Rakesh Biswas is Professor, Department of Medicine,Kamineni Institute of Medical sciences, Narketpally, Hyderabad IndiaHe has worked in India, Nepal and Malaysia and his interests include Medical Cognition, Clinical problem solving and case based reasoning applied to patient centred health care and health education.Honorary appointments: Deputy Editor, BMJ Case Reports, UKhttp://casereports.bmj.com/site/about/Editor in Chief, International Journal of User Driven Healthcare, US www.igi-global.com/ijudh http://www.irma-international.org/journals/details.asp?id=36095Regional editor: Journal of Evaluation in Clinical Practice,Blackwell publishers, UK. http://www.wiley.com/bw/editors.asp?ref=1356-1294Reviewer: Research evaluation panel of National Digital Research Centre, Ireland. Reviewer for the journal, Medical Education, UK.Reviewer, Indian Journal Of Medical Informatics, IndiaReviewer and Member Editorial Board, Annals Of Neurosciences, India
This book explores various individual user driven strategies that are moving towards solving mult... more This book explores various individual user driven strategies that are moving towards solving multiple clinical system problems in healthcare, utilizing real life examples.
E-healthcare, Health 2.0, and user driven healthcare are different recent routes to improving healthcare outcomes that are steadily increasing in popularity among patients and healthcare professionals, particularly with the growth of the Internet.
Although there are popular books on e-healthcare that discuss the evolving methodologies and challenges in implementation, there is not a single book which addresses the wealth of information already available on the Web, created by individual healthcare users in terms of their experiential disease narratives and the potential learning generated along with improved healthcare outcomes.
This book would be able to not only fill this gap, but also pioneer a new approach to healthcare, promoting social networking and learning between multiple users and stakeholders, primarily patients, health professionals, and other actors in the care giving collaborative network across a Web interface. Also, as a first on the topic, it is likely to become an important source of reference in the years to come.
Target Audience The audience for this book is wide, beginning with undergraduate students of many disciplines of healthcare who would find the conversational narratives an immense source of stimulation to delve deeper into clinical system disorders. The book would again serve to instigate innovative teaching learning methods among medical and healthcare teachers who could utilize the patient narratives to stimulate and inspire their students toward patient centered learning.
Beyond the healthcare academic community, this book would be a resource for academics researching social networking with particular reference to healthcare. Last but not least, this book is a potential resource for patients interested in social networking to improve their own healthcare outcomes.
This is an illustrative process description of a collaborative project utilizing a multidisciplin... more This is an illustrative process description of a collaborative project utilizing a multidisciplinary approach.
The requirement for collaboration originated in an attempt to optimally answer the needs of individual
patients and health professionals for information to allow them to achieve better health outcomes.
This chapter introduces the problem statement through the auto-ethnographic reflections of three project developers. These reflections illustrate individual experiential agendas that initiated electronic collaboration among diverse stakeholders in the health care network. Each reflection also illustrates the sequence of events in a collaborative process beginning at the individual level and growing through the interaction of multiple individuals including patients, their relatives, health professionals, and other actors in the care giving network. This chapter describes how collaboration was sustained and further developed into an operational model.
Present trend in computer ontology is toward the development of artificial intelligence and human... more Present trend in computer ontology is toward the development of artificial intelligence and human ontology is an intervention to positively support it with natural human intelligence such that it is infused with the pluralism that characterizes human social structures.
This book plans to make a beginning toward that end utilizing a meta-narrative that examines the life of an academically failed physician and his relatively academically successful daughter. The short individual narrative beads that are threaded into this larger narrative represent a multi genre science and fantasy of medicine. On one hand it balances a postmodern stance with its incredulity toward absolute evidence based truth on the other a tolerant pluralism that simply recognizes all approaches as credible as long as the resultant is geared toward positive outcomes (and not driven by fear of negative outcomes).
The book portrays a non-linear narrative ontology interspersed in linear discourses on its relevance to human cognition and ontology. It creates a fictional conceptual model of a human that is visualized in physical form analogous to a notebook computer that hides an infinite backend process of cognition analogous to the human mind.
This particular backend entity is labeled con (shortened from a consciousness that is universal to all humans and other sentient life also sometimes represented simply as being) and is fictionally endowed with powers that enable it to run on multiple notebook computers (analogous or metaphorically morphologically indistinguishable from humans). This helps the meta-narrative to explore human cognition and its physical manifestations in an Earthly plain.
The story line begins with Con taking the plunge with his notebook June into an Earthy material life. A plunge that makes him fall through life and is bound to end in death. Death smashes his notebook’s hard disc into tiny bits and pieces. The nonlinear narrative as a result tries to pick up these broken fragments of memory and brings out Con’s journey through the human body (in its tree like statistical self-similarity with the Earth and the universe, which may be represented in an atom). It portrays microcosmic interactions inside the human body at a macrocosmic level of day to day living on an Earthy scale.
