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Research & Innovation Abstracts 研究,摘要创新
Pub Date : 2023-10-06 DOI: 10.38192/1.8.3.1
Roshelle Ramkisson
BAPIO Institute for Health Research
BAPIO健康研究所
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引用次数: 0
The Importance of an Innovation Culture in the NHS 创新文化在NHS中的重要性
Pub Date : 2023-07-31 DOI: 10.38192/1.8.2.12
D. Behan
Keynote on 'Global trends in healthcare sustainability Digital Revolution in Health Care
关于“医疗保健可持续发展的全球趋势”的主题演讲
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引用次数: 0
A World Without Childhood Blindness 一个没有儿童失明的世界
Pub Date : 2023-07-15 DOI: 10.38192/1.8.2.11
Vederavu Raju, Andrea Contaldi
tbc
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引用次数: 0
GAPIO Vision
Pub Date : 2023-07-15 DOI: 10.38192/1.8.2.10
Nand Kumar Jairam
.
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引用次数: 0
Reducing Risks in Healthcare by Prioritising Workforce Well-being 通过优先考虑员工福利来降低医疗保健风险
Pub Date : 2023-07-15 DOI: 10.38192/1.8.2.5
S. Dodds, Joydeep Grover, A. Mahmood, Triya Chakravorty
Considering risks to healthcare covers a wide variety of topics. This cover’s an extensive area such as sustainability, including funding; planning, long-term policy development; and trends, including the emergence of publicly funded versus private healthcare or a hybrid offering. Other topics include workforce planning, involving the consideration of self-sufficiency versus importing; examination of delivery modes of hospitals versus community; and final consideration of balancing affordability with expectation and need. As part of a consideration of risk is an anticipation of what dangers may arise. This can be borne out of existing knowledge of known threats, which remain ongoing, trends and predicted risk patterns, and unexpected risks.
考虑医疗保健风险涵盖了各种各样的主题。这个覆盖范围很广,比如可持续性,包括资金;规划、长期政策制定;以及趋势,包括公共资助与私人医疗保健或混合服务的出现。其他主题包括劳动力规划,涉及考虑自给自足与进口;医院与社区分娩模式比较最后要考虑的是平衡负担能力与期望和需求。作为风险考虑的一部分,是对可能出现的危险的预测。这可以从已知威胁的现有知识(这些威胁仍在进行)、趋势和预测的风险模式以及意外风险中得到证实。
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引用次数: 0
Mild In Vitro Fertilisation 轻度体外受精
Pub Date : 2023-07-15 DOI: 10.38192/1.8.2.4
Beth Farrer, Helen Nesbitt, L. Osborne, Camilla Stanley, G. Nargund
The case for making healthcare more sustainable is becoming increasingly urgent. Medical professionals understand the need to reduce the cost and environmental impact of our work. We also see that being creative in how we plan treatment pathways and communicate with patients can allow us to work sustainably in terms of the resources required, and in tandem, deliver real benefits for patients. Approaches that deliver ‘prevention rather than cure’ and keep medical intervention as minimally invasive as possible are often better for patients, as well as better for the environment.These concepts are particularly pertinent in the field of reproductive and women’s health, where CREATE Fertility specialise in adopting an approach that is friendly and safe. With natural and mild IVF treatment, delivered with lower doses of drugs, CREATE is able to offer women treatment that reduces risks, side effects and the burden of IVF and supports healthier outcomes for mother and baby, while maintaining outcomes.That philosophy of putting patients first and finding a more efficient way to work is at the heart of the foundation of CREATE’s ABC IVF. In the UK, and around the world, access to fertility treatment is not fair or equal. For many women and couples, cost is a major barrier and one that can stop them building the family they want. In the UK, availability of NHStreatment is variable around the country. At the time of its launch, ABC IVF was the UK’s lowest cost IVF provider, offering a lifeline to thousands of patients who would not otherwise have been able to access treatment.In women’s healthcare, alongside education, innovation and research is key, yet in the UK it is acknowledged that historically there has been a ‘male as default’ approach that has affected research and clinical trials 1 . Professor Nargund is committed to helping to work towards the UN’s sustainable development goals three (health and wellbeing), five (gender inequality), ten (reduced inequality) and thirteen (climate action) with s push to provide affordable, accessible, effective and safe fertility treatment, delivered sustainably. The work is far from over and Professor Nargund and her team remain committed to improving the outlook for women’s healthcare.
