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  1. Last 7 days
    1. Millions of Patient Records at Risk: The Perils of Legacy Protocols

      Sina Yazdanmehr | Senior IT Security Consultant, Aplite GmbH Ibrahim Akkulak | Senior IT Security Consultant, Aplite GmbH Date: Wednesday, December 6, 2023

      Abstract

      Currently, a concerning situation is unfolding online: a large amount of personal information and medical records belonging to patients is scattered across the internet. Our internet-wide research on DICOM, the decade-old standard protocol for medical imaging, has revealed a distressing fact – Many medical institutions have unintentionally made the private data and medical histories of millions of patients accessible to the vast realm of the internet.

      Medical imaging encompasses a range of techniques such as X-Rays, CT scans, and MRIs, used to visualize internal body structures, with DICOM serving as the standard protocol for storing and transmitting these images. The security problems with DICOM are connected to using legacy protocols on the internet as industries strive to align with the transition towards Cloud-based solutions.

      This talk will explain the security shortcomings of DICOM when it is exposed online and provide insights from our internet-wide research. We'll show how hackers can easily find, access, and exploit the exposed DICOM endpoints, extract all patients' data, and even alter medical records. Additionally, we'll explain how we were able to bypass DICOM security controls by gathering information from the statements provided by vendors and service providers regarding their adherence to DICOM standards.

      We'll conclude by providing practical recommendations for medical institutions, healthcare providers, and medical engineers to mitigate these security issues and safeguard patients' data.

  2. Dec 2023
  3. Oct 2023
    1. Neural operators are guaranteed to be discretization invariant, meaning that they can work on any discretization of inputs and converge to a limit upon mesh refinement. Once neural operators are trained, they can be evaluated at any resolution without the need for re-training. In contrast, the performance of standard neural networks can degrade when data resolution during deployment changes from model training.

      Look this up: anyone familiar with this? sounds complicated but very promising for domains with a large range of resolutions (medical-imaging, wildfire-management)

  4. Aug 2023
  5. May 2023
    1. So there are, I believe, nine Bradford Hill criteria, which are the criteria that we use to scrutinize observational data. So when you have epidemiologic data, how can you scrutinize them to understand and change your confidence in the likelihood that these data are causal
    2. I think Layne Norton also has a course that he just launched, and I think it’s actually called REPS, but I can’t remember what REPS stands for. But it’s basically a scientific literacy course in how to read studies about nutrition.

      REPS (Research Explained in Practical Summaries) Learn about the latest trends in diet, nutrition, and training with easy to understand science-backed reports, insights, and articles

      $12.99 per month

  6. Feb 2023
  7. Jan 2023
    1. NOTE-TAKING IN MEDICAL STUDYAND PRACTICE

      “Note-Taking in Medical Study and Practice.” The Phonetic Journal, September 24, 1892, in The Phonetic Journal for the Year of 1892, Volume 51, 609–10.

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  8. Dec 2022
    1. I came here after recalling a critique by Bessel van der Kolk's "The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma" regarding the disease model and it's negative impact on adequately helping people with trauma. van der Kolk's critique was similar to Marc Lewis' critique of the disease model as it applies to addiction from "The Biology of Desire: Why Addiction Is Not a Disease". This made me wonder what the term "disease" actually means and whether or not some general consensus existed within the medical community. This article suggests there is no such consensus.

      This article is by Jackie Leach Scully who holds a "PhD in cellular pathology, University of Cambridge; BA (Hons) in biochemistry, University of Oxford; MA in psychoanalytic studies, Sheffield University".

