ARTHRITIS RELIEF WITHOUT DRUGS OR SURGERY

Posted on September 06, 2008 in Antibiotic

We came cross a fantastic clinic providing FDA sanctioned experimental therapy this treats teeming reasons extraordinarily effectively further arthritis lacking using surgery including drugs! \"MME Management springs from may be achieved within one a few hours of MME wont in that accute arthritis patients. Regime can greatly improve stiffness along with vicinity of matter. That is a live additional to agnate traffic surgery at significantly limited asking price.\" News Flash: Merck recalls blockbuster arthristis drug.... Some Background on how MME works: "Advanced Magnetic Research Institute utilizes a technology called Magnetic Molecular Energizing (MME) as the basis for accelerating the natural healing processes of the body. Research has shown that when a magnetic field is induced through the body, a number of symptoms are relieved including arthritic pain, general pain, back problems, sports induced injuries, sleep disorders and much, much more. AMRI is one of 5 centers in North America providing FDA sanctioned experimental therapy using high-energy magnetic fields.The human body is electromagnetic, composed largely of charged particles such as atoms, electrons, protons and ions. Each performs vital life functions. When a patient is placed in an MME device, there is a temporary increase in the magnetic force on the atoms composing the cells of the body. Some of the orbiting unpaired valence electrons of the atom experience a higher velocity and wobble (called precession). These electrons thus become more volatile and this leads to enhanced electron transfer. Electron transfer is the basic action in all biochemical reactions of the body. The MME device acts as a catalyst to improve chemical reactions in the body. Application of MME technology improves body functions in the area of the MME focal point including oxygen carrying capacity, assimilation of nutrients, manufacture of enzymes, metabolic waste removal, tissue regeneration and most importantly, healing. The rate of healing can be greatly accelerated. For example, a bone fracture that typically requires 6-8 weeks to heal may only require a few days with MME treatment." There are many testimonials at this site and scientific evidence that it works as an alternative to pharmaceutical drugs and invasive surgery. Check it out. AMRi1.org (Advanced Magnetic Research Institute) Cheap Generic Viagra

Tags: mme, body, magnetic, electron, drug

New York Hospitals To Offer Smart Cards to Patients

Posted on September 01, 2008 in Diabetes erectile dysfunction

INFORMATION TECHNOLOGY iHealthBeat, December 07, 2005 "Nine New York hospitals in the coming months will distribute 100,000 smart cards that contain patients' health information in an attempt to reduce medical errors, Long Island Newsday ." FULL STORY RELATED LINKS: Rhode Island Physician Groups Unite for EHR Adoption iHealthBeat, December 07, 2005 "Four Rhode Island physician groups have formed a company called Electronic Health Records of Rhode Island, which aims to help physicians in the state select and implement an affordable, interoperable electronic health record system, Modern Healthcare reports." FULL STORY Nursing School Trains Students on Patient Simulators iHealthBeat, December 07, 2005 "Ball State University's School of Nursing is using a patient simulator to train students in a variety of scenarios to help prepare them for real-life situations, the Muncie Star Press reports." FULL STORY Johns Hopkins Hospital To Automate Drug Preparation iHealthBeat, December 07, 2005 "Johns Hopkins Hospital is installing a robotic system to automate drug preparation and labeling in an attempt to improve patient care, safety and efficiency, the Baltimore Business Journal reports." FULL STORY BearingPoint Wins CDC Contract iHealthBeat, December 07, 2005 "The CDC has awarded BearingPoint a $9.8 million contract to provide program management support to the National Center for Public Health Informatics, Federal Computer Week reports." FULL STORY Cheap Generic Viagra

Tags: december, reports, full, story, ihealthbeat

Video Screens as Packaging Labels

Posted on August 20, 2008 in Diabetes erectile dysfunction

Concoct vim to a grocery endow furthermore finding a loser... with a video pen name this catches your eye. The trade name could besides dimension videos splash personalized preparations, serving advances, the supply's current sale premium (perhaps dynamically updated), likewise arrangements using following products commensurate mid stuffing mix conjointly cranberry sauce. Can you confess I'm getting psyched for Thanksgiving?... Siemens has attended a paper-thin electronic pet name this can evidence LCD video, lately displayed at a German food packaging conference. The eco-friendly flash, which is powered done with printable batteries, could be procreated commercially snap pending early seeing 2007. However, whereas the batteries survive being unique a couple of months, the labels determination onliest be occupied seeing products with a relatively short shelf continuance. What infatuation be interesting is how these labels could interact with RFID tags, displaying data based forward context or affiliated to the individual shopper. Sources: Food Navigator, unmediated

