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Moving into the mobile app market: are healthcare apps medical devices?

Moving into the mobile app market: are healthcare apps medical devices? | Expertpatient | Scoop.it
Moving into the mobile app market are healthcare apps medical devices? Articles In our digital focus month; James Whitehouse takes a look at the healthcare mobile apps market and questions whether or not they can be classed as medical devices.

Via Olivier Delannoy
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eMedToday's curator insight, May 30, 2013 7:33 AM

Good defination of a medical device, hence FDA.

 

"Broadly speaking; software is a medical device when it has a controlling function; such as drug delivery; x-ray intensity; defibrillation current and gas mixture administration. Software that is considered standalone or independent from other devices may also be considered a medical device when it is performing an action on data different from storage; archiving; lossless compression; communication or simple searching6.

 

If an application; regardless of platform; is deemed to perform any of the functions detailed above then the software needs to be registered as a medical device."

 

As a side comment Pharma have about 400 medical app, most of which would be defined as medical device

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Merging the electronic health record with genomic data

There’s an important effort underway among health care data experts to enable clinicians and medical researchers to share the same data for analytics to improve patient outcomes.

 

At issue is the structure of electronic health records (EHR) that were originally designed to be used in day-to-day patient care and are not set up to handle much bulkier data types such as X-ray images and genomic tests.

 

As a recent editorial in the Journal of the American Medical Association notes, a critical shortcoming of EHRs of today is that despite their usefulness they can’t hold and analyze much of the ancillary data that health care experts need in a timely fashion. Ancillary data could include laboratory and imaging test results. (See “Why Digital Medical Records Can’t Hold an X-Ray,” below.)

 

This condition persists even though available technology is already able to gather some of this information.

 

“EHRs were never designed to develop insights on large-scale sets of data. They help to collect information that can address inefficiencies of paper records and provide basic error-checking when you saw patients,” says Dr. Graham Hughes, chief medical officer at SAS for the SAS Center for Health Analytics and Insights. Hughes is a developmental neurobiologist and a leader in health informatics.

  


Via Andrew Spong
David Dellamonica's insight:

This need a connexion with Portable Genomics in San diego

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Forget to Take Medicine? These Pills Know

Forget to Take Medicine? These Pills Know | Expertpatient | Scoop.it

Startup companies are coming up with new technologies aimed at getting people to take medicine only as directed.

 

Taking medication haphazardly—skipping doses, lapsing between refills or taking pills beyond their expiration date—has been linked to health complications and hundreds of millions of wasted dollars for insurers and hospitals.

 "After six months' time, only half of people taking prescription medicines are taking them as directed," said Troyen Brennan, chief medical officer of drug retailer CVS Caremark Corp. 

Health insurers and pharmacy-benefits managers like CVS have long relied on robo-calls, mailers and face-to-face meetings with pharmacists to keep patients on their dosing schedule.

 

Now they are evaluating a range of more cost-effective technologies, from pills and bottles with digital sensors, to data analytics software and social games that offer patients rewards.

 

Insurers and pharmacies are motivated in part by Medicare, which offers financial rewards for proving their members have improved their overall adherence to medication schedules.

 

They also stand to benefit if their members are healthier. The New England Healthcare Institute estimates that some $290 billion in costs is wasted each year on unnecessary hospital and doctor visits by people who failed to comply with their medication schedule.

 

CVS is pilot-testing technology from Virginia-based RxAnte Inc., which sells an analytics platform that looks at millions of patients' claims data and clinical data to identify people at highest risk of failing to comply with doctors' orders.

 

These patients include people with a spotty track record of adherence, those who take several different medicines or those facing unwanted side effects, Chief Executive Josh Benner said.

 

"It's all a targeting game," Mr. Benner said. "We predict individual behaviors, and suggest interventions."

 


Via nrip, Paul Epping
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malek's comment, May 22, 2013 7:39 AM
Health insurers and pharmacy-benefits managers like CVS are here for the long haul
Deborah Verran's comment, May 22, 2013 8:52 PM
Interesting technology. Will be interested in follow up data
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5 lessons Inspire learned from its 5 million posts written by patients and caregivers

5 lessons Inspire learned from its 5 million posts written by patients and caregivers | Expertpatient | Scoop.it

Recently, Inspire passed a milestone: five million posts written by the patients and caregivers in our online health community.

