scholarly journals Doctor Chatbot – Smart Health Prediction

2021 ◽  
pp. 751-756
Author(s):  
Seema J ◽  
Suman S ◽  
Chirag S R ◽  
Vinay G ◽  
Balakrishna D
Keyword(s):  
Heart Disease ◽  
Life Style ◽  
Heart Attacks ◽  
Number Of Patients ◽  
Wide Range ◽  
Long Time ◽  
Smart Health ◽  
Self Service ◽  
Factual Data ◽  
Constant Support

As in today’s world, the number of patients on usual is increasing apace with the amendment in life-style. Queues in hospitals and native doctor's residences are rapidly Increasing. Patients with hectic schedules must spend a significant amount of time waiting to meet the doctor. It takes a long time to heal certain diseases. Heart disease could be a quite common problem worldwide. Many people, both young and old, suffer and die from heart attacks every day. Chatbots will perform tasks such as reducing agent transfers, resolving issues more quickly, improving self-service, and so on. They need constant support to discuss their issues with and to provide them with factual data. This paper introduces a possible solution to provide them with what they're seeking for a chatbot. The projected chatbot would be a heart disease Predictor which is designed for individuals managing any kind of symptoms that connect to the heart. The bot is trained by data collected from numerous Heart Disease-related forums that have a good and wide range of knowledge regarding the heart.

Comperehencive review of Tankana

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Jyotsna Sankpal ◽  
Dr. Jyotsna Takalikar
Keyword(s):  
Heart Disease ◽  
Medical Science ◽  
Menstrual Disorders ◽  
Therapeutic Applications ◽  
Indian Medical ◽  
Wide Range ◽  
Long Time

Rasa Shastra and Bhaishajya Kalpana is branch of the ancient Indian medical science based on herbs and herbo-mineral preparation. Tankana has been described under Uparasa Tankana, which is one among the Kshara Trayas has been used since very long time in Ayurveda. It has a wide range of therapeutic applications, including diseases like Varna (ulcers), Shvasa (asthma), Kasa (cough), Hrudya (beneficial to heart disease), Streepushpajanana (menstrual disorders) etc. It is used in the form of compound formulations like Parpati, Kupipakwa, Khalvee Rasayana, Churna, Vati, Lepa etc. In this paper Tankana Shodhana procedure, different synonyms, dose, Anupana, indications and different formulations containing Tankana Bhasma has been discussed.

The athlete with congenital heart disease

2019 ◽  
pp. 238-250
Author(s):  
Guido E. Pieles ◽  
Graham Stuart
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Assessment Tools ◽  
Recommended Care ◽  
Specific Advice ◽  
Number Of Patients ◽  
Wide Range ◽  
Functional Exercise ◽  
Sports And Exercise

An increasing number of patients with congenital heart disease (CHD) are participating in regular sport at levels ranging from gentle recreational activities to elite professional sport. In general, children and adults with CHD should be encouraged to engage in regular physical activity, but long-term complications, such as heart failure, arrhythmias, and the need for re-operation, can occur. The sports cardiologist must be alert to the presence of underlying CHD, as physiology, haemodynamics, and functional status can change with time even after correction or palliation and intervention may be necessary before the onset of major symptoms. Although consensus management guidelines for adults with CHD are available, there is very little lesion-specific advice on sports and exercise. The wide range of diagnoses and pathophysiology make regular and individualized assessment essential. Assessment tools include ECG, echocardiogram, and CMR, but regular comprehensive functional exercise assessment is recommended. Care of the athlete with CHD should be coordinated in close collaboration with congenital heart specialists.

