Thursday, December 31, 2009

"2010" definitely not - future vision is 20:20!

Happy New Year everyone!

Janus: Eric SuticAs 2010 begins with the first day and month of January I always think of Janus and the origins of January as per the description on Wikipedia:
In Roman mythology, Janus (or Ianus) was the god of gates, doors, doorways, beginnings and endings. His most prominent remnant in modern culture is his namesake, the month of January, which begins the new year. He is most often depicted as having two faces or heads, facing in opposite directions.
Looking to the past and future my eyesight has proved a another source of personal upheaval. In September 2008 I went to get some new specs as I knew all was not well. I thought I was just tired, making excuses for a new pair of glasses and eyes that could still not focus. I went back in January '09 to learn I had a triplopia. After the first op (left eye) I realised how bad my right eye remained.

Picking up a white mug and using the lens mother nature gave me I was shocked to see a green-yellow cast over the mug. I have been able to type online and at work quite well and accurately by relying on my previously attained keyboard skills. Driving was becoming problematic, with traffic lights forming a perfect triangle. The lines in the middle of the road would float and merge in the distance. No wonder the optometrist asked me in July if colours seemed as vivid as they should be. I studied art at GCSE level and thought I had a good appreciation of the colour wheel and all that: Tch!

Now two eye ops later - left eye care of surgeon Mr Heaven and the right by Mr Mars (yes really) I have better than 20:20 distance vision with intraocular implants. I was reminded of younger years coming downstairs and the room looking so bright, as if it had snowed and then here in the UK it did snow.

Many thanks to Messrs Heaven and Mars and the team at Wigan Infirmary (where I also did my general nurse training). They have done an excellent job!

Post an out-patient appointment in two weeks I will finally be able to sort some reading glasses.

If winter is a time for reflection well as per my final post of 2009 then I have reflected much of late, but at least I can see clearly now.

I hope you can too - especially if you are in a position of power and influence!

Take care wherever you are now and over the coming year ....

Image source:
Eric Sutic http://www.onecloud.nu/Visual/things/janus.jpg

Wednesday, December 30, 2009

Goodbye to David McKendrick an 'old' friend and personal reflections

The past three years have been quite challenging both personally and professionally.

Professionally as an IT secondment came to an end in 2007 and brought with it positive and negative changes. The positive of moving back to clinical practice, the negative the vagaries of clinical banding and the Knowledge and Skills Framework which many health sector organisations are still attempting to fully implement. On a personal level, I am now also divorced. Working on the community for so many years - just over the border of my clinical patch - was a gift of convenience in terms of the children's schooling and playing taxi driver.

While there was a very objective interview panel I feel I owe having my current job to my friend David McKendrick. This fact now scares me witless that this was back in 1985 when my eldest son was born. I was so wrapped up in this life-changing event that the secretary phoned to ask if I did want the job. The organisation I still work for has changed its title and status umpteenth times it seems and I have had several roles over the years, including research and service development projects. The truth is though that when it comes to work, this journey began at Chorley with David and that is essentially where I am still at.

David McKendrickI was really shocked then when Sue, David's wife phoned with the news that David had died earlier this month. I'd kept in touch with David through the years. Due to my new domestic circumstances I moved back to Ashton-in-Makerfield - living not far from David and Sue - in July last year. David was so helpful, patient and supportive as I have progressed through the divorce.

We both worked at Winwick Hospital, Warrington, UK and I am pleased I went along this summer to a reunion and saw David in his element with friends, Sue and a pint. I also managed to take quite a few photos which will now be extra memorable for so many of us. Although I didn't work with David at Winwick, as already suggested he was my boss on the community mental health team at Chorley, Lancashire from October 1985 through to his early retirement due to illness.

We shared a love of IT and coding as enthusiasts. In the early 80s David called to my parents home when I'd bought a BBC micro, an upgrade from a Sinclair ZX81. David contributed so much to health IT, through his work with Open Software Library, computer aided learning and his pioneering bulletin board. David was also a co-organiser of a computer based training conference at Keele University 1987-88. Open Software Library distributed several computer programs I wrote on the BBC micro. One thing that makes me smile is the way in the late 80s early 90s I got my underpants into a bit of a twist over the copyright. Now reflecting back, David was a real Gent in how he handled that, my concerns to which he listened, accepted and explained. There was a lesson there also in terms of Hodges' model and Brian Hodges' worries over the same. Where might the model be now, we often pondered, if it had been driven hard from the outset!

When David retired it wasn't the same. Of course you know the job changes constantly, but there was a real loss of impetus: from warp to impulse drive. David was much liked and respected as a boss and colleague. If you were professional in your approach put the clients, carers and families first then he left you to get on with the job. That said his recognition for accountability and governance was communicated and shared by the team. He used an Amstrad micro to produce statistics on the number of home visits, injections and many other details. David was ahead of the informatics game in recognising the value of information for service planning, development and improvement. When David was off a while I kept this effort going for a short while until duties dragged me elsewhere. David's early IT work was published in the Community Psychiatric Nursing Association journal, an association (now the MHNA) which he helped established initially.

I can see us all walking from the team office at Eaves Lane hospital (long gone now), up through the tunnel to the main hospital for the regular team meeting. That was a golden age of sorts, when all the community nurses came together. David was always keen on that. You were a member of a team and everyone was valued and had a role to play.

David recognised my interest (and yes skill -- thanks David!) in computing and sent me on a health care computing conference held in Manchester 1986. I wrote a report and have attended and presented at the HC-XXXX series on several occasions since. We often shared books, papers and plans around technology developments and when to build or buy that next PC.

I really, really can't believe David has gone. He was (very) widely read and we loved knocking ideas around always wondering about what sort of clinical / nursing application might have a future. I only learned since his passing of his excellence as a student nurse. When he qualified as a Registered Mental Nurse (RMN) he was awarded the Gold Medal. He was always keen to read my writing efforts and discuss the same. I remain really impressed with his website on Winwick Hospital - Winwick Remembered. While there is much in the old institutions to say good riddance to and never again this IS social history and as BBC R4's In the Mind featured there is much to record and document. In 2006 David got in touch with a query regarding relatives of patients from Winwick trying to trace details of their family members. I posted his inquiry on the psychiatric nursing list.

Over the past year or so, we met a few times at Tom & Gerry's the local pub with David riding there on his bike: magic!! Sitting at that usual table (near the plug) sad, but lots of smiles too.

I arrived late to politics and I much admire his involvement in community work, the Three Sisters Recreation area project in Ashton. While I enthused over 'community informatics' David was practicing it, engaging with others. I'm sure I don't appreciate the extent of his efforts, the youth club - helping make IT available to youngsters, environmental projects, and the community forum.

I am truly thankful for having met David, for his friendship, support and guidance over the past 18 months and the years before. If I've three regrets:
  1. I never did take my guitar around; as I realise now how good David was - McKendrick's Moonshiners no less - I clearly missed a lick there!
  2. Also never did find and show David the old photos from Winwick hospital - the show we put on as students.
  3. Being able to explore Ashton Heath, the types of heather and the bees there.
Regular readers here know of the hyperbole over the new website, well now if I ever do create the new website - maybe we'll know why...

David - I'll miss you pal and miss you already!
As the new decade begins bless you, Sue and your family and friends...

