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Announcements, Insights, and Perspectives from the Oracle Health Conference
One of the nice things about living in Las Vegas is that almost all the health IT conferences come to Las Vegas.  Sadly, that wasn’t actually true for the Cerner user conference which was held in Kansas City.  However, now that Oracle bought Cerner, the Oracle Health conference is now co-located with Oracle World and is being held in Las Vegas. Of course, there are also downsides to conferences being in Las Vegas where family considerations pull me away from the event.  For example, I missed Larry Ellison’s keynote, but Kristian Feterik did a nice job capturing at least part of Ellison’s vision for Ora...
Source: EMR and HIPAA - September 20, 2023 Category: Information Technology Authors: John Lynn Tags: AI/Machine Learning C-Suite Leadership EMR-EHR Health IT Company Healthcare IT Hospital - Health System Ambient Clinical Voice Cerner David Feinberg EHR AI Healthcare AI Healthcare ERP International EHR Oracle Oracle Cloud Or Source Type: blogs

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith.  Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

A 50-something with Regular Wide Complex Tachycardiaa: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith.  Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Ensuring Fairness in Medical Education Assessment
This study takes a first step in centering the margins as we as medical educators grow our understanding of the dynamics of promoting fairness in assessment. Future studies should explore feedback with intentional inclusion and involvement of diverse students, teachers, and researchers at every stage of the research process from conceptualization through dissemination and application of the new learning. We thank our participants for their time and candor discussing this sensitive topic and the Group on Educational Affairs for funding our work. Thank you for your time and attention and the focus that you’ll put on th...
Source: Academic Medicine Blog - September 18, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast assessment equity Macy Foundation medical education Source Type: blogs

Fight Aging! Newsletter, September 18th 2023
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter, please visit: https://www.fightaging.org/newsletter/ Longevity Industry Consulting Services Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - September 17, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Enhancing Healthcare Through Industry-Specific Large Language Models
The following is a guest article by Tisson Mathew, Founder and CEO at SkyPoint AI Why Large Language Models Trained on Industry Context are Essential for Effective Generative AI in the Healthcare Space Ask ChatGPT an important but complicated healthcare-related question, and you might very well get a wrong—and potentially dangerous—answer. Navigating the complexities of medical data, regulations, and patient care can place demands on generative AI technologies that can’t be fulfilled. But there is a way to take full advantage of the power of GenAI — with industry-specific LLMs that are securely supplied wit...
Source: EMR and HIPAA - September 13, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System AI Companion DataStax EMR Generative AI Healthcare AI Healthcare AI Ethics Healthcare ChatGPT Healthcare LLMs Large Language Models Source Type: blogs

From academic medicine to private practice PODCAST
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Carmen Fong, a colorectal surgeon, as she shares her journey through the world of medicine. Carmen’s experiences highlight the challenges women face in academic medicine, from gender disparities to work-life balance. We delve into her decision to transition to private practice, explore the Read more… From academic medicine to private practice [PODCAST] originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - September 12, 2023 Category: General Medicine Authors: Tags: Podcast Surgery Source Type: blogs

Judge for yourself the management of this patient with " NSTEMI, multivessel disease "
DISCUSSION:The administration of opioid analgesia prior to cath in patients with concern for ACS is associated with longer door-to-balloon times, and greater peak troponin levels. The rate of Occlusion MI in those who received pre-cath opioids was double the rate of those without pre-cath opioids, and STEMI(-) OMI patients who received pre-cath opioids waited 10 hours on average longer to get cath than those who did not received opioids. These results add support to our hypothesis that a major mechanism of harm caused by opioid medications in ACS patients involves delays to the cath lab for patients with STEMI(-) OMI.=====...
Source: Dr. Smith's ECG Blog - September 10, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

