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Madeline Brownstone

Electronic health records raise doubt - The Boston Globe - 11 views

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    "Google Health and others in the fast-growing personal health record business say they are offering a revolutionary tool to help patients navigate a fragmented healthcare system, but some doctors fear that inaccurate information from billing data could lead to improper treatment."
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    This article provides a possible service that can be used in the east African country our case study is on. Google health is a free service that would give all patients the opportunity to store their health records digitially, making it easier for doctors to access it. Especially if telemedicine were to be used, having electronic health records would be a great benefit. However, the issue of reliability is especially troubling when it comes to using services like Google health in this context. There have been many reported errors with the diagnoses of patients using this service, and it is crucial that the records are checked by both patients and doctors to ensure that all information listed is correct. Literacy rates are much lower in rural African settings, creating a problem for patients who may be unaware of inaccurate information on their records. Especially for individuals in critical conditions, fatal mistakes can therefore be made.
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    Electronic Health Records are also used in the case study. Patients and doctors rely on these records for accurate data, but it is rather difficult, due to the lack of reliability with which Google Health updates patient's health data. In order for Dr. Ogola's plan to work (face the challenges, create a modern health system), he must implement such health records that will store patients' information on an accessible, secure and easy to use database. This would help patients, doctors and nurses share data without having to travel long distances. Data would be secure and also accessible to the three parties. However, this would require a reliable system (more than Google Health) so as to not provide inaccurate data to the patients. Patient involvement in the care of his/her own data would be required for an such an erroneous system, as would a reliable source of healthcare information on the patients. Unreliable sources can potentially damage the whole system.
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    The use of Electronic Health Records in this article can be applied to our case study. Firstly, it would make the transfer of patient data easier and faster, this would increase the quality of care that the hospitals and clinics offer to their patients. These Electronic Health Records can also keep data from different doctors in order, for example if a patient visits several Doctors all of their information will be in one place and ready to access when ever necessary. In the case study if doctors had a more accurate picture of the patients medical history they would be more prepared to make diagnoses, especially when they are working with strange cases. This would also help to increase the quality of treatment that the patient would receive. Digital Health Records are easy to update both the patient and the doctor can edit the Electronic Health Record, it also can keep track of test results, and medications that the patient is currently using. Electronic Health Records allow patients to be more active in their health care allowing them to see and have access to all of their medical information. Even though this IT system is ideal for our case study there are some things we should take into consideration. In our case study we would have to make sure that equality of access is equal for everyone, there may be some people living on the outskirts of villages that might not have access to Digital Health Records. We would also have to assume that everyone would know how to use the Digital Health Record. Meaning how to update it and how to look for errors. Lastly we would have to assume that the patient would make good use out of having an Electronic Health Record. They would have to constantly be updating and checking their records to see if there is any missing information or any errors within their data. Lastly, the coding system would have to be revised, it is confusing and very inaccurate, there should be a new coding system that makes understanding your own records
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    In this article, the use of electronic health records is discussed. However, some problems arising from their use are also introduced, including inaccurate patient information. In the world of the case study, this IT system, electronic health records. is quite relevant and can be useful. EHRs can be used in Africa to connect rural doctors to hospitals and other professional health care workers in better facilities. This way patients' records can be reviewed, diagnoses can be made and other help can be given. However, if this system is taken advantage of in Africa, its users must be certain that the information in the records is accurate and comes from a reliable source. This is because if the information in a record is inaccurate, incorrect diagnosis and/or medication can be given as was the situation in the article. These kinds of mistakes can be detrimental to some patients.
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    This article elaborates on the drawbacks of electronic health files. Although the IT System, Google Health, seems that it will make getting quality health care much easier and quicker, there is a major issue of possible inaccurate information. These inaccuracies or exaggerated diagnoses on Google Health may prevent patients from receiving the care they need, and Google Earth is prone to human error as real people are responsible for inputting insurance billing codes or mislabeling a lab test with a disease that is hoped to be ruled out. This has an impact on our African case study as this article illustrates one of the highly potential problems that arise from the use of telemedicine. Although medical centers in Africa would be able to eliminate the tedious process of paper work by instantly communicating records over the internet, these records can be inaccurate and therefore compromise an already sick patients health even further. However, for the case study, EMR's prove to be a very feasible solution for the lack of communication and distances between villages and health centers, but a solution must be made in order to counteract the potential misdiagnoses'. One solution could be that patients would check their EMR's for accuracy, but with the poor conditions of living in the African villages and poor or no internet service, this solution does not seem possible for the case study.
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    This article is about a man getting his health information in an electronic health records massed up. There's an issue with the EMRs in the sense that they are sometimes unreliable. In regard to the Case study, as they want to place EMRs into their hospitals and clinics they ma have this issue with reliability. But it has shown signs of improvement from paper records. But the hospitals and clinics in the East African cities will need to hire more staff to make sure these records are up to date and accurate. As for the health of the patients, EMRs has its benefits and drawbacks. If the information is accurate then a life could be saved and that person could be properly cared for in a more timely fashion, but if the information isn't accurate they could be given unneeded surgery or given the wrong drugs. The EMRs could help the efficiency of the hospitals and clinics because they could work faster and get to more patients without wasting countless time looking through paper records.
