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AI-Powered Urgent Care: A New Era in Virtual Healthcare Decision-Making

Do physicians or artificial intelligence (AI) offer better treatment recommendations for patients examined through a virtual urgent care setting? A new study shows physicians and AI models have distinct strengths. The study compared initial AI treatment recommendations to final recommendations of physicians who had access to the AI recommendations but may or may not have reviewed them.

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AI-Powered Urgent Care: A New Era in Virtual Healthcare Decision-Making

A recent Cedars-Sinai study has revealed the potential of artificial intelligence (AI) to aid physician decisions during virtual urgent care. The study compared initial AI treatment recommendations to final recommendations from physicians who had access to the AI suggestions but may or may not have reviewed them.

“We found that initial AI recommendations for common complaints in an urgent care setting were rated higher than final physician recommendations,” said Joshua Pevnick, MD, MSHS, co-director of the Cedars-Sinai Division of Informatics and associate professor of Medicine. “Artificial intelligence was especially successful in flagging urinary tract infections potentially caused by antibiotic-resistant bacteria and suggesting a culture be ordered before prescribing medications.”

However, physicians were better at eliciting a more complete history from patients and adapting their recommendations accordingly.

The study, which reviewed 461 physician-managed visits with AI recommendations, used data from Cedars-Sinai Connect, a virtual primary and urgent care program launched in 2023. The program allows individuals to access Cedars-Sinai experts for acute, chronic, and preventive care through a mobile app that initiates visits by entering medical concerns and demographic information.

The algorithm uses patient answers as well as data from the electronic health record to provide initial information about conditions with related symptoms. After presenting patients with possible diagnoses to explain their symptoms, the mobile app allows patients to initiate a video visit with a physician.

The AI system used for Cedars-Sinai Connect is developed by K Health, which created technology to reduce clinical intake and data entry burdens, allowing doctors to focus more on patient care. Investigators from Tel Aviv University also participated in the study.

“We put AI to the test in real-world conditions, not contrived scenarios,” said Ran Shaul, co-founder and chief product officer of K Health. “In everyday primary care, there are so many variables and factors — you’re dealing with complex human beings, and any given AI has to deal with incomplete data and a very diverse set of patients.”

The researchers learned that training the AI on de-identified clinical notes and using day-to-day provider care as an always-on reinforcement learning mechanism can reach the level of accuracy expected from a human doctor.

This study highlights the potential of AI-powered urgent care to improve clinical decision-making for common and acute conditions. By effectively implementing AI decision support at the point of care, healthcare professionals can provide better treatment recommendations for patients examined through virtual urgent care settings.

Child Development

Smart Home Surveillance Threatens Domestic Workers’ Safety and Privacy

The growing use of smart home devices is undermining the privacy and safety of domestic workers. New research reveals how surveillance technologies reinforce a sense of constant monitoring and control by domestic workers’ employers, increasing their vulnerability and impacting their mental wellbeing.

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Smart home technologies are increasingly used worldwide to monitor and control various aspects of daily life. However, a growing concern has emerged regarding the impact of these devices on domestic workers, who often find themselves under constant surveillance.

Researchers from King’s College London have conducted a study that reveals the unsettling truth about smart home devices being used to monitor domestic workers in China. The study, which involved interviews with 26 domestic workers and five recruitment agencies, highlights how employers are using these technologies to exert control over their employees, undermining their privacy and safety.

The researchers found that many domestic workers felt like they were under constant observation, with cameras and sensors installed in every room of the smart home. Some reported not being informed about the presence of cameras, while others discovered them hidden in bookshelves or disguised as other devices.

The constant feeling of being watched had a profound impact on the mental wellbeing of these domestic workers. Many felt uneasy, anxious, and even trapped in their own homes. The researchers concluded that this level of surveillance amounts to mental abuse, undermining trust and affecting workplace interactions.

Furthermore, the study revealed how smart home technologies exacerbate existing power imbalances between workers and employers. Employers can use these devices to monitor workers’ performance, track their movements, and even make decisions about their employment based on data collected from the devices.

The researchers highlighted that while many domestic workers recognized the need for safety, especially when caring for babies, the absence of clear communication from employers about the purpose of monitoring sparked distrust and discomfort. They recommended that domestic worker agencies integrate privacy education into training programmes for workers to understand their rights and establish transparent communication and contractual agreements regarding surveillance practices.

The study was conducted by researchers from King’s College London, along with collaborators from the University of St Andrews and the China Academy of Art, Hangzhou. The findings suggest that this issue is not unique to China but may be affecting migrant domestic workers worldwide.

