scholarly journals Biomedical Engineering in Nepal: Opportunities and Challenges

2021 ◽  
Vol 1 (1) ◽  
pp. 52-54
Author(s):  
Sambardhan Dabadi ◽  
Raju Raj Dhungel

Biomedical engineering is the blend of engineering and medical science, professional with a combination of knowledge of various engineering discipline to improve health care and quality of life. While biomedical engineering formally came up as major course in 1950s, the course started in Nepal just a decade back with its importance being acknowledged and biomedical engineers have been recruited by various institutes. Accounting for artificial intelligence, robotic surgery, 3-d printing, which are believed to be the future of medical science, it is necessary to strengthen the biomedical engineering. This article aims to highlight the overview as well as opportunities and challenges of biomedical engineering in Nepal.

CHEST Journal ◽  
2015 ◽  
Vol 148 (4) ◽  
pp. 870-876 ◽  
Author(s):  
David Gibeon ◽  
Liam G. Heaney ◽  
Chris E. Brightling ◽  
Rob Niven ◽  
Adel H. Mansur ◽  
...  

2020 ◽  
Vol 40 (1-2) ◽  
pp. 27-40
Author(s):  
Ivan Oransky

Today’s health care journalists work in a very different environment than those of yesterday. The demand for stories and broadcasts has grown exponentially, and the resources available have shrunk dramatically. While it may therefore be difficult to see how improvements in health care journalism are possible, let alone a way to improve health care literacy, there is an important connection that, if illuminated, could help both fields. To understand the literature on the quality of health care journalism, it is critical to understand the backgrounds of today’s health care journalists and the challenges they face. That literature also goes hand in hand with studies of the effects that news coverage has on the public’s understanding of health care issues. There are training and educational programs designed to help health care journalists do their jobs better, and this chapter concludes with a discussion of how cooperation between health journalists, physicians, and other stakeholders can lift all boats.


2018 ◽  
pp. 1-9 ◽  
Author(s):  
Shivank Garg ◽  
Noelle L. Williams ◽  
Andrew Ip ◽  
Adam P. Dicker

Digital health constitutes a merger of both software and hardware technology with health care delivery and management, and encompasses a number of domains, from wearable devices to artificial intelligence, each associated with widely disparate interaction and data collection models. In this review, we focus on the landscape of the current integration of digital health technology in cancer care by subdividing digital health technologies into the following sections: connected devices, digital patient information collection, telehealth, and digital assistants. In these sections, we give an overview of the potential clinical impact of such technologies as they pertain to key domains, including patient education, patient outcomes, quality of life, and health care value. We performed a search of PubMed ( www.ncbi.nlm.nih.gov/pubmed ) and www.ClinicalTrials.gov for numerous terms related to digital health technologies, including digital health, connected devices, smart devices, wearables, activity trackers, connected sensors, remote monitoring, electronic surveys, electronic patient-reported outcomes, telehealth, telemedicine, artificial intelligence, chatbot, and digital assistants. The terms health care and cancer were appended to the previously mentioned terms to filter results for cancer-specific applications. From these results, studies were included that exemplified use of the various domains of digital health technologies in oncologic care. Digital health encompasses the integration of a vast array of technologies with health care, each associated with varied methods of data collection and information flow. Integration of these technologies into clinical practice has seen applications throughout the spectrum of care, including cancer screening, on-treatment patient management, acute post-treatment follow-up, and survivorship. Implementation of these systems may serve to reduce costs and workflow inefficiencies, as well as to improve overall health care value, patient outcomes, and quality of life.


2003 ◽  
Vol 56 (9-10) ◽  
pp. 436-438
Author(s):  
Svetlana Kvrgic ◽  
Jelena Jovovic

Introduction Health protection and health promotion are the primary goals of modern medicine. Since children's health is the cornerstone of adult's health, it must be in the center of all social and health care strategies. Vulnerability concept Vulnerability means exposure to harmful influences, risks or stress, which increases disease probability. The most vulnerable are categories that are exposed to influence of many harmful factors, which have minimal chances for survival and lowest quality of life. Vulnerability of children without parental care Vulnerability of children without parental care is caused by lack and/or inadequate family environment. These children are usually emotionally unstable; they frequently develop conduct disorders and have low self-esteem. As adolescents, these children have tendency to risky behavior, which greatly decreases their health potentials. Health status and quality of life All three components of health are endangered with children without parental care. These children present with physical, psycho-motoric and intellectual impairments. There are no studies about quality of life regarding these children, but we can assume that their quality of life is lower than in children who experience protective family environment, since quality of psychosocial factors and family environment are very important predictors of quality of life. Conclusion Children without parental care are an extremely vulnerable category, because they are subjected to various risk factors. Therefore, in order to improve health potentials and quality of life, special measures are required in health care, psychological care and social welfare.