      Scully does several insightful things in this paper the following are the ones that were most salient to me upon the first read: - distinguishes "disease" from "disability" - contrasts the "social model" and "medical model" perspectives on "disability" - The "medical model" referred to here is probably what Lewis & van der Kolk are critiquing as the "disease model".<br /> - Are the "medical" and "disease" model different? - the social model seems to have arisen as a response to the inadequacy of the medical model

          - "The social model's fundamental criticism of the medical model is that it wrongly locates 'the problem' of disability in biological constraints, considering it only from the point of view of the individual and neglecting the social and systemic frameworks that contribute to it. The social model distinguishes between impairment (the biological substrate, such as impaired hearing) and the disabled experience. In this view the presence of impaired hearing is one thing, while the absence of subtitling on TV is quite another, and it is the refusal of society to make the necessary accommodations that is the real site of disability. A social model does not ignore biology, but contends that societal, economic and environmental factors are at least as important in producing disability."
      
      • brings up a subtle point that there are two jumps "from gene to phenotype, and from phenotype to experience" and that some of the arguments mentioned "suggest that the 'harm' of the impairment is not straightforwardly related to phenotype. What ought to concern us about disease and disability is the disadvantage, pain or suffering involved, and in a sense the impairment is always a kind of surrogate marker for this experience."
    1. With medicine, the story was slightly different because of theconstant and urgent need for it. Medical knowledge was alwaysuseful, always relevant, so books on medicine were constantly indemand, and would have been available in the majority of libraries inlate antiquity.

      Transmission of medical knowledge has a more immediate and direct application for people; as a result it may tend to be transmitted more faithfully either in written or oral forms. The written record of medical scrolls from antiquity were in constant demand.

  9. Nov 2022
    1. Continuous remote monitoring of COPD patients—justificationand explanation of the requirements and a surveyof the available technologies

      Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies

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  10. Sep 2022
    1. Medical credentialing

      Physician Credentialing Customized application for your facility is sent to the physician allowing them to complete edit and save at any stage. Documents can be signed, uploaded and tracked. Notifications are automatically sent when documents are approaching expiration or critical

    1. Diabetes is a condition where the body does not make enough insulin or use the insulin it creates the way it should. As a result, the body isn’t processing food properly to produce energy. Instead, sugars build up in the blood leading to health complications.

      Our team of pediatric experts offers diabetes diagnosis for children and adolescents. If we discover pediatric diabetes, we partner with the right specialists to give your child the best possible treatment. We offer compassionate and trustworthy care that puts both the physical and emotional needs of our pediatric patients at the forefront.

  11. Aug 2022
  12. Jul 2022
    1. 3D universes create a collaborative space with which we can analyze different objects or concepts simultaneously, providing more detail in our teaching approach because teaching in virtual reality increases the depth of knowledge,”

      virtual reality increases the depth of our knowledge

    1. Urgent Care Treatment with X-Rays in Castle Rock

      Founders Family Medicine and Urgent Care offer same-day care to patients who have urgent medical problems. Our medical center offers diagnostic testing, including x-ray and an on-site lab. Patients receive diagnosis and treatment from our professional medical team.

  13. Jun 2022
    1. Dùng cồn trị mụn trứng cá có được không? trước khi đi vào kết luận Có hay Không, hãy cùng tìm hiểu mối liên hệ giữa cồn y tế và Mụn. Xét về khả năng dùng cồn trị mụn dựa trên khoa học: Ethanol hoặc Cồn y tế hoàn toàn là chất sát khuẩn và làm sạch dầu,.vv. Trong ngành y tế, cồn đóng vai trò quan trọng chủ yếu để làm sạch, khử trùng và sử dụng sơ cứu. Các đặc tính cơ bản nhất của cồn y tế là phá vỡ liên kết màng tế bào và từ đó tiêu diệt vi khuẩn và vi trùng.  Qua lời giải thích trên, dường như bạn có thể yên tâm để sử dùng cồn y tế trị mụn trên da. Nhưng cồn có thực sự an toàn như vậy không? Cồn y tế do đặc tính kháng khuẩn và chống vi trùng của nó có thể hữu ích trong việc điều trị Mụn trứng cá. Tuy nhiên, Chúng ta chỉ sử dụng cồn đối với mụn viêm do vi khuẩn có tên là Propionibacterium Acnes gây ra. Những loại mụn này bao gồm các triệu chứng dễ thấy như sưng tấy, mẩn đỏ, lỗ chân lông bị tắc do dầu, da chết và vi khuẩn.

