Tech Watch

TATRC Tech Watch Weekly


A weekly collection of health, technology and COVID-19 focused articles featuring advancements in telemedicine/telehealth, emerging technologies, clinical guidelines, and workflows from across industry, academia, medical research, and government. Brought to you by the USAMRDC's Telemedicine & Advanced Technology Research Center.

Some of these articles, websites, and hyperlinks are external and are not affiliated with the Department of Defense, and the Telemedicine & Advanced Technology Research Center.

The views, opinions and/or findings contained in this publication are those of the author(s)/company and do not necessarily reflect the views of the Department of Defense and should not be construed as an official DoD/Army position, policy or decision unless so designated by other documentation. No official endorsement should be made.

Reference herein to any specific commercial products, process, or service by trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement, recommendation, or favoring by the U.S. Government.


Week of April 16 - 22, 2023

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SNapp, a Tailored Smartphone App Intervention to Promote Walking in Adults of Low Socioeconomic Position: Development and Qualitative Pilot Study

Background: Adults of low socioeconomic position (SEP) are generally less physically active than those who are more socioeconomically advantaged, which increases their cardiovascular disease incidence risk.

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Engineering Smart Composite Hydrogels for Wearable Disease Monitoring

Growing health awareness triggers the public's concern about health problems. People want a timely and comprehensive picture of their condition without frequent trips to the hospital for costly and cumbersome general check-ups.

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Week of April 9 - 15, 2023

Elon Musk, pictured in San Francisco on Jan. 24, 2023, has suggested a six-month moratorium on artificial intelligence research.
Public health must diversify which data ‘count’ in AI algorithms

Last Wednesday, Elon Musk, among other industry leaders, urged artificial intelligence labs to institute a six-month moratorium on artificial intelligence research, given the growing concern about the wide-ranging consequences of the groundbreaking technology.

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BACH ICU joins DHA’s Joint Tele Critical Care Network

FORT CAMPBELL, Ky. – Blanchfield Army Community Hospital is the latest military treatment facility in the Military Health System to join the Defense Health Agency’s Joint Tele-Critical Care Network.

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Army doctors and medics practice skills and relay combat lessons to trauma units
In a Civilian Hospital, Military Medicine Is Kept Alive

CAMDEN, N.J.—Army Spc. Hannah Broman cut into the patient’s chest and put her finger in to feel his ribs and lung to check the pathway for a chest tube needed in hospital surgeries like this—or after a soldier is shot in combat.

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Engineering In vitro Models: Bioprinting of Organoids with Artificial Intelligence

In the last decade, organoids have gained popularity for developing mini-organs to support advancements in the study of organogenesis, disease modeling, and drug screening and, subsequently, in the development of new therapies.

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Predicting future falls in older people using natural language processing of general practitioners’ clinical notes

Falls in older people are common and morbid. Prediction models can help identifying individuals at higher fall risk.

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Risk assessment of airborne virus transmission in an intensive care unit due to single and sequential coughing

The virus causing COVID-19 has constantly been mutating into new variants. Some of them are more transmissive and resistant to antibiotics.

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SARS-CoV-2 before and after Omicron: two different viruses and two different diseases?

For the first time in the history of medicine, it has been possible to describe-after a spillover-the evolution of a new human virus spreading in a non-immune population.

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Digital Minimalism — An Rx for Clinician Burnout

Digital tools play a big part in making the experience of being a clinician overwhelming. Digital minimalism may offer a remedy.

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Benefits, Limits, and Risks of GPT-4 as an AI Chatbot for Medicine

Chatbots are computer programs with which one can have a conversation. In this article, the authors describe how the GPT-4 chatbot, which has been given a general education, could affect the practice of medicine.

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Artificial Intelligence in Medicine

Artificial intelligence (AI) has gained recent public prominence with the release of deep-learning models that can generate anything from art to term papers with minimal human intervention.

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Week of April 2 - 8, 2023

Screenshot create content with Copilot.
Introducing Microsoft 365 Copilot – your copilot for work

Humans are hard-wired to dream, to create, to innovate. Each of us seeks to do work that gives us purpose — to write a great novel, to make a discovery, to build strong communities, to care for the sick.

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Medical Report Generation and Chatbot for COVID_19 Diagnosis Using Open-AI

The novel corona_virus (COVID_19) is an infectious disease have catastrophic impact on health and spread across the world. A crucial step in COVID-19 detection is to develop an automated and efficient classification system so that prompt treatment and medical care can be provided to the patients.

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Using shoe-mounted inertial sensors and stepping exergames to assess the motor-cognitive status of older adults: A correlational study

Stepping exergames designed to stimulate physical and cognitive skills can provide important information concerning individuals’ performance.

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How does artificial intelligence impact digital healthcare initiatives? A review of AI applications in dental healthcare

The use of artificial intelligence (AI) technology in dentistry provides information that aids clinical decision-making by interpreting big data quickly.

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PxLens smart glasses with 4K-camera.
Proximie launches PxLens smart glasses with 4K-camera to digitise operating and diagnostic rooms

Proximie, a London-based health tech startup that aims to digitise operating and diagnostic rooms, has announced the launch of the PxLens.

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Week of March 26 - April 1, 2023

A photo of a panel. Photo by: AUSA/Jared Lieberher
ARMY OF 2040 STILL REQUIRES HUMANS

While autonomous capabilities are expected to be ubiquitous in the Army of 2040, it is unlikely that entire formations will be replaced by autonomous systems, Army Futures Command leaders said.

