Primary Diagnosis: None

By NIRAN AL-AGBA, MD My pediatric practice is one which harkens back to days long ago when physicians knew their patients and pertinent medical histories by heart. My 81-year-old father and I were in practice together for the past 16 years; he still used the very sophisticated “hunt and peck” to compose emails. The task of transitioning to an electronic record system seemed insurmountable, so we remain on paper. Our medical record system has not changed in almost five decades. I would not have it any other way. This past spring, he walked into my office shaking his head in disbelief after thumbing through a stack of faxes. “Can you believe this 16-page emergency room note has no helpful information about the patient?” This was not a shock to me. The future of medicine will include robots who are paid to collect reams of useless data to provide nothing in the way of health or care. Regardless, the government and third-party payors will extoll upon the virtues of their inept system as life expectancy falls. Fifty years ago, there was a close relationship between a physician and their patient grounded in years of familiarity. Physicians took a history, performed a physical exam, and developed an assessment and plan. Diagnosis in a child with fever would be descriptive, like Bacterial Infection, Otitis Media, Fever of Unknown Cause, or Viral Illness. Parents were advised to provide supportive care, involving clear liquids, fever medication, and follow up p...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: blogs

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Publication date: Available online 20 August 2019Source: LWTAuthor(s): R. Becerril, S. Manso, C. NerínAbstractThe influence of the growth of Aspergillus flavus and Escherichia coli on the concentration of the main compounds released by essential oils of cinnamon, clove and oregano has been studied. A diffusion vapour test and a subsequent analysis of three different areas of the plate were carried out. The results showed that in absence of microorganisms a gradient of concentration from the centre towards the periphery of the plate was observed for eugenol, carvacrol and cinnamaldehyde but not for thymol or linalool...
Source: LWT Food Science and Technology - Category: Food Science Source Type: research
This study provides insight into biodegradable packaging by which synthetic packaging could be substituted.
Source: Food Packaging and Shelf Life - Category: Food Science Source Type: research
This study examines the extent to which data linkages between Indian Health Service, tribal data, and cancer registries affect cancer incidence rates among American Indians/Alaska Natives (AI/ANs) in Michigan. The incidence of tobacco- and alcohol-associated cancers for 1995-2012 was analyzed to compare rates of the Upper Peninsula (UP) and Lower Peninsula (LP) in Michigan and among AI/ANs and non-Hispanic Whites (NHWs). Complete linkage resulted in 1,352 additional AI/AN cases; 141 cases were linked via IHS records alone, while 373 were linked via tribal records alone; 838 were linked through both IHS and tribal records. ...
Source: Journal of Health Care for the Poor and Underserved - Category: International Medicine & Public Health Authors: Tags: J Health Care Poor Underserved Source Type: research
Abstract The prevalence of tobacco smoking among people with HIV (PWH) ranges from 40% to 70%. Additionally, tobacco smoking is higher among low-income individuals, yet few studies have examined tobacco smoking in low socioeconomic status PWH. Using data from a cohort of PWH receiving care in an urban HIV clinic, we characterized factors associated with current and former smoking and with initiation/re-initiation and cessation of tobacco use. Among a study sample of 1,607 PWH, the prevalence of current smoking was 46.6% among men and 46.0% among women. Current smoking in men and women was associated with Medicaid ...
Source: Journal of Health Care for the Poor and Underserved - Category: International Medicine & Public Health Authors: Tags: J Health Care Poor Underserved Source Type: research
In conclusion, the results obtained indicate that the phytochemicals tested showed relevant in vitro anti-M. pachydermatis activity. Future in vivo experiments are needed to elucidate the safety and therapeutic potential of these combinations.RésuméMalassezia pachydermatis est un agent opportuniste important de la dermatite et de l'otite chez le chien. M. pachydermatis est généralement traité au moyen de traitements topiques utilisant une combinaison d'agents antifongiques, antimicrobiens et anti-inflammatoires. Nous avons étudié les activités in vitro du carvacrol (C...
Source: Journal of Medical Mycology - Category: Biology Source Type: research
Publication date: 15 November 2019Source: Carbohydrate Polymers, Volume 224Author(s): Shichao Bi, Pengjun Wang, Shihao Hu, Shaoke Li, Jianhui Pang, Zhongzheng Zhou, Guohui Sun, Liang Huang, Xiaojie Cheng, Shichao Xing, Xiguang ChenAbstractWeak mechanical properties, lack biocompatibility and relatively bioinert are formidable obstruct in application of bone repair materials. Multifunctional composite materials have been considered as a viable solution to this problem. Here, a new double network (DN) hydrogel was constructed by physical cross-linking of medical grade poly (vinyl alcohol) (PVA) and chitosan in KOH/urea disso...
Source: Carbohydrate Polymers - Category: Biomedical Science Source Type: research
Publication date: 15 November 2019Source: Sensors and Actuators B: Chemical, Volume 299Author(s): Peng Yu, Yuanming Zhai, Rui-Ying Bao, Zheng-Ying Liu, Ming-Bo Yang, Wei YangAbstractIn chemical industry, elemental sulfur (S) is widely used and always causes environmental and pollution concerns. Hence, the rapid and simple detection of S has become an important issue. In this work, we report an effective approach for visible determination of S. The color of the detection reagent, which was readily prepared by mixing N, N-Dimethylformamide and hydrazine hydrate in a certain ratio, changes from colorless to blue and gradually...
Source: Sensors and Actuators B: Chemical - Category: Chemistry Source Type: research
Publication date: Available online 19 August 2019Source: Colloids and Surfaces A: Physicochemical and Engineering AspectsAuthor(s): A.M. Hezma, A. Rajeh, Mohammed A. MannaaAbstractZinc oxide nanoparticles were prepared by a sol-gel method and characterized by XRD, SEM, TEM and EDX. A series of chitosan and polyvinyl alcohol (Cs/PVA) blend films doped with various concentrations of Zinc oxide nanoparticles (ZnO NPs) were prepared by solution casting method. These samples were characterized by various analytical techniques. XRD patterns of the prepared samples showed increasing in amorphousity of the polymer blend with incre...
Source: Colloids and Surfaces A: Physicochemical and Engineering Aspects - Category: Chemistry Source Type: research
Publication date: Available online 17 August 2019Source: Colloids and Surfaces A: Physicochemical and Engineering AspectsAuthor(s): Wai-Hwa Khoh, Boon-Hong Wee, Jong-Dal HongAbstractA flexible solid-state asymmetric supercapacitor (ASC) was assembled with a polyaniline (PANi)/PEDOT/PANi/ultralarge reduced graphene oxide (UrGO) tetralayer film (denoted as PPPrG, used as the positive electrode) and a PEDOT/MoS2 film (denoted as PMo, used as the negative electrode) on a flexible polyethylene terephthalate (PET) substrate with polyvinyl alcohol/H2SO4 gel electrolyte. The PPPrG tetralayers were fabricated on PET via a layer-by-...
Source: Colloids and Surfaces A: Physicochemical and Engineering Aspects - Category: Chemistry Source Type: research
I define bad healthcare IT as:... IT that is ill-suited to purpose, hard to use, unreliable, loses data or provides incorrect data, is difficult and/or prohibitively expensive to customize to the needs of different medical specialists and subspecialists, causes cognitive overload, slows rather than facilitates users, lacks appropriate alerts, creates the need for hypervigilance (i.e., towards avoiding IT-related mishaps) that increases stress, is lacking in security, lacks evidentiary soundness, compromises patient privacy or otherwise demonstrates suboptimal design and/or implementation. (http://cci.drexel.edu/faculty/ssi...
Source: Health Care Renewal - Category: Health Management Tags: bad health IT healthcare IT amateur KevinMD Niran S. Al-Agba Source Type: blogs
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