The sheer volume of activity in the community—about three New York Times’s—worth of words written around the clock each day—makes it just about impossible to read every word, but we see certain themes stand out. Here they are


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Interesting new e-patient resource: Medivizor « e-Patient Dave

Interesting new e-patient resource: Medivizor « e-Patient Dave | Expertpatient | Scoop.it

ePatient Dave reviews Medivizor


Via Lionel Reichardt / le Pharmageek
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eMedToday's curator insight, May 29, 2013 6:34 AM

Really a novel idea and sound. 

 

Medivizor is a startup that culls literature and other resources, including the social web. They select portions relevant to you (based on a questionnaire and your feedback), rephrase it in ordinary language, and send it to you.

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Investors, pay attention to these three health trends

Investors, pay attention to these three health trends | Expertpatient | Scoop.it

Digital health may be garnering all the glory for its promise to transform health care, but take a closer look and you’ll find a promising next wave of health care investments.

 

With a proliferation of mobile apps and data being generated at a dizzying pace, few investments have yet to fulfill their financial promise. The real money will be made when companies build services around these applications, make the data actionable, and connect all this inbound patient data to the physical health care system.

 

Expect companies that find new, creative ways of connecting data to patients, determine what to do with the data when it’s generated, and figure out ways to creatively (and profitably) engage the health care system, to attract the attention of VCs and entrepreneurs alike. Here are three areas worth watching


Smart Sensors

 

Software Systems for Data Analysis

 

New Service Models for Patients

 

Everything that can be done digitally and virtually will be done digitally and virtually. This will dramatically improve access to and efficiency of the traditional health care system. Call centers will be staffed not just by the traditional nurse, but also by physicians, pharmacists and other professionals who can provide a higher level of care.

 


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A Data Trove Now Guides Drug Company Pitches

A Data Trove Now Guides Drug Company Pitches | Expertpatient | Scoop.it
Vast databases of patient and doctor information being used by drug makers let them know which medications physicians are prescribing and how they compare to colleagues.

Via Alex Butler
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How a patient-centered content platform could boost health literacy and outcomes

How a patient-centered content platform could boost health literacy and outcomes | Expertpatient | Scoop.it
Seamless Healthcare's multi-prong approach to raising health literacy, with a nod to the Meaningful Use provisions of the HITECH Act,hopes to improve practice workflows along the way.

Via Chanfimao, dbtmobile, Paul Epping
David Dellamonica's insight:

What about other type of platform ? 

Need comparative analysis.

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Patient Engagement: A Strategic Imperative for Preventing Readmissions - Transformative Health

Patient Engagement: A Strategic Imperative for Preventing Readmissions - Transformative Health | Expertpatient | Scoop.it
David Wright is MPH President of the Institute for Interactive Patient Care, and also serves as Chief Outcomes Officer for GetWellNetwork. Readmissions News recently published an article by David focused on how to reduce readmissions in hospitals and other healthcare facilities. In the first of a two part series, he describes how technology can be used as an effective means to achieve and sustain patient activation.

Via Giuseppe Fattori, Lionel Reichardt / le Pharmageek
David Dellamonica's insight:

Excellent article. For me part of succes for patients - hcp - payors ....

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Playing This Video Game Will Sharpen Your Mind

Playing This Video Game Will Sharpen Your Mind | Expertpatient | Scoop.it
Researchers at the University of Iowa have been studying ways to reverse the effects of aging on mental agility. Their answer? Play a video game. Not just any game, mind you. Th...

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Only 1 in 5 Americans Gets Enough Exercise

Only 1 in 5 Americans Gets Enough Exercise | Expertpatient | Scoop.it

The news was less disappointing for aerobic exercise, with 51.6% of adults getting the recommended amount, than it was for muscle-strengthening activities, with only 29.3% getting the recommended amount.

