No multi-monitor support. Kernel updates that break drivers. Poor if any documentation. A "community" that trips over itself to insult you when you "dare" ask for help. Yep, we're linux!
when they present to the hospital, they appear as a very large heart attack, with chest pain, shortness of breath, congestive heart failure (fluid in the lungs due to a weak heart), low blood pressure and EKG changes consistent with a heart attack.
GP here. Perhaps I didn't express my point clearly enough:
With such presenting signs, there is NO WAY such a patient is going to be "sent home" anyway. So frankly the original article is just a bunch of sensationalist writing trying to imply something new about things that we already know. OK, it's nice to have a name for it. Yes, there's probably a constellation of signs that differentiate it from the "non-Takotsubo" AMI which you as a specialist know all about. The prognosis is probably different, from what you imply. However my point is we've known that stress is one of many risk factors for AMI for years. What's new?
The nice thing is that if you can support them over the first couple days in the hospital, they do recover and go back to normal.
I should hope that any patient presenting dyspnea and left side heart failure gets all the support (s)he needs anyway, with or without elevated troponin levels and ST alterations...
Me I'm thinking of the hordes of people who love to clog up emergency rooms because they've "discovered" a new disease and they think they have it. Kind of like the recent H1N1 epidemic. I bet more people died in the hallways of packed emergency rooms of (name your favorite common pathology) than H1N1 last year while medical staff screened everyone who claimed to be sick. I think some medical information should stay within the medical community. Like pilots are told on obtaining their license: "congratulations, now you know just enough to kill yourself".
"The group responsible, called Anonymous, is known for coordinated Internet attacks against Scientology and other groups in the past."
Right. Because anyone calling themselves anonymous are the "same group". Specifically because "Anonymous" means "of unknown name". Heck, we have a bunch of Anonymous Cowards here on slashdot too! Let's track down their IP's and throw them in jail like the terrorists they are! After all, they've been seen on TV to blow up yellow vans, so they must be evil, right?
The problem is recognizing that there actually is a problem. So many patients come in complaining of chest pain. However medicine is never about what the patient "says" is the problem (subjective data) but rather what we can objectively observe to be the problem. That's because medicine is about science, not speculation. The clinical history orients us to a range of possibilities (chest pain can be anything from muscular to pulmonary to digestive to cardiac/great vessel to neurological problems). We then ask further questions and perform tests to exclude/include certain conditions.
Because chest pain is so vague and also so common, we rely on EKGs and cardiac enzyme tests to confirm a diagnosis. Now there's a whole argument that the consequences of a heart attack are so severe that if there is doubt, we will treat it as a heart attack solely on strong clinical findings even when tests are inconclusive. However what usually happens is that the clinical history (heart disease in the family, patient age, blood pressure, cholesterol, diabetes, obesity, smoking, previous heart attacks) doesn't point to a heart attack, nor is the type of pain consistent with angina, and therefore the pain is "written off" as Treitze syndrome, either correctly or incorrectly. The patient is sent home. And usually NOTHING HAPPENS. It's very rare that patients are sent home to die of a heart attack.
However a study like this (provided it receives more supporting studies) opens up a few more possible diagnoses. However I would argue that the actual "mortality" (how many people die) or "morbidity" (how many people are permanently damaged) of this "broken heart" syndrome is very very low. So now do we treat anyone with chest pain as a heart attack "for the benefit of the doubt"? How much will this cost both the patient and the tax-payer in public health systems? Hell, if we're going to treat everyone, we don't even need doctors anymore, right?
No - medicine is still about evaluating a patient and the risks and benefits of treating versus telling them "take 2 tylenol and call back in the morning". As far as I am concerned this type of information changes nothing as there is no significant evidence that people actually die this way. While this so called "broken heart" syndrome can degenerate into dysrhythmias and/or plaque rupture and heart attacks, well, we already know about those.
That pictures of women who are not covered top to toe are considered porn.
You had better not be making any drawings (Canada, Australia) of uncovered women, too. And make sure (Australia) that their breasts are very large. Or you are a "sex offender". How about we go and cover up all those naked people in paintings and chisel the genitals from sculptures, while we're at it?
