need
hospitals dont save lives, people save lives.
2008-05-02, 07:48:57
Only Slightly Bewildered
2008-04-05, 02:05:00
GLORIFIED THROUGHOUT THE WORLD NOW AND FOREVER
SACRED HEART OF JESUS PRAY FOR US
ST JUDE HELP OF THE HELPLESS, PRAY FOR US"
SAY 9 TIMES A DAY AND BY THE EIGHTH DAY YOUR PRAYERS WILL BE ANSWERED.
Scrap of paper lying in the gutter outside Como Primary School, New South Wales. ">Those in Need
2008-04-16, 06:40:00
Parker was issued a patent for the technology in September last year and has refined the process to such an art he even used his digital army of PC-powered "authors" to compile answers to interview questions for this article, based on information he had already written about his creation.
"The goal was to create original titles (book, videos, games, etc.) on topics that would not be economically viable if published using traditional methods, or covering topics that might be of interest to a limited audience that would nevertheless find the titles useful (what some call the 'long tail')," he said.
The machines - up to 10 PCs for a single sub-sub-genre - then work on compiling thousands of individual titles around the topic, which take about an hour each to compile.
"These genres create wholly original content or conclusions ... much the way consultants draw original conclusions from data they analyse," Parker said.
"If data need to be collected online as on author would, then this process is fully automated - much the way bloggers 'read' things online and then create comments based on what they have read."
Basic English errors in Parker's computer-compiled responses to interview questions highlight the fact that his processes aren't infallible.
To be sure, Parker does not believe his technology will render all human authorship obsolete - only that which is "mundane" or uneconomical to otherwise produce.
(Excerpted from) Asher Moses - Automaton Author Writes up a Storm, The Age, 21 April 2008.
">Automatic Writing
2008-04-23, 14:21:00
Bluebird of Happiness
2008-05-01, 03:06:00
Role of routine chest radiography after percutaneous dilatat
2008-04-11, 00:00:00
Plasma concentrations and sedation scores after nebulized an
2008-04-11, 00:00:00
Unusually early onset of post-dural puncture headache after
2008-04-11, 00:00:00
Pharmacokinetics of intravenous dexmedetomidine in children
2008-04-11, 00:00:00
"These Posts Have Given Me the Strength I Needed"
2008-04-27, 09:03:10
Diagnosis: Non-healing erosions etiology unclear. One always considers factitial disease in health care professionals with atypical skin lesions and this man also has free access to needles as a diabetic. In a year, the scalp lesion has shown no tendency to improve.
Further Treatment: He was treated with topical corticosteroids in case this was erosive pustular dermatitis of the scalp (no response) and imiquimod in case erosion might have been hypergranulation tissue. (no response) We ordered Duoderm dressings, but they were too expensive for the patient.
Questions: Where would you go from here? Diagnostic and therapeutic suggestions.">Stumped...
2008-04-16, 12:14:00
Nice seafood
2008-04-02, 18:20:00
TGIF
2008-04-04, 18:33:00
These are the many medications I give out to patient with Psoriasis.
I usually diagnosed this disease in a glance. Most part of my consultation is to explain to the patient regarding the disease, as well as various types of medications the patient need to apply, including the various detail steps on how the medications are applied and their various expected side effects.
Am I in no better qualified position to do the explanation and counseling in regards to the medications used and their various side effects?
How much one be sure that the pharmacists could explain how exactly I want the patients to use the way I want them to use?
I can tell you, they have no ideas and that is why I kept a full range of medications on my table to show and teach the patients how to use them.
Here's some comment from one reader:
"My point is that if dispensing separation were to take place, a check and balance system will be in place. The doctors wins, the pharmacists win, the patients win. Win-win for all. Isn't that good?"
My question now is, how are we really be sure that what the doctor prescribes, is what the patient should get?
This was the third time I encountered this on the same day.
I wrote a prescription for the amount of 200 gm, and the patient only received 60 gm. Did the pharmacists understand how much 200 gm is? Did they see the patient and estimate how much the patient need it? NO, and I am so tired of writing new prescriptions again and again just to get the exact amount of cream I wanted the patient to get. I am just so fed up.
Here was another prescription I wrote for a patient.
I wanted to give out the 'cream' form and for 30 gm amount.
This was what the patient received, 'ointment' and only for 15gm.
When I called back to confirm, they admitted it was their mistake.
Therefore, if pharmacists are to check on the doctors' prescriptions, who are there to check if the pharmacists dispense the correct medications and amount or not?
So, does the separate dispensing system really work with the 'check and balance' concept that benefit patients.
I hope doctors would not get new role, that is, to check back on pharmacists.
Read more about my posting over Storyformydoctor 1.0.
">This dispensing stuff again
2008-04-20, 06:59:00
remembrance. (for mr wimps)
2008-04-19, 14:41:46
who will Triage the health system?
2008-04-24, 08:43:21
Locus Solus
2008-04-02, 13:36:00
Effects of short-term simultaneous infusion of dobutamine an
2008-03-16, 00:00:00
Refreshing
2008-03-17, 15:49:00
JPA scholar
2008-03-23, 16:56:00
New leaf
2008-03-26, 18:39:00
So, what happen if someone owns a gun but doesn't have bullets?