Peter

===================================
From: Richard Lakeman, richard.lakeman at dcu.ie
To: Peter Jones h2cmng at yahoo.co.uk
Sent: Mon, 14 December, 2009 14:40:27
RE: [PSYCHIATRIC-NURSING] David McKendrick - CPN - CPN Manager, Winwick & Chorley, UK

I’m sorry to hear about David, Peter. Thanks for letting us know. I never met David, but he marketed some software I wrote for some years and He was a pleasure to deal with.

Regards
Richard

Tuesday, December 29, 2009

Thypoid Fever and tips on how to treat

Description:
Thypoid fever is an acute disease, ie systemic infection that attacks the digestive tract. Before the 19th century, the disease is treated the same as Thipus. Thipus Fever is one part of thypoid. Salmonella paratyphi thypi and only attack humans. These organisms infect humans through food or water contaminated with infected human feces. Direct transmission from human to human is rare. Typhoid is a global health problem.

Symptom
Patients usually experience a fever of more than a week. In addition, the patient was not feeling well, headache, decreased appetite.

Treatment
Patients are usually given antibitok.

Monday, December 28, 2009

Call for papers: IFLA Health and Biosciences Libraries Section open session

HBS logo

Colleagues from around the world are invited to submit an abstract for consideration for the HBS Open Session:

Health and Biosciences Libraries Section


Aim and Scope of the Session


It is hoped that papers will cover a wide range of areas - for example:
  • Partnerships and collaborations that support free access to health information.
  • Health libraries/health information professionals role in promoting open and / or equitable access.
  • How health information is disseminated to the general public?
  • How useful is free health information? Is it evidence based?
  • How evidence based information is incorporated into freely available health information?
  • Is there a decline in the use of health information that is not freely available e.g. library subscriptions?
  • How do consumers prefer to access health information e.g. mobile devices, magazines, newspapers?
  • What role health information literacy may have in health information?
It is anticipated that presentations be 15 minutes with time for questions at the end of the session.

Important dates:

February 1st 2010: Deadline for submission of abstract
March 1st 2010: Notification of acceptance/rejection
May 1st 2010: Deadline for submission of text

Submission Guidelines:

The proposals must be submitted in an electronic format and must contain:

Title of paper
Summary of paper (250 - 350 words maximum)
Speaker's name, address, telephone and fax numbers, professional affiliation, email address and biographical note (40 words)

Submissions are to be submitted before February 1st 2010 by email to:

Paivi Pekkarinen
National Library of Health Sciences
Haartmaninkatu 4
FI-00290 Helsinki, Finland
paivi.pekkarinen@helsinki.fi
www: http://www.terkko.helsinki.fi

Regrettably IFLA's Sections do not have funds available to pay for speakers expenses, including registration for the conference, travel, accommodation.

http://www.ifla.org/en/calls-for-papers/1930


Paivi Pekkarinen
IFLA Health and Biosciences Libraries Section / Secretary
National Library of Health Sciences
Haartmaninkatu 4
FI-00290 Helsinki
email: paivi.pekkarinen at helsinki.fi

HIFA2015 profile: Paivi Pekkarinen is Head of the WHO Information Service Centre, National Library of Health Sciences, Finland. Professional interests include:
  • To enhance equal access to health information, in particular in the WHO European Region;
  • To enhance collaboration and networking of the Public Health Special Interest Group of EAHIL http://www.eahil.net/PHISIG-page.html;
  • and knowledge management issues.
Click here to read online.

HIFA2015: Healthcare Information For All by 2015 www.hifa2015.org
With thanks to our 2009 Sponsors: *British Medical Association, ePORTUGUESe, Network for Information and Digital Access, Royal College of Midwives, Royal College of Nursing*

To join or unsubscribe from HIFA2015, email:
hifa2015-admin at dgroups.org
To join our sister group CHILD2015 (child health), go to:
www.hifa2015.org/child2015-forum
To join our sister group HIFA2015-Portuguese, go to:
www.hifa2015.org/hifa-pt

My source:
HIPNet Listserv hjohnson at jhuccp.org

Parathyroid adenoma disease and tips to treat

Description
Parathyroid glands in the neck to help control the use and removal of calcium by the body. They do this to produce parathyroid hormone, or PTH. PTH helps control calcium, phosphorus, and vitamin D levels in the blood and bone. The most common cause is hyperparathyroidism parathyroid adenoma, which causes elevated levels of blood calcium.

Women older than 60 years have the highest risk for this disease. In addition, in the head or neck radiation may also increase risk.
to

Symptom
Many people have no symptoms. This condition is often discovered by accident when blood tests are performed for other medical reasons.

Symptoms that may occur are as follows:
- Broken bones
- Confusion
- Constipation
- Kidney stones
- Lethargy
- Muscle pain
- Nausea

Treatment
Surgery is the most common treatment for this disease. However, if patients with mild hyperparathyroidism megidap, patients recommended routine check ups to specialist physicians. In addition, estrogen replacement can help alleviate symptoms and prevent brittle bones in postmenopausal women.

New education bodies created to promote innovation in the NHS

Health Innovation and Education Clusters (HIECs)

New bodies that combine the expertise of industry, health and education have been formed to promote innovation in the NHS, Health Minister Ann Keen announced today.

Health Innovation and Education Clusters (HIECs) are cross sector partnerships between NHS organisations, the Higher Education sector and blue chip companies such as BMW, GlaxoSmithKline and BT.

Through joint working HIECs will provide professional education and training and promote innovation in healthcare by speeding up the adoption of research. They will also provide professional education and training.

Over £11 million will be given to the 17 successful applicants that were chosen by an Independent Award Panel Chaired by Sir Alan Langlands, Chief Executive of the Higher Education Funding Council for England.

Health Minister Ann Keen said:

“HIECs are special partnerships that draw on the wealth of skills and experience of their members to improve the development of high quality care and services by quickly bringing the benefits of research and innovation directly to patients.

“These projects will attract and encourage the best talent who can recognise and rapidly adopt new and innovative healthcare and treatment.”

Independent Award Channel Chairman, Sir Alan Langlands, said:

“The standard of applications has been really high and we have been impressed by the high profile names that want to be involved in improving NHS care.

”HIECs will drive up quality standards in education and training and ensure fast adoption of innovation for the benefit of local people.

“The flexibility of the HIEC model means that the vision of each one is appropriate and specific to its local area.”

The HIEC concept was originally developed by a group of leaders from the NHS and university sector during the NHS Next Stage Review as one of the ways to deliver high quality healthcare.

Ends

For the full press release click here.
(Includes details of the HIECs per Strategic Health Authorities)

My source: NHS-HE-FORUM at JISCMAIL.AC.UK

Banana Lower Stroke Risk

Banana is a fruit that contains a lot of the mineral potassium which serves to stabilize the heartbeat, brain, and other important physiological processes. Simply eat a banana could go lower risk of stroke. Researchers from Tulane University found that people who consume less potassium can increase the risk of stroke by 28 percent compared with people who consume enough potassium.

Someone recommended to consume about 2300 mg of potassium per day. While that often, people only consume about 1500 mg of potassium per day.

In the banana found that high potassium content of 400 mg which is equivalent to a glass of juice or steamed potatoes.

"Although not yet confirmed by clear how potassium can prevent stroke, but potassium is associated with blood pressure is key. This is because potassium can make blood vessels relax so that it can prevent high blood pressure and also help remove sodium from the blood," said stroke expert Dr. . Health24 quoted by Mitchell Elkind, Friday (24/07/2009).

