing My Life May Be About to End. And I ’ m Panicking, Just a Little.
By SCOTT RIDDLE It’s been a while since I put a piece of writing in the public domain, but suddenly I have a lot to get off my chest, well my colon actually. Just three weeks ago life was good. Correction. It was awesome. The newest edition to our family had arrived on Christmas Eve, joining his two sisters aged 5 and 3. A month later we were on a plane home to Sydney, having spent four great years working for Google in California. My beautiful wife had been working at a startup on NASA’s Moffett campus and was worried about finding something equally interesting in Australia, but she managed to land a very similar gig...
Source: The Health Care Blog - October 4, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Cancer Colon Cancer Scott Riddle Source Type: blogs

Lorazepam, Haloperidol, and Delirium
JAMA Internal Medicinehas published a double-blind,randomized, placebo-controlled trial of adding lorazepam to haloperidol in patients with advanced cancer and agitated delirium. (We had a heads up about this trial because it waspresented at ASCO earlier this year.) If there ever was a sort of consensus in HPM about how we should be treating delirium, my sense is that it ’s been shattered by the recentRCT of low-dose haloperidol vs risperidone for delirium in Australian palliative care unit patients, showing those drugsworsened delirium symptoms. So, it seems like we should all see what we can learn from this newly publi...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 25, 2017 Category: Palliative Care Tags: antipsychotics delirium research issues rosielle Source Type: blogs

AusHealthIT Poll Number 389 – Results – 24th September, 2017.
Here are the results of the poll.On Average, Across GP Practices, Do You Believe The IT Security Processes and Arrangements Are Adequate To Fully Protect Patient Information Held In The myHR?Yes 43% (51) No 38% (45) I Have No Idea 19% (23) Total votes: 119 Interestingly a split vote with many confident of the security in general practice and a large minority no so much. Clearly the implication is that things are nowhere near as good as they might be….. Any insights welcome as a comment. A great turnout of votes! Again, many, many thanks to all those that voted! David. This is the initial part of the post - re...
Source: Australian Health Information Technology - September 24, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Caution Warranted As VA Incorporates ICER Value Assessments Into Formulary Management Process
The Department of Veterans Affairs (VA) Pharmacy Benefits Management Services and the Institute for Clinical and Economic Review (ICER) recently announced a collaboration in which the VA will use the ICER’s drug assessments as part of its formulary development and price negotiations. This type of relationship might be normal outside of the United States (for example, in the United Kingdom, Germany, and Australia), where input from governmental health technology assessment organizations is used in determining health care coverage decisions. However, in the United States—with our multipayer health care system coverin...
Source: Health Affairs Blog - September 18, 2017 Category: Health Management Authors: Robert Dubois Tags: Costs and Spending Drugs and Medical Innovation Insurance and Coverage Payment Policy Population Health Department of Veterans Affairs drug pricing Institute for Clinical and Economic Review pharmaceuticals quality of care Veterans' He Source Type: blogs