Larger modern health care environments such as large hospitals, regional health committees, working groups etc, largely boil down to two Us-and-Them viewpoints.
One is Management and the other is doctors/nurses, the later arguing they should make the health care decisions, and essentially have primary say in the implementation of said environment.
The result from an Information Systems viewpoint is that it is pushed from management with little buy-in from health professionals.
With all due respect to Dr Himmelstein he firmly sits in the second camp - doctors should have the say in the running of a hospital. He is also against "administrative waste" - the old "too many admins in the hospital" arguement.
Thats all well and good, but when the balloon goes up, and there are questions to answer, administrator's administrate, while doctors do what they should be doing: patient facing time.
"they both seem like overgrown nerdy schoolboys fighting over each other's toys"
they both seem like deviant perverts who want to be the dominant. One wants to be the Giver, while neither wants to be the Taker. Meanwhile consumers will end up covered in the fallout.
I did an apprenticeship in Motor Mechanics for 4 years when I left school 25 years ago. I recall a question to the tutor back then about compressed air to drive a car. Here was his answer: Compressed air is not good as a primary driving medium, it is only good as a buffer(the storage tank) or where electricity might add risk. Examples being driving air tools in a pit below ground. By its nature, compressed air must pass thru constricted orifices. There is tremendous loss of pressure over distance. I recall our workshop compressor...very different from what you buy at a hardware store. Huge tank, dual motors, each on three phase power. The newbies job was to empty the water and oil traps from the Air Intake system. About 20 litres per day and about 200 mls of oil like fluid(The atmosphere in the workshop back then was a haze of car fumes and dust). We had 4 electric hoists and one compressed air hoist too. The air hoist could lift many times the wieght of the electric.
I think compressed air cars will serve a specialist role, operating in specific roles. Whether there is commercial visbility, I do not know. Aside from the modern buzzword of "Footprint", the technology to compress air is as old as stem and pistons. That wont change. Even on high tech air craft carriers, the landing restraints have huge hoary old compressed air pistons dampenening the jets planes. The tech below deck, keeps the ram clean and applies some lubricant periodically....just as would happen in steam train days.
This flurry of like activity is a dig at the Obama(the US) administration's recent visit.
If the US wishes to preach the consequences of being on the world stage, China has a habit of coming right back at you.
A good example was a visit to New Zealand by the Chinese president a couple years back. NZ joined the chorus of mentioning Human Rights.
Just before the visit China asked the question, so how were our immigrants coming to NZ treated?
For chinese coming to NZ:
- Thumb prints for chinese, yet no other nationality. - Chinese people were deprived of the old age pension. - A poll tax of $100...just for chinese. - Formal oraganisations, while not governmental, such as the Anti-Asiatic League
The governemt of New Zealand then felt compeled to issue a formal apology. Those that cast stones in glass houses....
For the first orbital flight they sent up a test sheep.
Unfortunately, it died. This set the mission back months, as curiously the chief engineer, a guy named "Trevor", was emotionally devastated and needed time off work.
I have just got a proprietry scanner/ocr solution at work. I am limited in time but did investigate an open source solution for linux. But all i seemed to come accross was that "no OCR touches the commercial stuff". Indeed, some said, it can still be cheaper on a word/accuracy perspective to outsource to a typing service.
What I have done is use the Searchable PDF output and used linux to 1. Produce a gif thumb of the PDF, and 2.) Use pdf2text to put in a db.
The slowness frustrates me, I have much work to do on this.
I should have worded it "early onset MS", as if you had it you would get worse quite quickly. From lack of coordination to wheel chair in as little as 6 months to 1 year.
The classic early symptom of MS is "Duck walking"....the foot steps are shorter and people dont lift their feet very high. Almost like a shuffle. Best wishes.
Yes, good example. I have a friend similar to yours. PhD and very smart. But coordination problems like those seen in someone with mild MS(Multiple Schlerosis), yet tests reveal nothing. That is, generally clumsy but can get thru life fine. He is 42 but must walk, as he knows if he drove someone would be killed.
He is a good table tennis player too, yet has impeded ability:
- Cannot use a tin opener
- Fumbles for upto 30 seconds trying to get a key in a lock
- Must tip a fried egg from the pan, as using a spatula is impossible.
- Difficulty get dishes into dish washer.
I was a representative table tennis player for my region, yet he could give me a run for my money. Its the wierdest thing.
