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Weekly Overseas Health IT Links –24th September, 2022.
This article makes the case and explains what will be required to make it happen.We hear a lot about “digital health” these days. As data about our health piles up — thanks to sources like electronic health records, personal fitness apps and gadgets, and home genome test kits — weshould understand a lot more than we used to about what ’s wrong with our health and what to do about it. But having a lot of data is not enough. We have to be aware of what we have, understand what it means, and act on that understanding. While the challenges are in some ways more acute in the United States because of its fragmented sys...
Source: Australian Health Information Technology - September 24, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

How IoT Medical Devices Save and Improve Lives
The following is a guest article by Erik Kling, Interim Head of IoT Americas at Vodafone Business. IoT, or the Internet of Things, has transformed our homes with connected lights and smart appliances. It’s also revolutionized all areas of business, including manufacturing. Sensors connected to the internet can track goods throughout the supply chain — from sourcing materials to delivering completed products to consumers. IoT technology has improved the way we live, but its most profound impact may be in healthcare, where it’s saving lives and improving health. Before IoT revolutionized healthcare, doctors and care pr...
Source: EMR and HIPAA - June 23, 2022 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Clinical Health IT Company Healthcare IT IT Infrastructure and Dev Ops AED American College of Cardiology Connected Defibrillators Continuous Glucose Monitors CPAP Dr. Ami Bhatt Elliot Erik Kling Healthcare AI Source Type: blogs

Testing Won ’ t Get Us Where We Need to Go
Conclusions Testing is important to track the trajectory of an epidemic in a community to guide local or national efforts at mitigationThe tests we currently have for COVID have limited accuracy for the individual patientAntibody testing suggests that the fatality rate for COVID may be low in certain communities, but data from New York suggests there is the potential for significant death and morbidity in any major metropolitan areaContact tracing enabled by smart phone technology is likely unable to be effective because they do not overcome the inherent limitations of COVID testing, require widespread adoption, and may...
Source: The Health Care Blog - May 19, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy Anish Koka COVID-19 testing Source Type: blogs

Aspirin for primary prevention of cardiovascular disease, part 2
Update In March 2019, the American College of Cardiology (ACC) and the American Heart Association (AHA) released new guidelines that suggest that most adults without a history of heart disease should not take low-dose daily aspirin to prevent a first heart attack or stroke. Based on the ASPREE, ARRIVE, and ASCEND trials, the ACC/AHA guidelines concluded that the risk of side effects from aspirin, particularly bleeding, outweighed the potential benefit. The new guidelines do not pertain to people with established cardiovascular disease, in whom the benefits of daily aspirin have been found to outweigh the risks. ___________...
Source: Harvard Health Blog - March 14, 2019 Category: Consumer Health News Authors: Deepak Bhatt, MD, MPH Tags: Heart Health Prevention Source Type: blogs

A man in his 80s with chest pain
Written by Pendell MeyersA male in his 80s with history of colon cancer, HTN, and CAD with a newly placed LAD stent approximately 1 month ago, presenting with acute shortness of breath and chest pain. No prior ECG.Here is his ECG at 07:08:There is STE in V2, I and aVL, but it does not meet STEMI criteria because there are no two contiguous leads with STE meeting criteria. There is also STD in V3-V6, as well as II, III, and aVF. There is likely lead misplacement involving V2 explaining the R-wave progression. These findings and their associated morphology are definite evidence of transmural ischemia of the anterior and late...
Source: Dr. Smith's ECG Blog - October 22, 2018 Category: Cardiology Authors: Pendell Source Type: blogs

A patient is left with a choice: financial devastation or blindness
That statement from a recent patient was a summary to me of what is bad in our health care “system.”  It’s a terrible summary of what is seen all over this country with people who must make the choice between financial solvency and health. Here’s what happened:  It was a new patient I saw, who is a veteran who owns two businesses.  He went out on his own when he “kept getting laid off.”  He has largely been successful in what he’s doing, but as is the case with many these days, he couldn’t afford health insurance.  This was especially bad because he had a heart attack last year, which required stenting...
Source: Kevin, M.D. - Medical Weblog - June 29, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rob-lamberts" rel="tag" > Rob Lamberts, MD < /a > Tags: Physician Primary Care Public Health & Policy Source Type: blogs

The man with the fedora in the ICU
I visit him in the ICU day in and day out. It’s the man with the fedora. I see him every day because he is not going anywhere. The metastatic cancer has ravaged his colon, bones, liver, and lungs. His oncologist is willing to try more chemo — but not now — maybe someday “when he is stronger.” The man has already failed several other regimens. The oncologist hasn’t seen him in a while. He’ll see the patient in clinic when he is discharged. He thanks us for keeping him updated. Every day as I log on to the electronic health record in the top left corner, I see the man’s picture. Taken at an outpatient vis...
Source: Kevin, M.D. - Medical Weblog - June 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/daniel-z-uslan" rel="tag" > Daniel Z. Uslan, MD < /a > Tags: Physician Critical Care Hospital-Based Medicine Infectious Disease Source Type: blogs

