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juliusbeezer : healthcare   56

Billy Connolly announces retirement from live performance | Culture | The Guardian
He said his wife, Pamela Stephenson Connolly, had become his nurse, and he had given up using medicinal marijuana to relieve his symptoms. “I just got bomb happy. Just stoned. It was quite pleasant, but I don’t want to do that every day,” he said.
cannabis  healthcare 
december 2018 by juliusbeezer
Working with PDF files on Linux
PDF documents which have been digitally signed with a security certificate are legally enforceable in many countries. This is very important in the medical field as it ensures that a patients medical documentation has not been altered since the doctor or consultant signed them.

In the clinic letters system I’ve developed (Open ALMA) I introduced a work flow allowing consultants to digitally sign clinic letters before being sent back to the GP. The final letter is rendered as a PDF file using the LaTeX publishing system. The publishing of these PDF files is done on a Linux server. Therefore, I needed to find a Linux command line utility which could sign each PDF file with a unique security certificate identifying the person who reviewed and signed the content.

I settled on using PortableSigner which is a Java application distributed under a free European Union Public Licence. What I like about PortableSigner, beside the fact it can be invoked from the command line, is that you can embed a comment, a reason and a location during the PDF signing process. The location field can be used to store the computers host name or IP address thus documenting which terminal the signer was sat at while signing the letter.
tools  text_tools  software  healthcare  healthcarerecordsystems 
october 2018 by juliusbeezer
ACS Advocates a Consensus Strategy to Prevent Injury, Disability, and Death from Firearms
The ACS COT’s Consensus Strategy views firearm injury and mortality in the larger context of violence toward oneself or others, which is a major cause of unnecessary injury and death in the United States, claiming on average 175 American lives every single day.*

“To reduce death and disability associated with firearm injuries, we have to think about the strategies that cover the entire spectrum of violence-related events: how firearms are stored in the home, recognition that people who are at risk of self-harm or domestic violence should not have access to weapons, and addressing the causes of interpersonal violence. These strategies don’t get a lot of attention. These are not controversial ideas. All are achievable and could make a huge impact in terms of reducing injury, disability, and death,” said Eileen M. Bulger, MD, FACS, Seattle, Wash., current ACS COT Chair.
Violent Intentional Injuries and Deaths Are a Neglected Public Health Crisis

In 2016, the most recent year for which data are available, a firearm was involved in 51 percent (22,938) of suicides and 75 percent (14,415) of homicides. Since 1999 there has been a 17 percent increase in firearm-related intentional injury death rates; over the same time period, there was a 22 percent decrease in traffic-related deaths.*

Since 2014, the ACS COT has been engaged in a firearm-injury prevention consensus-building project that involved surveys of its members and the ACS Board of Regents and Board of Governors, town hall meetings, and outreach to a broad group of stakeholder organizations.
us  politics  deaths  guncontrol  medicine  healthcare  health 
september 2018 by juliusbeezer
Hackney LCC meeting 6th June 2001 – Hackney Cycling Campaign
Patrick reported that ways of taking Cycle Active forward are currently being sought. One possibility is the Finsbury Park Regeneration Scheme might take the project on. Also someone is needed to work on the administration, and it is possible that this could be a paid position.

The project was set up 2 years ago to teach people to ride bicycles and to improve their skills. There is money and equipment for the project to continue, if anyone is willing to take it on.
cycling  Hackney  politics  health  healthcare 
august 2018 by juliusbeezer
Hackney LCC meeting 4th February 1999 – Hackney Cycling Campaign
Douglas reported on health promotion progress. After all the optimism of our bid for Health Action Zone cash to promote cycling for recovering cardiac sufferers, it turns out that there is just £40 grand to support cardiovasculation health promotion in Hackney, most of which is going to support gym-based activities. There is, however, a chance of a small amount of seed money to go towards the training of cycle trainers, which will be better than nothing.
cycling  Hackney  transport  politics  health  healthcare 
august 2018 by juliusbeezer
Illness and Attitude – Richard Holton's 3rd Uehiro Lecture | Practical Ethics
Although there is little empirical research directly on this question, Holton draws on research on self-efficacy to support his initial hypothesis that the conception of a disorder one has may play a role in the course that it takes. Self-efficacy refers to the concept that an individual’s beliefs about their ability to succeed in a particular task can significantly influence how they approach that task. Crucially in the current context, if I don’t believe that I will be able to succeed in task X, I will be less able to adopt coping behaviours, and to sustain effort in the face of obstacles to achieving X. To extend this to addiction, it seems plausible to suppose that if I believe that I cannot overcome an addictive craving, my low self-efficacy judgement will mean that I will be less likely to exert the sort of effort that might in fact lead me to succeed in resisting the craving.

