Dr. Roshini P’s Post

Is the future of healthcare in training "translational geroscientists"? A study in The Journals of Gerontology explores this intriguing concept: https://buff.ly/3Y5d6yY As a future doctor focused on proactive medicine, I'm fascinated by the potential of geroscience interventions to revolutionize healthcare for older adults. The study highlights the need for a new breed of clinical researchers who can: • Conduct early-stage clinical trials • Target fundamental aging processes • Improve human health span The goal? To delay, prevent, or even reverse a wide range of age-related chronic diseases and conditions. What excites me most is the shift from treating individual diseases to targeting integrative, multisystem phenotypes of aging. It's a holistic approach that could transform care for older adults. Do you think this approach could be the key to healthier aging, or am I overlooking potential drawbacks? The study emphasizes four key training domains for these future geroscientists: 1. Clinical research 2. Geriatric medicine 3. Geriatric clinical research 4. Geroscience-specific knowledge This multidisciplinary approach could lead to breakthroughs in maintaining health and independence in older adults. As someone passionate about proactive medicine, I see immense potential in this field. It's not just about adding years to life, but life to years. #GeroscientistTraining #HealthyAging #ProactiveMedicine

Brittany Wright OD, MS, FAAO, (University of Colorado Anschutz Medical Campus) identifies sociodemographic, economic and environmental factors affecting #GlaucomaCare, and stresses how these variables may affect patient outcomes more than treatment. Medical and surgical management have allowed #EyeCareProfessionals to slow disease progression and reduce the functional #VisionLoss that occurs with time among patients with #Glaucoma, and yet, #SocialDeterminants continue to wield a significant influence over overall disease outcomes. As #Healthcare shifts to a more quality-based system, nonmedical factors affecting #PatientOutcomes have garnered more attention. According to public health studies, socioeconomic factors, environment, and lifestyle determine 80% of a patient’s overall health (40%, 10%, and 30%, respectively), leaving only 20% impacted by direct care.1 While #Optometrists may not have extensive training in sociology or public health, it is important for clinicians to understand how these social determinants affect glaucoma outcomes when providing care. Read more: https://bit.ly/3Yq8Ry3 #GlaucomaManagement #GlaucomaAwareness #Optometry #Optometrist #EyeDoctor #EyeHealth #EyeCare #PatientHealth #HCSM #GlaucomaProgression #PublicHealth #HealthEquity #SocialDeterminants

Transforming Adolescent Back Pain Treatment with DAVID SPINE System At DAVID Health Solutions, we're proud to share the remarkable outcomes of a recent study on adolescent back pain, focusing on the effectiveness of our DAVID SPINE system. In this study, adolescent female participants with no prior physical training, who often struggled with back pain and poor posture in their daily activities, underwent a specialized physical exercise program using our cutting-edge DAVID devices. Over just 4 weeks, the results were impressive: ✅ 67% decrease in back pain, as tracked by the Visual Analogue Scale (VAS) ✅ Improved joint mobility and balanced spinal muscle strength ✅ Enhanced body posture and overall quality of life ✅ Significant improvements in long-term musculoskeletal health This study also highlighted the use of the SF-36 medical outcomes questionnaire to measure treatment success, showing that our device-driven, medically certified technology is a game-changer for improving spinal disorders. We are just at the beginning of applying this innovative system nationwide, and the early results are incredibly promising! 🔗 Learn more about the study and how DAVID Health Solutions is revolutionizing spinal health. #HealthcareInnovation #BackPainRelief #SpinalHealth #AdolescentHealth #AIinHealthcare #DAVIDHealthSolutions --- This post highlights key results from the study and emphasizes the positive impact of the DAVID system on adolescent health, while also inviting professionals to explore the detailed findings.

