pharmacie

WOM Key in Food, Beverage, Healthcare Decisions
Source: feeds.womma.org — Saturday, May 26, 2007
Consumers young and old are using varying degrees of traditional media, the internet, and social networks to inform their decisions, according to results from the Lumin Collaborative Survey that were released in April. The survey, which was conducted by Fabrizio, MacLaughlin and Associates, indicates that purchase decisions related to higher priced and more complex products prompt internet research. Alternatively, consumers indicate word of mouth is the preferred source for food, beverage, and Healthcare information. Other findings: * When searching for product information online, consumers are most influenced by corporate sites, search engines, product reviews, and user feedback. * Buyers spend the most time researching consumer technology products. * Echo Boomers (ages 18-31) rely more on the internet than traditional media and Baby Boomers (ages 42-62) value word of mouth and traditional media more than the internet. Learn more (The Mature Market)

I think I accidentally deleted a comment in the thread underneath a recent post in which a lively discussion about the free market was happening.

Sorry about that. I ll try my best to summarize what I think the poster was saying. He was asserting that government has a role in keeping good-paying jobs from going overseas and keeping health care affordable - and, actually, if I understood him correctly, part of the benefits package tha private profit-making enterprises offer those who come to work for them.

Did I get that right? Please correct me if I ve misstated anything or left any key elements out.

Here s how I address the foregoing: If the market expresses no demand for a given good or service, then there is no money to pay for it. To put it concretely, if a sevice postion at an electronics company, for example, is more profitably filled in an offshore location, then that s where that function should be performed. Otherwise, the company in question is creatin an artificial set of economic circumstances that will have to be addressed (pid ofr) with resources from somewhere else.

Same with health care. No one going to work for the truck-assembly plant down the interstate or the little hippy-dippy coffee house next to the university campus is entitled to have that employer pay for anything health-care related, from prescriptions to routine checkups to major surgery. The market will decide which businesses thrive and whic h ones don t. If a health-insurance plan is important enough to enough people in the overall scheme of things - and here we must consider individuals career goals, life circumstances and level of ambition - those businessess offering that will attract lots of quality applicants and enjoy assured longevity.

To the poster who wanted to add another comment to that other thread, I would say this: go back and review your Hayek. When you get the state involved in the workings of the marketplace in the name of fairness, the worst rise to the top.

Ask the people of Cuba and North Korea.

New PDA glossary/Inforetriever now for Palm/Scott e-vest/the gadget girl and guy

Hello! Jenny, the Shifted Librarian (http://www.theshiftedlibrarian.com), needs her own

sitcom show, or better yet, her own webcast with guests. I want to meet all the people

she talks about in her blog - Ernie the Attorney, Bruce, Mom, and Dad, Brent and Kayley!

I have had the privilege of meeting Kate and Andy, and now I want to meet the rest. Are the

rest of you finding that blog reading is addictive? Or, maybe it s just me. However, I don t think

it s just me, because Jenny s blog is like a bestselling book. She s getting as many hits

as USA Today! Go, Jenny!

Does anyone out there have a scott e-vest? (http://www.scottevest.com) Peg Burnette made

this discovery! Technology-enabled clothing at its best! With any version of SCOTT eVEST? you can discreetly carry cell phone, pager, PDA, CD/MP3 player digital camera, portable keyboard, GPS device, two-way radio and even bottled water or soda, wallet, keys and more! Their poster boy is a cool cat leaning nonchalantly on a bicycle, decked out in a Scott e-vest with sunglasses

and protective helmet on. He s got shorts and is shown along the ocean shore as his gadgets flash on and off in the picture

so you can tell where the gadgets are located. I can t decide whether the Handheld Librarian logo should be this guy or

Print Boy. At our PDA Conference, we are hoping one of the speakers, Inspector Gadget will show up in his Scott e-vest

so that all may see how mobile all of these gadgets are. What will Inspector Gadget and Scott e-vest do when all of these

functions are enabled by one device? Not my problem, I guess.

Here is the promised new pda glossary. Thanks to the brilliant Peg Burnette and Carol Galganski

for additions and suggestions! Let me know if you have any.802.11a ? Newer version of 802.11b that allows devices to exchange information at up to 54 mbs.

802.11b ? A wireless standard for device connectivity. Mainly for LAN connections and not necessarily wireless Internet . This standard allows handhelds, desktops and other wireless devices to exchange information at up to 11 mbs at several hundred feet.

