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Google's AI-powered tool that will be available later this year helps anyone identify skin conditions using their phone’s camera. Artificial intelligence (AI) has the potential to help clinicians care for patients and treat disease — from improving the screening process for breast cancer to helping detect tuberculosis more efficiently. When we combine these advances in AI with other technologies, like smartphone cameras, we can unlock new ways for people to stay better informed about their health, too. Google's AI-powered dermatology assist tool is a web-based application that they hope to launch as a pilot later this year, to make it easier to figure out what might be going on with their skin. Once the user launchs the tool, simply use their phone’s camera to take three images of the skin, hair or nail concern from different angles. They are then asked questions about their skin type, how long they’ve had the issue and other symptoms that help the tool narrow down the possibilities. The AI model analyzes this information and draws from its knowledge of 288 conditions to give the user a list of possible matching conditions that they can then research further. For each matching condition, the tool will show dermatologist-reviewed information and answers to commonly asked questions, along with similar matching images from the web. The tool is not intended to provide a diagnosis nor be a substitute for medical advice as many conditions require clinician review, in-person examination, or additional testing like a biopsy. Rather Google hopes it gives users access to authoritative information so they can make a more informed decision about their next step. Developing an AI model that assesses issues for all skin types Google's tool is the culmination of over three years of machine learning research and product development. To date, Google has published several peer-reviewed papers that validate their AI model and they claim more are in the works. Recently, the AI model that powers the tool successfully passed clinical validation, and the tool has been CE marked as a Class I medical device in the EU. more at https://blog.google/technology/health/ai-dermatology-preview-io-2021/
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Anticipating the risk of gastrointestinal bleeding (GIB) when initiating antithrombotic treatment (oral antiplatelets or anticoagulants) is limited by existing risk prediction models. Machine learning algorithms may result in superior predictive models to aid in clinical decision-making. Objective: To compare the performance of 3 machine learning approaches with the commonly used HAS-BLED (hypertension, abnormal kidney and liver function, stroke, bleeding, labile international normalized ratio, older age, and drug or alcohol use) risk score in predicting antithrombotic-related GIB. Design, setting, and participants: This retrospective cross-sectional study used data from the OptumLabs Data Warehouse, which contains medical and pharmacy claims on privately insured patients and Medicare Advantage enrollees in the US. The study cohort included patients 18 years or older with a history of atrial fibrillation, ischemic heart disease, or venous thromboembolism who were prescribed oral anticoagulant and/or thienopyridine antiplatelet agents between January 1, 2016, and December 31, 2019. In this cross-sectional study, the machine learning models examined showed similar performance in identifying patients at high risk for GIB after being prescribed antithrombotic agents. Two models (RegCox and XGBoost) performed modestly better than the HAS-BLED score. A prospective evaluation of the RegCox model compared with HAS-BLED may provide a better understanding of the clinical impact of improved performance. link to the original investigation paper https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2780274 read the pubmed article at https://pubmed.ncbi.nlm.nih.gov/34019087/
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New artificial intelligence technology that uses a common CT angiography (CTA), as opposed to the more advanced imaging normally required to help identify patients who could benefit from endovascular stroke therapy (EST), is being developed at The University of Texas Health Science Center at Houston (UTHealth). Two UTHealth researchers worked together to create a machine-learning artificial intelligence tool that could be used for assessing a stroke at every hospital that takes care of stroke patients - not just at large academic hospitals in major cities. Research to further develop and test the technology tool is funded through a five-year, $2.5 million grant from the National Institutes of Health (NIH). "The vast majority of stroke patients don't show up at large hospitals, but in those smaller regional facilities. And most of the emphasis on screening techniques is only focused on the technologies used in those large academic centers. With this technology, we are looking to change that," said Sunil Sheth, MD, assistant professor of neurology at McGovern Medical School at UTHealth. Sheth set out with Luca Giancardo, PhD, assistant professor with the Center for Precision Health at UTHealth School of Biomedical Informatics, to develop a quicker way to assess patients. The result was a novel deep neural network architecture that leverages brain symmetry. Using CTAs, which are more widely available, the system can determine the presence or absence of a large vessel occlusion and whether the amount of "at-risk" tissue is above or below the thresholds seen in those patients who benefitted from EST in the clinical trials. "This is the first time a data set is being specifically collected aiming to address the lack of quality imaging available for stroke patients at smaller hospitals," Giancardo said. read the complete press release with further details on the work at https://www.uth.edu/news/story.htm?id=9fccdefb-ff91-4775-a759-a786689956ea
