Advancing the Science

Mayo Clinic Medical Science Blog

elizabethzimmermann

Elizabeth Zimmermann Young @elizabethzimmermann

Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery
Public Affairs 

Activity by Elizabeth Zimmermann Young @elizabethzimmermann

elizabethzimmermann

@vincentemcgrath, you are correct. Artificial intelligence can help us in so many ways. Here's what our CIO had to say about it recently: http://medcitynews.com/2017/02/mayo-clinic-cio-ai-stuff-really-real/ And a story that tells you about one of our efforts in developing 'sniffers' - complex algorithms (aka artificial intelligence) that can aggregate multiple data sources/points and 'sniff' out health issues before a health care provider might be able to put the pieces together. http://advancingthescience.mayo.edu/discussion/sepsis-and-shock-response-team/

elizabethzimmermann

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Fri, Apr 7 at 8:00am CDT by @elizabethzimmermann · View  

The value in second opinions

One of the reasons patients come to Mayo Clinic is to obtain a second opinion. This can be lifesaving.

In a recent research publication, Extent of diagnostic agreement among medical referrals, a Mayo Clinic physician-scientist team showed that for a group of 286 patients referred from primary care providers to Mayo Clinic’s General Internal Medicine Division between 2009-2010, the second opinion resulted in a new or refined diagnosis 88 percent of the time.

Read the Mayo Clinic news release.

“It’s important to note that most diagnoses in the primary care setting are on target,” says James Naessens, Sc.D., a researcher in the Mayo Clinic Robert D. and [...]

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sashaaniston

sashaaniston responded 1 day ago · View

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elizabethzimmermann

Thu, Mar 30 at 8:00am CDT by @elizabethzimmermann · View  

Understanding more--Heart failure patients and skilled nursing facilities

For many people diagnosed with heart failure – which almost invariably results in a hospital stay – the next stop is a skilled nursing facility. While their physician  often will reassure them that it’s just for a short time until they can get back to their home, in reality, that stay is long (averaging 144 days). And often they find themselves back in the hospital and back to a nursing facility again.

In a new study published in Mayo Clinic Proceedings, Mayo Clinic researchers and collaborators report new understanding and new hope for heart failure patients. [...]

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elizabethzimmermann

Tue, Mar 21 at 8:00am CDT by @elizabethzimmermann · View  

Building the evidence base with the Society of Behavioral Medicine

The Society of Behavioral Medicine (SBM) combines nursing, psychology, medicine and public health in an interdisciplinary forum to promote new understanding of human behavior, health and illness. At its annual meeting, March 29 – April 1, in San Diego, SBM will convene more than 2,200 behavioral and biomedical researchers and clinicians to share research, learn from each other, find ways to collaborate, and address public policy concerns.

Many different types of research will be presented by Mayo Clinic at SBM’s 38th Annual Meeting. Each finding helps to inform and influence the science of health care delivery. Collectively Mayo researchers seek to improve health and health care delivery for people everywhere.

Examples of Mayo’s work include:

    [...]

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elizabethzimmermann

@rldennis59,

Thank you for reading the blog. I am sorry to hear about your wife's cancer.

I have attached a link to our pancreatic cancer information page, which hopefully will answer your questions, or give you ideas for future areas of question.

http://www.mayoclinic.org/diseases-conditions/pancreatic-cancer/home/ovc-20268502

elizabethzimmermann

Thu, Mar 2 at 8:00am CDT by @elizabethzimmermann · View  

Peritonsillar abscess management on the Emergency Department: conservative or surgical approach?

Author: Dante LS Souza

What is Peritonsillar Abscess?

Peritonsillar abscess (PTA) is a collection of pus between the capsule of the palatine tonsil and the pharyngeal muscles. It is the most common deep neck space infection, both in children (49%) and adults (30%), representing  the most frequent indication for non-elective otolaryngological hospital admissions.

According to the Agency of Healthcare Research and Quality, the estimated annual incidence in 2013 was 19.07 per 100,000, accounting for approximately 60,000 visits to the emergency department (ED) from which 22% were admitted to the hospital.

How has it been managed?

Despite being relatively common and having the potential for severe morbidity and rare mortality, there is a wide practice variation among physicians and geographical [...]