Con becomes well versed with the anatomy and circuitry of the various intricate components of his machine but also realizes that it has developed in an evolving assembly line whose creators are long dead and nobody till date understands perfectly how the damn thing works. However there are theories, stories of atoms and molecules and their subatomic families regularly utilized to explain how semi conductor chips work inside our bodies. Throughout the ages, stories take on multicolored hues, theories on the nature of Con, Earth and self-evolving machines…the science is ever changing.
Human illness is largely a phenomenon that is constructed within social networks where people and... more Human illness is largely a phenomenon that is constructed within social networks where people and events are interdependent. At an individual level, every human forms his or her own cognitive conceptual models/ontologies as a part of her/his social cognitive interactions labeled social cognitive ontological constructs (SCOCs). Other than this, individuals also form similar conceptual constructs from collective social learning. Health professionals develop their main constructs (medical ontology) from collective social learning and top down knowledge. This chapter makes the case to merge dominant centralized health professional expert generated medical ontology with decentralized, naïve, patient user generated common sense medical ontology, in a manner that generates minimum conflict and negative emotions. User driven health care provides collaborative learning networks among patients, families and care networks, and professionals and other actors, across a web interface. Sharing human experiences documented in persistent clinical encounters stored in web based electronic health records through available web 2.0 technologies can transform medical ontology and augment patient-centered care.
Key words, Illness, Social constructs, Social cognition, Medial ontology, User driven health care, persistent clinical encounters, electronic health records
Chapter XVIII: Open information management in User-driven health care
Rakesh Biswas, People's ... more Chapter XVIII: Open information management in User-driven health care
Rakesh Biswas, People's College of Medical Sciences, India
Kevin Smith, National Digital Research Centre, Ireland
Carmel M. Martin, Northern Ontario School of Medicine, Canada
Joachim P. Sturmberg, Monash University and the University of Newcastle, Australia
Ankur Joshi, People's College of Medical Sciences, India
Vinod Narkhede, People's College of Medical Sciences, India
Jitendra Jain, People's College of Medical Sciences, India
This chapter discusses the role of open health information management to develop a novel, adaptable mixed-platform for supporting health care informational needs. This platform enables clients (patient users) requiring healthcare to enter an unstructured but detailed account of their day-to-day health informational requirements that may be structured into a lifetime electronic health record. It illustrates the discussion with an operational model for a pilot project that can help to explore the potential of a collaborative network of patient and health professional users to support the provision of health care services, helping to effectively engage patient users with their own healthcare. Such a solution has the potential to allow both patient and health professional users to produce useful materials, to contribute toward improved social health outcomes in terms of health education and primary disease prevention, and to address both pre-treatment and post-treatment phases of illness that are often neglected in the context of overburdened support services.
This chapter begins with reflections on the process of medical learning in the formative years an... more This chapter begins with reflections on the process of medical learning in the formative years and proceeds to describe continuing medical education or life long learning in health care as a process of learning from a regular exercise in clinical problem solving that is ubiquitous in all health care specialties. It describes the present status quo of a top down compartmentalized structure of medical education and its gradual modification by a bottom up, evidential and experiential ‘point of care’ continuing medical education. To add a global perspective it discusses viewpoints from different practitioners of health care and education and finally summarizes future trends in continuing health education.
Medical education and practice are at a cross roads. This article discusses the need to develop a... more Medical education and practice are at a cross roads. This article discusses the need to develop a novel, adaptable mixed-platform for supporting health care informational needs for integrating medical learning with practice. The proposed platform enables clients (patient users) requiring healthcare to enter an unstructured but detailed account of their day-to-day health informational requirements that may be structured into a lifetime electronic health record which in turn may be a valuable learning resource for both medical students and practicing professionals. It illustrates the discussion with an operational model for a pilot project that can help to explore the potential of a collaborative network of patient and health professional users to support the provision of health care services, helping to effectively engage patient users with their own healthcare. Such a solution has the potential to allow both patients, medical students and health professional users to produce useful materials, to contribute toward improved social health outcomes in terms of health education and primary disease prevention, and to address both pre-treatment and post-treatment phases of illness that are often neglected in the context of overburdened support services.