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The Mayo Clinic has launched a new mHealth platform aimed at helping healthcare providers improve their use of connected health devices in remote patient monitoring and other mobile health programs. The Remote Diagnostic and Management Platform (RDMP) connects devices to AI resources that would help providers with clinical decisions support and diagnoses in what the Minnesota-based health system calls “event-driven medicine.” It’s designed to help providers in and outside the health system analyze and act on data collected by mHealth devices. “The dramatically increased use of remote patient telemetry devices coupled with the rapidly accelerating development of AI and machine learning algorithms has the potential to revolutionize diagnostic medicine,With RDMP, clinicians will have access to best-in-class algorithms and care protocols and will be able to serve more patients effectively in remote care settings. The platform will also enable patients to take more control of their health and make better decisions based on insights delivered directly to them.” read more at https://mhealthintelligence.com/news/mayo-clinic-launches-new-platform-for-analyzing-data-from-mhealth-devices
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Imagine you’re a scientist who needs to discover a new antibiotic to fight off a scary disease. How would you go about finding it? Typically, you’d have to test lots and lots of different molecules in the lab until you find one that has the necessary bacteria-killing properties. You might find some contenders that are good at killing the bacteria only to realize that you can’t use them because they also prove toxic to humans. It’s a very long, very expensive, and probably very aggravating process. But what if, instead, you could just type into your computer the properties you’re looking for and have your computer design the perfect molecule for you? That’s the general approach IBM researchers are taking, using an AI system that can automatically generate the design of molecules for new antibiotics. In a new paper, published in Nature Biomedical Engineering, the researchers detail how they’ve already used it to quickly design two new antimicrobial peptides — small molecules that can kill bacteria — that are effective against a bunch of different pathogens in mice. Normally, this molecule discovery process would take scientists years. The AI system did it in a matter of days. That’s great news, because we urgently need faster ways to create new antibiotics. How IBM’s AI system works IBM’s new AI system relies on something called a generative model. To understand it at its simplest level, we can break it down into three basic steps. First, the researchers start with a massive database of known peptide molecules. Then the AI pulls information from the database and analyzes the patterns to figure out the relationship between molecules and their properties. It might find that when a molecule has a certain structure or composition, it tends to perform a certain function. This allows it to “learn” the basic rules of molecule design. Finally, researchers can tell the AI exactly what properties they want a new molecule to have. They can also input constraints (for example: low toxicity, please!). Using this info on desirable and undesirable traits, the AI then designs new molecules that satisfy the parameters. The researchers can pick the best one from among them and start testing on mice in a lab. The IBM researchers claim that their approach outperformed other leading methods for designing new antimicrobial peptides by 10 percent. They found that they were able to design two new antimicrobial peptides that are highly potent against diverse pathogens, including multidrug-resistant K. pneumoniae, a bacterium known for causing infections in hospital patients. Happily, the peptides had low toxicity when tested in mice, an important signal about their safety (though not everything that’s true for mice ends up being generalizable to humans). read the original unedited article at https://www.vox.com/future-perfect/22360573/ai-ibm-design-new-antibiotics-covid-19-treatments read the paper by the IBM researchers - Accelerated antimicrobial discovery via deep generative models and molecular dynamics simulations
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As healthcare providers battle an increasing influx of patients and dwindling inventory – including critical personal protective equipment (PPE) supplies like masks, ventilators, and hospital beds – they are relying more heavily on their digital tools and applications than ever before. Prior to this recent pandemic, research shows that 84 percent of people have experienced problems with digital services in the last year. In the middle of a global health crisis, there’s no tolerance for bad performance when it’s a matter of a patients’ health. To improve these experiences, health IT professionals must leverage AI and machine learning to pinpoint the moment digital issues arise and automatically remediate issues. This saves IT teams time and resources that could be spent creating new services that will further improve the patient and doctor’s experience during the crisis. Digital strategies that HealthIT leaders must consider to support healthcare professionals regardless of where and when they are providing care. - Real-time analytics and monitoring
- Remote monitoring
Read the entire article at https://hitconsultant.net/2020/05/20/digital-strategies-healthit-must-prioritize-during-covid-19/#.Xvhd1JMzZPt