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chadwickstevenson

chadwickstevenson responded Wed, Mar 29 at 2:38pm CDT · View

Elizabeth Zimmermann you are providing great knowledge and information to your blog readers, this is exceptionally informative and help for the students I am from Central Creek University and looking for the topic and I found it here. Thanks for sharing.

dorothydario

dorothydario responded 4 days ago · View

New systems in PC/data innovation were effectively connected to the different fields of research in the organic sciences. essay help online. Additionally, the cost of those PCs and related hardware have fallen considerably accordingly of the mass multiplication and commoditization of the PC and PC related items, (for example, stockpiling media).

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elizabethzimmermann

Thu, Feb 23 at 8:00am CDT by @elizabethzimmermann · View  

Advancing genomics into patient care: a preview of Individualizing Medicine 2017

One of the highlights of the year for those of us at the Mayo Clinic Center for Individualized Medicine is the yearly Individualizing Medicine Conference. It’s a very exciting time for us as we share with you the latest discoveries in personalized patient care. This year’s conference already has a great line up of thought-provoking keynote speakers and innovative breakout sessions that offer ways to apply the latest advancement to the medical practice.

Experts in precision medicine from around the world will share how rapid advances in genomic technology and research are providing new insights into health and disease. How are these discoveries being turned into new [...]

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elizabethzimmermann

Tue, Feb 14 at 8:00am CDT by @elizabethzimmermann · View  

Is too sick to go home also too sick for the floor?

What patients admitted from the Emergency Department to a general floor/ward will deteriorate?

Author Shawna Bellew, MD (@SBellzMD)
“That patient is going to trigger a rapid response team activation the minute they hit the floor.”
Whether said by a nurse, a resident, or the accepting physician, most emergency medicine physicians have heard some version of this statement.

Rapid response teams (RRTs), multidisciplinary groups of providers tasked with evaluating and managing patients with signs of impending deterioration, have become ubiquitous throughout the U.S. healthcare system, partially owing to their inclusion in the 2005 Institute for Healthcare Improvement’s “100,000 Lives Campaign.”

Recommendations for instituting these teams rest on the theory that early intervention can prevent further deterioration. Likewise, patients who trigger [...]

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elizabethzimmermann

Thanks for reading our Advancing the Science blog and sharing your thoughts. Mayo Clinic established the Mayo Clinic Care Network to make sharing knowledge and expertise easier among health care organizations and, through collaboration, better serve patients. Your feedback is appreciated, and we wish you all the best as you continue your treatment.

elizabethzimmermann

Thu, Feb 9 at 8:00am CDT by @elizabethzimmermann · View  

Paper, Paper, Paper, and all those little black dots!

examples of blank medical formsWhy are you asking me this again? What does this have to do with my visit today? What does my doctor do with all these forms?
These questions, and others, led researchers in the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery to consider the use of ‘smart,’ digital questionnaires delivered on an IPad in the waiting room, or via text or email to a patient’s preferred device or home computer before their appointment.

Ryan J. Uitti, M.D.

“Questionnaires are designed to collect what we call ‘patient [...]

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elizabethzimmermann

Elizabeth Zimmermann Young responded Mon, Feb 13 at 3:50pm CDT · View

Thanks for reading our Advancing the Science blog and sharing your thoughts. Mayo Clinic established the Mayo Clinic Care Network to make sharing knowledge and expertise easier among health care organizations and, through collaboration, better serve patients. Your feedback is appreciated, and we wish you all the best as you continue your treatment.

sussanbetcher

sussanbetcher responded Wed, Mar 8 at 9:59pm CDT · View

We watch Questionnaires very often, as they are distributed to collect opinions and suggestions. In the health field, these Questionnaires are helpful to understand the background and medical history of the patient. louvre guided tour Thanks for sharing.

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elizabethzimmermann

Thu, Feb 2 at 8:00am CDT by @elizabethzimmermann · View  

A golden age for pediatric cardiology

Mayo Clinic’s Division of Pediatric Cardiology is on a roll, according to Division Chair Frank Cetta, M.D.

“In the last two decades, we’ve really burst onto the scene,” he says. “We’re engaged in exciting research  not found elsewhere, and we offer the full spectrum of cardiac care — from fetal diagnosis through specialized treatment for children and adults with highly complex congenital conditions.”