      Can I use alcohol to treat acne?

      Before jumping to a Yes or No conclusion, let's find out the connection between medical alcohol and Acne.

      In terms of the ability to use alcohol to treat acne based on science:

      Ethanol or Medical Alcohol is purely an antiseptic and oil cleaner, etc. In the medical industry, alcohol plays an important role mainly for cleaning, disinfecting and first aid use. The most basic properties of medical alcohol is to break the bonds of cell membranes and thereby kill bacteria and germs.

      Through the above explanation, it seems that you can safely use medical alcohol to treat acne on the skin. But is alcohol really that safe?

      Medical tincture due to its antibacterial and antimicrobial properties can be helpful in the treatment of Acne. However, we only use alcohol for inflammatory acne caused by bacteria called Propionibacterium Acnes. These types of acne include obvious symptoms such as swelling, redness, pores clogged with oil, dead skin, and bacteria.

  14. May 2022
    1. Cồn Y Tế 96 Độ Tại QuangTrungChem Cồn y tế có tên gọi khác là Ethanol (C2H5OH). Có nguồn gốc lên men từ các sản phẩm hữu cơ có nguồn gốc từ tự nhiên như: Khoai mì, ngô, sắn, mật mía,..Là thành phần chính trong các nghành công nghiệp sản xuất thuốc và dược phẩm,. Khác với Cồn Công Nghiệp Methanol (CH3OH) có được bằng cách chưng cất từ các sản phẩm có nguồn gốc từ các loại gỗ, mùn cưa.. ✅Mã sản phẩm: ETN4510 ✅Số Cas:64-17-5 ✅Tên gọi khác: Ethyl alcohol, Ethanol, Rượu Etylic, Cồn y tế,. ✅Hàm lượng: 70%, 90%, 96%,. ✅Tiêu Chuẩn: Quates 3, Dược điển VN5, ISO 9001:2015 ✅Đóng gói:Can 5L, Thùng 20L, Can 30L, Phuy 220, Tank 1000.. ✅Giá bán: 24.500đ/Lít ✅Giao Hàng: Giao nhanh 2H, Miễn phí ship,.

      medical alcohol 96 - quang trung chem

    1. By 1860, the American Medical Association sought to end legal abortion. The Comstock Law of 1873 criminalized attaining, producing or publishing information about contraception, sexually transmitted infections and diseases, and how to procure an abortion.
  15. Apr 2022
    1. In her 2002 dissertation, and then in a series of articles published in medicaljournals, Pape made a case for imitating this practice. “The key to preventingmedication errors lies with adopting protocols from other safety-focusedindustries,” Pape wrote in the journal MEDSURG Nursing in 2003. “The airlineindustry, for example, has methods in place that improve pilots’ focus andprovide a milieu of safety when human life is at stake.”

      In a 2002 dissertation and subsequent articles, Tess Pape proposed imitating solutions proposed by the FAA in airline accidents as a means of limiting distractions during medicine dispensing by nurses and medical staff to limit preventable medical errors.

    2. the Institute of Medicine had released a landmark report on patientsafety, To Err Is Human. The report found that as many as 98,000 Americanswere dying each year as a result of preventable medical errors occurring inhospitals—more people than succumbed to car accidents, workplace injuries, orbreast cancer. And some significant portion of these deaths involved mistakes inthe dispensing of drugs.

      Some might see the 98,000 preventable medical error deaths reported by the Institute of Medicine in To Err is Human (1999) now and laugh at the farcical number of deaths due to coronavirus since 2020, a large proportion of which could have been prevented due to better communication and coordination?

      What if a more pragmatic anthropological viewpoint could be given to the current fractured state of American politics? If anthropologists are taught not to make value judgements on the way other cultures have come to live their lives, but simply to appreciate and report on them accurately, then perhaps we should leave those on the far right who believe in top down, patriarchal rule to their devices?