Reflections

2009 ◽  
Author(s):  
Jie Jack Li
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Pharmaceutical Industry ◽  
Ldl Cholesterol ◽  
Bone Fractures ◽  
High Standard ◽  
Heart Attacks ◽  
Wide Range ◽  
The World ◽  
History Of

The story of statins is a success story for science (both basic and applied) and scientists (in both academia and industry). It contains one of the classic scientific and marketing battles in the history of the pharmaceutical industry. More important, it has been a great boon for the millions of patients who have benefited from statins in preventing coronary heart disease. The story of the statins is a triumph of the heart. Statins, a class of cholesterol-lowering drugs, have revolutionized the landscape of coronary heart disease treatment. Since Merck’s marketing of Mevacor in 1987, the world has benefited from statins in numerous ways. As a class of drugs, statins have set standards on numerous fronts in helping manage LDL cholesterol, one of the major risk factors for coronary heart disease. Statins set a high standard in efficacy, a high standard in safety, and a high standard in financial success for the patients, payers, and the pharmaceutical industry. Not only do statins greatly reduce cholesterol and lower mortality in people at risk for heart attacks, but some studies also suggest that they might help prevent or treat a wide range of ailments, including Alzheimer’s disease, multiple sclerosis, bone fractures, some types of cancer, macular degeneration, and glaucoma. The world has already benefited from the statins in many ways. Low is good, but lower is even better. Fifty years ago, the connection between cholesterol and coronary heart disease was still in question. Twenty years ago, the merit of lowering LDL cholesterol was not even unanimously agreed upon. Cholesterol drugs before the statins, such as resins, niacin, and fibrates, worked to some extent but were also seriously limited by their side effects. Thanks to the emergence of the statins, with Mevacor as the first on the market in 1987, all these questions on the relationship between cholesterol and coronary heart disease are answered beyond any shadow of doubt. Today, the statins have annual sales of more than $20 billion. Hundreds of millions of patients have benefited from statins by delaying and even preventing coronary heart disease.

scholarly journals Non-hormonal options for the relief of menopausal disorders

2022 ◽  
pp. 190-196
Author(s):  
O. V. Yakushevskaya
Keyword(s):  
Large Scale ◽  
Estrogen Deficiency ◽  
Alternative Methods ◽  
Main Function ◽  
Hormonal Changes ◽  
Social Self ◽  
Number Of Patients ◽  
Wide Range ◽  
Long Time

Woman’s nature is unique. Taking into account some historical milestones, it can be noted that the role of women in society has undergone large-scale changes. The woman took a confident position in society. Its main function remains unchanged and it consists in procreation and procreation. A woman’s activity is consistent with the work of her reproductive system (RS). The gradual decrease, and then the cessation of the work of the ovaries, contributes to the life order and health of the fair sex. Menopause is a natural stage in a woman’s life, which corresponds to the peak of social self-realization. However, in some cases, hormonal changes characteristic of this period can serve as a favorable background for the formation of a number of pathological changes. The growing estrogen deficiency is becoming a pathogenetic impetus for the development of a wide range of climacteric disorders. Vasomotor symptoms and hyperhidrosis are the most frequent companions of women during the perimenopausal transition and early postmenopause. Maintaining optimal activity and the full quality of life of patients should be the goal of correcting the negative manifestations of estrogen deficiency and the complications associated with it. Compensating for estrogen deficiency with menopausal hormone therapy (HRT) is the benchmark for menopausal problems. However, there are a number of patients who have contraindications to prescribing HRT or who refuse to receive it for some reason. For this category of patients, alternative methods of diet correction. Combinations of plant extracts with vitamins and minerals have been successfully used in clinical practice for a long time. The article will provide information on the most studied phytoestrogens contained in soy.

scholarly journals Coronary Heart Disease and Heart Attacks, 1912–2010

2011 ◽  
Vol 55 (3) ◽  
pp. 307-312 ◽  
Author(s):  
Joel D. Howell
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Medical History ◽  
Short Term ◽  
Heart Attacks ◽  
Wide Range ◽  
History Of Disease ◽  
The Future ◽  
History Of

This paper was originally written for a conference entitled ‘The Future of Medical History. Now it ought to be clear – certainly to historians – that the future of anything is hard to predict; but at least in the short term, any future for medical history seems likely to include the history of disease, and the history of coronary heart disease (CHD) provides an excellent example of what the history of disease has to offer to a wide range of audiences.