ASP ? Application service provider

Backlight ? Optional function in handheld or e-book reader displays that allows the user to read in the dark.

Beam ? a way to send information between two PDAs via the infrared port. Can also be used to send information to the printer.

Blackberry ? a combination pager/mini PDA

Bluetooth ? technology specification for short range wireless connection using chips in cellular phones, mobile PCs and other portable devices. Fairly new standard that works with few devices.

CIS ? Clinical information system

Compact flash ? A removeable expansion device that could be memory or other connectivity software.

Cradle ? Device which handheld computer is placed in to synchronize data with the desktop computer. Cradle connects to the computer via USB or serial connection. Can also be used to recharge handheld computer batteries.

Doc ? document. This term is usually used for electronic documents.

Document reader ? a program to read documents on the handheld computer

ECS ? Electronic clinical services

EMR ? Electronic medical record

E-scribing - E-mail prescribing.

E-text ? Text in electronic format which can be read from a handheld computer

GPS ? global positioning system

Expansion slot ? Physical slot on some handheld computers that can be used for extra memory, digital camera, electronic book, Margi-Presenter-to-go etc.

Graffiti ? Handwriting recognition on Palm OS devices

Handspring ? a company that manufactures handheld computers that use the Palm operating system.

HIPAA ? Health Insurance Portability and Accountability Act

Hotsync ? The process and software by which handheld computers synchronize/share information with a desktop computer

Infrared ? Handheld devices can use this to transmit information to each other or to a printer without being physically connected

IT ? Information technology

Kilobyte ? 1000 print or non-print characters

LAN ? Land access network

LCD ? Liquid crystal display. Optical technology making small flat screens possible.

Megabyte ? 1000 kilobytes

Memory stick - A removable flash-memory system developed by Sony and used in Sony handheld computers

Native applications ? The handheld computing applications like calendar and memopad that come on the handheld computer.

OS ? operating system. Handheld computers usually have a Windows CE operating system or a palm operating system.

Palm ? company that manufactures handheld devices. Also a generic term for a handheld computer.

PDA ? personal digital assistant. A generic term that could apply to Pocket PCs with Windows CE or Palm OS devices.

PIM ? personal information management. Refers to handheld computer applications that organize personal information such as calendar, to do lists, memos.

Pocket PC ? Handheld operating system developed by Microsoft ? generic term for handheld devices that run Windows CE

POC ? Point of care

POE ? Physician order entry

RAM ? Random access memory. Temporary storage for computer files.

ROM ? Read only memory. Used for static information on computers.

Stylus ? a pen writing device for the handheld computer. Writes directly on the screen.

Sync ? short for hotsync or synchronization; process that updates information on the PC and/or handheld

USB ? Universal Serial bus ? a way for handheld computers to connect with desktop computers.

WAN ? Wireless access network or wide area network

WAP ? Wireless Application Protocol; standard that describes display interface for handhelds.

Windows CE ? Microsoft operating system for handheld and mobile computers.

WML ? Wireless Markup Language

The following information is from Hospital Reps and is on the new version of Inforetriever available

for the Palm now. Until this time, it was only available on the Pocket PC. Thanks to Joe Cassel

and Hospital Reps for this information! The PALM version is free for the next few months until they

get the entire version done. What a deal!

Dr. Ebell has finished the PALM packet and provides the following detail

and description:

The PALM rules and tools packet will be done May 31. It will be free

via the InfoPOEMs site.

In January (or sooner), when we have a complete PALM app, it will cost

the same as the PocketPC app ($249/yr incl the DailyPOEMs and access to

the Internet version of InfoRetriever), and will be included with an

institutional subscription at no extra charge.

The new PALM packet has 86 rules, 812 unique combinations of

symptom/diagnosis/test, and 827 unique combinations of

symptom/diagnosis/History and Physical item.

Space is about 1.5 mb - about 1/2 runtime files, 1/3 data files, 1/6 the

actual program.

InfoRetriever for Palm 4.2 integrates useful clinical decision rules

and calculators and detailed data on over 1600 tests in a useful bedside

tool.

Here is a list of the rules (Long Titles):

ABG interpretation

Screening - cardiac risk profile (Framingham data)

Stroke - risk in patients with nonvalvular afib

Stroke - carotid endarterectomy prognosis

Pulmonary embolism diagnosis

Risk of bleeding with warfarin treatment for DVT

Melanoma - 5 year prognosis

Induction of labor: Bishop score

Acute sinusitis diagnosis in URI

Minor head injury and nl GCS: who needs head CT?