      What if we nudged (forced) them all to actually live by their own rules by enforcing them to the nth degree? Republican politicians can only get away with badmouthing abortion or homophobic viewpoints because their feet are not held to the fire when those issues impinge upon their own families or even themselves. They have the wealth and the power to flout the laws and not face the direct consequences personally. Would their tunes change if forced by their own top down patriarchal perspectives applying to them?

    3. Imitating such forms with one’sown face and body is an even more effective means of learning, maintainsEmmanuel Roze, who introduced his “mime-based role-play training program”to the students at Pitié-Salpêtrière in 2015. Roze, a consulting neurologist at thehospital and a professor of neurology at Sorbonne University, had becomeconcerned that traditional modes of instruction were not supporting students’acquisition of knowledge, and were not dispelling students’ apprehension in theface of neurological illness. He reasoned that actively imitating the distinctivesymptoms of such maladies—the tremors of Parkinson’s, the jerky movementsof chorea, the slurred speech of cerebellar syndrome—could help students learnwhile defusing their discomfort.

      Training students to be able to imitate the symptoms of disease so that they may demonstrate them to others is an effective form of context shifting. It allows the students to shift from a written or spoken description of the disease to a physical interpretation of it for themselves which also entails more cognitive work than even seeing a particular patient with the problem and identifying it correctly. The need to mentally internalize the issue and then physically recreate it helps in the acquisition of the knowledge.


      Role playing or putting oneself into the shoes of another is another good example of creating a mental shift in context.


      Getting medical students to play out the symptoms of patients can help to diffuse their social discomfort in dealing with these patients.

      If this practice were used on broader scales might it also help to normalize issues that patients face and dispel social stigma toward them?

    4. Jean-Martin Charcot, the nineteenth-century physician known as the father ofneurology, practiced and taught at this very institution. Charcot brought hispatients onstage with him as he lectured, allowing his students to see firsthandthe many forms neurological disease could take

      Nineteenth-century physician Jean-Martin Charcot, known as the father of neurology, brought patients to his lectures at Universitaire Pitié-Salpêtrière in Paris to allow students to see forms of disease first hand.


      When was the medical teaching practice of "rounds" instituted?

    1. Covid One Year Ago. (2021, March 12). 12 March 2020 “The public could be putting themselves more at risk from contracting coronavirus by wearing face masks.” “Jenny Harries, England’s deputy chief medical officer, said the masks could ‘actually trap the virus’ and cause the person wearing it to breathe it in” https://t.co/ar5kOOxih3 [Tweet]. @YearCovid. https://twitter.com/YearCovid/status/1370307577888698369

    1. .

      It seems that Medicare could have been implemented sooner if not for political debates in Ottawa. The political power of the Prime Minister is also illuminated in this section, with the PM putting his foot down on the matter and pressing for a decision in January 1968.

  16. Mar 2022
  17. Feb 2022
  18. Jan 2022
    1. Treatment with single probiotic B. infantis didn't impact on abdominal pain, bloating/distention, or bowel habit satisfaction among IBS patients. However, patients who received composite probiotics containing B. infantis had significantly reduced abdominal pain
  19. Dec 2021
    1. Indian Medical Council Act, 1956 was amended and Section 10D was inserted to empower the MCI to conduct NEET. Moreover the review petition against this judgment was allowed in 2016 and the Supreme Court ordered the conduct of NEET from 2016 itself.

