Failing Fast: Does It Apply to Health Care?

May 09, 2017When you're developing new ideas or tech, failure isn't  such a bad thing. But for health workers, it means something else.I had the good fortune of attending and presenting at the 2017  SwitchPoint  conference, organized by  Intrahealth International, in Saxapahaw, North Carolina. SwitchPoint brings together musicians, innovators, health practitioners, and a wider range of people working in global health and humanitarian response, for a few days of information sharing and soul searching.The event is highly produced  (while I was waiting to give my talk, the people upfront radioed backstage that I should wait an extra 15-seconds while my walk-on music was playing), and creates a sense of each thing flowing into the next.By putting people who do not typically work together in the same, secluded space and juxtaposing ideas that are seemingly unrelated, the meeting sparks creativity and self-reflection in the speakers, as well as the attendees.We aspire to  fail fast so we can move on to trying the next thing.The word that comes to mind to best capture my experience is “vulnerability”.There was no jockeying to be seen as the smartest person in the room. Many people talked about mistakes or losses in their experience and how these events shaped their work. It ’s common for information technologists to urge our colleagues from public health and medicine to embrace failure.We know that the innovative things we build o...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Source Type: news

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Conclusion: Functional capacity and mood state are interrelated. Greater function could sustain vitality and mental health, possibly reducing anxiety and depression.Gerontology
Source: Gerontology - Category: Geriatrics Source Type: research
Conclusion: Family members, partners, and close friends are sensitive to vulnerabilities of their social partners, but in some domains and according to their partners ’ age they perceive a greater (or smaller) risk than their partners perceive for themselves. In situations requiring surrogate decision-making, people may decide differently from how their social partners would decide for themselves.Gerontology
Source: Gerontology - Category: Geriatrics Source Type: research
ConclusionsAdvances in the neoadjuvant treatment of rectal tumors contributed to better rates of complete pathological responses. New paradigms promote an increase in the complete clinical response rates, which would allow organ preservation and consequent reduction of surgical morbidity.ResumoObjetivoDescrever os resultados parciais de estudo em pacientes com câncer de reto submetidos a tratamento neoadjuvante com quimioterapia e radioterapia quanto à taxa resposta clínica completa, sobrevida livre de doença, função anorretal e qualidade de vida.Material e métodosEstudo pros...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
Publication date: Available online 19 December 2018Source: Journal of ColoproctologyAuthor(s): Sâmia Gomes, Yeda Aparecida de Oliveira Duarte, Jair Licio Ferreira SantosAbstractIntroductionConstipation is understood to be a chronic problem related to a multi-functional disorder that affects approximately 20% of the world population, and it is more prevalent in women and in the elderly.ObjectiveTo measure the prevalence of intestinal constipation in elderly people living in São Paulo, as well as the factors associated with this condition.MethodsThis was a cross-sectional study using the SABE study database (Hea...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
ConclusionProgramming surgery more than eight weeks after chemoradiotherapy seems preferable to the six to eight weeks most recently practiced, increasing tumor downstaging and having higher complete pathological response rates.ResumoObjetivos do estudoAvaliar o timing ideal entre a terapêutica neoadjuvante e cirúrgica no carcinoma do reto e a sua influência nos outcomes de tratamento.Material e métodosUtilizando a “PubMed”, foi feita uma revisão sistemática da literatura disponível acerca da influência do timing cirúrgico após quimiorradioterap...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
ConclusionsIn Myanmar, generic and pangenotypic SOF/VEL +/- RBV is a highly effective and safe treatment for HCV regardless of HCV genotype and therefore the requirement for baseline genotype can be eliminated. Future strategies should include elimination of on treatment and end of treatment HCV RNA testing to enhance treatment uptake and further reduce cost.
Source: Journal of Clinical and Experimental Hepatology - Category: Gastroenterology Source Type: research
ConclusionsOur results confirm that anticoagulation allows a recanalization of PVT complicating cirrhosis in the majority of the cases, is associated with non-severe bleeding complications, and can be maintained for a long duration in order to avoid recurrence.
Source: Clinics and Research in Hepatology and Gastroenterology - Category: Gastroenterology Source Type: research
Publication date: Available online 18 December 2018Source: Journal of Critical CareAuthor(s): Alex Presciutti, Evie Sobczak, Jennifer A. Sumner, David J. Roh, Soojin Park, Jan Claassen, Ian Kronish, Sachin AgarwalAbstractPurposeTo determine the association of depressive and PTSD symptoms with cardiac arrest survivors' long-term recovery perceptions, after accounting for cognitive status, functional independence, and medical comorbidities.MethodsPerceived recovery of 78 cardiac arrest survivors at 6-months post-hospital discharge was assessed through the question, “Do you feel that you have made a complete recovery fr...
Source: Journal of Critical Care - Category: Gastroenterology Source Type: research
This study investigates the association between mean arterial pressure (MAP) and renal function after out-of-hospital cardiac arrest (OHCA).Materials and methodsPost-hoc analysis of 851 comatose OHCA-patients surviving>48 h included in the targeted temperature management (TTM)-trial.ResultsPatients were stratified by mean MAP during TTM in the following groups;  80 mmHg (35%). Median (interquartile range) eGFR (ml/min/1.73 m2) 48 h after OHCA was inversely associated with MAP-group (70 (47–102), 84 (56–113), 94 (61–124), p 
Source: Journal of Critical Care - Category: Gastroenterology Source Type: research
Publication date: Available online 19 December 2018Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): Ian Martin, Patrick Magennis, Ian Sharpe
Source: British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research
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