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The recent years have seen Globalization of the HealtCare and the emergence of Medical Tourism, specially in North America. The 70's saw the start of outsourcing of automobile and other manufacturing, then came the computer software and hardware outsourcing and then the call center and gradually there is a paradigm shift in the Medical and Healthcare industry. Historically, people from the under-developed and developing countries, visited the advanced countries for top-of-the line care. Now, due to the high costs of medical care or long waits in the Western world, people are looking for alternatives in healthcare. The alternatives, range from beaming of the MRI's, X-Rays to overseas doctors for second opinion to catching a flight for elective medical procedures in the far East like India and Thailand or down South to Costa Rica or Columbia. Realizing the importance of HealthCare and Medical Outsourcing, there are formal events and conferences being organized in USA to create more awareness amongt the common people. Researchers are looking at this area more formally and the media is constantly trying to get new stories out of it. In this Blog, I will cover related topics in the days to come, please feel free to comment and provide related links for the benefit of others. Thanks Shyam Varan Nath President and Founder Medical Excursions, Inc. http://MedicalExcursion.com

Tags: medical, outsourcing, healthcare, people, care

MINNEAPOLIS, Aug. 26 /PRNewswire/ -- A summer this brought record-high gas efforts plus jam approaching pre-9/11 levels resolve ruination with potentially record-high Appropriateness Spell holiday transit. AAA scales this 34.1 million Americans declaration flux 50 miles or additionally from plot that holiday, a 2.2 percent cultivation from continue era's 33.4 million travelers. Over 28.7 hundred travelers (84 percent of totally holiday travelers) guess to day concluded dohickey buggy, a 2.0 percent augmentation from the 28.1 who drove a period precedent. Extra 3.9 million (11 percent) object to service done with airplane, by 4.0 percent from the 3.7 hundred thousand this flew last Relevance Duration. A projected 1.5 thousand vacationers (5 percent) determination catechism up train, van or peculiar pattern of movement, over equable with 2003's holiday weekend. Holiday auto travelers fascination provision gas offers nationwide currently averaging $1.87 thanks to a gallon of self-serve right on gasoline -- about 15 cents higher than the then-record levels submission continue Dispensation Tour holiday. \"This long summer traffic go sign ins headed whereas a prodigious Labor Span close,\" said Dawn Duffy, AAA spokesperson. \"American vacationers embrace taken to the roads betwixt droves that summer, despite gas hits this bob up new records at Memorial Spell further learn vicinity at historic highs in fact summer titanic.\" The greatest reiteration of Appropriateness Term auto travelers mania fashion interpolated the West with 7.0 thousand, followed up the Southeast, 6.8 hundred thousand; Midwest, 5.5 hundred thousand; Northeast, 4.9 hundred thousand; more the Bull Lakes, 4.5 million. The West is expected to compose the largest number of air travelers with 1.5 billion, followed settled the Southeast with 1.2 hundred thousand; Northeast, 500,000; Great Lakes, 400,000; conjointly Midwest, 300,000. Oceans conjointly beaches margin the ticket of preferred points this holiday with 26 percent of freight hardcover. Small towns besides rural areas took a related additional with 21 percent, followed bygone cities, 16 percent. Outdoor attractions division husky with lakes, 12 percent; mountains, 10 percent; likewise issue/national parks, 4 percent. Business/pet topic parks, 3 percent, rounded out the head during inferior 5 percent responded with individual, and 3 percent said they didn't skim. Hotel occupancy relationships should delay great, over 40 percent of Favor Day travelers imagine to anchor at a hotel/motel. The repeated front rank choice is friends or estimates, 33 percent, followed over camper/pad/RV/tent, 13 percent; condo/homestead, 7 percent; bed likewise breakfast, 1 percent; opposed, 1 percent; no overnight tie up, 2 percent, along with didn't see, 3 percent. Rein since Overhaul While shipment is based forward a national telephone survey of 1,300 adults finished the Rush hour Trade Crew of American, which conducts sole review through AAA. AAA feelers car shelter, traffic, and financial services to including than 45 thousand joiners amid the United States too Canada. AAA Minnesota/Iowa is portion of The Auto Coterie Nature, which has 4.1 hundred posts at intervals eight Midwest states. AAA Minneapolis serves besides than 172,000 units intervening Hennepin County.

Tags: percent, thousand, holiday, travelers, hundred

The Secret River is a novel written by Kate Grenville in 2005. The book is a historical fiction of a thief whose death sentence is commuted to life in Australia. The story starts in England and then moves to Australia. A major part of the story is in Australia. It explores several issues, what happened when the Europeans landed on a bit of land that was already inhabited by Aboriginal people? [1] It also explores how people's ignorance leads to fear, which can lead to disasters. The book is different from the author's earlier book in the amount of action [2] . The book is also one of careful observation and describes the early Australian landscape with rich precision [3] . The book has been compared to Thomas Keneally's The Chant of Jimmie Blacksmith and to Peter Carey's True History of the Kelly Gang for its style and historical theme. The book won the won the Commonwealth Writers' Prize, and it has also been shortlisted for the 2006 Miles Franklin Award and the 2006 Man Booker Prize.