About the clinical trials

Dr. Cetta points out several accomplishments:

  • The division has published more than 1,000 original manuscripts in the last 10 years, and several division members are editors of important textbooks in this
  • Mayo has performed more operations for [...]

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aaronchak

aaronchak responded Thu, Mar 30 at 2:00pm CDT · View

What a great write up. I never knew about regenerative medicine for young hearts.

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elizabethzimmermann

Wed, Feb 1 at 8:40am CDT by @elizabethzimmermann · View  

The role of Internet resources in clinical oncology: promises and challenges

In a new article published in Nature Reviews Clinical Oncology, learn how Internet trends among oncology patients and those that care about them are changing. Co-authored by Lila Rutten, Ph.D., Robert D. and Patricia E. Kern Scientific Director for Population Health Science in the Mayo Clinic Robert D. and Patricia E.  Kern Center for the Science of Health Care Delivery and the National Cancer Institute’s Bradford Hesse, Ph.D., and Alexandra Greenberg, Ph.D., the article also discusses future trends, including examples of 'connected health' in oncology; diffusion of devices, sensors, and apps; the spread of personal data sharing; and an evolution in how networks can support person-centered care.

Read the abstract online on [...]

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vicentemcgrath

vicentemcgrath responded 2 days ago · View

I believe one more technology that can be useful for medicine is Artificial Intelligence (https://qubit-labs.com/artificial-intelligence-future-happening-now/). While big data is used to store information about patients and their health issues, AI is able to analyze tons of data accroding to a set algorythm and provide humans with accurate results. It would have taken human months to read such piles of documents. Moreover, if you set AI right it can aslo suggest diagnosis to doctors taking into [...]

elizabethzimmermann

Elizabeth Zimmermann Young responded 2 days ago · View

@vincentemcgrath, you are correct. Artificial intelligence can help us in so many ways. Here's what our CIO had to say about it recently: http://medcitynews.com/2017/02/mayo-clinic-cio-ai-stuff-really-real/ And a story that tells you about one of our efforts in developing 'sniffers' - complex algorithms (aka artificial intelligence) that can aggregate multiple data sources/points and 'sniff' out health issues before a health care provider might be able to put the pieces together. http://advancingthescience.mayo.edu/discussion/sepsis-and-shock-response-team/

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elizabethzimmermann

Tue, Jan 31 at 8:00am CDT by @elizabethzimmermann · View  

Contrast Dye in Kidney Disease Patients: Reducing the Risk of an Important Diagnostic Tool

Building the evidence base for best practice

Medical research has resulted in many amazing diagnostic and treatment methods, tools and drugs. Today a physician can look inside her patient’s body through the aid of radiation and iodine-based dyes in the blood stream – both of which could be deadly in another time or place. This same physician can then determine how well different organs are functioning and how clear blood vessels are.

However, this is not without risk. For example, in the case of patients with kidney disease, doctors need to use radioactive dyes to determine how well the kidneys are functioning. This information helps them decide what additional treatment (if any) is necessary. But the [...]

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elizabethzimmermann

Thu, Jan 26 at 8:00am CDT by @elizabethzimmermann · View  

National health research treasure marks 50 years

In 2002, Giancarlo Logroscino, M.D., Ph.D., then a research scientist at the Sergievsky Center at Columbia University in New York City, published the only paper on the long-term prognosis of status epilepticus (SE) along with research collaborators from Columbia and Mayo Clinic. They established for the first time,  in a rigorous investigation of SE in a population- based setting, the framework for data on frequency, classification and prognosis of the condition. SE is defined as continuous seizure of 30 minutes or more, or two or more seizures without full recovery of consciousness between them. Their work is published in journals including Neurology, European Journal of Neurology, Annals of Neurology and Archives of Neurology.

The

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elizabethzimmermann

Tue, Jan 24 at 8:00am CDT by @elizabethzimmermann · View  

Introducing the Sepsis and Shock Response Team, and other care-improving research outcomes

Sepsis is a potentially life-threatening complication of an infection. Typically, sepsis occurs in people who are already hospitalized, but is also diagnosed among patients who come to the emergency department. It is the most expensive condition treated in the U.S.