A number of clients are guys who enjoy playing computer games, and for a variety of reasons some have no incentive to try and improve their speech
I have every incentive. When you are split from the team, a boomer's just puked his bile over you, you're blind as a bat, and the zombie hoard is coming, you need to communicate quickly, concisely, and clearly to your team mates. Since I have started using a mic for gaming , I find myself, mumbling less(such as at work), and becoming very proactive in the quality of my voice communication!
Q: Whats the difference between Nokia and Concorde.
A: Nothing. Both are foriegn(to the US) companies that make(or made) innovative products based on their own R&D. Both were(and are) being lobbied out of the US market. Concorde had its noise issue laws bought in specifically for it, Nokia is not a prefered provider.
Thats where the real battle front is for Nokia, and Apple is well postioned to bend ears in Washington.
Yes. As an extra, the US is one of the few countries that requires you to forgo your citizenship to your country to gain US citizenship. Most countries allow you to retain your country of origin. Not so the US. So one must be commited to the US.
Playing devils advocate here I can sort of see Nvidia's beef.
Their attitude to features and drivers is quite progressive and starts back with the old TNT32 when competing with voodoo. IMHO, we now have a similar situation where ATI is making good performing card at cheap prices yet are not maintaining the robust driver feature set of NVidia.
If a game is having a few glitches with shadows, chances are its with an ATI card.
NVidia's point of difference are their drivers, and I can at least see engineers being a bit miffed.
"'products that receive the logo are checked for common issues to minimize the number of crashes, hangs, and reboots experienced by the user.'"
The Vista USB issue was a good example. And this policy would not have prevented that.
A manager at work insisted their new laptop had Vista pre-installed several years ago(pre SP 1).
Initially all was well, till it started blue-screening at random after about 6 months. It was difficult for me to nail down until Ipods(itunes) new ver 8 came out and bluescreened the machine 100% of the time when the iPod was plugged in. That was the clue I needed. Investigation found a disparity between the OS and the some (not all) USB controllers.Remember, some laptops can have different contoller type for side and back. At the time a few hot fixes wasnt 100% reliable.
Then SP1 came out, and I found a reference to my problem in the release notes. Not one problem since with USB. The manager can use her Ipod, any and all usb sticks, her USB printer at home, her camera. The fix was a couple years in the making.
Thats a timely article....placing kids in the car as the first equal cause of accidents.
I do not have kids, and this seems to invalidate my opinions especially to parents. But I have seen, with my own eyes, a driver(presumably the parent) turn around, reach back to the back seat, and take an item from the kid in the back seat.
" 2 degrees chief executive Eric Hertz admitted rear-ending another vehicle at an intersection in Auckland a few weeks ago while glancing at directions on his iPhone, which was mounted on a hands-free kit in his car. Under the new law, that would be illegal"
If the law takes that tact then It makes me wonder how children being taken to school rates on the distract-o-meter.
As little johnny stabs his sister with a blunt pencil, I would presume it to be less so than an iPhone on the dashboard.
But yes, it would be political suicide to go near that hot potato.
Yes, agreed. And much like the public must never see the inside of a sausage factory, the public(general users) must never see the "all sorts" or that road to "linux on every desktop" gets longer.
Good article generally and good advice. But for a US audience.
"For those who donâ(TM)t see it coming".....here in New Zealand would earn the employer a death sentence in Employment court (well, a large settlement anyway).
NZ law states broadly 2 key points: That there is a relationship of good faith between employer and employee, and that both parties act in a fair way.
examples from both sides:
For the employer:
- Theft by an employee is grounds is grounds for instant dismissal
- A drop in income that requires a restructuring process when some employees might be shed.
For the employee:
- A drop of productivity can be due to various reasons. The employer must determine what those reason are. And instigate a prodedure policy known by both parties. The No.1 rule is "no surprises" to the employee.
- Numerous instances of Case Law indicate the employer must act to prove in a fair way they are right(they are the ones with the resources). For example , allowing one employee to arrive late but then enforce it on another first time late person would show lack of process and earn punitive penalties in employment court.
Slashdot Mirror
I saw this somewhere as a joke, cant recall where: "Parental Advisory: Parenting may be required."
A remix of this video could include the line in the chorus "I'm too sexy for google"?
The original was released in 1991, well before Google became so pervassive.
It is time.
Video footage of an ultra realistic military sim" here
Larger modern health care environments such as large hospitals, regional health committees, working groups etc, largely boil down to two Us-and-Them viewpoints.
One is Management and the other is doctors/nurses, the later arguing they should make the health care decisions, and essentially have primary say in the implementation of said environment.
The result from an Information Systems viewpoint is that it is pushed from management with little buy-in from health professionals.