Here are some questions and answers related to my posting:
What is the hottest topic among health care providers these few days until even LKS and Malaysia Today blog about it?
The dispensing rights between the doctors and pharmacists.
What is dispensing (medicine)?
To give out or to distribute (medicine).
Who has the rights to dispense in Malaysia currently?
1) Doctors. 2) Pharmacists.
What has the pharmacists been demanding for the past 20 years and now?
The exclusive rights to dispense medicine, no one else.
Why is the rights so important?
Pharmaceutical industry is an extremely profitable business. There is a huge market out there. One can become rich (like doctors?) with such rights. This can be equate to automobile companies with APs (exclusive rights to import certain cars).
Who are practicing separate dispensing currently?
1) All the government hospitals and clinics in Malaysia (Actually not entirely true as many of the dispensing role are done by "dispensers" because there are shortage of pharmacists in the country).
2) All the private hospitals in Malaysia.
Who are not practicing separate dispensing?
All private General Practitioner clinics and most of the individual Specialist Clinics.
Why are they not practicing it?
1) There are not enough pharmacists.
2) Smaller clinics could not afford to hire pharmacists to dispense.
Why are pharmacists unhappy about it?
They are losing income or business for not been able to get enough prescriptions for them to dispense. That is why they are resorting to selling all sort of stuffs (like supermarket), such as health supplements, milk powder, self-grooming stuffs and even food stuffs like mineral water.
Why are doctors refuse to give away their rights?
Primary care or General Practice in the private sector is very profitable (one can not denied) and very competitive as well. Many GPs resort to lower their consultation fees in order to get the patient volumes and gain from dispensing medicines. Take for example, many GPs lower the cost to charge per patient (in a package of consultation plus medications) in order to get accepted as "panel" for many companies. This lowers the cost of health care.
What happen if doctors loose the rights?
Many will close shops due to competition as they will never get enough from consultation alone in view of so many private GP clinics out there.
While it is really not of my concern about who gets to dispense, because I work in the government hospital, what curious me is, why is the MOH so eager to bring up the issue and to go ahead of such implementation (of separate dispensing)?
Indirectly, this may have to do with stopping more outflux of doctors to the private sector as it may not be profitable anymore to earn a living as GPs in future.
In few years to come, with so many medical graduates coming from every corner of the country and overseas, there will be a time where the market is saturated and doctors would need to start begging to get employed in MOH.
While John Chang and Dr. Khoo Kah Lin can go and debate who and why pharmacists should be or not given the exclusive rights, I am more concern if implementation would be successful if ever the pharmacists won the rights.
This patient has been buying the above three medications from the pharmacy for the past two years without a doctor's consultation and prescription for frequent joint pains.
My few concerns:
1) Will patients ever understand the danger of not consulting the doctors for their problems and to buy medicine from the pharmacies because they are cheaper?
2) Will enough enforcement be there to make sure pharmacists only dispense medicine with only prescription from doctors?
3) Will patients willing to spend more on separate prescription and dispensing (higher cost of health care)?
Meanwhile, few possibilities I could imagine if doctors and pharmacists want to cooperate to share the pie:
1) Doctors to hire pharmacists and pay them accordingly to dispense in the clinics.
2) Doctors and pharmacists to open joint venture and share the profit accordingly.
Related links:
MMR
">Gun without bullets
2008-03-31, 14:29:00
cricoid pressure. friend or foe?
2008-03-27, 12:00:19
How to Make a Frittata Like My 99-year-old Italian Grandmoth
2008-03-07, 05:55:00
Dinner talk
2008-03-05, 16:47:00
So, after the voting, I went looking for the "claim" counter. I asked the EC officers, one guy shyly whispered that I need to go to certain "booth" set up by certain "people". I then walked out from the school compound, and I saw many men in blue, absolutely no other colors seen!.
I was been referred from one man to another, and finally one guy brought me in his motorbike to a camp set up some 200 meters away. According to him, that was the MSeeA camp. So, I asked the two Chinese guys sitting there about the said claim. I was told, "No, there is no such claim. You need to go back to your original work place to enquire". "Huh? Go back to my work place to ask? Ask who?" Obviously, these MSeeA guys did not understand what I asked them, or were they just pretending?
Backed to the school, one chap then offered to bring me to another camp belonged to @MNO, which was a bigger one. I was asked to go into the office, and there I saw few others were already lining up.
So coincidently and embarrassedly, I bumped into a nurse who actually recognized me, but I didn't know who she was. And, she had such a thick face to ask me who I voted for.
Didn't my appearance show it all?
Anyway, least to say, my trip back this time was worth it.
">Men in blue
2008-03-08, 07:07:00
Certain things are hard to articulate, hard to swallow.
The people that tell you these certain things are usually the ones you need to know.
">Pig and Monkey
2008-02-19, 10:12:00
Your Way to a Healthy Smile
1970-01-01, 02:00:00
Election fever
2008-02-23, 15:42:00
squinting through austrauma 2008.
