The Future of Radiology And Artificial Intelligence
What if an algorithm could tell you whether you have cancer based on your CT scan or mammography exam? While I am confident that radiologists’ creative work will be necessary in the future to solve complex issues and supervise diagnostic processes, A.I. will definitely become part of their daily routine in diagnosing simpler cases and taking over repetitive tasks. So rather than getting threatened by it, we should familiarise ourselves with how it could help change the course of radiology for the better. Radiologists who use A.I. will replace those who don’t There is a lot of hype and plenty of fear around ar...
Source: The Medical Futurist - September 22, 2022 Category: Information Technology Authors: berci.mesko Tags: Future of Medicine AI artificial intelligence cancer Health Healthcare ibm watson Innovation MRI Radiology technology gc4 medical imaging CT scanning Source Type: blogs

Moral philosophy
Philosophers and other kinds of deep thinkers have debated for as long as debates have been preserved in writing over whether people are inherently good or inherently bad. The answer too this very badly posed question has profound implications for how society should be structured and governed, how we should teach and raise our children, and how we should interact with others. If you think about it for a moment, which most people don ' t, you ' ll see a basic problem with the " people are inherently bad " position. In order to come to that conclusion, you must have a moral standard that allows you to make that judgment...
Source: Stayin' Alive - September 20, 2022 Category: American Health Source Type: blogs

Weekly Australian Health IT Links – 12 September, 2022.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General Comment-----It is amazing how many senior roles at the ADHA are being advertised it seem. Some at $150,000 plus!To keep busy we have vapourware interop plans being discussed and bullshit educational sessions being run for lesser salaries!Otherwise it has been a pretty boring week I have to say!-----https://www.ama.com.au/gpnn/issue-22-number-...
Source: Australian Health Information Technology - September 12, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Near-Infrared Spectroscopy (NIRS) Tissue Oximetry
Discussion. Cureus. 2021 Mar 14;13(3):e13875. doi: 10.7759/cureus.13875. PMID: 33868839; PMCID: PMC8043135. Tanidir IC, Ozturk E, Ozyilmaz I, Saygi M, Kiplapinar N, Haydin S, Guzeltas A, Odemis E. Near infrared spectroscopy monitoring in the pediatric cardiac catheterization laboratory. Artif Organs. 2014 Oct;38(10):838-44. doi: 10.1111/aor.12256. Epub 2014 Jan 10. PMID: 24404951. Zaleski KL, Staffa SJ, Kussman BD. A Survey of the Congenital Cardiac Anesthesia Society on the Use and Clinical Application of Near- Infrared Tissue Oximetry in Pediatric Cardiac Surgery. J Cardiothorac Vasc Anesth. 2022 Sep;36(9):3617-3625. doi...
Source: Cardiophile MD - September 9, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Precautions for cardiac catheterization in a cyanotic child
Pediatric diagnostic cardiac catheterizations have come down with the availability of better imaging modalities which can give most of the details needed for management non-invasively. Still cardiac catheterization may still be needed in selected cases, leave alone the catheterization prior to pediatric cardiac interventions. Cyanotic child presents more challenges during cardiac catheterization, mostly due to the presence of hypoxia and polycythemia. Hospitalization on the previous day will be desirable along with 3-4 hour fasting prior to procedure. As there is a chance for hemoconcentration during fasting, adequate hyd...
Source: Cardiophile MD - September 9, 2022 Category: Cardiology Authors: Johnson Francis Tags: Angiography and Interventions Source Type: blogs

Extravascular ICD Pivotal Study – Clinical Trial Review
Extravascular ICD Pivotal Study- Clinical Trial Review Extravascular implantable cardioverter defibrillator is a novel concept. Lead systems are considered to be the Achilles heel of conventional transvenous ICDs. To overcome this subcutaneous ICDs were developed, to avoid the vascular risks of transvenous ICDs. But they were not capable of overdrive pacing for ventricular tachycardia [1]. The lead of subcutaneous ICD is placed between the sternum and skin so that larger current is needed for pacing and defibrillation. This would mean a larger device with higher battery capacity. The extravascular ICD uses substernal elec...
Source: Cardiophile MD - September 6, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Unstable Angina still exists. It can be missed especially high sensitivity troponin is not used. Sometimes you can catch it on the ECG.
A 50-something woman with H/o HTN, ESRD, CAD S/p complex PCI to ostial LAD and ramus (10/2020) and CABG x3 (LIMA to LAD, SVG to OM, SVG to ramus)She complained of intermittent episodes of substernal chest pain, radiating to left shoulder, lasting 2-3 minutes.This had been worked up before at another ED on 3 occasions for the same chest discomfort.--The 1st time, she was " ruled out " with a point of care (POC) troponin <0.03 ng/mL.--The 2nd time, she was " ruled out " again with a POC troponin <0.03 ng/mL.--The 3rd time, she " ruled out " with a laboratory-based 4th generation troponin at 0.018 ng/m...
Source: Dr. Smith's ECG Blog - September 5, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs

Weekly Overseas Health IT Links –3rd September, 2022.
Here are a few I came across last week.Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment-----https://healthitanalytics.com/news/machine-learning-tools-predict-post-op-complications-surgery-durationMachine-Learning Tools Predict Post-Op Complications, Surgery DurationResearchers from Washington University in St. Louis have developed machine-learning tools that can predict post-operative complications and surgery duration using perioperative data.ByShania K...
Source: Australian Health Information Technology - September 3, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Fight Aging! Newsletter, August 29th 2022
This study demonstrates that adoptive astrocytic Mt transfer enhances neuronal Mn-SOD-mediated anti-oxidative defense and neuroplasticity in the brain, which potentiate functional recovery following ICH. First Generation Stem Cell Therapies Remain Comparatively Poorly Understood https://www.fightaging.org/archives/2022/08/first-generation-stem-cell-therapies-remain-comparatively-poorly-understood/ We are something like thirty years into the increasingly widespread use of first generation stem cell therapies. Cells are derived from a variety of sources, processed, and transplanted into patients. Near all...
Source: Fight Aging! - August 28, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Weekly Overseas Health IT Links –27th August 2022.
In this study, researchers gathered a diverse group of participants; 43 percent were Black, and 68 percent were women. They also considered factors such as age and insurance status when drawing conclusions.The study occurred through a clinical trial, where all participants were randomly assigned to have their next visit occur through either phone or video-based platforms. The central unit of measurement was visit satisfaction rate, reported on a ten-point scale. Researchers noted noninferiority data based on whether patient satisfaction between the telehealth methods exceeded a -15 percent margin.-----https://www.theverge....
Source: Australian Health Information Technology - August 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Distributed Full Disclosure Medical Development
In a time of rapid progress in biotechnology, the Hippocratic pledge of "first do no harm" kills a lot of people. It just doesn't kill them as directly as more obvious means. Taken to its extreme, "first do no harm" is a strong precautionary principle, it forbids progress, it forbids the testing of new therapies. While we are not at the point of forbiddance yet, regulators have been heading in that direction for years. Officials at the FDA and similar regulatory bodies are willing to accept great ongoing suffering and death in the service of reducing the risk of harm due to new therapies to as close to zero as possible. Th...
Source: Fight Aging! - August 26, 2022 Category: Research Authors: Reason Tags: Politics and Legislation Source Type: blogs

Case of the Week 693
 This week ' s case was kindly donated by Dr. Mike Mitchell and his laboratory. The patient is a middle-aged man with fever, intermittent cough, headache and mental status changes. He had a history of lymphoma and was receiving maintenance immunosuppressive chemotherapy. Of note, he had several episodes of bacteriemia and progressively worsening pulmonary infiltrates. He was originally from Sub-Saharan Africa but had been living in the United States for several decades. The following are images from a duodenal aspirate:What is your diagnosis? (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - August 22, 2022 Category: Parasitology Source Type: blogs

Fight Aging! Newsletter, August 22nd 2022
In conclusion, application of a multi-species bat epigenetic clock provides strong evidence that hibernation is associated with slower epigenetic ageing. The multi-species clock explains 94% of the variation in the chronological ages of both hibernating and non-hibernating big brown bats; however, the clock estimates are equal to or greater than the chronological age, suggesting big brown bats age slightly faster than a 'typical' bat, especially during the active period. (Source: Fight Aging!)
Source: Fight Aging! - August 21, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Rural America is a Fertile Field for Digital Health
BY ERIC LARSEN and TOMMY IBRAHIM Eric Larsen Tommy Ibrahim Our rural health care system has suffered badly during the COVID-19 pandemic. It entered the pandemic with severe structural weaknesses, including magnified health disparities and inequities, lower rates of vaccination in the general population, and high risk of rural hospital closures. Beginning with these challenges, rural providers have been harder hit by the pandemic than just about any other health care sector.  Juxtaposed against this struggle is the optimism for digital health – one of the few bright spots of the pandemic. We have witnessed ...
Source: The Health Care Blog - August 19, 2022 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Public Health Basset Healthcare COVID-19 digital health Rural America Source Type: blogs

Towards the Widespread Use of Gerotherapeutic Drugs to Slow Aging
Many compounds, small molecules, plant extracts, and so forth, have been found to modestly slow aging in mice. Given accumulating evidence from animal studies and human clinical trials, and that a sizable fraction of these compounds are already approved by regulators for other uses, or otherwise readily available, it is inevitably the case that physicians and the population at large will begin make use of these treatments in increasing numbers. This will happen, sometimes ahead of the science, sometimes behind it, sometimes to little benefit to patients, sometimes with enough of a benefit to matter. Navigating the options ...
Source: Fight Aging! - August 18, 2022 Category: Research Authors: Reason Tags: Daily News Source Type: blogs