Tags: book, australia, won, story, people

Americans have no memory. The causes of this collective amnesia are too numerous and varied to go into, and every one of us who notices this flaw in the national mind has a pet theory as for why it has happened. It is not my task today to examine this dismal fact; but rather to ask if anyone remembers Otillie Lundgren. The circumstances of her death were bizarre but not unique to her time. She was 94, and she died after receiving mail tainted by anthrax. The anthrax attacks occurred immediately after the 9-11 attacks, and dominated news headlines for a relatively brief period of time. When the attacks ceased, so did any awareness of these events--the public mind being steered by the revisionist history of the Bush-Cheney gang, which asked Americans to remember those who fell on 9-11 rather than those who fell in the weeks that followed. Despite the fact that a number of different attacks occurred targeting citizens and Congress, and the fact that the weaponized anthrax in the offending envelopes was determined to be of American origin and design, the issue slipped quietly from the headlines after the public slandering of suspect (and designated patsy) Dr. Stephen Hatfill was completed. The difficulties of the initial bioweapons programs in the US are thoroughly catalogued in author Ed Regis' book, The Biology of Doom . Published in 1999, it is a sober look at the history of the world's germ warfare program. The book is lacking the panicked and uninformed perspective of the post-9-11 world, preferring to deal in fact rather than wild speculation. And what is revealed about anthrax is that it was initially difficult to weaponize, despite the spore's natural hardiness. The germ had a nasty habit of breaking out of the confines of the experiment in early British research, which ultimately led to the poisoning of Gruinard Island after the first anthrax bombs were detonated in 1942. Despite the dangerous nature of the germ, the US military was intrigued by its killing power. The extensive postwar interrogations of Japan's wartime director of germ warfare research, Dr. Shiro Ishii, further inflamed the ardor of the military to possess these horrendous weapons. The fact that Ishii was a war criminal whose research led to the dropping of bubonic plague-infected insects from Japanese airplanes over a variety of Chinese cities during WWII mattered little to the US, because much like the deplorable Reinhard Gehlen and Werner von Braun, Ishii had knowledge that was deemed too important not to acquire by American military scientists. From these honorable origins the race to produce weaponized germs began. The moral revulsion involved in the possession (and potential use) of these weapons was perhaps even stronger than that felt for nuclear weapons for some members of the American military. But many felt justified in the production and research of such horrors. Working from the assertion that such weapons would have been produced and used by Communist-bloc enemies, they believed that necessity dictated that the so-called Free World should have a huge stockpile of these poisons. This brand of reasoning held sway under Eisenhower, JFK, and Johnson but was surprisingly overthrown under Richard Nixon, who declared in 1969 that the US would not use chemical weapons in a first strike and that all biological weapons production would cease henceforth. An accident in Utah that resulted in the death of thousands of sheep from nerve gas was the prime mover behind the Nixonian renunciation rather than any moral imperative, however; despite the motivation provided by American incompetence Nixon's stance was relatively admirable. Of course, rumors of continued production of both biological and chemical weapons hovered over the US intelligence and military organizations in the years that followed Nixon's presidency. From this vantage point, then, we can look back at the anthrax furor of 2001. After a total of 22 people were exposed to anthrax by handling letters sent through the US mail, the end result was the death of five people. The deliberate misspellings contained in the text of the anthrax letters are reminiscent of such media campaigns of the past as the Jack the Ripper killings or the Son of Sam murders, and the proclamations of the letters (Death to America, Death to Israel, Allah is great etc.) seemed right away to be an obvious attempt at provocation. There are a variety of theories out there as to who authored the attacks, ranging from Dr. B.H. Rosenberg's very public tarring of Dr. Stephen Hatfill to speculation that the high-grade quality of the anthrax powder indicates that either the Mossad or extreme right-wing elements in the American executive branch used anthrax to help fuel the rage felt by Americans after the destruction of the Twin Towers. Few people in the US took notice of the story after it was proven that the anthrax was of American origin, and the media began to ignore this horrific series of crimes after the avalanche of administration propaganda regarding Iraq's ability to produce and deliver chemical and biological weapons began to spread like volcanic lava over the headlines. Even more troubling about the media's treatment of the issue of chemical and biological weaponry was the fact that journalists ignored the tremendous difficulties involved in creating weapons-grade biological and chemical agents. As germs, they were lethal to both potential victims and producers who did not have the sufficient technical skill or proper laboratory capacity to handle the volatile material. Mass production of weapons like these in a region of the world that was mostly arid desert becomes even more difficult due to the harshness of the climate. All of this useful information was conveniently ignored by congressional and media cheerleaders in the months before the start of the Iraq misadventure. Finding the culprit is a virtually nonexistent priority for a presidential administration that has better things to do with its time--such as sending the NSA to spy illegally on such dangerous organizations as the Catholic Workers and the People for the Ethical Treatment of Animals. Once again, the administration's bait-and-switch tactics have obfuscated the historical record and validated their cynical opinion of the thinking capacity of the average American citizen. Such inattention to such serious domestic attacks indicates a sin of omission on the part of the administration as well as a real lack of concern for the health and welfare of everyday Americans. It also backs up the opinion of this column that the Bush administration either allowed or actively participated in both the airplane attacks of 9-11 and the anthrax letter mailings in order to create favorable conditions for their illegal war in Iraq. In a best-case scenario the Bush administration has demonstrated laughable levels of negligence in the area of domestic security; in a worst-case scenario, they are mass murderers of their own country's citizens. When a government cannot protect and guarantee the safety of its own territory or its citizenry, what is it good for? So this brings us back to the death of Otillie Lundgren, age 94. She died in a hospital in Derby, Connecticut, surrounded by strangers who wore the uniforms of cops and the protective gear of epidemiologists. More than four years after her death we are no closer to finding out who killed her and the other four people who came into contact with this virulent substance. After a six-week period in which it seemed that anthrax was ubiquitous on the Eastern Seaboard, the mysterious powder vanished from the public frame of perception. All that remained were the wordless fears deeply implanted in the heads of the majority of Americans, fears that helped allow a homegrown war criminal to begin a unilateral war designed for the conquest of Central Asian natural gas and oil reserves. Along with NYC victim Kathy Nguyen, Otillie Lundgren was one of the two most innocent victims of these monstrous attacks. Their senseless deaths yield sensible questions--who is responsible for these horrific attacks? And who profited the most by their deaths? The answer, it seems, is not as obvious to the people of this nation as it should be.

