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Technology Alone Will Not Save Health Care

Technology Alone Will Not Save Health Care | Co-creation in health | Scoop.it
Will Silicon Valley's Confident Technologist Investors Save Healthcare? - Forbes.
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Co-creation in health
E-citizens, e-patients, communities in shaping e-health, health literacy.
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How the Internet's Collective Human Intelligence Could Outsmart AI

How the Internet's Collective Human Intelligence Could Outsmart AI | Co-creation in health | Scoop.it

What if computers could take the words we type on the internet and convert them into a language that describes what they actually mean? Analyzing data pulled from social media would reveal insights into the deeper questions about our real motives and feelings, instead of mere statistics.

Pierre Lévy, a French philosopher who’s been writing about cyberspace since the 1990s and who is the Canada research chair in collective intelligence at the University of Ottawa, is working on software that can do just this. He’s done the math andannotated the entire French dictionary with a language—or, as he calls it, a hyper-language, since it describes words that already form a language of their own—that he calls IEML, or the Information Economy MetaLanguage. All that’s left is to do the actual coding to turn it into an automatic system.


Via Pierre Levy, Annie Talvé
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Annie Talvé's curator insight, May 28, 6:04 PM

Always worth reading.

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Poverty rates

Poverty rates | Co-creation in health | Scoop.it
Un rapporto dell'OCSE, un club di paesi ricchi, ha prodotto ulteriori prove sul crescente divario tra ricchi e poveri. Nel 1980 il 10% più ricco della popolazione dei paesi OCSE ha guadagnato sette volte in più rispetto al decile più povero. Oggi guadagnano dieci volte di più. I poveri sono anche maggiori probabilità di essere giovani. I tassi di povertà sono ora più alti tra i 18 ei 25 anni di età, dopo aver sceso drasticamente tra quelli di età superiore ai 65 anni Questo cambiamento riflette sia il sostegno finanziario offerto dai sistemi pensionistici nei paesi sviluppati e l'effetto sproporzionato della recessione sui giovani. La ricchezza è molto più concentrata del reddito, con i più poveri 40% delle persone nei paesi OCSE in possesso di solo il 3% della ricchezza.
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Axel Kahn : « le savoir est pouvoir » ou l’enjeu des données à l’ère de la santé connectée | L'Atelier : Accelerating Business

Axel Kahn : « le savoir est pouvoir » ou l’enjeu des données à l’ère de la santé connectée | L'Atelier : Accelerating Business | Co-creation in health | Scoop.it

À l’occasion du Salon santé autonomie de Paris, entretien avec le professeur Axel Kahn. Médecin, scientifique et essayiste, il a été membre du Comité national d’éthique jusqu’à 2004. Il est désormais directeur de recherche à l’INSERM (Institut national de la santé et de la recherche médicale) et tente de nous expliquer les différents enjeux éthiques liés à la médecine de demain.

L’Atelier : Durant votre intervention au Salon santé autonomie, vous avez beaucoup insisté sur les innovations robotiques et neuroscientifiques ainsi que les problèmes éthiques qu’elles posent. Quelle(s) réponse(s) apporter face à ces défis éthiques ? Est-ce au citoyen ou au législateur de s’emparer de ces sujets ?

Axel Kahn : En effet, le législateur a un rôle à jouer. D’un point de vue éthique, il doit définir les limites au-delà desquelles les citoyens français pourraient être en danger. En d’autres termes, la loi de bioéthique doit dire les principes, ce qui est essentiel dans l’humanité et ce qui peut être mis en danger par le développement et le dévoiement de certaines techniques. C’est le cas, dans le domaine des neurosciences, de toutes les techniques qui assujettissent la volonté et les comportements. Cela apparaît directement contradictoire avec le principe d’autonomie. Autant le traitement d’une maladie psychiatrique va accroître l’autonomie, autant, avec la même méthode on peut diminuer voire annihiler cette même autonomie en conditionnant la volonté et le comportement d’une personne.

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Persone che negli ultimi 12 mesi hanno rinunciato a prestazioni sanitarie o all’acquist di farmaci a causa di motivi economici o carenze delle strutture dell’offerta per Asl - Anno 2013 (per 100 pe...