A 28-year-old Indian man presented to our emer-gency room with a history of fever for 1 day fol-l... more A 28-year-old Indian man presented to our emer-gency room with a history of fever for 1 day fol-lowed by altered sensorium and inability to speak. Upon examination, he had a pulse rate of 56/min, blood pressure of 60 mm Hg systolic and temperature 95°F. The diagnosis was apparent on a quick look at the patient (figure 1A,B). He looked very small for his stated age of 28 years and appeared more like a 3–4 year old child. There was obvious facial puffiness and coarse facial features along with coarse skin. He had large dry lips, large thick partially visible tongue and teeth were maloccluded, along with coarse and sparse scalp hair (figure 2). Fingers and toes were short, and he had short arms and legs with broad oedematous hands (figure 3A,B). Neck was thick and there was no palpable goitre or thyroid nodules. Abdomen was protuberant with small umbilical hernia (figure 4). There was no orga-nomegaly, and bowel sounds were absent. Patient was stuporous responding to deep painful stimu...
Peer review is the traditional method for validating academic work and this process is not withou... more Peer review is the traditional method for validating academic work and this process is not without complications. Debates about the way peer reviewing is accomplished, the hazy but sensational world of retractions and the costs of publishing for authors are taking center stage. In no other field do people conceive and build the work, pay for it, inspect it, distribute it and buy it back again for their continued survival. Still after all this investment they can struggle for rights of access. In order to stem the tide of discontent, incentives for peer reviewers were introduced. The authors investigate the many faceted approaches to incentivize the process of peer review and consider what value they add, if any. The authors explore other avenues to benefit the largely anonymous and uncredited work of peer reviewers who remain the sentinels of the world of published evidence.
European Journal for Person Centered Healthcare, 2013
Person-centered healthcare is central to the practice of compassionate medicine. The practice of ... more Person-centered healthcare is central to the practice of compassionate medicine. The practice of person-centered healthcare occurs when intuitive and organizational thinking is engaged harmoniously, rather than in competition. Present healthcare systems relegate core providers and patients to 10-minute appointments for the purpose of meeting budgetary or patient access targets. It is unrealistic to expect such a system to be sufficient to share values and expertise. Often, important questions are left to those without the experience or expertise to answer. Person-centered healthcare can empower people to escape from fragmented medical care and displaced knowledge. The roles of patient and doctor can better serve medicine by asking all to go beyond their assigned roles to communicate and form relationships. These working partnerships will respect individual and role-based values, strengths and weaknesses. Being a patient is a condition or state somewhere between death and life that i...
The rise of social software and the proliferation of social networking tools represents a relativ... more The rise of social software and the proliferation of social networking tools represents a relatively recent cultural phenomenon. The attitudes and behaviors of virtual communities and social groups goes beyond the distributed technological platforms being deployed and requires new conceptualizations and understandings of communities and their corresponding ontologies. The Handbook of Research on Social Software and Developing Community Ontologies examines the impact of new technologies and explores how social ...
A 50-year-old man presented with dyspnoea while sitting, standing and walking but resolved comple... more A 50-year-old man presented with dyspnoea while sitting, standing and walking but resolved completely in supine position. On cardiorespiratory examinations, fine crackles were noted over bibasal area. Chest X-ray showed bilateral reticulonodular shadows, restrictive pattern on spirometry, elevated alveolar arterial O2 gradient on arterial blood gas. High-resolution CT of the thorax revealed pattern as 'confident' or 'certain' radiographic diagnosis of idiopathic pulmonary fibrosis (IPF). Bubble-contrast echocardiography in recumbent, sitting and upright positions revealed no intracardiac (right to left shunt) or intrapulmonary shunts. This case highlights the necessity of awareness of this syndrome in cases of interstitial lung diseases (ILDs) also. Although 188 cases have been described thus far of platypnoea-orthodeoxia syndrome (P-OS) of various aetiologies, to the best of our knowledge, it is the first ever case of P-OS in ILD/IPF. Both lung bases were predominan...
The Journal of the Association of Physicians of India, 2001
Salmonella typhi is known to produce acalculous cholecystitis and related gall bladder perforatio... more Salmonella typhi is known to produce acalculous cholecystitis and related gall bladder perforation. Following is a documentation of a patient of sub-phrenic abscess and gall bladder perforation which was possibly a result of Salmonella paratyphi A.
This book explores various individual user driven strategies that are moving towards solving mult... more This book explores various individual user driven strategies that are moving towards solving multiple clinical system problems in healthcare, utilizing real life examples.
E-healthcare, Health 2.0, and user driven healthcare are different recent routes to improving healthcare outcomes that are steadily increasing in popularity among patients and healthcare professionals, particularly with the growth of the Internet.
Although there are popular books on e-healthcare that discuss the evolving methodologies and challenges in implementation, there is not a single book which addresses the wealth of information already available on the Web, created by individual healthcare users in terms of their experiential disease narratives and the potential learning generated along with improved healthcare outcomes.
This book would be able to not only fill this gap, but also pioneer a new approach to healthcare, promoting social networking and learning between multiple users and stakeholders, primarily patients, health professionals, and other actors in the care giving collaborative network across a Web interface. Also, as a first on the topic, it is likely to become an important source of reference in the years to come.