I myself find myself offended by a particular Dutch painter called Rembrandt. What a pervert. All the nudes he ever painted should be destroyed, and his "collectors" and any of his surviving kin thrown in jail.
No I am well aware of the role that corporate contributions have played - like IBM's help with Apache, etc. I also am not a particular fan of Oracle and their 5 or more figure licensing fees for their closed source programs.
However to expect a corporation to fund a project indefinitely is ludicrous. The author of TFA is by no means a saint despite trying to portray Oracle as the "evil company" that wants to deny worldwide access to this "free" technology. Oracle is by no means obliged to continue every program they acquired with their purchase of Sun. And Oracle has been under a lot of flak for MySQL, too, by none other than billionaire Widenius (oh I forgot I already got paid a billion dollars for it but OH NO don't let Oracle have "my" program!). So it's "we hate Oracle" year here on slashdot, but frankly why should Oracle (and hence Oracle customers) continue to subsidize the inefficient development of accessibility tools when it would be cheaper for the whole world to (shudder) have the few people who need such technology just use Windows. Heck it would be cheaper for Oracle to BUY those people a copy of Windows, and list it under "charitable donations" on their balance sheet.
If it was so important to help these (omg the disabled! we HAVE to do something!) people, Oracles withdrawal of support would only slow down - not destroy, these projects.
Since when did decisions by profit maximizing big business have any impact on Open Source Software? Yes, it may have been nice that Sun was spending money on supporting this sort of thing, but why have you come to expect - nay, DEPEND on a hand-out, as if the very life of the program was tied to it?
When there is a need, the code will get written. By the grandson of the blind grandmother. Or the father of the deaf child. That has been the story of the whole open source movement to date. If you don't like what Oracle is doing, then fork and to hell with them. If you're whining because your subsidized job has been canceled - well too bad. Life sucks sometimes.
There's a reason Sun was losing money and got bought out. If you can't work on your project without pay, well, your motives have suddenly become clear. You don't care about the project but rather the paycheck. Stop pointing out how wonderful your project was going to be - because obviously it isn't important enough for you to keep working on it without being paid. And for God's sake don't blame Oracle for taking a business decision. I know it's hard to think this way today in the United Socialist States of America, but maybe Oracle doesn't want to go under like Sun did and therefore is canceling frivolous "feel good" projects that add ZERO to their bottom line.
Forbid forbid forbid, that's all I hear coming out of the "land of the free" lately. I went to the US 2 months ago, and I have never heard "you can't" as often as I did when I was there.
You could simply write "And as far as I'm concerned, Fallout 3 STILL sucked." and be explicit about it and most wouldn't care.
Firstly, well, yes I could write it differently. That's the beauty of language. 26 letters allow an almost infinite number of possible ways to express the same thing. However I don't really write to make you happy. I write to make ME happy. That's the whole point - I don't CARE if you care about what I write. Oh yes, once in a while, I end up in an interesting conversation or discussion and that's always nice. Sometimes I'm just passing the time. I'm a fast writer and an even faster reader. It gives me something to do at times like right now, while I'm waiting for the stock market to open.
Thank you! Now fuck off!
Was that meant to offend me in any particular way? Shudder, I was told to "fuck off" on the internet. Mommy why is the world so cruel?:)
That guy just didnt like the other game and worded it badly.
I thought I worded it quite succinctly, in fact:)
I had the same problem as you with the PC version. It didn't work at all until the patch, and even now it crashes once in a while. But frankly who cares about moderation anyway? That's for Johnny Average who only has 5 minutes to read before his brain starts hurting because of all the big words. As the saying goes "real nerds read at -1"...
Simply put, if you can complain about something without having to resort to swearing, your point is more likely to be heard, and concidered as valid. Start swearing and your just another 12 year old who managed to get on the net before growing a pair.
As the owner of the original comment: That's your opinion and you're entitled to it. And I will swear when I damned well want to. That's called free speech, yes? I think swearing is far more honest than, say, inferring that someone is a "12 year old who managed to get on the net before growing a pair". When I swear, I am emphasizing a point. When you make a personal attack, you're just venting some of the anger you have lurking under the surface towards - get this - a TOTAL stranger! Yeah, like you know me at ALL. But don't worry, I by no means take anything said on the internet personally.