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Pharmacy data ‘could reduce asthma treatment inequality’

Pharmacy data ‘could reduce asthma treatment inequality’ | Co-creation in health | Scoop.it
Research has found that the ratio of dispensed asthma controller to rescue medication at community pharmacies is associated with the need for emergency asthma treatment in paediatric patients.
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Understanding compassion fatigue

Understanding compassion fatigue | Co-creation in health | Scoop.it

There are multiple and diverse understandings and definitions of what compassion fatigue is. So much so, there are equally multiple, diverse and conflicting strategies to mitigate it. To understand better what compassion fatigue is, an examination of what compassion is was undertaken. Much is written that nurses are, or should be compassionate. Compassion is an archetype of nursing. However, there is little in the nursing literature defining what compassion is. Literature on compassion outside of nursing was then examined. There is a growing body of theory and research about compassion in other disciplines. None of the multiple definitions of nurse compassion fatigue match this understanding of compassion. The tools most often used to measure nurse compassion fatigue do not appear to measure the construct of compassion.

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A nurse is an essential partner to patient care

A nurse is an essential partner to patient care | Co-creation in health | Scoop.it
Some years ago when my father underwent bypass surgery, he was anxious, depressed and in pain as he lay in the hospital bed tied to IV catheters and tubes. Each day, his surgeon, his hospitalist, and other consultant doctors whisked in and out, asking how he was feeling and then ordering a treatment plan. A few years after his full recovery, I asked my father what he remembered about his hospital stay. He told me, “The nurses were good, very caring and compassionate. 
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Mort du mathématicien John Nash, Prix Nobel d’économie et « homme d’exception »

Mort du mathématicien John Nash, Prix Nobel d’économie et « homme d’exception » | Co-creation in health | Scoop.it

Le Monde.fr version mobile - La vie de ce mathématicien de génie, qui se battait contre la schizophrénie, avait inspiré le film « Un homme d’exception ».


Via Giovanna Marsico
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A note to administrators and librarians: Those that fund research are responsible for funding its dissemination.

A note to administrators and librarians: Those that fund research are responsible for funding its dissemination. | Co-creation in health | Scoop.it
Only when the bulk of research comes with funds to pay author-side fees will publishers feel comfortable moving to new open business models. But who should be responsible for paying these new autho...
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“La banalité de Heidegger” Jean-Luc Nancy, 2014 - YouTube

“Die Banalität Heideggers” – Enregistrement audio (en français) d'une conférence donnée par Jean-Luc Nancy au Martin-Heidegger-Institut (Bergische Universitä...

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A blood test for early detection of breast cancer metastasis

A blood test for early detection of breast cancer metastasis | Co-creation in health | Scoop.it

 "Research findings from Lund University in Sweden now provide new hope for a way of detecting metastases significantly earlier than is currently possible.

 The chances of being cured of breast cancer have increased in recent decades, however if the tumour has metastasised, the disease remains essentially incurable. One reason for this could be that the metastases are detected late, after they have grown enough to cause symptoms or be seen on a radiological scan. If they could be found sooner, it might be possible to treat the new tumours. Research findings from Lund University in Sweden now provide new hope for a way of detecting metastases significantly earlier than is currently possible.

The discovery was made by a research team led by Lao Saal, M.D. Ph.D, and is based on what is known as cell-free circulating DNA – small fragments of genetic material from different cells which circulate in the blood. It is normal to have low amounts of such DNA material in the blood, but in the case of diseases such as cancer, these amounts can increase. Furthermore, in cancer patients, the circulating DNA contains the genetic mutations which are specific to the tumor.

 Lao Saal and his colleagues used previously gathered material from a breast cancer study which has been underway in Lund since 2002. The material contained samples from surgically removed tumours from patients with non-metastatic disease as well as blood samples taken from the patients at regular intervals during the years in which they were followed up.

The tumour samples contained many genetic changes, which constituted a "fingerprint" specific to each tumour. Researchers then looked in the blood samples for circulating tumour DNA (ctDNA) with the same fingerprint. Although the study is fairly small – it is based on material from only 20 women –the results are striking."