Rather than focus primarily on addiction though, Holton’s main focus in this lecture is on psycho-somatic illness. These illnesses might plausibly be understood as extreme cases of something like the phenomenon Holton is interested in, namely, attitudes mediating illness in some sense.
medicine  psychology  drugs  healthcare  philosophy 
june 2018 by juliusbeezer
NIHR DC | Signal - Study raises questions about NHS “weekend effect”
The increased mortality observed if patients are taken to hospitals at weekends also affects night admissions and can be explained in part by the severity of illness.

Five linked NIHR-funded studies reviewed mortality and time and day of admission to hospital, largely using routine England-wide data.

Fewer people are admitted from A&E at the weekend. Admission is more likely if they have arrived by ambulance or been referred directly for admission from community services. Though death rate within 30 days was slightly higher for these admissions, it is likely that this was due to more severe illness. There was no difference in mortality for people who attended A&E but were not admitted.

NHS Trusts have been told by NHS England to reorganise services in line with “seven day working” to eliminate the weekend effect. These studies raise doubts as to whether such a reorganisation will achieve a reduction in mortality overall.
healthcare  deaths 
february 2018 by juliusbeezer
Whose interests are the GMC really trying to serve in the Bawa-Garba case?
When I look at some of the arguments advanced in the Crown Court by both the defence and prosecution I cannot quite believe such arguments were part of criminal proceedings. A significant amount of them were technical points relating to the clinical assessment of shock. How has a junior doctor found themselves in the dock in criminal proceedings arguing that they were “correct to be cautious about introducing too much fluid into the [patient] because of his heart condition”? Together with the prosecution, in order to gain a conviction making points about capillary refill and high levels of lactate in the blood. It was also decided to to use Dr Bawa-Garba’s educational ePortfolio reflections against her, this will have a catastrophic effect on a future doctor’s ability to reflect openly and honestly about serious incidents and mistakes.
medicine  law  uk  healthcare 
january 2018 by juliusbeezer
We examined Julian Assange, and he badly needs care – but he can’t get it | Sondra S Crosby, Brock Chisholm and Sean Love | Opinion | The Guardian
It is unconscionable that Mr Assange is in the position of having to decide between avoiding arrest and potentially suffering the health consequences, including death, if a life-threatening crisis such as a heart attack were to occur. Further, our assessment reveals that he has had no access to sunlight, appropriate ventilation or outside space for over five and a half years. This has taken a considerable toll. It is our professional opinion that Mr Assange’s physical and psychological circumstances at the embassy are in violation of the spirit of the UN standard minimum rules for the treatment of prisoners.

We must ask: why does Mr Assange remain unable to exercise his human right to health services? Are states allowed to choose who is entitled to this fundamental right and who is not?

We call on the British Medical Association and colleagues in the UK to demand safe access to medical care for Mr Assange and to oppose openly the ongoing violations of his human right to healthcare. As tensions between the UK and Ecuador escalate over Mr Assange’s unsustainable situation, the international press has now reported new efforts to resolve the situation diplomatically through a mediator. Any such discussions must include a fair and transparent discussion of his access to healthcare.
assange  healthcare 
january 2018 by juliusbeezer
Down and Almost Out in Scotland: George Orwell, 1948, and Nineteen Eighty-Four | Absolutely Maybe
Random allocation of patients to receive some of the limited supply of streptomycin was an equitable way of distributing the drug. It was also the way to find out more about the magnitude of streptomycin’s beneficial effects in a form of TB from which many people recover spontaneously, and about the drug’s unwanted effects, including the development of drug-resistant forms of TB. The first patients entered the trial in 1947.

Orwell’s hospital was not one of the hospitals in the trial: in fact, no Scottish hospital was included (MRC 1948b). That didn’t make any difference for Orwell – he wouldn’t have been eligible to participate in the study for several reasons, including his age (he was too old).

However, even with narrow entry criteria, the trial did help many people. Instead of languishing for months on a waiting list, being chosen for the trial meant that people were admitted to hospital within a week, even if they weren’t going to end up in the group of patients randomized to receive the drug.
orwell  medicine  healthcare  science 
january 2018 by juliusbeezer
There’s a highly successful treatment for opioid addiction. But stigma is holding it back. - Vox
The research backs this up: Various studies, including systematic reviews of the research, have found that medication-assisted treatment can cut the all-cause mortality rate among addiction patients by half or more. Just imagine if a medication came out for any other disease — and, yes, health experts consider addiction a disease — that cuts mortality by half; it would be a momentous discovery.

