Health Care Revolution Research Articles

Blockchain Revolution in Healthcare : The Era of Patient-centered Dental Information System

Blockchain is at the center of attention recently and it is expected to have a huge impact on healthcare industry including dentistry as well. Blockchain is a fundamental technology behind Bitcoin and itis all about decentralization, security, reliability, and transparency. These characteristics of the technology empower it to disrupt the current healthcare industry in innumerable practices such as supply chain management in pharmaceuticals to prevent the counterfeited medicine, clinical trials to guarantee transparency, healthcare information exchanges or personal health record systems to ensure data integrity and interoperability, etc. It will surely revolutionize the way the current healthcare system works; from provider-oriented to patient-centered. Hence, it is time to seriously consider how we could be a part of this blockchain revolution in dentistry.

The Affordable Care Act and the Faltering Revolution in Behavioral Health Care.

Often described in such terms as a "revolution" and a "game-changer" for the behavioral health sector in the United States, the Affordable Care Act has helped to enhance coverage for mental health and substance use disorders while encouraging service system innovations at the organizational level. However, tens of millions of Americans still lack health insurance, insurance companies are resisting the implementation of parity coverage rules, and inequalities in the financing and organization of care continue to worsen in key respects. This article examines these difficulties and their political-economic nature, highlighting the need for a single-payer framework if the task of reform is to be fulfilled.

Bioactive Glasses: Where Are We and Where Are We Going?

Bioactive glasses caused a revolution in healthcare and paved the way for modern biomaterial-driven regenerative medicine. The first 45S5 glass composition, invented by Larry Hench fifty years ago, was able to bond to living bone and to stimulate osteogenesis through the release of biologically-active ions. 45S5-based glass products have been successfully implanted in millions of patients worldwide, mainly to repair bone and dental defects and, over the years, many other bioactive glass compositions have been proposed for innovative biomedical applications, such as soft tissue repair and drug delivery. The full potential of bioactive glasses seems still yet to be fulfilled, and many of today’s achievements were unthinkable when research began. As a result, the research involving bioactive glasses is highly stimulating and requires a cross-disciplinary collaboration among glass chemists, bioengineers, and clinicians. The present article provides a picture of the current clinical applications of bioactive glasses, and depicts six relevant challenges deserving to be tackled in the near future. We hope that this work can be useful to both early-stage researchers, who are moving with their first steps in the world of bioactive glasses, and experienced scientists, to stimulate discussion about future research and discover new applications for glass in medicine.

A compressive survey on different image processing techniques to identify the brain tumor

Medical imaging technology has revolutionized health care over the past three decades allowing doctors to detect, cure and improve patient outcomes. Medicinal imaging makes picture of the internal organs, parts, tissues and bones for therapeutic examination and research pur-poses. It can likewise be utilized to think about elements of a few organs. X-ray and CT scanner are the two greatest after-effect of headway of imaging methods supplanting 2D procedures. X-ray is the standout amongst the most critical pre-processing ventures in tumor discovery. Magnetic resonance imaging (MRI) is really an imaging procedure in the restorative field. It is utilized as a part of radiology for imagining interior structures of the body and furthermore how they work. X-ray gives you the 3D picture of the inside bits of the body which enables the specialist to dissect the infection or tumor effortlessly though old imaging procedures like x-beam imaging gives you 2D pictures. In this paper we are introducing distinctive systems for distinguishing, preparing restorative pictures.

Author response: The state of academic neurology departments in the United States, 2016: A national survey.

Dr. Meador highlights a growing national problem, which the data in my editorial1 only briefly touched upon: How can the academic missions of teaching and research be adequately met when the clinical workload of our evolving system has grown to monopolize the vast majority of faculty effort? Dedicated academic funding to support student and resident education is used in some institutions, but is often insufficient to cover faculty effort. Research has become ever more dependent on large and uninterrupted grant support for individual researchers, with NIH funding (and its attached larger indirect cost support funds) becoming the mark of success and often the absolute requirement for career survival at many institutions. The health care revolution radically cut clinical reimbursement (a former source of support to all academic missions); in the future, medical education will likely be radically altered to reduce cost and the research enterprise will likely become even more of an “eat-what-you-kill” endeavor. Academic leaders and faculty should start to deeply engage with their own institutions, government, and national organizations to make their voices heard and to secure a seat at the table to help guide how this new order is structured.