Via Susan Zager
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Susan Zager's curator insight, May 18, 12:55 PM

To see the full research article published in Embo press go to: http://embomolmed.embopress.org/content/early/2015/05/12/emmm.201404913


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Stigma as a barrier to mental health care - PsyPost

Stigma as a barrier to mental health care - PsyPost | Co-creation in health | Scoop.it
Over 60 million Americans are thought to experience mental illness in a given year, and the impacts of mental illness are undoubtedly felt by millions more ...
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Superfici ed essenze. L'analogia come cuore pulsante del pensiero - Douglas R. Hofstadter, Emmanuel Sander,

Superfici ed essenze. L'analogia come cuore pulsante del pensiero - Douglas R. Hofstadter, Emmanuel Sander, | Co-creation in health | Scoop.it
Ci troviamo tutti sempre alle prese con una massa vorticosa di sensazioni: una superficie caotica in cui il cervello deve districarsi e provare a individuare l'essenza di quello che sta succedendo. Ma come fa? Alla base della nostra attività mentale non c'è il ragionamento logico ma uno strumento cognitivo più raffinato: l'analogia, ovvero la percezione, spesso inconsapevole, di similarità profonde tra ciò che succede adesso e ricordi o concetti familiari immagazzinati chissà dove o come nel nostro cervello. Con una serie di esempi che spaziano dalle osservazioni ingenue ma talvolta geniali dei bambini al progresso imprevedibile della scienza (come la lenta sfilata di sottili analogie che hanno guidato Einstein alla comprensione completa della formula E = mc2), dagli errori del discorso, pervasivi ma raramente notati, all'incanto poco apprezzato della traduzione letteraria, Hofstadter e Sander portano al massimo grado la loro capacità di immergersi nell'articolata complessità del sapere. Il risultato è questa nuova visione dell'analogia come cuore del pensiero, presentata in un'opera destinata, come l'ormai leggendario "Gödel, Escher, Bach", a lasciare una traccia importante nella saggistica mondiale.
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Scottish parliament rejects “right to die” for terminally ill people

Campaigners fighting to legalise assisted suicide have vowed to fight on after the Scottish parliament voted against allowing people with terminal and life shortening conditions to seek medical help to die.

A bill on legalising assisted suicide was defeated by 82 votes to 36 after being criticised for lacking clarity, increasing the risk of coercion for vulnerable people, and potentially making suicide more acceptable in society. Members of the Scottish Parliament (MSPs) who supported the bill argued that the proposed legislation could be improved and that it was wrong to deny people the right to choose the way they end their own life.

It is the second time in five years that the parliament has rejected such legislation, which polls show is backed by around two thirds of people in Scotland. But supporters of change were encouraged that more than twice as many MSPs voted in favour of legislation as in 2010.

In a debate that lasted over three hours a number of MSPs expressed disquiet at the status quo, saying that it leaves people who want to end their life with no support or dignity and that anyone providing assistance risks prosecution. Around 50 people a year with a terminal illness are thought to die by suicide in Scotland.

Patrick Harvie, the Green MSP who proposed the bill, said he hoped that clear prosecution guidance would now be issued in Scotland. “Clearly the detail of this bill wasn’t good enough to convince parliament, but I think it’s awoken more people to the problems of the current law. The significant support in the chamber reflects the clear public desire for people to have choice and for the law to be clarified.”

The bill proposed that adult patients who are mentally competent, have a terminal or life shortening disease, and are assessed by at least two separate doctors on two occasions can be allowed to end their life. The method of death was kept deliberately vague but would be applied by a “licensed facilitator.”

The bill was opposed by disability rights groups and religious organisations but won the support of some prominent figures including AC Grayling, a philosopher; Harold Kroto, a Nobel prize winner; Polly Toynbee, a journalist; Graeme Catto, former president of the General Medical Council; and Jonathan Miller, the writer, director, and former doctor, who all wrote to parliament backing the bill. It was opposed by the BMA, which has a standing policy opposing all forms of assisted dying.

The campaign group My Life, My Death, My Choice, which supported the bill, said that it would continue to lobby for change. “Although disappointed with the result, we are emboldened by the increasing support for our cause both amongst MSPs and the wider public,” said a spokesman.

