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147 results on '"Poropatich, Ronald"'

1. From Military to Healthcare: Adopting and Expanding Ethical Principles for Generative Artificial Intelligence

Author

Oniani, David, Hilsman, Jordan, Peng, Yifan, COL, Poropatich, Ronald K., Pamplin, COL Jeremy C., Legault, LTC Gary L., and Wang, Yanshan

Subjects
Computer Science - Computers and Society, Computer Science - Artificial Intelligence, Computer Science - Computation and Language, Computer Science - Machine Learning
Abstract

In 2020, the U.S. Department of Defense officially disclosed a set of ethical principles to guide the use of Artificial Intelligence (AI) technologies on future battlefields. Despite stark differences, there are core similarities between the military and medical service. Warriors on battlefields often face life-altering circumstances that require quick decision-making. Medical providers experience similar challenges in a rapidly changing healthcare environment, such as in the emergency department or during surgery treating a life-threatening condition. Generative AI, an emerging technology designed to efficiently generate valuable information, holds great promise. As computing power becomes more accessible and the abundance of health data, such as electronic health records, electrocardiograms, and medical images, increases, it is inevitable that healthcare will be revolutionized by this technology. Recently, generative AI has captivated the research community, leading to debates about its application in healthcare, mainly due to concerns about transparency and related issues. Meanwhile, concerns about the potential exacerbation of health disparities due to modeling biases have raised notable ethical concerns regarding the use of this technology in healthcare. However, the ethical principles for generative AI in healthcare have been understudied, and decision-makers often fail to consider the significance of generative AI. In this paper, we propose GREAT PLEA ethical principles, encompassing governance, reliability, equity, accountability, traceability, privacy, lawfulness, empathy, and autonomy, for generative AI in healthcare. We aim to proactively address the ethical dilemmas and challenges posed by the integration of generative AI in healthcare.

Published
2023

5. Preclinical safety evaluation of calcineurin inhibitors delivered through an intraductal route to prevent post-ERCP pancreatitis demonstrates endocrine and systemic safety

Author

Ni, Jianbo, Khalid, Asna, Lin, Yu-Chu, Barakat, Monique T., Wang, Jing, Tsai, Cheng-Yu, Azar, Pasha Reza Shams, Ding, Ying, Murayi, Judy-April, Jayaraman, Thottala, Poropatich, Ronald, Bottino, Rita, Wen, Li, Papachristou, Georgios I., Swaminathan, Gayathri, Yu, Mang, and Husain, Sohail Z.

Published
2023
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9. The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

Author

Bashshur, Rashid L, Shannon, Gary W, Smith, Brian R, Alverson, Dale C, Antoniotti, Nina, Barsan, William G, Bashshur, Noura, Brown, Edward M, Coye, Molly J, Doarn, Charles R, Ferguson, Stewart, Grigsby, Jim, Krupinski, Elizabeth A, Kvedar, Joseph C, Linkous, Jonathan, Merrell, Ronald C, Nesbitt, Thomas, Poropatich, Ronald, Rheuban, Karen S, Sanders, Jay H, Watson, Andrew R, Weinstein, Ronald S, and Yellowlees, Peter

Subjects
Prevention, Aging, Clinical Research, Health Services, Lung, 8.1 Organisation and delivery of services, Health and social care services research, Good Health and Well Being, Chronic Disease, Disease Management, Humans, Telemedicine, telemedicine, telehealth, telemonitoring, evidence, chronic disease, telestroke, telepulmonology, Library and Information Studies, Biomedical Engineering, Public Health and Health Services, Medical Informatics
Abstract

The telemedicine intervention in chronic disease management promises to involve patients in their own care, provides continuous monitoring by their healthcare providers, identifies early symptoms, and responds promptly to exacerbations in their illnesses. This review set out to establish the evidence from the available literature on the impact of telemedicine for the management of three chronic diseases: congestive heart failure, stroke, and chronic obstructive pulmonary disease. By design, the review focuses on a limited set of representative chronic diseases because of their current and increasing importance relative to their prevalence, associated morbidity, mortality, and cost. Furthermore, these three diseases are amenable to timely interventions and secondary prevention through telemonitoring. The preponderance of evidence from studies using rigorous research methods points to beneficial results from telemonitoring in its various manifestations, albeit with a few exceptions. Generally, the benefits include reductions in use of service: hospital admissions/re-admissions, length of hospital stay, and emergency department visits typically declined. It is important that there often were reductions in mortality. Few studies reported neutral or mixed findings.

Published
2014

13. Telerehabilitation Innovation in Response to Covid-19

Author

Marino, Joshua D., primary, Poropatich, Ronald K., additional, Straatmann, Jospeh A., additional, Scott, Steven G., additional, Young, Patricia, additional, Nordstrom, Michelle, additional, Liu, Betty, additional, Luken, Michelle, additional, McLean, Tameika, additional, Cooper, Rosemarie, additional, Yuan, Xiaoning, additional, Pasquina, Paul F., additional, and Cooper, Rory A., additional

Published
2022
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16. Artificial Intelligence in Health: Enhancing a Return to Patient-Centered Communication.

Author

Holtz, Bree, Nelson, Victoria, and Poropatich, Ronald K.