"People who consume sodium can replace potassium that can lower blood pressure, which allows the blood pressure down so that the risk of stroke will be reduced," says Elkind, a neurologist from Columbia Presbyterian Medical Center.

"Because the factors are not exposed to risk of stroke from blood pressure tips alone there are several other factors are also influential. So better consumption of potassium and run a more healthy lifestyle are important factors to reduce the risk of stroke," he added.

The study involved 9800 American society, both men and women. Participants observed a total caloric intake and what foods are consumed. Using medical records and death certificates, researchers get information to stroke and cardiovascular disease experienced by the participants.

Having observed for 19 years, got 927 participants suffered a stroke while the 1847 suspected of having heart disease. Having compared the relationship was found between stroke and potassium consumption.

"Participants who consumed less potassium per day (approximately 1500 mg) had a risk of stroke compared with people who consume enough potassium," says Lydia Bazzano, Chairman of epidemiological researchers and experts.

So, it never hurts to include banana as a fruit that should be consumed regularly after a big meal. Good addition to the body content potasiumnya may also reduce risk of stroke.

Sunday, December 27, 2009

Free Introduction to Sociology Textbook (for adoption)

Dear Colleagues,

- and with Merry Christmas to all!

This is a great time of year for changing textbooks and adopting our free Introduction to Sociology Text.

Over the last fifteen years the cost of textbooks has outpaced inflation at a phenomenal rate. USA Today reports that over the past 25 years the average cost of tuition and fees has risen (35%) faster than personal income, consumer prices and even health insurance (Block, 2007).This increases the financial burden on college students who are trying to afford a bachelors degree.

In an effort to combat the exorbitant costs of college textbooks, we wrote a free 20 chapter brief Introduction to Sociology Textbook. It was funded by a one-time grant and is now available to any college student or faculty member anywhere in the world--FREE!

You may access it at this Internet address:
http://freebooks.uvu.edu (copy and paste in URL)


This textbook reflects 20 years of teaching in the field. This book is current, concise, and visually aesthetic. It has an equivalent market value of about $40-$60.00 compared to most brief texts on the market. It also has a brief how to succeed in college section with success strategies built in for students.

No passwords are needed and no costs whatsoever to faculty or students. The book is licensed under the Creative Commons Attribution (BY) which means you may use any portion of it as long as you reference the original authors.

We have created a test bank of over 5,300 questions (1,261 Multiple Choice, 2,250 True/False, 1090 Fill in the Blank, 793 Matching) covering each chapter of this text. These are formatted to easily load into blackboard or any other LMS you may be using.

If you chose to adopt it, simply fill out the form (located under the Faculty Tab) and we'll send you the secure testbank.

If you know of a colleague who might be interested please forward this e-mail.

Knowledge must be affordable to all who seek it

Sincerely,

Ron Hammond, Ph.D Sociology at UVU
Paul Cheney, Ph.D. Multi Media-Web Design at UVU

Ron J. Hammond, Ph.D.
Assistant Department Chair
Behavioral Science Department
Mail Stop 115 at
Utah Valley University
800 West University Parkway
Orem, Utah 84058
RonH at uvu.edu
(801)863-8344


My source: TEACHSOC: list teachsoc at googlegroups.com

Related post: Book review: Gary Hall's "Digitize This Book!" (DTB)

Open access on W2tQ

TB diagnosis via mobile phone

Increasingly advanced technologies that will further facilitate the world's health. Now there CellScope fluoresense who worked as a microscope that can identify the signs of a disease such as tuberculosis. Researchers have developed an adjunct to a mobile phone that can generate and analyze images for diagnosis of diseases such as tuberculosis.

It is expected that this discovery will be useful in the development of global health, where health diagnosis is still very rare but cell phone users are common. CellScope made with a conventional optical microscope with the same equipment with functions fluoresence microscope.

Fluoresense occurs when a molecule was illuminated by a particular color and shine for a certain period with a different color.

Diagnosing tuberculosis requires fluoresense microscope, which can illuminate a blood sample with a molecular tag, and only detect molecules with a certain radiance with high sensitivity.

"There are people who have worked on developing portable fluoresense microscope," says David Breslauer, Chairman of the researchers from the University of California Berkeley, as reported by BBC News, Monday (27/07/2009).

Researchers use a standard Nokia handset with 3.2 megapixel camera, develop additional 'snap on', including the optical microscope and place the blood sample with glass slides.

This device has more than one millimeter resolution and can detect tuberculosis bacteria in the sample. Several other molecules have been ditag for the development of other disease diagnosis.

Breslauer said that this device is more than just a camera, because the merger of the mobile phone can provide access to computer power as well as to other aspects of mobile communications.

"So if you have a portable, battery-operated to this system to take pictures, analyze, and move it, so that makes a portable medical clinic. The doctor can see a sample without having to attend," said Breslauer.

Saturday, December 26, 2009

Uric acid disease and tips to treat

Description
Uric acid is a purine metabolism substances derived from foods consumed. Purines are substances contained in each food that comes from living bodies. In other words, if we are eating chicken meat contained therein purines, the purines that go into our bodies. Not only meat, vegetables and fruits also contain purines.

If the body under normal conditions, uric acid is to be issued by the body through feces or urine. However, because the kidneys are unable to remove the uric acid that occurs is the level of excessive uric acid in the body. Uric acid was then collected in joints, causing pain and swelling. That is why gout patients are usually difficult road.

Symptom
Common symptoms of gout among others; tingling and shooting pain, pain at night or early morning, the joint affected by gout, swollen reddish color.

Treatment
Some solutions that can prevent or treat gout can be done with; do treatment (for those who already suffer from uric acid), the control of food consumed daily, multiply drinking water. White Water helps rid the body of purines.

Some foods containing purines, and should be avoided much as; viscera, liver, kidney, spleen, babgat, colon, lung and brain, shrimp, mussels, squid, crab, corned beef, sardines, meat, eggs, condensed soup, tempeh, Oncom milk soy, spinach, water spinach, cassava leaves, and cauliflower. Addition of alcoholic beverages. Food and beverages should be avoided.

Friday, December 25, 2009

Nsytagmus disease and tips to treat

Description
Nystagmus is the involuntary nervous movement performed by the eye. Nystagmus usually involves both eyes and is often exaggerated with a view to a certain direction.

The cause of nystagmus is the habit of drinking excessive alcohol and drug use seperrti given to control seizures.

Symptoms and Signs
Eye moves to the side inadvertently, to the top down, or rotate.

Treatment
Often the nystagmus will be reduced if the drug is stopped.

When Dirt Ears Need Cleaned?

Have earwax protects the ear from damage and infection and should be less frequent cleaning. But ear wax is also sometimes interfere with hearing. When should earwax cleaned?

The skin on the outer ear canal has special glands that produce earwax, known as cerumen. Usually, a small amount of ear wax accumulates and then dries up and out of the ear canal, bringing the unwanted particles of dust or sand.

Cerumen or earwax forms differ between people with one another. Maybe almost a liquid, solid and firm or in the form of dry skin. The color also varies depending on the composition. Most of the ear canal can clean itself, by way of ear canal skin lining the ear drum to migrate from the outer ear opening. Old earwax will continue to be transported from the deeper regions of the ear canal toward the exit, usually dry, flakes and falls.

When should be cleaned?

In ideal circumstances, a person should not need to clean his ears. But sometimes people are too often even cleaning ears ears up any liquid dry lubricant.