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A dataset for medical instructional video classification and question answering

This paper introduces a new challenge and datasets to foster research toward designing systems that can understand medical videos and provide visual answers to natural language questions. We believe medical videos may provide the best possible answers to many first aid, medical emergency, and medical education questions.

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Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review

Objectives: The aim of this study is to investigate the effect of artificial intelligence (AI) and/or algorithms on drug management in primary care settings comparing AI and/or algorithms with standard clinical practice.

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Photo of AI Vision System IDS NXT
How intelligent cameras increase the efficiency of diagnostics and laboratory

The integration of artificial intelligence (AI) and smart cameras is rapidly transforming various industries, including the medical sector. This advanced technology is increasing the efficiency and effectiveness of medical processes, leading to better patient outcomes and optimised workflows.

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Illustration of AI
The FDA Regulatory Landscape For AI In Medical Devices

In recent years, the digitalization of the healthcare industry has been accelerated to meet demands for smarter devices and robotics, wearable technology, AI-based data analysis, and enhanced platforms and simulations, among others.

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Photo of  Medtronic’s GI Genius™ intelligent endoscopy module
Medtronic and NVIDIA Collaborate to Build AI Platform for Medical Devices

Integrating NVIDIA Technology Into Medtronic’s Real-Time AI Endoscopy Device to Help Improve Patient Care and Outcomes

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Implementing Digital Scribes to Reduce Electronic Health Record Documentation Burden Among Cancer Care Clinicians: A Mixed-Methods Pilot Study

To address shortcomings of human scribes (eg, turnover), clinicians are considering digital scribes (DSs). To our knowledge, to date, no study has assessed DS implementation or clinician user experience in cancer centers.

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Clinician Experiences With Hybrid Closed Loop Insulin Delivery Systems in Veterans With Type 1 Diabetes: Qualitative Study

Hybrid closed loop (HCL) insulin pumps adjust insulin delivery based on input from a continuous glucose monitor. Several systems are FDA approved and associated with improved time in range, reduction in hemoglobin A1c, and decreased incidence of hypoglycemia.

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Week of March 19-25, 2023

NLP helps military medicine meet unmet needs

Natural language processing, a form of AI, devours all the text in countless pages of healthcare documents to help health IT experts in the U.S. military do their job more efficiently.

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Frederick restaurant uses hi-tech robot to serve customers

FREDERICK, Md. (DC News Now) — The Sapporo II Japanese Restaurant in Frederick is incorporating a robot to help servers with busy dine-in time.

It can deliver food and drinks as well as take dirty dishes back to the kitchen and pick up sushi from the sushi bar. Head server Uriel said the robot is a tremendous help.

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A photo of a drone
Red Cat Invests in Firestorm Modular UAS: 3D Printed, Payload Agnostic

Military technology company Red Cat Holdings has made a major financial investment in Firestorm, the developer of the first fully Modular Unmanned Aerial System (MUAS) to be 3D printed and payload agnostic.

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A 3D rendering of an electric vertical take-off and landing (eVTOL) aircraft
Airbus and the Norwegian Air Ambulance Foundation Collaborate to Develop the Future of Medical Missions in Norway

Military technology company Red Cat Holdings has made a major financial investment in Firestorm, the developer of the first fully Modular Unmanned Aerial System (MUAS) to be 3D printed and payload agnostic.

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An illustration of an AI in operating room.
How AI can help medical device manufacturers innovate faster

Big data, machine learning (ML) and artificial intelligence (AI) have enabled medical researchers to gain deeper insights by analysing vast amounts of patient data – insights that can help doctors to take better decisions, diagnose more precisely and treat patients with fewer side effects.

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a photo of emvision
AI at the Point of Care: Startup’s Portable Scanner Diagnoses Brain Stroke in Minutes

Australia-based Inception member EMVision’s lightweight brain-scanning device is built using the NVIDIA Jetson edge AI platform and NVIDIA DGX systems.

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Week of March 12-18, 2023

A photo of a healthcare professional with a uniformed soldier.
We Must Rebuild America’s Military Health System—Before It’s Too Late

Six years ago, on a deep penetration mission in a remote corner of Afghanistan, a young US Army Ranger was shot twice in his upper-left chest. As the firefight raged, fellow Rangers applied first aid and extracted him to a nearby helicopter.

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four photos of Room of Errors (ROE).
A Novel Approach to the Room of Errors (ROE): A Three-Dimensional Virtual Tour Activity to Spotlight Patient Safety Threats

Background: Live simulation-based activities are effective tools in teaching situational awareness to improve patient safety training in healthcare settings. The coronavirus disease 2019 (COVID-19) pandemic forced the discontinuation of these in-person sessions.

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A photo of DropLab machine.
DropLab: an automated magnetic digital microfluidic platform for sample-to-answer point-of-care testing—development and application to quantitative immunodiagnostics

In point-of-care testing (POCT), tests are performed near patients and results are given rapidly for timely clinical decisions. Immunodiagnostic assays are one of the most important analyses for detecting and quantifying protein-based biomarkers.

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A chart showing the overall improved DQN architecture with the CBAM and VDN.
Resource Optimization for Multi-Unmanned Aerial Vehicle Formation Communication Based on an Improved Deep Q-Network

With the widespread application of unmanned aerial vehicle (UAV) formation technology, it is very important to maintain good communication quality with the limited power and spectrum resources that are available.

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The Impact of Digital Health on Smoking Cessation

Background: Smartphones have become useful tools for medicine, with the use of specific apps making it possible to bring health care closer to inaccessible areas, continuously monitor a patient's pathology at any time and place, promote healthy habits, and ultimately improve patients' quality of life and the efficiency of the health care system.