Pediatric IV fluid calculator

Pre-op eval - vascular surgery

Induction of labor: Dhall score

Breast cancer - probability of cancer by Gail Risk model

Chest pain - probability of significant CAD in outpatients

Strep diagnosis in sore throat

Chest pain - risk of AMI with normal or near-normal ECG

Stroke - acute stroke prognosis (G-Score)

Dyspepsia - probability of ulcer

Probability of bad outcome in patients with syncope

Pediatric IV fluid calculator

GI bleed - inpatient mortality risk

Pre-op eval - non-cardiac surgery (Detsky score)

Chest pain - treadmill interpretation (Duke score)

Pneumonia - mortality risk (Fine rule)

Cough/URI - diagnosis of pneumonia

Probability of gestational diabetes

Probability of successful VBAC

Ankle injury - x-rays needed?

Knee injury - x-rays needed?

Cough - diagnosis of pneumonia

Meningitis (bacterial) diagnosis in adults

Acute MI or unstable angina - ACI-TIPI risk score

Pre-op eval - AAA surgery mortality

Diabetes mellitus screening

Chest pain - probability of complications requiring ICU care

Prognosis in near drowning

DVT - clinical diagnosis

Acute MI - probability of normal LVEF

Thyroid cancer - 5 year prognosis

UTI diagnosis

Acute MI - risk of death

Foot injury - x-rays needed?

Stroke - prediction of recovery

Blunt trauma - which patients need C-spine films?

Suicidal ideation risk

Chest pain - probability of left main CAD

Acute pancreatitis - prognosis (Ranson score)

Mini-Mental State to screen for dementia

Acute pancreatitis - prognosis (Imrie score)

Pregnancy wheel

Acute MI - mortality in ST elevation AMI

Warfarin dosing in outpatients

Venous leg ulcer healing

Screening - NCEP ATP III cardiac risk guideline

Stroke - 5 year stroke risk

Minor head injury - Canadian Head CT rule

Canadian C-spine rule in trauma patients

Osteoporosis - predicting need for bone density testing

GI bleed (upper) - predicting need for intervention

Diarrhea - need for cultures in nosocomial diarrhea

Heparin dosing by weight

Acute MI - prognosis in ST elevation AMI

Acute MI - prognosis in non-ST elevation AMI

Stroke - 30 day mortality

Asthma relapse in adults

Pulmonary fibrosis survival

Pneumonia - mortality in nursing home

Predicting pressure ulcer development with Braden Score

Glasgow Coma Score

Burn injury prognosis

Pneumonia - diagnosis in nursing home

Apgar score

Acute coronary syndrome - TIMI risk score

A-a gradient Hypertension - renal artery stenosis diagnosis

Pediatric head injury prognosis

Depression screening

Stroke - diagnosis of ischemic vs hemorrhagic

Dyspepsia - predicting response to omeprazole

Risk of ectopic pregnancy with 1st trimester pain or bleeding

Leprosy - predicting nerve function impairment

Osteoporosis - probability of osteoporosis or low BMD

Bowel obstruction diagnosis - need for x-ray

Stroke - TIA prognosis Dialysis prognosis

Joe Cassels

joe@hospitalreps.com

561-775-3915 (direct)

561-775-1178 (fax)

Founder and Regional Sales Manager

Hospital Reps Inc.

Software with Ambition

Cheryl Litt, Media Specialist from Bloomfield Hills School, Michigan shared these highlights

about a conference on PDAs in education: Washtenaw ISD in Ann Arbor, Michigan recently hosted a conference on

using

handhelds in education. Elliott Soloway from Hi-Ce at the University

of

Michigan was the keynote speaker. Over 100 educators from the area

attended

the conference to learn more about handhelds and their possibilities in

the

classroom. One of the more interesting items being shown by the

vendors was

a product from Scantron. Teachers are able to prepare exams (or

download

samples from a database) that are beamed to the handheld. While

working on

the exam, students cannot beam to each other or access any other

application

on the handheld. When the exam is complete, the student beams the

answers

to a special device which instantly scores the exam and records the

results

for the teacher. We were pretty impressed and have already ordered the

software for our pilot project with sixth graders next year, but I can

see application of software for all levels of education.

Barbara Fullerton, a gadget expert and librarian from Pioneer had a great idea!