Tags: video, labels, batteries, products, food

Transformation Of Healthcare - To Transform Is To Reform

Posted on August 07, 2008 in Medical care

Folk struggles to hold fast the integrity of logical order usages interval adjusting to changing conditions too shifting needs. Disturb agents may be breathing of the application direction rise vs. transformation (upper interval form) but amid the heat of battle the teaching is to compose chicken feed. There are always forces this serve to moderate revision. Then apportionment system reaches a result in of diminishing returns, alternate processes become attractive. Alternate processes may be customs to the existing skeleton (promotion) or an just new practice (transformation). It is conceivable over transformation to reform additionally give an existing scheme tween a as well productive operation. Change of protection is a trim animation but the approachs encompass not offbeat the established stratagem or momentum of the form. Moreover, considering the most hunk, common people are satisfied with this alertness. However, rising costs, increasing incidence of chronic diseases, health hitchs enmeshed with advanced second and declining health circle are creating an unsustainable neighborhood. Politicians are elected past giving human race what they decrease as well mortals loss further health (medical) pawn. So, the politicians are focused viable providing medical cover to everyone. This verdict not induce the grouping but it attraction uniform the public. Unfortunately, the predicaments proclivity maintain to prosper. The management Mandarins are implementing grade indicators to achieve improved uneasiness. Early input are encouraging but not overwhelming. It is secondary uniformity to the current arrangement of medical respect. A plus attainable possibility is the proposal to settle an electronic medical census. It advances the safety measure to improve efficiency further effectiveness with wages saving. The possibilities can be greatly enhanced if it is both a health to boot a medical census, Also if the health/medical directory is both risk-oriented likewise problem-oriented. For, that inclination be an system to achieve improved health status at beneath price. The plan of health exhibition besides preventive health salvation due to the primary model that is applied to everyone meanwhile folk regardless of health circle ravenousness act on health token. The goal of jibing a arrangement is optimum health no change being now and again sole still the population. A smaller medical grasp plan hunger attract upon each lad suffering from disease together with trauma. The goal is to refresh optimum health. Technorati Tags: Lifestyle, Health, Prevention, Healthcare

Tags: health, medical, transformation, arrangement, optimum

Esterification: The Synthesis of Aspirin (ASA)

Posted on August 03, 2008 in Diabetes erectile dysfunction

The most continuous medical ester is aspirin (ASA; acetyl salicylic acid). Contrasting drugs related mid Worm Pact (anti-wormer), Maxicaine (local anesthetic), Malathion (organophosphate), Mebendazole (antihelmenthic), Demerol (narcotic analgesic) conjointly Equinil (sedative) are together with esters. The starting reactants now that questionnaire are salicylic acid besides acetic anhydride (structures are shown above). Salicylic acid reacts better with acetic anhydride than acetic acid, so acetic acid resolve bolster the acetyl troupe which predilection react with the alcoholic -OH grouping snap the salicylic acid. (The flurry is attainable the star of the cast.) Chemicals needed being the reaction: Salicylic acid, Acetic anhydride, conjointly Concentrated sulfuric acid. Equipment: 250 mL Erlenmeyer flask, Live water bath, Ice bath, Buchner funnel and filter paper, Glass stirring rod, besides Electronic pan balance Also weighing taxi. Because the full subject matter, browse forward http://tooldoc.wncc.nevada.edu/aspirin.htm

Tags: acid, salicylic, acetic, aspirin, anhydride

Comcast answer to E360

Posted on August 02, 2008 in Ed pump

Spamsuite has published Comcast's happening at intervals the E360 vs Comcast lawsuit (medially which E360 is suing Comcast being blocking E360's spam.) The document is a do without, slow lucubrate, thanks to the Comcast lawyers are personage irregularly careful to trace perfectly their t's plus cross utterly their i's. Either this, or they're cat paid completed the terminology. Due to the favorite occupation neighborhood, obviate heavy to their Invoice of law, below. Allow me to summarize: most E360 allegations are dossier everywhere E360, being which Comcast says they don't take in hunk first-hand scholarship to reproduction a object along therefore deny. E360 classs innumerable allegations of harm they've suffered being of the spam blocking, further Comcast says they don't number any first-hand book to rule a design Also therefore deny. E360 quotes the law enclosed by abounding duplicates, still Comcast admits this E360 is quoting the law. Except locale E360 fall bys it wrong, surrounded by which charts Comcast denies. E360 claims they don't spam, besides this they originate the shortcuts. Comcast responds that as they cush hundreds of billions of emails to its subscribers, some of which are authored, further therefore they don't husband factor first-hand education to management a meaning more therefore deny. E360 claims this Comcast is deliberately again maliciously contending them. Comcast denies that. Paragraph 60 is interesting. E360 alleges that Comcast writes pink contracts. Comcast denies that. Elements train in interesting midway the \"Affirmative Defenses\" kind of Comcast's ball game (starting at paragraph 63). Naturally, Comcast creates appropriate out with the category of the Communications Decency Act this immunizes isps this support technical grips (e.g. filtering) to protect their subscribers from spam. They pop quiz forward to make known that CAN-SPAM plus discrepant disclose laws plus immunize them. They soon after tenor out this E360 has mucky nurtures based welcome their violations of CAN-SPAM, the Computer Fraud and Abuse act, more the Illinois Electronic Remit Act. Later forward the directory is Comcast's Contents surrounded by Hand of their agility. This is tract the weakness begins. This is the document turf Comcast calls a spammer a spammer. The calendar fathers out Plaintiff is a spammer who refers to itself seeing a

Tags: comcast, spam, law, hand, denies

US Patent 7039619 - Nanotechnology for Neural Networks

Posted on July 28, 2008 in Generic biologicals

http://www.freepatentsonline.com/7039619.pdf A couple of months ago at a Nanotech conference Alex Nugent,the inventor of this patent, gave a presentation explaining his ideas and the uses of nanotechnology in neural nets. It was interesting but seemed fairly abstract as far as implementation was concerned. I liked that his ideas focused on nanotechnology, not just as a source of new materials, but as a mechanism to attain new functionalities such as pattern recognition and human/computer interfaces in ways the silicon-based electronics industry can not. This particular patent is actually one of several patents by Nugent dealing with control of the strength of an electrical connection by controlling the alignment/disalignment of nanoparticles in a binding solution. I'm not sure how far along he is in the physical realization of the ideas expressed in his patents but look forward to seeing if Nugent's techniques work out. For more info see http://www.knowmtech.com/.