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    This article arises a social and ethical issue of integrity of electronic health records. In this article, Dave deBronkart faced this issue when he transferred his medical records to Google Health. His information was inaccurately transferred because of the incorrect coding that insurance companies use. The database then used this incorrect coding and stated that Dave had other health problems, which he never had. The lack of codes makes the database more likely to make an inaccurate diagnosis. It also suffers from reliability because if the information, doctors can't rely on it to make correct diagnosis. Electronic databases are very useful and can be used in Oobunta if its integrity is improved. It will allow patients in villages that can't afford travel to share their symptoms and past medical history with doctors in the hospital. This will cut costs for both doctors and patients because they won't have to pay for transportation. It will also benefit the patients because it will let them be diagnosed accurately especially if they don't have enough resources or medical care in their village.
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    This article covers a recent problem that has risen from the use of Electronic Medical Records. Google's new Google Health, a service that gathers e-health records for patients all in one place has become unreliable. Google Health gathers medical information from billing records, which is an inaccurate source of information. The medical records on the site also do not distinguish between recent illnesses and past illnesses, and does not indicate the level of severity for the health issues. The diagnostic medical coding is to blame for inaccuracies in information gleaned from insurance data, mostly because it is clunky and includes tests for diseases that doctors hope to rule out, not for diseases that the patients necessarily have. The problems that the unwieldy code and medical records in Google Health bring up are enormous. Information is inaccurate and out of date, and this is potentially deadly when patients are being treated. The issue of reliability is that data in the records is out of date, and entered incorrectly, which could be the difference between life and death for patients with dangerous diseases.
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    This article was about electronic medical records. They allow patients to share their health information with doctors over the Internet, using Goggle Health. However, this application is not completely accurate. It takes information from insurance bills. These insurance bills may not be precise in describing the treatment of a patient because of their lack of codes. This raises the issue of reliability of the electronic health records. Inaccurate records could stop a doctor from performing a life saving procedure on a patient. The article relates to the case study because it talks about the drawbacks of having electronic medical records. In order for issues with reliability and integrity to be avoided in Oobunta, patients should regularly check their records to ensure their accuracy. Doctors and patients should also communicate more to eliminate problems within the health records.
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    In this article, a new electronic health system arose. In order for one to use this newly aged system, their personal health records must be transferred. According to the article, "accuracy gets lost in translation" (Wangsness). Due to the fact that certain information is getting lost in translation, many issues have been brought up, such as reliability. Health records are vital for every individual because they contain information that cannot be found anywhere else. A loss in data, such as certain dates, can lead to many problems for the patients during treatment. As a solution, people are asked to do one thing. They are told to check out their record and see if everything is accurate. There is a positive side for this new system and it relates directly to our case study. These Google health records are easily transferable. If one needs to send out their information to a hospital for a diagnosis, they can do so in no time. In the case study, people in Africa are having trouble getting to a hospital because of the expenses and lack of transportation. By using these Google electronic health records, the people would be able to e-mail their record to a hospital for a direct prognoses. This would save them so much money and time because they would be able to complete this task in the comfort of their own home, or anyplace with internet access. These electronic health records can solve many problems in Africa.
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    This case study tackles the issues of Integrity and Reliability. The article talks about inaccurate health records and it effect on patients who want to follow updates on their health status. The stakeholders in this articles are patients because they are the ones who need accurate information, doctors because patients come to them when they read inaccurate information about their health and the people who control the information in the databases because they are the ones responsible for whether or not the information is accurate. Integrity is an appropriate Social and Ethical Issue because the information in the databases have a been changed accidentally, in turn affecting accuracy. Reliability is even better because is directly about accuracy of data, if it is entered incorrectly. If data is entered wrong patients lose trust in them. This is especially relevant to databases which is the major IT system discussed in this article. In relation to the case study it is important to find a solution for the patients of Africa, that is as efficient as possible. In a place like the one described in the study it is important to save time by being as accurate as possible and making sure that patents and doctors can understand the information on databases, ensuring more successful treatments for the patients.
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    In the East African city, the medical facilities all contain databases that their patient's health records are recorded on, however the platform for each database varies between each clinic and the main hospital. This in turn makes it more difficult to exchange health records between each clinic and the main hospital.This article brings up a solution to the health records exchange problem that are within this East African Region. Google Health is a database that is in the cloud and makes it possible to exchange health records through the internet. This form of exchanging data for a patient helps to keep a patient's data up to date. Now though this could be a great solution it comes with many drawbacks from the system and the lacking materials from the East African region makes it difficulty to better utilize it.
Karen M