Frankly, I don't care about being modded up OR down. I don't expect anyone to read what I write. I look on it as a form of "journalling", and it helps me deal with MY issues. And Fallout 3 STILL sucked.
I don't think that the real issue is privacy. After all, DNA is so easy to obtain that if someone is determined to do it, it's a simple task. No, I think the real issue is the cost of collecting, storing and analyzing this mountain of data. Exactly what are the benefits supposed to be, versus the costs involved? Do we really want to pay for all of this? Is it going to maintain roads, or prevent crime?
Of course there's the possibility of charging for access to this database, as researchers would have a bona-fide interest in volumes of DNA data. But what happened to the ethics, here? Was consent given for this information to be released, and was compensation given to the owner of the DNA? Governments are known for their ability to create money (and debt!) out of thin air, but usually you can't get something for free.
and have successfully communicated with 4 out of 23 patients previously thought to be in a coma.
17%. Well, let's look at it another way. Being a physician and remembering my rounds on the neurology/neurosurgery wards, I remember very well how antagonistic family members feel towards medical staff - as if the persistent condition of these patients was somehow our fault. I do remember many family members being in denial - refusing to accept that when we told them a patient was unlikely to recover due to the nature of the injury, and continuing to clutch at the invisible straw that grandma or grandpa would suddenly "wake up" (hey it happens in the movies and on TV) and walk out of the hospital.
Doctors have to feel compassion. It's an important hallmark of our profession. I was very upset myself when this happened to my (late) grandfather. However there are some injuries that can never be recovered from. The fact that a "yes" or "no" pattern MRI can be detected (again, in only 17% of cases) still will not change the prognosis for the patient. Perhaps the greatest use for this technique would be to obtain consent from the patient for disconnecting life support.
However I can see the mentioned article being used by family members to beg for (or take legal action to obtain) continued life support. That's all very well when you're paying for it. However in my country with a state-run health care system, there comes the time when we need the limited number of beds and the machines for someone else.
I heartily endorse any action taken to crack Islamist heads in the UK.
This post has been reported to the UK police for inciting racial hatred...
No it hasn't, but just see how this can turn ugly quickly. However you must remember that Britain (do everything the Muslims say) is not the same as France (ban the burkas).
How do you feel about these employees checkout out your wife and daughter's breasts and asses?
I have no problem with it. Just like I don't care when a doctor sees them. Being a doctor myself, I know that there's nothing "magical" that happens once you get your degree. We're still human, And you know what? You DO get used to seeing naked people, and it stops being a big deal.
Frankly if these machines mean I no longer have to take off my shoes and belt and watch, so much the better. Scan away.
If they decide not to scan children, then that's a further level of stupidity!
Considering that children are already used as mules to smuggle drugs, I don't see why an exception should be made for them "just because they are children". In fact, there are advantages to putting an explosive device on a child: you just don't tell him, and usually they are too innocent to ask. If you implement a policy that children don't get screened, I can forsee a lot of exploding diapers in the future... after all it's not as if you care about a kid when you want to bring down a whole airliner.
I really don't think the person who has to screen thousands of people per shift is going to be paying any special attention to MY (aor anyone else's) genitals. Although I am not a fan of intrusive security (especially when there are STILL so many other ways of smuggling a weapon or explosive on board), I'm not shocked by the concept that some security employee can see my penis.
The main selling point for me is that it runs my games. That's pretty much the only reason I bother with Windows
I agree. That, and trying to run multiple monitors (not 2, I mean 5 or more monitors) is a real pain in the ass in linux. Those are the ONLY reasons I still use Windows.
Slashdot Mirror
the army of porn sites happily hosted on Linux servers open their collective floodgates spewing video offerings.
I think the adjective you were looking for is "ejaculating".
No multi-monitor support. Kernel updates that break drivers. Poor if any documentation. A "community" that trips over itself to insult you when you "dare" ask for help. Yep, we're linux!
when they present to the hospital, they appear as a very large heart attack, with chest pain, shortness of breath, congestive heart failure (fluid in the lungs due to a weak heart), low blood pressure and EKG changes consistent with a heart attack.