As quoted from MedicineNet, Tuesday (05/18/2010), excessive ear wax can form inside the ear canal for various reasons, among others:

1. Narrowing of the ear canal caused by infection or skin disease, bone, or connective tissue
2. Production of liquid cerumen less (more common in older people because aging of the glands that produce earwax)
3. Excessive Cerumen in response to trauma or blockage in the ear canal

When ear wax accumulates so much so as to form a block and disrupt the auditory ear canal, ear wax is then that needs to be cleaned. People might try to use a cotton bud (ear cleaning with cotton) or ear drops if the dirt telingan too hard.

Use a cotton bud best done when the state of liquid and a little ear wax is not hard. Because if the hard ear wax, then use a cotton bud can make even the dirt is getting into the ear. And to use ear drops, it is very important to know that your ears are not perforated (leaking) the ear drum before using the product.

Using ear drops with the state of perforated eardrum can cause infections of the middle ear. And also if accompanied by pain, local pain or skin rash drug use drops should be stopped. At a time like this, the doctor may need to clean out earwax (also known as lavage), with a vacuum, or even to clean with special instruments.

Cholesterol Drug Side Effects Add Many

Nottingham, obviously, the doctor must begin to be careful to prescribe a statin, a cholesterol-lowering drugs. Recent research proves, these drugs have some side effects including kidney failure and liver disorders.

Among doctors in internal medicine, statins are relatively commonly prescribed to treat heart and blood vessels. The drug works by inhibiting the formation of cholesterol in the liver, thereby reducing the risk of heart attack.

Side effects of this drug has been known is a disorder of muscle (myopathi). But recently, researchers from the University of Nottingham, revealed that the side effects of these drugs much more than unknown so far.

The study involved 2 million patients, including 226 000 first-time patients who use statins. Observations conducted during the period January 2002 until June 2008.

On each of 10 000 female patients, statin use causes 74 cases of liver function disturbances, acute renal failure 23, and 39 muscle problems. In men, the figure is almost similar except the number of patients who experienced more muscle problems.

However, some positive effects also revealed, among others, the number of patients who experience heart disease is reduced 271 people at every 10,000 people. In addition, statins also reduce the risk of developing cancer in patients.

Related revealed many side effects, Dr. Alawi A. Alsheikh-Ali of the Institute of Cardiac Sciences in Abu Dhabi, denied that the use of statins will be banned. According to the study was not to frighten.

"The risk of liver disorders and kidney failure balanced by the effectiveness of statins to overcome heart disease and reduce the risk of cancer. As long as the ratio between risk and profit are balanced, there is no reason not to use statins," said Alsheikh-Ali.

Patients who were using statins to treat the disease are suggested to stay calm, and continue treatment. Patients who do have the risk of these side effects, it is recommended to keep up with changes in lifestyle.

Tuesday, December 22, 2009

Care is a 4 perspective business ...

NVIDEA Quadro NVS 450Health care as practised in whichever sector prides itself on being business-like and professional. As we are often reminded health care costs. Health care is a business and like finance a very serious one.

On the computer graphics card notice the four display ports? This card - the NVIDIA® Quadro® NVS 450 is apparently capable of driving up to four 30" displays and is designed to meet the needs of today’s most demanding business user.

I wonder if there is another application that could also utilise
four perspectives? What about the business of care?

Additional links:
NVision2008 Highlights: GPU vs CPU demo

Neonatal hypoglycemia Diseases and tips on how to treat

Description:
Neonatal hypoglycemia is a low incidence of blood sugar (glucose) in the first few days after birth. Babies need sugar (glucose) for energy. Most of the glucose used by the brain.

Developing baby get glucose from the mother through the placenta. After birth, babies get glucose to produce in the heart and from food.

Glucose levels can be reduced if:
- Too many hormones, insulin (hyperinsulinism).
- Insulin glucose from the blood into cells to be used for energy.
- Not enough glycogen, the form of glucose stored in the body.
- Babies are not enough to produce glucose.

Symptom
Infants with hypoglycemia may not have symptoms sprsifik. But in general include:
- Bluish skin (cyanosis)
- Problems breathing
- Decrease the muscle tone (hypotonia)
- Snort
- Irritability
- Lethargy
- Nausea and vomiting
- Pale
- Pause in breathing (apnea)
- Lack of appetite
- Sweating
- Tremor
- Seizures

Treatment
Infants with hypoglycemia may have to accept:
Breast milk or formula feeding within the first few hours after birth, either by mouth or through a tube inserted through his nose into the stomach (nasogastric gavage). Eat with sugar solution through a vein (intravenous) or by mouth. Treatment is usually continued for a week.

If the low blood sugar continues, the baby may also receive medication to increase blood glucose (diazoxide) or to reduce the production of insulin (ocreotide).Rata Penuh

Inaugural issue of Impact: Journal of Applied Research in Workplace E-learning

Dear colleagues,

It is with great pleasure that I write to you to announce that the long awaited and much anticipated inaugural issue of Impact: Journal of Applied Research in Workplace E-learning has now been published at http://journal.elnet.com.au/impact. A copy of the issue's Table of Contents is included at the end of this message.

The inaugural issue, the theme of which is "Current issues and future directions in workplace e-learning: Mapping the research landscape", is a 'bumper' issue containing no less than 14 refereed articles written by authors from France, the UK, Ireland, the USA and Australia.

The full text of all 14 articles is available to all those who register for a free account at - http://journal.elnet.com.au/index.php/impact/user/register.

The publication frequency of Impact will increase to bi-annual in 2010, followed by quarterly in 2011 and subsequent years. Manuscript submissions are now being accepted via the online submission system for the first regular issue of the journal (Vol 2, No 1 - to be published in July 2010) - Please see the "About" section of the journal's Web site for information about the journal's focus and scope as well as detailed guidelines for authors.

The second issue of Impact in 2010 (Vol 2, No 2), which will be published in December, is intended to be a special, themed issue on the topic of e-learning evaluation and transfer. More details, including a formal Call for Papers, will be made available in early 2010. Meanwhile, expressions of interest can be sent to impactjournal at elnet.com.au.

Best wishes to all for the festive season!

Kind regards,

Mark J.W. Lee
Adjunct Senior Lecturer, School of Education, Charles Sturt University
Editor-in-Chief, Impact: Journal of Applied Research in Workplace E-learning
Email: impactjournal at elnet.com.au

********************

Impact: Journal of Applied Research in Workplace E-learning
Vol 1, No 1 (2009): Inaugural issue "Current issues and future directions in workplace e-learning: Mapping the research landscape"

Table of Contents
http://journal.elnet.com.au/index.php/impact/issue/view/1

Editorial
--------
Vol 1, No 1 (inaugural issue) (pp. 1-4)
Mark J.W. Lee

Refereed articles
--------
Knowledge work in a connected world: is workplace learning the next big thing? (pp. 5-11)
Richard Straub

Learning and technology - what have we learnt? (pp. 12-26)
Martyn Sloman

Whose context is it anyway? Workplace e-learning as a synthesis of
designer- and learner-generated contexts (pp. 27-42)
Andrew Whitworth

Heutagogy and e-learning in the workplace: some challenges and opportunities (pp. 43-52)
Stewart Hase

Connectivism: a theory for learning in a world of growing complexity (pp. 53-67)
Kay Strong, Holly Hutchins

Exploring corporate e-learning research: what are the opportunities? (pp. 68-79)
Consuelo Waight, Barbara Stewart