Impact of continuous flow chemistry in the synthesis of natural products and active pharmaceutical ingredients

We present a comprehensive review of the advent and impact of continuous flow chemistry with regard to the synthesis of natural products and drugs, important pharmaceutical products and definitely responsible for a revolution in modern healthcare. We detail the beginnings of modern drugs and the large scale batch mode of production, both chemical and microbiological. The introduction of modern continuous flow chemistry is then presented, both as a technological tool for enabling organic chemistry, and as a fundamental research endeavor. This part details the syntheses of bioactive natural products and commercial drugs.

Smart Health Care: An Edge-Side Computing Perspective

Increasing health awareness and rapid technological advancements have resulted in significant growth in an emerging sector: smart health care. By the end of 2020, the total number of smart health-care devices is expected to reach 808.9 million (646 million devices without wearables and the remaining with wearables) [1], [2]. This proliferation of devices is expected to revolutionize health care by speeding up treatment and diagnostic processes, decreasing physician visit costs, and enhancing patient care quality.

How 5G Wireless (and Concomitant Technologies) Will Revolutionize Healthcare?

The need to have equitable access to quality healthcare is enshrined in the United Nations (UN) Sustainable Development Goals (SDGs), which defines the developmental agenda of the UN for the next 15 years. In particular, the third SDG focuses on the need to “ensure healthy lives and promote well-being for all at all ages”. In this paper, we build the case that 5G wireless technology, along with concomitant emerging technologies (such as IoT, big data, artificial intelligence and machine learning), will transform global healthcare systems in the near future. Our optimism around 5G-enabled healthcare stems from a confluence of significant technical pushes that are already at play: apart from the availability of high-throughput low-latency wireless connectivity, other significant factors include the democratization of computing through cloud computing; the democratization of Artificial Intelligence (AI) and cognitive computing (e.g., IBM Watson); and the commoditization of data through crowdsourcing and digital exhaust. These technologies together can finally crack a dysfunctional healthcare system that has largely been impervious to technological innovations. We highlight the persistent deficiencies of the current healthcare system and then demonstrate how the 5G-enabled healthcare revolution can fix these deficiencies. We also highlight open technical research challenges, and potential pitfalls, that may hinder the development of such a 5G-enabled health revolution.

Mediator – enabler for successful digital health care

It is no news that as in any other field of industry, digitalization is changing health care. This change is ongoing and profound as it affects every aspect imaginable; from provisioning to funding, and from roles to responsibilities. The magnitude of this change is such that some label it as the ‘health care revolution’. Not all individuals are ready for this ‘revolution’. Some rebel against it while others are simply not able to cope with it. Regardless of the underlying reason, it can be estimated that in the near future, roughly 10 % of the population in the OECD countries will drift outside the reach of the modern electronic health care services. These individuals, the digital orphan, need to be brought back in order to prevent the future of health care from becoming more marginalized and discriminatory than it is today. Mediators, individuals in the crux of health care and technology, are one way to prevent this unwelcome eventuality from coming true. In the following, the focus of examination is on the mediators and mediation. The role of a mediator is critically examined from different perspectives, and a framework for mediation is presented.

MS 10.02 Interpreting Published Research

The Evidence-Based Practice (EBP) or Evidence-based Healthcare (EBHC) movement has revolutionized health care in the last 20 years by promoting research appraisal, interpretation and implementation.1 EBP has been the cornerstone of practice development and service improvement. The most common definition of EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.”2 This presentation will reflect on EBP relating to interpreting published research to enhance practice. In lung cancer this is an opportune time as evidence regarding new treatments, services and professional roles is growing. Some of the recent changes and challenges to EBP that influence how we interpret research will first be considered. Second, tools that can support lung cancer practitioners in interpreting published research will be discussed. Finally the presentation will reflect on the contribution of creative, methods of co-production to mobilize knowledge and published evidence to improve practice. The future application and contribution of these methods is considered.

Development of a wearable wireless body area network for health monitoring of the elderly and disabled

Novel advancements in systems miniaturization, electronics in health care and communication technologies are enabling the integration of both patients and doctors involvement in health care system. A Wearable Wireless Body Area Network (WWBAN) provides continuous, unobtrusive ambulatory, ubiquitous health monitoring, and provide real time patient’s status to the physician without any constraint on their normal daily life activities. In this project we developed a wearable wireless body area network system that continuously monitor the health of the elderly and the disabled and provide them with independent, safe and secure living. The WWBAN system monitors the following parameters; blood oxygen saturation using a pulse oximeter sensor (SpO2), heart rate (HR) pulse sensor, Temperature, hydration, glucose level and fall detection. When the wearable system is put on, the sensor values are processed and analysed. If any of the monitored parameter values falls below or exceeds the normal range, there is trigger of remote alert by which an SMS is send to a doctor or physician via GSM module and network. The developed system offers flexibility and mobility to the user; it is a real time system and has significance in revolutionizing health care system by enabling non-invasive, inexpensive, continuous health monitoring.