Target Audience The audience for this book is wide, beginning with undergraduate students of many disciplines of healthcare who would find the conversational narratives an immense source of stimulation to delve deeper into clinical system disorders. The book would again serve to instigate innovative teaching learning methods among medical and healthcare teachers who could utilize the patient narratives to stimulate and inspire their students toward patient centered learning.
Beyond the healthcare academic community, this book would be a resource for academics researching social networking with particular reference to healthcare. Last but not least, this book is a potential resource for patients interested in social networking to improve their own healthcare outcomes.
This is an illustrative process description of a collaborative project utilizing a multidisciplin... more This is an illustrative process description of a collaborative project utilizing a multidisciplinary approach.
The requirement for collaboration originated in an attempt to optimally answer the needs of individual
patients and health professionals for information to allow them to achieve better health outcomes.
This chapter introduces the problem statement through the auto-ethnographic reflections of three project developers. These reflections illustrate individual experiential agendas that initiated electronic collaboration among diverse stakeholders in the health care network. Each reflection also illustrates the sequence of events in a collaborative process beginning at the individual level and growing through the interaction of multiple individuals including patients, their relatives, health professionals, and other actors in the care giving network. This chapter describes how collaboration was sustained and further developed into an operational model.
Present trend in computer ontology is toward the development of artificial intelligence and human... more Present trend in computer ontology is toward the development of artificial intelligence and human ontology is an intervention to positively support it with natural human intelligence such that it is infused with the pluralism that characterizes human social structures.
This book plans to make a beginning toward that end utilizing a meta-narrative that examines the life of an academically failed physician and his relatively academically successful daughter. The short individual narrative beads that are threaded into this larger narrative represent a multi genre science and fantasy of medicine. On one hand it balances a postmodern stance with its incredulity toward absolute evidence based truth on the other a tolerant pluralism that simply recognizes all approaches as credible as long as the resultant is geared toward positive outcomes (and not driven by fear of negative outcomes).
The book portrays a non-linear narrative ontology interspersed in linear discourses on its relevance to human cognition and ontology. It creates a fictional conceptual model of a human that is visualized in physical form analogous to a notebook computer that hides an infinite backend process of cognition analogous to the human mind.
This particular backend entity is labeled con (shortened from a consciousness that is universal to all humans and other sentient life also sometimes represented simply as being) and is fictionally endowed with powers that enable it to run on multiple notebook computers (analogous or metaphorically morphologically indistinguishable from humans). This helps the meta-narrative to explore human cognition and its physical manifestations in an Earthly plain.
The story line begins with Con taking the plunge with his notebook June into an Earthy material life. A plunge that makes him fall through life and is bound to end in death. Death smashes his notebook’s hard disc into tiny bits and pieces. The nonlinear narrative as a result tries to pick up these broken fragments of memory and brings out Con’s journey through the human body (in its tree like statistical self-similarity with the Earth and the universe, which may be represented in an atom). It portrays microcosmic interactions inside the human body at a macrocosmic level of day to day living on an Earthy scale.
Con becomes well versed with the anatomy and circuitry of the various intricate components of his machine but also realizes that it has developed in an evolving assembly line whose creators are long dead and nobody till date understands perfectly how the damn thing works. However there are theories, stories of atoms and molecules and their subatomic families regularly utilized to explain how semi conductor chips work inside our bodies. Throughout the ages, stories take on multicolored hues, theories on the nature of Con, Earth and self-evolving machines…the science is ever changing.
Human illness is largely a phenomenon that is constructed within social networks where people and... more Human illness is largely a phenomenon that is constructed within social networks where people and events are interdependent. At an individual level, every human forms his or her own cognitive conceptual models/ontologies as a part of her/his social cognitive interactions labeled social cognitive ontological constructs (SCOCs). Other than this, individuals also form similar conceptual constructs from collective social learning. Health professionals develop their main constructs (medical ontology) from collective social learning and top down knowledge. This chapter makes the case to merge dominant centralized health professional expert generated medical ontology with decentralized, naïve, patient user generated common sense medical ontology, in a manner that generates minimum conflict and negative emotions. User driven health care provides collaborative learning networks among patients, families and care networks, and professionals and other actors, across a web interface. Sharing human experiences documented in persistent clinical encounters stored in web based electronic health records through available web 2.0 technologies can transform medical ontology and augment patient-centered care.
