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Mohammad A

"1986 Privacy Law Is Outrun by the Web" - 0 views

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    This article is about privacy issues within the Internet. As web services have improved, aspects such as spreadsheets, e-mail services and photography applications, the topic of privacy has now been "removed". The internet has been the leading factor in many issues with privacy. One of the main examples mentioned is the site WikiLeaks, which is entirely based upon a hacker who exposes the truth about everything and anything. Julian Assange is one of the leading activists who promotes free speech within the world to expose privacy. The IT system involved within this scenario is basically the data transfer through networks and servers online. The people who are being affected by this issue are those who's personal information is leaked (in any way, whether through WikiLeaks due to a political scandal or through hackers obtaining their information). Thus certain security measures are to be taken to prevent unwelcome access to personal and private information. For example, encryption is now one of the most famous and useful methods of preventing hackers from entering databases and other online servers. An encryption key allows for the safe keeping of personal information.
Mariam B

In Haiti, Practicing Medicine From Afar - 0 views

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    This article deals with how telemedicine was used following the earthquake that occurred in Haiti in order to provide medical care to patents and individuals. The stakeholders in this scenario include the patients and doctors in Haiti and the doctors/hospitals in the U.S. They are able to use satellite technology and wireless internet, in order to bridge the gap between both areas and provide people with access to medical care. Satellite technology is used to communicate between doctors in the U.S with clinics in Haiti. This provides real time service to patients, where the doctor is providing a consultation and diagnosis immediately to the patient. This technology also allows doctors in the U.S to perform surgeries since the satellite technology is able to support telemedicine because it provides a high amount of bandwidth. Additionally, in Haiti they are using high speed wireless internet throughout certain regions. The radio system is used in extreme cases where more advanced technology is not available, but still allows doctors from two areas to communicate with one another. Images and messages during consultations are sent through a secured network, so the data of the patients is kept private. Obvious benefits of using this technology include that people are able to get access to medical care and this decreases the digital divide and globalization. This is because people are able to get more care and consultation through using this IT technology, which would not have been available without telemedicine. However, some issues still arise despite these benefits in medical care. This includes the security of information and privacy of the patients. In this case, the article states that the internet messages are secured so that there is not privacy breach. This must be done using encryption technology so that people are not discouraged from using telemedicine and so that no private patient information is leaked or seen by unwanted users.
Mohammad A

In Haiiti, Practicing Medicine From Afar - 0 views

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    After the January earthquake in Haiti, many people were left under extremely bad health conditions, with little or no health care being at their service. Haiti is a poor country, and with a natural disaster like that occurring, medical treatment for those that required it to the minimal extent was rare, let alone for the people that needed to be operated upon (such as surgical patients). The solution that some United States officials found after attempting to help Haiti with this issue was telehealth, better known as telemedicine; telemedicine was initially used for space astronauts back in the 1960s. In the situation with Haiti however (better known as "real-time"), it essentially involves a video-conference between a patient and a health professional and/or doctor in a different location (often times in hospitals or offices). Also during certain operations however, a doctor at the scene will be conferencing with a specialist at a different geographical location through the uses and benefits of telemedicine. The main IT system involved in this situation with telemedicine is satellite connections. A satellite communication system requires a satellite to function. Thus, a satellite is in high orbit over the Earth (stationary or geosynchronous, which means that the speed of the satellite is complementary to the speed of the rotaion of the Earth, thus it will always remain above the same spot). A satellite dish on Earth is then directed at the satellite, and all the signals (voice & data information, television signals, etc.) are transmitted on an uplink. The satellite itself (while still in orbit outer space) has a receiving antenna mechanism which is able to capture the incoming signals towards it and is able to diverge them through an amplifying network.
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    continued.... After this process, it then re-transmits the signals to the designated receivers (these signals are waves that go upon a certain frequency). Depending on what the frequencies are, when it comes to telemedicine, the frequencies are repudicated for an instance, and the digital data is then linked to set receivers. These data packets are routed through satellite, which makes the end (whether it is a phone call or the merging of voice and data transmission such as video-conferencing) come along. The satellite may be compared to a ground-based signal, in which the signal points upward and it is later reflected down back at the user/client. Therefore, with sufficient bandwidth, Haiti is running on high-speed Internet access. As a result of this IT system involved (as well as the use of telemedicine), social and ethical issues emerge. The use of such IT devices and systems such as satellite linkage and telemedicine through video-conferencing was not present in Haiti even before the earthquake. However, with the aid of other countries, more advanced form of health care came into view. This is a breakthrough from the digital divide, where Haiti was not able to provide proper medical care for its citizens. Another issue that comes into play (vexing from the digital divide) is globalization. Doctors on the seen are able to provide their patients with the best care by either consulting a specialist from a remote area far away, or the patients who require health care have video-conferences with doctors in order to discuss health related issues. This breaks down the barrier in which Haitians were facing with little or no medical support.
nicholas n