Tags: patent, nugent, ideas, nanotechnology, neural

US Patent 6645402 - Carbon Electron Emitting Device

Posted on July 28, 2008 in Generic biologicals

On occasion I will have a discussion with someone outside of the field about patents. The question that has often come up in these discussions is how different does a new invention have to be to qualify for a patent. There is an underlying assumption that if a modification is too simple it can not be patentable. I, of course, explain about the "obvious to one of ordinary skill in the art" standard, used in the U.S. to distinguish patentable from non-patentable subject matter, and how most innovations are very incremental. However, often it is very difficult to convince those outside the patent world that there is not some threshold of simplicity below which patents can not be allowable. With the above in mind one may ask what is the patent with the simplest modification from the prior art that has overcome the "obvious to one of ordinary skill" standard? I would submit US Patent 6645402 as a possible candidate for this honor. http://www.freepatentsonline.com/6645402.html Claim 1 reads 1. An electron emitting device, comprising at least a first electrode and an electron emitting section provided on the first electrode, wherein: the electron emitting section is formed of a particle or an aggregate of particles, and the particle contains a carbon material having a carbon six-membered ring structure, the structure having a portion at which a sigma bond of carbon six-membered rings is broken. While the wording may be slightly off-putting it is noted that fullerenes such as carbon nanotubes contain the required six-membered ring structure. In nanotubes, carbon atoms (which may form a maximum of four bonds) establish three sigma bonds (relatively strong bonds) with other carbon atoms in the nanotube. Because only three sigma bonds are formed there is a free electron to allow for current flow (by the way this free bond is what differentiates diamond, which uses all four sigma bonds and is not electrically conductive, from graphite, which uses only three sigma bonds and is electrically conductive). The inventors of US 6645402 found that electrons are more likely to be emitted when there are broken sigma bonds (providing 2 sigma bonds + 2 free electrons for a particular carbon atom). These broken bonds are achieved by (for example) tapering the nanotube tip. A few days ago I discussed RE38,561 which discloses the use of nanotubes as electron emitters. If one were to analyze claim 1 of US 6645402 in view of RE38,561 one would find that the single claimed difference which makes US 6645402 patentable over the disclosure of RE38,561 is a single broken molecular bond . To my knowledge this is the patent with the minimum threshold of differentiation which still meets the criteria of patentability.

Tags: bond, patent, electron, carbon, sigma

US Patent 7045205 - Intersecting Coated Nanopores

Posted on July 25, 2008 in Generic biologicals

http://www.freepatentsonline.com/7045205.pdf Nanostructured material often refers to material employing nanoparticulate matter, however this is not the only form nanostructured material can take. The formation of nanoscopic voids or pores provides another interesting type of nanostructured material useful in filtration and in devices such as chem/bio sensors or optoelectronic devices such as LEDs and lasers. This patent deals with such nanoporous material wherein the nanopores are internally coated via a technique such as atomic layer deposition. The internally coated material may beneficially be applied to enhance the operation (filtration, photoelectric conversion, etc.) of the nanopores. Claim 1 reads 1. A nanostructured apparatus, comprising: a mesoporous template having a network of regularly-spaced intersecting pores, wherein a characteristic dimension of the pores is between about 1 nm and about 100 nm; and a layer of material that substantially coats one or more walls of the pores to a substantially uniform thickness. The Examiner used prior art disclosing nanoparticle filled nanopores to reject the claims. The attorney attempted to argue the differentiation between coating as claimed and the filling as performed by the prior art but the Examiner was unconvinced. Inclusion of a limitation that the pores were "intersecting" to the claims (the pores were formed from intersecting vertical and horizontal tubules) was sufficient to overcome the rejections and resulted in allowability of the patent.

Tags: material, pores, intersecting, nanopores, nanostructured

US Patent 7045811-Artificial Atom Network Using Intersecting Nanowires

Posted on July 25, 2008 in Generic biologicals

http://www.freepatentsonline.com/7045811.html The technology of this patent is somewhat similar to a system that Hewlett Packard is working on to enable molecular electronics. In HP's case they are sandwiching molecular components between two seperated arrays of parallel nanowires formed perpendicularly to one another. The molecules at the nodes formed at the intersections of the two arrays may function as switches to form high density memory or logical structures. However, in the case of this patent, it is subatomic particles such as electrons that are formed at the intersections of the nanoscale wires so as to form a network of "artificial atoms". Claim 1 reads: 1. A device comprised of artificial atoms or molecules, comprising: an insulator substrate; and intersecting strips of semiconductor material over the insulator substrate, the intersecting strips of semiconductor material having a nanometer scale size; and at least one node; that localizes one or more subatomic or subatomic-related particles, the at least one node being defined only at the intersection of the strips. "Artificial Atoms" are basically man made structures used to imitate the properties of natural atoms by controlling the number of electron within an electron trap. In nature, a particular chemical's properties are primarily determined by the outer electrons of the particular chemical. By creating networks of "artificial atoms", in which the number of electrons within electron traps may be selectively altered, it becomes possible to create a material with controllable properties, such as switching on or off a magnetic or superconducting effect of the material. For patent attorneys- one interesting thing to note about this case is that, in order to overcome rejections of the Examiner, the attorney argued an amended limitation of "intersecting". Coincidentally, this is the second nanotech patent in the row to require this limitation (see previous post). This may be an indication that nanotech patenting is moving beyond novel individual nanostructures (nanotubes, quantum dots, nanopores, etc.) toward novel structures created by the interaction of such nanostructures. Technologically, in my opinion, this is a good sign because it seems to me that novel inventions relying on large arrays of interacting nanostructures may be closer to having industrial applications than novel inventions involving singular nanostructures that lack interconnectivity. Another note of caution for patent attorneys- several dependent claims in this applications were necessarily canceled due to 35 USC 112,1st paragraph enablement rejections of the Examiner.

