Tag: technology

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Researchers from MIT and Massachusetts General Hospital (MGH) have developed a predictive model that could guide clinicians in deciding when to give potentially life-saving drugs to patients being treated for sepsis in the emergency room. Early prediction could, among other things, prevent an unnecessary ICU stay for a patient that doesn’t need vasopressors, or start early preparation for the ICU for a patient that does.... Read More | Comment
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Something’s gone terribly wrong. Doctors are among the most technology-avid people in society; computerization has simplified tasks in many industries. Yet somehow we’ve reached a point where people in the medical profession actively, viscerally, volubly hate their computers. In recent years, it has become apparent that doctors have developed extraordinarily high burnout rates. In 2014, fifty-four per cent of physicians reported at least one of... Read More | Comment
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The Health Information Technology for Economic and Clinical Health Act (HITECH), as part of the American Reinvestment & Recovery Act of 2009, was created to accelerate the pace of technology diffusion in the American healthcare system. The promulgation of this health policy led to the Meaningful Use incentive program – a $30 billion initiative to transform healthcare delivery in hospitals through the advanced implementation of... Read More | Comment
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The Social Media Index’s correlation with multiple quality evaluation instruments over time supports the hypothesis that it is associated with overall Web site quality. It can play a role in guiding individuals to high-quality resources that can be reviewed with critical appraisal techniques. A total of 309 of 330 raters completed all ratings (93.6%). The Social Media Index correlated moderately to strongly with the mean... Read More | Comment
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In this article, we review physiologic principles of global oxygen delivery, and discuss the bedside approach to assessing the adequacy of oxygen delivery in critically ill patients. Although there have been technological advances in the assessment of oxygen delivery, we revisit and emphasize the importance of a ‘tried and true’ method – the physical examination. Also potentially important in the evaluation of oxygen delivery is... Read More | Comment
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Social media is changing the ways that patients interact with healthcare providers and the healthcare system. It is increasingly common for patients to use information technology to gain access to information and control their own healthcare. Increased access to the Internet and mobile communication will bring public health information to many more people, more quickly and directly than at any time in history. Social media... Read More | Comment
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Novel use of interactive video games as part of routine PT in critically ill patients is feasible and appears safe in our case series. Video game therapy may complement existing rehabilitation techniques for ICU patients. Of 410 patients receiving PT in the medical ICU, 22 (5% of all patients; male, 64%; median age, 52 years) had 42 PT treatments with video games (median [interquartile range]... Read More | Comment
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Acute respiratory distress syndrome (ARDS) is a clinical entity that acutely affects the lung parenchyma, and is characterized by diffuse alveolar damage and increased pulmonary vascular permeability. Currently, computed tomography (CT) is commonly used for classifying and prognosticating ARDS. However, performing this examination in critically ill patients is complex, due to the need to transfer these patients to the CT room. Fortunately, new technologies have... Read More | Comment
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Researchers supported by the NIHR have created an artificial intelligence system that could help identify the best way to treat patients with sepsis. The system ‘learnt’ the best treatment strategy for a patient by analysing the records of about 100,000 hospital patients in intensive care units and every single doctor’s decisions affecting them. The technology, developed by researchers at the NIHR Imperial Biomedical Research Centre,... Read More | Comment
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Telemedicine by means of video visits can increase patient access to care, but there is little evidence about broad integration of video visits into existing clinical care, particularly for primary care.1,2 In an integrated delivery system that implemented video-visit capability for all clinicians in 2014, we examined the characteristics of all 210,383 scheduled video visits among 152,809 patients from 2015 through 2017. Video visits, accessible... Read More | Comment
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This issue of Critical Care Clinics focuses on Mechanical Ventilation and Ventricular Assist Devices, with topics including: Targeted management approach to cardiogenic shock; Prevention and treatment of right heart failure during left ventricular assist device support therapy; Complications of durable left ventricular assist device support therapy; Patient and device management on left ventricular assist device support therapy; Challenges and future directions in left ventricular assist... Read More | Comment
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Dutch government is encouraging the healthcare sector to expand telehealth (eHealth) services. Dutch government wants eHealth to become more widely available and is encouraging the healthcare sector to develop it further. These are the following goals: By 2019 80% of the chronically ill have direct electronic access to some of their medical data, such as medication data, vital functions and test results, and is able... Read More | Comment
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With the rise of new technologies, long gone are the days of cassette tapes and CDs that made stopping, rewinding, learning, and restarting an audio recording an annoyance. Digital media now makes it possible for individuals to easily listen, read, or do both at the same time from their smartphones, e-readers, tablets, and computers. There is increasing interest in differences between listening versus reading comprehension... Read More | Comment
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The new World Sepsis Day Infographics are now available for download, just in time for World Sepsis Day this Thursday. Please download them and feel free to use them as you see fit, on your social media channels, printed at your WSD Events, and everything in between. There is a total of 21 infographics, nine on sepsis itself, ranging from symptoms, sources, prevention, risk groups,... Read More | Comment
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The failure of systemic drug treatments to address numerous neurological disorders has spurred the development of alternative approaches that attempt localized treatment. These localized treatments focus therapy on the region of the brain affected by the pathology, thereby enhancing the effectives of the treatment while reducing side effects inherent in systemic treatments. Some of these approaches such as optogenetics and designer receptors exclusively activated by... Read More | Comment