      NEET implementation

    1. As Thailand is ranked as the third most favored country in the world for medical and dental tourism with cost savings of 50-75% compared to the US, it is a significant selling point for dental services in Thailand that it can compete with other countries

      medical and dental tourism

    1. Eric Topol. (2020, November 28). This will go down in history as one of science and medical research’s greatest achievements. Perhaps the most impressive. I put together a preliminary timeline of some key milestones to show how several years of work were compressed into months. Https://t.co/BPcaZwDFkl [Tweet]. @EricTopol. https://twitter.com/EricTopol/status/1332771238771630080

  20. Nov 2021
  21. Oct 2021
    1. Barros-Martins, J., Hammerschmidt, S. I., Cossmann, A., Odak, I., Stankov, M. V., Morillas Ramos, G., Dopfer-Jablonka, A., Heidemann, A., Ritter, C., Friedrichsen, M., Schultze-Florey, C., Ravens, I., Willenzon, S., Bubke, A., Ristenpart, J., Janssen, A., Ssebyatika, G., Bernhardt, G., Münch, J., … Behrens, G. M. N. (2021). Immune responses against SARS-CoV-2 variants after heterologous and homologous ChAdOx1 nCoV-19/BNT162b2 vaccination. Nature Medicine, 1–5. https://doi.org/10.1038/s41591-021-01449-9

  22. Sep 2021
  23. Aug 2021
  24. Jul 2021
    1. Leah McElrath 🏳️‍🌈. (2021, July 12). One reason the right-wing outrage machine is focused on attacking Biden’s plan for door-to door outreach isn’t because they actually fear confiscation of guns or Bibles. It’s because they don’t want poor people to have access to life-saving vaccinations. Https://t.co/GnZMmlBfqK [Tweet]. @leahmcelrath. https://twitter.com/leahmcelrath/status/1414660179061264388

  25. Jun 2021
  26. May 2021
    1. It is thus argued that early exposure to the Australian Aboriginal approach to pedagogy in a respectful, culturally safe manner, has the potential to benefit medical students and their patients.

      Forget medical students and patients, this could broadly be applied to everyone everywhere! Why limit it to simply medical education?

  27. Apr 2021
  28. Mar 2021
  29. Feb 2021
  30. Jan 2021
    1. Despite some implementation challenges, patient portals have allowed millions of patients to access to their medical records, read physicians’ notes, message providers, and contribute valuable information and corrections.

      I wonder if patients have edit - or at least, flag - information in their record?

    1. Likewise, privacy is an important issue in BCI ethics since the captured neural signals can be used to gain access to a user’s private information. Ethicists have raised concerns about how BCI data is stored and protected.
  31. Nov 2020
  32. Oct 2020
    1. Our goal for you and your family is to prevent disease and to improve your health when disease exists in both the acute and chronic stages.
    1. Before you start a weight-loss program, it’s crucial to identify and create a treatment plan for any obesity related illnesses or diseases.

      Find out more about medical weight loss here.

    1. Anomie (/ˈænəˌmi/) is a "condition in which society provides little moral guidance to individuals".[1] It is the breakdown of social bonds between an individual and the community, e.g., under unruly scenarios resulting in fragmentation of social identity and rejection of self-regulatory values.

      I can't help but see this definition and think it needs to be applied to economics immediately. In particular I can think of a few quick examples of economic anomie which are artificially covering up a free market and causing issues within individual communities.

      College Textbooks: Here publishers are marketing to professors who assign particular textbooks and subverting students which are the actual market and consumers of those textbooks. This causes an inflated market and has allowed textbook prices to spiral out of control.

      The American Health Care Market In this example, the health care providers (doctors, hospitals, etc.) have been segmented away from their consumers (patients) by intermediary insurance companies which are driving the market to their own good rather than a free-er set of smaller (and importantly local) markets that would be composed of just the sellers and the buyers. As a result, the consumer of health care has no ability to put a particular price on what they're receiving (and typically they rarely ever ask, even more so when they have insurance). This type of economic anomie is causing terrific havoc within the area.

      (Aside: while the majority of health care markets is very small in size (by distance), I will submit that the advent of medical tourism does a bit to widen potential markets, but this segment of the market is tiny and very privileged in comparison.)