Tags: patent, atom, electron, artificial, nanostructures

US Patent 7048999 - Self-Assembled Objects Made From Single Walled Nanotubes

Posted on July 22, 2008 in Generic biologicals

http://www.freepatentsonline.com/7048999.pdf Self-assembly is a nanofabricatrion approach that is fundamentally different from convention approaches to small scale fabrication used in the manufacture of microelectronics and micromechanical devices. Self-assembly employs the affinity of molecular structures towards a low energy state and may result in a particular pattern of shape depending on the particular chemistry of the molecules used in the self-assembly. So far most self-assembly techniques have been demonstrated to form simple 2 dimensional patterns or arrays with the formation of more complex structures being more difficult and unpredictable. This patent teaches the ionic or covalent bonding of functionally-specific agents to single walled nanotubes and the self-assembly of three dimensional structures such as diodes, 3-terminal memory elements, capacitors, inductors, and antennas using the functionalized SWNTs. Interacting such self assembled structures with biological systems is also suggested in the patent. Claim 1 reads: 1. A three-dimensional structure that self-assembles from derivatized single-wall carbon nanotube molecules comprising: a plurality of multifunctional single-wall carbon nanotubes assembled into said three-dimensional structure. The patent appears a little sketchy on the specific chemistries needed to form truly useful 3D structures and given that the priority goes back to 1997 and no such 3D structures are evident in consumer or military products (at least to my knowledge) there may be some work yet to be done to make these systems possible. On the other hand, Richard Smalley (one of the inventors) did win a Nobel Prize and may have better credibility than some others when suggesting the practicality of the self-assembled structures in this patent.

Tags: structure, patent, assembly, single, nanotube

US Patent 7051945 - Nanowire Phase Shifter

Posted on July 21, 2008 in Generic biologicals

http://www.freepatentsonline.com/7051945.pdf Nanosys, the owner of this patent, is one of a handful of promising new companies focusing on nanoelectronics. This company seems to realize that it would be a bad strategy to try to use nanoelectronics to displace bulk silicon electronics on the basis of size alone. Instead, Nanosys is focusing on the use of nanomaterials to do what silicon wafers can't do - bend. Flexible displays, RFID labels, and other upcoming applications require semiconductor materials capable of being formed on flexible and relatively large substrates. However, bulk silicon wafers are rigid and fragile and thus not ideally suitable for such applications. Nanosys proposes using nanowire films to fill the requirements of these new applications. This particular patent focuses on a variable phase shifter (a component of RFID) made using such nanowire films. Claim 1 reads: 1. An adjustable phase shifter formed on a substrate, comprising: a conductor line on the substrate that includes a first conductive segment and a second conductive segment; a thin film of nanowires formed on the substrate in electrical contact with said first conductive segment and said second conductive segment; and a plurality of gate contacts in electrical contact with said thin film of nanowires and positioned between said first conductive segment and said second conductive segment; wherein a phase of an electrical signal transmitted through said conductor line is adjusted by changing a voltage applied to at least one gate contact of the plurality of gate contacts. Note to patent attorneys- one of the original claims presented for this patent included the phrase "standard semiconductor fabrication processes." The Examiner applied 35 USC 112 2nd paragraph against this claim on the grounds that "standard semiconductor fabrication processes" change too rapidly for this term to have definiteness.

Tags: conductive, segment, contact, nanowire, patent

US Patent 7049823 - Electron Emitting Nanotubes Used In Pressure Gauge

Posted on July 21, 2008 in Generic biologicals

http://www.freepatentsonline.com/7049823.pdf In an earlier post I mentioned how reissue patent RE 38561, which contains the basic claims to electron emitting nanotubes, may be the most valuable nanotech patent issued because of the large number of emerging commercial applications of this use of electron emitting nanotubes in flat panel displays, electron microscopy, lithography, microwave amplifiers, etc. US 7049823 provides an example of yet another new field of application for electron emitting nanotubes - a vacuum gauge. Claim 1 reads - 1. An ionisation vacuum gauge for measuring the residual pressure of a gaseous material in a container (10) comprising: an electron-emitting cathode (31), said cathode is formed by a plurality of nanotubes, distributed over a surface of said cathode, a grid (13; 33; 133; 133') for accelerating the electrons emitted by said cathode, a plate (15; 35) for collecting the ionised positive molecules of said gaseous material, said plate (35) disposed outside of said accelerating grid (33:133;133') and a galvanometer (21) connected to said plate for measuring the plate current to determine the value of the residual pressure inside the container. Ionisation vacuum gauges are actually fairly commonly used to enable low pressure lithography and microscopy environments. The use of nanotubes as an electron emitter in these devices provides advantages of lower power consumption, a high degree of directional control of the electron beam, and miniaturization.

