Tuesday, November 30, 2010

Rhinos, evidence based medicine and 'out-reach'

It would be be marvellous to be able to introduce h2cm to the nursing, health and social care communities in Asia, especially China. According to Flag Counter just two visitors. There are the good - effective ways of doing that and the not so good. How the following measures up I'm not sure...

Working in health we are surely aware of the need to base what we do on evidence. Although nurses are not necessarily independent as the patient advocate. Advocacy is still an important part of the nursing role and one requiring specific advice in some instances.

Earlier this month a Guardian article related the ever more precarious position of the South African rhino and how claims about the curative properties of rhino horn as a medicine fuels poaching. The UK is nowhere near South Africa or China so what gives? What gives is the Planet, the tiger too and the biosphere in general. Apparently rhino horn is just compacted keratin and has no medicinal properties.

Nurses tend to be a green, ecologically minded group and the best source of change comes from within. It is never easy to change the beliefs of others, especially when your culture venerates its elders. Belief also remains a powerful factor in health. Despite this do nurses not have a duty to challenge beliefs that are wrong, to educate their communities?

What price true literacy: spiritual, 3Rs, ICT, health, environmental ....?

There must be a way for nurses to unite on this - 
across cultures, borders, digital barricades, politics, beliefs ....

As we make a difference individually with patients and carers ... collectively can we extend our reach to other communities too? While there's still time - and we try not to bite our nails.

Interesting and clearly ironic in the UK that after a generation public health is to have a new service with a return to the local authorities.

Monday, November 29, 2010

Health Tips and Facts – Whiplash

What is Whiplash? Whiplash is also known as acceleration flexion-extension neck injury and soft tissue cervical hypertension injury.

It is a serious injury which is most often underestimated and frequently occurring in car accidents.

Whiplash Symptoms Signs Side Impact:-

Muscle spasms ,Neck pain, Blurred vision, Tenderness, along the back of neck, Headaches, Inability to move the neck properly, Tenderness in the back of the neck, Muscle spasms, Tiredness, Tinnitus, Neck swelling, Tingling sensation or numbness in the hands and arms, Pain in the lower back area, Dizziness, Difficulty in swallowing, Vertigo.

Whiplash Causes Risk Factors:-

Assault, Sports injuries, Slip and fall accidents, Child abuse, Amusement park rides, repeated stress injuries.

Whiplash Treatments:-

Chiropractors may have knowledge in how to ease pain in back through a type of massage. Always make sure your chiropractor has all the correct qualifications and is recommended by your GP before booking an appointment.

Physiotherapists may be able to encourage quicker healing of the injured muscles through massage and other forms of therapy. Again, always make sure they are properly accredited and qualified to deal with your injury.
Osteopaths are an alternative therapy specializing in treating back and neck pain.

Sunday, November 28, 2010

Buller and Butterworth: Skilled nursing practice - four domains?

The health care domains model identifies four domains within health and social care and medicine. What evidence is there to support the model's inclusion of:

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL

- plus the spiritual within and without? Steve Buller and Tony Butterworth undertook a ethnographic study in 2001 'Skilled nursing practice - a qualitative study of the elements of nursing'. With skilled nursing practice at the center (Fig. 5.) they identified:

relating and communicatingdoing the job
being professionalmanaging and facilitating

There is some overlap, reflection arises in relating and communicating and doing the job. Overall however there is a definite correspondence between these domains and those within h2cm - the health care domains conceptual framework. I have equated being professional with the SOCIOLOGY domain as for the authors this includes being with patients, conveying confidence, handling situations, being informed. Managing and facilitating is undoubtedly POLITICAL with supervising, auditing, making sure things get done. Doing the job - is based upon planning, informing, assessing, intervening, and being confident (with equipment, procedures, manual dexterity..?).

Having been thinking and writing about h2cm for many years it is a shame that other models have benefitted from funding and gain "ward and community (research) cred" while here evidence is retrofitted. Looking at the paper just in the decade since submission and publication I wonder which elements remain local, and where other elements of the skills base (care concepts) have migrated to ethnographically?

Steve Buller, Tony Butterworth (2001) Skilled nursing practice — a qualitative study of the elements of nursing. Int. J. of Nursing Studies. 38, 4, 405-417.

