V. Kharchenko
Server of information and analytical medicine, Ukraine
Title: Universal algorithm of differential diagnostic
Submitted Date: 8/5/2015
Biography
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Abstract
Dear Colleges! Modern development of telecommunications today allows conducting a telemedical consultation of any complexity. However, a problem of telemedicine consultations, as well as any other consultation is not in remote access of a doctor to a patient. This is a common problem of diagnosis. I would call this problem of the name of serial \"Doctor House.\" This problem is a lack of pathognomonic symptoms for diagnosis. The process of diagnosis, in practice works like this.\r\nStep one. A doctor makes a list of possible diseases that the patient may have. Step Two. The doctor makes a list of symptoms to confirm these diseases. Step Three. The doctor determines the presence or absence of these symptoms in the patient. And then the problem of Doctor House is arising. Found the symptoms may not be suitable to the list of probable diseases.\r\nFortunately there is a solution of this problem. Unfortunately the solution of the problem is only the mathematical one. I applied a mathematical formula to create an algorithm differential diagnosis. The result has been stunning.\r\nThe algorithm of differential diagnosis solves any problems with making diagnosis. It optimizes the diagnostic process and save money by eliminating the inappropriate tests. I will try to explain how it works.\r\nA patient consults to a doctor with some symptoms. The doctor inserts these symptoms in the diagnostic program. The program shows on screen all known illnesses with these symptoms. Usually it is a list of several dozen illnesses sometimes hundreds ones.\r\nIf you click on any illness you can see it‘s symptoms. At this stage the syndromic diagnosis ends. The Problems of Doctor House begin. To avoid this problem I run the algorithm of differential diagnosis, which works through all of these diseases. This algorithm indicates to me a symptom which I should identify in the patient. Positive or negative answer I paste to the program. Six or ten of these steps and the diagnosis is complete.\r\n\r\nSummary:\r\nUniversal Algorithm of Differential Diagnostic solves all problems with remote diagnostics and clinical diagnostics.\r\n
Tanjir Rashid
Cyberpsychology Research and Consultation Center, Bangladesh
Title: Implementing mobile health services in mental health
Submitted Date: 8/09/2015
Biography
Tanjir Rashid completed his MBBS from Dhaka University in 2007, and he obtained his MPH in 2012. He has completed his MD residency in Psychiatry. Currently, he is working as a founder and principal investigator in Cyberpsychology Research and Consultation Center. Previously, he worked in ICDDRB as research physician. He is the author of 10 national and international scientific papers and he is also working as a reviewer for various international journals. He is interested in behavior addiction like internet and Facebook addiction, cyber bullying and porn addiction.
Abstract
Mobile health service is expanding in Bangladesh. People are able to seek health service from a registered physician at anytime from anywhere of the country. Both public and private sectors are providing mobile health service. People seek advice for emergency health, contraception, common health problem, substance abuse related problem with other psychiatric problems and sexual problems. This service has opened a new horizon regarding the sexual problem and psychiatric disorders. Psychiatric diseases are highly stigmatized in the Bangladeshi culture and people are very reluctant to seek psychiatrist\'s help. People feel free to talk about psychiatric and sexual problem over phone due to anonymity and easy access. Sixteen percent of the people are suffering from psychiatric illness in the country. However, there are only 223 qualified psychiatrists in the country for 160 million of people. The psychiatrists developed online Bangla screening test like DAWBA, PHQ etc. However, they are yet to start providing online psychotherapy. The Bangabandhu Sheikh Mujib Medical University and few other centers have started a hot line for suicide prevention and support. Cyber Psychology Research and Consultation Center is trying to create awareness regarding problematic Facebook use, cyber bullying, Facebook addiction and porn addiction. The center is alsoproviding advice and treatment. However, most of the people of the rural area are not informed about these services. We experience occasionally people provide wrong information about their health, make indecent comments and use the mobile health service to take their intended drug as a reference center. Moreover, there is no national ethical guideline for mobile health and internet based health service. A universal guideline regarding mobile and internet based mental health service will be beneficial for all.