The overall exercise rates also varied widely by state, ranging from 13% in Tennessee and West Virginia to 27% in Colorado.

The report was published in the May 3 issue of the Morbidity and Mortality Weekly Report, a CDC publication.

"Exercise not only helps with weight management, it helps reduce anxiety and depression; boosts energy, immunity and brain power; and significantly lowers the risk for chronic diseases such as cancer, diabetes and cardiovascular disease," she said.

According to the Physical Activity Guidelines for Americans, adults should get at least:

=>  two and a half hours a week of moderate-intensity aerobic activity such as walkin

=>  or an hour and 15 minutes a week of vigorous-intensity aerobic activity, such as jogging.

In addition, adults should do muscle-strengthening activities, such as push-ups, sit-ups or activities using resistance bands or weights. These exercises should be done two or more days a week and work all major muscle groups, the guidelines suggested.

The highest proportion of adults meeting those guidelines were in the West (24 percent) and the Northeast (21 percent). Women, Hispanics and older and obese adults were less likely to meet the guidelines

"Simple steps to start moving include: enlisting a friend or family member to join you; taking a walk every evening after dinner; getting up and marching in place at every TV commercial; limiting TV and computer time; [and] scheduling your time to exercise in your daily calendar,


Via Seth Bilazarian, MD
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Seth Bilazarian, MD's curator insight, May 6, 2013 3:31 PM

The authors put a positive spin on this report but half of Americans are not exercising even at these modest recommendation levels (75 minutes of vigorous exercise per week).  The muscle strengthening data is even worse: 80% of Americans are not doing it.

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Participants in personal genome project identified by privacy experts

Participants in personal genome project identified by privacy experts | Expertpatient | Scoop.it

One of the biggest questions in biology is the nature versus nurture debate, the relative roles that genetic and environmental factors play in determining human traits.

 

In 2006, George Church at Harvard University and a few others started the Personal Genome Project (PGP) to help answer this question. The goal is to collect genomic information from 100,000 informed members of the public along with their health records and other relevant phenotypic data. The idea is to use this information to help tease apart the relative contributions of genetic and environmental factors.

 

The project does not guarantee privacy for those who sign up. Indeed, the participants can reveal as much information as they like, including their ZIP code, birth date and sex.

 

However, the data is ‘de-identified’ in the sense that the owners names and addresses are not included in their profiles on the PGP website and this generates a veneer of privacy.

 

Today, Latanya Sweeney and colleagues at Harvard show that even this is practically useless in keeping owners identities private. They say a relatively simple comparison of the list of PGP participants with other databases such as voter lists reveals the identity of a significant number of them with remarkable accuracy.


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Healthcare Infographics Help Start a Conversation

Healthcare Infographics Help Start a Conversation | Expertpatient | Scoop.it
The Facebook page of TEDMED Live Bologna published some amazing infographics and sketches about different aspects of telemedicine, health 2.0 and digital technologies.

Via Emmanuel Capitaine , dbtmobile
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5 cool new health care apps

5 cool new health care apps | Expertpatient | Scoop.it
PokitDok, Caremerge, MangoHealth, Asthmapolis, and Allayo are our picks for HealthBeat 2013's 5 coolest consumer apps.

Via Alex Butler
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Gail Worthington-Eyre's curator insight, May 23, 2013 7:35 PM

Some interesting apps for health and aged care. Caremerge is one to keep an eye on as community based care grows.

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What do we mean when we talk about patient engagement?

What do we mean when we talk about patient engagement? | Expertpatient | Scoop.it

Patients today aren’t truly engaged with health technology or even with their own health.

 

This is the crux of a problem that we need to address before we can begin to understand patient engagement, empowerment, and how to use these relationships to fix a broken system.

 

Can we create persuasive technology to encourage patient engagement with the mere concept of their own health?

 

For example, when people are sick, we have a tendency to exhibit avoidant behavior (like taking “medication holidays” from prescription drugs.)

 

On the other hand, when we are healthy we don’t want to think about health, and companies have found it challenging to channel consumer interest toward something as innocuous as their own biometric data.