Friday, November 26, 2010

Wonk - and the comprehensive health record

As the future unfolds the day will emerge when a 'wonk' - that is, "someone meant to know everything" (Prospect Magazine, Dec 2010, p. 19) is realised in software (or in a termin-ological mix with some "I'll be back" hardware).

The Internet is already envisaged as a giant global graph - a vast intelligence. The health care domains model provides a framework - a graph - to capture what someone or some group of people know about a situation. Policy, practice and values are often rightly based and measured against ideals. In health (and social-) care the comprehensive health record is the ideal. Throw information technology into the mix and you have an ideal of Platonic proportions.

Can you have a complete and ongoing record and still work smart and Lean?

I don't wonk, do you?

Thursday, November 25, 2010

Before you measure ....

Fitness-to-work tests to be reformed after criticism

- you check your tools:

You calibrate, validate and balance ...

strengths - weaknesses
functional - diagnostic
humanistic - mechanistic
individual - group
purpose - policy
practice - process
physical - emotional
person centred - policy centered
sad (?) - (you will be -) happy


Additional links:
How to assess happiness? A tale of three measures
WWF: Manifesto - The Politics of Happiness
Frank Furedi: Why the ‘politics of happiness’ makes me mad

Monday, November 22, 2010

Call for Papers for the European Design 4 Health Conference 2011 + 6th CIPED


Lab4Living at Sheffield Hallam University is pleased to announce the Call for Papers for the  
European Design 4 Health Conference 2011. The conference will be held at Sheffield Hallam University from 13 - 15 July 2011, Sheffield, UK.

The conference will provide a platform for dialogue between designers, healthcare professionals, funding bodies, researchers and users. Submissions to the conference are invited, in the following forms:
Abstract submissions: extended abstracts that address the conference themes.
Exhibition proposals: exhibits of innovative artefacts or systems that make significant progress in design for health.
Visit www.design4health.org.uk . Join the conference mailing list for regular updates.

6º CIPED - Congresso Int. de Pesquisa em Design (6th CIPED - Int. Congress of Research in Design)

- to be held at the Fundação Calouste Gulbenkian, Lisbon, October 10-12, 2011:
An Agenda for Design. More details will be provided later, just keep the dates free!

Professor Peter Lansley, BSc, MSc, PhD, MCIOB, FCOT
Director, KT-EQUAL – Knowledge Transfer for Extending Quality Life
School of Construction Management and Engineering, URS Building,
University of Reading, Whiteknights, PO Box 219, Reading, RG6 6AW, UK

p.r.lansley at reading.ac.uk www.sparc.ac.uk (and my source).

Tuesday, November 16, 2010

The Beauty of Diagrams: Vitruvian Man BBC Four

Tomorrow a new six part series begins on BBC Four.

Diagrams, conceptual frameworks and cognitive spaces have driven my interest in models of care and h2cm for decades:

1996 Peter attends 'Thinking with Diagrams' Colloquium, IEE, Savoy Place, London. 18 Jan BCS-SGES et al.
Professional Group C4: Digest No: 96/010
Chronology

I also maintain a diagrams listing on the sciences domain listing, suggestions welcome.

So, really looking forward to this!

Monday, November 15, 2010

Health Tips-Carrot Juice Benefits

Carrot is universal vegetable for juicing. Use Carrot juice at young age it’s actually beneficial for health. Carrot juice has a number of wellbeing effects. An imperative element in an infant’s up bring can be found in the vitamin A of carrot juice. Drinking carrot juice is thought to be extremely beneficial for the liver due to Vitamin A's cleansing effects.

Vitamin A reduces bile and fat in the liver. Carrot juice has anti-carcinogen properties. Carrot juice is best ingested in the afternoon because of the burst of energy that always follows.

Carrot Juice Contained Vitamin E also, which appears in three forms, known chemically as alpha-, beta-, and gamma-tocopherol, and commonly known as the vitamin E complex.
It is also believed to have cancer-curing properties. A carrot and milk juice is the ideal vitamin A source for infants and can in no case lead 10 the risk of the child having too much A.

Carrot juice is like a tonic. It will improve the overall health of you and your child, and increase immunity. Drinking carrot juice, as well as eating carrots, is thought to be especially beneficial for prenatal health. Beta-carotene that forms into Vitamin A is said to be very healthy for both mother and child.