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Saudi Health Minister Tawfiq Al-Rabiah said digital health technologies will play a central role in the transformation of health services. He was inaugurating the HIMSS event in Riyadh, which aims to raise awareness about the importance of e-health care and its role in improving performance, services and the use of resources in the health sector. Addressing the opening session, Al-Rabiah said digital health technologies will play a central role in the transformation of health services envisioned by the Health Ministry. A large part of the Kingdom’s Vision 2030 reform plan focuses on health issues, he added. “E-health will be an essential part of this transformation, and will support it so as to contribute significantly to the improvement of health services and streamline access to such health services,” he said. The Mawid app, which was presented during the inaugural session, is a centralized system that enables patients to book appointments in Primary Healthcare Centers (PHCs) in coordination with the relevant department, Al-Rabiah added. Through the app, patients can book, amend or cancel their appointments at any hospital to which they were referred, and rate the quality of services provided, he said. Another app, Seha, provides an online medical consultation service through doctors accredited by the Health Ministry, he added. Patients can get these consultations via chat, voice or video calls, and evaluate their experience at the end of the consultation, said Al-Rabiah, adding that the ministry is developing electronic medical prescriptions. “I think artificial intelligence (AI) will play a huge role in the development of health services in the coming years,” he said, adding that the ministry will include AI services in Seha. Based on experiences outside the Kingdom, AI gives better results than visiting a physician, Al-Rabiah said. “We appreciate the pivotal role of the physician, which is indispensable, but this technique will reduce pressure on the physician and facilitate access to health services in common diseases,” he added. Al-Rabiah reviewed an app that remotely and promptly interprets X-ray images, which is already being used in four hospitals. AI will be introduced to make readings more in-depth and accurate, he said. Al-Rabiah stressed the need to train and qualify health practitioners to use these new techniques, and thanked the SCHS for making such training a prerequisite for obtaining a health practice license. “The future is brighter with the use of technologies in health services, and the Kingdom will be a leader in this field,” he said.
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Algorithms based on machine learning and deep learning, intended for use in diagnostic imaging, are moving into the commercial pipeline. However, providers will have to overcome multiple challenges to incorporate these tools into daily clinical workflows in radiology. There now are numerous algorithms in various stages of development and in the FDA approval process, and experts believe that there could eventually be hundreds or even thousands of AI-based apps to improve the quality and efficiency of radiology. The emerging applications based on machine learning and deep learning primarily involve algorithms to automate such processes in radiology as detecting abnormal structures in images, such as cancerous lesions and nodules. The technology can be used on a variety of modalities, such as CT scans and X-rays. The goal is to help radiologists more effectively detect and track the progression of diseases, giving them tools to enhance speed and accuracy, thus improving quality and reducing costs. While the number of organizations incorporating these products into daily workflows is small today, experts expect many providers to adopt these solutions as the industry overcomes implementation challenges. Data dump Radiologists’ growing appreciation for AI may result from the technology’s promise to help the profession cope with an explosion in the amount of data for each patient case. Radiologists also are grappling with the growth in data from sources outside radiology, such as lab tests or electronic medical records. This is another area where AI could help radiologists by analyzing data from disparate sources and pulling out key pieces of information for each case,. There are other issues that AI could address as well, such as “observer fatigue,” which is an “aspect of radiology practice and a particular issue in screening examinations where the likelihood of finding a true positive is low,” wrote researchers from Massachusetts General Hospital and Harvard Medical School in a 2018 article in the Journal of the American College of Radiology. These researchers foresee the utility of an AI program that could identify cases from routine screening exams with a likely positive result and prioritize those cases for radiologists’ attention. AI software also could help radiologists improve worklists of cases in which referring physicians already suspect that a medical problem exists. read more at the original source: https://www.healthdatamanagement.com/news/algorithms-begin-to-show-practical-use-in-diagnostic-imaging
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AI-powered smartphone app can reduce physician burnout, enhance patient experience Virtual assistants are a fast-growing phenomenon, not only with the use of consumer products such as Amazon's Alexa, Google Assistant, and Apple's Siri, but as part of automated communications with many industries, such as airlines and banking. Market intelligence firm Research and Markets released a report earlier this year forecasting: The healthcare market has lagged behind, but in September, Nuance and Epic released the first version of a conversational virtual assistant. It operates on Nuance's Dragon Medical cloud-based platform and is available through Epic Haiku, a mobile app for physicians that interfaces with the Epic EHR. The assistant is an upgrade to the app, used by physicians, which provides secure access to clinic schedules, hospital patient lists, health summaries, test results, and notes, while supporting dictation. HOW VIRTUAL ASSISTANTS WILL CHANGE HEALTHCARE SHORT TERM According to Sean Bina, vice president of access applications for Epic, the assistant can answer questions such as: - What are the patient's A1c test results?
- What medication is the patient taking?
- What's my schedule for today?
- Has the patient had a colonoscopy?