“That is shown repeatedly,” Maia Szalavitz, a longtime addiction journalist and author of Unbroken Brain: A Revolutionary New Way of Understanding Addiction, told me. “There’s so much data from so many different places that if you add methadone or Suboxone in, deaths go down, and if you take it away, deaths go up.”
drugs  healthcare  law  us  culture 
december 2017 by juliusbeezer
Sex Work Gives Me Anxiety — But For Me, It’s Better Than a Cubicle
I’ve become isolated in other ways too. I am a cold ocean away from most of my family, with whom I rarely speak. It feels wrong to manufacture a false life for them, when both my living and writing revolve around sex work. They may celebrate my writing, which appears in publications they might recognize, but would almost certainly regard the sex work that supported me to write it as distasteful and horrific...
And then there are the barriers to accessing healthcare. Risk of physical disease is low in my particular line of sex work, and anonymous clinics here test anyone who walks in the door. But if my National Health Service doctor were to learn that I do sex work, that information would go in my file. Colleagues of mine report that doctors can attach a number of stigma-laden assumptions to patients who they learn are sex workers. One reported that she could not get opiate pain medication after an operation, as her doctor feared she would sell or abuse the drugs. Another told me that her doctor refused to prescribe benzodiazepines for panic attacks, saying that if she wanted not to panic, she could stop doing sex work. So I keep my work to myself and lie to my doctor, rather than risk having to argue over my treatment.
sex  work  healthcare  law 
october 2017 by juliusbeezer
NHS drug spending rises by 8% to £15.5bn in England | News | Pharmaceutical Journal
The costs of NHS medicines prescribed in hospital and in the community in England rose by 7.8% between 2013–2014 and 2014–2015, according to figures released by the Health and Social Care Information Centre (HSCIC) on 12 November 2015.

The biggest rise occurred in hospitals where the net ingredient cost of medicines went up 15.4%. The figure means that the sector’s medicines’ bill has risen by 59.8% over the past four years.

Overall the NHS in England spent £15.5bn on medicines in 2014–2015 — a rise of 19.4% since 2010–2011, the figures reveal.
drugs  healthcare  uk  finance  economics 
october 2017 by juliusbeezer
Greece: Between Deterrence and Integration
The site hosts vulnerable refugees and migrants, and outside there are picnic tables, simple wooden chalets and inflatable shelters that appear to have rolled into place under the trees like giant footballs. Colorful murals that owe more to enthusiasm and peace slogans than artistry decorate the administrative building. The vibe here, as in many of the charitable refugee shelters in Greece, is more kibbutz than camp. Situated a short drive to the south of the city of Mytilini, the only chain-link fence to be found belongs to an adjoining tennis club.
greece  immigration  politics  healthcare 
may 2017 by juliusbeezer
La Sécurité sociale, une assistance ou un droit ?, par Martine Bulard (Le Monde diplomatique, avril 2017)
Le reliquat est à la charge des patients ; cela représente 16 % pour les médicaments, par exemple.

Ce système, à bout de souffle, conduit entre 21 et 36 % des Français à renoncer aux soins pour des raisons financières (3). Derrière ces statistiques, il y a des enfants sans lunettes alors qu’ils en auraient besoin (ce qui entraîne parfois un retard scolaire) ; des dents qu’on arrache au lieu de les soigner ; des bronchites négligées qui dégénèrent, des personnes âgées qui s’isolent de plus en plus faute d’appareil auditif ... On sait que les renoncements d’aujourd’hui font les grosses pathologies de demain, et donc des frais supplémentaires pour la Sécurité sociale.
france  healthcare  finance 
april 2017 by juliusbeezer
Which country has the world's best healthcare system? | Society | The Guardian
Healthcare is a costly item in national budgets, but who gets the best value for money, and who the best outcomes? We compare the systems in some of the world’s leading countries for healthcare.
healthcare  international 
march 2017 by juliusbeezer
Official Google Blog: A remedy for your health-related questions: health info in the Knowledge Graph
when my infant son Veer fell off a bed in a hotel in rural Vermont, and I was concerned that he might have a concussion. I wasn’t able to search and quickly find the information I urgently needed (and I work at Google!). Thankfully my son was OK, but the point is this stuff really matters: one in 20 Google searches are for health-related information. And you should find the health information you need more quickly and easily...
We worked with a team of medical doctors (led by our own Dr. Kapil Parakh, M.D., MPH, Ph.D.) to carefully compile, curate, and review this information. All of the gathered facts represent real-life clinical knowledge from these doctors and high-quality medical sources across the web, and the information has been checked by medical doctors at Google and the Mayo Clinic for accuracy.
search  google  health  healthcare  medicine 
november 2016 by juliusbeezer
Student nurse reveals 'soul destroying' realities of career in open letter | The Independent
Off I drove, rushing to try get my daughter to school (I am a lone parent) in a car I can’t afford, wondering how I am going to pay for petrol as I am already nearly out, AGAIN. Also worrying about how I am going to pay for food for the rest of the week as I only have €25 and need to buy petrol.

