{"id":36570,"date":"2023-02-23T09:00:48","date_gmt":"2023-02-23T08:00:48","guid":{"rendered":"https:\/\/semmelweis.hu\/english\/?p=36570"},"modified":"2025-11-26T14:07:59","modified_gmt":"2025-11-26T13:07:59","slug":"algorithms-and-closer-connection-with-doctors-define-patient-care-in-2023","status":"publish","type":"post","link":"https:\/\/semmelweis.hu\/english\/2023\/02\/algorithms-and-closer-connection-with-doctors-define-patient-care-in-2023\/","title":{"rendered":"Algorithms and closer connection with doctors define patient care in 2023"},"content":{"rendered":"
From systems able to predict sports performance at the Olympics to \u201cfixes\u201d for pacemaker issues to rapid diagnostics, medicine is taking more advantage of technology in 2023 than ever before. This allows doctors to return to classic medicine and spend more time with their patients while also paying attention to climate considerations and carbon footprint.<\/div>\n

Big data to tell who may become a gold medalist<\/strong><\/p>\n

Assessing and predicting athletic performance and optimizing training are questions even the most experienced coaches have a hard time answering. Artificial intelligence, however, can bring us closer to solving such problems. With the help of a brand new system developed by Semmelweis University in Budapest, which compares more than a 100 parameters of sports cardiology and other tests (e.g. blood samples), athletes\u2019 performance<\/strong> will become<\/strong> much more predictable<\/strong>.<\/p>\n

\n

In fact, it may even be able to tell if the given athlete has a good chance of becoming a world or Olympic champion.<\/p>\n<\/div>\n

The method and the related study are planned to be published this year by Semmelweis University \u2013 says B\u00e9la Merkely, head of the university\u2019s Heart and Vascular Center.<\/p>\n

Breakthrough in fixing pacemaker malfunction<\/strong><\/p>\n

In 2023, those with pacemakers who experience heart failure due to altered heart function<\/strong> may finally receive treatment based on evidence<\/strong>, not individual decisions. A new trial by Semmelweis University, which included and followed up a large cohort of patients with reduced ejection fraction (the heart\u2019s ability to pump oxygen-rich blood out to the systemic circulation) due to pacing, may serve as essential guidelines for cardiologists worldwide. \u201cDue to pacing, after a period of time, 20% of pacemaker implanted patients may develop heart failure<\/strong> and become candidates for a cardiac resynchronization therapy. This involves implanting another electrode along the left ventricule\u2019s lateral wall\u201d \u2013 says B\u00e9la Merkely, head of Semmelweis University\u2019s Heart and Vascular Center.<\/p>\n

\n

Since 5% of the population suffer from heart failure and a fifth of those with a pacemaker will experience heart failure as a result of the above-mentioned reasons, the evidence provided by the trial may be a milestone in cardiology<\/p>\n<\/div>\n

Artificial intelligence (AI) will help radiologists turn to deep medicine, with deeper connections and more time with patients <\/strong>\u2013 the very aspect this field has lost during the past decades <\/strong><\/p>\n

From introducing AI-based triage software to installing CT-scanners that can provide far more precise assessment of diseases while emitting a fraction of the radiation, the coronavirus pandemic has accelerated digitalization in the field of radiology as well. All this helps radiologists to gradually return to the roots of medicine<\/strong> and participate in multidisciplinary teams or interact more with their patients.<\/p>\n

\n

In 5-10 years, AI will handle most of the repetitive tasks and evaluation, which will allow radiologist to take on a more consultative role and actually spend more time with patients \u2013 the very aspect of patient care\u00a0 technology will never be able to replace<\/p>\n<\/blockquote>\n

\u2013 says P\u00e1l Maurovich Horvat, head of Medical Imaging Centre of Semmelweis University.<\/p>\n

The expansion of AI won\u2019t stop at evaluation though, the expert notes. The entire diagnostics-chain will see make good use of it. \u201cIt will set appointments, assist image reconstruction<\/strong> (which is key to reducing dose), support professionals in post-processing<\/strong> to cut time and will also help reports make more sense for patients\u201d \u2013 he adds.<\/p>\n

A less invasive and more effective approach to treat diabetes<\/strong><\/p>\n

While the number of patients with diabetes in developing countries will continue to rise, in developed countries it is going to stall in part as a result of better diagnostics and the gradual implementation of prevention strategies. Since roughly 90% of people with type 2 diabetes<\/strong> – who make up 90% of people with diabetes – are overweight, dealing with obesity<\/strong> is going to be given a greater role.<\/strong><\/p>\n

\n

From prescribing insulin \u2013 an anabolic compound that contributes to weight gain \u2013 treatment is shifting towards new, innovative drugs\u00a0 that can be used to delay or replace insulin administration.\u00a0<\/p>\n<\/div>\n