BBC NEWS | Technology | Software maps Rwandan health - 4 views

  • The biggest challenge is to collect enough information to make the databases reliable.
    • Karen M
       
      Social and Ethical Issue: The issues in this article are reliability and integrity. The information that is put into the database needs to be accurate and reliable for other doctors to access. It is important for the data to be reliable because doctors need to be able to know about the other cases of malaria as well as the resources they have.
  • The digital maps, called Geographic Information Systems (GIS), are designed to compile information from numerous databases and use it to both track and predict outbreaks of disease.
    • Karen M
       
      IT System: The Geographic Information Systems (GIS) is the main IT system that is being discussed in this article. IT is large database compiled from information from smaller ones.
  • The system has allowed health workers in Rwanda track the number of malaria cases at each health facility.
    • Karen M
       
      Stakeholders: The people who are being affected are the doctors who access and add information into the database, as well as the patients who are being treated.
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  • A system of electronic mapping which allows many different types of data to be layered onto a single image is being used to improve healthcare across Rwanda.
    • Karen M
       
      Area of Impact: Health
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    A system of electronic mapping which allows many different types of data to be layered onto a single image is being used to improve healthcare across Rwanda. The digital maps, called Geographic Information Systems (GIS), are designed to compile information from numerous databases and use it to both track and predict outbreaks of disease.
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    A system of electronic mapping which allows many different types of data to be layered onto a single image is being used to improve healthcare across Rwanda. The digital maps, called Geographic Information Systems (GIS), are designed to compile information from numerous databases and use it to both track and predict outbreaks of disease.
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    A system of electronic mapping has been developed that allows different types of data to be layered onto a single image. It is being used to improve the health care in Rwanda. These digital maps are called Geographic Information Systems (GIS). The database is compiled of information from different doctors working on cases of malaria. This brings up the issues of reliability and integrity. The information in the database needs to be reliable enough for the doctors to use in treating patients with malaria. It affects both doctors and patients, but the patients are being affected the most because they are the ones being treated. If the information is inaccurate, the patients may be placed in dangerous situations.
Olivia M

In Japan, Machines for Work and Play Are Idle - 3 views

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    The stakeholders are customers, human workers, factories and big product companies. The social ethical issue is reliability. The scenario is robots used in business. The IT system is factory robots. The issue here is that due to lack of money, robots cannot be used in factories which will lower the amount of products made.
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    It is important to fully examine the issue of reliability in this context. When using artificial intelligence in the factory workplace, those installing the robots must be mindful of the possibility that the robot will not be reliable. Reliability, therefore must be tested extensively to make sure that it is fairly high.
sarah d

AML Case Study: New Way to Fight Fraud - 3 views

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    The IT system is the behavior-based software that uses artificial intelligence. the stakeholders are the bank implementing this software and the customers of the bank. The area of impact is business and employment, specifically banking. The issue with the use of this system is reliability. If this software is not reliable, then the customers at the bank are less protected from fraud. Also an issue that arises from the use of this system is security. The use of this system is to protect against fraud. However, if the computer becomes insecure, fraud would not be detected. 
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    This is a really interesting case. Although it's not robots that one can see that are being used, banks are using artificial intelligence to help them recognize patterns and catch fraudulent people. Small banks are the real stakeholders in this case, and they want to protect their customers and their finances. The automation of the fraud-catching has given the banks more time and makes it easier to handle all the paperwork necessary for a case.
Noreen C

Keeping Secrets WikiSafe - NYTimes.com - 0 views

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    WikiLeaks has led to several problems related to privacy and security of government data. The legal debate weighs whether the posting of this data is against Constitutional laws, but many others in the Government fear the magnitude of this problem. Some people ask, what would the founding fathers have done....but the world of the internet is a whole other ball field. The latest on the WikiLeaks threats claim that Assange still has more documents which were uploaded onto the website. However, the files are encrypted. Many people have access to these files, but because they are in cipher text, they cannot be read. As soon as Assange, or anyone who has access to the information publishes the Public Key, the encrypted documents will be decoded, using the same software that Assange used to encrypt it. If these documents have material in them that could threaten national security, then the USFG will have a stronger case against Assange on the basis of a privacy breach. Because of the high security, and the reliability of the encryption software, these documents have little value at the moment. The Obama Administration is clearly keeping an eye on the situation, because they wish to protect the privacy of the documents, but also because they want to find a way to take down the documents before they create damage. However, there is an extreme level of difficulty in decrypting the data, which is protected by a mathematical algorithm specific to the software that Assange initially used. The intersection of the privacy of the Government and the reliable security that Assange used comes to show that the IT world is constantly expanding, beyond the prediction of one business, or even the Government. But these Assange and the USFG aren't the only ones involved. Many people around the world are trying to attain access to these documents, primarily in the US in order to understand national secrets that have been held back from the public. The internet as a form of media has transfo
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    continued.....transformed the notion of what is private and what isn't, and clearly now more than ever privacy needs to be secured. Maybe the USFG should look into some high security protocols such as encryption, and their data files wouldn't be intercepted and posted on the internet.
Ariel A