Brittany Wright OD, MS, FAAO, (University of Colorado Anschutz Medical Campus) identifies sociodemographic, economic and environmental factors affecting #GlaucomaCare, and stresses how these variables may affect patient outcomes more than treatment. Medical and surgical management have allowed #EyeCareProfessionals to slow disease progression and reduce the functional #VisionLoss that occurs with time among patients with #Glaucoma, and yet, #SocialDeterminants continue to wield a significant influence over overall disease outcomes. As #Healthcare shifts to a more quality-based system, nonmedical factors affecting #PatientOutcomes have garnered more attention. According to public health studies, socioeconomic factors, environment, and lifestyle determine 80% of a patient’s overall health (40%, 10%, and 30%, respectively), leaving only 20% impacted by direct care.1 While #Optometrists may not have extensive training in sociology or public health, it is important for clinicians to understand how these social determinants affect glaucoma outcomes when providing care. Read more: https://bit.ly/3Yq8Ry3 #GlaucomaManagement #GlaucomaAwareness #Optometry #Optometrist #EyeDoctor #EyeHealth #EyeCare #PatientHealth #HCSM #GlaucomaProgression #PublicHealth #HealthEquity #SocialDeterminants

Balance Training in Multiple Sclerosis: A Systematic Review In the systematic review by Brincks et al. (Mult Scler Relat Disord. 2023;69:104412. doi:10.1016/j.msard.2022.104412), researchers examined the components, progression, and intensity of balance training interventions for people with multiple sclerosis (MS). Key Findings: Study Design: The review included 40 studies focusing on randomized control trials or systematic reviews. Participants were adults with MS, scoring 7.5 or lower on the Expanded Disability Status Scale, and able to transfer between seated positions independently. The studies evaluated balance training programs challenging motor and sensory deficits. Results: Most interventions targeted general motor and sensory deficits but less frequently addressed reactive motor strategies or cognitive dual-tasking, which is crucial for fall risk assessment. There was no standardized approach to training progression or intensity across studies. Progression varied by the clinician and was not systematically defined, while intensity was often based on subjective patient feedback or visual indicators of exercise difficulty. Conclusions: The review highlights a lack of consistent guidelines for balance training in MS. The effectiveness of balance training varies due to differences in program design, intensity measures, and progression methods. There is a need for standardized protocols to guide clinical practice. Clinical Implications: Individualized Approach: Tailor balance training programs to the patient’s specific deficits—motor, sensory, or cognitive—and their personal goals. Adjust progression and intensity based on patient needs, incorporating cognitive dual-tasking and varying base of support as appropriate. Intensity Measurement: Use both subjective measures, such as the Rating of Perceived Exertion (RPE) scale, and objective indicators like visual displacement of the center of mass to gauge exercise intensity effectively. Future research should focus on developing clear guidelines for balance training to improve consistency and outcomes for patients with MS. For more details or guidance on designing balance training programs for MS patients, feel free to connect. #MultipleSclerosis #BalanceTraining #PhysicalTherapy #SystematicReview

Publication news! 📑 Female health awareness and education is undervalued. Yet the identified barriers to care for abnormal uterine bleeding (AUB) are low body and health literacy, taboo and normalization, and poor patient-HCP communications.[1] All alleviated with awareness and education. Given the expected tsunami of health misinformation pushed along a tide of agendas, it is the perfect time to get real about female health education (not just sex ed). Give clinicians a helping hand. They cannot unwind it all in 15 minutes. 🪨 ⭐ Shruthi Mahalingaiah, M.D., M.S. invited me to write a systematic review on digital health education. (Thank you, Dr. M!) I formed the research question to understand what is being done to eliminate these identified barriers to care. The paper is now peer-reviewed and published in Seminars in Reproductive Medicine. 🥂 The answer: we've not taken advantage of the power of lifting body and health literacy and doing so now may lead to early intervention for conditions such as endometriosis, adenomyosis, PMDD, fibroids, PCOS+. We are working on this at Uterinekind and have news brewing. Collaborations are welcome; doing this right, and not lighting money on fire in the process, benefits from our community working together. Thank you to my co-author Barbara Tafuto, Assistant Professor at the Rutgers School of Health Professions, for your expert guidance! Looking forward to our next research adventure! Lastly, writing a research paper is like getting a tattoo. Get one and you immediately start thinking of your next. I have SO much respect for the work done by physician researchers and scientists. It's hard but so satisfying. Connecting the Dots on Digital Health Education: A Systematic Review https://lnkd.in/gwWBEBzG 1. Henry C, Ekeroma A, Filoche S. Barriers to seeking consultation for abnormal uterine bleeding: systematic review of qualitative research. BMC Womens Health. 2020;20(1):123. Published 2020 Jun 12. doi:10.1186/s12905-020-00986-8 #obgyn #womenshealth