Beta carotene is an anti-oxidant, and thus it prevents cell degeneration. Anti-oxidants also slow down the ageing process. Another fruit which is an excellent anti-oxidant is the berry. It can be taken alone, or combined with other fruit and vegetables juices.

Carrot Juice Benefits:-
It applied daily is great for uneven skin tones due to blemishes and pigmentation.
Helps prevent cancer.
Low blood pressure can be helped by consuming parsley, capsicum and garlic juice.
It acts as an anti-inflammatory and revitalizes and tones the skin.
If it applied on blemishes regularly helps them to fade away.

Headache Types Causes

Health Care Tips Facts

Headache Types:-
Red wine headache, Idiopathic intracranial hypertension, Toxic headache, Ictal headache, Brain freeze, Thunderclap headache, Spinal headache, vascular headache, Coital cephalalgia, Hemicrania continua, Rebound headache, Hangover.

Here is a list of things that can cause one of those badly painful headaches that make you want to end your suffering for good.

1. A Train Horn being honked within 10-15 feet of you.
2. Writing all day.
3. Staring at a computer screen all day under fluorescent lighting.
4. Playing too much video game.
5. Watching too much television.
6. Reading all day.
7. Sleeping in room full of dust, mold, rust, or signs of asbestos.
8. Talking too much on your cell phone or falling asleep on the phone.
9. Eating too much ice cream.
10. Not eating anything all day.
11. Dealing with incessant baby cries.
12. Temperature changes in the air.
13. Exposing you to headphones and speakers for a long period of time.
14. Going to a heavy metal concert.
15. Getting hit in the head hard.
16. Too much caffeine.
17. Suffering from a brain tumor.
18. being cross-eyed.
19. Getting hit in the head or body frequently.
20. Lack of sleep.
21. Painting for too long of a period with toxic paints.
22. Smoking too many cigarettes.
23. Standing on your head for too long.
24. Driving for way too long.
25. Singing in concert for hours on end.
26. Sniffing intoxicating gases.
27. Being exposed to harmful gases and chemicals.
28. Being trapped in a shopping mall with loud, annoying teenagers.
29. Being confined to cell walls.
30. Taking prescription medications.

Saturday, November 13, 2010

9 Potions Overcome Hepatitis

9 Potions Overcome HepatitisIf not addressed, inflammation of the liver which is popular with the name of hepatitis can cause death. Hepatitis is an inflammatory process in liver tissue. The disease is more commonly known as liver disease or jaundice. However, the term jaundice can lead to confusion because not all jaundice caused by inflammation of the liver.

Of the many factors, the virus that was ranked first as the cause of most disease hepatitis. Others may be caused by bacteria, parasites, drugs, chemicals that damage the liver, alcohol, worms, or too poor nutrition.

By DR. Dr. Julitasari Sundoro, based on the course of the disease, hepatitis can be divided into acute and chronic. Called chronic hepatitis is still there after six months. There are five types of viral hepatitis, namely hepatitis A (VHA), hepatitis B virus (HBV), hepatitis C virus (HCV or non-A non-B parenteral), viral hepatitis D (VHD), and viral hepatitis E ( vhe or non-A non-B enteric). In addition to some virus, now there's even a virus that causes hepatitis AE F and G.

Prof. H. Ali Suleiman, Professor of Medicine Faculty of medicine, says that people with hepatitis who have been in the prodormal phase (before the body becomes yellow), usually experience symptoms of weakness, tired, lethargic, no appetite, nausea, vomiting, feeling uncomfortable and pain in the abdomen, fever and sometimes chills, headache, pain in the joints, stiffness in the whole body, especially hips and shoulders, and diarrhea. Sometimes people like to colds and cough with or without sore throat.

When you have reached the phase of yellow (jaundice), the patient will see a yellow urine is concentrated, such as tea. In addition, the whites of the eye ball, the mucous membrane of the palate, and skin turned yellowish. And when there are barriers to the flow of bile into the intestine, feces will pale as putty (stool acholis).

Symptomatically
However, not all hepatitis have symptoms, as already mentioned. There are people with hepatitis with no symptoms at all or maybe only with mild symptoms, and there are really serious in a short time later terminated death.