When I got into work I received a phone call from the only other nurse due in that day to tell me she was sick with a fever. I had only been placed in the day hospital 3 days previous and was told that day I would be left with full responsibility of approximately 20+ patients suffering from various mental health issues.
driving  food  uk  healthcare 
october 2016 by juliusbeezer
Nuclear weapons contractors repeatedly stifle whistleblowers, auditors say | Center for Public Integrity
At laboratories and factories where American nuclear weapons are designed and built, and at the sites still being cleansed of the toxic wastes created by such work, contractor employees outnumber federal workers six to one. That makes them key sentinels when something goes awry, a circumstance that officials say explains why they get legal protections when whistleblowing.
nukes  work  healthcare 
july 2016 by juliusbeezer
Some things I have learnt while using corpus methods to study health communication | ESRC Centre for Corpus Approaches to Social Science (CASS)
I expected that it would be difficult to get audiences outside (corpus) linguistics to understand and appreciate our methods. I was wrong. I have consistently found that people generally, and healthcare professionals in particular, quickly become interested in corpus methods and appreciative of what can be learnt from them. After all, healthcare professionals are used to large-scale quantitative studies and statistical analyses, and therefore do not find corpus-based research at all alien. The dissemination of our findings has therefore been much better received than I would ever have imagined.

A paper we published in BMJ Supportive and Palliative Care has been the most read in that journal from February 2015 to January 2016. In that paper we provide evidence from our patient data of the potential negative, disempowering effects of Violence metaphors (e.g. when a patient says: ‘I feel such a failure for not winning this battle’). However, we also show that those same metaphors are motivating and empowering for some people, who proudly embrace the identity of ‘fighters’ (e.g. when another patient says: ‘cancer and the fighting of it is something to be proud of’). Our paper shows a similar pattern for Journey metaphors, which are used in preference to Violence metaphors in policy documents and guidelines on cancer and end-of-life in the UK’s National Health System (e.g. ‘my cancer journey’). In our patient data, Journey metaphors are used in positive and empowering ways by some people, and in negative and disempowering ways by others. From a healthcare professional’s point of view, this means that there is no easy one-size-fits-all approach to communication about cancer.
healthcare  language  metaphor  corpus 
february 2016 by juliusbeezer
Large 'jump in deaths' expert warns - BBC News
Prof Harrison's own analysis backs up figures in the Health Service Journal which suggest there have been 5.6% more deaths in England and Wales in 2015 than in the previous year - the biggest increase in the national death rate since the 1960s.

Though the final figures - which take changes in population size into account - will not be released by the Office for National Statistics until the summer, experts say more needs to be done to understand the reasons behind the spike and urge public health experts to focus on wider factors, not just influenza.
medicine  health  healthcare  disease  uk 
february 2016 by juliusbeezer
The Statistical Alchemy of Meta-Analyses | Alert & Oriented
the founding father of clinical epidemiology brilliantly identifies the wishful thinking underlying meta-analysis and exposes its methodological fallacies.

Feinstein begins by reminding the reader of the four necessary requirements for acceptable scientific evidence. Translated to clinical research, these become 1) that the population under investigation be identified reliably (“in a reproducible manner”); 2) that the relevant characteristics be homogeneous; 3) that comparisons performed between subgroups of the population be unbiased (internal validity); 4) that the evidence obtained be extrapolated to a broader population (external validity).

Because meta-analyses necessarily fail on one or more of these requirements, the wished-for results can never produce better information than the trials upon which they are constructed—hence the analogy with alchemy.

With clear prose and dry humor, Feinstein proceeds to systematically uncover flaw after flaw in the meta-analytic approach.
ebm  medicine  healthcare 
november 2015 by juliusbeezer
This study is forcing economists to rethink high-deductible health insurance - Vox
Kolstad and his co-authors looked at the case of a large, unnamed company that shifted more than 75,000 workers and their dependents from a plan with no deductible to one with a $3,750 deductible. When the change happened, workers received a $3,750 subsidy to a health savings account — money they could spend freely on whatever health costs they incurred. The company also gave workers online tools to look up prices for doctor visits, tests, and other services they might need.