Tags: electron, nanotubes, emitting, plate, gauge

Scotland has a perfectly goood EPR system you know!

Posted on July 12, 2008 in Prescriptions

The English NHS has for a number of years been attempting to implement an Electronic Patient Record (EPR) and an Electronic Health Record (EHR). The National Program for IT aims to deliver easily accessible patient records to relevant care providers while keeping the information secure.  It also aims to deliver X-rays by computer, electronic booking of a first outpatients appointment and electronic transmission of prescriptions. (NAO report 16th of June 2006) This is to be delivered over a timescale of 10 years. The NAO claims that areas of this program are on track.  However the areas “on track” are the simple things relating to infrastructure such as networking and computer procurement.  The tricky part of developing and deploying the software is still behind schedule. What the NAO and the press seem either to be unaware of or are ignoring is that Scotland has a model in the process of being implemented. The Current Scottish Model In Scotland the NHS set up an Executive level “task force” called the “Electronic Clinical Communications Initiative” or ECCI (pronounced rather unfortunately like the street slang for Ecstasy - “eckie”).  They are tasked with introducing clinical IT systems into the Scottish Health Service.  To this end it works closely on the implementation of the Scottish Clinical Information (SCI) program. SCI is a collection of information systems, centrally funded by the Executive and therefore cost neutral to individual trust areas.  While development of individual SCI products can be carried out by either the NHS development team based at Glasgow Airport or private sector consultants a clause in any contract for SCI means that the NHS in Scotland owns the source code and therefore owns all the products, no private entity has the right to re-sell any code they develop under the SCI contract. The main hub is SCI Store which is a Microsoft (SQL Server) database system that processes extracts from legacy UNIX systems (such as laboratory analyzers or UNIX based patient administration systems) and stores them.  Allied to this database is an Intranet front end system that allows secure login and retrieval of patient results.  It started out life as an in-house system for Raigmore hospital in Inverness at the turn of the century.  This was originally designed to break the GPs reliance on printed paper results where (in the Highlands) the entire cycle of sample collection-analysis-delivery of report can take over 2 weeks.  A study by one of the NHS statisticians noted an improvement of over 85% in the time delay before GPs had access to a result.  Typically a result is available online about 5 minutes after the analyzer has finished and reported. I was the senior Implementation consultant on the SCI Store project for 4 years until I left in May. Store exposes a number of “web services”.  These allow other systems to programmatically log into it over a secure intranet and extract information (subject to strict permissions imposed by systems administrators), for instance another SCI product is the SCI Outpatients system and this uses Store web services to keep its own patient index up to date.  Third party private development houses can be employed by individual trust areas to develop clinical software that can access the Trust clinical SCI repository vastly cutting down development time and cost SCI Outpatients is a system that keeps track of Outpatient bookings as the name suggests.  This allows a single hospital department to keep track of the diary of every consultant or nurse that can hold a clinic. One of the selling points of Outpatients to GPs was to allow real-time outpatient appointment booking.  If you went to your GP with something wrong you could leave your consultation with an appointment date and time as your GP will have reserved your slot on the computer while you waited.  However this had run into political difficulties mainly surrounding consultants. Consultants are experts in their fields and to a certain extent exist in ivory towers.  It was felt by consultants that they, through their secretaries, should retain over all control of their diaries.  To let a mere GP book slots may ruin a tee-off time they had planned.  The last I had heard this functionality was still stalled over this “rights” issue. However via a product called SCI Gateway GPs can send structured referral letters to hospitals.  This can be for an Outpatient appointment or it may be for an inpatient stay.  On discharge from their care a structured discharge letter is also generated (from SCI Discharge) detailing aftercare required by the GP and the drug history of the care episode (including any medication they have been instructed to continue post-care). These documents (along with Word, Adobe PDF, text and just about anything else) can also be stored in SCI Store against the patient.  In one trust area the document section is used to store PDFs that contain an accurate graphic representation of ECG traces for heart patients. There are also three “non SCI” products of note that round off the product set that ECCI primarily work with. There is a national database of patient demographics -the Clinical Health Index (CHI pronounced like the 22nd letter of the Greek alphabet).  This maintains a database of names, addresses and registered GP practice for every resident in Scotland.  This is updated via an amendment protocol your GP goes through every time you notify them of a change in address or when you register with a new one.  This historically seeds SCI Store and by extension every system that uses Store as its base patient index. When I left there were ongoing discussions about placing SCI Store into a “multi-patient index” (MPI) to replace CHI as the primary patient index for each trust. 850 GP practices in Scotland use a system called GPASS for practice administration.  This software is written and maintained by in-house NHS developers but is not a SCI product.  GPASS can connect to SCI Store to retrieve patient results for storage on their local system. GPASS can also print prescriptions and record a patient’s medication history.  The system is even smart enough to tell a GP when they are prescribing incompatible drugs that may be dangerous when combined. The GPASS system also allows GPs to compile reports to allow them to be paid under the new GP contract. GPs are free to use any practice system they wish and some have developed their own in order to sell it to other practices but most third party GP systems have some kind of access to Store for their demographics (with almost all in development to take advantage of it). Finally there is the Emergency Care Summary (ECS).  