GP here. Perhaps I didn't express my point clearly enough:
With such presenting signs, there is NO WAY such a patient is going to be "sent home" anyway. So frankly the original article is just a bunch of sensationalist writing trying to imply something new about things that we already know. OK, it's nice to have a name for it. Yes, there's probably a constellation of signs that differentiate it from the "non-Takotsubo" AMI which you as a specialist know all about. The prognosis is probably different, from what you imply. However my point is we've known that stress is one of many risk factors for AMI for years. What's new?
The nice thing is that if you can support them over the first couple days in the hospital, they do recover and go back to normal.
I should hope that any patient presenting dyspnea and left side heart failure gets all the support (s)he needs anyway, with or without elevated troponin levels and ST alterations...
Me I'm thinking of the hordes of people who love to clog up emergency rooms because they've "discovered" a new disease and they think they have it. Kind of like the recent H1N1 epidemic. I bet more people died in the hallways of packed emergency rooms of (name your favorite common pathology) than H1N1 last year while medical staff screened everyone who claimed to be sick. I think some medical information should stay within the medical community. Like pilots are told on obtaining their license: "congratulations, now you know just enough to kill yourself".
"The group responsible, called Anonymous, is known for coordinated Internet attacks against Scientology and other groups in the past."
Right. Because anyone calling themselves anonymous are the "same group". Specifically because "Anonymous" means "of unknown name". Heck, we have a bunch of Anonymous Cowards here on slashdot too! Let's track down their IP's and throw them in jail like the terrorists they are! After all, they've been seen on TV to blow up yellow vans, so they must be evil, right?
I am a doctor.
The problem is recognizing that there actually is a problem. So many patients come in complaining of chest pain. However medicine is never about what the patient "says" is the problem (subjective data) but rather what we can objectively observe to be the problem. That's because medicine is about science, not speculation. The clinical history orients us to a range of possibilities (chest pain can be anything from muscular to pulmonary to digestive to cardiac/great vessel to neurological problems). We then ask further questions and perform tests to exclude/include certain conditions.
Because chest pain is so vague and also so common, we rely on EKGs and cardiac enzyme tests to confirm a diagnosis. Now there's a whole argument that the consequences of a heart attack are so severe that if there is doubt, we will treat it as a heart attack solely on strong clinical findings even when tests are inconclusive. However what usually happens is that the clinical history (heart disease in the family, patient age, blood pressure, cholesterol, diabetes, obesity, smoking, previous heart attacks) doesn't point to a heart attack, nor is the type of pain consistent with angina, and therefore the pain is "written off" as Treitze syndrome, either correctly or incorrectly. The patient is sent home. And usually NOTHING HAPPENS. It's very rare that patients are sent home to die of a heart attack.
However a study like this (provided it receives more supporting studies) opens up a few more possible diagnoses. However I would argue that the actual "mortality" (how many people die) or "morbidity" (how many people are permanently damaged) of this "broken heart" syndrome is very very low. So now do we treat anyone with chest pain as a heart attack "for the benefit of the doubt"? How much will this cost both the patient and the tax-payer in public health systems? Hell, if we're going to treat everyone, we don't even need doctors anymore, right?
No - medicine is still about evaluating a patient and the risks and benefits of treating versus telling them "take 2 tylenol and call back in the morning". As far as I am concerned this type of information changes nothing as there is no significant evidence that people actually die this way. While this so called "broken heart" syndrome can degenerate into dysrhythmias and/or plaque rupture and heart attacks, well, we already know about those.
That pictures of women who are not covered top to toe are considered porn.
You had better not be making any drawings (Canada, Australia) of uncovered women, too. And make sure (Australia) that their breasts are very large. Or you are a "sex offender". How about we go and cover up all those naked people in paintings and chisel the genitals from sculptures, while we're at it?
I myself find myself offended by a particular Dutch painter called Rembrandt. What a pervert. All the nudes he ever painted should be destroyed, and his "collectors" and any of his surviving kin thrown in jail.
What makes you think, you got any power at all to rule over the Internet?
Well the fact that Max Hardcore is behind bars should be your first clue.