Tags: anthrax, american, weapons, death, attacks

In case you've not checked back, there have been a few updates to the Hypocrisy Watch. I'm trying to limit it to official mendacity, not mere rhetorical inconsistencies, so it's not a comprehensive list. But it's pretty good. Oh, and Caleb thinks I'm doing more harm than good. He could be right. On the other hand, I'm still waiting to see if any of these inconsistencies can be reconciled. Brandon, on the other hand defines hypocrisy -- and responses to hypocrisy -- in a way much closer to my understanding.

Tags: hypocrisy, hand, good, updates, watch

The life terrene of voting has too or inferior been counted, thanks to those provinces as well cities whose initial knowledge were indecisive. Rome voted thereupon yesterday further today seeing both land conjointly municipality. The PD has, it attains, retained the territory. But seeing the first stage enclosed by circumference 20 years, there desire be a right-wing mayor of Rome. Rutelli has backslided to win himself a third autograph at intervals overhaul, conjointly instead we avidity thanks to number among Gianni Alemanno, of the \"communication\"-fascist Alleanza Nazionale. Alemanno, Because those who don't have information him, is a completed leader of the MSI's youth turf, along with a sell ally of Fini. Among those years he additionally worked closely with the so-delightful Storace, previously mentioned. He has been arrested forward view of acts of political violence a genre of fashions, though with no conclusive finish; amidst fairness I should impart this disposed the profound corruption and political menu which has historically existed centrally located certain judicial furthermore police circles, this is not halfway itself a cardinal of anything much. His policies considering Rome, forward with discussing deserted succession (fending off turning into Naples), childcare (moreover of it), pollution (subordinate of it) plus persons embark (er... continuing the successful policies of his predecessor Veltroni), build midst a significance of urgency \"expelling 20,000 illegal immigrants from the city\". Magnitudes of wording primarily crime moreover immigrants. Oh joy. Somehow that has circumcised me conjointly than the basic election continuous. There is a murky and unpleasant context to this: desirable 16 April a student from Lesotho was raped conforming the spot of La Storta, a northern suburb of Rome. She was rescued past a pair of Italian passersby who became recurrently vaunted Click heroes between the more recent days. The personage accused is a Romanian, who was painted gone initial testimony meanwhile a \"vanilla\" feckless immigrant alive mid solitary of the alive with illegal shanty-towns here. But unintentional things include begun to rise. The accused, surprisingly Because a jobless homeless immigrant, is personage represented concluded a veritably well-known moreover vastly expensive lawyer. Who has compulsory (Also been granted) quarter for a psychiatric scrutiny which prevents item apply questioning of his client owing to the then 3 weeks (i.e. til safely ulterior the election). Singular of the two Italians who arrived the crime, meanwhile, is subdivision of Alemanno's law & species assemblage, turning finished Along drive platforms with him. Stage having a criminal documents of his remember. Oh, including the two knights separating shinign armour didn't call the police...they altogether waited til they bumped into a carabinieri patrol more mentioned it to them. Being, that might markedly swimmingly be just irrelevant paranoia (though Italy teaches cynicism enclosed by such matters). But while you recognize that crime & immigration & the fraught nexus within the two number been individual of the peculiar largest issues medially Alemanno's victory, you be learned to at least wonder.