 

So next time we talk about patient engagement, let’s also consider how users relate to the concept of their own health and whether technology can be used to not only engage, but also advance positive health outcomes.

 


Via Andrew Spong
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Mighty Casey's curator insight, May 30, 2013 1:15 PM

Healthcare happens every day, no MDs required. What IS required is paying attention, and being intentional. 

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Digital Health For Dummies

Digital Health For Dummies | Expertpatient | Scoop.it

Digital health isn’t the application of a web site to clinical practice.  And it’s not the generic idea of social media applied to a disease category.  I guess the confusion starts with the word digital.  Anything digital can combined with health and healthcare and there you have it–digital health. Even today’s more sophisticated healthcare marketers discuss digital health in the context of web sites and iPads.  Today, pharm, marketers, thinkers and engaged listeners often can’t see the true promise of digital health and are plotting a healthcare future that might just not exist and based upon these misconceptions.


Via ehealthgr, Lionel Reichardt / le Pharmageek
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Using Social Media Gamification to Increase Engagement

Using Social Media Gamification to Increase Engagement | Expertpatient | Scoop.it
In addition to providing valuable content, gamification techniques encourage customers/visitors, old & new, to visit, stay, and interact with your content.

Via Pekka Puhakka, Lionel Reichardt / le Pharmageek
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Applying mobile health strategies to drive greater patient engagement and provider accountability.

Applying mobile health strategies to drive greater patient engagement and provider accountability. | Expertpatient | Scoop.it

Patient engagement and physician accountability are the cornerstones of today’s value-based care models. These strategies encourage patients to take an active role in their own health while offering the necessary incentives for providers to deliver effective, personalized health oversight and care to their patient population. 


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Western Diet lowers odds of "ideal aging"

Western Diet lowers odds of "ideal aging" | Expertpatient | Scoop.it

Background

The impact of diet on specific age-related diseases has been studied extensively, but few investigations have adopted a more holistic approach to determine the association of diet with overall health at older ages. We examined whether diet, assessed in midlife, using dietary patterns and adherence to the Alternative Healthy Eating Index (AHEI), is associated with aging phenotypes, identified after a mean 16-year follow-up.

Methods

Data were drawn from the Whitehall II cohort study of 5350 adults (age 51.3±5.3 years, 29.4% women). Diet was assessed at baseline (1991-1993). Mortality, chronic diseases, and functioning were ascertained from hospital data, register linkage, and screenings every 5 years and were used to create 5 outcomes at follow-up: ideal aging (free of chronic conditions and high performance in physical, mental, and cognitive functioning tests; 4%), nonfatal cardiovascular event (7.3%), cardiovascular death (2.8%), noncardiovascular death (12.7%), and normal aging (73.2%).

Results

Low adherence to the AHEI was associated with an increased risk of cardiovascular and noncardiovascular death. In addition, participants with a “Western-type” diet (characterized by high intakes of fried and sweet food, processed food and red meat, refined grains, and high-fat dairy products) had lower odds of ideal aging (odds ratio for top vs bottom tertile: 0.58; 95% confidence interval, 0.36-0.94; P=.02), independently of other health behaviors.

Conclusions

By considering healthy aging as a composite of cardiovascular, metabolic, musculoskeletal, respiratory, mental, and cognitive function, the present study offers a new perspective on the impact of diet on aging phenotypes.


Via Seth Bilazarian, MD
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Seth Bilazarian, MD's curator insight, May 16, 2013 4:02 PM

"Western-type” diet (characterized by high intakes of fried and sweet food, processed food and red meat, refined grains, and high-fat dairy products) has been attributed to many disease of older age. This study characterizes ideal aging as avoidance of these disease. The additional life style strategies of exercise and smoking are strongly associated with favorable aging but diet is an independent predictor.  It makes common sense that the cumulative effect of daily diet over the middle third of life will have an impact on outcomes in the last third of life.