Enhancing the experience of e-learning among working students: a systematic
review with thematic analysis (pp. 80-96)
Christopher Carroll, Andrew Booth, Diana Papaioannou, Anthea Sutton, Ruth Wong

The use of e-learning in the workplace: a systematic literature review (pp. 97-112)
Miguel Nunes, Maggie McPherson, Fenio Annansingh, Irfan Bashir, David Patterson

E-learning maturity in the workplace - the benefits and practices (pp. 113-136)
Laura Overton, Howard Hills

Optimising work-based e-learning in small and medium-sized enterprises:
contemporary challenges (pp. 137-153)
Ian Roffe

The Learn@Work Socrates-Minerva Research Project 2005-2007: what did it
do and what has happened with it since? (pp. 154-168)
Anne Murphy, Kevin O'Rourke, Pauline Rooney

Workers researching the workplace using a work-based learning framework:
towards an agenda for improving supervisory practice (pp. 169-182)
Jon Talbot

How do executives evaluate e-learning? A grounded theory study (pp. 183-204)
Paul Hardt

Case studies (Refereed)
--------
The evolution of the business case for e-learning at St George Bank
(pp. 205-219)
Colin Pitt, Andrew Heys

********************

My source: ITFORUM web site:
http://it.coe.uga.edu/itforum/

Monday, December 21, 2009

Nekatoriasis and Akilostomiasis disease and tips on how to treat

Description:
The cause of this disease is hookworm, americanus and Ancylostoma duodenale Nector. The life cycle of this worm from the worm eggs which starts out with feces - into larvae rabditiform - these larvae turn into larvae live in soil filaform after a week - to penetrate human skin - continues into the lungs - worms live in the small intestine - expelled through faeces, so it goes. Although these circumstances do not cause death, disease can lower body endurance.

Symptom
Symptoms of the disease can be known from the eggs or larvae in fresh faeces issued sufferers.

Treatment
Treatment is the provision of nutrition and suplemasi iron preparations. Can also with anthelmintic.

Call for Papers for Special issue on Linking the Local with the Global within Community Informatics

Please forward as appropriate. Thanks!

Dear all, a special issue of the Journal of Community Informatics (http://ci-journal.net) will be devoted to ´Linking the Local with the Global within Community informatics`, guest-edited by Liisa Horelli and Doug Schuler.

The Journal of Community Informatics is a focal point for the communication of research of interest to a global network of academics, community informatics practitioners and national and multi-lateral policy makers. The field of community informatics seeks to explore the potentials of ICTs and their applications for economic, ecological and socio-cultural development efforts at the community level. It seeks to ensure that individuals and communities can take advantage of the opportunities that these technologies can provide.

For this special issue of the Journal, we are inviting submission of original, unpublished articles. We welcome research articles from different disciplines, case studies and notes from the field. All research articles will be double blind peer-reviewed. Insights and analytical perspectives from practitioners and policy makers in the form of notes from the field or case studies are also encouraged. These will not be peer-reviewed.

You can find the full Call for Papers below. Looking forward to hearing from you.
Warm wishes, Liisa and Doug

------------------------------------------

Journal of Community Informatics:

Call for Papers for Special issue on Linking the Local with the Global within Community Informatics

Guest editors: Liisa Horelli and Douglas Schuler

The Journal of Community Informatics (http://ci-journal.net) is a focal point for the communication of research of interest to a global network of academics, Community Informatics practitioners and national and multi-lateral policy makers.
We invite submissions of original, unpublished articles for a forthcoming special edition of the Journal that will focus on Linking the Local with the Global within Community Informatics. We welcome research articles from different disciplines, case studies and notes from the field. All research articles will be double blind peer-reviewed. Insights and analytical perspectives from practitioners and policy makers in the form of notes from the field or case studies are also encouraged. These will not be peer-reviewed.

What is Community Informatics?
Community informatics

...links economic and social development efforts at the community level with emerging opportunities in such areas as electronic commerce, community and civic networks and telecentres, electronic democracy and online-participation, self-help and virtual health communities, advocacy, cultural enhancement, and e-planning among others....is concerned with carving out a sphere and developing strategies for precisely those who are being excluded from this ongoing rush, and enabling these individuals and communities to take advantage of some of the opportunities which the technology is providing. It is also concerned with enhancing civil society and strengthening local communities for self-management and for environmental and economically sustainable development, ensuring that many who might otherwise be excluded are able to take advantage of the enormous opportunities the new technologies are presenting.

- Michael Gurstein in Community Informatics:
Enabling Communities with Information and Communications


Why a special issue on Linking Local with the Global within Community Informatics?

Community informatics (CI) is the study and practice of information and communication systems (especially involving networked digital systems) in the community. Regardless of the agreement on the broad definition, there are inherent tensions within the CI community and with the CI perspective itself. The "simple" idea of community is the source of one tension since there are a multiplicity of definitions and usages of the word "community", many of which are semantically loaded or ambiguous. Is, for example, a "virtual community" a real community?

Another source of tension is between the local and the global, the focus of this special issue. What's local and what's global? What is their significance in terms of our focus on "community"? How do we define the two terms so that they are meaningful and useful to our work? Perhaps these terms distract us from conceptualizing our enterprise in ways that are more useful? What characterizes phenomena or artifacts as belonging to one or the other (and how do they influence each other)? Interestingly, the community of community informatics researchers, practitioners, and activists itself is part of a new hybridity that blurs local and global.

The term glocalization has been coined to focus on the intermixing of local and global influences which are present and active everywhere. Although the phenomenon is not new, it has intensified in recent years due to the Internet, mass communications, mobile telephones, air travel, war, migration, economic interdependence, environmental impacts, and other aspects of 21st century mobilities. But identifying and naming a phenomenon is only the beginning. We must not mistake our use of a new term for understanding. For example, how would glocalization help us understand a network of local communities?

The availability of urban and community ICT could allow people to understand the larger impacts of their everyday decisions. It could also enable people to understand and promote not only the particularities of the local but also commonalities of the global, and to engage with the broader global “sphere”. Consequently, people could become actors who are engaged in the glocal networks of mobile people, goods and information.

However, glocal influence or interaction could be directed from the top-down, laterally, or from the bottom-up. CI implicitly embraces the tension between the local and the global. On some level, global and local pit two types of forces against each other. How does CI consider this clash or intermingling of forces? Does it advocate larger barriers, shelters, or hiding places, from these forces or does it inspire or promote the type of collective intelligence that goes beyond "using ICT?" The recent debate on the CI-research list brought up the idea that CI could be used, in addition to the benefit of communities, to the benefit of global communities. This debate raised arguments that both supported and questioned the claim. On the one hand, there is the risk that glocalisation can dilute (and downgrade) the "community" to some larger (and less individually significant) whole. In that case, it may be important to preserve the 'local' as it maintains the community's domains of control and power over the circumstances that impacts it. It can be reasoned that greater globality essentially removes self-control and self-governance.

On the other hand, glocalisation provides new strategic options for movements who seek resources and support far beyond national boundaries, such as the Chiapas, in Mexico. The global opportunities even begin to play part in the way local activists frame the issues they raise locally. Thus, the "outside world" affects communities, but communities exert forces outwards as well. Local communities can also share experiences and strategies, thus mutually strengthening each other. We need to figure out, how we are going to make the glocal or translocal connections work most effectively. This special issue is intended to help surface the opportunities, challenges, and risks around this theme.