Skype security and privacy concerns - 1 views

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    Skype is a software that enables online free instant messaging, video chatting and voice calling to anyone else that has Skype. Skype is a great resource for world conversations. The issue that Skype has are both security and privacy reasons. Skype is currently in the hands of ebay. Ebay is a well known site that allows people to buy items online and it some what reliable. The information that one would need to register in order to be a member of ebay and now Skype, one would need to place information stating, "Full name, User ID, Email address, Street address, State, City, ZIP code, Phone number, Country, Company, Password, Secondary phone number, Gender, Shipping information (including name, street address, city, state, ZIP), Bidding history on an item, Items for sale, Feedback left about the user, Bidding history, Prices paid for items, Feedback rating, Chat room and bulletin board posts" According to Ms.Brownstone in order for someone to find the identify of someone's personal information one would need the date of birth, and Zip code. What Ebay requires one to give out information is far more than what is necessary. One would question if they are really that reliable of a site. Skype claims that its reliable but we have to verification of evidence that it is indeed reliable. The security reasons behind Skype is that according to what i read, "Skype is an insistently closed program." This can affect the stakeholders which are the users of Skype to know if its a really secure website.
Lenny H

Telemedicine Healing Haiti Earthquake Victims, Puts Healthcare on the Map - 2 views

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    This articles with the solutions that were created by telemedicine during the disastrous earthquake. Much similar to victims in Argentina or those in Argentina who don't have telemedicine, those victims in Haiti are being treated through telemedicine. After the unfortunate earthquake in Haiti, the University of the Miami took into their own hands to set up various tents around Haiti. Besides having very little medicine, Haiti also had a communication problem. These from the University of Miami were not able to communicate with those from the United State. Therefore, they set up real time technology as a form of communication in order to consult colleagues at the University of Florida. Two devices about the size of a laptop were donated to them, and the satellite telephone, internet and video camera contained in each allowed the doctors to communicate with each other. These satellites allowed doctors to conduct and give prescriptions as well as well as communicate to other doctors of those patients who needed to evacuated from the are and taken to the United States for Health care. This article also talks about doctors who are using cellphones in order to take pictures and perform x-rays. There are a variety of stakeholders in relation to the satellites that are allowing the doctors from the University a Miami to perform their real time operations for their consultations and for prescribing medicine. One of these stakeholders would be the people or victims in haiti. After the Earthquake, many were left in dangerous need of assistance, and without these satellites, there would be no way in which they could communicate with people in the United States (The University in Miami) in order to get proper prescriptions. These are very important stakeholders, because if the people of Haiti aren't provided with this form of telemedicine, they would not be able to get treated for the illnesses/injuries that occurred to them during the earthquake. Another stake holder is the U
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    niversity of Miami. Without these satellites, they would not be able to do their job. This is the only form of communication they have with their fellow doctos in the United States. In the Article, is specifies that the doctors had a hard time creating forms of communication in Haiti, therefore if the satellites do not function, the doctors from UMiami, would not be able to prescribe medicine to the victims, and the victims would not be able to get their treatment. Social and Ethical issues then arrive from the Article and the IT system. These satellites that allow for communication and telemedicine are breaking down the digital divide. Specifically in the article, it states that Haiti did not have doctors and that form of technology in order to perform telemedicine. These satellites and bringing them to Haiti was breaking down a digital divide, in which it was giving them the IT that other countries were already familiar and working with. Another Social/Ethical issue that arrives from the IT system is Globalization. In the way in which it breaks down cultural, economic, or divisions causes by a countries location to another. The IT system allows for those in Haiti to communicate with those in the United States. Therefore, it is creating or breaking down any divisions that were previously there because of their location as countries. Another major Social/Ethical issue that arrises is Reliability. The doctors from the University of Miami are relying on these satellites in order to perform their job. If there is an issue on their reliability, it would be catastrophic to the worked (not having any form of communication with their colleagues) as well as the people who would no source of medicine through the real time consultations.
helen g