Cynthia Tait's comment, May 18, 2013 1:24 AM
hmmm - this sounds all to plausible - not sure I am going to share this with my parents - as this will mean they have been on the right path all their lives - searching and reading and modifying their diets to suit the long lives they wish to live. Go Mum and Dad. <yeah, I still didn't share it with them - i can hear the 'i told you so' echoes through from the future> :)
Alexis Dickerson's curator insight, September 22, 2013 9:44 AM

Standard American Diet = SAD diet.  Ancestoral health diets seek historic dietary principles with the goal of restoring/optimizing health and reducing diseases of affluence (diabesity, CHD, etc)

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Social listening in pharma: the top 15 hashtags to follow on Twitter

Social listening in pharma: the top 15 hashtags to follow on Twitter | Expertpatient | Scoop.it

A great post from Mat Philips (@neovoca) detailing how to get started in social listening, and his favourite 15 pharma-related hashtags:

 

 1. #Pharma   

General,  worldwide industry. Often news on companies, academic studies, drug releases, corporate communications  and regulatory articles

 2. #DigitalHealth         

Covers innovative  spectrum of technologies that achieve specific health outcomes, articles include medical devices, sensors & health data

 3. #mHealth

‘Mobile health’, the practice of medicine and health initiatives supported by mobile devices inc. smartphones, tablets & computers

 4. #PatientEngagement                 

Patients invested in their own care. The valuable relationship patients have with health stakeholders, most commonly healthcare providers

 5. #hcsm 

‘Healthcare social media’ throughout the world, interactions that create & share valuable medical information that support patient care

 6. #hcsmeu

‘Healthcare social media Europe’, the same as #hcsm but focused within Europe, this often reflected in the difference in regulation

 7. #hcmktg

‘Healthcare marketing’, best practice including digital, multichannel and email marketing  as well as ethical and regulatory considerations

 8. #HIT/HealthIT 
*these are closely linked but separate hashtags

‘Healthcare information technology’, provides umbrella coverage of management of health information across computer systems

 9. #HealthApps

‘Health applications’, computer software that performs a useful task relative to healthcare. Usually regarding smartphones & tablets

 10. #ePatient

‘Electronic/internet patient’, health consumers who utilise the internet and electronic communication tools to gather medical information

 11. #EHR/EMR*
*these are closely linked but separate hashtags

‘Electronic health/medical records’, systematic collection, storage and utilisation of electronic health/medical data

 12. #QuantifiedSelf

Data acquisition of an individual’s daily life input, often covers individual’s health data via wearable technology

 13. #BigData

 Large & complex data sets from which trends and meaningful insights can be found. Covering capture, storage, visualisation and analytics

 14. #Gamification

The integration of game mechanics in a non-game context in order to engage user, solve problems and derive specific outputs

 15. #MedEd

 Comprehensive coverage of medical education including curriculum content, engagement, delivery and healthcare professional bodies


Via Andrew Spong
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Tim Mustill's curator insight, May 17, 2013 7:45 AM

Nice one Matt (and Andrew) - defo worth a reScoop

eMedToday's curator insight, May 30, 2013 9:33 PM

Great reference list

Relatris's curator insight, June 2, 2013 8:29 AM

If you like to start getting into the vast world of twitter and trying to understand how conversations about pharma topics work, this list is definitively a good starting point. Also check out Pharma Open Access Meducation (http://stwem.com/2013/05/08/phoam-is-the-concept-phoamed-is-the-hashtag-introducing-pharma-open-access-meducation/)

 

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Pharmas are cool with YouTube but fear Twitter

Pharmas are cool with YouTube but fear Twitter | Expertpatient | Scoop.it
Among social media channels, healthcare execs are most comfortable with YouTube and least comfortable with Twitter, a survey suggests.

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Mobile epilepsy sensors: student-led, stopped, or stalled

Mobile epilepsy sensors: student-led, stopped, or stalled | Expertpatient | Scoop.it

Epilepsy is one medical condition where the constant monitoring capability of a wearable sensor could save lives, providing an early warning when a person with epilepsy has a seizure or even predicting seizures before they happen.


