45 Matching Annotations
  1. Apr 2019
  2. 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."

  3. 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

  4. Aug 2018
    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.)

  5. May 2018
    1. I realized that with my medical condition (link is external), it had to be someone who understood my condition, my philosophy about life and healthcare, along with knowing my long list of allergies to medications and foods.

      This portion of the article highlights the importance of trusting the person that you chose as a health care proxy to respect your values and lookout for your best interest.

    2. Further, a doctor, medical center, hospital, EMT, and even assisted living staff can make decisions regarding your healthcare, treatment methods and type of medical care to provide you if you are not married, over 18 years old, and do not have a health care proxy in place

      Medical decision making has very specific in rules to protect the rights of the patient. The rules can vary according to a patient's age, marital status, and wether or not they signed a health care proxy document in the first place.

    3. Who would decide what was best for you? Who would advocate on your behalf?

      This is a scary question that most people in the United States have to consider at one point in their life. Trust in the person in charge of making medical decisions is essential.

    4. Health care proxy: An advance medical directive in the form of a legal document that designates another person (a proxy) to make health care decisions in case a person is rendered incapable of making his or her wishes known.

      The medical definition of a health care proxy- a legal medical document that transfers power of medical decision making from a patient to a trusted person.

    1. The question each proxy should ask when making decisions on behalf of others is, who am I truly serving — the patient or myself?

      This article really high lights the potential negatives of the concept of healthcare proxies and provides real life scenarios to help the reader relate.

    2. In situations like this, the proxy (knowingly or unknowingly), is primarily motivated by his own need to have one last opportunity to repair the broken relationship and make amends to redeem himself.

      This last situation suggests that a proxy could have personal motives for keeping a patient alive- in this case, a son was trying to keep his father alive due to his feelings of grief and guilt over the broken relationship. The father was being kept alive in the hospital even though the medical professionals had advised against it.

    3. When the patient is unwilling or unable to make medical decisions, the health care proxy is activated and he or she is obligated to make all health choices on behalf of the patient. These may be related to withdrawing or withholding life support, instituting artificial liquid feeding, attempting resuscitation and even whether or not to participate in autopsy and organ donation.

      Any decisions regarding the care and body of the patient are headed over to their health proxy, who assumes any medical decision making responsibilities from there.

    4. Most of us will lose our ability to make medical decisions for ourselves in the last phase of our lives

      This is an issue that may affect the majority of American people towards the end of their lives.

  6. Feb 2018
  7. Nov 2017
    1. New York is one of 29 states (plus the District of Columbia) that have legalized medical marijuana––a trend that 94 percent of Americans support, according to an August Quinnipiac poll. But on December 8, all of that could begin to change.

      Congress has until that day to decide whether to include the Rohrabacher-Farr Act (also known as Rohrabacher-Blumenauer) in a bill that will fund the government through the next fiscal year. Right now, that law, made up of just 85 words, blocks the Department of Justice from using any money to prosecute medical marijuana in states where it's legal.

      . . .

      “I believe it would be unwise for Congress to restrict the discretion of the Department to fund particular prosecutions, particularly in the midst of an historic drug epidemic and potentially long-term uptick in violent crime," Sessions wrote in his letter.

    1. Via email, the primary investigator of COURAGE, Dr William Boden (Boston University, MA), highlighted that investigators found no subset of patients that did better with PCI vs OMT. Not those with multivessel disease and EF<50%, not those with LAD disease, and not those with nuclear studies showing moderate-severe ischemia.[7–9]
    2. espected investigators from Imperial College London have shaken the core of cardiology. The stakes could not be bigger. Millions of people have received stents for stable coronary artery disease (CAD) at a cost of billions of dollars.
    3. Coronary Stents Humbled Yet Again in Stable CAD
  8. May 2017
  9. Mar 2017
  10. Feb 2017
    1. Previous to the nineteenth century, physicians classified diseases based on the observation of the pre-conditional symptoms known at the time

      Since the medical practices to reveal abnormalities was not an entirely accurate way to "read" bodies, could it be possible that the 19th century norm only became the standard because they couldn't examine bodies to their fullest?

    1. Mengele conducted medical experiments on twins. He also directed serological experiments on Roma (Gypsies), as did Werner Fischer at Sachsenhausen, in order to determine how different "races" withstood various contagious diseases. The research of August Hirt at Strasbourg University also intended to establish "Jewish racial inferiority."

      There is no ethical thing about this "Jewish racial inferiority" because with the resilience of some races to different diseases, they established the "inferiority" at where they were researching. It causes problems because it makes it cloudy to the minds if they were helping or not.

    2. Other gruesome experiments meant to further Nazi racial goals were a series of sterilization experiments, undertaken primarily at Auschwitz and Ravensbrueck.

      This also is unethical, because people have basic rights to make children or offspring. This is unethical because it is was given without consent which in this time and place was not unusual. This shows that with mass sterilization was uncalled for and that with the after effects made it ethical and had to have consent for the procedure.

    3. Unethical medical experimentation carried out during the Third Reich may be divided into three categories.

      By unethical, doctors and scientists experimented on people without supervision or ethics. This shows that in the Nazi Germany that the experiments could be anything and it can have no ethics, this helped with the code of ethics we follow today.

  11. Oct 2016
  12. Sep 2016