笃学奖-Topic4-B17463-干比精读

The wonder drug:

A digital revolution in health care is speeding up| TE


DAY 12: VOCABULARY


1. Telemedicine

Telemedicineis the use of telecommunication and information technology to provide clinical health care from a distance. It helps eliminate distance barriers and can improve access to medical services that would often not be consistently available in distant rural communities. It is also used to save lives in critical care and emergency situations.

Benefits and drawbacks

1. Telemedicine can be beneficial to patients in isolated communities and remote regions, who can receive care from doctors or specialists far away without the patient having to travel to visit them.2. Telemedicine also can eliminate the possible transmission of infectious diseases or parasites between patients and medical staff.


1. inability to start treatment immediately.2. protected health information may be compromised through electronic storage and transmission.
远程医学是我国近十年来蓬勃发展起来的边缘科学,它与医学、信息科学、医学生物工程学、计算机、网络与通信等密切相关,并受到网络通信环境的制约,尤其是通信经济条件的制约。因此,一方面要从技术角度加以突破,要大力发展带有标准网络接口的新型数字化医疗检测设备,以代替国外昂贵的设备;另一方面,希望政府有政策倾斜,因为远程医学事业还是一个公益事业,它与人民群众的生活尤其是西部及边远地区人民的生活,有着密切联系,具有广阔的发展前景。


2.  a host of   许多

  e.g: For a host of reasons, he came over at last. 由于种种原因,他还是来了。

host 有不同的意思:

a congenial host and hostess.    好客的男女主人

The communication was read by the host. 论文由主持人宣读了

No route to host 没有通往主机的路由

Webhosting虚拟主机

3. sevenfold  七倍的

-fold:  suffix

①-fold combines with numbers to form adverbs which say how much an amount has increased by. For example, if an amount increases fourfold, it is four times greater than it was originally.

e.g: By the late eighties their number had grown fourfold.

②-fold also combines with numbers to form adjectives.

e.g: One survey revealed a threefold increase in breast cancer.


【Word origin of '-fold' 】

 Old English -fald, -feald

4. cardiac arrest   心脏骤停

Cardiac arrest is a sudden stop in effective blood flow due to the failure of the heart to contract effectively.

››Symptoms include loss of consciousness and abnormal or absent breathing. Some people may have chest pain, shortness of breath, or nausea before this occurs.  If not treated within minutes, death usually occurs. [ From Wikipedia ]

»A cardiac arrest is a heart attack.  [medicine]


CPR being administered during a simulation of cardiac arrest.

5. cardiopulmonary resucitation  [CPR]

DEFINITION

Cardiopulmonary resuscitation, commonly known as CPR,  is an emergency procedure that combines chest compression often with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest.

It is indicated in those who are unresponsive with no breathing or abnormal breathing, for example, agonal respirations

compressionan: increase in pressure of the charge in an engine or compressor obtained by reducing its volume

artificial ventilation: 人工通风


6. eliminate  vt. [ fml]

①To eliminate something, especially something you do not want or need, means to remove it completely.

•The Sex Discrimination Act has not eliminated discrimination in employment.

Synonyms: remove, end, stop, withdraw

②When a person or team is eliminated from a competition, they are defeated and so take no further part in the competition.

e.g: I was eliminated from the 400 metres in the semi-finals. 我在400米半决赛的时候被淘汰。

Synonyms:  knock out, drop, reject, exclude, get rid of, do away with, beat,        beat up, work over, remove

*Do away with the bad habits that might damage your health.   去掉那些有可能损害你健康的坏习惯。

7. fraction   n.  

»Elimination a fraction of this sum is a huge opprtunity.

①A fraction of something is a tiny amount or proportion of it.

• She hesitated for a fraction of a second before responding. 她在回答之前犹豫了一下。

【Synonyms】: bit, little bit, mite, jot

②A fraction is a number that can be expressed as a proportion of two whole numbers. For example, ½ and ⅓ are both fractions.

•The students had a grasp of decimals, percentages and fractions.

›【Word origin of  'fraction'】

C14: from Late Latin fractiō a breaking into pieces, from Latin fractus broken, from frangere to break

8. reimbursement  n.

→...these buyers are increasingly demanding" value-based" reimbursement...

[definition] Reimbursement is payment of the expenses incurred as a loss covered by an insurance policy.

[Annie说] reimbursement 是在保险报销的情境下的用词,也就是说没有效果的药品,医生开给了病人,病人的保险公司也不会给他们报销。〈这也是为什么说保险公司、公司雇员健康福利主管是责任者(incumbent)了,因为他们付账。

e.g: She is demanding reimbursement for medical and other expenses.

[Synonyms]:  repayment, compensation, refund, recompense

[拓展]reimburse:  If you reimburse someone for something, you pay them back the money that they have spent or lost because of it.

e.g: I'll be happy to reimburse you for any expenses you might have incurred.

[Synonyms]: pay back, refund, repay, recompense


[Derived forms]:

reimburser (ˌreimˈburser) noun

reimbursable (ˌreimˈbursable) adjective

Word origin of 'reimburse'

C17: from re- + imburse, from Medieval Latin imbursāre to put in a money bag, from bursa purse

9. lucrative    adj.    producing a profit; profitable; remunerative 获利多的

e.g: Those with assets also benefit from a lucrative industry devoted to shielding them from tax

remunerative: Remunerative work is work that you are paid for.

e.g: A doctor advised her to seek remunerative employment.