Author(s):  
Kicky G. van Leeuwen ◽  
Maarten de Rooij ◽  
Steven Schalekamp ◽  
Bram van Ginneken ◽  
Matthieu J. C. M. Rutten

AbstractSince the introduction of artificial intelligence (AI) in radiology, the promise has been that it will improve health care and reduce costs. Has AI been able to fulfill that promise? We describe six clinical objectives that can be supported by AI: a more efficient workflow, shortened reading time, a reduction of dose and contrast agents, earlier detection of disease, improved diagnostic accuracy and more personalized diagnostics. We provide examples of use cases including the available scientific evidence for its impact based on a hierarchical model of efficacy. We conclude that the market is still maturing and little is known about the contribution of AI to clinical practice. More real-world monitoring of AI in clinical practice is expected to aid in determining the value of AI and making informed decisions on development, procurement and reimbursement.


2011 ◽  
Vol 20 (1) ◽  
Author(s):  
Louise Forsetlund ◽  
Morten Christoph Eike ◽  
Gunn E. Vist

Objectives: Since the early 1990s there has been an increasing awareness of social and ethnic inequity in health and for the last few years there has also been an increasing focus on disparities in the quality of health services to ethnic minority groups. The aim of this review was to collect and summarise in a systematic and transparent manner the effect of interventions to improve health care services for ethnic minorities.<br />Methods: We searched several medical databases for systematic reviews and randomised controlled trials. Two researchers independently screened for and selected studies, assessed risk of bias, extracted data and graded the quality of the evidence for each outcome in the included studies. The analysis was done qualitatively by describing studies and presenting them in tables.<br />Results: We included 19 primary studies. The interventions were targeted at reducing clinical, structural and organisational barriers against good quality health care services. Eight studies examined the effect of educational interventions in improving outcomes within cross-cultural communication, smoking cessation, asthma care, cancer screening and mental health care. In six comparisons the effect of reminders for improving health care services and patient outcomes within cancer screening and diabetes care was examined. Two studies compared professional remote interpretation services to traditional interpretation services, two studies compared ethnic matching of client and therapist and two studies examined the effect of providing additional support in the form of more personnel in the treatment of diabetes and kidney transplant patients. Most patients were African-Americans and Latin-Americans and all ages were represented.<br />Conclusions: Educational interventions and electronic reminders to physicians may in some contexts improve health care and health outcomes for minority patients. The quality of the evidence varied from low to very low. The quality of available evidence for the other interventions was too low to draw reliable conclusions. We found no studies that only included young patients, but we suggest that interventions targeted at health personnel or health organisations may be applicable regardless of the age of the patient population. This review reveals that the evidence for interventions to improve health care for minorities is sparse and generally of low quality.


2020 ◽  
Vol 4 (2) ◽  
pp. 53
Author(s):  
Peter Johannes Manoppo

Nowadays, the paradigm of ‘Listen to the Doctor’ is weakening in health-care-delivery. The higher expectation of health-care-delivery quality expectation, the better patient-best-preference, and the more complicated system in health-care-delivery, have led to the shift of the paradigm to ‘Listen to the Patient’. Ethically, these situations are enhancing the bargaining position of the patient based on the principle of respect for autonomy. The principles of ethics in health-care- delivery are very important as the proper ground to anticipate the possibilities of unethical behavior by the health-care-provider and caregiver. Those evolutions are also enhancing the efforts of improving the quality of medical human resources, up-to-date medical technology, novel medical researches, and efficient cost-benefit ratio, so that the patient’s health, safety, quality-of-life, and patient-best-preference, can be achieved on the highest level. The paradigm of ‘Listen to the Patient’, which is in line with the principle of respect for autonomy, should be implemented to improve health governance and create the best health-care-delivery quality, good quality-of-life, patient safety, and patient-best-preference to any extent.


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