The immediate impact has the potential to reduce provider burnout, diminish difficulty locating information in the EHR, and change the physician-patient dynamic. WHAT THE FUTURE HOLDS VUMC is taking the virtual assistant another step further and developing contextually useful summaries to provide an overview of relevant patient information for the physician to listen to before entering the exam room. Among the other capabilities in development: - Medication and test ordering. While Dragon Medical currently has these capabilities built into its system, Epic has not yet activated this feature. During testing with Vanderbilt, the mean time for ordering medications via the virtual assistant was 17 seconds, compared to 50 seconds using the mobile app without voice assistance.
- Decision support tools that could issue alerts, for example, if a patient has adverse reactions or allergies to medications the doctor orders.
- A desktop version of the virtual assistant is planned by Nuance and Epic.
read the entire article at https://www.healthleadersmedia.com/innovation/virtual-assistant-eases-ehr-distractions-physicians
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Roughly 600,000 people in the U.S. are diagnosed with Parkinson’s every year, contributing to the more than 10 million people worldwide already living with the neurodegenerative disease. Early detection can result in significantly better treatment outcomes, but it’s notoriously difficult to test for Parkinson’s. Tencent and health care firm Medopad have committed to trialing systems that tap artificial intelligence (AI) to improve diagnostic accuracy. They announced a collaboration with the Parkinson’s Center of Excellence at King’s College Hospital in London to develop software that can detect signs of Parkinson’s within minutes. (Currently, motor function assessments take about half an hour.) This technology can help promote early diagnosis of Parkinson’s disease, screening, and daily evaluations of key functions. Medopad’s tech, which uses a smartphone camera to monitor patients’ fine motor movements, is one of several apps and wearables the seven-year-old U.K. startup is actively developing. It instructs patients to open and close a fist while it measures the amplitude and frequency of their finger movements, which the app converts into a graph for clinicians. The goal is to eventually, with the help of AI, teach the system to calculate a symptom severity score automatically. Tencent and Medopad are far from the only firms applying AI to health care. Just last week, Google subsidiary DeepMind announced that it would use mammograms from Jikei University Hospital in Tokyo, Japan to refine its AI breast cancer detection algorithms. And last month Nvidia unveiled an AI system that generates synthetic scans of brain cancer read the original story at https://venturebeat.com/2018/10/08/tencent-partners-with-medopad-to-improve-parkinsons-disease-treatment-with-ai/
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It is projected that by next year, over 7.6 billion people throughout the world will use over 30 billion smart, sensor-based wearable devices that will monitor human activities, including mental-health data. Smartphones and wearable sensors are able to detect and analyze behaviors such as activity (by GPS, location, and speed); sleep hours (your total time in bed or asleep); and various brain functions through games prompted to test memory, executive capacities, emotions and moods. This will soon become the paramount source of obtaining health data with a special emphasis on mental health issues. Psychiatrists will be able to use these new technologies to identify a healthy person at risk by being able to analyze samplings of feelings, thoughts, and general behaviors as they occur in real time and in their real life. Well, there are reliability issues, problem of missing data, retention/adherence abilities, and subjects neglecting to wear or charge their devices after a certain period of time. The new learning algorithms of artificial intelligence technologies are able to integrate structured and unstructured data and should eventually be able to tackle these potential pitfalls. Read the original article at https://www.miamiherald.com/living/health-fitness/article219558560.html
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As data and analytics are increasingly leveraged in various aspects of the healthcare system, some companies are making use of such capabilities to help clinicians make the best decisions for patients. One such company is naviHealth. Based in Brentwood, Tennessee, naviHealth provides both payers and providers with post-acute care management expertise. Its nH Predict tool allows clinicians to better predict a patient’s outcomes in order to craft a personalized post-acute care plan. Using NaviHealths nH Predict tool, clinicians are better able to predict a patient's outcomes and generate a personalized post-acute care plan. The result of the tool is a simple outcome report that is generated at the beginning of the patient’s stay in a facility or hospital. The report breaks down the patient’s basic information as well as how they’re doing in a variety of categories. For instance, nH Predict outlines the individual’s gender, date of birth and admission date. It also includes their primary diagnostic group (such as COPD) and their usual living setting (like at home alone or in an assisted living facility). Finally, the outcome report provides a score for a few of the patient’s functions based on the data of similar patients. It gives a score on the patient’s basic mobility (such as wheelchair skills or ability to take the stairs); daily activity (like bathing and dressing); and applied cognition (including memory and communication). Additionally, the report creates a total average score for the patient based on their mobility, activity and cognition scores. read the complete story at https://medcitynews.com/2018/10/navihealth-data-patient-outcomes/