New Collection of Articles on Language Equity in Medical Education
To recognize and demonstrate that all persons are valued and respected, academic medicine ideally will reflect the communication needs and language preferences of the population. We have curated a collection of articles with the intent of helping readers understand historical perspectives on the need to address language-related health disparities and informing strategies to enhance language-appropriate health care training and assessment at their institutions. Each of us, Dr. Pilar Ortega and Dr. Débora Silva, brings a different perspective on language equity informed by our personal and professional experiences. I (P....
Source: Academic Medicine Blog - September 8, 2023 Category: Universities & Medical Training Authors: amrounds Tags: Guest Perspective Journal Announcement Academic Medicine collection language equity medical education Source Type: blogs

Has Sensemaking Collapsed When It Comes To U.S. Healthcare?
By MIKE MAGEE This past week my wife and I were at a family event to celebrate my brother-in-law’s 70th birthday. Our extended family has more than a few doctors. A physician nephew who had read CODE BLUE and had a strong interest in health policy asked if I felt I (and others) were too hard on doctors. My response was yes, but that it was intentional and came with the territory. Combining scientific, sometimes life and death expertise, with high-touch compassion, understanding and partnership has always been a “big ask” but that was what we and others had signed up for as “health professionals.” But can a ...
Source: The Health Care Blog - September 5, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Deming Don Berwick ESCAPE FIRE Karl E. Weick Mike Magee Physicians Sensemaking Source Type: blogs

Fight Aging! Newsletter, September 4th 2023
In conclusion, although the contribution of CRF to GrimAgeAccel and FitAgeAccel is relatively low compared to lifestyle-related factors such as smoking, the results suggest that the maintenance of CRF is associated with delayed biological ageing in older men. « Back to Top Release of Acetylcholine is Necessary for the Aging Brain to Compensate for a Lack of Neurogenesis https://www.fightaging.org/archives/2023/09/release-of-acetylcholine-is-necessary-for-the-aging-brain-to-compensate-for-a-lack-of-neurogenesis/ Neurogenesis is the process by which new neurons are created by neural stem ce...
Source: Fight Aging! - September 3, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

A Perspective on the Coming Regulatory Shift to Approval of Drugs to Treat Aging
At some point, regulatory bodies that oversee the development of new medicine will accept that therapies can target causative mechanisms of aging in order to slow or reverse the progression of aging, and that there are viable ways to assess new treatments that treat aging. There is growing pressure from the academic community and longevity-focused biotech industry for the ability to run clinical trials to treat aging, rather than to treat one specific age-related disease. While inevitable, this change will take some years to come to pass, and likely require greater consensus in the research community on reasonable a...
Source: Fight Aging! - August 29, 2023 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs

20th Birthday Classic: “Healthcare” vs. “Health Care”: The Definitive Word(s)
This is the last of the classics that THCB will run to celebrate our 20th birthday. And we are finally tackling the most important of questions. Is what we call this thing one word or two? Back in 2012 Michael Millenson had the definitive answer–Matthew Holt By MICHAEL L. MILLENSON A recent contributor to this blog wondered about the correctness of “health care” versus “healthcare.” I’d like to answer that question by channeling my inner William Safire (the late, great New York Times language maven). If you’ll stick with me, I’ll also disclose why the Centers for Medicare & Medicaid Serv...
Source: The Health Care Blog - August 25, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy health care Healthcare Michael Millenson Source Type: blogs

Evidence review: Physical exercise helps boost attention, cognitive flexibility and inhibitory control in children and adolescents with ADHD
Conclusions based on a single study –no matter how strong the study design and execution may be– are necessarily limited, however. This has led researchers to combine results from multiple studies using a statistical technique called meta-analysis so that more robust and reliable estimates of a treatment’s impact can be determined. Meta-analyses also have limitations, however. Decisions made about which studies to include vs. exclude, how to adjust for potential biases in individual studies, etc., can lead different meta-analyses of the same issue to reach somewhat different conclusions, even when the studies examine...
Source: SharpBrains - August 23, 2023 Category: Neuroscience Authors: Dr. David Rabiner Tags: Attention & ADD/ADHD Brain/ Mental Health Education & Lifelong Learning ADHD-symptoms cognitive-abilities cognitive-function executive functioning Physical-activity Source Type: blogs