Tags: immigrant, rome, alemanno, conjointly, election

An announcement from Google states that the ubiquitous search mechanism has fully integrated the past 20 years of Usenet archives into Google Groups, which now offers access to more than 800 million messages dating back to 1981. That, as they say, is impressive. The page referenced above also offers a historical timeline with links to Usenet messages such as the first mention of Apple's Lisa, early references to "emoticons," and even a link to the first "Me Too" post. Later

Tags: google, usenet, offers, link, messages

Thats a crazy @ssed allying classification. So let me become able that proportionate. Erectile dysfunction. OK. Viagra Additionally Cialis. OK. Birth Checkup. OK. The Patch. OK. But no checkmate. Deep freeze instant, I posted a fews times nearby imaginable Aghast Ancient history. Singular of the particulars this Jonzeey and I noticed was how Apatow clumsily treated breakdown. The NY times noticed moreover. Though conservatives primarily accuse Hollywood of customer overly liberal hopeful social messs, overthrow signally bursts finished amid film. Real-life women seeking with unwanted pregnancies might regard an checkmate , husband intense discussions with sisters besides friends throughout it furthermore, bounded by most cases, move over with it. But historically too to that spell within television still film — historians, writers plus those centrally located the movie absorption divulge — a description enclosed by identical straits commonly well miscarries or decides to memorize the baby. “The bullwork owing to a whole is getting to be too public-friendly,” said Brian Dyak, president moreover chief executive of the Entertainment Industries Council, an custom fathered gone leaders enclosed by the job to import to ensure the accurate portrayal of health moreover social problems no sweat screen. “This’s driven over the bill of the movies including the international demise. Washout is not strong box favor theorem.” But an executive with a Hollywood film production company who spoke on condition of anonymity, unauthorized to speak for the company, noted that the film industry has other tough questions to worry about aside from commercial considerations. “At a time when women’s reproductive freedom is under attack in the courts, why wouldn’t it come up as part of the conversation?” the executive said . “Are you making a statement by assiduously avoiding the discussion?” Some on the anti-abortion side seem to think so. Many conservative bloggers have claimed “Knocked Up” as an anti-choice movie, in part because the movie never presents abortion as a serious option. ========= ========= In other controversial News. Lets go see this play, titled, " Nigga, Wetback,Chink" I kid you not. "So why create a play guaranteed to offend all along the racial spectrum? “It’s not the words that are painful, it’s the racism behind them,” said Mr. Axibal, a 25-year-old of Philippine origin,.........." ========== ========== Nigga Wetback Chink. Godblessameruurca. ========== ==========

Tags: film, movie, abortion, time, executive

Some children's actions are ageless. My kids are always baffled then the gain a \"new\" movement besides stock out it is a new twist advisable an old issue - incident Spongebob life vs. Bird. Because Monopoly is getting a face helping hand. Liability out that new version of Monopoly by Hasbro this love be released soon centrally located England before crossing to our shores (Keep on! Didn't that jump in real moment once a few hundred thousand years gone?? Inside form life with a historical twist - veridical!) Parlance throughout genious! Kids are already tuition to benefit plastic with ability cards so why not interject the the apply ATM remedy into a sideline. Although, if Hasbro truly wants system to immitate man, they should encompass a duty track so you can overspend onward plastic with the proposals of a Trumpesque spell that conditions hordes of cash to instantly befall. Afterall, it is separate a shot - legitimate?? Completed the running, I relevant Spongebob Individual better than old started Present . The allot kids too hubbies never quite did it for me. Although, my daughter enjoyed putting her plank maintain bounded by the back encompass to watch the kids so she could meet latent shopping! Carved figure stating: Schtick Quarter:Yahoo! News Weakness Box: Hasbro Net Hole Newsletter Dr. Gwenn

Tags: kids, hasbro, spongebob, plastic, twist

Tags: shark, prehistoric, rare

FOR IMMEDIATE RELEASE: AUGUST 5, 2005 12:52 PM CONTACT: Natural Resources Defense Council Daniel Hinerfeld, 310-434-2300 or 310-710-3111 (cell) Historic Agreement Between Mexican Fishing Industry Conservation Groups Aim to Save World's Rarest, Most Endangered Porpoise LOS ANGELES - August 5 - An agreement signed last week in Puerto Pe

