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Archive for category: E-News

E-News

The digital therapist

, 26 August 2020/in E-News /by 3wmedia

Imagine this scenario: You’ve been feeling persistently blue lately, so you pull out your phone. Instead of asking Siri to tell you a joke, though, you open an app that records you simply talking about your day. A few hours later, your therapist sends you a message asking if you’d like to meet.

A program like this one that analyses your speech and uses it to gain information about your mental health could soon be feasible, thanks in part to research from the University of Maryland showing that certain vocal features change as patients’ feelings of depression worsen.

The research is part of an interdisciplinary initiative at the University of Maryland to engineer patient-focused mental health monitoring systems. Rather than relying solely on patients’ self-reports, these systems could monitor both physical and psychological symptoms of mental illness on a regular basis and provide both patients and their mental health providers with feedback about their status.

To conduct a quantitative experiment on the vocal characteristics of depression acoustician Carol Espy-Wilson and her colleagues repurposed a dataset collected from a 2007 study from an unaffiliated lab also investigating the relationship between depression and speech patterns. The earlier study assessed patients’ depression levels each week using the Hamilton Depression Scale (a standard clinical evaluation tool to measure the severity of depression) and then recorded them speaking freely about their day.

The University of Maryland researchers used data from six patients who, over the six-week course of the previous study, had registered as depressed some weeks and not depressed other weeks. They compared these patients’ Hamilton scores with their speech patterns each week, and found a correlation between depression and certain acoustic properties.

When patients’ feelings of depression were worst, their speech tended to be breathier and slower. The team also found increases in jitter and shimmer, two measures of acoustic disturbance that measure the frequency and amplitude variation of the sound, respectively. Speech high in jitter and shimmer tends to sound hoarse or rough.

The researchers plan to repeat the study in a larger population, this time comparing speech patterns in individuals with no history of mental illness to those with depression to create an acoustic profile of depression-typical speech. A phone app could use this information to analyse patients’ speech, identify acoustic signatures of depression and provide feedback and support.

Espy-Wilson hopes the interactive technology will appeal to teens and young adults, a particularly vulnerable group for mental health problems. ‘Their emotions are all over the place during this time, and that’s when they’re really at risk for depression. We have to reach out and figure out a way to help kids in that stage,’ she said. EurekAlert

https://interhospi.com/wp-content/uploads/sites/3/2020/06/logo-footer.png 44 200 3wmedia https://interhospi.com/wp-content/uploads/sites/3/2020/06/Component-6-–-1.png 3wmedia2020-08-26 14:39:472020-08-26 14:40:08The digital therapist

Scientists discover new treatment for dementia

, 26 August 2020/in E-News /by 3wmedia

Pushing new frontiers in dementia research, Nanyang Technological University, Singapore (NTU Singapore) scientists have found a new way to treat dementia by sending electrical impulses to specific areas of the brain to enhance the growth of new brain cells.

Known as deep brain stimulation, it is a therapeutic procedure that is already used in some parts of the world to treat various neurological conditions such as tremors or Dystonia, which is characterised by involuntary muscle contractions and spasms.

NTU scientists have discovered that deep brain stimulation could also be used to enhance the growth of brain cells which mitigates the harmful effects of dementia-related conditions and improves short and long-term memory.

Their research has shown that new brain cells, or neurons, can be formed by stimulating the front part of the brain which is involved in memory retention using minute amounts of electricity.

The increase in brain cells reduces anxiety and depression, and promotes improved learning, and boosts overall memory formation and retention.

The research findings open new opportunities for developing novel treatment solutions for patients suffering from memory loss due to dementia-related conditions such as Alzheimer

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Hydrogels deliver on blood-vessel growth

, 26 August 2020/in E-News /by 3wmedia

Rice University scientists have found the balance necessary to aid healing with high-tech hydrogel.

Rice chemist Jeffrey Hartgerink, lead author Vivek Kumar and their colleagues have created a new version of the hydrogel that can be injected into an internal wound and help it heal while slowly degrading as it is replaced by natural tissue.

Hydrogels are used as a scaffold upon which cells can build tissue. The new hydrogel overcomes a host of issues that have kept them from reaching their potential to treat injuries and forming new vasculature to treat heart attack, stroke and ischemic tissue diseases.