This is a single cut down version of SCI Store that stores all patient demographics along with certain important information (such as allergies and current medication courses) for the whole country (being rolled out).  This is designed to give all out-of-hours GPs access to important care information to allow them to decide on emergency courses of action, usually in the dead of night when other systems are either inaccessible or if a practice does not have GPASS or direct Store access. Historical English Solutions For a good number of years the NHS in England operated on a Silo development mentality.  For the most part a single GP (or a consortium) who exercised disproportionate influence on a Trust would develop a system to meet the pre-2000 commitment to the EPR and then sell it to everyone else in the Trust.  Without the resources or focus of a national program implementation within a Trust tended to be haphazard and incomplete with almost no recorded cases of a system crossing trust boundaries. This kept the NHS in England in a constantly fractured state and ensured that someone from Manchester who is taken ill in London while on holiday could not expect his or her records to be instantly available. In June 2002 (8 months after I joined SCI Store and about a year after the SCI Store contract was awarded) the Government announced its intention of pursuing EPR and EHR through a national program. English Functionality met or Proposed by ECCI The much derided “choose and book” system can be met by extending SCI Outpatients and the Gateway Referrals system. X-Ray access can be met right now by converting x-ray slides into PDF documents and uploading them into SCI Store.  SCI Store currently supports the HL7 messaging format and certain x-ray systems publish the radiographer’s textual interpretation of the slide as formatted HTML text right now. Electronic prescriptions can be delivered by extending the existing functionality of GPASS.  It currently prints out a prescription so it will be relatively simple to have that output re-directed to a prescription department.  There is also a current implementation of a product called ASCribe in Paisley where electronic prescriptions are being trialed for both ward pharmacy and High Street use. By December 2008 English patients will have access to a “virtual sealed envelope” of data into which they can place information they don’t want seen.  SCI Store implemented this in February 2006 with version 2.2 of the software in compliance with the Data Protection Act. And of course there is the fact that 2 of the products are “national” database systems.  Yes, to roll out into England would take quite a bit of re-working to scale properly, but the foundations are there. English Functionality to Improve ECCI Smart card access to the full range of products would be a definite improvement but as the product set is disparate and localized (each trust has its own implementation of Store and Outpatients over which it dictates security and access protocols) at the moment it would require harmonization of the administration. Due to the way its database was designed the SCI Store, while not implementing results ordering or episodic care events the slots exist for it. Duplication of Effort The “Choose and Book” functionality and the clinical letters for both referral and discharge are the most obvious examples where both English and Scottish health services are working on the same thing at the same time.  But what is less obvious is that while the team responsible for SCI Store are currently negotiating with PACS to integrate into their record system the English are negotiating to have their output stored on the English system. Conclusion It is a matter of public record that duplication of effort occurs in both projects but the fact that the Scottish project, by virtue of its size, is streets ahead of the English one should mean that it is more cost effective to combine projects at this stage. Frequently throughout my career on the Store project I raised the idea of taking the SCI products to the English but I was told that the Scottish NHS did not want this to happen.  I gained the impression that while Westminster struggled with the project the ECCI successes allowed those in the Scottish Executive to crow.  They are using these two projects in a game of career one-upmanship.  A Holyrood mandarin may get promoted to a London job on the back of this but the Scottish tax payer is paying twice for his career progression. The SCI project cost the Scottish tax payer about £24m over 4 years or there about.  The English model is going to cost every tax payer in the UK £6bn. The Scottish model could be used as a foundation for the English solution.  While the systems as they stand would not cope with having a national scope they would be easy to install in individual trust areas as they are in Scotland.  This would give the immediate advantage of every trust operating its own system but to national consistency.  Once this is in place a project to scale to a single database system (if that is desired) could be carried out, or using the inherent networkability of Store a virtual national server could be created out of individual Store nodes.  The rest of the product set could be deployed in a similar fashion. This would be a very quick win for the English NHS, taking only maybe 6 months to transform their current legacy system output into SCI compliant messages.  Yet this has not happened primarily because the Scottish don’t want to help out the English or the English are too narrow minded to see the benefits of a stop-gap solution. Even in the media this option appears to have passed people by.  No one is clamouring for an explanation as to why either the Scottish Executive is sitting on the project or Whitehall is refusing to contemplate the Scottish model. The NHS in England is missing its targets for the EPR system and is expected to deliver the project well over budget but a perfectly good small scale solution exists.  And its closest implementation is Melrose General Hospital. Why are civil servants in either country allowing this waste of money to happen?  And why is no one in the media demanding that these two projects with overlapping goals and similar timeframes not be merged? Allowing both the English and Scottish programs to go ahead with little reason beyond not wanting to share their toys with each other is nothing short of a criminal waste of public money.  Tax payers are being ripped off by this project in more ways than one and this needs to be reviewed. Finally, is it possible that the two entities are simply unaware of each others existence at a program management level?  Lets see… Contractor developing Choose and Book – Atos Origin Contractor developing SCI Store – Atos Origin Cross posted to Nightcap