🚨 Unlocking the Power of Patient-Researchers 🚨 Imagine if healthcare truly listened to the voices of those who live with chronic illness and disability. Visionary patient-researchers like Rosamund Snow, Liz Salmi, and Sara Riggare have proven that firsthand experience can revolutionize medical research and patient care. Their work, highlighted in a compelling recent article on @Aeon, shows that when patients co-lead research, we gain insights that traditional methods often miss. Yet, despite their groundbreaking contributions, the academic system still struggles to fully embrace their value. Read more on the Pulmonary Hypertension Knowledge Sharing Platform at this link https://lnkd.in/dT-7csex #pulmonaryhypertension #pulmonaryarterialhypertension #PAH #chronicthromboembolicpulmonaryhypertension #CTEPH #knowledgesharing #knowledgeexchange #patientempowerment #patienteducation #allianceforph #organtransplant #organdonation #transplant #lungtransplant HTaPFrance Stichting Pulmonale Hypertensie / PH Association the Netherlands PH Belgium - Pulmonale Hypertensie vzw AIPI Italian Pulmonary Hypertension Association Pulmoner Hipertansiyon ve Skleroderma Hasta Dernegi Hellenic Community for Pulmonary Hypertension Pulmonale Hypertonie E.V. Ieva Plume PHA Polska

#Delirium treatment remains a significant gap which needs to be urgently tackled. I was honoured to join a 39-member interprofessional and international expert working group of clinicians (physicians, nurses, and pharmacists) and nonclinicians (biostatisticians, epidemiologists, and trial methodologists) to build consensus on some critical ways forward under the auspices of NIDUS (The Network for Investigation of Delirium: Unifying Scientists) . Though eight unique areas were identified which pose challenges for delirium treatment #clinicaltrials we map out the way the research community can take some important steps forward in methodological thinking and collaborative efforts. Australasian Delirium Association INSIGHT UTS Research Institute for Innovative Solutions for Well-being and Health

Congratulations to Elsevier book editors Pere Clave (Universitat Autònoma de Barcelona, CIBERehd, Consorci Sanitari del Maresme, Instituto de Salud Carlos III) and Omar Ortega (Hospital de Mataro, CIBERehd, Instituto de Salud Carlos III) for the publication of "A Multidisciplinary Approach to Managing Swallowing Dysfunction in Older People." This new book provides a comprehensive examination of oropharyngeal dysphagia (OD) within the geriatric context. Key Features: 🔍 Thorough coverage of swallowing impairments in older adults 🔍 Exploration of OD as a newly classified geriatric syndrome 🔍 State-of-the-art research on pathophysiology, diagnosis, treatment, ethics, and potential complications Whether you seek to refine your clinical practice or engage in translational research, this publication provides essential knowledge and tools for effectively managing OD in older patient populations. Secure your copy today and enhance your approach to addressing swallowing dysfunction in the elderly. #GeriatricHealth #DysphagiaResearch #HealthcareInnovation

Enhancing Physician-Patient Communication: Bridging Research and Practice in my PhD As part of my PhD research on physician-patient communication, I’m on the lookout for studies that bring new perspectives to improving patient-centered care. A recent publication in JAMA Internal Medicine particularly resonated with me. The study explored a communication-priming intervention designed to facilitate goals-of-care discussions for patients with serious illnesses. The intervention included structured tools such as: 🎯 Pre-visit question prompts to help patients articulate their care preferences and goals. 🎯 Guided frameworks for clinicians to approach sensitive discussions in a clear and empathetic manner. 🎯 Post-discussion summaries to ensure alignment between patients and clinicians on the care plan. The findings were remarkable. Patients involved in the intervention reported significantly higher rates of meaningful conversations about their care objectives. This underscores how structured communication strategies not only improve the quality of care but also empower patients to actively participate in their health decisions. In my PhD research, I’m investigating how the use of alternative communicative means can foster physician - patient communication and influence patient outcomes. This study aligns with my goal of uncovering practical solutions to improve outcomes through better communication. Effective communication is more than just a soft skill—it’s a transformative intervention that can reshape the way we deliver healthcare. Have you encountered other research or strategies that have advanced communication in clinical settings? #PhysicianPatientCommunication #PatientCenteredCare #HealthCommunication #PhDResearch #MedicalEthics #GoalsOfCare #PatientEmpowerment #HealthcareInnovation #ClinicalResearch #EmpathyInMedicine #CommunicationMatters #PatientAdvocacy #TransformingHealthcare #InterdisciplinaryResearch #MedicalEducation