  33. Sep 2020
  34. Aug 2020
  35. Jul 2020
  36. Jun 2020
  37. May 2020
  38. Apr 2020
  39. Mar 2020
  40. Jan 2020
    1. The thing with the HRIA was that as a condition of receiving funding, all the work, including work in progress, had to be submitted to a searchable database so that everyone else receiving funding could see the work and use it to advance their own work—because above anything else, we had a mandate to get advances and therapies to the patients as quickly as possible. The HRIA still allowed for patent filings, but everything, everything, was cross-licensed for the length of the patent, for a statutory fee that went into effect only after a product went to market.

      As Sci-Fi does, the myriad variables are expertly set by the author. The way this world is constructed, tho, feels so very familiar & in a way that seems beyond the norm for comparably radical imaginings.

  41. Oct 2019
  42. Sep 2019
    1. Get the portable eyewash station from MONSAM Portable Sinks. They offer a wide range of portable sinks for health and beauty, these portable shampoo bowls are ideal for homes, barber shops, beauty salons and health care facilities.

  43. Apr 2019
  44. gutenberg.net.au gutenberg.net.au
    1. quack

      Very few controls existed on medical practice in Regency England. In fact, the UK equivalent of the FDA, the Medicines and Healthcare products Regulatory Agency, wasn't even established until 2003. Consequently, "quack medicine" and unusual, ineffective treatments for illnesses were often prescribed to patients by poorly trained and unqualified physicians.

      Read more about Georgian quack medicine here

    2. It acts on me like poison

      Here, Arthur's reference to green tea as "poison" is strange even to Charlotte. Yet green tea is confirmed to be popular in England in the 1800s. In support of Arthur's point, a text called Ms. Beeton's Book of Household Management published in 1807, which includes many recipes for various beverages, noted that "strong green tea is highly pernicious [harmful], and should never be partaken of too freely."

      https://qmhistoryoftea.wordpress.com/2015/02/25/englands-green-and-pleasant-tea/

    3. sea air

      Sea air was actually shown to be a remedy to various illnesses in the 18th century. But, this was not commonly believed along the entire medical community.

      https://books.google.com/books?id=NSHa5u76G08C&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false

    4. nervous

      Nervousness was considered a "popular disease" in the late 18th century. Most commonly discussed and found in the middle and elite class. Many people of higher class were said to have bad "nerves" or "nervousness" because there was no clear definition of a nervous disorder at the time.

      https://muse.jhu.edu/article/680400

    5. surgeon

      In Jane Austen’s time, or the early part of the 19th century, there was a clear distinction between a doctor, surgeon, and apothecary.

      Doctors and physicians occupied the highest rung on the social ladder. Such citizens could still be considered "upper class" because 1) their training did not include apprenticeship and 2) the profession excluded, supposedly, manual labor

      Because surgeons actually treated the patient by performing physical labor – a trade, so to speak – they occupied a lower rung on the social ladder.

      Apothecaries, who learned their profession through apprenticeship and who were definitely considered to be in “trade," ranked even lower on the social scale.

      Read more here

    6. month at Tunbridge Wells

      Famous mineral spring used to cure ailments. https://www.visittunbridgewells.com/

    7. whooping cough

      Whooping cough is a highly contagious respiratory tract infection, characterized by uncontrollable coughing. In Jane Austen's time, there was no prevention method (ex. vaccine) or cure to prevent whooping cough, hence why Jane herself suffered from it. Rather than consulting a physician for treatment, she used home remedies concocted by her friend and sister-in-law, Martha Lloyd.

      Source

    8. "We are always well stocked," said he, "with all the common remedies for sprains and bruises

      Since medical professionals were rare, expensive, and not terribly helpful, many women learned basic nursing skills to care for their own families, and had their own home remedies, too.