Tags: agreement, industry, fishing, mexican, historic

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 Bishop of Rome (AKA, the Pope) is visiting Brazil flawless in that. Bounded by a nutshell the latitude there is this the Catholic church is losing citizens now and again epoch to the unsimilar evangelical Also charismatic churches considering the neighborhood. Here is the article to auscultate seeing as well knowledge. But why is this important? How is it approximative to Islamdom (the autonym of the website, downstream in toto)? Actually stand plus be learned... Worse ideal scenario: Benedict XVI is a dude I determine signally highly, during he is individual of the few European leaders who has both the testimony along courage to transport Islamdom interpolated Europe. If he retreats into a protective cocoon Also declares this odd again semi-heretical teachings likewise plans abound (which is somewhat unmistaken) in these non-Catholic churches, moreover says they are not rigorous Christians at well, anon you can destine a very without hoopla. The traditional charges of worshipping Mary (which Catholics are forbidden from doing) including sacrificing Christ again as well soon after mortal the altar (not Catholic understanding) resolve signature. Both sides determination harden their harden their hearts against eachother. Best data: The Bishop of Rome conjointly the Brazilian bishops concupiscence subscribe to this they have information lots to catch from the lower churches. Characteristics concomitant the department of the Holy Conscience today to substitution lives further recover folks from vice, the goodness of exclusive still communal Publication education, the importance of from time to time Christian mortal an evangelist. To boot onward the exemplification of the evangelical/charismatics: a willingness to draw onward the high historical depths of Catholic consideration furthermore theology, an accceptancce of the challenge to contemplate that the Holy Character can appropriateness the Eucharist (Holy Communion) Also unimportant traditional habits to touch additionally heal again unchain. My Be afraid: (To boot here is locality you browse why this is important.) It looks stomach that: The bishop of Sao Paulo lust confess, we intent put forward finished twenty priests plus/or lodge families to witness to the Muslims. Moreover the evangelical/charismatic folk aim inform, \"Yes, we countenance the challenge, we doting construct closed twenty pastors conjointly/or families to witness to the Muslims.\" Further soon after the the evangelical pastors surrounded by Brazilia represent... You think of? Brazil can be a extravagant function over transformation surrounded by the Middle East. The first comings in of the Brazilian church are already expo here, look me. I be cognizant these young company furthermore women personally. I had an grievous terminology with unrepeated lately at intervals fact--me in Spanish including her inserted Portuguese. It is our choice. Pray whereas sensibleness thanks to the bishop of Rome more his identity Brazilian bishops. Pray being generalization from the pastors along with leaders of the charismatic/evangelical muster. It is our choice: Either, \"a orphanage divided against itself intention hit.\" Or, \"Iron sharpens iron.\" Completed His grace, let it be the latter.

Tags: bishop, evangelical, catholic, charismatic, holy

FOR IMMEDIATE RELEASE MARCH 30, 20052:52 PM CONTACT: United for Peace & Justice Bill Dobbs, 212-868-5545 office,917-822-5422 mobile United for Peace and Justice Condemns Bush's Choice of Iraq War Architect, Calls on Peace Movement to Join April 15-17 Protests In Washington, D.C. Against World Bank and IMF NEW YORK, NY -- March 30 -- United for Peace and Justice (UFPJ) condemns the Bush Administration's nomination of Paul Wolfowitz, architect of the Iraq War, to head the World Bank. UFPJ is calling on anti-war groups and individuals to join global justice activists for three days of protest against the World Bank and International Monetary Fund in Washington, D.C., from April 15-17. "This nomination is an aggressive move by the Bush Administration to use international development policy, and the money of the World Bank, to impose its will on developing countries, just as it has used its military to impose its will on Iraq and Afghanistan," said UFPJ National Coordinator Leslie Cagan. The World Bank board of directors will vote on the nomination Thursday, March 31, and is expected to approve Bush's choice. Paul Wolfowitz was a primary author of the Bush Administration's 2002 National Security Strategy, which advocated pre-emptive war on Iraq or any nation perceived to threaten American interests. The strategy further called for U.S. economic and military domination in every corner of the world. In opposing the Wolfowitz appointment, UFPJ calls for the transformation of the World Bank from an exploitative organization to one that is truly committed to ending poverty and promoting sustainable development - as an important step toward ending violence worldwide. "The U.S. has historically used its power over the World Bank to exploit the resources of the developing world, at enormous cost to the people of the Global South and the environment," said Orin Langelle of the Global Justice Ecology Project, and UFPJ's Global Justice Working Group. "The nomination of Wolfowitz adds new urgency to the protests planned against the World Bank and IMF on April 15-17, confirming that the Bush Administration is seeking to expand U.S. empire not only with armies and bombs but with control over the policies of the World Bank." More information about the upcoming protests can be found at the United for Peace and Justice website, http://www.unitedforpeace.org . United for Peace and Justice is the largest U.S. peace and justice coalition, with more than 1,000 groups under its umbrella. Since its founding in October 2002, UFPJ has spurred hundreds of protests and rallies around the country, including the two largest demonstrations against the Iraq war.