In 2002, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine established the “Surviving Sepsis Campaign,” to reduce worldwide deaths from sepsis. The campaign seeks to build awareness of sepsis and educate health care providers regarding prevention, diagnosis and treatment. The group published guidelines and designed a performance improvement program, which are updated regularly. As with heart attacks and strokes, rapid identification and treatment of sepsis saves lives, but [...]

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elizabethzimmermann

Thu, Jan 19 at 8:00am CDT by @elizabethzimmermann · View  

Stereotactic radiosurgery is best for some brain tumors

Shift in practice may reserve whole-brain radiation for patients with extensive disease.

Patients with three or fewer metastatic brain tumors who received treatment with stereotactic radiosurgery (SRS) had less cognitive deterioration three months after treatment than did patients who received SRS combined with whole-brain radiation therapy.
This finding is among the results of a federally funded Mayo Clinic-led multi-institution study whose results were published in the July 26, 2016, issue of JAMA.

Photograph of Paul D. Brown, M.D.

Paul D. Brown, M.D.

"Metastatic brain tumors are, unfortunately, common in patients with cancer," said Paul D. Brown, M.D., a radiation oncologist at Mayo [...]

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elizabethzimmermann

Tue, Jan 17 at 8:00am CDT by @elizabethzimmermann · View  

Avoid routine double mastectomy when possible

Consensus group urges weighing pros, cons and patient preference in unilateral breast cancer.

A position paper issued by the American Society of Breast Surgeons recommends against contralateral prophylactic mastectomy (CPM) for average-risk women with breast cancer in only one breast.

The recommendation on prophylactic mastectomy, published online July 28, 2016, in the Annals of Surgical Oncology, addresses the growing trend to remove the healthy breast (contralateral prophylactic mastectomy) along with the breast with breast cancer.

Photograph of Judy C. Boughey, M.D.

Judy C. Boughey, M.D.

"Contralateral prophylactic mastectomy is a growing trend that has generated significant discussion among physicians, patients, breast cancer [...]

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elizabethzimmermann

Thu, Jan 12 at 8:00am CDT by @elizabethzimmermann · View  

Health Disparities Research Retreat Focuses on Closing Gaps for Underserved

Over 100 researchers, clinicians, educators and administrators from across Mayo Clinic, as well as outside community members, gathered in Rochester, Minnesota, for the Office of Heath Disparities Research (OHDR) Annual Retreat in October. The meeting was a platform to share science updates, learn about study support and other resources, delve into health disparities topics and collaborate on future research projects and publications.

Keynote speaker Eliseo J. Pérez-Stable, M.D., director of the National Institute on Minority Health and Health Disparities (NIMHD), gave the talk “NIMHD’s Research Agenda to Improve the Health of Racial and Ethnic Minorities.”
Dr. Pérez-Stable made several key points about the NIMHD’s agenda:

  • Minority health and health disparities research are [...]

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jeffreykay

jeffreykay responded Fri, Mar 10 at 1:05pm CDT · View

Recruiting minorities is such difficult one or take time

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elizabethzimmermann

Tue, Jan 10 at 8:00am CDT by @elizabethzimmermann · View  

Meet the Investigator: Jamie N. Bakkum-Gamez, M.D.

At the Mayo Clinic Cancer Center, hundreds of researchers dedicate their professional lives to reducing the burden of cancer. Each one has a unique story. In this issue, Jamie N. Bakkum-Gamez, M.D., a gynecologic oncologist at Mayo Clinic in Rochester, Minnesota, discusses her research.

This is one of a series of Meet the Investigator interviews available in Forefront, the online magazine of Mayo Clinic Cancer Center.  Other recent interviews include:

###

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elizabethzimmermann

Thu, Jan 5 at 8:00am CDT by @elizabethzimmermann · View  

Stool DNA test added to colorectal screening

Updated guidelines make noninvasive colorectal cancer screening option available to millions.

 

The U.S. Preventive Services Task Force has issued its final colorectal cancer screening recommendations for 2016.

The task force assigns an overall "A" grade to colorectal cancer screening in people ages 50 to 75 and fully recommends several screening exams that now include Cologuard, the stool DNA test co-developed by Mayo Clinic and Exact Sciences Corp.

Photograph of David A. Ahlquist, M.D.

David A. Ahlquist, M.D.

"The task force decision to include Cologuard will make this accurate and noninvasive new colorectal cancer screening option available to millions of people [...]

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