Key words, Illness, Social constructs, Social cognition, Medial ontology, User driven health care, persistent clinical encounters, electronic health records
Chapter XVIII: Open information management in User-driven health care
Rakesh Biswas, People's ... more Chapter XVIII: Open information management in User-driven health care
Rakesh Biswas, People's College of Medical Sciences, India
Kevin Smith, National Digital Research Centre, Ireland
Carmel M. Martin, Northern Ontario School of Medicine, Canada
Joachim P. Sturmberg, Monash University and the University of Newcastle, Australia
Ankur Joshi, People's College of Medical Sciences, India
Vinod Narkhede, People's College of Medical Sciences, India
Jitendra Jain, People's College of Medical Sciences, India
This chapter discusses the role of open health information management to develop a novel, adaptable mixed-platform for supporting health care informational needs. This platform enables clients (patient users) requiring healthcare to enter an unstructured but detailed account of their day-to-day health informational requirements that may be structured into a lifetime electronic health record. It illustrates the discussion with an operational model for a pilot project that can help to explore the potential of a collaborative network of patient and health professional users to support the provision of health care services, helping to effectively engage patient users with their own healthcare. Such a solution has the potential to allow both patient and health professional users to produce useful materials, to contribute toward improved social health outcomes in terms of health education and primary disease prevention, and to address both pre-treatment and post-treatment phases of illness that are often neglected in the context of overburdened support services.
This chapter begins with reflections on the process of medical learning in the formative years an... more This chapter begins with reflections on the process of medical learning in the formative years and proceeds to describe continuing medical education or life long learning in health care as a process of learning from a regular exercise in clinical problem solving that is ubiquitous in all health care specialties. It describes the present status quo of a top down compartmentalized structure of medical education and its gradual modification by a bottom up, evidential and experiential ‘point of care’ continuing medical education. To add a global perspective it discusses viewpoints from different practitioners of health care and education and finally summarizes future trends in continuing health education.
Medical education and practice are at a cross roads. This article discusses the need to develop a... more Medical education and practice are at a cross roads. This article discusses the need to develop a novel, adaptable mixed-platform for supporting health care informational needs for integrating medical learning with practice. The proposed platform enables clients (patient users) requiring healthcare to enter an unstructured but detailed account of their day-to-day health informational requirements that may be structured into a lifetime electronic health record which in turn may be a valuable learning resource for both medical students and practicing professionals. It illustrates the discussion with an operational model for a pilot project that can help to explore the potential of a collaborative network of patient and health professional users to support the provision of health care services, helping to effectively engage patient users with their own healthcare. Such a solution has the potential to allow both patients, medical students and health professional users to produce useful materials, to contribute toward improved social health outcomes in terms of health education and primary disease prevention, and to address both pre-treatment and post-treatment phases of illness that are often neglected in the context of overburdened support services.
A 28-year-old Indian man presented to our emer-gency room with a history of fever for 1 day fol-l... more A 28-year-old Indian man presented to our emer-gency room with a history of fever for 1 day fol-lowed by altered sensorium and inability to speak. Upon examination, he had a pulse rate of 56/min, blood pressure of 60 mm Hg systolic and temperature 95°F. The diagnosis was apparent on a quick look at the patient (figure 1A,B). He looked very small for his stated age of 28 years and appeared more like a 3–4 year old child. There was obvious facial puffiness and coarse facial features along with coarse skin. He had large dry lips, large thick partially visible tongue and teeth were maloccluded, along with coarse and sparse scalp hair (figure 2). Fingers and toes were short, and he had short arms and legs with broad oedematous hands (figure 3A,B). Neck was thick and there was no palpable goitre or thyroid nodules. Abdomen was protuberant with small umbilical hernia (figure 4). There was no orga-nomegaly, and bowel sounds were absent. Patient was stuporous responding to deep painful stimu...
Peer review is the traditional method for validating academic work and this process is not withou... more Peer review is the traditional method for validating academic work and this process is not without complications. Debates about the way peer reviewing is accomplished, the hazy but sensational world of retractions and the costs of publishing for authors are taking center stage. In no other field do people conceive and build the work, pay for it, inspect it, distribute it and buy it back again for their continued survival. Still after all this investment they can struggle for rights of access. In order to stem the tide of discontent, incentives for peer reviewers were introduced. The authors investigate the many faceted approaches to incentivize the process of peer review and consider what value they add, if any. The authors explore other avenues to benefit the largely anonymous and uncredited work of peer reviewers who remain the sentinels of the world of published evidence.
European Journal for Person Centered Healthcare, 2013
Person-centered healthcare is central to the practice of compassionate medicine. The practice of ... more Person-centered healthcare is central to the practice of compassionate medicine. The practice of person-centered healthcare occurs when intuitive and organizational thinking is engaged harmoniously, rather than in competition. Present healthcare systems relegate core providers and patients to 10-minute appointments for the purpose of meeting budgetary or patient access targets. It is unrealistic to expect such a system to be sufficient to share values and expertise. Often, important questions are left to those without the experience or expertise to answer. Person-centered healthcare can empower people to escape from fragmented medical care and displaced knowledge. The roles of patient and doctor can better serve medicine by asking all to go beyond their assigned roles to communicate and form relationships. These working partnerships will respect individual and role-based values, strengths and weaknesses. Being a patient is a condition or state somewhere between death and life that i...