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The Clinical Impact of Flash Glucose Monitoring-a Digital Health App and Smartwatch Technology in Patients With Type 2 Diabetes: Scoping Review

Background: Type 2 diabetes has a growing prevalence and confers significant cost burden to the health care system, raising the urgent need for cost-effective and easily accessible solutions.

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Week of March 5-11, 2023

An llustration of artificial blood surrogate being developed by the DARPA-funded team
Cleveland plays a big role in a life-saving, ‘world-first’ medical innovation: artificial blood

Collaboration happening now between Case Western Reserve University and other American universities seeks a “world-first” innovation for which medical researchers have been questing for decades: artificial whole blood.

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A group of new Army recruits take the enlistment oath during a launch event Wednesday, March 8, 2023, showcasing the service’s new marketing and recruiting campaign and the slogan, “Be All You Can Be,” at the National Press Club in Washington. (Doug G. Ware/Stars and Stripes)
Army brings back ‘Be All You Can Be’ recruiting pitch to reach new generation of young Americans

The Army is reaching back for a nostalgic slogan that service leaders believe will help solve modern recruiting troubles — “Be All You Can Be.”

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U.S. Military Blood Programs Deliver Lifesaving Support. A photo of a soldier receiving blood.
U.S. Military Blood Programs Deliver Lifesaving Support

While collecting blood is a vital part of the Armed Services Blood Programopens Health.mil, delivering it to the field ensures that medical professionals have the supply they need to save lives. The ASBP, along with blood programs from each military service, supports combatant commands by transporting life-saving blood to the battlefield.

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A photo of a sign saying
Physician Says DOD Focused on Improving Mental Health of Force

Defense Department health leaders provided testimony today at a Senate Appropriations Subcommittee on Defense hearing.

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Photo By Jean Graves | 1st Lt. Ilnur Sibagatulin, representing Medical Readiness Command, West wore the Health Readiness and Performance System during the U.S. Army Best Medic Competition Jan. 22-25 at the Joint Readiness Training Center and Fort Polk, Louisiana. Sibagatulin, a U.S. Army Nurse Corps officer is assigned to Weed Army Community Hospital, Fort Irwin, California.
Technology, safety stand out at 2023 Army Best Medic Competition

Bayne-Jones Army Community Hospital planned, coordinated and executed the 2023 Command Sgt. Maj. Jack L. Clark U.S. Army Best Medic Competition Jan. 22-25 at the Joint Readiness Training Center and Fort Polk, Louisiana.

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Financial and Clinical Impact of Virtual Care During the COVID-19 Pandemic: Difference-in-Differences Analysis

Background

Virtual care (VC) and remote patient monitoring programs were deployed widely during the COVID-19 pandemic. Deployments were heterogeneous and evolved as the pandemic progressed, complicating subsequent attempts to quantify their impact."

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An llustration of a futuristic city with autonomous cars.
Improving trust in autonomous technology

AI-powered robotics requires a new safety, testing, and assurance framework

The combined power of AI and robotics is revolutionizing mobility and manufacturing. Automated vehicles, airplanes, people movers, and warehouse robots are improving in their range, flexibility, situational awareness, and intelligence, while better technology, a hunger for increased productivity and efficiency, and the pressures of covid-19 lockdowns have fueled investment in autonomous systems.

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NASA’s Autonomous Aircraft Decision Tech Gets Simulated Urban Test

Cities are complicated places to fly. Tall buildings, local microclimates, high winds, and other factors present challenges – both known and unpredictable – for current and future air vehicles.

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Paramedic Joshua Cooper puts on a virtual reality headset to begin mass casualty preparedness training. (Photo: Ohio State University Wexler Medical Center)
Using virtual reality to train for disasters

It’s difficult to train for disaster response, NIcholas Kman says.

Kman, a professor of emergency medicine at Ohio State College of Medicine, possesses deep experience in the field.

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Protesters descend on the Ohio Statehouse for an anti-mask rally in Columbus on July 18, 2020. (Jeff Dean/AFP/Getty Images)
Covid backlash hobbles public health and future pandemic response

Lawsuits and legislation have stripped public health officials of their powers in three years

When the next pandemic sweeps the United States, health officials in Ohio won’t be able to shutter businesses or schools, even if they become epicenters of outbreaks. "

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3 years later: These are healthcare lessons learned in Austin from the COVID-19 pandemic

This month marks three years since the coronavirus pandemic led to wide-scale closures and public health protocols in the Austin-Travis County region and beyond. Since then, Austin-based healthcare entities and public health officials have adapted their business models and responses, informed by lessons learned during the pandemic.

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Rep. Brad Wenstrup arrives for the House Ways and Means Committee organizing meeting in the Longworth House Office Building, January 31, 2023.Bill Clark/CQ Roll Call via AP, FILE
House panel investigating COVID-19's origins holds first hearing

Witnesses included former CDC Director Robert Redfield, who served under Trump.

On the heels of a federal agency's new assessment that COVID-19 ""mostly likely"" emerged from a lab leak rather than natural human exposure, a special panel formed by House Republicans to investigate the origins of the virus held its first hearing on Wednesday.

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U.S. to end COVID-19 testing requirement on travelers from China

The Biden administration is planning to stop requiring negative COVID-19 tests from passengers flying from China, a senior administration official confirmed Tuesday, ending a restriction authorities revived some two months ago.