These include glucagon-like peptide 1 (GLP-1), receptor agonists and sodium glucose cotransporter 2 (SGLT-2) inhibitors. “GLP-1 receptor agonists can be given to many patients who previously were treated with insulin,” says professor Peter Kempler of Semmelweis University\u2019s Department of Oncology. In addition to stimulating insulin secretion, the latest drugs<\/strong> also reduce body weigh<\/strong>t as they curb the appetite<\/strong>, which is particularly beneficial for patients with type 2 diabetes. Certain molecules even have kidney- and heart protective properties. Though the market has experienced a shortage of these drugs lately, these treatments are expected to gain more ground in 2023.<\/p>\n

Reducing carbon footprint in ERs by rationalizing care<\/strong>\u00a0<\/strong><\/p>\n

Dampening the effects of climate change is given a greater focus in 2023 in emergency care as well. \u201cWe expect that the number of climate change-related incidents<\/strong> will continue to rise<\/strong> and we are preparing accordingly\u201d \u2013 says P\u00e9ter Kriv\u00e1csy, head of ER at Semmelweis University\u2019s Department of Pediatrics. In line with that, efforts to reduce the environmental impact of care<\/strong> are also becoming more enhanced. “Many children come to the ER with symptoms such as vomiting and diarrhea. \u201cFor years, we have been using a protocol that consists of a single treatment and the oral administration of the related electrolyte drink,” says Kriv\u00e1csy.<\/p>\n

\n

This way they were able to reduce not only the number of children admitted to the hospital and needing infusions, but also their ecological footprint, as they don\u2019t use cannulas, infusions and infusion equipment.<\/p>\n<\/div>\n

In addition to the positive environmental impact<\/strong>, this also means that children do not have to experience pain<\/strong> and physicians can direct their care capacities to other patients. \u201cProgress does not always equal the introduction of technology or new drugs. It can also make a difference if we organize patient care more efficiently” \u2013 says the expert.<\/p>\n

Mindfulness and self-regulation \u2013 two key themes in psychology in 2023<\/strong><\/p>\n

Resilience – flexible coping – is key to being able to prepare for the future and thrive. This ability is largely dependent on people\u2019s awareness of what impacts them. “We know that we are influenced by the media but we are less aware of the extent to which it affects our well-being, our relationships and our decisions” \u2013 says D\u00f3ra Perczel-Forintos, Head of the Department of Clinical Psychology at Semmelweis University. Mindfulness, a practice that is continuing to expand, can help us be more realistic and positive about reality.<\/p>\n

Self-regulation is another key theme that is bound to gain more ground this year. Parenting<\/strong> is a good example for this which, after the strictness of the first half of the 20th century is now characterized by<\/strong> an almost complete abandonment of rules.<\/strong><\/p>\n

\n

This, however, prevents most young parents from enjoying parenthood in the early ages because they go through great length to keep their children happy often at their own expense<\/p>\n<\/blockquote>\n

\u2013 the expert says.<\/p>\n

Sleep disorders becoming more important after the pandemic <\/strong><\/p>\n

As a large proportion of the adult population struggle with sleep problems<\/strong> following the coronavirus pandemic, sleep disorders are becoming ever more important.<\/p>\n

\n

It helps to preserve and restore full working capacity if polysomnography tests performed in sleep laboratories are widely available and sleep disorders are treated<\/p>\n<\/blockquote>\n

\u2013 says Veronika M\u00fcller, director of the Department of Pulmonology at Semmelweis University. “While we continue to pay special attention to the treatment of pneumonia, with regard to SARS-CoV2, it is necessary to introduce new, effective and oral therapies (e.g. for patients at home) as we must prepare for the spread of influenza and other respiratory viral infections.”c<\/p>\n

In the early detection of interstitial lung diseases<\/strong>, the role of higher precision diagnostics<\/strong> \u2013\u00a0 such as high-resolution photon-counting CTs or low-dose CTs \u2013 will grow as these provide a more detailed image of the lungs than traditional X-rays. Significant progress is expected with the inhalation treatment of pulmonary hypertension (high blood pressure in the lungs resulting in severe shortness of breath or heart failure), which can be detected in addition to pulmonary fibrosis.<\/p>\n

Photo: Attila Kov\u00e1cs \u2013 Semmelweis University; Cover photo (illustration): iStock by Getty Images – Valerii Evlakhov<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

With the help of the brand new system developed by Semmelweis University, athletes\u2019 performance will become much more predictable.<\/p>\n","protected":false},"author":102059,"featured_media":36578,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[129,286],"tags":[31,261,339],"class_list":["post-36570","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-x-nyitolap","tag-health-care","tag-press","tag-prevention"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/posts\/36570","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/users\/102059"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/comments?post=36570"}],"version-history":[{"count":11,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/posts\/36570\/revisions"}],"predecessor-version":[{"id":46654,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/posts\/36570\/revisions\/46654"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/media\/36578"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/media?parent=36570"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/categories?post=36570"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/english\/wp-json\/wp\/v2\/tags?post=36570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}