The rise of social software and the proliferation of social networking tools represents a relativ... more The rise of social software and the proliferation of social networking tools represents a relatively recent cultural phenomenon. The attitudes and behaviors of virtual communities and social groups goes beyond the distributed technological platforms being deployed and requires new conceptualizations and understandings of communities and their corresponding ontologies. The Handbook of Research on Social Software and Developing Community Ontologies examines the impact of new technologies and explores how social ...
A 50-year-old man presented with dyspnoea while sitting, standing and walking but resolved comple... more A 50-year-old man presented with dyspnoea while sitting, standing and walking but resolved completely in supine position. On cardiorespiratory examinations, fine crackles were noted over bibasal area. Chest X-ray showed bilateral reticulonodular shadows, restrictive pattern on spirometry, elevated alveolar arterial O2 gradient on arterial blood gas. High-resolution CT of the thorax revealed pattern as 'confident' or 'certain' radiographic diagnosis of idiopathic pulmonary fibrosis (IPF). Bubble-contrast echocardiography in recumbent, sitting and upright positions revealed no intracardiac (right to left shunt) or intrapulmonary shunts. This case highlights the necessity of awareness of this syndrome in cases of interstitial lung diseases (ILDs) also. Although 188 cases have been described thus far of platypnoea-orthodeoxia syndrome (P-OS) of various aetiologies, to the best of our knowledge, it is the first ever case of P-OS in ILD/IPF. Both lung bases were predominan...
The Journal of the Association of Physicians of India, 2001
Salmonella typhi is known to produce acalculous cholecystitis and related gall bladder perforatio... more Salmonella typhi is known to produce acalculous cholecystitis and related gall bladder perforation. Following is a documentation of a patient of sub-phrenic abscess and gall bladder perforation which was possibly a result of Salmonella paratyphi A.
ABSTRACT We introduce a plan whereby medical professionals and trainees can become lifelong learn... more ABSTRACT We introduce a plan whereby medical professionals and trainees can become lifelong learners while interacting with the public and colleagues around the world and minding the gap between locating the evidence and putting it into practice. User driven health care turns opportunities for care into action based medical instruction. This concept has the potential to reduce conflict and deliver timely solutions where medical need has outstripped available patient care. Problem to Solve : Scarce medical resources in rural India and limited mentored patient interaction for medical students. Population: Health care providers and consumers. Intervention: User Driven Health Care interactive mentored medical education and shared decision making. Comparator: Traditional medical education and care. Projected Outcome: Improved resource use of medical education interaction and meeting of rural health care needs.
A 61-year-old retired farmer started experiencing severe pain in his abdomen for the last 2 weeks... more A 61-year-old retired farmer started experiencing severe pain in his abdomen for the last 2 weeks along with abdominal distension, vomiting and inability to pass flatus or faeces. He was investigated on admission to our casualty and an abdominal x ray revealed classical features of ...
A 40 year old lady presented with the classical clinical features of Addison's disease which ... more A 40 year old lady presented with the classical clinical features of Addison's disease which on further investigations with an ultrasound abdomen showed a right suprarenal mass. This was subjected to a fine needle aspiration which revealed pus which on culture grew Klebsiella pneumoniae. Patient responded well to steroids and antibiotics. To the best of our knowledge this is the first report of Klebsiella pneumoniae in association with Addison's disease.
The study is an initiative toutilize student learners/researchers toexplore in detail the complex... more The study is an initiative toutilize student learners/researchers toexplore in detail the complex trajectories that most of our chronic disease patients follow and are yet undocumented due to lack of informational continuity and poor access to the day to day lives of these patients. This asynchronous, multi-user and largely non-linear learning interface allows the application of structured information to real-life clinical cases and can improve both medical learning and health-care outcomes in the long run.
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Books by Rakesh Biswas
E-healthcare, Health 2.0, and user driven healthcare are different recent routes to improving healthcare outcomes that are steadily increasing in popularity among patients and healthcare professionals, particularly with the growth of the Internet.
Although there are popular books on e-healthcare that discuss the evolving methodologies and challenges in implementation, there is not a single book which addresses the wealth of information already available on the Web, created by individual healthcare users in terms of their experiential disease narratives and the potential learning generated along with improved healthcare outcomes.
This book would be able to not only fill this gap, but also pioneer a new approach to healthcare, promoting social networking and learning between multiple users and stakeholders, primarily patients, health professionals, and other actors in the care giving collaborative network across a Web interface. Also, as a first on the topic, it is likely to become an important source of reference in the years to come.