(Synonyms): profitable, lucrative, paying, gainful

Derived forms:

lucratively (ˈlucratively) adverb

lucrativeness (ˈlucrativeness) noun

Word origin of 'lucrative'

ME lucratif < L lucrativus < pp. of lucrari, to gain < lucrum: see lucre

10. diabetes

[definition]  Diabetes is a medical condition in which someone has too much sugar in their blood.

   Diabetes mellitus (DM),  commonly referred to as diabetes, is a group of metabolic diseases in which there are high blood sugar levels over a prolonged period.

metabolic(adj.)→ metabolic(n.): make new cells and to give you energy. 新陈代谢

[Symptoms] of high blood sugar include frequent urination, increased thirst, and increased hunger. If left untreated, diabetes can cause many complications.

→Serious long-term [complications 症状] include heart disease, stroke, chronic kidney failure, foot ulcers, and damage to the eyes.

11.  →...Although Fibits are frequently derided for ending up in the back of a drawer...

deride: to laugh at contemptuously

in the back of a drawer:  原意 在抽屉深处积灰 引申为束之高阁

12. Joint venture 合资企业

英文中除了用company和corporation表示“公司”“及“企业”之义之外,经常使用“公司”广义上的对应词,例如firm, house, business, concern, combine, partnership,group, consortium, establishment, venture,conglomerate, multinational,transnational等。即使是专有公司名称,“公司”也决非只用company与corporation,lines,agency等也是名正言顺的“公司”的说法。

13. spell: 小词新意

[Definition] A spell of a particular type of weather or a particular activity is a short period of time during which this type of weather or activity occurs.  



DAY 13  Mindmap

我的初稿

DAY14

我的思维导图&Annie笃师

[Annie说]最重要的步骤是抓住最重要的元素,最重要的元素就那么几个,抓住几个核心就简单了。

所以我在二看文章的时候罗列出来了将近10个有可能的元素,当然讲他们都放上去是不可能的,顿时觉得很头疼,然后开始寻找他们之间的关系(包含or兼容or对立),在几经修改之后,对比了Annie master的导图,发现自己的内容有些空洞,像traditional innovators部分太简略,没有很好的阐述他与数字医疗的具体联系。

还有就是在整体的布局安排上,我的中心思想digital health care 最好放在中间,因为他与其他元素并不是平行关系,而是由他发散出来的。

二: 对文章的思考——AI与医药行业结合

看到这篇文章,最先在我脑海里出现的是我前段时间去医院看病,人很多,挂号排队的队伍长长的挤在大厅里,可我却并没有同他们一样苦苦地排队,而是直接去了一旁的自助服务机(至于那些排队的人我想大多数是外来人口,他们没有这里的医保卡。)开通,充钱,挂号,所有的流程全部在五分钟以内完成。我当时狠狠地夸赞了AI给我的生活带来了如此多的便利,大大改变了我们的世界。而未来,还有更多的人工智能等着我们去体验...

三、AI的优势:

①与传统医疗相比,AI可弥补医疗领域的部分不足。传统医学主要基于医生自身逻辑归纳和临床经验,进而对患者的疾病进行诊疗和治疗。但由于不同医生临床经验、知识背景、逻辑框架等方面的不同,不同医生在对某些罕见病上的判读和解读也会出现差别。而AI基于编程和数据的优势,可对这一情况进行弥补。例如IBMWatson可针对相关疾病的所有文献进行检索,并根据文献内容得出结论和治疗的建议,这在一定程度上可以减少医生漏诊、误诊的概率。除此之外,AI在医疗控费方面也存在应用前景,根据高盛2016年测算的数据,随着AI技术的逐渐成熟,其将推动药物研发过程,在这种情况下,全球每年约减少260亿美元的成本支出。 “医疗数据”+“算法”是AI在医疗领域应用的重要因素。

人工智能将在五个方面改变我们的医疗行业:

1.药物研发

研发出一种新药物通常要耗时几十年。美国硅谷的Atomwise通过使用巨型计算机,在分子结构数据库中寻找治疗方法,从而加速了药物研发的速度。数据驱动型生物研究公司Berg Health也收集了大量数据,解释了一些病人成功幸存的原因,为新型治疗方式的研发提供思路。

2.疾病诊断

位于美国硅谷的Enlitic主要负责拍摄医疗图像,从X光到CT, Enlitic可以进行上千种的图像扫描,以帮助放射科的医生检测出像骨裂、小肿瘤等难以观察的微小病源。苹果智能手表上有一个名为Cardiogram的App, 它通过设置特定算法检测用户心率变化,在用户遇到严重的健康问题时立刻发出信号。

3.用药管理

美国国立卫生研究院(NIH)投资了一款名为AiCure的App。这款App通过将手机摄像头和人工智能相结合,自动监控病人服药情况。这一设计主要适用于身患重疾的病人以及临床试验的参与者。

4.医疗助手

旧金山的初创企业Sense.ly通过使用虚拟护士Molly招揽了一大批客人。通过人工智能设计,Molly能够帮助慢性疾病患者直接预约医生看诊。

5.精准治疗

作为一家主要提供靶向诊断和靶向治疗的企业,多伦多的Deep Genomics通过分析庞大的基因信息库确定治疗模式,试图研究基因突变以及基因与疾病之间的联系。

.......未待完续,AI还将带给我们惊喜......

 ——人工智能或将引领下一轮产业变革——

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