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At the World Medical Innovation Forum this week, participants were polled with a loaded question: “Do you think healthcare will become better or worse from the use of AI?” Across the respondents, 98 percent said it would be either “Better” or “Much Better” and not a single one thought it would become “Much Worse.” This is an interesting statistic, and the results were not entirely surprising, especially given that artificial intelligence was the theme for the meeting. This continual stream of adoption of new technologies in both clinical and post clinical settings is remarkable. Today, healthcare is a technology operation. As a case in point, outside of the array of MDs and medical professionals presenting at the forum, there was clearly a strong, advanced technology thread weaved throughout the conversations of the traditional topics of pathology, radiology, bioinformatics, electronic medical records (EMR), and standard healthcare provider issues. As an example, a panel of senior technology experts from Microsoft, Cisco Systems, Dell EMC, Qualcomm, and Google joined research and information officers from Partners Healthcare and Massachusetts General Hospital to discuss the challenges in what they called “Data Engineering in Healthcare: Liberating Value.” That is a serious title for a panel. Data portability was clearly a key topic, as was security and the public cloud. The underlying issue with the cloud is that the EMR was never really designed to be portable. Health records existed with institutional walls, and were not originally intended for real time care, but more as a means of tracking costs and transactions as the patient traveled through the various systems. As the EMR has not only become more feature rich, the ability to mine that data inside of them with ML and AI methods is clearly at the forefront of everyone’s mind right now. There was discussion of episodic systems wrapped in policy and technology – this really isn’t quite how we can gain the maximum knowledge from the healthcare version of a Digital Me. A digital object containing all of our many and varied health related attributes. The challenges of discussing how to best build a “marketplace” and healthcare data exchanges and how to integrate “data marts” with existing EMR systems was obvious.
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Scientists have fabricated a device that can mimic human brain cognitive actions and is more efficient than conventional techniques in emulating artificial intelligence, thus enhancing the computational speed and power consumption efficiency. Artificial intelligence is now a part of our daily lives, starting from email filters and smart replies in communication to helping battle the Covid-19 pandemic. But AI can do much more such as facilitate self-driving autonomous vehicles, augmented reality for healthcare, drug discovery, big data handling, real-time pattern/image recognition, solving real-world problems, and so on. These can be realised with the help of a neuromorphic device which can mimic the human brain synapse to bring about brain-inspired efficient computing ability. The human brain comprises of nearly a hundred billion neurons consisting of axons and dendrites. These neurons massively interconnect with each other via axons and dendrites, forming colossal junctions called synapse. This complex bio-neural network is believed to give rise to superior cognitive abilities. Software-based artificial neural networks (ANN) can be seen defeating humans in games or helping handle the Covid-19 situation. However, the power-hungry (in megawatts) von Neumann computer architecture slows down ANNs performance due to the available serial processing while the brain does the job via parallel processing consuming just 20 W. It is estimated that the brain consumes 20% of the total body energy. From the calory conversion, it amounts to 20 watts. While the conventional computing platforms consume megawatts, i.e., 1 million watts of energy, to mimic basic human cognition. To overcome this bottleneck, a hardware-based solution involves an artificial synaptic device that, unlike transistors, could emulate the functions of human brain synapse. Scientists had long been trying to develop a synaptic device that can mimic complex psychological behaviors without the aid of external supporting (CMOS) circuits. To address this challenge, Scientists from Jawaharlal Nehru Centre for Advanced Scientific Research, Bengaluru, an autonomous institute of the Department of Science & Technology, Government of India, devised a novel approach of fabricating an artificial synaptic network (ASN) resembling the biological neural network via a simple self-forming method (the device structure is formed by itself while heating). This work has been recently published in the journal ‘Materials Horizons’. “Nature has had an incredible amount of time and diversity to engineer ever new forms and functions through evolution. Learning and emulating new processes, technologies, materials and devices from the nature and biology are the important pathways to the significant advances of the future which will increasingly integrate the worlds of the living with the man-made technologies,” said Prof Ashutosh Sharma, Secretary, DST. read the original unedited post at https://www.indianext.co.in/2021/06/scientists-develop-efficient-artificial-synaptic-network-that-mimics-human-brain/
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Researchers at Duke University are developing an artificial intelligence tool for toilets that would help providers improve care management for patients with gastrointestinal issues through remote patient monitoring. The tool, which can be installed in the pipes of a toilet and analyzes stool samples, has the potential to improve treatment of chronic gastrointestinal issues like inflammatory bowel disease or irritable bowel syndrome, according to a press release. When a patient flushes the toilet, the mHealth platform photographs the stool as it moves through the pipes. That data is sent to a gastroenterologist, who can analyze the data for evidence of chronic issues. A study conducted by Duke University researchers found that the platform had an 85.1 percent accuracy rate on stool form classification and a 76.3 percent accuracy rate on detection of gross blood. read the entire article at https://mhealthintelligence.com/news/ai-toilet-tool-offers-remote-patient-monitoring-for-gastrointestinal-health