If so, we must be careful. Besides always used to lead a healthy lifestyle, do regular checks to the doctor. If it was known to suffer from liver disease, usually the doctor will give medicine.

Treatment by doctors, according to Dr. Setiawan Dalimartha, generally symptomatic, ie, to relieve symptoms of diseases that arise other than as a therapy that helps the continuity of liver function.

The drugs are generally hepatoprotector (protects liver cells against the effects of toxic substances that can damage the repair and regeneration), lipotropik (increasing mobility of fat in the liver), Kholeretik (increasing the production of bile by the liver), and kholagogum (improves gallbladder emptying and running it into the duodenum).

Medicinal plant materials to assist in the improvement of liver function is usually hepatoprotective. Materials that include curcumin can be obtained from ginger and turmeric, filantin from meniran, silymarin from widuran, aukubin of leaf spoon, glycyrrhisic acid from the saga, essential oils of garlic, krisofanol of rhubarb, gingerol from ginger, wedelolakton of urang -aring, andrographolide from bitter, and sianidol of tannic substances.

Some Examples Potion
Many medicinal herbs recipes, one from Dr. Setiawan Dalimartha, useful for improving liver function. Some of them are presented because the materials are easily obtainable. However, patients should still consult your doctor when using these recipes:

Remedy 1
Material
- One finger sticks brotowali
- Three glasses of water
- One tablespoon honey
How to Make
Wash brotowali stem and cut into pieces as needed. Boil three cups of water until the remaining one cup. Once cool, strain and add a spoonful of honey. Drink twice a day, each half a glass.

Potion 2
Material
- 9-15 grams of dried stem bugenfil
- Three glasses of water
- One tablespoon honey
How to Make
After cleaning, cut the stems thinly bugenfil. Enter your email in a pan while plus three glasses of water. Boil until the water remains one glasses. Once cool, strain. Drink filtered water after the added honey. Water filter is taken twice a day, morning and afternoon, each half a glass.

Potion 3
Material
- A handful of fresh leaves of bitter melon
- One cup of boiled water
- Salt to taste
How to Make
Wash bitter melon leaves and rinse with boiled water. Beat until smooth leaves with a plus one cup water. Stir until evenly distributed and add a little salt. Strain the herbs and drink in the morning before eating.
Note: This recipe should not be used when being pregnant because it can cause miscarriage.

Remedy 4
Material
- Two ripe tomatoes
- Sugar to taste
How to Make
After being washed, cut-cut tomatoes to be juice. However, if they do not have the tool, the fruit can be boiled with water to taste. After boiling, pulverized or milled, then squeezed. Add the juice of sugar a little bit and then taken twice a day.

Potion 5
Material
- Three or a handful of ripe noni fruit noni skin
- A piece of banana leaf
- A piece of cloth
- Vinegar to taste
The way I
Noni fruit are washed and rinsed with boiled water. Grate and peraslah with a piece of cloth. Juice drink.
How II
For external use, noni skin finely ground and then mixed with a little vinegar. Wrap the mixture with banana leaf. Heat briefly over a fire or steamed. In the circumstances, warm, attach the packing in the upper right abdomen, where the liver is swollen and sore.

Remedy 6
Material
- One tablespoon papaya seeds
- Three fingers mengkal papaya fruit
- Honey to taste
How to Make
Papaya seeds and blend until smooth or mashed seeds while the fruit is grated. The dough will serve as an added honey to taste, then drink.
Note: Pregnant women are forbidden to drink this concoction because it can cause miscarriage.

Potion 7
Material
- Fresh carrot taste
How to Make
Carrots cleaned and washed with boiled water. Trim as needed and make into juice. Can also be shredded carrots and the results are squeezed, and then filtered to collect up to one glass. Carrot juice can be drunk directly.
Note: Most eating carrots can cause skin color to yellow. When that happens, stop drinking potions for a while. Skin color will return to normal.

Remedy 8
Material
- Two fingers of fresh ginger rhizome
- Honey to taste
How to Make
Peeled ginger rhizome, and then washed clean. Rinse with water boiled and then shredded. Add half a cup of warm water and a tablespoon of honey. Stir evenly then squeeze and strain. Drink filtered water a day two times a day.

