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EHRs offer automated warnings to combat Paediatric Malnutrition

EHRs offer automated warnings to combat Paediatric Malnutrition | healthcare technology | Scoop.it

Data from electronic health records (EHR) can be used to create an automated screening tool for malnutrition in paediatric hospital inpatients, according to work by a US team of clinicians, dietitians, and researchers. The system developed by Charles Phillips of the Children's Hospital of Philadelphia and colleagues provides daily alerts to healthcare providers so they can quickly intervene with appropriate treatment.

 

"Undernutrition is extremely common in children with cancer - the population we studied in this project," explains Phillips, who is a paediatric oncologist at the hospital.

 

"There is currently no universal, standardized approach to nutrition screening for children in hospitals, and our project is the first fully automated pediatric malnutrition screen using EHR data." The multidisciplinary team published details of their approach in the Journal of Nutrition and Dietetics.

 

The team analysed EHR data from inpatients at the hospital's 54-bed paediatric oncology unit for late 2016 to early 2018, which covered around 2100 hospital admissions. The anthropometric measurements in the EHR included height, length, weight and body mass index. The researchers used software to take note of changes in those measurements, and used criteria issued by the Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition, to evaluate each patient's risk of malnutrition based on the ongoing measurements and the EHR data.

 

For each child that the screening program determined to be at risk of under-nutrution, the software would apply a flag of mild, moderate, or severe, and then automatically send an email to the clinicians on the ward giving them each patient's name, medical record number, unit, and malnutrition severity level, as well as other data.

 

 

In the patient cohort, the researchers' automated screen calculated the overall prevalence of malnutrition at 42 percent for the entire period of study. This was consistent with the range expected from previous studies where up to about 65 percent for inpatient paediatric oncology patients is observed). Overall severity levels for malnutrition were 47 percent in the mild category, 24 percent moderate and 29 percent severe; again, consistent with other research and clinical experience.

 

link to the study paper: http://doi.org/10.1016/j.jand.2018.07.014

 

Read the original unedited article at http://www.spectroscopynow.com/details/ezine/16652cf45e1/Paediatric-malnutrion-EHRs-offer-automated-warnings.html?tzcheck=1

 

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Imaging technology could unlock mysteries of a childhood disease: respiratory syncytial virus (RSV)

Imaging technology could unlock mysteries of a childhood disease: respiratory syncytial virus (RSV) | healthcare technology | Scoop.it

By the time they're two, most children have had respiratory syncytial virus (RSV) and suffered symptoms no worse than a bad cold. But for some children, especially premature babies and those with underlying health conditions, RSV can lead to pneumonia and bronchitis - which can require hospitalization and have long-term consequences.


A new technique for studying the structure of the RSV virion and the activity of RSV in living cells could help researchers unlock the secrets of the virus, including how it enters cells, how it replicates, how many genomes it inserts into its hosts - and perhaps why certain lung cells escape the infection relatively unscathed. That could provide scientists information they need to develop new antiviral drugs and perhaps even a vaccine to prevent severe RSV infections.


"We want to develop tools that would allow us to get at how the virus really works," said Philip Santangelo, an associate professor in the Wallace H. Coulter Department of Biomedical Engineering at Georgia Tech and Emory University. "We really need to be able to follow the infection in a single living cell without affecting how the virus infects its hosts, and this technology should allow us to do that."

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As 3D printing trend in healthcare continues, pediatricians form "think tank"

As 3D printing trend in healthcare continues, pediatricians form "think tank" | healthcare technology | Scoop.it

Now that kids are using 3D printers to build their own new limbs, a group of Philadelphia doctors is exploring how to use the technology to build kid-sized devices.


A group of pediatric specialists at Children’s Hospital of Philadelphia want to find out how 3D printing can be used to create customized devices for the complex needs of its pediatric patient populations.


One frustration of pediatrics is that it tends to be an area overlooked by medical device companies. Children represent a relatively small market that doesn’t lend itself to mass production. Adapting adult medical devices for children can be problematic. But when you factor in subtle developmental differences, that can make it more complicated to find the best medical device for children.


Dr. Jorge Galvez, an anesthesiologist at CHOP and a professor of anesthesiology and critical care at the Perelman School of Medicine at the University of Pennsylvania, talked about the group at the kickoff of DreamIt Venture’s new program with CHOP. It began collaborating with University of Pennsylvania engineering students Nicholas McGill and Michael Rivera after they won a challenge by the Society for Technology in Anesthesia.


The annual contest this year turned its attention to 3D printing applications. It sought ideas for applying the technology to developing a Williams intubating airway that could be adjusted based on measurements from a CT or MRI scan. That particular technology is especially useful for a pediatric hospital because there’s a need for specialized devices for children with variations in the shapes of their airways.

Galvez said the idea is that the 3D printing think tank would develop applications for the technology across different pediatric specialties. Among the specialties represented in the group are cardiology; anesthesiology; ear, nose and throat; and orthopedics. “There’s a lot of low-hanging fruit in this area, such as customized prosthetics,” said Galvez. “The challenge is not about using the printer, but having the knowledge and expertise to know what the needs of each specialty are.”

The idea is that as the practice of 3D printing becomes more mature, customized devices could be developed more rapidly.




Read more: http://medcitynews.com/2014/02/pediatic-hospital-physicians-initiate-3d-printing-think-tank/#ixzz2tzkmX62K


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