Computational Geneticist Discusses Genetics of Storytelling at Sundance Film Festival
About 10 years ago, University of Utah geneticist Mark Yandell developed a software platform called VAAST (Variant Annotation, Analysis & Search Tool) to identify rare genes. VAAST, which was funded by NHGRI, was instrumental in pinpointing the genetic cause of a mystery disease that killed four boys across two generations in an Ogden, UT family. NIGMS has been supporting Yandell’s creation of the next generation of his software, called VAAST 2, for the past few years. The new version incorporates models of how genetic sequences are conserved among different species to improve accuracy with which benign genetic seque...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - March 1, 2018 Category: Research Authors: Chris Palmer Tags: Computers in Biology Genetics Source Type: blogs

Empathy is better felt than defined
Empathy is a cryptic term. Those in the health care profession can certainly spout off a variety of phrases and metaphors that are typically used to describe the concept of empathy in the educational setting. Throughout my medical education thus far it has been described as “putting yourself in another’s shoes” or “sharing in another’s emotion.” We are also taught early on what empathy is not. Empathy is not feeling sorry for someone. Now, these are all definitions that might be elicited when asking the average medical student about the concept of empathy. However, discussing empathy in a classroom does very li...
Source: Kevin, M.D. - Medical Weblog - October 31, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/brian-schnettgoecke" rel="tag" > Brian Schnettgoecke < /a > Tags: Education Cardiology Hospital-Based Medicine Medical school Source Type: blogs

A Health Plan CEO Daydreams
By MICHEL ACCAD, MD Jim was at his desk, looking weary. The last few weeks had been brutal.  Despite working twelve-hour days, he felt that he had little to show for it.  His annual board meeting was to take place the next day, and he expected it to be tense. With a replacement bill for the ACA about to be voted on, and with Trump in the White House, the situation seemed particularly precarious.  The board members had asked him to present a contingency plan, in case things in DC didn’t go well. As CEO of a major health insurance company, Jim was well aware that business as usual had become unsustainable in his l...
Source: The Health Care Blog - May 4, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized AHCA health reform MICHEL ACCAD repeal and replace Source Type: blogs

Undoctored: Giving back control over individual health
The new Undoctored book is scheduled for release this coming May 9th, 2017, a book that shows how you can be freed from the bonds of a predatory, profit-seeking healthcare system.  Here’s a bit more from the book, now available in pre-release.   Undoctored: An excerpt Unquestionably, there are situations in which doctoring and the healthcare system are needed. If you are bleeding, injured, or struggling to breathe with pneumonia, some old-fashioned suturing, bone-setting, or antibiotics can still do the trick. Nobody around here is going to replace their own hip joint or treat a urinary tract infection with sal...
Source: Wheat Belly Blog - March 12, 2017 Category: Cardiology Authors: Dr. Davis Tags: Wheat-Free Lifestyle autoimmune diabetes gluten grains hypertension Inflammation metabolic undoctored Weight Loss wheat belly Source Type: blogs

In Defense of Small Data
By ANISH KOKA, MD I read with interest a recent editorial that opined on the poor evidence for screening in cancer trials. The evidence was judged poor because apparently no screening trial has demonstrated a clear reduction in all-cause mortality, only disease-specific mortality.  One example discussed in the analysis reviews the data for colon cancer screening and notes that, while there were a statistically significant lower number of deaths related to colon cancer in the screened group, the total mortality in the two groups was no different.  The authors posit that the study is either underpowered for total mortali...
Source: The Health Care Blog - March 9, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

DM / DNB Cardiology Entrance Mock Test 4
Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test. Start Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 4. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rate...
Source: Cardiophile MD - January 18, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs

Pioneering Cardiologist George Diamond Dead At 74
George Diamond, a pioneering cardiologist at the Cedars-Sinai Medical Center in Los Angeles, died on Saturday at the age of 74 from complications related to colon cancer. Here are some reactions to news of his death from several of his long-time friends and colleagues at Cedars-Sinai. Sanjay Kaul: “I am deeply saddened at the loss...Click here to continue reading...
Source: CardioBrief - December 13, 2015 Category: Cardiology Authors: Larry Husten Tags: People, Places & Events George Diamond Source Type: blogs

Venous thromboembolism in cancer – Cardiology MCQ
Which of the following cancer has the highest relative risk of venous thromboembolism? a) Pancreatic cancer b) Brain cancer c) Multiple myeloma d) Colonic cancer Correct answer: c) Multiple myeloma Multiple myeloma has forty six fold risk of venous thromboembolism than healthy controls while brain cancer has twenty fold and pancreatic cancer sixteen fold relative risk. But by absolute numbers, most episodes occur with lung, colon and prostate  cancer [1]. Chemotherapy confers six fold extra risk though chemotherapy per se is not considered an indication for prophylactic anticoagulation in ambulatory patients, the exceptio...
Source: Cardiophile MD - June 2, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs