An anxious approach to a benign arrhythmia in Holter recording
A 32-year-old high-profile businessman was advised Holter monitoring for a few ectopic beats during routine screening ECG. The 72-hour extended Holter monitoring picked up a single short pause with a blocked P wave and reported as doubtful Mobitz type 2 AV block.
The cardiologist in-charge, told the patient that findings are significant, and he would need further investigation. He was referred to their associate center for an EP study. After hearing about the procedure ,the patient was freighted about inserting multiple catheters inside his heart.
This was the time he consulted me with Holter report. It was i...
Source: Dr.S.Venkatesan MD - March 19, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized 2:1 av block a pilot with av block approach to av block in holter asymptomatic mobitz type 2 block ep study esc pacemaker guideline europace heart rhythm society holter monitoring hv interval mobitz type 2 av block we Source Type: blogs
Single Frame Echo Quiz
Transcript of the video: Interpreting an echo quiz just from a single frame has a lot of limitations. But, still for an academic exercise, we will try. Unlike the ECG, where a single image may be more informative, echo usually requires moving images. And moreover, even ECG requires a knowledge of the clinical background before interpretation, to avoid errors. Similarly, for echocardiogram, what we would do usually is, first we do a clinical history evaluation, then physical examination, and after that only we proceed with echocardiography in our routine work. But for an academic curiosity, we will just try to interpret an...
Source: Cardiophile MD - March 18, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
An assessment of the Institute for Research Design in Librarianship (IRDL)
When our second grant for the Institute for Research Design in Librarianship (IRDL) was ending in 2019, we wanted to take the opportunity to look back on the program, through the eyes of the 124 participants who had been through the program. The grant funding had been given to us to devise a model for continuing education for professional librarians and archivists with an interest in conducting research, so part of our looking back was to see if the model we designed had been impactful. We wanted to know about the possible short-term impacts, as well as longer-term impacts, the program had on their career trajectories, fro...
Source: Organization Monkey - March 18, 2024 Category: Databases & Libraries Authors: Marie Kennedy Tags: library Source Type: blogs
Wound Care Education for Medical Doctors: Filling the Gap
Whenever I ask a group of doctors, “How many of you have had any training in care and treatment of chronic wounds?” it is the rare person who raises their hand. Despite the urgent need for medical doctors to know how to assess and treat pressure injuries and chronic wounds, there is no formal medical or surgical specialty in wound care. This has resulted in a gap in education, training, and research, with extensive variation in clinical practice. The medical education establishment has simply not caught up to the realities of care for the chronically ill patient. Filling the education gap in wound care is one of my pro...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - March 18, 2024 Category: Geriatrics Authors: Jeffrey M Levine Tags: An Aging World Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care Risk Management aging skin bedsore bedsores decubiti decubitus ulcer end-of-life care geriatrics Healthcare Quality Improving Medical Care Jeff Lev Source Type: blogs
What is the risk of ACS after PCI in a CTO related artery ?
CTOs are opened primarily for four reasons
Angina which is refractory to drugs
Stress test positivity with or without angina
Anxiety of having a blocked coronary artery in a self educated patient
Cardiologist’s clandestine pride & pursuit*
* Personal experience included
Some evidence based observation
Most of the studies as on today do not give survival advantage of opening a CTO.(DECISION-CTO,EURO-CTO,EXPLORE,IMPACTOR)
Opening a CTO, for reasons other than angina (i.e. for relief of dyspnea or improving functional capacity) is largely conjectural and based on randomly accrued data back...
Source: Dr.S.Venkatesan MD - March 16, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized cto cto hardware cto trials jcto score open artery hypothesisacc esc aha guidelines Source Type: blogs
Academic Medicine Call for Volunteer Assistant Editors – Coming Soon!
Are you an experienced reviewer, researcher, or scholar looking to gain experience in an editorial role? Beginning April 15, 2024, Academic Medicine will be seeking applications for the journal’s volunteer assistant editor role!
See past calls for an idea of the responsibilities and requirements of the role. Follow the journal on X (formerly Twitter) @AcadMedJournal and LinkedIn for updates about the call for applications.
More details about the assistant editor program are discussed in an editorial and an Invited Commentary in the journal’s October 2021 issue.
We look forward to ...
Source: Academic Medicine Blog - March 15, 2024 Category: Universities & Medical Training Authors: amrounds Tags: Call for Assistant Editors medical education scholarly publishing Source Type: blogs
Reviewing the Path Towards Reprogramming as a Basis for Rejuvenation Therapies
In conclusion, while partial reprogramming holds great therapeutic potential, the real focus should be on rejuvenation research, defining its nature and ways to quantify it. Another critical issue is the ability to quantify biological age as reprogrammed older cells acquire younger states. Understanding rejuvenation is also key to translational success, as benefits of age reversal must be considered against risks. More research into safety and tissue-specific responses of this technique are required. (Source: Fight Aging!)
Source: Fight Aging! - March 14, 2024 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs
Three patients with chest pain and “normal” ECGs: which had OMI? Which were normal? And how did the Queen of Hearts perform?
This study had such low risk patients that not a single patient was ultimately diagnosed with ACS. It is well known that NOMI usually has a normal ECG or nonspecific ECG. The fact that not a single one of these patients had ACS shows that the population studied could not possibly support their conclusion. It should never have been published.According to this data a triage ECG labeled ‘normal’ rules out the possibility of acute coronary occlusion.This is obviously unreliable
data, as Dr. Smith ’s Blog has published51
cases of OMI with ECGs labeled ‘normal’, 35 of which were identified by the
Queen ...
Source: Dr. Smith's ECG Blog - March 14, 2024 Category: Cardiology Authors: Jesse McLaren Source Type: blogs
CentralReach Announces Acquisition of SILAS, a Rapidly Growing, New Jersey-Based Provider of SEL and Behavior Solutions for PreK-12 Students in Any Type of Classroom
SILAS Adds Social, Emotional, Executive Functioning, and Vocational Curricula Delivered via an Interactive, Animated App, Extending the Reach of CentralReach’s Market-Leading Education Platform
CentralReach, the leading provider of Autism and IDD software, today announced the acquisition of SILAS – a social and emotional learning (SEL) and behavior solution for PreK-12 general, special, and transition vocational education programs. The SILAS software will be incorporated into CentralReach’s suite of education solutions, which currently includes ABLLS-R|AFLS digital assessments, IEP management and student rosterin...
Source: EMR and HIPAA - March 12, 2024 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Alexander Fertig Bright Beginnings CentralReach Chris Dudick Chris Sullens Dr. George McCloskey Ettie Luban Health IT Acquisitions Healthcare M&A SILAS Source Type: blogs
Bemoaning the Lack of Standardization in Animal Studies of Aging
It is fair to say that the diversity of academia brings downsides in addition to upsides. A monolithic culture tends to mean slow progress: too little is explored at the borders of what is known when one viewpoint prevails at the expense of all others. A diverse culture produces such a variety of standards that it becomes challenging to compare any two studies. The paper-length complaint here is outlines the problems facing any scientist who is engaged in an analysis of published animal study data on the topic of intervening to slow or reverse aging, with a particular focus on the harms produced by a diversity of strategie...
Source: Fight Aging! - March 11, 2024 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
Is It Worth Buying Dexcom CGM Sensors from Best Buy Health? The only way to know with certainty is to do the math!
Last autumn, on October 9, 2023, the electronics retailer Best Buy announced (seehttps://www.businesswire.com/news/home/20231009526652/en/Best-Buy-to-Sell-Continuous-Glucose-Monitoring-Systems/ for the press release) that it had started a mail order business called "Best Buy Health"https://wellness.bestbuyhealth.com/ which it said would sell CGM sensors among other products. Best Buy Health aims to sell more than just CGM sensors. Its LinkedIn page https://www.linkedin.com/company/best-buy-health/ describes the business this way:" Best Buy Health aims to enrich and save lives through technology and meaningful connections. ...
Source: Scott's Web Log - March 9, 2024 Category: Endocrinology Tags: 2023 2024 Best Buy Best Buy Health Costco Source Type: blogs
Generative AI in Your Desk Drawer: LLMs for Everyone
Very large health care systems and academic medical centers can employ programmers to create their own LLMs, according to David Kereiakes, managing partner at Windham Venture Partners. In addition to patient data, they ingest organizational data such as how frequently a provider sees patients, the number of procedures performed, etc. Some of these providers also partner with large tech companies.
He says that these providers refuse to share data to create larger data sets because of the proprietary value of that data (with privacy concerns playing a minor role). He also says that organizations have invested a lot in cleani...
Source: EMR and HIPAA - March 1, 2024 Category: Information Technology Authors: Andy Oram Tags: Administration AI/Machine Learning C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops Administrative Burden Alex Tyrrell Amazon Bedrock Amazon Q Amazon Web Services Artificial Source Type: blogs
Are AI Clinical Protocols A Dobb-ist Trojan Horse?
By MIKE MAGEE
For most loyalist Americans at the turn of the 19th century, Justice John Marshall Harlan’s decision in Jacobson v. Massachusetts (1905). was a “slam dunk.” In it, he elected to force a reluctant Methodist minister in Massachusetts to undergo Smallpox vaccination during a regional epidemic or pay a fine.
Justice Harlan wrote at the time: “Real liberty for all could not exist under the operation of a principle which recognizes the right of each individual person to use his own, whether in respect of his person or his property, regardless of the injury that may be done to others.”
What could ...
Source: The Health Care Blog - March 1, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Abortion AI Dobbs Forced Sterilization Mike Magee racial bias SCOTUS Vaccination Source Type: blogs
Unlearn Raises $50 Million Series C to Optimize Clinical Research With AI-Powered Digital Twin Technology
Using Novel Digital Twins of Clinical Trial Participants, Unlearn is Accelerating Clinical Research to Help Bring New Treatments to Patients Sooner
Unlearn, an AI company creating digital twins of clinical trial participants that enable smaller, faster studies, today announced a $50M Series C round led by Altimeter Capital, joined by returning investors Radical Ventures, Wittington Ventures, Mubadala Capital, Epic Ventures, and Necessary Venture Capital. This round of funding was secured to propel the company’s mission to advance AI to eliminate trial and error in medicine by investing in its people, data, engineering ca...
Source: EMR and HIPAA - February 29, 2024 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT 8VC Altimeter Capital Charles Fisher DCVC DCVC Bio Epic Ventures Health IT Funding Health IT Fundings Health IT Investment Insight Partners Mubadala Capital Necessary Venture Capital Pauline Yang Source Type: blogs
Post-AGBT: Both Element & Singular Want Spatial to Go With The Flow(cells)
Element Biosciences and Singular Genomics have often appeared to be on roughly parallel trajectories, though with key differences. Both companies launched sequencing instruments with NextSeq 2000-like specifications and largely aimed at the academic core lab and small biotech company market. At AGBT, both announced upgrades to their sequencing instruments that allow the instrument to perform spatial omics while still funct ioning as a sequencer. But there are key differences in their approach and what we know about each company and their degree of success so far in the sequencer market.Read more » (Source: Omics! Omics!)
Source: Omics! Omics! - February 27, 2024 Category: Bioinformatics Authors: Keith Robison Source Type: blogs
