THE CREATIVE DESTRUCTION OF MEDICINE

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The Creative Destruction Of Medicine

Author : Eric Topol
ISBN : 9780465029341
Genre : Technology & Engineering
File Size : 60.26 MB
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How genomics, big data, and digital technology are revolutionizing every aspect of medicine, from physical exams to drug prescriptions to organ transplants Mobile technology has transformed our lives, and personal genomics is revolutionizing biology. But despite the availability of technologies that can provide wireless, personalized health care at lower cost, the medical community has resisted change. In The Creative Destruction of Medicine, Eric Topol-one of the nation's top physicians-calls for consumer activism to demand innovation and the democratization of medical care. The Creative Destruction of Medicine is the definitive account of the coming disruption of medicine, written by the field's leading voice.
Category: Technology & Engineering

Deep Medicine

Author : Eric Topol
ISBN : 9781541644649
Genre : Medical
File Size : 51.98 MB
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One of America's top doctors reveals how AI will empower physicians and revolutionize patient care Medicine has become inhuman, to disastrous effect. The doctor-patient relationship--the heart of medicine--is broken: doctors are too distracted and overwhelmed to truly connect with their patients, and medical errors and misdiagnoses abound. In Deep Medicine, leading physician Eric Topol reveals how artificial intelligence can help. AI has the potential to transform everything doctors do, from notetaking and medical scans to diagnosis and treatment, greatly cutting down the cost of medicine and reducing human mortality. By freeing physicians from the tasks that interfere with human connection, AI will create space for the real healing that takes place between a doctor who can listen and a patient who needs to be heard. Innovative, provocative, and hopeful, Deep Medicine shows us how the awesome power of AI can make medicine better, for all the humans involved.
Category: Medical

Individualized Medicine

Author : Tobias Fischer
ISBN : 9783319117195
Genre : Medical
File Size : 88.82 MB
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In 2009 the University Medicine Greifswald launched the “Greifswald Approach to Individualized Medicine” (GANI_MED) to implement biomarker-based individualized diagnostic and therapeutic strategies in clinical settings. Individualized Medicine (IM) has led not only to controversies about its potentials, but also about its societal, ethical and health economic implications. This anthology focusses on these areas and includes – next to clinical examples illustrating how the integrated analysis of biomarkers leads to significant improvement of therapeutic outcomes for a subgroup of patients – chapters about the definition, history and epistemology of IM. Additionally there is a focus on conceptual philosophical questions as well as challenges for applied research ethics (informed consent process, the IT-based consent management and the handling of incidental findings). Finally it pays attention to health economic aspects. The possibilities of IM to initiate a paradigm shift in the German health care provision are investigated. Furthermore, it is asked whether the G-DRG system is ready for the implementation of such approaches into clinical routine.
Category: Medical

Using Person Centered Health Analytics To Live Longer

Author : Dwight McNeill
ISBN : 9780133890143
Genre : Computers
File Size : 60.2 MB
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The American way of producing health is failing. It continues to rank very low among developed countries on our most vital need…to live a long and healthy life. Despite the well-intentioned actions on the part of government, life sciences, and technology, the most important resource for achieving our full health potential is ourselves. This book is about how you can do so, and how others can help you. Dwight McNeill introduces person-centered health analytics (pchA) and shows how you can use it to master five everyday behaviors that cause and perpetuate most chronic diseases. Using Person-Centered Health Analytics to Live Longer combines deep insight, a comprehensive framework, and practical tools for living longer and healthier lives. It offers a clear path forward for both individuals and stakeholders, including providers, payers, health promotion companies, technology innovators, government, and analytics practitioners.
Category: Computers

Me Medicine Vs We Medicine

Author : Donna Dickenson
ISBN : 9780231534413
Genre : Medical
File Size : 67.43 MB
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Personalized healthcare—or what the award-winning author Donna Dickenson calls "Me Medicine"—is radically transforming our longstanding "one-size-fits-all" model. Technologies such as direct-to-consumer genetic testing, pharmacogenetically developed therapies in cancer care, private umbilical cord blood banking, and neurocognitive enhancement claim to cater to an individual's specific biological character, and, in some cases, these technologies have shown powerful potential. Yet in others they have produced negligible or even negative results. Whatever is behind the rise of Me Medicine, it isn't just science. So why is Me Medicine rapidly edging out We Medicine, and how has our commitment to our collective health suffered as a result? In her cogent, provocative analysis, Dickenson examines the economic and political factors fueling the Me Medicine phenomenon and explores how, over time, this paradigm shift in how we approach our health might damage our individual and collective well-being. Historically, the measures of "We Medicine," such as vaccination and investment in public-health infrastructure, have radically extended our life spans, and Dickenson argues we've lost sight of that truth in our enthusiasm for "Me Medicine." Dickenson explores how personalized medicine illustrates capitalism's protean capacity for creating new products and markets where none existed before—and how this, rather than scientific plausibility, goes a long way toward explaining private umbilical cord blood banks and retail genetics. Drawing on the latest findings from leading scientists, social scientists, and political analysts, she critically examines four possible hypotheses driving our Me Medicine moment: a growing sense of threat; a wave of patient narcissism; corporate interests driving new niche markets; and the dominance of personal choice as a cultural value. She concludes with insights from political theory that emphasize a conception of the commons and the steps we can take to restore its value to modern biotechnology.
Category: Medical