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The effects of COVID-19 on pediatric and adult solid organ transplant recipients and the emergence of telehealth

Background: The SARS-CoV-2 pandemic and corresponding acute respiratory syndrome have affected all populations and led to millions of deaths worldwide. The pandemic disproportionately affected immunocompromised and immunosuppressed adult patients who had received solid organ transplants (SOTs).

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Week of February 26-March 4, 2023

Photo By Jason W. Edwards | Capt. Megan Honeywell, emergency trauma nurse, treats a simulated patient during the Tactical Trauma Reaction and Evacuation Crossover Course (TTREX) at Joint Base San Antonio – Lackland, Texas, Feb. 23, 2023. The eight-hour course incorporates battlefield trauma simulations, evacuation procedures, and forward resuscitative care in an austere environment. (DoD photo by Jason W. Edwards)
New training course offers medics, nurses hands-on experience in austere environment

JOINT BASE SAN ANTONIO, Texas (March 1, 2023) -- Army and Air Force personnel from Brooke Army Medical Center’s Department of Emergency Medicine recently established a simulation training platform to increase readiness and meet Joint Commission requirements for staff development and training.

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Multinational partners conduct medical training as a part of Project Convergence 2022 (PC22) at Fort Irwin, Calif., Nov. 6, 2022. PC22 brought together members of the Joint and Multinational force to rigorously test the effectiveness and interoperability cutting-edge weapons and battle systems. (U.S. Army photo by Spc. Collin S. MacKown)
Medical CDID: Vital to Army Health System’s support of MDO

JOINT BASE SAN ANTONIO-FORT SAM HOUSTON, Texas — The Medical Capability Development Integration Directorate (MED CDID) is critical to sustaining the motto of the Army Medical Department (AMEDD): “To Conserve the Fighting Strength.”

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A student in the Army's Special Operations Combat Medic program on a clinical rotation at Sanford's emergency department. Teams of medics have been rotating into the Fargo hospital since fall of 2022.Ryan Longnecker / WDAY News
Army's Special Operations combat medics train at Fargo Sanford emergency department

The U.S. Army and Sanford Health have teamed up to help in the training of Special Operation Combat Medics.

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Schematic of radar operation. T(t) transmitted electromagnetic signal (f = 24 GHz), R(t) reflected signal, BI(t) in-phase channel, received signal multiplied by transmitted signal, low-pass filtered, BQ(t) quadrature channel, received signal multiplied by 90° offset of transmitted channel, low-pass filtered. Figure provided by Sleepiz AG, Zürich, Switzerland.
Clinical validation of a contactless respiration rate monitor

Abstract

Respiratory rate (RR) is an often underestimated and underreported vital sign with tremendous clinical value. As a predictor of cardiopulmonary arrest, chronic obstructive pulmonary disease (COPD) exacerbation or indicator of health state for example in COVID-19 patients, respiratory rate could be especially valuable in remote long-term patient monitoring, which is challenging to implement.

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A illustration showing 10 use cases of XR/AR in healthcare.
XR/AR in Healthcare: Top 10 Use Cases in 2023

The global digital healthcare market is expected to exceed $430 billion by 2028 (see Figure 1). The COVID-19 pandemic imposed new challenges and expectations on the health sector, accelerating the already ongoing digital transformation of healthcare.

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A illustration showing two healthcare professional looking at augment graphic of a heart.
Applications of Augmented Reality in Healthcare

Technologies like Artificial Intelligence and computer vision have become more accessible and easy to use. The potential of such technologies to provide advanced feature-based techniques accelerates their adoption in almost every industry. One such technology is augmented reality (AR), which integrates digital information with the user’s environment in real-time.

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Scientists develop novel electronic skin patch for advanced healthcare monitoring

Scientists from the Terasaki Institute for Biomedical Innovation (TIBI) have devised a first-of-its-kind electronic skin (E-skin) patch for advanced healthcare monitoring. With an optimum choice in materials coupled with a novel fabrication method, their unique E-skin patch provides simultaneous, continuous monitoring of multiple bodily parameters while also providing temperature-moisture management and breathability.

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Current situation of telemedicine research for cardiovascular risk in Japan

Abstract

Hypertension continues to be a principal risk factor for the occurrence of cardiovascular disorders, stroke, and kidney diseases. Although more than 40 million subjects suffer from hypertension in Japan, its optimal control is achieved only a subpopulation of patients, highlighting the need for novel approaches to manage this disorder. "

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Week of February 19-25, 2023

Illustration of a tablet displaying a hologram of human anatomy and medicine.
Wearables and connected health futures

Dr Sandra Woolley FBCS, Deputy Director of Keele University Digital Society Institute, explores future healthcare opportunities and challenges.

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A bar graph showing frequency of features in included studies. HR heart rate, RR respiratory rate, SpO2 saturation of oxygen, SBP systolic blood pressure, DBP diastolic blood pressure, ECG, electrocardiography, RBC red blood cells, MAP mean arterial pressure, GCS Glasgow Coma Score, ISS injury severity score, SI shock index, AIS abbreviated injury scale
Artificial intelligence and machine learning for hemorrhagic trauma care

Artificial intelligence (AI), a branch of machine learning (ML) has been increasingly employed in the research of trauma in various aspects.

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A photo of a Kilobot,  a low-cost, easy-to-use robotic system for advancing development of robot “swarms.”
Programmable Robot Swarms

Autonomous artificial swarms of robots with potential uses for search and rescue missions, construction efforts, environmental remediation, and medical applications

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Two bar graphic showing Gain as a function of control scheme and movement pattern when the ensemble was visible (left) and occluded (right). Dashed lines represent perfect tracking of the target (i.e., unity).
Characterizing motion prediction in small autonomous swarms

Abstract

The use of robotic swarms has become increasingly common in research, industrial, and military domains for tasks such as collective exploration, coordinated movement, and collective localization.