Potion 9
Material
- One finger turmeric
- One tablespoon honey
How to Make
Turmeric rhizome is washed and shredded. Add a little water on the grater. Grater then filtered and add honey. Drink three times a day.

Want to Know Savor Ants Nest?

Want to Know Savor Ants Nest?Ant nests with Myrmecodia pendans scientific name, which comes from iron wood parasite has many benefits for human health. These ants nest serves as a remedy various diseases, of the stamina enhancer, until the cancer is said there is no cure.

According Suhirman, one of the agents, ant nests have a chemical compound that can help healing quickly. "Ant nests were actually parasite, because in it there is a kind of labyrinth so live ants. In it there is substance flavonoids and Tanin. Flavonoids are useful for cancer prevention, if good tannins for curing diseases," he said when met Kompas.com Suhirman at Flower Festival 2010 Flower Market Raewa Belong, West Jakarta, on Thursday (04/11/2010).

The disease can be cured by ant nests, among others, various types of cancer and tumors, coronary heart disease, ambient, tuberculosis, lupus, stroke, and increase male stamina. According Suhirman, the healing process through an ant nest is relatively quick, about 7 days.

"If hemorrhoids, cancer stage 1 or 2 so most take 3-5 days in a row has begun to heal. But if the heart is leaking or has stage 4 cancer that took much longer. Can a week or week and a half," he said.

To consume, this ant nest must be boiled first. Water the stew and then drunk. Within a day, ant nest must be taken 2 times, morning and afternoon. "If that is so hard-boiled 2 tablespoons powdered ant nest mixed 3 cups of water. If that is still intact, boil a handful of ant nests are also mixed with 3 cups water. Ngak cold or hot drink anything," explained Suhirman.

Ant nests can be found in two types, and dry powder. "If that had been shredded bu uk, if the dry roasted. But both are equally potent, is not no different," explained Suhirman.

The price of plastic the size of ant powder 0.25 kg to Rp 150,000. Meanwhile, a roasted ant nest worth about Rp 200,000 per pack.

Although relatively expensive, Suhirman say that these ant nests can be boiled up to many times. "It can be boiled up to 10 times as possible. Just as long as the result of concentrated decoction is still colored semutnya nests can be boiled again. But then after boiling the water is somewhat clear meaning can not be boiled again, should be replaced new ants nest," explained Suhirman.

Urine Test for Early Detection Renal Failure

Urine Test for Early Detection Renal FailureAcute kidney failure occurs when the kidneys lose their ability to quickly dispose of waste products from blood. If untreated, this condition can be fatal. Unfortunately, the disease is often asymptomatic. Usually the new doctor asked if a blood or urine is suspected kidney failure.

In research published in the Journal of the American Society of Nephrology, the scientists said they had found a marker (marker) in urine that indicate specific diseases Acute renal failure. With the urine test is expected disease can be detected early, can even be prevented.

Research shows that urine samples from mice and humans who suffer from acute renal failure have elevated levels of monocyte chemoattractant protein-1 (MCP-1) and mRNA (prints for synthetic proteins). In other words, genes that encode MCP-1 and mRNA will be active if the patient suffered from acute renal failure.

Using the new method, scientists can also indicate changes in the protein (known as hitones) that activates genes that produce MCP-1.

Previously, blood and urine tests conducted to determine the presence of abnormal levels of waste products normally removed from the blood. The existence of excessive protein in urine is a common sign of damage to the kidney nephrons.

Why Baby Dont Stop Cry

Why Baby Dont Stop CryThere are many reasons why babies cry, but mainly because he wanted to communicate the needs or discomforts felt. Whether because his diaper is full, the body heat, pain, fear, and others.

Not a few parents who are overwhelmed by the baby's constant crying. They difficulty soothing the baby to get back to sleep soundly. In order for the baby calmed down and did not cry again, parents should meet their basic needs, namely:

1. Is your baby hungry or thirsty? Try to remember the last time when he was fed breast milk or eat solid foods (complementary foods). After breast-fed or given solid foods, generally infants who hunger or thirst for calm.

2. Does your baby swelter or cold? Make sure the baby clothes that are suitable for the weather at that time. Feel free to telon oil rubbed on during cold weather, air-conditioning was turned on when the air temperature was hot.