Workers' health spending dropped, and did so quickly. Average per-patient spending fell from $5,222.60 in 2012 to $4,446.08 in 2013. That's about a 15 percent decline in a single year — and it held true across all types of health services. Between 2012 and 2014, there was a 25 percent drop in emergency room spending, an 18 percent decline in physician office visits, and a 6 percent decrease in mental health services.
healthcare  economics  finance 
october 2015 by juliusbeezer
Evidence Base - Mental Health First Aid
Mental Health First Aid is an international program proven to be effective. Peer-reviewed studies published in Australia, where the program originated, show that individuals trained in the program:

Grow their knowledge of signs, symptoms and risk factors of mental illnesses and addictions.
Can identify multiple types of professional and self-help resources for individuals with a mental illness or addiction.
Increase their confidence in and likelihood to help an individual in distress.
Show increased mental wellness themselves.

Studies also show that the program reduces the social distance created by negative attitudes and perceptions of individuals with mental illnesses
healthcare  psychology 
march 2015 by juliusbeezer
Measles: Shaming Anti-Vaccine Parents Isn't the Answer - Bloomberg Business
If vaxxers can’t force people to get their shots, they can try shaming them into it. But vilification, however satisfying, doesn’t do much good. People who are told that their dearly held beliefs are stupid and selfish tend to withdraw from the conversation while continuing to do whatever they did before...
Physicians can increase compliance by making clear that full and prompt vaccination is an expectation...
ditching an uncompliant family is a mistake. “You’re decreasing the possibility of changing their mind and pushing it toward zero,”
insurance billing code for vaccine counseling, which would give doctors a financial incentive to bring around a resistant family...
As those Twitter tweets show, it’s not just the anti-vaxxers who come from a place of fear and anger. It’s the vaxxers, too. A democratic society must search for common ground. Let’s make this a time for healing. And not just from measles...
vaccines  culture  psychology  medicine  healthcare 
february 2015 by juliusbeezer
I Asked My Mom Why She Didn’t Vaccinate Me
made me wonder whether vilifying anti-vaccine parents — as the press has done repeatedly this week — is a good strategy for increasing vaccine coverage. When parents make medical choices, good or bad, it’s for one simple reason: They’re trying to do the right thing for their kid. Refusing vaccination is not a political statement.
vaccines  medicine  healthcare  health  agnotology  politics  journalism 
february 2015 by juliusbeezer
Does screening asymptomatic adults for major disease save lives? It seems not -- ScienceDaily
few currently available screening tests for major diseases where death is a common outcome have documented reductions in disease-specific mortality. Evidence was evaluated on 16 screening tests for 9 major diseases where mortality is a common outcome. The researchers found 45 randomized controlled trials and 98 meta-analyses that evaluated disease-specific or all-cause mortality. Reductions in disease-specific mortality were uncommon and reductions in all-cause mortality were very uncommon.

Researchers from the Stanford School of Medicine evaluated evidence on 39 screening tests for 19 major diseases from 48 randomized controlled trials (RCTs) and 9 meta-analyses identified via the Cochrane Database of Systematic Reviews, and PubMed -- to find out whether screening asymptomatic adults for major disease led to a decrease in disease-specific and all-cause mortality.

Randomized trials were available only for 19 tests on 11 diseases (abdominal aortic aneurysm, breast cancer, cervical cancer, colorectal cancer, hepatocellular cancer, lung cancer, oral cancer, ovarian cancer, prostate cancer, type 2 diabetes, and cardiovascular disease). The authors' show that there is evidence of a reduction in mortality in only 30% of the disease-specific mortality estimates and 11% of the all-cause mortality estimates from the randomised controlled trials they evaluated. In the case of disease-specific mortality, findings from the individual randomised controlled trials are backed up by evidence from 4 meta-analyses, but none of the 6 meta-analyses that included estimates of all-cause mortality produced evidence of a reduction
healthcare  screening  medicine 
january 2015 by juliusbeezer
Neoliberal Dogma? Revisiting Foucault on Social Security, Healthcare, and Autonomy (Pt. II of II) | JHIBlog
Foucault considered that a state as fragile as “health” could not be secured by legislation.

It is clear that there is hardly sense in speaking of a “right to health.” Health, good health, cannot come from a right. Good and bad health, regardless of the unsophisticated or subtle criteria that we use, are facts: facts of health and of consciousness (Foucault, Dits et écrits, vol. 4., 376).