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Since the start of the pandemic, new technologies have been developed to help reduce the spread of the infection. Some of the most common safety measures today include measuring a person’s temperature, covering your nose and mouth with a mask, contact tracing, disinfection, and social distancing. Many businesses have adopted various technologies, including those with artificial intelligence (AI) underneath, helping to adhere to the COVID-19 safety measures. As an example, numerous airlines, hotels, subways, shopping malls, and other institutions are already using thermal cameras to measure an individual’s temperature before people are allowed entry. In its turn, public transport in France relies on AI-based surveillance cameras to monitor whether or not people are social-distancing or wearing masks. Another example is requiring the download of contact-tracing apps delivered by governments across the globe. However, there are a number of issues. While many of these solutions help to ensure that COVID-19 prevention practices are observed, many of them have flaws or limits. In this article, we will cover some of the issues creating obstacles for fighting the pandemic. Issue #1. Manual temperature scanning is tricky Issue #2. Monitoring crowds is even more complex Issue #3. Contact tracing leads to privacy concerns Issue #4. UV rays harm eyes and skin Issue #5. UVC robots are extremely expensive Issue #6. No integration, no compliance, no transparency Regardless of the safety measures in place and existing issues, innovations are already playing a vital role in the fight against COVID-19. By improving on existing technology, we can make everyone safer as we all adjust to the new normal. read the details at https://www.altoros.com/blog/whats-wrong-with-ai-tools-and-devices-preventing-covid-19/
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Two scientific leaps, in machine learning algorithms and powerful biological imaging and sequencing tools , are increasingly being combined to spur progress in understanding diseases and advance AI itself. Cutting-edge, machine-learning techniques are increasingly being adapted and applied to biological data, including for COVID-19. Recently, researchers reported using a new technique to figure out how genes are expressed in individual cells and how those cells interact in people who had died with Alzheimer's disease. Machine-learning algorithms can also be used to compare the expression of genes in cells infected with SARS-CoV-2 to cells treated with thousands of different drugs in order to try to computationally predict drugs that might inhibit the virus. While, Algorithmic results alone don't prove the drugs are potent enough to be clinically effective. But they can help identify future targets for antivirals or they could reveal a protein researchers didn't know was important for SARS-CoV-2, providing new insight on the biology of the virus read the original article which speaks about a lot more at https://www.axios.com/ai-machine-learning-biology-drug-development-b51d18f1-7487-400e-8e33-e6b72bd5cfad.html
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Artificial intelligence(AI) is slowly demonstrating its ability to improve healthcare. Typical examples are - Predicting health outcomes
- Improving workflow inefficiencies
- Assisting in Triaging
However, questions remain about how to ensure these technologies and tools are developed, implemented and maintained responsibly A NAM report published in JAMA Viewpoint column, “Artificial Intelligence in Health Care: A Report From the National Academy of Medicine.” recommends that people developing, using, implementing and regulating health care AI do seven key things. Promote population-representative data with accessibility, standardization and quality is imperative. [to ensure accuracy for all populations] Prioritize ethical, equitable and inclusive medical AI while addressing explicit and implicit bias. [to understand the potential of the Underlying biases to worsen or address existing inequity ] Contextualize the dialogue of transparency and trust, which means accepting differential needs. [to clarify the level of transparency needed across a AI developers, implementation teams, users and regulators] Focus in the near term on augmented intelligence rather than AI autonomous agents. [supporting data synthesis, interpretation and decision-making by clinicians and patients is where opportunities are now] Develop and deploy appropriate training and educational programs. [Training programs must be multidisciplinary and should engage AI developers, implementers, health care system leadership, frontline clinical teams, ethicists, humanists, patients and caregivers] Leverage frameworks and best practices for learning health care systems, human factors and implementation science. [Have a robust and mature IT governance strategy in place before Health delivery systems use AI formally] Balance innovation with safety through regulation and legislation to promote trust. [evaluate deployed clinical AI for effectiveness and safety based on clinical data.] read more at https://www.ama-assn.org/practice-management/digital/7-tips-responsible-use-health-care-ai
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After 3 years as head of IBM’s health division, Deborah DiSanzo is leaving her role. A company spokesman said that DiSanzo will no longer lead IBM Watson Health, the Cambridge-based division that has pitched the company’s famed artificial intelligence capabilities as solutions for a myriad of health challenges, like treating cancer and analyzing medical images. Even as it has heavily advertised the potential of Watson Health, IBM has not met lofty expectations in some areas. Its flagship cancer software, which used artificial intelligence to recommend courses of treatment, has been ridiculed by some doctors inside and outside of the company. And it has struggled to integrate different technologies from other businesses it has acquired, laying off employees in the process. more at https://www.statnews.com/2018/10/19/head-of-ibm-watson-health-leaving-post/
