As we learn more about these conditions our ability to provide better practical care for older individuals improves. Home modifications, group exercise, and functional fitness training help with many of the musculoskeletal difficulties encountered in aging, as may other rehabilitative approaches to improving balance and walking speed the next vital sign?
Technological achievements have also profoundly altered the environment of care in the last several years, and they are likely to impact its immediate future.
Wearable technologies like smart watches now aid in the diagnosis and monitoring of cardiac rhythm disturbances. Super- human computer processing speeds have given birth to startling advances in computer-aided diagnosis , for example in complex image interpretation in radiomics. But will chatbots, e-consults, machine learning, and remote access ultimately make us feel more connected to our health, or will they undermine the social identity of caregivers?
Have we fallen prey to automation bias? Technology in the health care workplace burns brightly, but it also burns many people out. Among its unwanted effects: health care professionals now bury their faces in noctilucent screens reading bloated notes , dreading computer downtime s and programmed hard stop s , complaining they now practice desktop medicine , instead of bedside medicine.
The search for better nutritional is another care concern. Is the best way to eat a fasting-mimicking diet? A heritage diet? A plant-based diet? A flexitarian or a sustainable diet? At least two facts about how we nourish ourselves seem clear: Pro-inflammatory diet s should be avoided , and to reverse the impact of obesity on heart, liver, lung, and endocrine function e.
International defenses against biohazards and epidemics regularly leap to the forefront of our ecoanxious consciousnesses. As the novel coronavirus that was first identified in Wuhan, China demonstrated, prepositioning of public health resources is often inadequate when spillover events from animals to humans occur. Hot spots may require urgent medical countermeasures especially when the relative infectivity and virulence of pathogens prove immediately dangerous to life and health.
Finally, the field of oncology cancerology has experienced remarkable changes in the last several years, owing in large part to better understanding of the molecular biology of cancers. These treatments, and chimeric antigen receptor CAR T-cell therapies are succinctly explained in this edition. Will tumor evasion someday be overcome?
Can treatments that are both well-tolerated and tissue agnostic be developed? Our true north is to provide a reference you can use to improve both your knowledge and patient care skills. We try to edit out the bulk and misinformation of Internet-based references, limit myside bias , and advance your continuing professional development.
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