Rural Doctor Finds Benefits in Electronic Medical Records - NYTimes.com - 1 views

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    In looking at this article and the other articles that I have post The main It IT system is a database to store the medical records of the patients of doctors. In theory this would be great for everyone. There will be less paper waste, and it would be easier to pull up patient information at the doctor's office. Its true potential can be achieved if each doctor's database can be connected to created to create a network so any doctor can access the patients information nationally or internationally. The primary issue however, is that the doctors have no standard. Some doctors are not willing to make a transfer because there are to many implications to actually becoming all digital. So that is the issue, since there are no standard the doctors are not willing to adapt. Now this issue can affect a number of stakeholder's. The doctors can see the benefits and draw backs of this standard issue. The doctor's who adopt EHR, actually save a lot of money in the long run, and are on better terms with insurance companies, in the cases where doctors don't use EHR and if a standard is developed they will suffer for it. They will not be able to process patient information quickly, and be on bad terms with insurance companies, and the U.S government(since the government wants to only have EHR or EMR). If a standard is not developed its the patient that will suffer the most. In this world that that we live in International travel is a common place, many people can get injured abroad a EMR can give life saving information to the doctors from the foreign country. This article displays the particular benefits of EMR, the article above me is the reasons doctors do not want to adopt to EMR, and the article before mine displays the governments interest to change all the paper records to EMR.
Elisavet M

In Haiti, Practicing Medicine From Afar - 0 views

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    (NOT FINISHED) After the devastation of Haiti's earthquake, impoverishment plagued the millions of patients, in dire need for medical assistance and resources. The "low tech" equipment failed to meet the needs of the population, so tele medicine is being adapted.
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    Medical facilities in Haiti are in essence trying to integrate satellite connection and internet service (along with increased bandwidth) in order to greatly expand the distribution and administering of medical services. Donated by the other organizations in Miami, the Haitian hospitals are now given the opportunity to form intercommunication via a wireless regional network system (internet service provided by neighboring countries, such as the Dominican Republic). One of the primary stakeholders, the patient and injured Haitian individuals required to maintain necessary medical help from the American doctors and medical professionals (other primary stakeholder). Such IT systems, enable the patients suffering from the devastating results of the earthquake to retrieve an increased amount of help and attention from doctors and other medical health professionals in other parts of the world, specifically recruiting medical help centralized in the United States. The adapted procedures of tele health already in American hospitals, including the use of internet messaging, x rays, scans, and medical reports all enable doctors to obtain confrontation and collaboration with Haitian patients on accurate and more reliable grounds. The scenario included in the article is Health, and the main theme is"medical information administration and marketing sales" for this pertains to telemedicine as a branched off aspect. In regards to the social and ethical considerations, the issue of the digital divide and equality of access is greatly highlighted in the article; telemedicine linked medical services found in another nation, to the needy Haitian population thus diminishing global boundaries placed up by the differences in development and advancement in certain regions of the globe. The digital divide that took control over Haitian lives( due to the catastrophic events of the earthquake) eliminated sources of internet connection, hardware and available software equipment to run teleme
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    In Diigo, you can always go back in and edit your own postings. It's only in the moodle that there is a time bomb that causes you to comment on your own reflections if you go back later to expand upon your initial thoughts.
Carmen M

Telemedicine in wound care. - 1 views

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    After hurricane Karl hit and practically flooded all of Veracruz, Mexico, many people were left wounded. This article talks about three specific patients who had "hard to heal ulcers" or the stakeholders. Along with the patients, the other stakeholders in this case were the specialists reviewing the information sent to them and the people present in the same location as the4 patient. These patients were taken to PEMEX General Hospital in Veracruz. Pictures were taken using digital cameras and were small enough to be sent to through email to specialists in Mexico City. There, they analyzed the high quality pictures and were able to give a diagnostic. An issue could be security since these files are being sent through regular email as clearly stated in the article " small enough to be sent via regular email ". If there isnt a specific network that these health centers are using it might not be delivered without having someone have looked at it before. The IT system(s) in this case were the digital camera used to take pictures of the patients injuries. The computer was also another system as well as cameras used for video conferencing. By having been able use telemedicine, it saved the energy of the patients having to go to another state just to be treated.
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    This is not a new item, it is an abstract of a medical journal article.
Michael M

Maybe This is the Solution to the Electronic Medical Records Logjam | BNET - 1 views