Evolution, Revolution, Devolution and Volution of Singapore's Healthcare System

Over the years, Singapore’s healthcare system has evolved from the British colonial welfare healthcare system in the 1900s to today’s current Regional Healthcare Systems (RHS) and an upcoming reform into 3 clusters. The revolution of healthcare was evident after Singapore gained independence in 1965. It moved from a welfare, centralized healthcare system comprising of only one General Hospital to a decentralized network of 26 satellite hospitals/clinics whose main aim was to provide basic healthcare for its people and also eliminate infectious diseases like smallpox and measles. The move away from welfare state was to shift the costs of healthcare burden from the government to the people. In 2000, evolution of Singapore’s healthcare system began. Public healthcare institutions were organised into 2 healthcare clusters which further evolved into 6 regional healthcare clusters. purpose of restructuring the healthcare system into Regional Healthcare Systems (RHS) was to cater to the people’s needs in a more localised manner, enhance and strengthen integrated care across the care continuum in view of the challenges posed by increasing demands of healthcare needed by the greying population. The RHS framework comprised of general practitioners (GPs) restructured hospitals (RHs), community hospitals (CHs), nursing homes (NHs) and home care providers within each region. The process of restructuring the hospitals also sees a devolution of power from the government to the hospital, giving them autonomy to make decisions. The purpose of this is to ensure high standards and quality of care by competing against each other in a free market setting. In 2017, the government decided that a 3-cluster healthcare system (Volution of healthcare) would better optimise resources and capabilities to provide more comprehensive and patient-centered care to meet Singaporeans’ evolving needs. The convolution of Singapore healthcare’s system is responsive and adaptive to the changing needs of the population. Singapore’s healthcare system has been changing to better cater to the needs of the population. From providing basic healthcare in the 1960s to providing better integrated care to meet the needs of the ageing population and increased chronic burden through the 2-cluster system then the 6 RHS to better localised healthcare within the regions and to the upcoming 3-cluster healthcare system to better optimise and focus our resources to inch closer to our aim of providing accessible, affordable and quality health care.

European Society of Cardiology smartphone and tablet applications for patients with atrial fibrillation and their health care providers.

We are in the midst of a digital revolution in health care, although the application of new and useful technology in routine clinical practice is variable. The Characterizing Atrial fibrillation by Translating its Causes into Health Modifiers in the Elderly (CATCH ME) Consortium, in collaboration with the European Society of Cardiology (ESC), has funded the creation of two applications (apps) in atrial fibrillation (AF) for use in smartphones and tablets. The patient app aims to enhance patient education, improve communication between patients and health care professionals, and encourage active patient involvement in the management of their condition. The health care professional app is designed as an interactive management tool incorporating the new ESC Practice Guidelines on AF and supported by the European Heart Rhythm Association (EHRA), with the aim of improving best practice approaches for the care of patients with AF. Both stand-alone apps are now freely available for Android and iOS devices though the Google Play, Amazon, and Apple stores. In this article, we outline the rationale for the design and implementation of these apps. Our objective is to demonstrate the value of integrating novel digital technology into clinical practice, with the potential for patient engagement, optimization of pharmacological and interventional therapy in AF, and ultimately to improve patient outcomes.

Regenerative medicine in India: trends and challenges in innovation and regulation.

The government of India has heavily promoted research and development in regenerative medicine together with domestic innovation and business development initiatives. Together, these promise a revolution in healthcare and public empowerment in India. Several national and transnational linkages have emerged to develop innovative capacity, most prominently in stem cell and cord blood banking, as well as in gene therapy, tissue engineering, biomaterials and 3D printing. However, challenges remain of achieving regulatory oversight, viable outputs and equitable impacts. Governance of private cord blood banking, nanomaterials and 3D bioprinting requires more attention. A robust social contract is also needed in healthcare more generally, so that participation in research and innovation in regenerative medicine is backed up by treatments widely accessible to all.

Could Healthcoin Be A Revolution In Healthcare?

Could Healthcoin Be A Revolution In Healthcare?