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A photo of the human genome, hardcover edition
A Brief History of Health Technology

In the very broadest sense, the history of medical and health technology is anything but brief. In fact, it was recently confirmed that the world’s oldest prosthetic devices were Egyptian wooden and leather toes that dated back to as early as 950 BC!

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Week of February 12-18, 2023

A U.S. Army Ranger Combat Medic conducts routine medical training during 2nd Battalion, 75th Ranger Regiment's task force training August 2019. (U.S. Army).
The US military is developing artificial blood to treat combat injuries

Fake blood could have real benefits.

Combat medics could have a revolutionary new tool for saving lives if a recently-announced military research program is successful."

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Screenshot of the virtual patient
Teaching nursing management of diabetic ketoacidosis: a description of the development of a virtual patient simulation

Virtual patient simulation (VPS) is an interactive computer simulation that recreates real-world scenarios with the objectives of training, education, and assessment for health care providers [1].

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A diagram of Longitudinal prebriefing
Leading change in practice: how “longitudinal prebriefing” nurtures and sustains in situ simulation programs

In situ simulation (ISS) programs deliver patient safety benefits to healthcare systems, however, face many challenges in both implementation and sustainability. Prebriefing is conducted immediately prior to a simulation activity to enhance engagement with the learning activity, but is not sufficient to embed and sustain an ISS program.

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An illustration of medical imaging data.
Stable Diffusion could solve a gap in medical imaging data

Medical doctors who specialize in rare diseases get only so many opportunities to learn as they go. The lack of diverse healthcare data to train students is a key challenge in these fields.

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A group of soldiers wearing virtual reality and doing a simulation training.
U.S. Air Force and SimX Expands VR Medical Training Partnership

SimX and the U. S. Air Force are announcing a $1.7M expansion of its ongoing effort to advance the future of medical simulation training using virtual reality (VR) technology.

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Design and development of a digital shared decision-making tool for stroke prevention in atrial fibrillation

Background

Shared decision-making (SDM) is an approach in which patients and clinicians act as partners in making medical decisions. Patients receive the information needed to decide and are encouraged to balance risks, benefits, and preferences. "

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Week of February 5-11, 2023

Telehealth visits can be a helpful part of your child’s ongoing medical care. (Dreamstime/TNS)
It’s ‘telehealth vs. no care’: Doctors say Congress risks leaving patients vulnerable

When the COVID-19 pandemic hit, Dr. Corey Siegel was more prepared than most of his peers.

Half of Siegel’s patients — many with private insurance and Medicaid — were already using telehealth, logging onto appointments through phones or computers.

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Photo of John Fernando, Luis Godoy and Chinh Phan
Robotic-assisted procedure streamlines treatment for lung cancer patient

Interventional Pulmonology and Thoracic Surgery offer diagnosis and removal of cancer during single surgery (SACRAMENTO)

John Fernando remembers feeling like he had just been hit by a ton of bricks. The military veteran was in a patient room at the Sacramento VA Medical Center a few weeks before Christmas.

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The Kawasaki Robotics REAPR (Rapidly Employed Automated Palletizing Robot) [Photo courtesy of Kawasaki]
Kawasaki Robotics debuts factory robots MC004V and REAPR

Since the inception of robotics, it’s been the symbiotic relationship between hardware, software and human ingenuity that’s driven development, redefining what is possible with robotic automation.

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The developed PHSMCC curriculum will include a variety of mission profiles, including ocean personnel recovery missions such as the one depicted here. Image from a simulated virtual environment used in the curriculum; final quality is dependent on specific hardware configuration. (SimX, Inc. photo)
SimX Awarded U.S. Space Force Contract to Adapt VR Medical Simulation Training for Astronaut Recovery and Space Launch Medicine

SimX was awarded a multi-year $1.7M contract by the U.S. Space Force to develop virtual reality training simulations that will help prepare Pararescuemen, Combat Rescue Officers and flight surgeons to treat medical conditions in space and during astronaut recovery.

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Spread of specialties referring to the dermatology department in 2021.
Use of a hybrid teledermatology model in an Australian tertiary hospital during the COVID-19 pandemic

The COVID-19 pandemic has led to the adoption of teledermatology by health services across the world. There is increasing support for the use of teledermatology in the outpatient setting; however, its role in inpatient and emergency settings is less established.

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Using chronobiology-based second-generation artificial intelligence digital system for overcoming antimicrobial drug resistance in chronic infections

Antimicrobial resistance results from the widespread use of antimicrobial agents and is a significant obstacle to the effectiveness of these agents. Numerous methods are used to overcome this problem with moderate success.

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Week of January 29-February 4, 2023

U.S. Army Maj. Gen. Telita Crosland becomes the Defense Health Agency’s fourth director at a ceremony held in Falls Church, Virginia, on Jan. 3. (Defense Health Agency photo by Robbie Hammer)
New Defense Health Director Pledges to Focus on Patients as 'Human Beings'

As the Army's deputy surgeon general, Lt. Gen. Telita Crosland managed the deployment of U.S. military personnel to field hospitals, civilian medical centers, parking lots and public buildings nationwide to help combat the COVID-19 pandemic.