scholarly journals CHALLENGES AND METHODOLOGIES IN USING PROGRESSION FREE SURVIVAL AS A SURROGATE FOR OVERALL SURVIVAL IN ONCOLOGY

2018 ◽  
Vol 34 (3) ◽  
pp. 300-316 ◽  
Author(s):  
Karla Hernandez-Villafuerte ◽  
Alastair Fischer ◽  
Nicholas Latimer
Keyword(s):  
Overall Survival ◽  
Primary Outcome ◽  
Individual Patient Data ◽  
Progression Free Survival ◽  
Free Survival ◽  
Number Of Patients ◽  
Wide Range ◽  
Long Time ◽  
Highly Correlated ◽  
The Relationship

Objectives:A primary outcome in oncology trials is overall survival (OS). However, to estimate OS accurately requires a sufficient number of patients to have died, which may take a long time. If an alternative end point is sufficiently highly correlated with OS, it can be used as a surrogate. Progression-free survival (PFS) is the surrogate most often used in oncology, but does not always satisfy the correlation conditions for surrogacy. We analyze the methodologies used when extrapolating from PFS to OS.Methods:Davis et al. previously reviewed the use of surrogate end points in oncology, using papers published between 2001 and 2011. We extend this, reviewing papers published between 2012 and 2016. We also examine the reporting of statistical methods to assess the strength of surrogacy.Results:The findings from 2012 to 2016 do not differ substantially from those of 2001 to 2011: the same factors are shown to affect the relationship between PFS and OS. The proportion of papers reporting individual patient data (IPD), strongly recommended for full assessment of surrogacy, remains low: 33 percent. A wide range of methods has been used to determine the appropriateness of surrogates. While usually adhering to reporting standards, the standard of scholarship appears sometimes to be questionable and the reporting of results often haphazard.Conclusions:Standards of analysis and reporting PFS to OS surrogate studies should be improved by increasing the rigor of statistical reporting and by agreeing to a minimum set of reporting guidelines. Moreover, the use of IPD to assess surrogacy should increase.

scholarly journals The Predictive Value of Right Ventricular Longitudinal Strain in Pulmonary Hypertension, Heart Failure, and Valvular Diseases

2021 ◽  
Vol 8 ◽  
Author(s):  
Marijana Tadic ◽  
Nicoleta Nita ◽  
Leonhard Schneider ◽  
Johannes Kersten ◽  
Dominik Buckert ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pulmonary Hypertension ◽  
Heart Disease ◽  
Right Ventricular ◽  
Predictive Value ◽  
Longitudinal Strain ◽  
Systolic Function ◽  
Number Of Patients ◽  
Valvular Heart Diseases ◽  
Wide Range

Right ventricular (RV) systolic function has an important role in the prediction of adverse outcomes, including mortality, in a wide range of cardiovascular (CV) conditions. Because of complex RV geometry and load dependency of the RV functional parameters, conventional echocardiographic parameters such as RV fractional area change (FAC) and tricuspid annular plane systolic excursion (TAPSE), have limited prognostic power in a large number of patients. RV longitudinal strain overcame the majority of these limitations, as it is angle-independent, less load-dependent, highly reproducible, and measure regional myocardial deformation. It has a high predictive value in patients with pulmonary hypertension, heart failure, congenital heart disease, ischemic heart disease, pulmonary embolism, cardiomyopathies, and valvular disease. It enables detection of subclinical RV damage even when conventional parameters of RV systolic function are in the normal range. Even though cardiac magnetic resonance-derived RV longitudinal strain showed excellent predictive value, echocardiography-derived RV strain remains the method of choice for evaluation of RV mechanics primarily due to high availability. Despite a constantly growing body of evidence that support RV longitudinal strain evaluation in the majority of CV patients, its assessment has not become the part of the routine echocardiographic examination in the majority of echocardiographic laboratories. The aim of this clinical review was to summarize the current data about the predictive value of RV longitudinal strain in patients with pulmonary hypertension, heart failure and valvular heart diseases.