Telehealth attitudes and use among medical professionals, medical students and patients in China: A cross-sectional survey

BackgroundTelehealth aims to revolutionize health care by migrating health care from hospitals and satellite clinics directly into the home and onto mobile devices. Telehealth has the potential to increase public access to healthcare in China, where large segments of the population remain underserved, yet little is known about current attitudes and use of telehealth in the country. ObjectiveOur aim was to determine attitudes and use of telehealth in China among medical professionals and patients, as well as identify factors that may affect its use. MethodsUsing a custom-designed questionnaire, we performed a cross-sectional survey of medical professionals, medical students and patients at three large hospitals in Chengdu, Sichuan, China. We used a structural model to analyze the influence of factors that may affect use of telehealth. ResultsOf 600 questionnaires that were distributed, 550 (96.49%) were analyzed. Most respondents (63.28%) were familiar with using telehealth to “schedule medical appointments/pay medical fees online”, but relatively few (28.55%) used this feature. Nearly half of respondents were familiar with the concept of a “virtual visit” (46.18%), but only 12.18% had ever engaged in such visits. Medical professionals and students generally showed higher awareness and greater use of telehealth than patients. The strongest concern about telehealth among respondents was “authenticity and reliability of data from remote monitoring of patients” (75.17%). The proportion of respondents concerned about the potential disadvantages of telehealth was highest among students and lowest among patients. Awareness and use of telehealth were associated with previous experience with health-related use of the Internet and experience with traditional forms of telehealth, but not with social status or attitude toward telehealth. ConclusionsMedical professionals and patients alike in China have a high awareness of telehealth, primarily traditional forms of telehealth, but only a small percentage actually use it. Patients have much lower awareness and use of telehealth than medical professionals and medical students, though they have generally positive attitudes towards telehealth. Telehealth is still in its infancy in China, and the environment for its development is largely favorable among current and future medical professionals.

Cyber-Medical Systems: Requirements, Components and Design Examples

Cyber-medical systems will produce a major revolution in health care, by both raising the quality of care and reducing its cost, thus reaching an important social and economic goal. The evolution of electronic devices and systems has already enabled societal changes. Inroads in the quantification of medicine, in the discovery and applications of biosensors in connection with integrated circuit technology, in the analysis of large-scale real-time biomedical data are strong indicators that cyber-medical systems will redesign health care in the years to come. To sustain this thesis, this paper presents three aspects of cyber-medical systems, describes their medical significance and potentials, and then delves in the detailed technology required to realize such systems. Specifically, this paper describes state of the art sensing devices and their integration into platforms, data processing for ultrasound medical imaging and system correctness approaches for drug administration support systems. The paper concludes with a brief outlook on the evolution of this emerging field in the years to come.

Barefoot Doctors and the “Health Care Revolution” in Rural China: A Study Centered on Shandong Province

Barefoot doctors were rural medical personnel trained en masse, whose emergence and development had a particular political, economic, social, and cultural background. Like the rural cooperative medical care system, the barefoot doctor was a well-known phenomenon in the Cultural Revolution. Complicated regional differences and a lack of reliable sources create much difficulty for the study of barefoot doctors and result in differing opinions of their status and importance. Some scholars greatly admire barefoot doctors, whereas others harshly criticize them. This paper explores the rise and development of barefoot doctors based on a case study of Shandong province. I argue that the promotion of barefoot doctors was a consequence of the medical education revolution and an implementation of the Cultural Revolution in rural public health care, which significantly influenced medical services and development in rural areas. First, barefoot doctors played a significant role in accomplishing the first rural health care revolution by providing primary health care to peasants and eliminating endemic and infectious illnesses. Second, barefoot doctors were the agents who integrated Western and Chinese medicines under the direction of the state. As an essential part of the rural cooperative medical system, barefoot doctor personnel grew in number with the system's implementation. After the Cultural Revolution ended, the cooperative medical system began to disintegrate-a process that accelerated in the 1980s until the system's collapse in the wake of the de-collectivization. As a result, the number of barefoot doctors also ran down steadily. In 1985, "barefoot doctor" as a job title was officially removed from Chinese medical profession, demonstrating that its practice was non-universal and unsustainable.

Proposed Customized Architecture of Mobile Cloud Computing in Health Care Domain

Nowadays, cloud computing frameworks such as Google AppEngine, Amazon Web Services and Windows Azure platform have become increasingly popular among IT companies and application developers. Concurrently, we have observed a prodigious increase in the usage, deployment and development of smartphone platforms and application around the world. In this paper we are going to discuss the current state of art in the combination of these two popular technologies, known as Mobile Cloud Computing (MCC) and we assume that MCC will be the soul of healthcare revolution. MCC provides advance kind of facilities and amenities for patients and medical personnel. This paper represents the architecture of Mobile Cloud Computing for Health Care Big Data Analysis. Google’s Android operating system based mobile system presented in paper makes healthcare data storage, update and retrieval by using cloud computing.

The Biophotonics Revolution in Healthcare

The Biophotonics Revolution in Healthcare