3. Check your baby's diaper, may be replaced by full-time so that makes him uncomfortable.

4. Is your baby tired? Try to comfort her and make the atmosphere of calm so that he can sleep.

5. Does your baby feel scared / frightened? Try to hug and make eye contact so that it comfortably. Avoid excessive teasing or let it linger picked up a stranger.

6. Does your baby have symptoms of colic, or hiccups? Try to position the baby on your shoulder and gently rub or pat his back to burp.

7. Does your baby is teething? Usually the appearance of teeth accompanied by fever and makes him uncomfortable. Measure the temperature and provide heat-lowering drugs if needed.

8. Does your baby feel bored? Try to do the game "-a-boo", a walk to find a new atmosphere, reading stories, and others.

Friday, November 12, 2010

Comets, holistic care and peripheral vision


Comet Hartley 2 is still bright and yet throughout its visit by Earth quite diffuse, so I have yet to try to find it with my binoculars. To effectively use binoculars, a telescope (or even a microscope) and enjoy the astronomical delights (especially as Councils save money and switch off street lights) it helps to develop your peripheral vision.



Nursing, medicine and social care calls for its own kind of peripheral vision. Peripheral vision that nonetheless enables us to really see. It is ironic that in order to see the big picture that includes the person, that allows us to coherently assess, plan, deliver and evaluate person-centred care we must look off-center.



Comet image source: http://maineastro.com/2010/10/binocular-comet-now-high-in-the-sky/

Tuesday, November 9, 2010

Grand Challenges for Global Health: 15th - access to clean, clear, knowledge

Dear HIFA2015 colleagues,

The news item below is forwarded from the Global Health Council, which reports the mHealth Summit taking place this week in washington DC. It is especially good to see that Bill Gates is giving a keynote address. This suggests that the Gates Foundation may be poised to address the 15th Grand Challenge for Global Health, as proposed by international health leaders in The Lancet:
"The Gates Foundation identified fourteen challenges [Grand Challenges for Global Health] but a fifteenth challenge stares us plainly in the face: The 15th challenge is to ensure that everyone in the world can have access to clean, clear, knowledge - a basic human right, and a public health need as important as access to clean, clear, water, and much more easily achievable."
Tikki Pang (WHO), Muir Gray (NHS, UK), and Tim Evans (WHO): 'A 15th grand challenge for global public health.' The Lancet 2006; 367:284-286.
http://www.thelancet.com/journals/lancet/article/PIIS0140673606680501/fulltext

When HIFA2015 was in planning back in 2006, the lead author of the above paper, Dr Tikki Pang (Director of Research policy and Cooperation at WHO) said: 'HIFA2015 is an ambitious goal but it can be achieved if all stakeholders work together'. Bill and Melinda Gates are critical stakeholders. I look forward to see Bill Gates' presentation. Will the Gates Foundation take up the 15th Challenge? Will the Gates Foundation prioritise the challenge of health information for all by 2015?

Bill Gates keynote yesterday is not yet available on the web, but it will be soon at: http://mhealthsummit.org/conference/live-webcast

I hope that Bill Gates will use this opportunity to articulate a clear and specific vision from the Gates Foundation: a vision of a world where people are no longer dying for lack of access to appropriate, reliable healthcare information. With their support, there is no doubt this vision can and will be realised.

With best wishes,
Neil

HIFA2015 profile: Neil Pakenham-Walsh is the coordinator of the HIFA2015 campaign and co-director of the Global Healthcare Information Network. He started his career as a hospital doctor in the UK, and has clinical experience in rural Ecuador and Peru.  For the last 20 years he has been committed to improving the availability of healthcare information for health workers in developing countries. He has worked with the World Health Organization, the Wellcome Trust, Medicine Digest and INASP (International Network for the Availability of Scientific Publications). www.hifa2015.org  neil.pakenham-walsh AT ghi-net.org

My source:  www.hifa2015.org

Friday, November 5, 2010

Information Revolution and Greater Choice and Control - webchat Nov 9

Put your questions about the Information Revolution and Greater Choice and Control direct to Andrew Lansley, Secretary of State for Health, on November 9 at 1.30pm.