These issues give rise to a large number of research questions. Some of these are listed below but there are many yet to be identified and researched. What processes underlie the forces of globalization? Which are forces of localization? How are people affected by each? How do these forces originate, diffuse, and make their effects felt? Do these forces affect all communities equally or are gender, ethnicity, or other features significant factors? And what should CI researchers / practitioners do in relation to those forces? Is the issue trying to help communities use ICT more effectively, or is it working in a general way to develop communication systems that will help local communities intelligently address the problems that they (and the rest of the world) face? In some situations, for example, this means helping to develop collective problem-solving tools so people can more effectively resist oppression or fight the status quo. Or should their inhabitants be full citizens of the world with the rights and responsibilities that accompany that status? How can we characterize the new diversity of global / local relationships? What patterns exist? In what ways might (hyper?) localism breed parochialism and isolationism? Can we embrace CI without unnecessarily valorizing the local community? What are the opportunities (and what should the limits be) to our research and activism on behalf of and with the local community?

Because CI is a brand new field of research and practice we have the rare opportunity to define our field. Is it useful — or even possible — to conceptualize a social enterprise that is relevant today without explicitly acknowledging climate change, environmental degradation, oppression, poverty, human rights, war and militarism, and other "global" problems that face us all, however indirectly. How should these manifest "global" concerns be factored into our enterprise? And how does the role of information and communication, the foundations of our enterprise, change — if at all — the way we answer these questions? This positioning of our enquiry at such a point should enable a new set of opportunities. CI integrates research and engagement. So its view of localism and globalism needs to be informed through those perspectives.

We invite authors to submit in English both full articles for peer-review, as well as short pieces on specific experiences and/or policy and regulatory issues, to be reviewed by the guest editors.

Please note the deadlines:
Deadline for abstracts: 28 February 2010
Deadline for submissions: 30 May 2010
Publication date is forthcoming

For information about submission requirements, including author guidelines, please visit:
http://www.ci-journal.net/index.php/ciej/about/submissions#onlineSubmissions

For further information, clarifications, comments or suggestions, and to send abstracts of papers for consideration, please contact:

Dr. Liisa Horelli Helsinki University of Technology Centre for Urban and Regional Studies liisa.horelli at tkk.fi
Douglas Schuler The Public Sphere Project and The Evergreen State College douglas@publicsphereproject.org

Saturday, December 19, 2009

Stuttering disease and tips to treat

Description
Stuttering is a speech disturbance issues affecting eloquence. Those who experience these difficulties marked the first repetition of words or in hard to pronounce certain words. The cause of stuttering, the majority (60%) due to genetic factors and delays in talking while still a toddler.

Symptom
Early signs of stuttering occurs when children aged 18-24 months, when children learn to say certain words. Whereas a person who stutters in teenage or more marked with difficulty saying certain words.

Treatment
There are various treatments available for stuttering. One method of these therapies can improve patients with stuttering speech to some degree, but until now there is no specific cure for stuttering. Yet there is a stuttering therapy can help sufferers. Stuttering can be treated with the upbringing of parents such as:
  • Provide a relaxed home environment that provides many opportunities for children to speak. Set aside a certain time when child and parent can speak free of distractions.
  • Parents resist the temptation to criticize when a child is talking or not react to what is discussed negarif children. Parents also should avoid punishing the child for any errors or ask your child to repeat stuttered words until they speak fluently.
  • Do not force the child to talk verbally in front of people.
  • Listen attentively to the child when he speaks.
  • Speak slowly and casually. If a parent speaks this way, children will mimic speaking slowly and relaxed.
  • Waiting for the child to say the word in question. Do not try to resolve the child's mind.
Many of the most popular therapy programs for stuttering focus on relearning how to talk. Psychological effects of stuttering that often occur, such as fear of speaking to strangers or in public, are also discussed in most of the progra

Wednesday, December 16, 2009

Nursing human rights - dementia care II: fao Sir Gerry Robinson*

The 2nd and final edition of BBC Two's TV programs Can Gerry Robinson Fix Dementia Care Homes? was on last night and made for uneasy viewing.

The saving grace for the public's confidence (if there is one) was repetition of the excellent care at one home.

For all the negatives presented on TV, before mapping the key content of this program using Hodges' model it must be acknowledged that the staff and both managers involved are to be congratulated in allowing and facilitating the production of this program. Sir Gerry and the program's producer(s) obviously travelled an especially difficult course in this episode.

Unless qualified or having undergone some training, many staff will behave and eventually modify their norms and expectations according to what they are exposed to within a short period of starting to work in residential care. Perhaps, this explains in part the adage 'start as you mean to go on'? It was apparent that many staff knew they were failing, they recognised the lack of leadership, their inability to sustain the effort for positive change.

This is why (in 1977 at least) the school of nursing I attended was a little more than churlish about students initially working as a nursing assistant. If you were not working on a ward that also trained student nurses then you may adopt the wrong attitudes and with it what we might call 'non-skills'. This includes 'learning' means of avoiding contact and interaction with patients; and possibly interpreting behaviour in a purely negative and non-therapeutic way. This may extend to the point of becoming personally involved - taking things personally - whether the behaviour exhibited is aggression or sexual disinhibition, for example.

Here then are some of the points I noted, many are repeated from the first program with some very unfortunate and troubling additions (which I may further review as per the above text):

PURPOSE, CARE PHILOSOPHY (none?), person-centered care, attitude,
memory loss, vulnerable individuals, training, risk, assessment, motivation to change, interpersonal skills,
motivation, listening, life skills, knowledge and skills, feedback, aggression, agitation,
measures, rapport, empathy, +ve care, boredom, personal choice & autonomy, access to personal belongings, dolls, personal focus, anxiety, psychological stress and trauma of physical relocation
physical environment,
colour, decor, noise, outside access -
physical security, physical restraint - use of furniture, position of furniture, day-to-day items, tasks, PROCESS, measures
'dementia care mapping',
routine tasks, time with residents,
assessment, care files (paper!),
bed occupancy, activities - painting, gardening, sheds,
staffing cover : resident ratios,
models of care (none?),
objective measures
PRACTICE (common minimum standards), the residents, team work, day staff:night staff, collective faith and trust, collaborative objectives, care, shared enthusiasm,
social attitudes, dignity and respect, relationships, social values, personal-social history, engaged activities, involvement, 'social' norms, inclusion,
community - institution, being valued by others, impact on families and local community of home closure
POLICY (the lines in the sand?), management spot checks, '24 hour care', disciplinary procedures, professionalism in management relationships, duty of care, ratings: tokenistic inspection regime, home closure, consultancy, audit, legislation, sickness, pay, business ethos, staff morale, recruitment and retention, confidentiality, sanctions, management style, qualifications, standards, institutionalised care, re-location, lessons learned (business involved, local authority)?

Once again, if you missed it there is an opportunity to watch the program on BBC iPlayer. There are also Open University learning resources associated with the program.

My closing thought: in closing the asylums over the past 40+ years I hope we have not and are not creating a series of micro-institutionalised replacements.

This is an issue for everyone.


*Please pardon the deliberate name-dropping (and not for the 1st time!).

Additional links:

The Care Quality Commission

POLITICAL care domain resources

SOCIOLOGICAL care domain resources

Tuesday, December 15, 2009

The Communication Initiative Network and holistic bandwidth

In 2004 I attended a day at a community informatics conference in Brighton, UK (see the side bar for details). My interest in that event stems from recognising the different schools of informatics and the multidisciplinary potential for Hodges' model that extends beyond health and social care. The model provides a cognitive gymnasium for us to test and exercise our holistic bandwidth.