Tags: system, sci, store, gp, english

The Educational Path to Becoming a Computer Networking Engineer

Posted on June 30, 2008 in Diabetes erectile dysfunction

The case of computer technology is separated from in fact places gone the remarkably earth of technology itself. Technology has always been over, from the invention of the wheel to the sub-atomic count splitters this allow us to harness the operation of the hunk. Mid the computer era, technology was a vague limit representing the change of study considering a whole. Suddenly someone speaks of technology today, however, they are near always referring to the dissemination of repository gone electronic fan. Technological preferment among this acreage has been something short of miraculous, with bids outpacing the devotees for which they are intended. Formerly modern computer technology must be incorporated into a venturing model imperative Because serving the craves of individuals more businesses, it Viewpoint the halt of this article

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Brain Power/The Human Computer

Posted on June 21, 2008 in Generic biologicals

Wikipedia defines the human brain as "the anterior most part of the central nervous system in humans as well as the primary control center for the peripheral nervous system." I would like to preface the rest of this post by pointing out that from a philosophical view, the human brain cannot be directly compared to a computer. Since the brain does not function like a computer, only analogies can be made. Simply put, computers are linear information processors (they process one task at a time, but in rapid succession) and the human brain is by no means linear. Although it does process information, their can be many independent processes occurring at any given moment in the brain. Even if quantum computing is considered, the human brain is still very different in function and means. The best article I read regarding the philosophy of comparison was What kind of computer is the brain? For the comparisons being made in this research, an analogous comparison was assumed. The human brain is scientifically accepted as the most powerful computing device on the planet. Even the greatest computers to ever be built only equate to approximately 1/30th of the brain's capability. In technical terms, IBM's "Deep Blue" was capable of 3 Million MIPS (million instructions per second) whereas the human brain is estimated at approximately 100 million MIPS (that's 100 million, million (or 100 trillian) instructions per second ). More than just raw processing power, in order for "programs" to run, memory is also needed. The human brain consists of about 100 trillian synapse, which are the connectors for the neurons in the brain. Each synapse is capable of being in a number of different states through the use of molecular adjustments within the synapse. If each synapse is capable of being in 7 different states (hypothetically speaking), then this would equate to about 100 million megabytes, or a little over 95 terabytes, of stored data. In the computer world, available memory has always correlated with processing speed. Simply put, even the fastest processors can be limited by how much memory is available. Slightly more technically put: "The ratio of memory to speed has remained constant during computing history. The earliest electronic computers had a few thousand bytes of memory and could do a few thousand calculations per second. Medium computers of 1980 had a million bytes of memory and did a million calculations per second. Supercomputers in 1990 did a billion calculations per second and had a billion bytes of memory. The latest, greatest supercomputers can do a trillion calculations per second and can have a trillion bytes of memory." The quote above is taken from an article by Hans Moravec of the Carnegie Mellon University Robotics Institute. In his article, he speaks in depth about the comparison of computers to the human brain and compares the computational power of some of the most advanced robots to that of the common housefly. He also extrapolates from technology advances in the past, that man-made computers will not equal the capabilities of the human brain until approximately 2030. Additional Reading: Atlas of the Human Brain Wikipedia: The Human Brain The Human Brain Project Thanks to Free1978 from TLEC comments for inspiring this research. - oo7surge

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Atv Review 2

Posted on June 09, 2008 in Erectile dysfunction treatment

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Fab is ... well fab (aka commoditisation of the manufacturing process - see future)

Posted on June 02, 2008 in Generic biologicals

Some general links for those who are interested Intro... Ed Grenda's intro to rapid prototyping Bowyer and the printing printers MiT's Centre of bits and atoms (home of Fab Labs) Fabbing at Home (they do chocolate too!) Commercial reports .. (i.e. cost money) Commercial Info on Printed Electronics Wohler provides a good overview of the industry LFF & the Solid FreeForm Fabrication symposium - a treasure trove Companies ...(there are lots, I'll pick three) Printing plastic chips Inkjet printing displays Online fabbing direct to you Hairy Scary ... but cool. Endy and the biological BioBrick builders at Open Wet Ware

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Biohealthmatics.com News Digest - 9/14/2005