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Nurse Practitioner Alison Gwinn listens with a stethoscope on Orianna Taylor at Kenner Army Health Clinic in Fort Lee, Virginia. (Lesley Atkinson).
Military must find new ways to deal with medical personnel shortages

Military medicine may be at a turning point as it becomes increasingly affected by many of the same issues, such as shortages, facing the entire United States medical community, said the new director of the Defense Health Agency.

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Joint Task Force Med 374 EMT provider Maj. Ronald Carroll demonstrates the proper technique for acquiring an artificial airway visualizing the vocal chords and advancing an endotracheal tube with a curved laryngoscope blade as part of a one week critical course offered by the Role III Hospital Center to U.S. Soldiers and Coalition partners. (U.S. Army photo)
Medical training a high priority during deployment

Working in a Role III hospital center overseas, the bulk of the work consists of routine medical care for soldiers, Coalition Forces and contractors, addressing a multitude of symptoms, including headaches, muscle pain, cold-like symptoms, upset stomachs, etc.

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Figure 8. Visual depiction of the A3R tasks by phase.
Review of Sensor Technology to Support Automated Air-to-Air Refueling of a Probe Configured Uncrewed Aircraft

Abstract

As technologies advance and applications for uncrewed aircraft increase, the capability to conduct automated air-to-air refueling becomes increasingly important. This paper provides a review of required sensors to enable automated air-to-air refueling for an uncrewed aircraft, as well as a review of published research on the topic.

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FIGURE 3. Overview of the six major categories of micro-robot built to date.
Advanced medical micro-robotics for early diagnosis and therapeutic interventions

Recent technological advances in micro-robotics have demonstrated their immense potential for biomedical applications. Emerging micro-robots have versatile sensing systems, flexible locomotion and dexterous manipulation capabilities that can significantly contribute to the healthcare system.

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VIRGINIA COALITION TO USE TELEHEALTH, DIGITAL HEALTH TO ADDRESS CARE GAPS IN RURAL APPALACHIA

The Virginia Consortium to Advance Healthcare in Appalachia includes the UVA Center for Telehealth and several healthcare organizations, and will use $5.1 million in federal grant money to launch or expand a number of innovative programs to improve access to care in southwestern Virginia.

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FCC Improving Support for Digital Health in Rural America

The Federal Communications Commission (FCC) has approved several proposals for the Rural Health Care Program to make it easier for healthcare providers to receive support, reduce delays in funding commitments, and improve the efficiency of the program.

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Automatic range of motion measurement via smartphone images for telemedicine examination of the hand

Abstract

Background: Telemedicine support virtual consultations and evaluations in hand surgery for patients in remote areas during the COVID-19 era. However, traditional physical examination is challenging in telemedicine and it is inconvenient to manually measure the hand range of motion (ROM) from images or videos.

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Artificial-intelligence-based decision support tools for the differential diagnosis of colitis

Abstract

Background: Whereas Artificial Intelligence (AI) based tools have recently been introduced in the field of gastroenterology, application in inflammatory bowel disease (IBD) is in its infancies. We established AI-based algorithms to distinguish IBD from infectious and ischemic colitis using endoscopic images and clinical data.

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Week of January 22-28, 2023

A mother and a young daughter checking in at a hospital.
Using Technology to Transform Recruitment Strategies in Clinical Research

Research is the lifeblood of healthcare, and core to Cleveland Clinic’s mission of “Caring for life, researching for health and educating those who serve.” Recruiting participants in clinical research is key, but is often the Achilles heel in the research process.

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Gulf Coast Medical Center, one of Lee Health's four acute care facilities. Photo by Lee Health.
With Epic-linked RPM, Lee Health is sending fewer people to hospitals and ERs

Not too long ago, about 17% of remotely monitored patients needed a higher level of care. Today it's in the 3% to 5% range, keeping more people in their homes and coordinating their care.

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Figure 1. Comparison of implanted subdermal electrodes. (a) Nerve cuff. (b) Flat interface nerve electrode (FINE). (c) Longitudinal intrafascicular electrode (LIFE). (d) Transverse intrafascicular multiple electrode (TIME) and (e) Utah slanted electrode array (USEA).
Upper limb prostheses: bridging the sensory gap

Abstract

Replacing human hand function with prostheses goes far beyond only recreating muscle movement with feedforward motor control. Natural sensory feedback is pivotal for fine dexterous control and finding both engineering and surgical solutions to replace this complex biological function is imperative to achieve prosthetic hand function that matches the human hand."

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Study protocol for the implementation and evaluation of a digital-robotic-based intervention for nurses and patients in a hospital: a quantitative and qualitative triangulation based on the Medical Research Council (MRC) framework for developing and evaluating complex interventions

Background

Nurses spend part of their working time on non-nursing tasks. Unnecessary walking distances and the assumption of service activities and other non-care-related tasks take up a lot of space, which reduces the time for direct patient care and demonstrably increases the dissatisfaction of the persons involved."

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Example of autonomous relocalization with Exwayz SLAM : a first 3D map (in colors) was created with Exwayz SLAM algorithm. The current LiDAR data (in white) is being relocalized on the map, that is why there is a perfect overlap on the map. This allows to compute the trajectory of the system (white line), i.e. the exact position and orientation of the system at each moment.
CES 2023: Exwayz to showcase the 1st plug and play software that will guide 100 million autonomous robots

Exwayz, pioneer in plug and play 3D spatial intelligence software, today unveils Exwayz SLAM, its new generation software that simplifies and accelerates 3D LiDAR integration in autonomous systems.

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A photo of a couch with two speaking bubbles.
A mental health tech company ran an AI experiment on real users. Nothing’s stopping apps from conducting more.