The notion of 'holistic bandwidth' really comes into its own within global development and communication. In 2004, or soon after I discovered The Communication Initiative Network. They kindly posted the Brighton position paper on their site and were very encouraging regards the model. Now they are developing a new Communication Initiative Social Networking Platform - http://groups.comminit.com/

There are many groups including:
  • The Future of ICTs and Development
  • Communication and Climate Change Adaptation
In the above group I learned of the following initiative :
There is an interesting initiative in Africa called AfricaAdapt. It is a network that works to facilitate the flow of climate change adaptation knowledge for sustainable livelihoods between researchers, policy makers, civil society organisations, and communities who are vulnerable to climate variability and change across Africa. There is a whole section on their website that allows for communities to upload their own information on how they are adapting to climate change. The initiative also offers an award for best community project which helps elicit contributions. See http://www.africa-adapt.net/AA/
Africa: never far from the news. Lets hope this next week there is some +ve news from COP15 Copenhagen.
  • Students - Communication for Development
  • HIV/AIDS Strategy: Future Directions
  • Polio Communication Consultation Group
There are diseases lost to the developed nations and with diseases like polio and leprosy communication and education are central to those who are ill and their families. Even as a nurse there is a stark reminder in the need for an International Leprosy Day.
  • Gender, Education, and HIV/AIDS
On the teaching psychology list someone asked this past week about alternatives to structure a student's lifespan assignment. I suggested Hodges' model an approach that can also be adapted to educate people about disease ....

SCIENCES: aetiology, prevention, transmission, hygiene, diagnosis, prognosis, evidence, research, physical resources, drugs, nutrition, age, weight...
INTRAPERSONAL: attitudes, beliefs, education, literacy, personal responsibility, mood...
SOCIOLOGY: social networks, cultural beliefs, gender expectations, community, family, friends, trust...
POLITICAL: policy, leadership, funding, activism, infrastructure: housing heating..., access to services, media, employment, governance...
  • Ethics in Communication for Development
  • Gathering Theories and Models
This group only has 5 members and is of obvious interest to me. I can't recall whether I signed up: must check! Planning and development in this context covers topics and issues I know nothing of and yet I am sure that dressed in its socio-technical guise Hodges' model can contribute to the theoretical development here. It could be that there are other perspectives, models and conceptual frameworks to be found that can inform the global health agenda?
  • DRAFT: Technical Update on Social Change Communication and HIV/AIDS
  • Human Rights and Technology
  • Web Site Directors
So, do visit the Communication Initiative both the new groups above and the general website.

NHS clinical informatics best practice marketplace 25th March 2010 Waterside, Watershed, Bristol

An opportunity to share innovations and experiences in the field of clinical informatics that can make a real difference to patient care.

25th March 2010 - Waterside, Watershed, Bristol

A collaboration between:

UK Faculty of Health Informatics
and Bristol Royal Children’s Hospital -
(the latter - part of Bristol University Hospitals NHS Foundation Trust)

Dear Colleague,

We would like to invite you to participate in an innovative new meeting which aims to bring together clinicians and social care staff from various backgrounds, who are involved with real world informatics solutions.

Many of the themes that we will be covering at our first market place are focusing on sharing informatics solutions that have already made and can make huge differences to patient safety and the overall quality of care.

The 6 main areas that we plan to cover on 25th March we hope are of huge interest, potential and at times frustration for NHS and Social Care staff, patients and carers. These are:

1. E-prescribing with decision support in secondary care

2. Clinical incident reporting systems and clinical audit tools

3. The development and use of community based information systems spanning across mental health, long term conditions and social care

4. Telecare and the use of teleconferencing in patient care

5. Clinical portals, patient portals and the use of clinical dashboards

6. Medical simulation and its use in clinical learning and development

The features of the proposed market place are very distinct from existing conferences and trade exhibitions in that it will be:
  • Clinically focused – the issues that we are trying to find solutions to and share lessons learned from are led from a clinical viewpoint rather than a technical or sales perspective. There will be suppliers present but they will all have been invited along by Health or Social Care service provider.
  • Focused on real experience of what already works – too often NHS staff have felt frustrated by suppliers promoting technical developments that haven’t actually yet been deployed in UK health and care settings. This market place is designed to share what has already been tried and tested in different parts of the NHS and Social Care from across the UK from a clinical/service perspective.
  • Free of charge – the event is funded by the UK Faculty of Health Informatics and has been organised in partnership with Clinicians from Bristol Royal Children’s Hospital and academics from the University of the West of England. The personal details used when registering will not be shared with any other suppliers i.e. no follow-up sales calls or invitations to demonstrations
  • Provide access to established Communities of Practice – if you want to progress ideas or issues more you will be able to sign up for free membership of an on-line community based on the Department of Health’s Informatics Directorate’s eSpace platform as well as other groups in order to keep in touch with other people that you have met on the day.
Format and structure:

Although the market place will be open all day from 9.30am until 5pm, unless you are a presenter or exhibitor you only need to attend when you wish to or are free to.

Short presentations on each of the 6 main themes will take place throughout the day from 10am until 4pm in a separate auditorium adjacent to the market place. You can attend as many of these interactive presentations as you wish.

We will have a limited number (around 16) stands for participants and their associated suppliers to demonstrate their solutions

The event is designed for staff working in Medical, Nursing, Pharmacy, AHP, Social Care, Informatics, Senior Management, Communications or Education and Training roles.

Support for back-fill and travel costs will be available to NHS and Social Care staff who exhibit a solution and/or share their experiences at one of the plenary sessions.

Organisation and next steps:

The event has been organised by 5 members of the UK Faculty of Health Informatics, including:

Bruce Elliott – Co-ordinator of the UK Faculty of HI/ Programme Manager – DH Informatics Policy & Planning, Tel: 0778 6705 955 bruceelliott at nhs.net

If you would like to share your experiences at the event please contact leon.rushworth at nhs.net by Friday 29th January 2010.

You can book your place at the event by registering at:
http://www.connectingforhealth.nhs.uk/events/2538

We hope that it is of real interest to you.

Kind regards

Bruce Elliott

The UK Faculty of Health Informatics purpose is:
To stimulate the uptake and application of Informatics research and development within UK Health and Social Care services in order to improve the quality of care for all.
This is done through providing opportunities for anyone with a passion for applying their Informatics knowledge and experience in practice to participate in:
  • an engaging on-line discussion forum
  • vibrant face to face events and meetings
  • writing relevant and stimulating reports and papers
  • sharing their own research findings
Membership and attendance at all Faculty events is free of charge.
To apply for membership go to:

http://www.espace.connectingforhealth.nhs.uk/community/nhs-faculty-HI

Monday, December 14, 2009

Online Deliberation: Design, Research, and Practice

This is the website for the book Online Deliberation: Design, Research, and Practice, edited by Todd Davies and Seeta Peña Gangadharan (CSLI Publications, November 2009).

All content on ODBook.Stanford.Edu is licensed under a Creative Commons Attribution-Share Alike 3.0 Unported License.

My source: Community Informatics list.

Sunday, December 13, 2009

(many) Care Transitions and The Little '-' That Could

Some people looking at Hodges' model may believe that the model perpetuates the dichotomies of old:
Human --- Machine
Individual --- Group
Sick --- Healthy
Supply --- Demand
Home --- Hospital
Self care --- Nursing care

In the 1990s as a community mental health nurse I was involved with a group of general nurses looking at ways of improving:
  • discharge planning
  • continuity of care
These issues remain and with the dichotomies of care above we can see how Hodges' model can assist our thinking and planning about transition. Not just one transition, but several.