Target Audience
The audience for this book is wide, beginning with undergraduate students of many disciplines of healthcare who would find the conversational narratives an immense source of stimulation to delve deeper into clinical system disorders. The book would again serve to instigate innovative teaching learning methods among medical and healthcare teachers who could utilize the patient narratives to stimulate and inspire their students toward patient centered learning.
Beyond the healthcare academic community, this book would be a resource for academics researching social networking with particular reference to healthcare. Last but not least, this book is a potential resource for patients interested in social networking to improve their own healthcare outcomes.
The requirement for collaboration originated in an attempt to optimally answer the needs of individual
patients and health professionals for information to allow them to achieve better health outcomes.
This chapter introduces the problem statement through the auto-ethnographic reflections of three project developers. These reflections illustrate individual experiential agendas that initiated electronic collaboration among diverse stakeholders in the health care network. Each reflection also illustrates the sequence of events in a collaborative process beginning at the individual level and growing through the interaction of multiple individuals including patients, their relatives, health professionals, and other actors in the care giving network. This chapter describes how collaboration was sustained and further developed into an operational model.
This book plans to make a beginning toward that end utilizing a meta-narrative that examines the life of an academically failed physician and his relatively academically successful daughter. The short individual narrative beads that are threaded into this larger narrative represent a multi genre science and fantasy of medicine. On one hand it balances a postmodern stance with its incredulity toward absolute evidence based truth on the other a tolerant pluralism that simply recognizes all approaches as credible as long as the resultant is geared toward positive outcomes (and not driven by fear of negative outcomes).
The book portrays a non-linear narrative ontology interspersed in linear discourses on its relevance to human cognition and ontology. It creates a fictional conceptual model of a human that is visualized in physical form analogous to a notebook computer that hides an infinite backend process of cognition analogous to the human mind.
This particular backend entity is labeled con (shortened from a consciousness that is universal to all humans and other sentient life also sometimes represented simply as being) and is fictionally endowed with powers that enable it to run on multiple notebook computers (analogous or metaphorically morphologically indistinguishable from humans). This helps the meta-narrative to explore human cognition and its physical manifestations in an Earthly plain.
The story line begins with Con taking the plunge with his notebook June into an Earthy material life. A plunge that makes him fall through life and is bound to end in death. Death smashes his notebook’s hard disc into tiny bits and pieces. The nonlinear narrative as a result tries to pick up these broken fragments of memory and brings out Con’s journey through the human body (in its tree like statistical self-similarity with the Earth and the universe, which may be represented in an atom). It portrays microcosmic interactions inside the human body at a macrocosmic level of day to day living on an Earthy scale.
Con becomes well versed with the anatomy and circuitry of the various intricate components of his machine but also realizes that it has developed in an evolving assembly line whose creators are long dead and nobody till date understands perfectly how the damn thing works. However there are theories, stories of atoms and molecules and their subatomic families regularly utilized to explain how semi conductor chips work inside our bodies. Throughout the ages, stories take on multicolored hues, theories on the nature of Con, Earth and self-evolving machines…the science is ever changing.
Key words, Illness, Social constructs, Social cognition, Medial ontology, User driven health care, persistent clinical encounters, electronic health records
Rakesh Biswas, People's College of Medical Sciences, India
Kevin Smith, National Digital Research Centre, Ireland
Carmel M. Martin, Northern Ontario School of Medicine, Canada
Joachim P. Sturmberg, Monash University and the University of Newcastle, Australia
Ankur Joshi, People's College of Medical Sciences, India
Vinod Narkhede, People's College of Medical Sciences, India
Jitendra Jain, People's College of Medical Sciences, India
This chapter discusses the role of open health information management to develop a novel, adaptable mixed-platform for supporting health care informational needs. This platform enables clients (patient users) requiring healthcare to enter an unstructured but detailed account of their day-to-day health informational requirements that may be structured into a lifetime electronic health record. It illustrates the discussion with an operational model for a pilot project that can help to explore the potential of a collaborative network of patient and health professional users to support the provision of health care services, helping to effectively engage patient users with their own healthcare. Such a solution has the potential to allow both patient and health professional users to produce useful materials, to contribute toward improved social health outcomes in terms of health education and primary disease prevention, and to address both pre-treatment and post-treatment phases of illness that are often neglected in the context of overburdened support services.
Papers by Rakesh Biswas
E-healthcare, Health 2.0, and user driven healthcare are different recent routes to improving healthcare outcomes that are steadily increasing in popularity among patients and healthcare professionals, particularly with the growth of the Internet.