BBC NEWS | South Asia | Healing hearts by remote control - 5 views

shared by helen g on 07 Oct 09 - Cached
  • "Technically speaking, in terms of disease treatment, the doctor has to touch the patient only when he has to operate.
    • helen g
       
      S/E Issue- Reliability Telemedicine allows a doctor to diagnose patients through a television screen by viewing the problem and listening to the patients and local doctors speak about their problem. A question of reliability comes up; to what extent can telemedicine be an accurate way for diagnosing patients?
  • "And if I don't need to operate, I don't need to touch the patient. If I don't need to touch the patient, I don't need to be there. I can be anywhere."
  • Telemedicine began here two years ago, with the realisation that most of India's specialist doctors live in a small number of large cities - but also, that most of the time, diseases do not actually require surgery.
    • helen g
       
      IT system- Telemedicine
    • helen g
       
      In Bangalore India, doctors have been using telemedicine to connect to parts of rural India. Telemedicine is being used to diagnose patients and give advice as to how to deal with certain medical conditions. Many poor and illiterate people living in rural areas rely on telemedicine. Is this really as reliable?
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    Very old article: I wonder what is going on now. It's hoped that from this start in Bangalore, telemedicine will grow and grow - a spectacular way of overcoming distance and time in tackling severe medical problems.
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    Very old article: I wonder what is going on now. It's hoped that from this start in Bangalore, telemedicine will grow and grow - a spectacular way of overcoming distance and time in tackling severe medical problems.
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    Very old article: I wonder what is going on now. It's hoped that from this start in Bangalore, telemedicine will grow and grow - a spectacular way of overcoming distance and time in tackling severe medical problems.
Mohammad A

iPhone takes a trip to \"return to sender\" - 1 views

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    Chinese people wait in line for each of the new Apple iPhone releases, buy them at premium price of $600, and send it back to where it was made to get it unlocked.
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    Chinese people wait in line for each of the new Apple iPhone releases, buy them at premium price of $600, and send it back to where it was made to get it unlocked.
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    This article meets the requirements for an IT article because, to begin with, it discusses one of the main IT systems, the cellphone (a sophisticated phone such as the iPhone however). It is reliable because it comes from a new source such as the New York Times, which has a reputation of giving reliable information to its readers. The time that the article was written is as recent as can be (less than 24 hour news, meaning that it involves one of the main issues and impacts that affect society on a greater scale today). There are stakeholders involved - the people responsible for the social/ethical issue(s), the people being affected by it, and the people becoming involved as a result of the impacts of these issues. Therefore it can be stated that this article meets all the requirements for ITGS. The social and ethical issues that result from this IT situation are significant to what it led to. One of the main issues that revolves around this issue is the digital divide and equality of access. Once the iPhone is "unlocked", the user has access to many digital streams of data; data in which regular iPhone users do not have access too, or they are unable to stream it. Integrity is also one of the main social and ethical issues; the IT device in question (an Apple iPhone) was "tampered with" and has therefore lost most of its value as well as its originality. People and machines, although it is a social and ethical issue that affects almost all IT systems, it can also be said that it is relevant to this situation as well. The people who are unlocking the iPhone are on this "digital treadmill" in which their life revolves around the database and access to digital information. Information that is so immense and updated so quickly that it can be overwhelming sometimes, yet provide the user with an extensive amount of knowledge, which is often put into good use. The specific scenario that this IT system and its impacts are based upon is politics and government. The act
Rubayeth M

RIM's BlackPad tablet launch reported to be imminent - 2 views

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    "BlackBerry-maker ready to launch hotly-anticipated tablet device, sources tell the Wall Street Journal." About their new tablet device that is similar to Apple's iPad.
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    The requirements for ITGS are that it has Social and Ethical Significance and IT Systems. The Social and Ethical Significance that is included to this article are home and leisure and reliability because this product will be used by the people for the people. It is something that people will enjoy when used. This will create more ways to faster and easier way of keeping up with social networking, digital entertainment and many others. The reliability of this product will be compared to the iPad. For instance the 7in Blackberry is known as the BlackPad and is now a trademark by Blackberry. It weighs almost the same as an iPad and will be on AT&T or Verizon or only on AT&T and Verizon. The IT systems required for this product is a network provider which will be between AT&T and Verizon, wireless internet, internal memory, flash (is expected soon) and many others that are normal as regular phones and Apple's iPad. The stakeholder will be the people buying the BlackPad and the people learning how to adjust to this new generation of phones.
Karen M