This past week I was fortunate to attend one of a series of workshops -
Delivering High Quality Health Care for All: Bringing the social and technical together for a joined-up approach to deliver supporting systems and technologies
10th/11th December 2009, Leeds, UK

Organised by the UK Faculty of Health Informatics and the BCS Socio-Technical Group

The event was very good, stimulating and challenging. In the closing debate the appeal of 'socio-technical' and how to market a much needed joined-up approach in health IT came down at one point to the difference between:

'socio-technical' and 'sociotechnical'

In trying to find an alternative title, the hyphen was lost, and whilst it is not a crucial issue - for me that hyphen represents the axes of Hodges' model. Hodges' model acts as a high level aide-mémoire and that little hyphen can perform the same trick. The hyphen reminds us of the differences. The dichotomies that need to be navigated and negotiated in our dialogues about care AND caring. These are most evident in transfers and transitions (after all - "getting out of bed is a risk").

There are mini and macro transitions. Care pathways are not yellow-bricked unbroken splines from cottage to cottage hospital. They should be tortured if they do reflect person-centered experiences and needs.

Some transitions are process laden and repetitive, such as drug administration and must be protected - free from interruption. Although grounded in a social exchange of (correct) identities: a registered nurse, the right patient, right drug, right dose, right duration and right time these can be framed within the SCIENCE domain. That is where (for me) the conventional 'drug round' can be found. Counselling is another transition (if effective it also moves people on). Counselling can be found in the INTRAPERSONAL domain - close to the border with SOCIOLOGY.

Other transitions and transfers are more involved:
  • person's home to attend day care (for the first time!)
  • person's home to residential home
  • hospital ward to home
  • home encounter with the crisis team
  • telecare consultation
  • ...
Care is constantly passed hence the need to write and record. Passed from -

person-to-person
team-to-team
team-to-carer
time-to-time
discipline-to-discipline
self-care

This is the outcome that is sought. Ultimately passing responsibility back to the individual and when applicable their family. Having formal integrated care pathways is one thing, but they are never truly continuous, clear and true. And as they say crossing bridges you may have to break step and surely different disciplines march to different tunes? Today though the most audible tune must be socio-technical. ...

Additional link: The Little Engine That Could

Image source:
Drug round tabard
http://internet-workwear.co.uk/acatalog/Drug_Round_Tabard.html

Friday, December 11, 2009

IMIA monthly news bulletin; no. 8, 08 December 2009

My source: Rita Arafa, BCS Health Northern Specialist Group, Membership Secretary.
Original source - IMIA: International Medical Informatics Assoc. see below.

For more frequent news updates, and subscription options by email, RSS feeds, etc., see the IMIA News site at http://imianews.wordpress.com/

IMIA website: http://www.imia.org
MedInfo2010 website: http://www.medinfo2010.org
For all official IMIA communications, please use imia@imia-services.org

Items:


1. MedInfo2010
a] Early bird registration deadline
b] Submissions feedback dates
2. Forthcoming events
a] IMIA Working Group activities
b] Regional events
c] National/international events
3. Boards
(deleted for brevity)
4. Publications
5. Corresponding members - new SOP
(deleted for brevity)
6. January 2010 bulletin


1. MedInfo2010

MEDINFO 2010 - 13th World Congress on Medical and Health Informatics;

12 to 15 September 2010 in Cape Town , South Africa.

a] Early bird registration deadline

Early bird registration closes 18 December 2009 - book early to save money. The site for conference registration and accommodation booking payment is open - via the main MedInfo 2010 website (www.medinfo2010.org), or directly at https://events.confco.co.za/ei/cm.esp?id=126&pageid=_2OO0LACU8

(NB BCS Health will be offering funding for those participating in Medinfo 2010 – details to be announced soon).
b] Submissions feedback dates

The SPC and reviewers are currently working hard on the paper submissions and other scientific submissions. Notification on acceptance of papers should be by 28 February, 2010.

2. Forthcoming events

Due to the increasing number of events, we will only here mention those in 2009-10. Notices of events in 2011 and beyond will be added to the IMIA website and IMIA news website when they are announced or when there is significant new information.

a] IMIA Working Group and Special Interest Group activities

The IMIA Health Information Systems Working Group (IMIA HIS WG) will be organising a two day workshop on Health Information Systems – 30 Years of Evolution, that will take place on September 10-12, 2010 in Stellenbosch, South Africa, just before the Medinfo 2010 Conference in Cape Town, South Africa. Further details will be advised in due course.

A number of WG/SIG chairs and vice chairs have changed as of the 2009 GA. This information will be updated on the IMIA website in the next few days, and on http://imianews.wordpress.com/
If WG/SIGs have activities planned, please send in the information so that we can help promote them.

b] Regional events

The 2010 Special Topic Conference (STC) of the European Federation for Medical Informatics (EFMI) will take place in Reykjavík, Iceland on June 2-4, 2010. The event has the theme ‘Seamless care – safe care. The challenges of interoperability and patient safety in health care’. - http://www.sky.is/efmi-stc-2010-.html

c] National/international events

HIMSS10 - March 1-4, 2010. Atlanta, Georgia, USA. http://www.himssconference.org/

BCS HC2010 Health Informatics Congress, April 27-29, 2010. Birmingham, UK. http://www.hcshowcase.org

eHealth2010 - May 6-7, 2010. Vienna, Austria. http://www.ehealth2010.at/index_en.html

e-health 2010 - May 30 - June 2, 2010. Vancouver BC, Canada. http://www.e-healthconference.com/index.htm

HINZ2010 - 2-4 November, 2010. Wellington, New Zealand. http://www.hinz.org.nz

AMIA2010 - 13-17 November, 2010. Washington DC, USA. http://www.amia.org


4. Publications

Applied Clinical Informatics (ACI) is a new official eJournal of the International Medical Informatics Association (IMIA) and the Association of Medical Directors of Information Systems (AMDIS), and will be published by Schattauer. This is Schattauer's first online journal. Full information about this new development, including instructions for authors, can found at the journal website –

http://www.aci-journal.org See also IMIA News website:

http://imianews.wordpress.com/2009/10/13/applied-clinical-informatics-aci-ejournal-launches/

The proceedings of the Post-Congress Workshop of the 10th International Nursing Informatics Congress (NI2009), which was held at Vanajanlinna, Finland on July 1-4, 2009, are titled “Personal Health Information Management – Tools and Strategies for Citizens’ Engagement”. The 215 page book has been edited by Kaija Saranto, Patricia Flatley Brennan and Anne Casey. See IMIA News website:

http://imianews.wordpress.com/2009/12/05/ni2009-post-congress-workshop-proceedings/

6. January 2010 bulletin

The January 2010 bulletin will be published on 04 January. We welcome all feedback (to imia@imia-services.org) and any news items, conferences, etc for the websites.

END OF IMIA News Bulletin, December 2009
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Dr Peter J. Murray
Executive Director
IMIA, International Medical Informatics Association
http://www.imia.org

Medinfo 2010 - Cape Town, South Africa - 12-15 September 2010 - http://www.medinfo2010.org
NI2012 - Montreal, Canada - June 23-27, 2012 - http://www.ni2012.org