2008-02-18, 08:01:02
Influence of transactive memory on perceived performance, jo
2008-02-14, 00:00:00
Why do Australian kids need their teeth pulled?
1970-01-01, 02:00:00
Got tagged
2008-02-15, 16:54:00
meditation: dampening the work echo.
2008-02-09, 13:22:10
Ultrasonographic control of the puncture level for lumbar ne
2008-01-22, 00:00:00
Long-term functional outcome and performance status after in
2008-01-22, 00:00:00
Simulation to analyse planning difficulties at the preoperat
2008-01-22, 00:00:00
Coronary artery bypass grafting in the awake patient combini
2008-01-22, 00:00:00
How Do Dentists Treat Tooth Decay?
1970-01-01, 02:00:00
Resolve to be better in 2008
1970-01-01, 02:00:00
Pets Need Dental Care Just Like People
1970-01-01, 02:00:00
Ginger and Onion Chicken Rice, RM5.00.
There are so many chicken rice shops over here, but this one stands out, cause it has the most customers, RM 7.00 (including soup).
Finally discovered one big hawker centre here.
Kum Heung Chicken Rice, RM5.00.
BTW, here is a good guide to food in JB.
">Food and food
2007-12-23, 08:16:00
Hot, hot now
2008-01-09, 18:05:00
LCM
2008-01-22, 15:48:00
Dire Shortage of Dental Academic Teachers
1970-01-01, 03:00:00
Deeba of Passionate About Baking from Gurgaon, North India. Deeba shares a classic holiday cookie with a twist: Lime Shortbread Cookies. Rich, buttery shortbread is enlivened with tangy lime zest and lemon sugar for sprinkling. For an even more kid-pleasing version, she made chocolate shortbread sandwiches by placing a layer of ganache between two cookies! Who wouldn't love that (at any age)?
Lisa of Homesick Texan from New York, USA. What would life be without mom's homemade cookies? Fortunately, Lisa doesn't have to find out because her sweet mom mails them to her. Mom's Raspberry Bars made from raspberry preserves, sliced almonds, and vanilla chips are so beautiful, they'll make make you want to sing (like Lisa). Always a hit with her guests, these bars were described as "pure heavenly decadence," by one eater. Need I say more?
Manisha of Indian Food Rocks from Colorado, USA. Manisha presents a special recipe for Nankatai, a treat that made her Diwali celebration extra special this year. Made with ginger, cardamom, and nutmeg, these cookies will fill your home with the warm fragrances of the winter season. To learn more about these "golden powdery ghee-laden Indian cookies," check out Manisha's post.
Deeba of Passionate About Baking from Gurgaon, North India. Deeba shares her recipe for Stained Glass Cookies that can also be used as Christmas tree decorations! Children would just love making these cookies and then decorating their trees with them! Plus, they make a beautiful gift for adults too--hint, hint.
Manggy of No Special Effects from The Phillipines. Manggy has sent us a classic Christmas cookie--Thick and Chewy Gingerbread Cookies. These are Manggy's first gingerbread cookies, courtesy of Cook's Illustrated, and they are simply precious. Children and adults will absolutely love them!
Chef JP of The Chef From Hell from Lindenhurst, New York, USA. Chef JP has sent us a real treat--Santa Claus's favorite cookie: Snickerdoodles! Santa enjoys them with a cup of Mrs. Claus's special cocoa, and you will too. Check out JP's site to discover the secret ingredient.
Deeba of Passionate About Baking from Gurgaon, North India. These festive Iced Sugar Cookies (pictured above) are fun to make and delicious to eat. Passionate Baker says they are her "all time popular cookies that kids love." I know plenty of adults who would love them too.
Janet from Rhode Island, USA (Food Blogga's Mom). Janet shares my grandmother's recipe for Molasses Cookies. Made with dark molasses, black pepper, and orange zest, these cookies are sweet and pack a zing. Janet says, "Every year when I made my Christmas cookie trays, I topped each one with a molasses cookie. The recipe was my motherā??s, and they were always the crowning glory of my cookie trays. To this day, they remain my favorite Christmas cookie and bring back memories of baking with my mother who is now 99 years old in a nursing home."
Deeba of Passionate About Baking from Gurgaon, North India. Deeba's Biscotti are so scrumptious that you won't even leave the crumbs behind. Made with olive oil, pistachios, currants, and chocolate chips, I would love to receive these biscotti as a Christmas present.
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">Christmas Cookies from Around the World
2007-12-02, 18:35:00
Head To Head: Should NICE Evaluate Complementary And Alterna
2007-03-11, 16:24:00
Should NICE evaluate complementary and alternative medicine?
2007-03-19, 23:04:00
That bill also changes the makeup and scope of several other state regulatory boards.
SB413 would mandate that insurance companies accept "ABC Codes," a new type of coding system that has more detail about alternative therapies. Using that system would make it easier for practitioners such as chiropractors, massage therapists and homeopathic doctors, said its supporters.
Using ABC codes could make it easier for massage therapists to get resp