使医疗保健更具可持续性的理由正变得越来越紧迫。医疗专业人员明白需要减少我们工作的成本和对环境的影响。我们还看到,在规划治疗途径和与患者沟通的方式上具有创造性,可以使我们在所需资源方面可持续地工作,并同时为患者带来真正的好处。提供“预防而不是治疗”并使医疗干预尽可能微创的方法往往对患者更好,对环境也更好。这些概念特别适用于生殖和妇女健康领域,CREATE Fertility专门在这一领域采用友好和安全的方法。通过自然和温和的体外受精治疗,以较低剂量的药物提供,CREATE能够为妇女提供治疗,降低风险,副作用和体外受精的负担,并支持母亲和婴儿更健康的结果,同时保持结果。把病人放在第一位,寻找更有效的工作方式,这是CREATE ABC试管婴儿的核心理念。在英国和世界各地,获得生育治疗是不公平或不平等的。对许多女性和夫妇来说,成本是一个主要障碍,可以阻止她们建立自己想要的家庭。在英国,nhtreatment的可用性在全国范围内是不同的。在成立之初,ABC试管婴儿是英国成本最低的试管婴儿提供商,为成千上万本来无法获得治疗的患者提供了一条生命线。在女性医疗保健中,除了教育之外,创新和研究也是关键,但在英国,人们承认,历史上一直存在一种“男性默认”的方法,这种方法影响了研究和临床试验。纳冈德教授致力于帮助实现联合国可持续发展目标3(健康和福祉)、5(性别不平等)、10(减少不平等)和13(气候行动),并推动提供负担得起、可获得、有效和安全的生育治疗,并以可持续的方式提供。这项工作远未结束,纳尔冈德教授和她的团队仍致力于改善女性医疗保健的前景。
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引用次数: 0
Introduction to Artificial Intelligence Prediction for Healthcare 医疗保健人工智能预测导论
Pub Date : 2023-07-15 DOI: 10.38192/1.8.2.7
Anindya Chakravorty
Artificial intelligence (AI) aims to mimic human cognitive functions. It is bringing a paradigm shift to healthcare, powered by the increasing availability of healthcare data and rapid progress of analytics techniques.1 AI can be applied to various types of healthcare data (structured and unstructured). Popular AI techniques include machine learning methods for structured data, such as the classical support vector machine and neural network, modern deep learning, and natural language processing for unstructured data. Major disease areas that use AI tools include cancer, neurology and cardiology. 
人工智能(AI)旨在模仿人类的认知功能。它正在为医疗保健带来范式转变,这得益于医疗保健数据的日益可用性和分析技术的快速进步人工智能可以应用于各种类型的医疗保健数据(结构化和非结构化)。流行的人工智能技术包括结构化数据的机器学习方法,如经典的支持向量机和神经网络,现代深度学习和非结构化数据的自然语言处理。使用人工智能工具的主要疾病领域包括癌症、神经病学和心脏病学。
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引用次数: 0
Mutually Beneficial Immigration is Key to Global Healthcare Sustainability 互惠互利的移民是全球医疗保健可持续发展的关键
Pub Date : 2023-07-15 DOI: 10.38192/1.8.2.6
Ramesh Mehta, I. Chakravorty
It is estimated that this unequal world we live in, will need 80 million health workers to meet the demands of the global population by the end of the decade, double the number in 2013.1,2 The population distribution across the globe is skewed (Fig 1) with high densities in Africa, South Asia and South America which characteristically remains mismatched to their gross domestic product and net wealth, which is enjoyed by nations with the least population densities (Fig 2). Healthcare provision within geo-politically separated nation-states continues to be driven by local social, political and economic factors. Therefore, the adage of ‘no size fits all’ is applicable. No two countries have the same healthcare system, anywhere in the world, we know today. Yet the desire to achieve ‘Health for All’ should be universal.3 Implementation of the fundamental principle that health promotion and prevention must be prioritised before the resource intense diagnosis and management of maladies, is believed to be the only way to achieve any form of sustainability in healthcare provision.
据估计,到本十年结束时,我们生活在这个不平等的世界中,将需要8000万卫生工作者来满足全球人口的需求,这一数字是2013年的两倍,3.1,2全球人口分布是倾斜的(图1),非洲、南亚和南美洲的人口密度很高,其特点是与其国内生产总值和净财富仍然不匹配。在地缘政治上分开的民族国家内,医疗保健的提供继续受到当地社会、政治和经济因素的推动。因此,“没有放之四海而皆准”的格言是适用的。我们今天知道,在世界上任何地方,没有两个国家拥有相同的医疗体系。然而,实现“人人享有卫生保健”的愿望应该是普遍的人们认为,在资源密集的疾病诊断和管理之前,必须优先考虑促进和预防健康这一基本原则的执行,是在提供保健方面实现任何形式的可持续性的唯一途径。
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引用次数: 0
Understanding Polycystic Ovary Syndrome (PCOS): 了解多囊卵巢综合征(PCOS):
Pub Date : 2023-07-15 DOI: 10.38192/1.8.2.3
Triya Chakravorty
Polycystic ovary syndrome (PCOS) is the commonest metabolic and endocrine disorder that affects women of reproductive age. It is characterised by irregular menstruation, hyperandrogenism and polycystic ovarian morphology. While significant progress has been made in understanding PCOS, several research questions remain. For instance, there is a need for further investigation into the aetiology of PCOS, including the role of genetic and environmental factors, to aid in earlier diagnosis and treatment. Additionally, while some therapies have been effective in managing the symptoms of PCOS, their long-term efficacy and safety remain uncertain. There is a need to better understand the long-term health consequences of PCOS, particularly regarding cardiovascular disease and cancer risk.                                                                        Early diagnosis, lifestyle modifications, and appropriate medical interventions can help to reduce the risk of complications and improve the overall health outcomes of women with PCOS. Looking forward, there is a need for a multidisciplinary approach to studying PCOS, including collaborations between researchers, healthcare providers, and patient advocacy groups. This may involve developing new tools and technologies for diagnosis and treatment and exploring novel interventions and therapies.There is a growing recognition of the importance of PCOS as a significant health issue affecting millions of women worldwide, and continued research efforts will be critical for improving diagnosis, treatment, and long-term outcomes for those affected by the condition.