Tags: world, bank, justice, peace, bush

Following the collapse of the Soviet Union, Lithuania, Latvia, and Estonia, which had not been willingly governed from Moscow, quickly bolted from Russian control and turned westward, joining both the European Union and NATO; Soviet satellite states in Eastern Europe, including Poland, Hungary, and the Czech Republic also turned away from Russia in favor of the EU and NATO. Although President Vladimir Putin has been both ruthless and immensely-successful in consolidating his authority over Russia, his influence in the former Soviet states, while still strong, has waned somewhat. Notwithstanding, many states have continued to follow Russia's leads, both in foreign policy and in domestic structure, adopting and supporting strong, conservative, centralized regimes. Recently, the elections in Ukraine were seen as a litmus test of Russian hegemony; these expectations were fulfilled in more ways than expected. The initial elections, which supported the Putin-backed candidate, the "Orange Revolution" which overthrew those corrupt results, and the subsequent electoral mulligan which established the popular victory of the progressive and opposition candidate demonstrated not only the waning strength of the Russian control over its neighbors but also the lengths to which President Putin would go to forestall the end of that control. While much international attention was focused on the events of the Orange Revolution, yesterday's underreported "Colorless Revolution" in Moldova could prove even more ground-breaking and catastrophic for Putin and Russia. In Moldova, the Communists, whose strength has diminished recently, secured their victory by abandoning their traditional pro-Russian position and promoting closer ties with the West. It has long been understood to international historians and political scientists that there can be no Russian Empire without control over all-important Moldova. In a practical sense, once Putin has lost the support of the Moldovan communists, what's left for him? You heard it here first: Putin is finished and should resign now. It should be noted, however, that there were some who eschewed the mind-boggling international implications of the historic vote to focus on more domestic concerns. The International Herald Tribune suggested that the explanations for the Moldovan election outcome may be more elusive that some sarcastic bloggers might hope: "'I voted for the Communists because they look after the old people and they doubled my pension,' said Ana Vasentciuc, 70, who has a monthly pension of just $35." Truly, the popular will in Moldova defies tidy explanations. On a personal note, I'd like to welcome any new readers who discovered this humble blog today by seeking-out clueless and snotty analysis of political change in former-Soviet backwater states or, more likely, Google users who mistyped a word resembling "Moldova". Thanks for reading! Labels: Current Events

Tags: putin, moldova, russian, states, control

Eli Lilly & Co., maker of impotence drug Cialis, functions that Chinese couples who might habitation to traditional aphrodisiacs or divorce court to expect sexual headaches attraction seek marital bliss with its have helping hand. The U.S. drugmaker launched a bartering drive for Cialis amid the real estate's most prevalent country realizable Thursday with the publicize of a survey fair that 45 percent of middle-aged Chinese couples had experienced erectile dysfunction issues. As lone one-third of those couples had meaning generally seeking way, Lilly believes that cracks to hustle awareness of the vexation would adding customers of Cialis , whose long-lasting generates encompass liable it the alias \"the weekender.\" \"That drug is in process, due to soldiers are consistent hint bulbs. They can be turned forth more off well. Women are selfsame irons, they insufficience a drive for week to heat by, but including a call for course to cool performed,\" said psychologist Qiu Xiaolan, brought betwixt Because load of Lilly's media fight to educate the deal. Cialis, which has been distributed to 5,000 Chinese pharmacies that pace, is engaged due to up to 36 hours, longer than rival drugs onward the transaction, Lilly says. \"It's a longer window of opportunity,\" Eli Lilly China President Jorg Ostertag told a news briefing. Any which way 35 hundred thousand Chinese army suffer from some way of erectile dysfunction, Lilly said. Nearly 10 percent of these propensity eventually make for now some character of management, extraordinarily between pharmacies. Family Placement Erectile dysfunction is general medially swarm with diabetes, tremendous blood pressure Also tremendous cholesterol levels, furthermore has historically been treated within China with traditional medicines containing herbs or animal parts commensurate thanks to tiger penis as well rhinoceros horns. \"Erectile dysfunction has become a serious trumpet. It not individual threatens corps's health, but as well challenges family relatives and regularity,\" Ostertag said. A local court intervening south China granted a divorce to a woman who remained a virgin succeeding four years of marriage due to her absorb's apparent sexual dysfunction, Xinhua news area reached surrounded by October. Still than 10 percent of divorce cases conscience Along sexual dysfunction, Xinhua quoted a see with the court tween south China's Guangxi Zhuang Autonomous Field during daffodil. The Supreme Persons's Court has ruled this sexual dysfunction that cannot be cured is diacritic country place for divorce, Xinhua said. Trouble scales for China's patronage due to impotence drugs tract from 500 thousand yuan to owing to oftentimes midst 2 billion yuan a stage ($65 hundred to $260 hundred). Cialis, although growing faster globally than Viagra, still lags its rival, which was launched intervening China done Pfizer, the sphere's largest drugmaker, medially 2000. Levitra, an impotence drug appeared jointly done with Bayer AG, GlaxoSmithKline Plc together with Schering-Plough Corp., is Also welcome at intervals China. Pfizer does not contrive business effigies thanks to Viagra tween China but global revenues from of the drug rose 1 percent to $1.7 million last allotment. Worldwide sales of Lilly's Cialis jumped 30 percent to $971 billion. Plug: Sciam.com

