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Digital Health Best Practices For Policy Makers: A Free Report
Where should the line be drawn when deciding whether or not to adopt disruptive technologies? As digital health brings up plenty of ethical questions, legal issues, and safety concerns, The Medical Futurist Institute decided to collect the best examples of how governments worldwide tried to adopt digital health. We hope it inspires other policy-makers to take the first steps in shaping their healthcare regulations. Our common goal is to arrive at a better future of healthcare Disruptive technologies spread around like wildfire, but healthcare systems are crumbling under the pressure of problems and changes. So, The Medical...
Source: The Medical Futurist - March 1, 2018 Category: Information Technology Authors: nora Tags: Digital Health Research Healthcare Policy digital health strategy digital innovation future health policy Medicine technology Source Type: blogs

MKSAP: 75-year-old man with very severe COPD
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 75-year-old man is seen for routine follow-up for very severe COPD. He has constant dyspnea and air hunger and spends most of the day in a chair. He has had no change in baseline cough and sputum production. He has had multiple COPD exacerbations that required ICU admission and intubation. He has not benefited from pulmonary rehabilitation in the past. He quit smoking 3 years ago. His medical history is also notable for hypertension, type 2 diabetes mellitus, and a myocardial infarction 3 years ago. His medica...
Source: Kevin, M.D. - Medical Weblog - February 3, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Palliative Care Pulmonology Source Type: blogs

National Academy of Sciences Report on Electronic Cigarettes Confirms that Vaping is Much Safer than Smoking and Has No Known Long-Term Health Effects
My commentary on the conclusions and implications of the National Academy of Sciences report on electronic cigarettes was just accepted as an op-ed piece in U.S. News& World Report. I expect it to be published tomorrow. For this reason, I have had to take down the original commentary. However, below I have posted the parts of the original blog post that had to be cut from the op-ed because of length concerns. Also, I will post a link to the op-ed as soon as it appears.The key findings of the report are:1. " There is substantial evidence that except for nicotine, under typical conditions of use, exposure to potentially ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - January 24, 2018 Category: Addiction Source Type: blogs

National Academy of Sciences Report on E-Cigarettes Confirms that Vaping is Much Safer than Smoking and Has No Known Long-Term Health Effects
Areport released this morning by the National Academy of Sciences confirms that despite the demonization of vaping by many anti-tobacco groups and health departments, use of these products is much safer than smoking, and there are no known long-term health effects associated with vaping.This does not mean, of course, that vaping is safe. It just means that we don ' t know what the long-term effects may be. But it is important to stress that at this time, we don ' t know of any long-term adverse health effects.The report also concludes that the " second-hand " aerosol produced by vaping is safer than secondhand tobacco smok...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - January 23, 2018 Category: Addiction Source Type: blogs

Precision Medicine and the Reinvention of Human Disease (Book Index)
In January, 2018, Academic Press published my bookPrecision Medicine and the Reinvention of Human Disease. This book has an excellent " look inside " at itsGoogle book site, which includes the Table of Contents. In addition, I thought it might be helpful to see the topics listed in the Book ' s index. Note that page numbers followed by f indicate figures, t indicate tables, and ge indicate glossary terms.AAbandonware, 270, 310geAb initio, 34, 48ge, 108geABL (abelson leukemia) gene, 28, 58ge, 95 –97Absidia corymbifera, 218Acanthameoba, 213Acanthosis nigricans, 144geAchondroplasia, 74, 143ge, 354geAcne, 54ge, 198, 220geAcq...
Source: Specified Life - January 23, 2018 Category: Information Technology Tags: index jules berman jules j berman precision medicine Source Type: blogs

Chest pain, sinus tachycardia, and ST Elevation
I was reading through ECGs on the system when I saw this one:Sinus tachycardia, rate 120Computerized QTc = 380 msWhat do you think? I was immediately worried about a proximal LAD occlusion. Although sinus tachycardia generally argues against ACS, a large anterior MI may result in such poor stroke volume that there is compensatory tachycardia and possibly impending cardiogenic shock. I looked to see if there was an ED cardiac ultrasound, and there was:Parasternal Long Axis:Poor image, but one can see that there is poor apical functionParasternal short axis:This shows poor contractility of the anterior wall.C...
Source: Dr. Smith's ECG Blog - January 22, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs

Bilateral internal mammary artery grafting for CABG
– Representative image Bilateral internal mammary artery grafting for CABG Advantage of bilateral internal mammary artery grafting (BIMA grafting) for coronary artery bypass grafting over using a single arterial conduit (left internal mammary artery) is a better survival documented by a meta analysis of 9 observational studies involving over fifteen thousand patients with follow up over 9 years [1]. But there is a reluctance of some cardiac surgeons to use both internal mammary arteries for fear of deep sternal wound infections, often causing mediastinitis. Important risk factors for deep sternal wound infections ar...
Source: Cardiophile MD - January 9, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs

Tai Chi For Seniors: Exercises, Benefits, and Tips For The Elderly
View Original Article Here: Tai Chi For Seniors: Exercises, Benefits, and Tips For The Elderly Tai chi, a form of Chinese martial arts that focuses on slow, controlled movements. It’s low impact and gives people with limited mobility a chance to improve their balance, range of motion and coordination. Research shows that tai chi for seniors can reduce the incidence of falls in elderly and at-risk adults by about 43 percent. With fewer than 34 percent of aging adults getting enough exercise, it’s important for caregivers, older individuals and people who work with seniors to know about this gentle but effective activity...
Source: Shield My Senior - January 8, 2018 Category: Geriatrics Authors: Vin Tags: Senior Safety Source Type: blogs

Tai Chi For Seniors: Exercises, Benefits, and Tips For The Elderly
Tai chi, a form of Chinese martial arts that focuses on slow, controlled movements. It’s low impact and gives people with limited mobility a chance to improve their balance, range of motion and coordination. Research shows that tai chi for seniors can reduce the incidence of falls in elderly and at-risk adults by about 43 percent. With fewer than 34 percent of aging adults getting enough exercise, it’s important for caregivers, older individuals and people who work with seniors to know about this gentle but effective activity. What Is Tai Chi? Tai chi is an ancient way of moving that is practiced by more than 200 milli...
Source: Shield My Senior - January 8, 2018 Category: Geriatrics Authors: Vin Tags: Senior Safety Source Type: blogs

Risk factors which can affect the outcome of CABG
(Coronary Artery Bypass Grafting) Age and gender: advanced age and female gender have less favourable outcome. Previous cardiovascular events: prior cardiovascular surgery, interventions, myocardial infarction, stroke or transient ischemic attacks. Cardiovascular variables: left ventricular function, hypertension, cardiac arrhythmias. Diabetes mellitus, chronic renal disease, chronic obstructive pulmonary disease. Complexity of disease: number of vessels involved, severity of associated valvular stenosis or regurgitation and endocarditis if any. Hemodynamic status and urgency of surgery. Pulmonary hypertensi...
Source: Cardiophile MD - January 6, 2018 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiac Surgery Source Type: blogs

What Is Digital Therapeutics; Examples of an App That Is Gaining Attention
I had never heard the term digital therapeutics until I encountered a recent article that used the term (see:Digital Therapeutics: The Future of Health Care Will Be App-Based). Below is an excerpt from it:Last month, healthcare startupOmada Health secured a $50 million C round led by major insurer Cigna, which brings the 5-year-old company ’s total funding to over $127 million.That kind of nine-figure investment isn ’t unusual for a company with the next blockbuster drug or game changing medical device, but Omada’s core product is a diabetes-preventing mobile app! Omada is a leader in one of the hottest new sectors o...
Source: Lab Soft News - December 21, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Source Type: blogs

Fixing MACRA Should Mean Fixing the APM Pathway
Conclusion One way to understand MACRA is as a program exhibiting the related problems of regulatory capture and rent seeking behavior, problems certainly not unknown to Medicare. By eliminating 40 percent of eligible clinicians from participating in MIPS, CMS forbids them from competing for an annual FFS update that increases to nine percent beginning in 2021. CMS has also captured the remaining MIPS participants because their update will be meaningless when weighed against the rent or financial burden associated with participation. When you factor in how MIPS is scored, neither the program, nor its participants, w...
Source: The Health Care Blog - December 18, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Natural Disaster Planning for At-Risk Hospice Patients
This article is the first in a series about our hospice’s response to the storm emergency.We triaged patients to maintain their safety, based on their risk of flooding at home and the risk of electricity loss (especially for patients who relied on high oxygen flows). We moved high risk patients to care centers with low flood risks and back-up electrical generators. This included moving at-risk patients out of hospice care centers, assisted living, nursing homes, or their homes.At my care center, we took 16 single-occupancy rooms, and set it up for 30 patients and their families (double-occupancy for all but 2 rooms). Spa...
Source: Pallimed: A Hospice and Palliative Medicine Blog - December 18, 2017 Category: Palliative Care Tags: disaster emergency preparedness hospice hurricane inpatient rich room weather Source Type: blogs

RSNA 2017: 2016 Redux...Centaurs Will Make Radiology Great Ag-AI-n!
In readinglast year ' s RSNA report, I was struck with just how little has changed.Here I am this year, 2017, and here ' s how I looked at RSNA 2016:A little grayer, perhaps a pound or two more. But otherwise same ol ' Dalai. And same ol ' RSNA. I even manned the RAD-AID booth again:Yes, I tied the bow-tie all by myself.This is a model housed at the Bayer booth of the airship RAD-AID hopes to use to bring imaging to underserved areas; I think the official rendering is much more impressive, and maybe even a little, well,buxom:I ' m still lobbying for a seat on the first flight. Did I saybuxom? I meanthandsome!I did attend t...
Source: Dalai's PACS Blog - December 17, 2017 Category: Radiology Source Type: blogs