A chat app used for emotional support used a popular chatbot to write answers for humans to select. Controversy followed.

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Patient-facing cancer mobile apps that enable patient reported outcome data to be collected: A systematic review of content, functionality, quality, and ability to integrate with electronic health records

Abstract

Purpose: Enabling cancer patients to self-manage symptoms through mobile applications can result in more informed, autonomous patients who are partners in their care, consequently reducing the burden on health services."

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Week of January 15-21, 2023

Photo of Mr. Matt Quinn, Science Director, U.S. Army Telemedicine & Advanced Technology Research Center,  U.S. Army Medical Research & Development Command
FORGING THE FUTURE OF TELE-CRITICAL CARE

Combat & Casualty Care spoke with Matt Quinn, Science Director at the Army’s Telemedicine & Advanced Technology Center (TATRC) regarding the evolution of the National Emergency Tele-Critical Care Network (NETCCN) and ways the NETCCN is bridging the care gap in lack of immediate care response when casualties occur remotely and ready access to hands-on treatment is not an option.

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Soldiers execute a field training exercise at Joint Base Elmendorf-Richardson. (JBER)
ADVANCING MEDICAL MODERNIZATION AND SIMULATION

Dr. Maria M. Molina is currently the Division Chief for Medical Modernization and Simulation within J-7, the Education and Training Directorate of the Defense Health Agency.

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Among the remarkable firsts achieved at Yuma Proving Ground during Project Convergence 21 was the autonomous flight of a legacy UH-60 Blackhawk helicopter, albeit with a human pilot aboard as a precaution. This year during Project Convergence Technology Gateway, a fully autonomous UH-60 dubbed Alias engaged in complex simulated missions across YPG’s vast ranges without a safety pilot onboard, utilizing low level maneuvers that traditional pilots use in combat areas. (U.S. Army Photo)
UNMANNED CASEVAC AIRLIFT CLOSER TO REALITY

U.S. Army Yuma Proving Ground, Arizona, tests autonomous vertical lift casualty evacuation (CASEVAC) as part of the Army’s Project Convergence Technology Gateway

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U.S. Army Special Forces Soldiers assigned to 19th Special Forces Group (Airborne) perform TCCC (Tactical Combat Casualty Care) on a simulated casualty during a joint training exercise in Lithuania, Oct. 21, 2021. Special Operation Forces Soldiers from Lithuania, Latvia, Estonia and Poland provided life saving techniques and strategies for trauma care on the battlefield, this training is crucial because it teaches the procedures that must be administered when providing aid with NATO partners and allied forces. (U.S. Army photo by Sgt Stanford Toran)
STREAMLINING POINT-OF-INJURY TO SURGICAL CARE TRANSITION FOR OPTIMIZED OUTCOMES

Combat & Casualty Care had the opportunity to speak with COL Brian Lanier, USAISR Commander, regarding areas the DoD’s premier laboratory for study of combat casualty care delivery and home of the Department’s only burn center is presently focused on as we head into 2023.

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Capt. Gordon Wisbach, Navy Medicine Readiness and Training Command (NMRTC) San Diego’s Virtual Medical Operations Center (VMOC) telesurgical director, prepares for a robotic-assisted gallbladder removal surgery at NMRTC San Diego May 16. During the surgery, Wisbach communicated with Naval Hospital Camp Pendleton staff members remotely, per approved protocol, for telementoring. NMRTC San Diego’s mission is to prepare service members to deploy in support of operational forces, deliver high quality healthcare services and shape the future of military medicine through education, training and research. NMRTC San Diego employs more than 6,000 active duty military personnel, civilians and contractors in Southern California to provide patients with world-class care anytime, anywhere. (U.S. Navy photo by Mass Communication Specialist 3rd Class Mariterese Merrique)
Surgical Telementoring: Connecting Remote Expertise To Optimize Operational Care Delivery

Championed by Naval Medical Center-San Diego’s Virtual Medical Operations Center (VMOC), a relatively new, communications-based, autonomy-facilitative practice enabling remote telementoring to boost operational surgical capability.

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NO ROOM FOR ERROR: Workers take elaborate measures to contain the pathogens being studied.
Inside the High-Security Lab Where Scientists Are Fighting the Next Pandemic

We visited a military facility that works with some of the world’s scariest pathogens.

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Week of January 8-14, 2023

How Army Medics Train To Treat Wounded Soldiers In The Field

We got an inside look at how Army combat medics are trained at Fort Sam Houston and Camp Bullis in San Antonio, Texas. About 5,000 soldiers graduate every year from the 16-week training program, which teaches soldiers to control bleeding, manage airways, and perform blood transfusions. After 15 weeks of classroom instruction and hands-on training, trainees spend the final eight days treating patients in a simulated combat environment known as the field training exercise. Insider spent five days immersed in the course, where we observed different classes at various stages of training.

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A new biobattery being developed at Binghamton University could power ingestible cameras in the small intestine.
Sean Choi | https://www.binghamton.edu/
Ingestible biobatteries for new view of digestive system

Biobattery researchers have a solution for the hard-to-reach small intestine, which winds around the human gut for an average of 22ft.

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The sensor uses microneedles that are made by cutting down clinical-grade acupuncture needles.
Emaminejad Lab/UCLA
Wearable sensor could guide precision drug dosing

UCLA-developed patch predicted total dosage that would be delivered to animals’ bloodstream.