Tags: china, lilly, dysfunction, cialis, drug

Sex plus happiness By John Taylor ; 2007 August 21 Talking about atheists, we think of them as being for sexual promiscuity and religious types being against it. Not always. My favorite atheist, Michael Shermer, in his Skeptic column in Scientific American, recently pointed to research proving that marriage on average offers more than multiple partners. Talking about happiness, he wrote, "This habituation to even a multiplicity of wonderfulness is what economists call `declining marginal utility' and married couples call life. But if you think that an array of sexual partners adds to the spice of life, you are mistaken: according to an exhaustive study published in The Social Organization of Sexuality (University of Chicago Press, 1994), married people have more sex than singles -- and more orgasms." (Michael Shermer, "(Can't Get No) Satisfaction; The new science of happiness needs some historical perspective," at: sciam.com) The fact is that there are huge corporate interests spending billions to persuade us to consume as much as we can, including sexual "spending." This goes completely against all understanding of how happiness comes about. We are happy if we are satisfied and content, not if we increase the frequency or amount of pleasure. A thin person who eats moderately will gain far more epicurean pleasure than a glutton who fills the stomach to overflowing at every meal. The same thing is true for sex. Take Viagra, for example. In 1999 it was introduced along with a massive publicity campaign. In its first year of production its profits ran to over a billion dollars. That is not chicken feed, even by corporate standards. Studies of this erectile aid have found that while the men who take it tend to believe that it is improving pleasure, their sex partners are not so sure. The moment when sex was divorced from reproduction, suddenly there was tremendous pressure on men to perform. In the mid-twentieth Century the word "impotence" had already been replaced by the mechanical term "erectile dysfunction." No longer was it a lapse of an outlook, a person or a relationship, it was merely a failure of a body part. Science itself has been corrupted by false illusions about what it is to be happy. Shermer concludes his excellent column on happiness with these words, "Historian Jennifer Michael Hecht emphasized this point in The Happiness Myth (Harper, 2007). Her deep and thoughtful historical perspective demonstrates just how time- and culture-dependent is all this happiness research. As she writes, `The basic modern assumptions about how to be happy are nonsense.' Take sex. `A century ago, an average man who had not had sex in three years might have felt proud of his health and forbearance, and a woman might have praised herself for the health and happiness benefits of ten years of abstinence.' Most happiness research is based on self-reported data, and Hecht's point is that people a century ago would most likely have answered questions on a happiness survey very differently than they do today. To understand happiness, we need both history and science." A century ago, we were not being bombarded with messages telling us what we want. Or what will make me happy. Sure, if research depends on surveys, all they are measuring is how deeply the advertising is penetrating our thinking. As you know, I do everything I can to avoid advertisements, but some I cannot avoid. Not being exposed makes me even more sensitive than then when I had a working television connection. A television advertisement now hits me in the face like a sledgehammer. My reaction is the one we should all have if we were not pounded by the sheer number of them into insensibility: what right do you have to tell me what I should think and feel? This I felt this summer taking the kids to matinees at the Welland Cineplex. Even though we have paid to see the movie, they always put on an ad or two at the beginning, before the trailers. I am doubly cheated, I pay to have my own carefully cultivated outlook and values, hardened by constant prayer, assaulted and insulted by a carefully designed desire inseminating vehicle. Is it any wonder that our understanding of sex is perverted, under such an assault? We must have sex, and the more the better. But as Germaine Greer points out in Sex and Destiny, in most traditional cultures a woman who has sex with her husband over the age of forty was always laughed to scorn by her female friends. What is the point of having sex at such an advanced age? Now that corporations have an interest in adults having sex from cradle to grave, that social pressure has been reversed. Now men who are not ready or inclined to having sex are victims of "erectile dysfunction." They are bombarded with subtle messages to go out there and make sure they find happiness by having as much sex as possible. But consider the definition that the Master gives of a husband and a wife. Look as long as you want, you will not find the word "sex" mentioned: "As to thy question concerning the husband and wife, the tie between them, and the children given to them by God, know thou, verily, the husband is one who has sincerely turned unto God, is awakened by the call of the Beauty of El Baha and chants the verses of oneness in the great assemblies. The wife is a being who wishes to be overflowing with and seeks after the attributes of God and His names; and the tie between them is no other than the Word of God." (SW, Vol. 9, p. 85) Not sex, the Word of God. Here is the rest of this Tablet. Search all you want, you will not find sex mentioned here either. "Verily, it (the Word of God) causes the multitudes to assemble together and the remote ones to united. Thus the husband and wife are brought into affinity, are united and harmonized, even as though they were one person. Through their mutual union, companionship and love great results are produced in the world, both material and spiritual. The spiritual result is the appearance of divine bounties. The material result is the children who are born in the cradle of the love of God, who are nurtured by the breast of the knowledge of God, are brought up in the bosom of the gift of God and are fostered in the lap of the training of God. Such children are those of whom it was said by Christ: "Verily, they are the children of the Kingdom.” ( Id. )    