The UK alliance Care Not Killing, which opposes assisted dying, described the result as a major victory for vulnerable people in society who are most in need of protection.

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Want to Save Lives? You Need a Map of What's Doing Us In. @ WIRED

Want to Save Lives? You Need a Map of What's Doing Us In. @ WIRED | Co-creation in health | Scoop.it

IF SORROW WERE a landscape, here’s how it would look from a cruising altitude of 30,000 feet. This graphic maps the global cost of early mortality—some 1.7 billion years of human life forfeited annually—sorted by cause of death. That’s 1.7 billion years of harvests and weddings, of factory work and music lessons and novels and new ideas that were supposed to happen and now won’t. And get this: Worldwide, about 40 percent of that toll results from disorders (shown in yellow above) that could be avoided with basic medications, clean water, and neonatal care. As you read this, 3,000 young kids are dying from diarrhea that a few zinc tablets might have stopped. Cost: 38 cents per life.Infographic by Thomas Porostocky  |  Source: Institute for Health Metrics and Evaluation

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Santé des Femmes: Comment l’ostéopathie prépare et soulage les maux de la grossesse et de la ménopause - CareVox

Santé des Femmes: Comment l’ostéopathie prépare et soulage les maux de la grossesse et de la ménopause - CareVox | Co-creation in health | Scoop.it
La grossesse, moment important dans la vie d’une femme et annonce d’un heureux événement, peut cependant provoquer de nombreux changements corporels dont beaucoup de désagréments résultent. L’ostéopathie peut alors vous apporter beaucoup, tant au niveau de la préparation à l’accouchement qu’au soulagement de nombreux maux liés à votre état. Durant 9 mois, le corps se transforme, le squelette bouge, et la future maman prend du poids : l’équilibre du corps est donc modifié et des douleurs diverses vont en découler. Il est alors conseillé de consulter un ostéopathe trois fois durant la grossesse, afin de rétablir l’équilibre musculo-squelettique, améliorer grandement l’état physique et surtout le bien-être de la femme enceinte. 
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Why the Open Workplace is Killing Your Company

Why the Open Workplace is Killing Your Company | Co-creation in health | Scoop.it
Like many of the ideas of the 1950s, such as the Edsel, smoking in hospitals, and Smell-O-Vision, it turns out they weren't so great after all. Open offices, it turns out, are more likely to hurt your productivity, rather than help it.

Via Claude Emond
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Claude Emond's curator insight, May 23, 3:50 PM

Flabbergasting infographic! Are you really surprised? Do you still believe you save money with this open workplace nonsense?

Claude Emond's curator insight, May 23, 3:51 PM

Flabbergasting infographic! Are you really surprised? Do you still believe you save money with this open workplace nonsense?

Claude Emond's curator insight, May 23, 3:52 PM

Flabbergasting infographic! Are you really surprised? Do you still believe you save money with this open workplace nonsense? 

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Stroke Prevention in Atrial Fibrillation

Stroke Prevention in Atrial Fibrillation | Co-creation in health | Scoop.it

Importance  Atrial fibrillation (AF) is associated with an increase in mortality and morbidity, with a substantial increase in stroke and systemic thromboembolism. Strokes related to AF are associated with higher mortality, greater disability, longer hospital stays, and lower chance of being discharged home than strokes unrelated to AF.

Objective  To provide an overview of current concepts and recent developments in stroke prevention in AF, with suggestions for practical management.

Evidence Review  A comprehensive structured literature search was performed using MEDLINE for studies published through March 11, 2015, that reported on AF and stroke, bleeding risk factors, and stroke prevention.

Findings  The risk of stroke in AF is reduced by anticoagulant therapy. Thromboprophylaxis can be obtained with vitamin K antagonists (VKA, eg, warfarin) or a non-VKA oral anticoagulant (NOAC). Major guidelines emphasize the important role of oral anticoagulation (OAC) for effective stroke prevention in AF. Initially, clinicians should identify low-risk AF patients who do not require antithrombotic therapy (ie, CHA2DS2-VASc score, 0 for men; 1 for women). Subsequently, patients with at least 1 stroke risk factor (except when the only risk is being a woman) should be offered OAC. A patient’s individual risk of bleeding from antithrombotic therapy should be assessed, and modifiable risk factors for bleeding should be addressed (blood pressure control, discontinuing unnecessary medications such as aspirin or nonsteroidal anti-inflammatory drugs). The international normalized ratio should be tightly controlled for patients receiving VKAs.