I don't agree with the court ruling, but they certainly have the power - and are (ab)using it.
The same as the construction industry. It will be done in "two weeks".
No I am well aware of the role that corporate contributions have played - like IBM's help with Apache, etc. I also am not a particular fan of Oracle and their 5 or more figure licensing fees for their closed source programs.
However to expect a corporation to fund a project indefinitely is ludicrous. The author of TFA is by no means a saint despite trying to portray Oracle as the "evil company" that wants to deny worldwide access to this "free" technology. Oracle is by no means obliged to continue every program they acquired with their purchase of Sun. And Oracle has been under a lot of flak for MySQL, too, by none other than billionaire Widenius (oh I forgot I already got paid a billion dollars for it but OH NO don't let Oracle have "my" program!). So it's "we hate Oracle" year here on slashdot, but frankly why should Oracle (and hence Oracle customers) continue to subsidize the inefficient development of accessibility tools when it would be cheaper for the whole world to (shudder) have the few people who need such technology just use Windows. Heck it would be cheaper for Oracle to BUY those people a copy of Windows, and list it under "charitable donations" on their balance sheet.
If it was so important to help these (omg the disabled! we HAVE to do something!) people, Oracles withdrawal of support would only slow down - not destroy, these projects.
Since when did decisions by profit maximizing big business have any impact on Open Source Software? Yes, it may have been nice that Sun was spending money on supporting this sort of thing, but why have you come to expect - nay, DEPEND on a hand-out, as if the very life of the program was tied to it?
When there is a need, the code will get written. By the grandson of the blind grandmother. Or the father of the deaf child. That has been the story of the whole open source movement to date. If you don't like what Oracle is doing, then fork and to hell with them. If you're whining because your subsidized job has been canceled - well too bad. Life sucks sometimes.
There's a reason Sun was losing money and got bought out. If you can't work on your project without pay, well, your motives have suddenly become clear. You don't care about the project but rather the paycheck. Stop pointing out how wonderful your project was going to be - because obviously it isn't important enough for you to keep working on it without being paid. And for God's sake don't blame Oracle for taking a business decision. I know it's hard to think this way today in the United Socialist States of America, but maybe Oracle doesn't want to go under like Sun did and therefore is canceling frivolous "feel good" projects that add ZERO to their bottom line.
but wouldn't that make any kind of internet based application a form of virtual reality?
The problem with THIS "virtual reality" is that it seems intent on selling you viagra or enlarging your penis.
Forbid forbid forbid, that's all I hear coming out of the "land of the free" lately. I went to the US 2 months ago, and I have never heard "you can't" as often as I did when I was there.
You could simply write "And as far as I'm concerned, Fallout 3 STILL sucked." and be explicit about it and most wouldn't care.
Firstly, well, yes I could write it differently. That's the beauty of language. 26 letters allow an almost infinite number of possible ways to express the same thing. However I don't really write to make you happy. I write to make ME happy. That's the whole point - I don't CARE if you care about what I write. Oh yes, once in a while, I end up in an interesting conversation or discussion and that's always nice. Sometimes I'm just passing the time. I'm a fast writer and an even faster reader. It gives me something to do at times like right now, while I'm waiting for the stock market to open.
Thank you! Now fuck off!
Was that meant to offend me in any particular way? Shudder, I was told to "fuck off" on the internet. Mommy why is the world so cruel? :)
That guy just didnt like the other game and worded it badly.
I thought I worded it quite succinctly, in fact :)
I had the same problem as you with the PC version. It didn't work at all until the patch, and even now it crashes once in a while. But frankly who cares about moderation anyway? That's for Johnny Average who only has 5 minutes to read before his brain starts hurting because of all the big words. As the saying goes "real nerds read at -1"...
Simply put, if you can complain about something without having to resort to swearing, your point is more likely to be heard, and concidered as valid. Start swearing and your just another 12 year old who managed to get on the net before growing a pair.