Visa Introduces a Credit Card on a Phone - NYTimes.com - 1 views

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    In this article, RFID is being used in the business world. People are now able to purchase phones with the capability of making purchases by moving it over the terminal. RFID technology allows people to stop using credit cards, making the process of buying something even more convenient. The stakeholders are the credit card companies, the people using this new technology, and the stores with the terminals that read RFID. Credit card companies need to have a good security system to ensure their customers and users that their information will be kept safe on the RFID chip. The people who are switching to this new technology are risking their private information for convenience. The stores with these new RFID terminals are also risking their customers' private information because there is a possibility that their system could be hacked. The area of impact is Business and Employment. Businesses are switching to this new technology because it is convenient for them as well as their customers. The main issues that arise from using RFID are security and reliability. The RFID terminal needs to be reliable so that every customer is able to use the RFID chip on their phone to make purchases. The security issue is that a hacker may be able to get into the system to read customers' private information. It may also be possible for a hacker to carry around a portable terminal that would be able to store people's private information on it for future usage. The security system described in this article sounds like a good start, but more needs to be done to keep up with the technology that is growing along with it.
Kim T

Federal Telemedicine News: UTMB Responds to Disasters - 0 views

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    Even during natural disasters such as hurricanes, patients can get medical help because of telemedicine. The University of Texas Medical Branch have set up a consult service in the Houston Area in case of a devastating hurricane. The use of telephones in this situation is used to help provide people with medical attention. The doctors can have a consult to help them with triaging and diagnosing patients. This method however, is not reliable because it uses other industries' networks, which can cause problems with connecting. Data which is also backed up is also located far away from the site which may make it unreliable if it is forwarded manually. Then there are standards which must be applied to the use of the information being stored because there are health records of a general public and must be handled securely. 
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    Careful, when you say: "also located far away from the site which may make it unreliable if it is forwarded manually. " you make a faulty assumption about the causes of reliability problems.
Lenny H

Electronic Record- Keeping Alone May not Boost Health Care - 3 views

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    This article deals with the situation of Electronic Health Records in relation to Health Care. The use of this Information Technology according to the article has done very little to improve the health care service and those who have health care. Records and studies have proven that the use of this software has be associated with western states. Stanford researches have shown that the increase use of Electronic Health Records has not improved the quality of heath care services. This is caused because of the software's highly complicated software that is currently being interacted and used with doctors that aren't well trained with the system. Because of this lack of knowledge and skill of the system, doctors could not use all of the capabilities of the system. Overall, the article argues that the government should focus more on the quality of the Electronic Health Record software in relation with how doctors approach it, rather than just getting and replacing Health records with Electronic technology. There are a variety of stake holders in relation to the Electronic Health Record software. Those doctors who do not know how to fully interact with the system are the main stakeholders. The lack of training and the lack of full interaction with the system does not allow for the doctors to use the software to it's full capabilities. Another stakeholder would have to patience who have their medical records on these Electronic software systems. They have to rely on the doctors using the software to keep their data and to keep their records to date. However, another main stakeholder would be the government who is currently trying to create a better health care system by providing doctors with the Electronic Health Records. Because the government has good intentions to create a better health care system and a better medical situation for patience, they are being affected when they are unaware that this software is not being used to its full capabilities. Because of this,
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    the health care system is not changing or becoming better. Social and Ethical issues are presented in the Article. The first Social and Ethical Issue presented would have to be Reliability. The government is relying on these Electronic Health Record systems in order to create a better health care service for those in the United States. However, this reliability is currently being challenged when doctors and those who work in relation to the IT system are not able to work with it to its full capabilities because of its challenging and highly technical operations. Another Social and Ethical issue that arises is digital divide. The government is in pursuit to allow and get all doctors to use this system in order to remove the divide and create a better health care service. Solutions are given in the article, where current researches at Stanford say that they should focus on training those doctors to operate their systems or the Electronic Health Records to create a better health care service.
Mohammad A