A plausible intellectual genealogy would not include neoliberalism so much as the thought of Foucault’s former mentor Georges Canguilhem, a historian of medicine, philosopher, and medical practitioner:

Biological normalities have no guarantee other than their fact, unless one gives them a metaphysical foundation, which nothing forbids us from seeing only as a consecration of that fact…health is not at all an economic exigency to be asserted within a legislative framework [i.e., in the “right to health”]; it is a spontaneous unity of the conditions for the exercise of life.
foucault  medicine  philosophy  health  healthcare  law 
january 2015 by juliusbeezer
Open Humans: Opening Soon!
The Open Humans Network, led by myself and Madeleine Ball of, attempts to break down health data silos through an online portal that will connect participants willing to share data about themselves publicly with researchers who are interested in using that public data and contributing their analyses and insight to it. The portal will showcase public health data and facilitate its exploration and download. The Open Humans Network ultimately hopes to revolutionize research by making it easy for anyone to participate in research projects and facilitating highly integrated, longitudinal health data. This portal will consist of three components: individual data profile pages, a public data explorer and a set of design guidelines for researchers seeking a collaborative data-sharing model.
open  opendata  openmedicine  healthcare  medicine  confidentiality  ethics  extrovertbias 
january 2015 by juliusbeezer
Open Humans Network -
Open Humans Network is launching soon. Led by Jason Bobe and Madeleine Ball of, OHN attempts to break down health data silos through an online portal that will connect participants willing to share data about themselves publicly with researchers who are interested in using that public data and contributing their analyses and insight to it. The portal will showcase public health data and facilitate its exploration and download. The Open Humans Network ultimately hopes to revolutionize research by making it easy for anyone to participate in research projects and facilitating highly integrated, longitudinal health data.
healthcare  genetics  confidentiality  medicine  open  opendata  openmedicine  openness 
january 2015 by juliusbeezer
Healthcare: We’re all doomed by @micmac650 | ayrshirehealth
Baumol’s Cost Disease

QuartetIn 1966, Baumol and Bowen pointed out the difficulty of increasing productivity in service industries. In 1785, Mozart’s string quartet no. 19 took four musicians 25 minutes to perform. 227 years later, it still takes four musicians 25 minutes. There has been no gain in productivity.
healthcare  economics 
january 2015 by juliusbeezer
OPAL - from Open Health Care UK
OPAL is open source patient list and ward management software for the NHS.
healthcarerecordsystems  healthcare  uk  opensource 
june 2014 by juliusbeezer
Light Blue Touchpaper » Blog Archive » Latest health privacy scandal
Today I gave a talk at the Open Data Institute on a catastrophic failure of anonymity in medical research. Here is the audio and here are the slides.

Three weeks ago we made a formal complaint to the ICO about the Department of Health supplying a large amount of data to PA Consulting, who uploaded it to the Google cloud in defiance of NHS regulations on sending data abroad. This follows several other scandals over NHS chiefs claiming that hospital episode statistics data are anonymous and selling it to third parties, when it is nothing of the kind.

Yesterday the Department of Health disclosed its Register of Approved Data Releases which shows that many organisations in both the public and private sectors have been supplied with HES data over the past year. It’s amazing how many of them are marked “non sensitive”: even number 408, where Imperial College got data with the with HESID (which includes postcode or NHS number), date of birth, home address, and GP practice. How officials can maintain that such data does not identify individuals is beyond me.
privacy  security  medicine  healthcare  healthcarerecordsystems 
april 2014 by juliusbeezer
Report: Massachusetts Health Reform in Practice | Mass-Care
Health care costs in Massachusetts are higher than in any other state in the nation, and reform has been found to accelerate the rising costs of employer-sponsored health care. There is general agreement that the Massachusetts reform is itself not sustainable without effective cost control.

Massachusetts enjoyed favorable circumstances at the outset of reform, such as previously high levels of spending on health care for the poor, high personal incomes, and relatively low rates of uninsurance. Without controlling costs, national reform will run up against the same difficulties as Massachusetts: growth in public insurance coverage will prove unsustainable and will accompany the rapid erosion of private insurance benefits, while modest gains in access to care will be threatened in the short term by unsustainably high costs that are increasingly shifted on to patients.
march 2014 by juliusbeezer
As if Syria didn't have enough problems, now a polio epidemic looms | Elizabeth Parker-Magyar | Comment is free |
A Reuters report last week alleged that the eastern, contested province of Deir e-Zor, where the disease was first detected, had been purposefully excluded by the Syrian government in a 2012 campaign, citing the region's depopulation. Less than a year later, in October of this year, the World Health Organization documented the first 15 cases of the heavily contagious disease in Syria since 1999 in Deir e-Zor, and the outbreak has since spread to largely rebel-controlled Aleppo and the Damascus suburbs.
medicine  politics  healthcare  disease  syria 
december 2013 by juliusbeezer
My Injury File: How I Shot, Smoked, And Screwed My Way Through The NFL
Looking at the injuries individually, it seems easy enough to diagnose and treat each one. Your groin is torn. Look up "torn groin" in the index, find the list of exercises to plug into your daily rehab regimen, and you're off and running. But seen from a distance, the litany above tells me something different. The injuries are all connected. One injury leads to the next, to the next, to the next. The aggressive rehabilitation of one muscle neglects its opposite. The body is thrown out of balance.