Medical Visions

Author : Kirsten Ostherr
ISBN : 9780199876235
Genre : Performing Arts
File Size : 75.37 MB
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How do visual images shape the practice of medicine? What role does visual representation play in the cultivation of medical ways of seeing? And how has medicine's visual culture changed in the digital age? Kirsten Ostherr's ambitious study explores 120 years of medical image-making to explain how visual representations shape medical education and practice. Marshaling powerful, vivid examples she demonstrates how medical images created by the healthcare industry, documentary filmmakers, experimental artists, and the mass media acquire cultural meaning and influence doctors' and patients' understandings of health and disease. Her analysis proceeds chronologically, turning from the earliest experiments with medical filmmaking by the American College of Surgeons, to the place of health films in the "golden age" of instructional film in the 1960s. Ostherr considers the shift to television as the dominant medium of health education, highlighting the evolving status of realism, the techniques employed to bridge the entertainment-education divide, the role of expert consultants and sponsors, and the tradeoffs made by professionals to reach a broad audience. The rise of physician advice segments on newsmagazines forms a transition between medical dramas like Marcus Welby, MD and more recent reality shows like Boston Med and Doctor 90210. Concluding with a section on advertising and social media in the health care setting, the book ends with ten key lessons for the future of medical media.
Category: Performing Arts

Biocode

Author : Dawn Field
ISBN : 9780191511578
Genre : Science
File Size : 62.31 MB
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The living world runs on genomic software - what Dawn Field and Neil Davies call the 'biocode' - the sum of all DNA on Earth. In Biocode, they tell the story of a new age of scientific discovery: the growing global effort to read and map the biocode, and what that might mean for the future. The structure of DNA was identified in 1953, and the whole human genome was mapped by 2003. Since then the new field of genomics has mushroomed and is now operating on an industrial scale. Genomes can now be sequenced rapidly and increasingly cheaply. The genomes of large numbers of organisms from mammals to microbes, have been mapped. Getting your genome sequenced is becoming affordable for many. You too can check paternity, find out where your ancestors came from, or whether you are at risk of some diseases. Some check out the pedigree of their pets, while others turn genomes into art. A stray hair is enough to crudely reconstruct the face of the owner. From reading to constructing: the first steps to creating artificial life have already been taken. Some may find the rapidity of developments, and the potential for misuse, alarming. But they also open up unprecedented possibilities. The ability to read DNA has changed how we view ourselves and understand our place in nature. From the largest oceans, to the insides of our guts, we are able to explore the biosphere as never before, from the genome up. Sequencing technology has made the invisible world of microbes visible, and biodiversity genomics is revealing whole new worlds within us and without. The findings are transformational: we are all ecosystems now. Already the first efforts at 'barcoding' entire ecological communities and creating 'genomic observatories' have begun. The future, the authors argue, will involve biocoding the entire planet.
Category: Science

The Patient Will See You Now

Author : Eric Topol
ISBN : 9780465094479
Genre : Medical
File Size : 64.34 MB
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The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.
Category: Medical

The Creative Destruction Of Manhattan 1900 1940

Author : Max Page
ISBN : 0226644693
Genre : Architecture
File Size : 49.10 MB
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"The oxymoron "creative destruction" suggests the tensions that are at the heart of urban life: between stability and change, between particular places and undifferentiated spaces, between market forces and planning controls, and between the "natural" and "unnatural" in city growth. Page investigates these cultural counter weights through case studies of Manhattan's development, with depictions ranging from private real estate development along Fifth Avenue to Jacob Riis's slum clearance efforts on the Lower East Side, from the elimination of street trees to the efforts to save City Hall from demolition. Contrary to the popular sense of New York as an ahistorical city - the past as recalled by powerful citizens - was in fact, at the heart of defining how the city would be built."--BOOK JACKET.
Category: Architecture

Behavioral Healthcare And Technology

Author : Lisa Marsch
ISBN : 9780199314041
Genre : Medical
File Size : 52.71 MB
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In recent years, there has been an explosion of research focused on using technology in healthcare, including web- and mobile- health assessment and intervention tools, as well as smartphone sensors and smart environments for monitoring and promoting health behavior. This work has shown that technology-based therapeutic tools offer considerable promise for monitoring and responding to individuals' health behavior in real-time. They may also function as important "clinician-extenders" or stand-alone tools, may be cost-effective and may offer countless opportunities for tailoring behavioral monitoring and intervention delivery in a manner that is optimally responsive to each individual's profile and health behavior trajectory over time. Additionally, informational and communication technologies may be used in the context of decision support tools to help individuals better understand and access treatment. Technology may enable entirely new models of healthcare both within and outside of formal systems of care and thus offers the opportunity to revolutionize healthcare delivery. This edited book defines the state of scientific research related to the development, experimental evaluation, and effective dissemination of technology-based therapeutic tools targeting behavioral health. Behavioral Healthcare and Technology provides an overview of current evidence-based approaches to leverage technology to promote behavioral health, including management of substance use, mental health, diet/exercise, medication adherence, as well as chronic disease self-management. Additionally, the book defines the state of implementation research examining models for deploying technology-based behavioral healthcare systems and integrating them into various care settings to increase the quality and reach of evidence-based behavioral healthcare while reducing costs.
Category: Medical