Tech Companies Push to Digitalize Patients' Records - 0 views

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    This article is regarding the use of Electronic Health Records, and digitalizing medical documents for the "betterment" of the medical staff, and the ease of use that databases provide as a solution to the IT issues that these facilities face. Many health care policy makers within the government, including President Obama, are advocating for the major shift in the use of electronic health records, and digitalizing patient information. However, only a small percentage of medical treatment offices have done so (approximately 17%). Basically, electronic health records document personal information of the patients, for example name, address, age, and medical issues that they face, making it much more easier for doctors and medical staff members to get into the use of e-prescriptions, providing treatment electronically. However, as information becomes digitalized, often times, major issues such as reliability of the IT equipment becomes and important aspect of the scenario. Major companies such as Dell and IBM are in the run to provide electronic health record databases for medical facilities to use. To these major stakeholders, these databases, when set-up properly, are basically a tool for health care providers to use; they can reduce costs and improve the type of care that is provided for patients. They also have the patient's entire medical history, and other medications, along with lab tests that if properly connected to databases, can ease the treatment guidelines. Thus the benefits include less trivial tests, reduced health related errors, and better care with less costs for patients. The IT systems that are provided, including faster networks with improved wireless connections and more financially affordable computers are what will basically be used within the medical facilities running on electronic health records with digitalized information. Also, there will be more space for these new machines to be placed in, since all
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    continued... the paper documents are now going to be taking no physical space; entirely stored digitally. However these devices do not provide the solution of reliability that staff members may face when on the wireless networks and/or dealing with digital data. One solution that the article provides is the new Internet-based service model, known as cloud computing, in which much of the computing firepower and data reside in remote data centers, which doctors, nurses and staff would use via the Web browsers on their personal computers. Through cloud-computing, there is a more reliable and efficient way for medical staff members to document data without having system failures, and also if they ever plan on outsourcing, they can easily work with the database online.
Rubayeth M

Video boom threatens to gridlock the internet - 0 views

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    In this article the stakeholders are worried about the internet connectivity. Since many people are using it today as we speak they are watching videos, tv shows, listening to music from the Internet, and many others and would be known as stakeholders. The issue here is the reliability of the hardware. In the article it states that the copper wires that were initially put for calling which only required voice. Now it has increased with much more and in order for the internet connectivity to increase there needs to be more of a solution than fiber optic cables since it was not planted in to the ground before. The IT systems that requiring so much internet speeds are computers, mobile devices, computers within the doctors office, and many other. For tele medicine to continue there needs to sufficient or reliable internet connectivity. For instance, say a doctor wanted to help out another doctor in India. For the doctor in America it wouldn't take more than a couple of minutes. If the hospital did not have its own secure internet then it would have taken a long time since other internet connectors are using it to download and upload video,stream live music, and much more. The point here is that for one to have accessibility in the internet connectivity there needs to be globalization. Globalization will help increase and satisfy almost everyone's needs.
Madeline Brownstone

Healthcare Industry Turns to DeviceAnywhere to Bring their Products and Services to the... - 0 views

  • Quality of service can't be left to chance for any healthcare provider developing mobile applications.  However, this is especially true when the health insurance company is part of the largest single health carrier in the United States, providing health care services to more than 25 million consumers with a network of approximately 590,000 physicians and care professionals nationwide. For an organization of this size, they often select technology partners such as DeviceAnywhere, who share their company's commitment to excellence and innovation.
  • Not surprisingly, security and reliability resonate as two of the top priorities for Sensei Inc. as well.  As a provider of innovative mobile and Web-based solutions that prompt consumers at point-of-decision moments to make healthier eating, medical and lifestyle choices, Sensei relies on DeviceAnywhere to ensure that their consumers receive their personalized nutrition and health counseling on a consistent and confidential basis. After all, when customers count on Sensei mobile programs for critical reminders to take their medications or make on-the-spot decisions related to healthy eating choices, there is no room for error in downtime or compatibility issues between users' devices and networks.
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    Not a legit news source, actually a puff piece for Deviceanywhere. However, it points to issues around mobile phone use in health services.
Elisavet M

"Virtual Reality tackles tough questions" - 1 views

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    Scientists in Barcelona have constructed a technological device, enabling users to engage and "live" within a virtual reality; this digital world however, is bound by the oppressive and devastating human conditions experienced by the victimized individuals of physical and verbal maltreatment. The device, although it may conjure ethical realizations within the user's mind, also poses as an ethical dilemma for it brings the cruel severity of the downtrodden and exploited people into visual and mental display terrorizing the emotional stability of the participants.
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    Technological breakthroughs in decoding the human mind have blossomed ever since the invention of a device through which users are immersed within a virtual reality, to live and experience the trauma and distressing scenarios of people victimized by physical as well as emotional abuse. Developed by a team of Spanish scientists, this device is breaking down the mind's irrational judgement in relation to discriminatory or wrongful perceptions against others. The user of the device, once transported into the anguished lives of the virtual characters, comes face to face with the agony of living through abusive violence, and begins to form a clearer impression about the effects of such experiences upon the lifestyle, behavior and well being of any victim. In doing so, the participant ultimately widens the boundaries of his mental state of thought, and begins to appreciate and acknowledge the peace given by a happy life rid of gnawing internal complications. However, in engaging with such a virtual reality the user becomes an unshielded target of bitter misery, felt and illustrated by the depictions seen through the device. The software that is included in this article is the technological device that offers an entrance into the virtual world for the user. The stakeholders within this article are the users of the device, whose mental and emotional stability is controlled by the virtual reality developed by the scientists. The scientists hold the success of the entire experiment in the palm of their hands, and really are the source of the effect upon human behavior. One has to take into consideration the physical and psychological considerations (in "Health" scenario) of technology on the user of this particular device; although this device does help others modify their morality as they expand their considerations for the factors that have made people what they are today. The device however, does inflict the same trauma and terror depicted by the gestures and movements
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    I agree with the ethical and social concerns involved within your article. Although there are some benefits of recognizing the pain and violence inflicted on others, it can cause emotional stigma and trauma upon the person who is using this technological device. Technology controls our ethical morality, in developing software that explores the way the human brain works we destroy this boundary of what is right and wrong because we begin to focus on research and forget the effects involved. In this case, those involved in the experiment are unaware of the effects that this virtual reality exposed to the user will eventually have on them mentally and emotionally.
Madeline Brownstone