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Researchers used people's Facebook data and their medical records to detect early symptoms of a mental health problem. In research described the Proceedings of the National Academy of Sciences, scientists analyzed language from study participants' Facebook status updates to predict future diagnoses of depression. The researchers say their technique could lead to a screening tool that identifies people in need of mental health support and formal diagnosis, while raising serious questions about health privacy. If this line of inquiry sounds familiar, you're not imagining things: Scientists have been studying the association between Facebook and the mental state of its users for years—often without the consent of the people being examined study subjects. Earlier this decade, scientists at Facebook and Cornell conducted an infamous emotional contagion study, which targeted the moods and relationships of more than half a million Facebook users without their knowledge. But many scientists continue to use above-board research methods to access Facebook's data. For instance: By asking study participants to provide their consent, log into their accounts, and share their data—all in person—to provide one-time access to said data. The overhead is tremendous; it can take years to amass a large enough sample population using in-person study recruitment. Yet the effort can be worth it to social science researchers, many of whom regard Facebook's trove of user information as the most significant data repository in the history of their field. read more at https://www.wired.com/story/your-facebook-posts-can-reveal-if-youre-depressed/ also check out the opinion piece referencing this post at http://wordpress.futurism.com/ai-depressed-facebook-posts/
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Amid all the talk that surrounds artificial intelligence — how it will simultaneously take jobs and improve lives — perhaps no form of AI could save more lives than the kind made to combat heart cardiac arrest, which is the biggest killer on Earth. Detection of heart attacks is easily one of the most obvious ways AI should be used today. Cardiac arrest currently claims hundreds of thousands of lives a year around the globe. With cardiac arrest events that occur outside of hospitals, every minute counts. In initial trials, assistance by Corti was found to identify cardiac arrest events more quickly than human operators. Analysis of emergency calls involving cardiac arrest in Copenhagen in 2014 (published in a research paper in April), show Corti’s analysis of thousands of calls was 30 seconds faster than that of human operators, with an accuracy rate of 93 percent compared to 73 percent for human operators. To serve a variety of needs and make it easier to get Corti up and running in more emergency call centers, the company created a hardware device to deploy its heart attack detecting AI on the edge. Enter: The Orb. Work is underway to deploy Corti, an AI system that detects heart attacks during emergency phone calls, and it could be coming to some of the biggest cities in Europe. Following plans announced earlier this year to roll Corti out in more cities, this summer the European Emergency Number Association (EENA), whose members include cities like London, Paris, Milan, and Munich, will deliver AI-powered assistance to emergency 112 operators. Emergency call centers from Seattle to Singapore also want to make Corti part of their operations, but there’s no global standard for organizations working to save lives. Some are fine with the idea of deploying the AI through the cloud, while others with privacy concerns require the AI system to operate from on-premise servers. read more at https://venturebeat.com/2018/10/14/cortis-heart-attack-detection-ai-can-now-deploy-on-the-edge-with-scandinavian-design/
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Healthcare providers who access clinical decision support through mHealth platforms are finding a world of information at their fingertips – and they could be saving lives. Digital technologies are changing the way medical information is gathered and exchanged. Physicians of all ages and medical subspecialties from across the globe are utilizing tools to discuss potential diagnoses and obtain second opinions. That’s the takeaway from researchers at the Scripps Research Translational Institute who took a closer look at online crowdsourced consult platforms. Their conclusion is that these platforms, which include social media networks like SERMO, Medscape and HealthTap, are giving providers quick access to information that’s helping them reduce serious, costly and potentially deadly medical errors. The study, focusing on an analysis of more than 37,000 active users on the MedScape Consult network between 2015 and 2017, appears in a recent issue of NPJ Digital Medicine. The research points to the value of a mobile health resource for clinical decision support, giving providers a real-time portal for physician-to-physician engagement. Billed as a source for “the second to hundredth opinion in medicine,” these portals allow providers to gather best practices and apply them quickly, reducing the chances of a clinical error. The study also points to the changing nature of clinical decision support.The study noted that providers can’t necessarily rely on informal face-to-face consults with colleagues – commonly known as curbside consults – because they’re “frequently inaccurate and incomplete.” Yet they can’t just call up a nearby specialist at a moment’s notice. The study found that : "At a time when we’re turning to artificial intelligence to help improve diagnostic accuracy, there’s still plenty of room for tapping into human intelligence via such medical consulting platforms, Artificial intelligence has been advocated as the definitive pathway for reducing misdiagnosis, But the study's findings suggest the potential for collective human intelligence, which is algorithm-free and performed rapidly on a voluntary basis, to emerge as a competitive or complementary strategy."