Although there are popular books on e-healthcare that discuss the evolving methodologies and challenges in implementation, there is not a single book which addresses the wealth of information already available on the Web, created by individual healthcare users in terms of their experiential disease narratives and the potential learning generated along with improved healthcare outcomes.
This book would be able to not only fill this gap, but also pioneer a new approach to healthcare, promoting social networking and learning between multiple users and stakeholders, primarily patients, health professionals, and other actors in the care giving collaborative network across a Web interface. Also, as a first on the topic, it is likely to become an important source of reference in the years to come.
Target Audience
The audience for this book is wide, beginning with undergraduate students of many disciplines of healthcare who would find the conversational narratives an immense source of stimulation to delve deeper into clinical system disorders. The book would again serve to instigate innovative teaching learning methods among medical and healthcare teachers who could utilize the patient narratives to stimulate and inspire their students toward patient centered learning.
Beyond the healthcare academic community, this book would be a resource for academics researching social networking with particular reference to healthcare. Last but not least, this book is a potential resource for patients interested in social networking to improve their own healthcare outcomes.
The requirement for collaboration originated in an attempt to optimally answer the needs of individual
patients and health professionals for information to allow them to achieve better health outcomes.
This chapter introduces the problem statement through the auto-ethnographic reflections of three project developers. These reflections illustrate individual experiential agendas that initiated electronic collaboration among diverse stakeholders in the health care network. Each reflection also illustrates the sequence of events in a collaborative process beginning at the individual level and growing through the interaction of multiple individuals including patients, their relatives, health professionals, and other actors in the care giving network. This chapter describes how collaboration was sustained and further developed into an operational model.
This book plans to make a beginning toward that end utilizing a meta-narrative that examines the life of an academically failed physician and his relatively academically successful daughter. The short individual narrative beads that are threaded into this larger narrative represent a multi genre science and fantasy of medicine. On one hand it balances a postmodern stance with its incredulity toward absolute evidence based truth on the other a tolerant pluralism that simply recognizes all approaches as credible as long as the resultant is geared toward positive outcomes (and not driven by fear of negative outcomes).
The book portrays a non-linear narrative ontology interspersed in linear discourses on its relevance to human cognition and ontology. It creates a fictional conceptual model of a human that is visualized in physical form analogous to a notebook computer that hides an infinite backend process of cognition analogous to the human mind.
This particular backend entity is labeled con (shortened from a consciousness that is universal to all humans and other sentient life also sometimes represented simply as being) and is fictionally endowed with powers that enable it to run on multiple notebook computers (analogous or metaphorically morphologically indistinguishable from humans). This helps the meta-narrative to explore human cognition and its physical manifestations in an Earthly plain.
The story line begins with Con taking the plunge with his notebook June into an Earthy material life. A plunge that makes him fall through life and is bound to end in death. Death smashes his notebook’s hard disc into tiny bits and pieces. The nonlinear narrative as a result tries to pick up these broken fragments of memory and brings out Con’s journey through the human body (in its tree like statistical self-similarity with the Earth and the universe, which may be represented in an atom). It portrays microcosmic interactions inside the human body at a macrocosmic level of day to day living on an Earthy scale.
Con becomes well versed with the anatomy and circuitry of the various intricate components of his machine but also realizes that it has developed in an evolving assembly line whose creators are long dead and nobody till date understands perfectly how the damn thing works. However there are theories, stories of atoms and molecules and their subatomic families regularly utilized to explain how semi conductor chips work inside our bodies. Throughout the ages, stories take on multicolored hues, theories on the nature of Con, Earth and self-evolving machines…the science is ever changing.
Key words, Illness, Social constructs, Social cognition, Medial ontology, User driven health care, persistent clinical encounters, electronic health records
Rakesh Biswas, People's College of Medical Sciences, India
Kevin Smith, National Digital Research Centre, Ireland
Carmel M. Martin, Northern Ontario School of Medicine, Canada
Joachim P. Sturmberg, Monash University and the University of Newcastle, Australia
Ankur Joshi, People's College of Medical Sciences, India
Vinod Narkhede, People's College of Medical Sciences, India
Jitendra Jain, People's College of Medical Sciences, India
This chapter discusses the role of open health information management to develop a novel, adaptable mixed-platform for supporting health care informational needs. This platform enables clients (patient users) requiring healthcare to enter an unstructured but detailed account of their day-to-day health informational requirements that may be structured into a lifetime electronic health record. It illustrates the discussion with an operational model for a pilot project that can help to explore the potential of a collaborative network of patient and health professional users to support the provision of health care services, helping to effectively engage patient users with their own healthcare. Such a solution has the potential to allow both patient and health professional users to produce useful materials, to contribute toward improved social health outcomes in terms of health education and primary disease prevention, and to address both pre-treatment and post-treatment phases of illness that are often neglected in the context of overburdened support services.