scholarly journals Blockchain and IPFS Integrated Framework in Bilevel Fog-Cloud Network for Security and Privacy of IoMT Devices

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abolfazl Mehbodniya ◽  
Rahul Neware ◽  
Sonali Vyas ◽  
M. Ranjith Kumar ◽  
Peter Ngulube ◽  
...  
Keyword(s):  
Real Time ◽  
Health Monitoring ◽  
Data Security ◽  
Patient Data ◽  
Biological Data ◽  
Security And Privacy ◽  
Complex Data ◽  
Number Of Patients ◽  
Wide Range ◽  
Smart Health

Internet of Medical Things (IoMT) has emerged as an integral part of the smart health monitoring system in the present world. The smart health monitoring deals with not only for emergency and hospital services but also for maintaining a healthy lifestyle. The industry 5.0 and 5/6G has allowed the development of cost-efficient sensors and devices which can collect a wide range of human biological data and transfer it through wireless network communication in real time. This led to real-time monitoring of patient data through multiple IoMT devices from remote locations. The IoMT network registers a large number of patients and devices every day, along with the generation of huge amount of big data or health data. This patient data should retain data privacy and data security on the IoMT network to avoid any misuse. To attain such data security and privacy of the patient and IoMT devices, a three-level/tier network integrated with blockchain and interplanetary file system (IPFS) has been proposed. The proposed network is making the best use of IPFS and blockchain technology for security and data exchange in a three-level healthcare network. The present framework has been evaluated for various network activities for validating the scalability of the network. The network was found to be efficient in handling complex data with the capability of scalability.

Age- and sex-related bone uptake of Tc-99m-HDP measured by whole-body bone scanning

2000 ◽  
Vol 39 (05) ◽  
pp. 127-132 ◽  
Author(s):  
Nicole Sieweke ◽  
K. H. Bohuslavizki ◽  
W. U. Kampen ◽  
M. Zuhayra ◽  
M. Clausen ◽  
...  
Keyword(s):  
Whole Body ◽  
Bone Lesions ◽  
Men And Women ◽  
Bone Uptake ◽  
Normal Bone ◽  
Age Related ◽  
Number Of Patients ◽  
Wide Range ◽  
Bone Scans ◽  
Body Bone

Summary Aim of this study was to validate a recently introduced new and easy-to-perform method for quantifying bone uptake of Tc-99m-labelled diphosphonate in a routine clinical setting and to establish a normal data base for bone uptake depending on age and gender. Methods: In 49 women (14-79 years) and 47 men (6-89 years) with normal bone scans as well as in 49 women (33-81 years) and 37 men (27-88 years) with metastatic bone disease whole-body bone scans were acquired at 3 min and 3-4 hours p.i. to calculate bone uptake after correction for both urinary excretion and soft tissue retention. Results: Bone uptake values of various age-related subgroups showed no significant differences between men and women (p >0.05 ). Furthermore, no differences could be proven between age-matched subgroups of normals and patients with less than 10 metastatic bone lesions, while patients with wide-spread bone metastases revealed significantly increased uptake values. In both men and women highest bone uptake was obtained (p <0.05 ) in subjects younger than 20 years with active epiphyseal growth plates. In men, bone uptake slowly decreased with age up to 60 years and then showed a tendency towards increasing uptake values. In women, the mean uptake reached a minimun in the decade 20-29 years and then slowly increased with a positive linear correlation of age and uptake in subjects older than 55 years (r = 0.57). Conclusion: Since the results proposed in this study are in good agreement with data from literature, the new method used for quantification could be validated in a large number of patients. Furthermore, age- and sexrelated normal bone uptake values of Tc-99m-HDP covering a wide range of age could be presented for this method as a basis for further studies on bone uptake.

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