      Source

    9. asses' milk

      From as far back as ancient Egypt, the health benefits of donkey's milk has been recognized. This milk supposedly is "anti-inflammatory and hypoallergenic" and has vitamins and probiotics that make it a more nutritious drink than other animal milk.

      https://foodtravelist.com/donkey-milk-health-benefits/

      Many cultures believed that the nutrients from the milk aided in the prevention of and recovery from diseases.

      https://www.sciencedirect.com/science/article/pii/B9780128097625000310

    10. physic

      Physic is a dated term that, in this context, refers broadly to "medicinal drugs."

      https://en.oxforddictionaries.com/definition/physic

    11. consumptive

      Consumption is another name for tuberculosis (TB), which is a serious bacterial disease of the lungs. In the 19th century, there were no cures or effective treatments for consumption, making it one of the leading causes of death and a serious fear.

      https://www.lung.org/about-us/blog/2016/01/how-we-conquered-consumption.html

    12. evil lay in her gum

      It is possible Susan was suffering from a headache caused by clenching her teeth or from having sensitive jaw or neck muscles. It is not, and has never been, a legitimate cure to extract teeth as a result. This extreme measure highlights that the Parkers are hypochondriacs.

      https://migrainepal.com/treatments-clenching-grinding-headache-and-migraine/

    13. friction by the hand alone

      Cross friction massage therapy is an actual medical technique for sprained ankles where one applies pressure to the injured ankle using one's hand. This breaks down scar tissue, which would prolong the healing process. Usually, this technique is done a few days after the injury, not immediately as Diana suggests.

      https://collegeofmassage.com/toronto/2013/08/sprained-ankles-and-massage-therapy/

    14. spasmodic bile

      Bile is a bodily fluid that is produced by the liver to help the small intestine digest food. It is possible that Diana is suffering from a condition called Sphincter of Oddi Dysfunction (SOD) where bile gets intermittently backed up between the liver and small intestine resulting in severe and seemingly random abdominal pains.

      https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=134&ContentID=181

      Austen is most likely drawing upon her own grievances, as she often complained of "bilious attacks."

      https://mh.bmj.com/content/31/1/3

    15. point of death

      Hypochondria was recognized as a real condition during Austen's time. It was classified as a "nervous disorder," and tended to be reserved only to the elite of society. This seems to be the only illness of Susan, Diana, and Arthur.

      http://jasna.org/publications/persuasions-online/volume-38-no-2/darcy/

    16. sea bathing

      By the mid-18th century, swimming in the cold ocean was a standard therapy for illness or anxiety. The adrenaline from the shock of cold was thought to have soothing effects on the body, calming anxiety and restoring the body-soul balance.

    17. A little of our own bracing sea air will soon set me on my feet again

      18th century England obsessed over the health benefits of the seaside, especially as a cure for tuberculosis. This fascination led to the creation of resort towns, which later spread from England to the new world.

      https://www.theatlantic.com/health/archive/2013/08/the-historic-healing-power-of-the-beach/279175/

    18. We have neither surgeon nor partner in the parish

      The partner of a surgeon is, in this context, the apothecary. Apothecaries were able to legally dispense medicine while surgeons could legally perform operations.

      https://books.google.com/books?id=Gm-N_969uekC&dq=surgeon+and+partner+jane+austen&source=gbs_navlinks_s

    19. tonic pills

      At the end of the 18th century, tonic pills were believed to be an effective form of dieting. After the extravagance of the Georgian period (especially George IV), it became fashionable and responsible to lose weight during the Regency period.

      https://www.historyextra.com/period/georgian/revealed-how-the-georgians-taught-us-to-diet-300-years-ago/

    20. anti-spasmodic, anti-pulmonary, anti-septic, anti-billious and anti-rheumatic
      1. spasmodic: characterized by spasms or convulsive twitches
      2. pulmonary: relating to lungs
      3. septic: putrefactive, putrefying
      4. billious: Affected by too great a secretion of bile, or from bilious derangement
      5. rheumatic: containing mucous or watery secretions

      www.oed.com

    21. sea air

      In 1753, Dr. Richard Russell popularized the idea that sea air was beneficial to one's health and nervous system in his writing A Dissertation Concerning the Use of Sea-Water in Diseases of the Glands. By the 19th century, it was generally accepted that the air, in addition to the actual water, had health benefits, but this belief was not backed by science.