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Elizabeth Sanseau and Kyle Cassidy recorded videos showing medical procedures on mannequins for the Annenberg Hotkeys simulator. (Image: Courtesy of Kyle Cassidy)
Hands-on medical simulation, simplified

In a Q & A, Elizabeth Sanseau of CHOP and Annenberg’s Kyle Cassidy discuss Annenberg Hotkeys, a medical simulator developed during the pandemic to remotely prepare health care providers for emergency situations.

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Medgadget: How have things progressed since the last time we spoke to Avenda Health in terms of the regulatory pathway and clinical trials?
AI-Enhanced Prostate Cancer Treatment: Interview with Brittany Berry-Pusey, Co-Founder and COO at Avenda Health

Avenda Health, a medtech company based in Santa Monica, California has developed the FocalPoint ablation system, an AI-powered prostate cancer therapy.

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Week of January 1-7, 2023

U.S. Army Maj. Gen. Telita Crosland becomes the Defense Health Agency's fourth director at a ceremony held in Falls Church, Virginia, on Jan. 3. Crosland succeeds U.S. Army Lt. Gen. (Dr.) Ronald Place, who served as director since October 2019.
DHA Will Serve “Anytime, Anywhere – Always,” Says New Director

U.S. Army Maj. Gen. Telita CroslandOpens Health.mil yesterday became the Defense Health Agency’sOpens Health.mil fourth director in its nearly 10-year existence, pledging to continue taking the DHA “down its path of excellence.”

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A person talking to a soldier
3-Week Program Effective in Helping to Ease Combat-Linked PTSD

A short but intensive approach to "talk therapy" can help many combat veterans overcome post-traumatic stress disorder (PTSD), a new clinical trial has found.

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Maj. Gen. Telita Crosland addresses Department of Defense public health professionals during the plenary session of the fourth annual Army Public Health Course at Joint Base McGuire Dix Lakehurst, New Jersey, July 30, 2019. (U.S. Army Photo by Graham Snodgrass)
The Defense Health Agency Has a New Chief -- Another Army Doctor

An Army general has taken the helm of the Defense Health Agency, continuing Army leadership of the nearly 10-year-old organization.

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Photo By Stephanie Abdullah | At the U.S. Army Medical Command Holiday Ball in San Antonio, Texas, Maj. Gen. Telita Crosland showcases her
Army’s Deputy Surgeon General, nearing 30 years of service, moves from Army green to Joint purple

The U.S. Army Deputy Surgeon General Maj. Gen. Promotable Telita Crosland is leaving the Office of the Surgeon General and U.S. Army Medical Command (MEDCOM) to become the Director of the Defense Health Agency (DHA), where she will lead a global workforce of nearly 140,000 civilians and military personnel.

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Figure 1: Overview of operational dermatology
Relevant Dermatoses Among U.S. Military Service Members: An Operational Review of Management Strategies and Telemedicine Utilization

Abstract

Despite skin being the largest and most exposed organ of the human body, skin issues can be challenging to diagnose in deployed military service members.

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Photo by: U.S. Army/Graham Snodgrass
CROSLAND BECOMES DEFENSE HEALTH AGENCY DIRECTOR

Maj. Gen. Telita Crosland is the new director of the Defense Health Agency, becoming the first Army woman to lead the agency.

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Defense Health Agency Change of Directorship - Remarks from DHA Director Maj. Gen. Telita Crosland

U.S. Army Maj. Gen. Telita Crosland becomes the fourth director of the Defense Health Agency (DHA) in a ceremony Jan. 3, 2023, at Defense Health Headquarters in Falls Church, Virginia.

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Three-Dimensional Printing in Neurosurgery: A Review of Current Indications and Applications and a Basic Methodology for Creating a Three-Dimensional Printed Model for the Neurosurgical Practice

Introduction

Three-dimensional (3D) printing is an affordable aid that is useful in neurosurgery. It allows for better visualization and tactile appreciation of the individual anatomy and regions of interest and therefore potentially lowers the risk of complications. There are various applications of this technology in the field of neurosurgery.

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Figure 1. The proposed route planning algorithm framework.
Route Planning for Autonomous Mobile Robots Using a Reinforcement Learning Algorithm

Abstract

This research suggests a new robotic system technique that works specifically in settings such as hospitals or emergency situations when prompt action and preserving human life are crucial."

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Virtual reality (VR)-based, artificial intelligence (AI) driven conversational agents to train de-escalation skills

Following the implementation of findings from their recent study [1], the Western Sydney Local Health District (WSLHD)/University of Sydney research team are now testing a new iteration of their VR-based AI driven verbal de-escalation trainer.

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Simulation as part of a complex and entangled puzzle

Simulation-based education (SBE) is “massively on the rise, highly technological, but under-theorised” (p. 905) [1]. Discussion of potential and actual applications [2, 3], often focus on methods and technologies [4, 5], seeing SBE sessions as an “add on” to an existing curriculum [6], without paying much attention to how SBE sits within its wider ecosystem.

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MIMIC-IV, a freely accessible electronic health record dataset

Digital data collection during routine clinical practice is now ubiquitous within hospitals. The data contains valuable information on the care of patients and their response to treatments, offering exciting opportunities for research.

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The Assessment of Medical Device Software Supporting Health Care Services for Chronic Patients in a Tertiary Hospital: Overarching Study

Background: Innovative digital health tools are increasingly being evaluated and, in some instances, integrated at scale into health systems.

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The views, opinions and/or findings contained in these articles are those of the author and do not necessarily reflect the views of the Department of Defense and should not be construed as an official DoD/Army position, policy or decision unless so designated by other documentation. No official endorsement should be made. Reference herein to any specific commercial products, process, or service by trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement, recommendation, or favoring by the U.S. Government.