The Rice lab

https://interhospi.com/wp-content/uploads/sites/3/2020/06/logo-footer.png 44 200 3wmedia https://interhospi.com/wp-content/uploads/sites/3/2020/06/Component-6-–-1.png 3wmedia2020-08-26 14:39:472020-08-26 14:39:55Hydrogels deliver on blood-vessel growth

Long-term testosterone therapy does not increase the risk of prostate cancer

, 26 August 2020/in E-News /by 3wmedia

Testosterone (T) therapy is routinely used in men with hypogonadism, a condition in which diminished function of the gonads occurs. Although there is no evidence that T therapy increases the risk of prostate cancer (PCa), there are still concerns and a paucity of long-term data. In a new study, investigators examined three parallel, prospective, ongoing, cumulative registry studies of over 1,000 men. Their analysis showed that long-term T therapy in hypogonadal men is safe and does not increase the risk of PCa.

Lead investigator Ahmad Haider, MD, PhD, urologist, Bremerhaven, Germany, states, ‘Although considerable evidence exists indicating no relationship between testosterone and increased risk of developing PCa, decades of physician training with the notion that testosterone is fuel for PCa made it difficult to dispel such fallacy and the myth continued to persist. Nevertheless, in the absence of long-term follow-up data demonstrating reduced risk of PCa in hypogonadal men who are receiving T therapy, considerable skepticism remains throughout the medical community and this is an expected natural and acceptable path of medical and scientific discourse. In view of the current evidence, clinicians are compelled to think this over and cannot justify withholding T therapy in hypogonadal men, also in men who have been successfully treated for PCa.’ EurekAlert

https://interhospi.com/wp-content/uploads/sites/3/2020/06/logo-footer.png 44 200 3wmedia https://interhospi.com/wp-content/uploads/sites/3/2020/06/Component-6-–-1.png 3wmedia2020-08-26 14:39:472020-08-26 14:40:03Long-term testosterone therapy does not increase the risk of prostate cancer

Undescended testis: The recommended surgery is being performed too late

, 26 August 2020/in E-News /by 3wmedia

Undescended testis is commonly found in new-born boys and usually normalizes spontaneously by the age of six months. In one in a hundred boys, however, at least one testis remains undescended

https://interhospi.com/wp-content/uploads/sites/3/2020/06/logo-footer.png 44 200 3wmedia https://interhospi.com/wp-content/uploads/sites/3/2020/06/Component-6-–-1.png 3wmedia2020-08-26 14:39:472020-08-26 14:40:10Undescended testis: The recommended surgery is being performed too late

New care model enhances recovery of ICU survivors

, 26 August 2020/in E-News /by 3wmedia

The Critical Care Recovery Center care model — the USA

https://interhospi.com/wp-content/uploads/sites/3/2020/06/logo-footer.png 44 200 3wmedia https://interhospi.com/wp-content/uploads/sites/3/2020/06/Component-6-–-1.png 3wmedia2020-08-26 14:39:472020-08-26 14:39:50New care model enhances recovery of ICU survivors

One-minute point-of-care anemia test shows promise in new study

, 26 August 2020/in E-News /by 3wmedia

A simple point-of-care testing device for anemia could provide more rapid diagnosis of the common blood disorder and allow inexpensive at-home self-monitoring of persons with chronic forms of the disease.
The disposable self-testing device analyses a single droplet of blood using a chemical reagent that produces visible colour changes corresponding to different levels of anemia. The basic test produces results in about 60 seconds and requires no electrical power. A companion smartphone application can automatically correlate the visual results to specific blood hemoglobin levels.
By allowing rapid diagnosis and more convenient monitoring of patients with chronic anemia, the device could help patients receive treatment before the disease becomes severe, potentially heading off emergency room visits and hospitalizations. Anemia, which affects two billion people worldwide, is now diagnosed and monitored using blood tests done with costly test equipment maintained in hospitals, clinics or commercial laboratories.
Because of its simplicity and ability to deliver results without electricity, the device could also be used in resource-poor nations.
Using a two-piece prototype device, the test works this way: a patient sticks a finger with a lance similar to those used by diabetics to produce a droplet of blood. The device

https://interhospi.com/wp-content/uploads/sites/3/2020/06/logo-footer.png 44 200 3wmedia https://interhospi.com/wp-content/uploads/sites/3/2020/06/Component-6-–-1.png 3wmedia2020-08-26 14:39:472020-08-26 14:39:58One-minute point-of-care anemia test shows promise in new study

Survey finds low awareness about risks of cognitive side effects following surgery

, 26 August 2020/in E-News /by 3wmedia

Survey of Swedish anesthesia personnel reveals the need to improve knowledge, particularly in elderly and fragile patients.
Postsurgical cognitive side effects can have major implications for the level of care, length of hospital stay, and the patient

https://interhospi.com/wp-content/uploads/sites/3/2020/06/logo-footer.png 44 200 3wmedia https://interhospi.com/wp-content/uploads/sites/3/2020/06/Component-6-–-1.png 3wmedia2020-08-26 14:39:472020-08-26 14:40:05Survey finds low awareness about risks of cognitive side effects following surgery