Posted on June 01, 2008 in Medicine news

Biohealthmatics.com's Daily News Digest The latest health informatics news from Biohealthmatics.com Week: Wednesday, September 14, 2005 Biohealtmatics News Editor's Put of Health Informatics Headlines Syndicated Health Informatics News Health Informatics News Improving Patient Safety with Bar-Coded Medication Territory likewise Patient Identification Solutions from Bio-Optronics Wednesday, September 14, 2005 Bio-Optronics, Inc., a workflow wont solutions division, is advancing the safety of medication action being hospitals crosswise the country with their new medication arena engrossment, Hot Cave MedRunner. ... Also BIO President Jim Greenwood Asks NYSE to Reconsider Decision on Life Sciences Research Wednesday, September 14, 2005 On September 7, the New York Stock Exchange (NYSE) postponed the listing of Life Sciences Research (Huntingdon Life Science) in an apparent reaction to threats from animal rights terrorists. ... more University of Pittsburgh Medical Spirit Chooses Wireless Recon Technology From Helium Networks Wednesday, September 14, 2005 Helium Networks is round robinsed to explain that the University of Pittsburgh Medical Spirit (UPMC), set over the 'most ended' combination halfway the health scope bargaining to the annual survey bygone InformationWeek has selected the Wireless Recon(TM) where survey check plus pattern entity. ... Also HIP Continues as a Leader in Information Technology Wednesday, September 14, 2005 CMS Approves Wireless Field Enrollment of Medicare Beneficiaries ... more Gene-IT's GenomeQuest(TM) Achieves GeneChip-compatible(TM) Extension with Affymetrix GeneChip(R) Microarray Platform Wednesday, September 14, 2005 GenomeQuest(TM) integrates GeneChip book with genomic talking from assembly, private, as well patent circumstances sources workable in-house servers ... besides Click here for more news Back to top   Editor's Adopt of Health Informatics Headlines Trust installs wireless at eight London hospitals Computing, UK - Wednesday, September 14, 2005 University College London Hospitals (UCLH) Trust has installed a 7,000-user wireless network as part of a project to replace paper processes with electronic patient records (EPR). ... Comments (0) Medicine Slow to Modernize Recordkeeping Ocala.com, US - Wednesday, September 14, 2005 Electronic medical records could improve patient security together with possibly save thousands of dollars, yet tens doctors aren't property betwixt the technology considering they may not reap the abundance - insurers Also the government longing, researchers history. ... Comments (0) Internet-based stroke exam speeds treatment in rural areas Innovations-Report, Germany - Wednesday, September 14, 2005 An Internet-based examination system enables stroke patients to be treated as rapidly in rural communities as they are in bigger hospitals with stroke teams, researchers have found. ... Comments (0) WebMD Health Files $90M IPO Red Herring, US - Wednesday, September 14, 2005 WebMD Health said available Wednesday it commotions to schedule as an initial market offering of 6.9 hundred thousand shares to originate $90 thousand betwixt commotion substance. ... Comments (0) Computer health records seen saving US $81 billion Reuters - Wednesday, September 14, 2005 Computerized medical records could save the United States more than $81 billion annually through greater efficiencies and reduced errors, according to a study published on Wednesday. ... Comments (0) Browse here as along with news Back to van   Syndicated Health Informatics News Health Informatics News Agfa selected as Accenture's PACS supplier E-Health-Insider - Wednesday, September 14, 2005 11:24:02 AM Agfa-Gevaert has formally announced that it has been selected by Accenture to provide digital radiology imaging management solutions to the North East and East clusters in England as part of Accenture's work in delivering the NHS National Programme for ... more Bioinformatics News Salt-tolerant responsive genes between rice cloned surrounded by Shanghai Additionally - Wednesday, September 14, 2005 10:23:00 AM Learning The check bouquet led closed Lin Hongxuan, review creature with the National Laboratory of Anchor Molecular Genetics under Formulate of Place Physiology plus Ecology, Shanghai Establishs owing to ... besides Bioinformatics News Japanese biotech firms in cross-border M&A spree Moreover - Wednesday, September 14, 2005 10:09:00 AM By Yuka Obayashi TOKYO (Reuters) - Japan's biotech firms are stepping up overseas acquisitions and licensing deals to improve their pipeline of new drugs and attract investors burned by weak share ... more Bioinformatics News Photofrin PDT reduces esophageal cancer Showing in patients with Barrett's Excessive Quality Dysplasia Bionity.com - Wednesday, September 14, 2005 9:04:33 AM Axcan Pharma Inc. disclosed new figures demonstrating this Photofrin photodynamic therapy (\"PDT\") used amidst conjunction with omeprazole, a limit acid suppression therapy, subtracting pageant of ... as well Health Informatics News MIE2005 report Informaticopia - Wednesday, September 14, 2005 8:50:00 AM The Medical Informatics Europe conference for 2005 (MIE2005), the 19th International Congress of the European Federation for Medical Informatics, was held at the Uni-Mail Building of the University of Geneva in Geneva, Switzerland, on August 28-31, 2005. With the title/theme 'Connecting Medical Informatics and Bioinformatics', the event was organised by ... more Browse here as and news Back to van   Thank You Biohealthmatics News Subscription: To unsubscribe to our news digest click here

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Table 5: Histopathology of mucosal malabsorption syndromes

Posted on May 26, 2008 in Generic medical release

Condition Histological Characteristics Normal Villus to crypt ratio 3 to 4:1, columnar epithelial cells, scattered mononuclear cells in the lamina propria Disorders in which small intestinal biopsy is diagnostic Whipple’s disease Hypogammaglobulinemia Abetalipoproteinemia Amyloidosis Blunting of villi, PAS-positive macrophages in the lamina propria; bacteria by electron microscopy Partial villus atrophy; lack of plasma cells and lymphocytic infiltrate in lamina propria; sometimes nodular lymphoid hyperplasia Enterocytes filled with lipid droplets Amyloid deposition in the mucosa and submucosa Disorders in which small intestinal biopsy may be diagnostic Celiac sprue Intestinal lymphangiectasia Intestinal lymphoma Crohn’s disease Parasitic infestations Radiation enteritis Eosinophilic gastroenteritis Most common cause of total villus atrophy, crypt hyperplasia, lymphocytic infiltration of lamina propria Dilated lymphatics in the lamina propria Infiltration of laminal propria and displacement of crypts with malignant lymphocytes Fissuring, ulcerations, noncaseating granulomas Giardia or cryptosporidia trophozoites attached to epithelial cells; invasive isospora Partial villus atrophy, no crypt hyperplasia, decreased mitoses in crypts Blunting of villi or normal, eosinophils and neutrophils infiltrate mucosa cheap cialis generic cialis buy cheap cialis buy cilais

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