People can ask questions in advance by emailing:
informationrevolution AT dh.gsi.gov.uk - or -
 by Tweeting their question, using the hashtag #inforevolution.

The webchat will be available from November 9 at www.dh.gov.uk/informationrevolution and you can watch the live Q&A on screen, ask questions and leave comments. We will also be tweeting Andrew Lansley's answers and the comments we receive. A transcript of the webchat will be available on the website after the event.

I would be grateful if you could bring this to the attention of any interested individuals or groups.

With best wishes

Anne Cooper
National Clinical Lead for Nursing
Office of the Chief Clinical Officer
NHS Connecting for Health
anne.cooper AT nhs.net
http://www.connectingforhealth.nhs.uk
NHS Connecting for Health supports the NHS in providing better, safer care by delivering computer systems and services which improve the way patient information is stored and accessed.
Additional link:
http://conversations.dh.gov.uk/2010/10/17/home/
My source:
British Computer Society Nursing Specialist Group

Thursday, November 4, 2010

Frozen shoulder Syndrome

What is frozen shoulder?
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in shoulder joint. Signs and symptoms begin gradually, worsen over time and then resolve, usually within a 2 year period.
Risk of developing frozen shoulder increases if you've recently had have your arm in a sling for several weeks, or if you have had surgery in which your arm was immobilized in a specific position for a prolonged period.
Frozen shoulder Symptoms, Frozen shoulder Signs:-

(1) Shoulder pain is typically a dull ache.
(2) Simple tasks such as getting dressed, combing your hair and reaching over your head may become difficult.
(3) Frozen shoulder happens mostly to people aged in their 50's, 60's and 70's.
(4) Limited mobility to the affected area.

Frozen shoulder Syndrome Causes:-

Diabetes Mellitus is a common associated condition with frozen shoulder.
Heart or lung problems can be linked to the cause of your shoulder pain.
Other ailments that are sometimes associated with frozen shoulder syndrome are thyroid problems, high cholesterol and Parkinson’s disease.

Prevention of Frozen shoulder

Frozen shoulder can usually be diagnosed from signs and symptoms alone. But your doctor may suggest imaging tests such as X-rays or MRI to rule out other structural problems.
One of the most general causes of frozen shoulder is the immobility that may result during recovery from a shoulder injury, broken arm or a stroke. If you've had an injury that makes it difficult to move your shoulder, talk to your doctor about what exercises would be best to stretch the tough capsule around your shoulder joint.

Frozen shoulder Treatment, Home Natural Remedies:-

Shoulder massage is also a good way to start physical therapy for frozen shoulder as it increases the flow of blood and oxygen into the area. Physical therapy for frozen shoulder starts with reducing the pain and stiffness of the shoulder and increasing blood circulation through heat. In physical therapy for frozen shoulder, you will first perform weight and non-weight stretching exercises to improve the flexibility of your shoulder joint.

Wednesday, November 3, 2010

Drupal musings 19: DrupalCamp Edinburgh, Panels, another prize book! and a 'mu'.

DrupalCamp Edinburgh was just one day, but a Drupal drenched day. So, camping can be fun even when it rains - community spirit and ethos, tips and things you never knew.

The first session on PHP namespaces with Jonathan was on the technical side, but this is a topic to watch for Drupal 8.

Up RPC - upgrading was also technical in the sense of being for people with sites to upgrade. Joachim went through the process from Drupal 5 to 6.

Drush - the DRUpal SHell (Mac) was presented by snufkin and with the frequency Drush crops up at Drupal events, inc. NW England it's a mu - must use.

A question was raised around multimedia in Drupal, this centred upon images.

The afternoon was built around Chris Muktar's session on WikiJob. Chris described the site's birth, growth and move to Drupal. Wikijob utilises the PressFlow distribution of Drupal optomised for performance and scalability. What was fascinating here were the insights into the use of Pantheon and Amazon Web Services. The good news for Chris and WikiJob is that hosting costs are dropping month-on-month while the lessons: you need to know what you're doing and AWS is self-service.

Providing for mobile users came up and here I was actually able to contribute (well sort of) with my notes from Copenhagen and Martin Joergensen's session.

