Nurses have saved almost 800 lives in just one year by using iPads, iPods and mobile phones to record patients' vital (至关重要的) signs instead of paper charts.
Death rates at two major hospitals dropped by more than 15% after the nursing stall started using hand-held devices instead of paper notes to monitor (监督) the condition of patients, according to the research published recently.
Nurses recorded patients' blood pressure, pulse, oxygen levels and other indicators on tablets and mobiles. Specialist software, called VitalPAC, automatically told them if the patient was deteriorating. If this is happened the nurse was warned to increase the frequency of their monitoring of the patient and, in some cases, to warn a doctor or a response team.
The introduction of the new system led to a fall of almost 400 patient deaths in just 12 months at Queen Alexandra Hospital, Portsmouth, and a drop of more than 370 in the same period at University Hospital, Coventry, according to the study in BMJ Quality & Safety. An editorial in the journal described the research as "an important milestone" in improving patient safety and said the lowering of death rate at these two hospitals "represents a truly dramatic improvement".
Data recorded on the hand-held devices is automatically uploaded to a hospital-wide system allowing nurses, doctors and managers to monitor the health of patients across all wards. Staff on ward rounds have instant access to information from any device connected to the hospital network.
The system is now installed in 40 hospitals across England and could eventually be rolled out across the whole of the NHS. The system was developed by doctors and nurses at Portsmouth working together with health improvement company The Learning Clinic.
Dr. Paul Schmidt, of Portsmouth Hospitals NHS Trust, one of the leaders of the project, said: "Observing patients and making accurate records provides a safety net to guard against their deterioration. We believed traditional paper charts were not doing the job well enough so we designed an electronic system to support staff. This study shows its introduction was followed by a significant drop in deaths."
【小题1】What can be learned about VitalPAC?A.It works with the hand-held devices. |
B.It was applied by all the members of the NHS. |
C.It can replace the nurses to take care of patients. |
D.It was designed by The Learning Clinic independently. |
A.Getting excited. | B.Getting out of order. |
C.Getting worse. | D.Getting impatient. |
A.The brief introduction of VitalPAC. | B.The improvement of VitalPAC. |
C.The rules of operating VitalPAC. | D.The significance of VitalPAC. |
A.A fashion magazine. | B.A story book. |
C.A science fiction. | D.A news report. |
The parents devoted themselves to keeping their son alive and searching for a cure. But doctors and the families of other ALD patients often refused to take them seriously. They thought the efforts to find a cure were a waste of time, and drug companies weren’t interested in supporting research into such a rare disease.
However, the parents still refused to give up and spent every available hour in medical libraries and talking to anyone who would help. Through trial and error, they finally created a cure from ingredients (调料) commonly found in the kitchen. The cure, named "Lorenzo’s Oil", saved the boy’s life. Despite the good results, scientists and doctors remained unconvinced. They said there was no real evidence that the oil worked and that the treatment was just a theory. As a result, some families with ALD children were reluctant to try it.
Finally, the boy’s father organized an international study to test the oil. After ten years of trials, the answer is: the oil keeps ALD children healthy.
【小题1】Doctors said that Lorenzo might die within three years because_____ .
A.they had never treated the disease before |
B.Lorenzo was too young to be cured |
C.no cure had been found for ALD |
D.ALD was a rare disease |
A.the research for the new cure would cost too much money |
B.the efforts of Lorenzo’s parents were a waste of time |
C.Lorenzo’s parents would succeed in finding a cure |
D.Lorenzo’s oil was a real cure for ALD |
A.was really effective | B.was a success story |
C.only worked in theory | D.would save the boy’s life |
A.doctors remain doubtful of the effectiveness of the cure |
B.many ALD patients still refuse to use the oil |
C.various cures have been found for ALD |
D.the oil really works as a cure for ALD |
Movie therapy
Problems at school? Finding it difficult to get on at home? The answer to these problems could be as simple as sitting down to watch a DVD. At least, that is what the psychotherapist and film fan Bernie Wooder believes. He is so passionate about the healing power of films that he is pioneering the use of ‘movie therapy’ in Britain, and has just written a book explaining how it works. It involves finding a film that relates to someone’s problem, then discussing the feelings it causes.