      http://jasna.org/publications/persuasions-online/volume-38-no-2/darcy/

    22. Three teeth drawn at once—frightful!

      There were no licensed dentists during this period. General physicians extracted teeth and often without anesthetic, making it a very painful (and traumatizing?) process. This explains why Charlotte is so sympathetic towards Miss Parker.

      https://georgianera.wordpress.com/2015/02/05/18th-century-dentistry/

    23. any complaint which asses' milk could possibly relieve

      Donkey milk was considered a viable medical treatment from antiquity (Cleopatra bathed in it) until the turn of the 19th century, when it largely went out of fashion. It was considered a generic cure for a variety of conditions, including gout, scurvy, coughs, colds and asthma. For many, donkey milk caused stomach problems and "lactose intolerance."

      https://georgianera.wordpress.com/tag/asses-milk/

    24. I have a great idea of the efficacy of air

      Treatments for illness often relied on "fresh air" to clear impurities from the body.

      http://www.vam.ac.uk/content/articles/h/health-and-medicine-in-the-19th-century/

    25. rheumatism

      Any disease marked by inflammation and pain in the joints, muscles, or fibrous tissue, especially rheumatoid arthritis.

  45. Mar 2019
    1. Can an Evidence-Based Blended Learning Model Serve Healthcare Patients and Adult Education Students?

      Discusses the use of blended-learning incorporating technology especially for adult education programs that reduce education gaps and help the under-employed with career readiness. This also focuses in on adults with chronic disease and how online education might better support their needs. It uses constructivist leanings placing education in the context of activity and environment and recreating the correct environments online.

    1. Sharing of user data is routine, yet far from transparent. Clinicians should be conscious of privacy risks in their own use of apps and, when recommending apps, explain the potential for loss of privacy as part of informed consent. Privacy regulation should emphasise the accountabilities of those who control and process user data. Developers should disclose all data sharing practices and allow users to choose precisely what data are shared and with whom.

      Horrific conclusion, which clearly states that "sharing of user data is routine" where the medical profession is concerned.

    2. To investigate whether and how user data are shared by top rated medicines related mobile applications (apps) and to characterise privacy risks to app users, both clinicians and consumers.

      "24 of 821 apps identified by an app store crawling program. Included apps pertained to medicines information, dispensing, administration, prescribing, or use, and were interactive."

  46. Nov 2018
    1. He and other SHM officials have pushed hospitalists for the past few years to formalize their HIT duties by seeing if they would qualify to take the exam for board certification in medical informatics, which was created in 2013 by the American Board of Medical Specialties (ABMS). Between certification of that skill set and working more with technology vendors and others to improve HIT, Dr. Rogers sees HM being able to help reform much of the current technology woes in just a few years.
    1. edical specialization dates back at least to the time of Galen. For most of medicine’s history, however, the boundaries of medical fields have been based on factors such as patient age (pediatrics and geriatrics), ana-tomical and physiological systems (ophthalmology and gastroenter-ology), and the physician’s tool-set (radiology and surgery). Hos-pital medicine, by contrast, is defined by the location in which care is delivered. Whether such delineation is a good or bad sign for physicians, patients, hospitals, and society hinges on how we understand the interests and as-pirations of each of these groups
    1. Having initial medical discussions without the family and information filtering are common for LEP patients; filtering may be associated with poorer diagnosis comprehension. Experience with a hospitalized child is associated with increased comprehension among LEP parents.
    1. Preceptors must create an environment that is friendly to novice nurses and conducive to perioperative nurse education, particularly in light of the current nursing shortage. Effective teachers use principles of adult learning to facilitate the education of new employees. This results in increased satisfaction for preceptors, preceptees, other staff members, and ultimately, patients.

      The article focuses on adult learning in the medical profession. It is a different perspective than a traditional subject and shows how much education effects all the student comes in contact with in their career.

      8/10

    1. The role of educational technology in medical education

      This article describes how educational technology is improving medical education by being easily accessible and is developing fast. Rating: 4/5

  47. Aug 2018