MRI probe technology shows brain toxins in living animals for first time

, 26 August 2020/in E-News /by 3wmedia

No methods currently exist for the early detection of Alzheimer

https://interhospi.com/wp-content/uploads/sites/3/2020/06/logo-footer.png 44 200 3wmedia https://interhospi.com/wp-content/uploads/sites/3/2020/06/Component-6-–-1.png 3wmedia2020-08-26 14:39:472020-08-26 14:39:53MRI probe technology shows brain toxins in living animals for first time

Perioperative Surgical Home improves quality, reduces health care costs

, 26 August 2020/in E-News /by 3wmedia

The Perioperative Surgical Home (PSH) model consistently and significantly improves quality of care for patients and reduces health care costs, reports a first-of-its-kind, large-scale literature review of the PSH in the United States and abroad. The review provides further evidence to support the benefits, and encourage the adoption, of the PSH model.

‘There is a global push for more rigorously coordinated and integrated management of surgical patients to enhance patient satisfaction and improve quality of care and outcomes, while cutting costs,’ said Thomas R. Miller, Ph.D., M.B.A., co-author of the review and director of health policy research at the American Society of Anesthesiologists, Schaumburg, Ill. ‘Whether in the U.S. or overseas, our review found that the PSH model of care is highly effective at achieving these measures by reducing cancellations and surgical delays, lowering complication rates and readmissions, and shortening hospital stays.’

The PSH is a patient-centred, physician-led, multidisciplinary team-based model of coordinated care. In a PSH, a patient’s entire surgical experience – preoperative, intraoperative, postoperative and post-discharge – is fully coordinated and treated as one continuum of care. The PSH model emphasizes the cost-efficient use of resources as well as lead physician, multi-specialty team and patient-shared decision-making.

Interestingly, both U.S. and international studies stressed the importance of the role of physician anaesthesiologists in perioperative patient management and PSH models of care.

‘This literature review provides still more evidence that physician anaesthesiologist-led anaesthesia care teams are associated with better patient outcomes, fewer complications, less pain, earlier return to functionality and home, and lower costs,’ said J.P. Abenstein, ASA president. ‘The Perioperative Surgical Home will advance our goals of improved patient safety, quality of care and cost-effectiveness. Every patient undergoing an invasive procedure deserves the involvement of a physician anaesthesiologist in their care.’

Researchers from Texas A&M University and the ASA performed a comprehensive analysis of 152 peer-reviewed studies published between 1980 and 2013. They compared PSH models in the U.S. and other countries and summarized the findings related to clinical outcomes and efficiencies/cost of surgery in various surgical homes. All studies were categorized as preoperative, intraoperative or postoperative in scope.

According to the review, 82 percent of preoperative studies analysed found that the PSH model had a significant positive impact on preoperative clinical outcomes (32 studies) and reduced costs (23 studies). Studies cited preoperative patient education as a component of the PSH model that significantly reduced length of stays and readmission rates. Additionally, studies cited that minimizing the number of unnecessary preoperative tests was found to reduce costs. In fact, one study found eliminating unneeded tests reduced costs by as much $112 per patient, for a total of $1.01 million over the course of the study.

Eighty-two percent of intraoperative studies analysed found that the PSH model had a significant positive impact on intraoperative clinical outcomes (29 studies) and reduced costs (17 studies). Studies cited design and process flow initiatives such as real-time patient-routing systems (real-time electronic dashboards that ensure access to medical records) as one of the intraoperative components of the PSH model that led to a reduction in O.R. delays, surgical cancellations and improved efficiencies.

Last, 90 percent of postoperative studies analysed found that the PSH model had a significant positive impact on clinical outcomes (71 studies) and reduced costs (23 studies). Studies cited enhanced recovery after surgery programs as a component of the PSH model that significantly helped reduce complications, length of stays and costs by encouraging quicker recovery and earlier discharges.

‘We would like to see the PSH model of care be adopted nationwide,’ said Miller. ‘Large reviews such as this show just how successful this model of care can be at raising the quality of care for patients, while meeting the increasing demands of health care reform.’ EurekAlert

https://interhospi.com/wp-content/uploads/sites/3/2020/06/logo-footer.png 44 200 3wmedia https://interhospi.com/wp-content/uploads/sites/3/2020/06/Component-6-–-1.png 3wmedia2020-08-26 14:39:472020-08-26 14:40:00Perioperative Surgical Home improves quality, reduces health care costs
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