In conclusion, the use of smart home technologies to monitor domestic workers raises significant concerns about their safety and privacy. The researchers’ recommendations provide a starting point for policymakers and agencies to address these challenges and ensure that domestic workers are protected from exploitation. As technology continues to advance, it is crucial that we prioritize human rights and dignity in the development and implementation of smart home devices.

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Artificial Intelligence

“Revolutionizing Hospital Disinfection: Autonomous Robots for Efficient Sanitation”

A research team develops disinfection robot combining physical wiping and UV-C sterilization.

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The COVID-19 pandemic has brought to the forefront the critical importance of thorough disinfection, particularly within hospital environments. However, traditional manual disinfection methods have inherent limitations, including labor shortages due to physical fatigue and risk of exposure to pathogens, inconsistent human performance, and difficulty in reaching obscured or hard-to-reach areas.

To address these challenges, a team of researchers from Pohang University of Science and Technology (POSTECH) has developed an “Intelligent Autonomous Wiping and UV-C Disinfection Robot” that can automate hospital disinfection processes. This innovative robot is capable of navigating through hospital environments and performing disinfection tasks with precision and consistency.

The key feature of this robot is its dual disinfection system, which combines physical wiping and UV-C irradiation to effectively remove contaminants from surfaces. The robotic manipulator uses a wiping mechanism to physically clean high-touch areas, while the UV-C light ensures thorough disinfection of hard-to-reach corners and narrow spaces.

Real-world testing at Pohang St. Mary’s Hospital validated the robot’s performance, with bacterial culture experiments confirming its effectiveness in disinfecting surfaces. Repeated autonomous operations were carried out to verify its long-term usability in clinical settings.

The significance of this technology lies in its ability to automate time-consuming and repetitive disinfection tasks, allowing healthcare professionals to devote more attention to patient care. Additionally, the robot’s precision control algorithms minimize operational failures, while its integration with a self-sanitizing station and wireless charging system ensures sustained disinfection operations.

Professor Keehoon Kim emphasized that despite COVID-19 transitioning into an endemic phase, it remains essential to prepare for future pandemics by advancing this disinfection robot technology beyond hospitals to public facilities, social infrastructures, and everyday environments to further reduce infection risks. This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT).

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Breast Cancer

Early Cancer Detection: New Algorithms Revolutionize Primary Care

Two new advanced predictive algorithms use information about a person’s health conditions and simple blood tests to accurately predict a patient’s chances of having a currently undiagnosed cancer, including hard to diagnose liver and oral cancers. The new models could revolutionize how cancer is detected in primary care, and make it easier for patients to get treatment at much earlier stages.

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Early Cancer Detection: New Algorithms Revolutionize Primary Care

Two groundbreaking predictive algorithms have been developed to help General Practitioners (GPs) identify patients who may have undiagnosed cancer, including hard-to-detect liver and oral cancers. These advanced models use information about a patient’s health conditions and simple blood tests to accurately predict their chances of having an undiagnosed cancer.

The National Health Service (NHS) currently uses algorithms like the QCancer scores to combine relevant patient data and identify individuals at high risk of having undiagnosed cancer, allowing GPs and specialists to call them in for further testing. Researchers from Queen Mary University of London and the University of Oxford have created two new algorithms using anonymized electronic health records from over 7.4 million adults in England.

The new models are significantly more sensitive than existing ones, potentially leading to better clinical decision-making and earlier cancer diagnosis. Crucially, these algorithms incorporate the results of seven routine blood tests as biomarkers to improve early cancer detection. This approach makes it easier for patients to receive treatment at much earlier stages, increasing their chances of survival.

Compared to the QCancer algorithms, the new models identified four additional medical conditions associated with an increased risk of 15 different cancers, including liver, kidney, and pancreatic cancers. The researchers also found two additional associations between family history and lung cancer and blood cancer, as well as seven new symptoms of concern (itching, bruising, back pain, hoarseness, flatulence, abdominal mass, dark urine) associated with multiple cancer types.

The study’s lead author, Professor Julia Hippisley-Cox, said: “These algorithms are designed to be embedded into clinical systems and used during routine GP consultations. They offer a substantial improvement over current models, with higher accuracy in identifying cancers – especially at early, more treatable stages.”

Dr Carol Coupland, senior researcher and co-author, added: “These new algorithms for assessing individuals’ risks of having currently undiagnosed cancer show improved capability of identifying people most at risk of having one of 15 types of cancer based on their symptoms, blood test results, lifestyle factors, and other information recorded in their medical records.”

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