Movie therapy is so powerful because it access feelings and emotions quickly, bringing them to the surface like a magnet, explains Wooder. "Films provide role models, clarify relationship issues, identify problems and solutions, inspire and motivate."
Wooder, 68, has prescribed films such as Rocky (to help a businessman overcome his insecurity) and Gohst (to come to terms with death). One of Wooder’s patients who responded very well to film therapy was Bette, a woman in her thirties who,
Htichcock’s film tells the story of a shy woman who marries a wealthy, sophisticated man called Maxim de Winter, and finds herself living in the shadow of his first wife, the beautiful, lively Rebecca. The second Mrs. de Winter feels increasingly lonely, unattractive and out of her depth,
After watching the film several times, Bette realized she had always felt second best — first to her younger sister, and more recently to her husband’s first wife.
Bette persuaded her husband to watch the film with her in order to show him how she felt. They were really able to communicate,
Wooder feels that film therapy has plenty more to offer. ‘We’re only at the beginning of what movie therapy can really do,’ Wooder says. ‘It could be used on everyone,
But which films should you watch? ‘Old black and whites are very good at calming people down because they conjure up nostalgia and innocence,’ says Wooder. And it’s not just about the feel-good factor. ‘That ends when the film is over,’ says Wooder. ‘It’s what the film leaves you with that counts.’
A.to struggle to their feet |
B.despite having a high-powered job in London |
C.from criminals in prison to patients in hospital |
D.in a world she doesn’t understand |
E.without the need for a big argument |
F.whose belief was sincere |
G.hoping to discover why she couldn’t find happiness |
Artificial intelligence is almost twice as accurate as a biopsy (活组织检查) at judging the aggressiveness of some cancers, experts say. Cancer kills 10 million people globally every year, according to the WHO. But for patients the disease can be prevented if detected instantly and dealt with quickly.
A recent study suggested an AI algorithm (算法) was far better than a biopsy at correctly grading the aggressiveness of sarcomas (肉瘤), a rare form of cancer. Researchers hope AI will improve outcomes for patients by giving doctors a more accurate way of grading tumours (肿瘤). Because high-grade tumours can indicate aggressive disease, the tool could help ensure those high-risk patients are identified more quickly and treated instantly. Low-risk patients could also be spared unnecessary treatments, follow-up scans and hospital visits.
Researchers say the algorithm could be applied to other types of cancer in future. The team specifically looked at retroperitoneal sarcomas, which develop at the back of the abdomen and are difficult to diagnose (诊断) and treat due to their location. They used CT scans from 170 patients with the two most common forms of retroperitoneal sarcoma — leiomyosarcoma and liposarcoma. Using data from these scans they created an AI algorithm, which was then tested on 89 patients in other countries. In grading how aggressive the tumour was, the technology was accurate in 82% of the cases, while biopsies were 44%.
AI could also recognize leiomyosarcoma and liposarcoma in 84% of sarcomas tested, while radiologists were able to identify them in 65% of the cases. Christina Messiou, the study leader, said: “We’re incredibly excited by the potential of this state-of-the-art technology, which could lead to patients having better outcomes through faster diagnosis. As patients with retroperitoneal sarcoma are routinely scanned with CT, we hope this tool will eventually be used globally, ensuring that not just specialist centres can reliably identify and grade the disease.”
Richard Davison, chief executive of Sarcoma UK, said the results looked “very promising”. He added: “People are more likely to survive sarcoma if diagnosed early. One in six people with sarcoma cancer wait more than a year to receive an accurate diagnosis, so any research that helps patients receive better treatment and support is welcome.”
【小题1】According to the passage, AI is capable of .A.grading the risk of sarcomas |
B.measuring the scale of sarcomas |
C.providing cancer treatment for clinicians |
D.classifying cancers with its advanced algorithm |
A.More sarcomas can be detected with the help of AI. |
B.Biopsies will be replaced by AI algorithm in identifying cancers. |
C.More patients suffering from cancers will benefit from AI algorithm. |
D.AI algorithm has been applied in hospitals for detecting most cancers. |
A.AI has a profound market in curing cancers. |
B.New treatments for sarcomas are well underway. |
C.AI helps identify high-risk and low-risk patients. |
D.AI does better in assessing some types of sarcomas. |
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