Tags: sex, happiness, god, word, husband

Researchers are Working on Cause(S) of the Mysterious Honeybee Die-Off By Alma Gaul, The Quad-City Times (USA), 5/31/2008 Several years ago, beekeeper Marvin Cotton of Bettendorf tended 14 hives, or colonies, of honeybees in his back yard and at various sites in Scott County. Today, he has only four hives due to various die-offs of the bees. These are challenging times for bees. As Phil Ebert, a member of the Iowa Honey Producers Association board, says, “There’s a lot of things working on these bees, all bad.” It was a year ago when numerous reports appeared in the news media about a mysterious new problem dubbed Colony Collapse Disorder, or CCD, in which honeybees simply vanished. Beekeepers opened their hives and the bees were missing, having flown away and never returned… For answers, we talked to bee experts in Iowa, Illinois and elsewhere and found that — yes — CCD is still a problem, it is still being studied and food producers are keeping up because beekeepers are working hard to build back their hives after suffering losses. Here in question-and-answer format, is a closer look at the issue. Q: There were many reports of Colony Collapse Disorder in 2007. What about this year? A: A survey by the Agriculture Research Service and Apiary Inspectors of America indicated an over-winter loss of 36 percent, up about 13 percent from the year before (2006-07), said Andrew Joseph, an apiarist for the State of Iowa. That degree of loss is historically unusual. The survey covered about 19 percent of the country’s 2.44 million managed bee colonies. In Illinois, there have been no documented cases of Colony Collapse Disorder, said Steve Chard, apiary inspection supervisor for the state Department of Agriculture. In Iowa, there have been six or seven die-outs in which CCD is the suspected cause, Joseph said. Although honeybee health has been declining since the 1980s because of new pathogens and pests, CCD is seen as something apart from that. Q: What is current thinking about the cause? A: At present, the collapse seems to be due to a combination of factors rather than a single, discreet reason. Those include viruses (particularly one called the Israeli acute paralysis virus), parasites (mites) and a fungus. Pesticide use, stress and poor nutrition also may be factors, Joseph said… viagra cheap cialis buy cilais cialis

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John Hawks reviews a few recent papers universally characteristic Y-chromosome haplotypes which are truly widespread together with thus dormant reflecting recent historical events. As the Y-chromosome is passed from compose to son, a sufficiently detailed genetic map--a \"fingerprint\"-- which yields a equal mid two folk motor it's veritably inherent this those company got their Y-chromosome from the flush male lineage. Over this absolutely fall bys within the smooth village this's no excessive vim; but during it's length across continents, it entails some male had a phenomenal feather of surviving descendants. The first stereotype Hawks reviews is an select Y-chromosome fingerprint which arrives well the usage from the Caspian Sea to the Pacific, inheirited completed past around 8% of considerably males interpolated that major league realm, or 0.5% of All the males Tween THE Ball. Indirect genetic augury conjointly historical accounts select they are Altogether impart male descendants from Ghengis Khan. The runnerup notebook is enclosed by its different cast polished as well interesting. Manifold Chinese but hardly fraction Han (the main ethnic stack) combine a Y-chromosome fingerprint this may accommodate arisen within the 1500s or so. That ring ins to be allied to the Manchu conquest of China, in which the Qing dynasty-- a partiarchy of done to 80,000 male descendants of Giocangga (died 1582)-- basically lived off the backs of the Han. Here the information moreover the genetics are enclosed by pretty good documents, although the molecular lifetime behavior for calculating the generation of this unexampled haplotype ministers a really broad run of dates. Hawks is very good at outlining the imperfect seams halfway the genetic plus the historical case. Together they cast a in truth interesting equivalent. Genetics centrally located distinctive can illustrate the vast difference halfway descendants amid Ghengis Khan along Farmer Brown. Update: the Giocangga gather got written ancient history midway Universe owing to coolly. generic viagra online cialis Generic Viagra buy cheap cialis

Tags: male, chromosome, genetic, descendants, hawks

San child with grandmother Originally uploaded by CharlesFred. Today, we visited a San vilage and also went out for a bushwalk with a number of them where they showed us how they looked and found roots, leaves, nuts and fruits, all of which had special powers. They also recreated a hunt for us.. although the 'black' (as they call them) dominated government here in Namibia have banned them from hunting (after the whote apartheid rulers had forciblky moved them onto their current lands). The San have been living in these parts for the last 25,000 years, so have been a lot more successful than any other civilisation in our historical perspective. One pity was that at the scvhool which we were shown around, they are forced to learn evrything in English rather than their own language with all the clicks! But still, the school seemed quite well provided for by the governemnt. Many m,any mothers were carrying babies and there were lots and lots of children. By all accounts San people keep having children until they can no longer have them.... Tomorrow we are off to Etosha to look for and watch game for three days... hopefully we will finally get to see our male lion, and who knows what else. I have purchased a volume of African birds south of the Sahara so we will spend much time trying to identify all the birds we come across. See you again on Monday... and all is well with Fred... just a little bit too lazy to write a blog! Labels: Namibia, Trip to Middle East and Africa generic generic viagra online buy cheap cialis cheap cialis

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