Conclusions and Relevance  Stroke prevention is central to the management of AF, irrespective of a rate or rhythm control strategy. Following the initial focus on identifying low-risk patients, all others with 1 or more stroke risk factors should be offered OAC.

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Nursing 2.0: Improving Care Through Technology - CHCF.org

Nursing 2.0: Improving Care Through Technology - CHCF.org | Co-creation in health | Scoop.it
This report examines how technologies designed to improve hospital efficiency, patient safety, and quality of care are affecting the work environment for nurses.
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Strong Girl tactics: One campaign song aims to strike a blow for women

Strong Girl tactics: One campaign song aims to strike a blow for women | Co-creation in health | Scoop.it

Malala Yousafzai among high-profile supporters of all-African track designed to promote focus on women and girls in sustainable development targets. 

Nine female musicians from seven African countries have come together on a new song calling for women and girls to be central to the fight against poverty.

In a shift from previous anti-poverty music campaigns that have been criticisedfor ignoring African musicians and misrepresenting the continent, the video from the One campaign features an all African-cast of some of the continent’s brightest stars.

The song, called Strong Girl, features Victoria Kimani, from Kenya, Vanessa Mdee, from Tanzania, Arielle T, from Gabon, Gabriela, from Mozambique, Judith Sephuma, from South Africa, Waje, from Nigeria, Selmor Mtukudzi, from Zimbabwe, Yemi Alade, from Nigeria and 14-year-old South African rapper called Blessing.

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Sanità a rischio crash: urgenza ‘digitale’ per salvare la nave

Sanità a rischio crash: urgenza ‘digitale’ per salvare la nave | Co-creation in health | Scoop.it
Presentato oggi a Roma alla presenza del ministro Beatrice Lorenzin il libro ‘La tempesta perfetta? Il possibile naufragio del servizio sanitario nazionale: come salvarlo?’
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How Doctors Deliver Bad News

How Doctors Deliver Bad News | Co-creation in health | Scoop.it
Doctors are trying new ways of solving an old problem—how to tell patients they aren’t going to get well.

The doctor in the grainy video is standing up, shifting uncomfortably as he spouts medical jargon that members of his patient’s family don’t understand.

When the reality sets in—that their father and husband is dead—the family’s intense emotions fluster the doctor. He awkwardly suggests an autopsy before rushing away to respond to his chirping beeper.

It is a low-budget training video that Andrew Epstein, a medical oncologist at Memorial Sloan Kettering Cancer Center in New York, uses often as he teaches medical students the art of breaking bad news.

   
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Inactivity Tracker: a tracker that will reward you for doing absolutely nothing.

Inactivity Tracker: a tracker that will reward you for doing absolutely nothing. | Co-creation in health | Scoop.it

You've heard of the FitBit and other trackers that promote exercise and activity. Now there's a tracker that will reward you for doing absolutely nothing.

Kmart is tapping into the fitness tracker trend with an "inactivity tracker" meant to promote the retailer's Joe Boxer pajama brand.

Like the FitBit, the Inactivity Tracker connects to a mobile app, available on iOS and Android. Unlike other trackers, the app rewards users for laziness, or what it calls "chill time," rather than fitness, allowing them to reach levels like "Couch Commander," "Cryogenic" and "You Rock!" So people can feel better about binge watching Netflix's "Daredevil" and lounging on the couch instead of enjoying the sunny spring weather.

The effort, created by FCB in Chicago, puts Joe Boxer in the spotlight during a usually quiet season for the brand, which is known primarily for quirky holiday spots like "Show Your Joe."

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Marketing des influenceurs

Marketing des influenceurs | Co-creation in health | Scoop.it
Influenceur, influencer est un individu qui par son statut, son exposition médiatique peut influencer les comportement de consommation dans un univers donné

Via Lionel Reichardt / le Pharmageek
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