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Sleep Medicine Clinics Sep 2020Telemedicine is about more than simply using audio-visual technology to care for patients, but rather an opportunity to fundamentally improve patient access, quality,... (Review)
Review
Telemedicine is about more than simply using audio-visual technology to care for patients, but rather an opportunity to fundamentally improve patient access, quality, efficiencies, and experience. Regarding sleep medicine, it has the potential to drive sleep medicine's evolution. By enabling care across geographies and facilitating population-based management, sleep medicine is poised to take advantage of telemedicine capabilities. In this introductory chapter, we highlight issues related to sleep telemedicine, while providing a framework in which to approach this transformational journey thoughtfully. We thereby set the stage for the individual chapters in this edition of Sleep Medicine Clinics.
Topics: Humans; Quality of Health Care; Sleep Wake Disorders; Telemedicine
PubMed: 32762967
DOI: 10.1016/j.jsmc.2020.05.005 -
Canadian Family Physician Medecin de... Apr 2018To raise awareness of narrative-based medicine (NBM) as a valuable approach to the consultation, which, if practised more widely by GPs, would convey considerable... (Review)
Review
OBJECTIVE
To raise awareness of narrative-based medicine (NBM) as a valuable approach to the consultation, which, if practised more widely by GPs, would convey considerable benefits to both patient and doctor.
SOURCES OF INFORMATION
Principally, this article draws on the perspectives of 2 of NBM's key proponents, John Launer and Rita Charon, and which are complemented by the perspectives of several other authors.
MAIN MESSAGE
This article examines NBM in relation to patient-centred care and the particular skills that are required to practise NBM. Narrative-based medicine brings together skills from other fields of practice-skills that are not beyond the capabilities of GPs-conferring benefits on patient and doctor. Narrative-based medicine's skills enhance the patient-centred method and an evidence-based approach.
CONCLUSION
The literature speaks very loudly about the importance of narrative and of understanding the illness experience. What makes NBM stand out is the fact that it is a collaborative and mutually beneficial process, having the power to create a new narrative-a narrative that heals and transforms the patient and the doctor.
Topics: Evidence-Based Medicine; General Practice; Humans; Narration; Patient-Centered Care; Physician-Patient Relations; Referral and Consultation
PubMed: 29650604
DOI: No ID Found -
Lakartidningen Feb 2018Substantial differences in valuation of lifestyle-related knowledge at Swedish medical schools Lifestyle factors are crucial for prevention and management of many...
Substantial differences in valuation of lifestyle-related knowledge at Swedish medical schools Lifestyle factors are crucial for prevention and management of many non-communicable diseases such as hypertension, stroke, diabetes, coronary heart disease and chronic obstructive pulmonary disease. Lifestyle medicine is included in national learning outcomes for undergraduate medical education in Sweden. Since assessment drives learning, we reviewed questions from 124 written examinations from all 7 medical schools in Sweden, conducted between 2012 and 2015. There is up to a 5-fold difference between different universities in the weight attached to lifestyle-related knowledge compared to knowledge related to pharmacological treatments.
Topics: Academic Performance; Education, Medical, Undergraduate; Educational Measurement; Health Behavior; Health Knowledge, Attitudes, Practice; Humans; Life Style; Pharmacology; Preventive Medicine; Sweden
PubMed: 29437200
DOI: No ID Found -
Lakartidningen Oct 2020
Topics: COVID-19; Coronavirus Infections; Global Health; Goals; Humans; Motivation; Pandemics; Pneumonia, Viral
PubMed: 33051861
DOI: No ID Found -
Ugeskrift For Laeger Jun 2018
Topics: Humans; Precision Medicine; United States; United States Food and Drug Administration
PubMed: 29886885
DOI: No ID Found -
Ugeskrift For Laeger Mar 2018
Topics: Denmark; Humans; Precision Medicine
PubMed: 29559072
DOI: No ID Found -
Lakartidningen May 2018
Topics: Biomedical Research; Evidence-Based Medicine; Humans; Meta-Analysis as Topic; Systematic Reviews as Topic
PubMed: 29809269
DOI: No ID Found -
PLoS Medicine Jun 2020
Topics: Betacoronavirus; Biomedical Research; COVID-19; Coronavirus Infections; Evidence-Based Medicine; Humans; Pandemics; Pneumonia, Viral; Randomized Controlled Trials as Topic; SARS-CoV-2
PubMed: 32603323
DOI: 10.1371/journal.pmed.1003266 -
Annals of the New York Academy of... Jun 2022Disruptive innovation is a cornerstone of various disciplines, particularly in the business world, where paradigm-altering approaches are often lauded. As a construct,...
Disruptive innovation is a cornerstone of various disciplines, particularly in the business world, where paradigm-altering approaches are often lauded. As a construct, disruptive psychiatry can be considered to embody such an approach by the pursuit of innovations within the field which test boundaries and shake up the status quo. Given the importance of addressing the current mental health pandemic, and the deficit of highly effective pharmacological treatments for various conditions, innovative disruptive thinking is required. Significant promise exists via the provision of potentially more effective innovative therapeutic options, including digital interventions, psychedelic medicines, microbiome-altering treatments, brain stimulation technology, and nanotechnology-based delivery systems. These approaches may be further advanced by individualization of the treatments using computational technology (including quantum computing, machine learning, and artificial intelligence) and genomics.
Topics: Artificial Intelligence; Computing Methodologies; Humans; Machine Learning; Psychiatry; Quantum Theory
PubMed: 35233789
DOI: 10.1111/nyas.14764 -
Lakartidningen May 2021Complex diseases represent a number of common disorders such as allergic conditions, cardiovascular, metabolic and chronic inflammatory diseases. These diseases are... (Review)
Review
Complex diseases represent a number of common disorders such as allergic conditions, cardiovascular, metabolic and chronic inflammatory diseases. These diseases are caused by a combination of genetic, environmental and lifestyle factors. This complex etiology creates challenges when it comes to diagnostics, follow-up programs and treatment. Although exact disease mechanisms are yet to be elucidated for most complex diseases, key genetic determinants have been mapped and omics profiling has unraveled involved pathways. Using this wealth of data, precision medicine applications have started to appear also for common, complex diseases. In this article, we review current precision medicine applications from a clinical point of view and outline briefly a roadmap ahead for further clinical implementation of precision medicine in complex diseases.
Topics: Chronic Disease; Humans; Precision Medicine
PubMed: 33977516
DOI: No ID Found