Subjects
PATIENT-centered communication, ARTIFICIAL intelligence, MEDICAL care, TRUST
Abstract

The medical environment is on the verge of a dramatic transformation as artificial intelligence (AI) evolves. With the inevitable shift toward AI in health care delivery, there are concerns around its implementation, including ethics, privacy, data representation, and the potential for eliminating physicians. However, AI cannot replicate a physician's knowledge and understanding of the patient as a person and the conditions in which he or she lives. Therefore, provider–patient communication will be paramount in providing safe and effective health care. This piece describes the importance of patient-centered communication and the unintentional move away from this in recent times. We argue that patient–provider communication is vital in the age of AI as it will integrate into the way medicine is practiced, thus leading to more time with the patient to build rapport, trust, and empathy. This will ultimately lead to optimal health-related outcomes. [ABSTRACT FROM AUTHOR]

Published
2023
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21. Utility of repeated fiberoptic bronchoscopy for suspected malignancy

Author

Torrington, Kenneth G. and Poropatich, Ronald K.

Subjects
Lung cancer -- Diagnosis, Fiber optics, Bronchoscopy, Lungs -- Biopsy, Health, Fiber optics, Diagnosis
Abstract

We retrospectively evaluated records of 1598 fiberoptic bronchoscopies (FBs) performed on 1,391 patients (PTs) between Jan 1, 1986 and Dec 31, 1990. We found a progressive increase from 11 percent [...]

Published
1992

26. The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

Author

Bashshur, Rashid L., primary, Shannon, Gary W., additional, Smith, Brian R., additional, Alverson, Dale C., additional, Antoniotti, Nina, additional, Barsan, William G., additional, Bashshur, Noura, additional, Brown, Edward M., additional, Coye, Molly J., additional, Doarn, Charles R., additional, Ferguson, Stewart, additional, Grigsby, Jim, additional, Krupinski, Elizabeth A., additional, Kvedar, Joseph C., additional, Linkous, Jonathan, additional, Merrell, Ronald C., additional, Nesbitt, Thomas, additional, Poropatich, Ronald, additional, Rheuban, Karen S., additional, Sanders, Jay H., additional, Watson, Andrew R., additional, Weinstein, Ronald S., additional, and Yellowlees, Peter, additional

Published
2014
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28. Operational Use of U.S. Army Telemedicine Information Systems in Iraq and Afghanistan - Considerations for NATO Operations

Author

ARMY MEDICAL RESEARCH AND MATERIEL COMMAND FORT DETRICK MD TELEMEDICINE AND ADVANCED TECH RESEARCH CENTER, Poropatich, Ronald, Lappan, Charles, Lam, David, ARMY MEDICAL RESEARCH AND MATERIEL COMMAND FORT DETRICK MD TELEMEDICINE AND ADVANCED TECH RESEARCH CENTER, Poropatich, Ronald, Lappan, Charles, and Lam, David

Abstract

An issue raised repeatedly with regards to teleconsultation, especially in disaster settings, is the effectiveness of such consultations across national boundaries. It has been postulated that technical, cultural, and training issues will be the major problems which can impede the successful use of multinational teleconsultation, in addition to language problems. The United States Army and NATO have established an agreement which allows deployed NATO forces in Afghanistan to make use of an already-deployed U.S. Army system for this purpose, and have clearly shown the successful utilization of such a system in a multinational setting. In this multinational setting, the system has thus been in use for over a year, and metrics on its success and acceptability have been collected, involving both patients and providers from multiple nations. The system involves U.S. consultants providing teleconsultation on individual patients to NATO practitioners in Afghanistan, and has been most successful in avoiding unnecessary evacuations, facilitation of needed evacuations, and return to duty of many patients. This article will discuss consult types, physician acceptance of the system, and some inherent problems in using such a system in a cross-cultural setting. Critical issues appear to be those of training of users, and ensuring that the training transfers to new practitioners upon personnel rotations. Quality of consultations and their acceptance have not been a problem. Drop-offs in usage noted in conjunction with routine personnel changes will be discussed, along with mechanisms implemented by NATO to ensure that this does not happen in the future. The acceptability and usability of the system have been such that one nation has requested the ability to use it in support of all its deployed forces, not only those in Afghanistan, thus clearly demonstrating the acceptance and desirability of the capability, in spite of the current lack of use. This effort clearly demonstrates t, See also ADA564622. Use of Advanced Technologies and New Procedures in Medical Field Operations (Utilisation de technologies avancees et de procedures nouvelles dans les operations sanitaires). RTO-MP-HFM-182. Prepared in collaboration with Great Plains Regional Medical Command, Fort Sam Houston, TX and in cooperation with the University of Maryland Medical School's National Study Center for Trauma and Emergency Medical Services, Baltimore, MD.

Published
2010

36. Mobile healthcare in the US army

Author

Poropatich, Ronald, primary, Pavliscsak, Holly H., additional, Rasche, Jeanette, additional, Barrigan, Cynthia, additional, Vigersky, Robert A., additional, Fonda, Stephanie J., additional, and Bell, Amanda, additional

Published
2010
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44. A Modeled Economic Analysis of a Digital Teleophthalmology System As Used by Three Federal Healthcare Agencies for Detecting Proliferative Diabetic Retinopathy

Author

Whited, John D., primary, Datta, Santanu K., additional, Aiello, Lloyd M., additional, Aiello, Lloyd P., additional, Cavallerano, Jerry D., additional, Conlin, Paul R., additional, Horton, Mark B., additional, Vigersky, Robert A., additional, Poropatich, Ronald K., additional, Challa, Pratap, additional, Darkins, Adam W., additional, and Bursell, Sven-Erik, additional

Published
2005
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