She thought that vendors should lend us hardware and software to trial! What a great idea!

Many of the people in this group are speaking at conferences and programs on handheld

computing applications in libraries, schools, and corporations. Many are also writing

articles for library and computing journals. What better way for

vendors to get out the word about their hardware and software? If there are any vendors

who would like to do this, I know of a number of projects they could assist with.

Has anyone had any luck doing something like this?

Peg Burnette pointed to this link which is Handheld Computing Magazine s Best Palm Powered

Product of 2001 Awards. More about these tomorrow. http://www.hhcmag.com/award_winners/

Ergonomics - Wikipedia, the free encyclopedia

Ergonomics (or human factors) is the scientific discipline concerned with the understanding of interactions among humans and other elements of a system, and the profession that applies theory more

Ergonomics Start Here. Ergonomics at Work (National Institutes of Health, Office of Research Services, Division of more

Ergonomics Public Safety and Health Topic Page OSHA Protocol for Developing Industry and Task Specific Ergonomic Guidelines ; OSHA Launches more

September 1, 2005 ” Recently, ergonomics has become a popular term. The term has been used with most professions, but increasingly in the dental profession. When you hear more

Relating the principles of ergonomics to the quality of posture and movement. more

The Ergonomics Society - an international organisation for professionals using knowledge of human Ergonomics is about using knowledge of human abilities and limitations to design and build for more

Information about the Society, its member services, and activities. more

Welcome to the. Center for Industrial Ergonomics. The Center for Industrial Ergonomics is an integral unit of the Department of Industrial Engineering , University of more

August 1, 2002 ” Ergo-Huh?! The forecast is hazy for the latest ergonomics plan. (Capitol Issues).(OSHA s ergonomics initiative ) more

Case Study - Canterbury District Health Board

Designing a healthier image

The Canterbury District Health Board are working hard to create a network of independent laboratories to better cater to the needs of their doctor and health clinic clients. The name Labnet , a mix of Laboratory and Network, though descriptive was proving hard to trademark.
Read more

The overview:
The laboratory networks in New Zealand are currently run by private enterprises. The Canterbury DHB saw they had the resources that, if pooled, could provide consistent lab testing facilities the length of the country. They coined the name Labnet, but needed a brand design which was clean and friendly but also trademarkable and recognisable.

The strategy:
Working with the directors of the project, we established that the branding was to be used, not just as a logo for use on their business cards and signage, but as a sub brand for their network members, which was able to be added to their existing corporate communications, without conflicting with their branding.

We developed a logo which was unique, friendly and with a version member of Labnet , which was able to be used by their members on their existing design collateral.

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Attitudes to dental hygienists: evaluation of the Dental Hygienist Beliefs Survey in a Swedish population of patients and

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Attitudes to dental hygienists: evaluation of the Dental Hygienist Beliefs Survey in a Swedish population of patients and students.

Int J Dent Hyg. 2007 May;5(2):95-102

Authors: Abrahamsson KH, Stenman J, Ohrn K, Hakeberg M

The aim was to evaluate and test the psychometric properties of the Dental Hygienist Beliefs Survey (DHBS) in a Swedish sample of different patient groups and students. It was hypothesized that negative dental hygienist beliefs would discriminate between fearful and non-fearful study groups. The DHBS was distributed together with the revised Dental Beliefs Survey (DBS-R) and the Dental Anxiety Scale (DAS). The study sample included 394 subjects (130 students, 144 general dental patients, 90 periodontal patients and 30 patients on a waiting list for dental fear treatment). The results verified that the DHBS discriminates well between dentally fearful and non-fearful study groups. The DHBS had high internal consistency (Cronbach’s alpha = 0.96-0.98) in all the groups. The correlation between the DHBS and the DBS-R was high (rho = 0.82, P < 0.001). Furthermore, the DHBS correlated significantly with the DAS, as well as with a low but significant correlation to age (more negative attitudes in younger age groups) and gender (more negative attitudes amongst women). Regression analysis showed that gender and the DHBS items: 23, 16 and 28, i.e. items related to feeling helpless, worries/fears not being taken seriously and fear about 'bad news' possibly preventing treatment, were the most important predictors of dental fear. The results suggest that the DHBS may be a valid and reliable scale to use in order to assess patient's specific attitudes to dental hygienists. However, the psychometric properties including test-retest analysis and the underlying factor structure of the DHBS need to be further explored.

PMID: 17461961 [PubMed - indexed for MEDLINE]

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