多囊卵巢综合征(PCOS)是影响育龄妇女的最常见的代谢和内分泌疾病。它的特点是月经不规律,雄激素过多和多囊卵巢形态。虽然在了解多囊卵巢综合征方面取得了重大进展,但仍存在一些研究问题。例如,有必要进一步调查多囊卵巢综合征的病因,包括遗传和环境因素的作用,以帮助早期诊断和治疗。此外,虽然一些治疗方法对控制多囊卵巢综合征的症状有效,但其长期疗效和安全性仍不确定。需要更好地理解PCOS的长期健康后果,尤其是心血管疾病和癌症的风险 .                                                                        早期诊断、改变生活方式和适当的医疗干预有助于减少并发症的风险,改善多囊卵巢综合征妇女的整体健康状况。展望未来,需要多学科方法来研究多囊卵巢综合征,包括研究人员、医疗保健提供者和患者倡导团体之间的合作。这可能涉及开发用于诊断和治疗的新工具和技术,以及探索新的干预措施和疗法。人们越来越认识到多囊卵巢综合征是影响全世界数百万妇女的重要健康问题,持续的研究工作对于改善多囊卵巢综合征患者的诊断、治疗和长期预后至关重要。
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引用次数: 3
Metacognition for Every Clinician 每个临床医生的元认知
Pub Date : 2023-07-15 DOI: 10.38192/1.8.2.9
U. Shiralkar
A call to action, Surgical Metacognition: Smarter Decision-making for Surgeons challenges surgeons to understand the processes that underpin decision-making and performance, and how we can use this new knowledge to improve a surgeon's performance both in and outside the operating theatre. Decision-making is a core professional activity for surgeons of all levels. It is a distinct high-level skill that is closely associated with the quality of surgical outcomes, patient satisfaction, teamwork, and a surgeon's well-being. Yet it has so far been woefully neglected in surgical training and professional development, with an assumption that these skills develop on their own and cannot be taught or improved. This is an unfortunate and costly oversight that it is time we redress. But how are good decisions and expertise made? And how can we as a profession improve our thinking to optimize our decision-making and train expertise? The answer lies not only in gaining more knowledge and experience, which although essential for good decision-making, do not address the fact that so few of us understand the process itself, let alone how to optimize and teach it. The first step, and focus of this book, is understating 'metacognition'; 'thinking about thinking, ' to improve self-awareness, critical thinking and how we make decisions. The profound developments of psychology and decision-science are now well established and have been successfully incorporated into other high-stakes professions such as senior business management, the military and aviation, to significantly improve both professional and personal outcomes. That surgery has yet to implement this knowledge is like a race car driver using a car with technology that is decades old, ignoring developments that would significantly increase performance. It is time for surgery to embrace this knowledge; to advance and modernize the profession with sharper critical thinking and teaching. With many real-world surgical examples, Surgical Metacognition: Smarter Decision-making for Surgeons reviews the psychological understanding of decisions and decision-making from recent decades of research, giving us the tools to improve how we think and teach this fundamental skill of expertise.
《外科元认知:外科医生更明智的决策》一书呼吁采取行动,挑战外科医生理解决策和表现的基础过程,以及我们如何利用这些新知识提高外科医生在手术室内外的表现。决策是各级外科医生的核心专业活动。这是一项独特的高级技能,与手术结果的质量、患者满意度、团队合作和外科医生的健康密切相关。然而,到目前为止,它在外科培训和专业发展中被可悲地忽视了,人们认为这些技能是自己发展的,不能教授或提高。这是一个不幸和代价高昂的疏忽,现在是我们纠正的时候了。但是,好的决策和专业知识是如何产生的呢?作为一名专业人士,我们该如何改进我们的思维,优化我们的决策和培训专业知识?答案不仅在于获得更多的知识和经验,尽管这对良好的决策至关重要,但并没有解决这样一个事实,即我们中很少有人了解这个过程本身,更不用说如何优化和教授它了。第一步,也是本书的重点,是理解“元认知”;“思考思考”,提高自我意识、批判性思维和决策能力。心理学和决策科学的深刻发展现在已经确立,并已成功地纳入其他高风险的职业,如高级企业管理,军事和航空,以显着提高专业和个人的成果。外科手术尚未实现这一知识,就像赛车手使用几十年前的技术,忽视了可以显著提高性能的发展。现在是外科医生接受这一知识的时候了;以更敏锐的批判性思维和教学来推进和现代化专业。《外科元认知:外科医生更聪明的决策》一书通过许多现实世界的手术案例,回顾了近几十年研究中对决策和决策的心理学理解,为我们提供了改进思维方式和教授这一基本专业技能的工具。
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The Homoeopathic physician
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