I now own a copy of my injury file, obtained by subpoena from the Broncos for my worker's-compensation case. Page by page I've gone through it, reminded of injuries and treatments I had forgotten.
sport  medicine  healthcare 
december 2013 by juliusbeezer
Madagascar is just about the only country still struggling with the bubonic plague – Quartz
the African island of Madagascar is facing a public health threat straight out of the Middle Ages: At least 20 people in the country’s northwest died last week from the bubonic plague, and 2012 saw some 256 plague cases and 60 deaths—more than in any other country in the world.

One major problem seems to be the rat-infested prisons like the notorious facility in Antanimora, which holds 3,000 inmates. The International Committee of the Red Cross in October warned that the facility’s overcrowding and poor sanitary conditions present a serious plague threat—not just to prisoners, but to those outside its walls, too, since inmates’ relatives can catch the disease when they visit the facility, and detainees are often released without having been treated.
medicine  health  healthcare  prison 
december 2013 by juliusbeezer
NHS Professionals Can and Will be Ruined for Whistleblowing. | iatroskalos
survey after survey shows that staff often do not speak up believing that no-one will listen or, even worse, they will suffer personally. This was my experience at a West Midlands hospital from 2008 to 2010.
healthcare  politics 
october 2013 by juliusbeezer
JMIR--Can Anonymous Posters on Medical Forums be Reidentified? | Bobicev | Journal of Medical Internet Research
With the emergence of user-generated Web content, authorship analysis is being increasingly applied to online messages [9,10]. The general task of authorship analysis can mean one of several types of analyses: (1) author attribution in which the system is tasked to assign an unknown text to an author from several authors’ writing examples [11], (2) author verification in which the system is tasked to determine if some text was or was not written by an author given an example of the writing of a single author [12], or (3) author profiling in which the system is expected to identify an author’s gender, age, personality, cultural background, etc by analyzing given text written by this author [13]. Our focus in this paper is the author attribution.
privacy  healthcare  internet 
october 2013 by juliusbeezer
GPs face prosecution unless they inform patients their data could be used outside the NHS | News Article | Pulse Today
He said: ‘It’s a bit of a dog’s dinner. Practices have a lawful obligation under the Health and Social Care Act to send the data to the HSCIC. But an obligation under the Data Protection Act to protect patient’s data. It’s leaving practices confounded between two rights. If practices aren’t sued by one, they’ll be sued by another.
healthcarerecordsystems  healthcare  uk  politics 
august 2013 by juliusbeezer
Barry Rowlingson's GeoSpatial Blog: NHS Hack Day Oxford - The Good, The Bad, and The Ugly
So, onto the work itself. Given the huge number of people who turned up I was surprised at the level of traffic on the email and the google group. Perhaps a dozen or so individuals voiced up on the pre-conference channels, yet at least ten times that number walked through the doors on the day. What were that 90% thinking beforehand?
software  healthcarerecordsystems  healthcare 
january 2013 by juliusbeezer
Pew Health Online 2013: From a medical librarian perspective «
Twenty-six percent of internet users who look online for health information say they have been asked to pay for access to something they wanted to see online. Seventy-three percent say they have not faced this choice while seeking health or medical information online. Of those who have been asked to pay, just 2% say they did so. Fully 83% of those who hit a pay wall say they tried to find the same information somewhere else. Thirteen percent of those who hit a pay wall say they just gave up. Men, women, people of all ages and education levels were equally likely to report hitting a pay wall when looking for health information. Respondents living in lower-income households were significantly more likely than their wealthier counterparts to say they gave up at that point. Wealthier respondents were the likeliest group to say they tried to find the same information elsewhere. No income group was more likely to say they paid the fee.
openaccess  healthcare  medicine 
january 2013 by juliusbeezer
E-Health Insider :: 'Grave concerns' over new GP data set
Ross Anderson, Professor of Security Engineering at Cambridge University, told EHI that privacy in the NHS has “effectively been destroyed” over the past year.