At the end there was a prize draw. I won another book! Drupal 6 Panels Cookbook, Bhawin (Vin) Patel, Packt. Having read this there's no doubt that combining Views and Panels packs some punch, especially as in Chapter 10 a travel website is created and the recipe uses the PressFlow distribution. This chapter also uses the Location and GMap modules, which I am currently looking at. Since first hearing there were modules called Panels, Views and Context I've automatically attributed h2cm related functionality to them. The care domains are 'panels'. Organic Groups, another example has proved quite different to what I thought and I only learned that this summer (that's why using really is learning). What the book brings home - without picking up the shovel - is the way these modules leverage each other.

At 10am when everyone first met with two sessions scheduled with the rest of the 10-5 day a blank I worried: 200 miles! (I didn't attend, but the morning also saw Addison Berry of Lullabot running a "Beginners Track"). My faith deserted me only for a moment. Great job Duncan and all, if there is another let me know!

W2tQ & H2CM: the old site and CSS3 & HTML5

As mentioned before this blog is shifting down a gear or two (besides - less is more).
The effort to engage by providing creative and original content
+ selective announcements will continue and 
many thanks 
to the people who have recently seen fit to contact me
and say they appreciate what is here.
You are welcome!

I need to 'finish' a basic Drupal 6 site, start on h2cm for Drupal 7. This will include tinkering with the old site. Yes, I know.... but it's a good way to learn about CSS3 and HTML5. I've invested a lot in the links pages and Autumn - Winter's the time to try Drupalesence.

So there will be some changes on the old site, content and formatting which may not look 'finished' (there's that word again) or work cross-browser. Thanks for your patience and your visit.

[I know there are 27 posts on the PostRank list, but there's quite an archive now so the top 27 of 700+ is still sorting itself out.]

Drupal musings 19 to follow just after midnight GMT on DrupalCamp Edinburgh ... ;-)

Tuesday, November 2, 2010

h2cm: Globalization, Accommodation theory and Relativism (Grayling, 2010)

From A.C. Grayling's Ideas that Matter, 2010, Phoenix.

Globalization: p. 235-236.
A more neutral account of globalization describes it as the process of making things known, done, available or possessed worldwide - such as Internet access, telecommunications, medical knowledge and benefits such as vaccines, transport technologies, political ideas, art and music, books and much besides.
Grayling also explains how the increased distribution associated with globalization is unequal, hence the sense of injustice that is felt resulting in protest.

The health care domains model is concerned with making things known - helping to make knowledge available on a personal, group and family level. This is no Mercator projection, not even Peter's projection but it is a global map.

Accommodation theory: p. 3-5.
Accommodation theory states that when people talk to each, they adjust their behaviour and manner of speech to take account of (to accommodate themselves to) the topic, the circumstances, and the other people engaged with them in conversation.

There are many theories to explain how we communicate and thereby model(?) ourselves, others and the world. Imagine a doctor's surgery and the morning's clinical consultations, it is easy to envisage the role that accommodation routinely plays. The one-to-one conversation (dialogue, argumentation, debate) can be extended, and viewed as the combined chatter, the whole series of multidisciplinary Q&A with the breaks (the silences when we are listening!). Accommodation theory has proved of value in multiculturalism, especially on policy concerning immigration and integration. p.5

The care domains provide an ethnoculturally neutral space (it could be argued) for the accommodations that are demanded in the 21st Century. 

Relativism: p.433.
There is a distinction to be drawn between moral or cultural relativism, on the one hand, and cognitive relativism on the other. The former concerns the difference between cultures, or between different historical phases of the same culture, with respect to religious, social, and moral values and practices, that is, with respect to what might be called the 'superstructure' of the culture's conceptual scheme. Cognitive relativism concerns the 'infrastructure', the level of basic beliefs about the world, such as that there are perception-independent, re-identifiable and individually discriminable objects or events, occupying space and time, interacting causally, and bearing properties of various kinds.
Much is said of the games that people play. Whether the care domains model provides a game board that can accommodate both the super- and infrastructural conceptual levels is open to question. In the health career model the infrastructure level concepts are light - as we find that they reside in the upper part of the model: perceived, individually discriminable (INTRApersonal) objects occupying space and time (SCIENCES) with mass, weight, inertia. ... The political domain prompts access to values and how these shape the total conceptual landscape(s), the conversations and silences that go on there ...