With all due respect to Dr Himmelstein he firmly sits in the second camp - doctors should have the say in the running of a hospital. He is also against "administrative waste" - the old "too many admins in the hospital" arguement.
Thats all well and good, but when the balloon goes up, and there are questions to answer, administrator's administrate, while doctors do what they should be doing: patient facing time.
"they both seem like overgrown nerdy schoolboys fighting over each other's toys"
they both seem like deviant perverts who want to be the dominant. One wants to be the Giver, while neither wants to be the Taker. Meanwhile consumers will end up covered in the fallout.
I did an apprenticeship in Motor Mechanics for 4 years when I left school 25 years ago. I recall a question to the tutor back then about compressed air to drive a car. Here was his answer: Compressed air is not good as a primary driving medium, it is only good as a buffer(the storage tank) or where electricity might add risk. Examples being driving air tools in a pit below ground. By its nature, compressed air must pass thru constricted orifices. There is tremendous loss of pressure over distance. I recall our workshop compressor...very different from what you buy at a hardware store. Huge tank, dual motors, each on three phase power. The newbies job was to empty the water and oil traps from the Air Intake system. About 20 litres per day and about 200 mls of oil like fluid(The atmosphere in the workshop back then was a haze of car fumes and dust). We had 4 electric hoists and one compressed air hoist too. The air hoist could lift many times the wieght of the electric.
I think compressed air cars will serve a specialist role, operating in specific roles. Whether there is commercial visbility, I do not know. Aside from the modern buzzword of "Footprint", the technology to compress air is as old as stem and pistons. That wont change. Even on high tech air craft carriers, the landing restraints have huge hoary old compressed air pistons dampenening the jets planes. The tech below deck, keeps the ram clean and applies some lubricant periodically....just as would happen in steam train days.
This flurry of like activity is a dig at the Obama(the US) administration's recent visit.
.
If the US wishes to preach the consequences of being on the world stage, China has a habit of coming right back at you.
A good example was a visit to New Zealand by the Chinese president a couple years back. NZ joined the chorus of mentioning Human Rights. Just before the visit China asked the question, so how were our immigrants coming to NZ treated?
For chinese coming to NZ:
- Thumb prints for chinese, yet no other nationality.
- Chinese people were deprived of the old age pension
- A poll tax of $100...just for chinese.
- Formal oraganisations, while not governmental, such as the Anti-Asiatic League
The governemt of New Zealand then felt compeled to issue a formal apology. Those that cast stones in glass houses....
For the first orbital flight they sent up a test sheep.
Unfortunately, it died. This set the mission back months, as curiously the chief engineer, a guy named "Trevor", was emotionally devastated and needed time off work.
"Earlier this year, IBM predicted that in ten years all data centre servers might be water-cooled."
The costs of cooling air will be replaced by the costs of obtaining water. This system will not be for "water challenged areas".....Californy, etc.
I made exactly this observation 3 days ago re .net and mono and went from +4 Interesting to 0 Flamebait mysteriously the next day.
My Comment.
MS are merely creating a trail of concept.
It gives then credibility when they challenge their ultimate target: all those applications running on Linux(under Mono) built with C#.
Build Linux apps in C# at your peril
I have just got a proprietry scanner/ocr solution at work. I am limited in time but did investigate an open source solution for linux. But all i seemed to come accross was that "no OCR touches the commercial stuff". Indeed, some said, it can still be cheaper on a word/accuracy perspective to outsource to a typing service.
What I have done is use the Searchable PDF output and used linux to 1. Produce a gif thumb of the PDF, and 2.) Use pdf2text to put in a db.
The slowness frustrates me, I have much work to do on this.
I should have worded it "early onset MS", as if you had it you would get worse quite quickly. From lack of coordination to wheel chair in as little as 6 months to 1 year. The classic early symptom of MS is "Duck walking"....the foot steps are shorter and people dont lift their feet very high. Almost like a shuffle. Best wishes.
Yes, good example. I have a friend similar to yours. PhD and very smart. But coordination problems like those seen in someone with mild MS(Multiple Schlerosis), yet tests reveal nothing. That is, generally clumsy but can get thru life fine. He is 42 but must walk, as he knows if he drove someone would be killed.
He is a good table tennis player too, yet has impeded ability:
- Cannot use a tin opener
- Fumbles for upto 30 seconds trying to get a key in a lock
- Must tip a fried egg from the pan, as using a spatula is impossible.
- Difficulty get dishes into dish washer.