As the owner of the original comment: That's your opinion and you're entitled to it. And I will swear when I damned well want to. That's called free speech, yes? I think swearing is far more honest than, say, inferring that someone is a "12 year old who managed to get on the net before growing a pair". When I swear, I am emphasizing a point. When you make a personal attack, you're just venting some of the anger you have lurking under the surface towards - get this - a TOTAL stranger! Yeah, like you know me at ALL. But don't worry, I by no means take anything said on the internet personally.
Frankly, I don't care about being modded up OR down. I don't expect anyone to read what I write. I look on it as a form of "journalling", and it helps me deal with MY issues. And Fallout 3 STILL sucked.
Have a great day!
I don't think that the real issue is privacy. After all, DNA is so easy to obtain that if someone is determined to do it, it's a simple task. No, I think the real issue is the cost of collecting, storing and analyzing this mountain of data. Exactly what are the benefits supposed to be, versus the costs involved? Do we really want to pay for all of this? Is it going to maintain roads, or prevent crime?
Of course there's the possibility of charging for access to this database, as researchers would have a bona-fide interest in volumes of DNA data. But what happened to the ethics, here? Was consent given for this information to be released, and was compensation given to the owner of the DNA? Governments are known for their ability to create money (and debt!) out of thin air, but usually you can't get something for free.
Well, Bethesda is going to learn that there's a price to pay when you release a buggy piece of shit like Fallout 3.
Starting with emails at the White House, and working down from there?
and have successfully communicated with 4 out of 23 patients previously thought to be in a coma.
17%. Well, let's look at it another way. Being a physician and remembering my rounds on the neurology/neurosurgery wards, I remember very well how antagonistic family members feel towards medical staff - as if the persistent condition of these patients was somehow our fault. I do remember many family members being in denial - refusing to accept that when we told them a patient was unlikely to recover due to the nature of the injury, and continuing to clutch at the invisible straw that grandma or grandpa would suddenly "wake up" (hey it happens in the movies and on TV) and walk out of the hospital.
Doctors have to feel compassion. It's an important hallmark of our profession. I was very upset myself when this happened to my (late) grandfather. However there are some injuries that can never be recovered from. The fact that a "yes" or "no" pattern MRI can be detected (again, in only 17% of cases) still will not change the prognosis for the patient. Perhaps the greatest use for this technique would be to obtain consent from the patient for disconnecting life support.
However I can see the mentioned article being used by family members to beg for (or take legal action to obtain) continued life support. That's all very well when you're paying for it. However in my country with a state-run health care system, there comes the time when we need the limited number of beds and the machines for someone else.
I heartily endorse any action taken to crack Islamist heads in the UK.
This post has been reported to the UK police for inciting racial hatred...
No it hasn't, but just see how this can turn ugly quickly. However you must remember that Britain (do everything the Muslims say) is not the same as France (ban the burkas).
What with their stupid success and their stock options growing in value. Man, what a bunch of fucking retards.
If they ever do go IPO, I will certainly be there to short their stock... WHAT was their business model again?
How do you feel about these employees checkout out your wife and daughter's breasts and asses?
I have no problem with it. Just like I don't care when a doctor sees them. Being a doctor myself, I know that there's nothing "magical" that happens once you get your degree. We're still human, And you know what? You DO get used to seeing naked people, and it stops being a big deal.
Frankly if these machines mean I no longer have to take off my shoes and belt and watch, so much the better. Scan away.
If they decide not to scan children, then that's a further level of stupidity!
Considering that children are already used as mules to smuggle drugs, I don't see why an exception should be made for them "just because they are children". In fact, there are advantages to putting an explosive device on a child: you just don't tell him, and usually they are too innocent to ask. If you implement a policy that children don't get screened, I can forsee a lot of exploding diapers in the future... after all it's not as if you care about a kid when you want to bring down a whole airliner.
I really don't think the person who has to screen thousands of people per shift is going to be paying any special attention to MY (aor anyone else's) genitals. Although I am not a fan of intrusive security (especially when there are STILL so many other ways of smuggling a weapon or explosive on board), I'm not shocked by the concept that some security employee can see my penis.
The main selling point for me is that it runs my games. That's pretty much the only reason I bother with Windows
I agree. That, and trying to run multiple monitors (not 2, I mean 5 or more monitors) is a real pain in the ass in linux. Those are the ONLY reasons I still use Windows.