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Information technology has allowed much of our economy to automate processes. We have seen transformations of the airline, banking, brokerage, entertainment, lodging, music, printing, publishing, shipping and taxi industries through the availability of massive volumes of real-time price and service data. Across America, consumer-facing retail service continues to shift to a virtual environment. Healthcare is the exception. Many health information technology (health IT) products initially focused on billing. The misalignment between billing support and the sense that these tools do not materially automate clinician work to build in efficiencies or improve workflows adds to an overall frustration with the increasing amount of time providers spend at their screens. Automation is hard because it tends to require interfaces of various types – both to other machines (Internet of Things) and to humans. Often automation proposals involve solutions that focus on highly structured data. But, someone or something has to put energy (physician salary, for example) into organizing much of this information, assuming it is even knowable. The underlying disease or patient behavior (e.g., smoking) is also often not knowable. And, automation relying on machine to machine interfaces regularly runs into a lack of application programming interfaces (APIs) supporting complex clinical data flows. I posted this week old piece now and now when it was published as #NHITWeek is this week. A lot of posts this week deal with possibilities and problems with healthcare focussed automation. The original unedited piece can be read at https://www.himss.org/news/healthcare-automation-transforming-medicine
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Deep mind will use data available to it via a new partnership with Jikei University Hospital in Japan to refine its artificially intelligent (AI) breast cancer detection algorithms. Google AI subsidiary DeepMind has partnered with Jikei University Hospital in Japan to analyze mammagrophy scans from 30,000 women. DeepMind is furthering its cancer research efforts with a newly announced partnership. The London-based Google subsidiary said it has been given access to mammograms from roughly 30,000 women that were taken at Jikei University Hospital in Tokyo, Japan between 2007 and 2018. Deep mind will use that data to refine its artificially intelligent (AI) breast cancer detection algorithms. Over the course of the next five years, DeepMind researchers will review the 30,000 images, along with 3,500 images from magnetic resonance imaging (MRI) scans and historical mammograms provided by the U.K.’s Optimam (an image database of over 80,000 scans extracted from the NHS’ National Breast Screening System), to investigate whether its AI systems can accurately spot signs of cancerous tissue.
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Olive automates repetitive tasks and can match patients across databases at different hospitals When Sean Lane, a former NSA operative who served five tours of duty in Afghanistan and Iraq, first entered into the health care-AI arena, he was overwhelmed with data silos, systems that don’t speak to each other, and many, many portals and screens. “I was not going to create another screen,” Lane told a packed room on Monday at ApplySci’s annual health technology conference at the MIT Media Lab in Cambridge, Mass. Instead, Lane and a team taught an AI system to use software that already exists in health care just like a human would use it. They named it Olive. “Olive loves all that crappy software that health care already has,” said Lane. “Olive can look at any software program, any application for the first time she’s ever seen it, and understand how to use it.” For example, Olive navigates electronic medical records, logs into hospital portals, creates reports, files insurance claims, and more. Olive does so thanks to three key traits. First, using computer vision and Robotic Process Automation, or RPA, the program can interact with any software interface just as a human would, opening browsers and typing. Second, machine learning enables Olive to make decisions the way human health care workers do. The team trained Olive with historical data on how health care workers perform digital tasks, such as how to file an insurance eligibility check for a patient seeking to undergo a procedure. Finally, Olive relies on a unique skill that Lane developed based on his work at the NSA identifying criminals across disparate government sources—the ability to match identities across databases. Just as NSA software can determine if a terrorist in the CIA database is the same as in the Homeland Security database, so Olive matches a patient across disparate databases and software, such as multiple electronic health care record programs. Read the full article at https://spectrum.ieee.org/the-human-os/computing/software/this-healthcare-ai-loves-crappy-software
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GGHTx, Global Health, telehealth, artificial intelligence,
Avi Kerendian, Nonprofit, Volunteer, Travel, Right to Health, author, COVID-19, avikerendian
https://pronewsreport.com/2020/12/03/exclusive-interview-with-gghtx-co-founder-avi-kerendian/
Se le ofrece medicación sin receta, Farmacia España. – una de las farmacias más confiables de España, con más de 20 años de experiencia dispensando medicamentos de calidad
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