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    There is now a standard messaging protocol that allows health facilities to communicate any type of health records to each other, instantly, so any doctor that needs the data to his patient, has his own access to his health network, and thus his patient benefits to instant help.
Elisavet M

An Unforeseen Complication of Electronic Medical Records - 0 views

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    This article focuses specifically upon the negative implications that surface with the installation and adaptation of electronic medical records (EMR) for medical professionals targeting specifically the level of doctor/patient relationships. The author, a medical specialist within a facility, talks about his experience with the proven efficiency of the EMR system's effective retrieval of patient medical history and advanced medical database, but further accentuates emphasis on the system's flawed influence upon medical professional and patient relations. One of the primary stakeholders, the medical doctors and physicians complain that the system itself places limitations upon doctors' interactions with patients during the time of consultation (a critical part of constructing medical diagnoses); the author places emphasis upon the way he had to consistently go back and forth from the patient to the computer, in order to type in the retrieved information gained from the conversation. The act of going back and forth between patient and technological system (EMR) discouraged and urged the patient into silence, thus limiting conversation with the doctor, due to the lack of complete face to face, non interrupted evaluation and reflection of medical symptoms, history, prior experiences from the perspective of the patient. Thus, the second primary stakeholder, the patient himself, feels that he or she is not properly or fully being examined; more importantly this places the patient into the position of feeling less significant, as if his/her perspective doesn't truly matter when in reality it is the patient's responsibility to be clear and coherent with the medical professional, to help navigate the doctor into generating the correct diagnosis that will help save patient lives. The IT system involved is the EMR (electronic medical record) system that operated with the help of dozens of computer terminals that were positioned in individual workstations (hardware com
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    (continuation) component) and worked on the same networking service. The software programming that came with the system helped improve the retrieval and sharing of patient medical history, organization of data, efficiency and flexibility of keying in and updating medical information etc. In connection to the scenario of Health, the limiting influence forced upon doctor/patient relationships sourced from the integration of EMR systems targets a flaw in the advantage of having instant connection to patient medical information. Not only are doctors forced to focus on correctly typing in the necessary information, thus avoiding or diminishing patient relations, but the great magnitude of medical information stored and available in EMR systems, "can push some doctors into what one EMR expert refers to as "cognitive overload" while trying to balance patient input with medical history data on the spot. Furthermore, the system's software tool, such as the fee-for-service payment system, which helps tabulate symptoms while simultaneously facilitating the billing process, continues to discourage doctors from executing patient consultation. One major issue that surfaces is reliability; the EMR system itself consists of hardware and software components that transition the doctor's attention from the patient directly onto the transferring of information into the system while in the mode of confrontation. The correspondence of data with the real world comes into significance, as the data may become unreliable due to the fact that it may be entered incorrectly (the doctor may have been focusing more upon data transmission, rather than what the patient actually stated), and additionally the use of EMR systems increase the risk of data becoming outdated, for it is solely up to the doctor's skills and attention that medical history, symptoms, side effects of the patient be kept at a steady consistency once entered into the system. Thus, although physicians and he
Joel Lubi

Practicing Telemedicine to Improve Public Health in Haiti - NYTimes.com - 0 views

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    The article starts with a general overview of telemedicine and its roots in NASA. Then, the article switches the focus to the implementation of telemedicine in Haiti. The establishment of networks in Haiti immediately benefited the effort to recover. Communication came immediately, but telemedicine found its way into Haiti and held a crucial role in recovery. Video sessions became common, allowing simpler analysis of data and training of doctors.
Ram Bhadra

Telemedicine Transforming Rural India - 0 views

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    The article speaks about the growth of telemedicine in the rural parts of India. It focuses on the advantages telemedicine provides the people living in the rural areas of India and how it is not only able to avoid serious conditions such as blindness but also how early detection can help them undergo an operation at a much cheaper rate. In this a local villager does not have to go to a hospital for diagnosis but is able to go to a local village and a doctor sitting in the hospital is able to treat via video conference which is conducted on a wi-fi network using webcams.
Madeline Brownstone

U.S. State Department speaks to Twitter over Iran | Industries | Technology, Media & Te... - 3 views

  • Twitter and Facebook have been used as a tool by many young people to coordinate protests over the election's outcome.
  • The State Department declined to give immediate details of the contact with Twitter, which has been used particularly by young urban Iranians who are disputing President Mahmoud Ahmadinejad's re-election last Friday.
    • Madeline Brownstone
       
      Stakeholders are the protesters in Iran
    • Madeline Brownstone
       
      AND, the US State Deparment revealed the stake they had in this communications tool.
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    Who would think that the US State Deparment would be interested in Twitter's downtime?
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