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Evidence-based medicine and public health
Published in Sridhar Venkatapuram, Alex Broadbent, The Routledge Handbook of Philosophy of Public Health, 2023
Mathew Mercuri, Ross E. G. Upshur
While it may be the case that public health has adopted EBM thinking, which we will discuss in more detail in this section, it is important to note that EBM was developed for decisions of clinical medicine. Public health is distinct from clinical medicine in both scope and practice. Clinical medicine is primarily focused on the care of individual patients in the clinical encounter. Public health aims at health of the whole of society and includes, for example, health promotion, disease prevention, sanitation, hygiene, education, and the development and organization of social structures to achieve health. Public health may bring different challenges than does clinical medicine, for example, consideration of others (that is, not only the person who is presenting with a health need) when making decisions about how to intervene. Furthermore, public health practice is often related to governmental organizations such as municipal or federal public health departments rather than individual clinicians.
Artificial intelligence as a feminist bioethics issue
Published in Wendy A. Rogers, Jackie Leach Scully, Stacy M. Carter, Vikki A. Entwistle, Catherine Mills, The Routledge Handbook of Feminist Bioethics, 2022
The breakthrough innovation of DL is driving an AI boom in both clinical medicine and healthcare delivery in at least four broad ways (Becker 2019): (1) to monitor users’ daily activities to assess their general wellness; (2) to determine the risk of disease onset and project disease progression (Rajkomar, Dean and Kohane 2019), (3) to diagnose patients’ conditions quickly and accurately (Gilbert et al. 2008), and (4) to determine the ideal treatment based on the patient’s specific characteristics (Tsigelny 2019). As some of these technologies can be used outside of hospitals and clinics, there is great hope that AI can facilitate self-care, early detection, and continuity of health monitoring between clinical visits, potentially enhancing patient engagement and high-quality care (Merrell 2015).
Eloquence
Published in Robert S. Holzman, Anesthesia and the Classics, 2022
Health care professionals often play leadership roles, as authorities in clinical medicine or other aspects of health care delivery, research, or public health initiatives, especially lately. Some provide health education lectures in the community while others become involved in advocacy, making presentations to lawmakers or regulatory bodies. Strong public speaking skills are an important asset in all of these endeavors.
Gastric protective effect of Alpinia officinarum flavonoids: mediating TLR4/NF-κB and TRPV1 signalling pathways and gastric mucosal healing
Published in Pharmaceutical Biology, 2023
Kaiwen Lin, Tang Deng, Huijuan Qu, Hongya Ou, Qifeng Huang, Bingmiao Gao, Xiaoliang Li, Na Wei
There are many kinds of drug treatments for GU in clinical medicine. However, their use is unable to treat GU completely, and it is easy to increase the risk of recurrence, which is often accompanied by adverse reactions, including effects on osteoporotic fracture, rare nephrotoxicity and hepatotoxicity (Yu et al. 2017). Accordingly, investigating a novel and effective drug for treating GU has great commercial prospects and medical strategies. In recent years, with the development and utilization of medicinal plants, a large amount of evidence indicates that medicinal plants are more effective in treating digestive tract diseases and reducing the adverse drug reactions and the recurrence rate of GU (Ardalani et al. 2020). In Asian and African countries, the dried rhizomes of Alpinia officinarum Hance (Zingiberaceae) are often made into a decoction or added to other foods as pharmaceutical supplements homologous to medicine and food to treat various diseases such as cough, malaria, diabetes and digestive system diseases (Abubakar et al. 2018).
Establishment of a Bayesian network model to predict the survival of malignant peritoneal mesothelioma patients after cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy
Published in International Journal of Hyperthermia, 2023
Yan-Dong Su, Xin Zhao, Ru Ma, Yu-Bin Fu, Zhi-Ran Yang, He-Liang Wu, Yang Yu, Rui Yang, Xin-li Liang, Xue-Mei Du, Yue Chen, Yan Li
MPM was first reported in 1908 [17]. In the last century, conservative treatment was mainly used, with poor efficacy, and the mOS was less than one year [18]. Since the twentieth century, with the continuous development and improvement of the CRS + HIPEC integrated treatment strategy, it has gradually become the standard treatment for MPM, significantly improving the survival of patients with MPM. At present, most international retrospective studies on the treatment of MPM with CRS + HIPEC focus on the discovery of independent prognostic factors affecting the survival of patients with MPM, which has a positive significance for improving CRS + HIPEC. In addition, with the development of artificial intelligence, machine learning is increasingly used in clinical medicine. In future clinical research, the key to improving patient survival may be to establish a survival prognosis model through machine learning and further guide clinical decision making.
The peer perspective: Why medical students should actively contribute to medical education
Published in Medical Teacher, 2021
Jessica Ying-Yi Xie, Anush Shashidhara
Medicine is a broad discipline, encompassing clinical Medicine, science, research, public health, policy and academia. Medical education is the lifelong process of gaining knowledge and refining skills related to Medicine (Swanwick 2013); it teaches students and doctors how to provide safe, person-centred and comprehensive clinical care for patients, the importance of keeping up-to-date with the latest research and awareness of social determinants of health. Medical education is a continuum; it must be constantly adapted to ensure students and doctors receive training that improves their abilities to meet the care needs of patients. This personal view will discuss our lessons learned from contributing to medical education as students and why we encourage all medical students to also become involved.