Via Emmanuel Capitaine , Lionel Reichardt / le Pharmageek
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Ashlyn Durham's curator insight, January 29, 2015 11:23 PM

The development of a sensor belt or bracelet would be extremely beneficial to students with epilepsy, especially the younger aged students. Epilepsy is a disability that effects both the brain and the body. Children who have epilepsy, for the most part, are unaware of when a seizure is about to occur. If children were able to have a sensor belt of bracelet that warned them of an upcoming seizure then it could allow them to feel safer and more comfortable in their school environment. Students would be able to posses comfort because they could inform a teacher of what is about to happen. They would then be placed in a safe location or sent to the nurse's office, which would lower the risks of accidents that could have been prevented from an undetected seizure. 

Joel Roberts's comment, March 19, 2015 9:27 PM
This new sensor could be very significant for students with epilepsy. I think this new sensor would not only benefit students with epilepsy, but also the teachers and other students in the class because they would be able to help students with epilepsy when they are about to have a seizure. Also, I believe this would make the parents and students struggling with epilepsy feel safe while they are at school because they would be able to predict when their next seizure is going to happen.
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The Role of Curation in Content Marketing

Presentation by Lisa Rhodes of Verne Global, and Pawan Deshpande, CEO of Curata. Published on SlideShare in April 2013.

 

"There's a good reason why content curation is such a hot topic these days: It works! Explore real-world examples of how leading B2B marketers identify, find, organize and share relevant content with their core markets via content curation, and learn why curation delivers strong ROI for today's marketing organizations."

 

Original Presentation on SlideShare:

http://www.slideshare.net/G3Com/the-role-of-curation-in-content-marketing

 


Via Giuseppe Mauriello
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Adam Donkus's curator insight, May 9, 2013 1:21 PM

Curation sites are becoming hugely important in our online marketing campaigns. Additionally, often times blog posts that are nothing more than a list of currated links on a certain niche tend to do really well.

Luke Hancock - H&H Social Design's curator insight, May 13, 2013 4:13 PM

Interesting take to curate content of your competitors or curating content that offers a different editorial from your content. I do agree, it will lend to you being more of a thoughts leader without the agenda. 

 

The presentation picks up a lot of steam with their curation tips in the final third of the slides. Enjoy

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Medicine as a service: A New Commercial Model for Big Pharma in the Postblockbuster World


Via Ricard Robledo, Olivier Delannoy
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Ricard Robledo's curator insight, May 6, 2013 5:18 PM

Pharma Digital transformation is needed to embrace this new commercial model

eMedToday's curator insight, May 7, 2013 8:24 PM

Great report. Pharma need to move beyound selling pills to selling services with a focus on chronic diseases and adherence stratetgy. Digital can materially assist in this objectve.

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Mediterranean Diet Might Help Stave Off Dementia

Mediterranean Diet Might Help Stave Off Dementia | Expertpatient | Scoop.it

 Eating fish, chicken, olive oil and other foods rich in omega-3 fatty acids while staying away from meats and dairy -- the so-called Mediterranean diet -- may help older adults keep their memory and thinking skills sharp, a large new U.S. study suggests.

Using data from participants enrolled in a nationwide study on stroke, the researchers gleaned diet information from more than 17,000 white and black men and women whose average age was 64.

The participants also took tests that measured their memory and thinking (cognitive) skills. During the four years of the study, 7 percent of the individuals developed problems with these skills, the researchers reported.

"Greater adherence to Mediterranean diet was associated with lower risk of incident cognitive impairment in this large population-based study," said lead researcher Dr. Georgios Tsivgoulis, from the University of Alabama at Birmingham as well as the University of Athens, in Greece.


Via Seth Bilazarian, MD
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Seth Bilazarian, MD's curator insight, May 1, 2013 12:22 PM

This makes reasonable biological sense since brain and cognitive health is so dependent on vascular health.  Strategies that improve vascular health and function of many years will reduce the likelihood of declining mental function.

Ellen Diane's comment, May 8, 2013 8:33 AM
I am a follower- have been for years.
Ellen Diane's comment, May 8, 2013 8:34 AM
you have some excellent articles;) thank you