He dated its destruction from Prime Minister David Cameron’s announcement regarding the greater use of NHS data by commercial organisations such as drug companies.

“What the BMA and GMC should do is stop pretending that medical confidentiality exists – it’s over,” he said.

“They should say, ‘I’m sorry but anything you tell us goes into a computer and off to the government and is sold to whoever wants to pay for it’.”
privacy  healthcare  healthcarerecordsystems 
january 2013 by juliusbeezer
Hackers and Harm Reduction / 29c3 / CCC
interesting example of medical/healthcare metaphor entering computer discourse
security  medicine  healthcare 
december 2012 by juliusbeezer
Computer Viruses Are "Rampant" on Medical Devices in Hospitals | MIT Technology Review
Computerized hospital equipment is increasingly vulnerable to malware infections, at times rendering the devices temporarily inoperable... many systems run on variants of Windows... connected to an internal network that is itself connected to the Internet, and they are also vulnerable to infections from laptops or other device brought into hospitals. The problem is exacerbated by the fact that manufacturers often will not allow their equipment to be modified, even to add security features.

In a typical example, at Beth Israel Deaconess Medical Center in Boston, 664 pieces of medical equipment are running on older Windows operating systems that manufactures will not modify or allow the hospital to change—even to add antivirus software—because of disagreements over whether modifications could run afoul of U.S. Food and Drug Administration regulatory reviews
software  medicine  healthcare 
october 2012 by juliusbeezer
Tous les avis ,Nantes - Meteo -
Pharmacie de garde

Comme dans les commentaires précédents, le coût d'appel au 3237 est scandaleux et en plus, bien sûr, on tombe une une saloperie de répondeur !
Il est d'ailleurs incompréhensible que cette info ne soit pas disponible sur internet ?!…
Les pharmaciens, ces voleurs !!!
healthcare  commenting  français  nantes 
october 2012 by juliusbeezer
Moorfields opens eyes to open source - Government Computing Network
Asked why Moorfields decided on in-house development, Aylward responds: "The commercial model providing the sort of functionality that clinicians need has utterly failed. That's a very brief summary of the national programme, but if you throw £11bn at a problem and you don't get any results, it is unlikely that it is the right model.

"We looked at all the commercial systems available and there was nothing that even comes close to matching our requirements from the clinical point of view, so it was really the only solution to get what we wanted."

He maintains that the OpenEyes model involves real clinical engagement; ophthalmologists are specifying what they want and within a very short timescale Moorfields' IT team are turning that into something they can use.
opensource  healthcare  healthcarerecordsystems 
september 2012 by juliusbeezer
Geeks that love the NHS and fix it: second NHS Hack Day - IDC Insights
report from NHS Hack Day II; note Moorfields now has open source EHR system, though "only 10% of trusts" elsewhere would be capable of rolling it out
opensource  healthcare  healthcarerecordsystems 
september 2012 by juliusbeezer
What exactly happened, between 1970 and 1998, to Shulamith Firestone? | berfrois
Yet I confess to not being able to shake feelings of depression about the feminist’s plunge out of history that Airless Spaces depicts—a plunge that Airless Spaces seems to record most poignantly when it is explicitly not recording it, when it is conspicuously silent about how the hospitalized characters in it might have had political futures not entirely disconnected from their political past. How the narrator or characters became hospitalized to begin with, is a question Airless Spaces never asks us to ask, but rather posits as besides the point, not relevant, not really worth asking.
feminism  history  psychology  politics  healthcare 
september 2012 by juliusbeezer
Canadian health librarians wiki. Huge! Home of UBC's Dean Giustini.
wiki  library  health  healthcare  medicine 
september 2012 by juliusbeezer
HL7 Watch: An Australian View on HL7 V3
Have you seen the latest restrictions on use of the HL7 standards? They were restrictive in the past, it has now gotten worse. Today the standard is totally commercialized. You cannot use it to create a professional, usable, realworld (aka 'commercial') app till you pay the HL7 group with a pound of your flesh. You cannot teach HL7 to any one - ditto, share it with a colleague in your hospital? - ditto .
So how does one spread the message of interoperability far and wide, how does one advocate use of the HL7 standard world wide, how does one make hospitals share records, when at each step you are told to cough up money! 
So let HL7 frankly admit that it is in it for the money or go truly open and offer the standards to all like say, LOINC or ICD.
software  healthcare 
september 2011 by juliusbeezer
The Future of Free Software in Health Care
This presumably didn't give an http error when I bookmarked it back in Jun 2009... Updated using ref 13 Feb 2015?
open  source  software  medicine  healthcare 
july 2009 by juliusbeezer

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