Re: Service Life
The problem is, though, that as soon as the room with the thermostat gets up to temperature, the heat to the rest of the building is turned off.
53 posts • joined 15 Oct 2012
Maybe they could employ some more staff?
Yes. Only 5 years or so AFTER basic medical qualification to train as a radiologist.
You'd have to fund more posts and then wait for the manpower to qualify.
Better would be to improve working conditions etc so that existing radiologists don't retire early, emigrate or go part time. All due to stress and relatively poor remuneration in the NHS.
Many radiologists are also going part time and/or stopping extra sessions [eg waiting list initiatives] due to punitive pension taxation rules.
Any old person with a chronic condition needs to be seeing a specialist.
Rubbish. Hospital appointments are in just as short supply as GP appointments. They need to see specialists occasionally, but for monitoring long-term problems the GP is best placed. Much will be done by a practice nurse, anyway. And good luck with monitoring bloods online!
All that can be done online is a history and visual examination [and the latter will be sub-optimal]. No palpation of the lump or tender area. No ophthalmoscopic exam of the eyes. No dip test of urine, and no blood tests - have to make another appt for that, probably at the hospital.
And it won't take less time for the GP who will get more info from the patient in 10 mins face-to-face than in an online consultation.
"You don't hold the title to the vehicle. The 'log book' document specifically says THIS IS NOT PROOF OF OWNERSHIP. The DVLA own your vehicle, you are simply the keeper and the driver. Driving is illegal which is why the DVLA have to sell you a licence."
It'ts not proof of ownership, as the owner of the car doesn't need to be registered at DVLA - just the person who keeps [and uses] it.
The vehicle may be owned, eg, by a hire purchase company. You still keep and use it, but YOU don't OWN it until the finance is all paid off.
""Late 2001, my optician wasn't happy about my field tests, and wrote to my GP requesting a specialist consultation."
This is your problem right there. Why is the optician contacting your GP? Your optician should let YOU know and YOU should contact whatever healthcare provider you want to provide the service."
The right answer would have been for the optician [primary care] to refer direct to local hospital's Ophthalmology dept [secondary care]. They have the ability to do that.
referral from one primary care body to another is just workload dumping on the GP.
If you want to be pedantic, Nuclear Magnetic Resonance is a physical phenomenon that can be exploited to obtain computed tomography images, but interpreted differently it can be used to give the characteristic spectra of individual molecular species for biochemical analysis both in vitro and in vivo.
I was involved with the specification and procurement of an electronic patient record under NPfIT. We had just got to the board meeting at which the successful supplier was to be announced. On the way to the meeting [literally - in his car], the chairman received a call from NHS Central to say that the plan had been scrapped, and a new one was to start - so all funding withdrawn.
This set HNS clinical IT back by nearly ten years.
The NHS has wasted spectacular sums of money on clinical records systems, with pretty poor results.
GOK what would be the outcome of any foray into AI. Robot surgery? Fine if very routine - but there's a lot of variance in the basic human design which can trap the unwary.
There's a saying in the surgical world that There's no such thing as minor surgery - just minor surgeons
As to AI in diagnostics, they may just match the standard of NHS 111 [ie piss-poor], but the complexity of diagnosis in unsorted fresh cases, with the added complexity of languages and dialects is huge. Not to mention the difficulties of clinical examination.
It seems to me that, reading between the lines of a press release no doubt written by someone without any knowledge, that they are talking about bar-coding the packaging rather than the implant itself. I can't imagine a barcode on a small orthopaedic screw being a)possible or b) readable without major surgery. If the package is barcoded, then all the bits used in a particular procedure in a particular patient can be reliably recorded in a central database for such implants.
Then all you need to know is the patient ID and the procedure concerned.
Re MRI, inductance can cause problems in addition to heating. Mainly neurostimulation. At high field strengths, this can be a direct effect on the nerves themselves, causing tingling sensations. At all filed strengths, lengths of wire close to nervous tissue will have much stronger effects.
An example would be retained pacemaker wires. Sometimes when removing a pacemaker [eg temporary pacing no longer required] the wire or bits of wire break off and are left in situ. These are unlikely to cause problems in normal life, but in an MRI scanner, current will be induced, this in a wire that is deliberately positioned to link to the heart's conductive sysyet. The result is the scanner pacing the heart at the repetition rate of whatever sequence is running - which is generally far in excess of its maker's safe limits!
Driving across the cycle lane seems stupid at worst, counter-intuitive at best!
But autonomous cars should find it easier than wetware drivers to comply with disparate rules between jurisdictions.
They have GPS to tell them where they are, and could be programmed with different subroutines for different manoeuvres in different areas without difficulty.
All the E&E departments I've worked in have ring cutters available, which have a blunt bit to slide under the ring between gold and flesh, and a rotary cutter turned by hand to cut through the ring. I'm sure one of these would have worked. Possibly for a thick ring two cuts 180 deg apart would have been required.
The IoT needs two major elements to make it work and become successful.
First is to ensure security - no backdoors from the 'fridge to your network.
Second is to have standardisation of communications between all devices - regardless of manufacturer.
These will need to be agreed like the internet protocols across the interweb, and could be similar to, for example, HL7, XDS and DICOM in the medical field.
That way, users wouldn't be locked in to one supplier [or conversely have different little installations that run independently of each other] and also if a supplier went bust, the kit could still be used with another controller or app.
key taken away from both sides so no one can gain access or exit the door with-out a key.
And no one can open the door when the house burns down, either.
I'd rather be burgled than roasted - though neither would be the ideal outcome. My locks have thumbturns on the inside, so anyone trapped can get out.
Bosch may be at the root of it. They provided the software for VW, and allegedly have a cheat code in their vacuum cleaners such that power consumption is increased when the bag fills up, to maintain suction, despite renergy tests requiring the low level that only actually works when the bag is empty.
Bosch were also strong lobbyists for the EU test regime to be performed with an empty bag, going against the rea.-world usage.
Dyson is livid - to the extent of taking them to court!
Several years ago my hospital trust had an enterprise-wide phone system with secure SMS and voicemail. It was easy to use [so people used it] and secure.
That is the type of system to use, not personal phones. ICO will fine heavily for data breaches involving the use of personal phones.
Ex Caldicott Guardian.
I think they will cause more frustration to drivers in cars around them, as early reports seem to indicate they are very cautious and slow/stop at junctions even though they can be seen to be clear. Anyone attempting to make good but safe progress will soon be shouting at them.
Perhaps they should have grey-haired dummies wearing trilbies and smoking a pipe [e-pipe, of course] to warn following drivers?
Round our way, the addresses shown on google maps are some distance from the actual places of that name [eg the label when you click on my house gives the name of a house some 100 yards away.
Also, most of the locations shown in local industrial estates are several roads adrift.
I wondered how, in the video, they would tell it to drive back into the van it was delivered in!
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