I was a representative table tennis player for my region, yet he could give me a run for my money. Its the wierdest thing.
A number of clients are guys who enjoy playing computer games, and for a variety of reasons some have no incentive to try and improve their speech
I have every incentive. When you are split from the team, a boomer's just puked his bile over you, you're blind as a bat, and the zombie hoard is coming, you need to communicate quickly, concisely, and clearly to your team mates. Since I have started using a mic for gaming , I find myself, mumbling less(such as at work), and becoming very proactive in the quality of my voice communication!
Yes, the fact these planes had fuel on-board was a unique situation, and would be an unforseen consequence of a plane crash.
"omg the twin towers were collapsed by EXPLOSIVES!!!!"
No, the twin Towers collapsed from aeroplane impacts into structures previously *promised by an engineer* to withstand aeroplane impacts.
Conspiracy no, bungling engineer at worst.
Q: Whats the difference between Nokia and Concorde.
A: Nothing. Both are foriegn(to the US) companies that make(or made) innovative products based on their own R&D. Both were(and are) being lobbied out of the US market. Concorde had its noise issue laws bought in specifically for it, Nokia is not a prefered provider.
Thats where the real battle front is for Nokia, and Apple is well postioned to bend ears in Washington.
Yes. As an extra, the US is one of the few countries that requires you to forgo your citizenship to your country to gain US citizenship. Most countries allow you to retain your country of origin. Not so the US. So one must be commited to the US.
Playing devils advocate here I can sort of see Nvidia's beef.
Their attitude to features and drivers is quite progressive and starts back with the old TNT32 when competing with voodoo. IMHO, we now have a similar situation where ATI is making good performing card at cheap prices yet are not maintaining the robust driver feature set of NVidia.
If a game is having a few glitches with shadows, chances are its with an ATI card.
NVidia's point of difference are their drivers, and I can at least see engineers being a bit miffed.
"'products that receive the logo are checked for common issues to minimize the number of crashes, hangs, and reboots experienced by the user.'"
The Vista USB issue was a good example. And this policy would not have prevented that.
A manager at work insisted their new laptop had Vista pre-installed several years ago(pre SP 1).
Initially all was well, till it started blue-screening at random after about 6 months. It was difficult for me to nail down until Ipods(itunes) new ver 8 came out and bluescreened the machine 100% of the time when the iPod was plugged in. That was the clue I needed. Investigation found a disparity between the OS and the some (not all) USB controllers.Remember, some laptops can have different contoller type for side and back. At the time a few hot fixes wasnt 100% reliable.
Then SP1 came out, and I found a reference to my problem in the release notes. Not one problem since with USB. The manager can use her Ipod, any and all usb sticks, her USB printer at home, her camera. The fix was a couple years in the making.
Thats a timely article....placing kids in the car as the first equal cause of accidents.
I do not have kids, and this seems to invalidate my opinions especially to parents. But I have seen, with my own eyes, a driver(presumably the parent) turn around, reach back to the back seat, and take an item from the kid in the back seat.
" 2 degrees chief executive Eric Hertz admitted rear-ending another vehicle at an intersection in Auckland a few weeks ago while glancing at directions on his iPhone, which was mounted on a hands-free kit in his car. Under the new law, that would be illegal"
If the law takes that tact then It makes me wonder how children being taken to school rates on the distract-o-meter.
As little johnny stabs his sister with a blunt pencil, I would presume it to be less so than an iPhone on the dashboard.
But yes, it would be political suicide to go near that hot potato.
"There will be all sorts of Linuxes in between."
Yes, agreed. And much like the public must never see the inside of a sausage factory, the public(general users) must never see the "all sorts" or that road to "linux on every desktop" gets longer.
Good article generally and good advice. But for a US audience.
"For those who donâ(TM)t see it coming".....here in New Zealand would earn the employer a death sentence in Employment court (well, a large settlement anyway).
NZ law states broadly 2 key points: That there is a relationship of good faith between employer and employee, and that both parties act in a fair way.
examples from both sides:
For the employer:
- Theft by an employee is grounds is grounds for instant dismissal
- A drop in income that requires a restructuring process when some employees might be shed.
For the employee:
- A drop of productivity can be due to various reasons. The employer must determine what those reason are. And instigate a prodedure policy known by both parties. The No.1 rule is "no surprises" to the employee.
- Numerous instances of Case Law indicate the employer must act to prove in a fair way they are right(they are the ones with the resources). For example , allowing one employee to arrive late but then enforce it on another first time late person would show lack of process and earn punitive penalties in employment court.