India in talks with BlackBerry maker for access to corporate email service | Technology... - 1 views

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    This article Talks about Research in motion, the company of blackberry in talks with India about the services that the phones provide
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    This article meets the standards of ITGS. From assessing this article through strand 1 we see that their are a number social and ethical conditions to be considered in this story. Security is a major issue here, RIM's encryption is so secure that not even powerful governments can't crack. This brings up the issue of security because countries like India are worried that this secure network can be abused by the terrorists. This brings up the issue of the digital divide and equality of access. This issue is brought up because India was threatening to disrupt Blackberry access because India did not have access to some features that blackberry users from other countries have. This leads to another problem, Reliability and integrity. Since RIM's network is the most secure network that even the most powerful governments can't crack, because of this many Corporations use Blackberry, RIM fears that if they(RIM) allow governments get a little more access, they will lose their reliability of their majority steak holders. This brings up the number of steak holders, the steak holders are RIM. their customers, India, and other middle eastern countries who are threatening to cut off service due to inequality of access. The IT systems that are mentioned are cellphones, and RIM's network. The applications that apply to the article are Business and employment, and governments control and use of information.
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    Nick originally posted this article, but did not cache it.
nicholas n

iPhone Application Tracks Runners in the New York City Marathon - NYTimes.com - 0 views

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    This articles shows the conventional uses of RFID, and you me personally the fears of doing using such technologies. This article tells the reader that in the latest new york city marathon, the people watching wanted to track certain runners(stakeholder). So for the race each runner placed an RFID tag (Hardware 3.1) on the shoes, and on the track (set intervals) sensors would pick up these RFID tags and record the information to each individual runner. To obtain this information one would need an Iphone and 4 dollars to pay for an app that can give you up to date information. There was an issue of reliability present from the perspectives of the cell companies(AT&T). That issue was reliability, to overcome this issue they put temporary cell tower around the track. While no major issue was sparked, I was scared of what it could potentially do. This may do into the realm of sci-fi but my own issue would be survaillence, what if one day everyone was forced to where one of these, there will be these seners at every door or entry way tracking our every move(1984-George Orwell Big brother). Maybe we will have less crime since everything is monatered, but we will lose all privacy. It may be an exaggerated case but not impossible. In reality I can see it being place in our passports, ensuring more security at our flights, but what are we losing
Elisavet M

Offshore Outsourcing's Next New Wave: How High? - 1 views

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    The emergence of Business process outsourcing has transfigured the ways in which companies in developed nations, expand their services globally to businesses in developing nations. Although the cost for labor to support the extension of company engagement in third world countries is acknowledged as being relatively low (a beneficial advantage to most established business corporations), it has come to the attention of the participants (Businesses of developed countries) that it is of major importance to fully recognize the boundaries of business practices, culture, and level of intellectuality and experience within the hired portion of developing nation populace. Companies of information technology services, such as Dell, have come to form heightened concern about such global barriers, having attempted to transition call center labor in India and then deciding upon the withdrawal of such communication employment (due to the lack of consideration of business and cultural differences that impact business results). Based upon the data provided by NASSCOM (Indian software and services trade association), the conclusions drawn positively indicate that Business offshore processing has an overwhelming potential to grow in the next couple of years; although there is much room needed for consistent business growth (developing businesses, such as BPO in India, must rise at least 30 percent), the progression lies mainly upon the driving increase of skillful and educated information technology workers within India. The stakeholders, Information technology businesses in developed nations, surely stand by their statement supporting the increased use of qualified employers in the business environment of developing nations' companies (considered to also be additional stakeholders), for this will lower the cost involved in the off shoring process. The main social and ethical considerations lie upon reliability of developing nations'
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    My entire post was not posted on diigo, so here is the continuation: business functions, as developed countries' companies increasingly form reliance and trust upon the promise of the elevating skilled labor class, for it is a major component that supports the foundation of software and hardware services and networks on a globally connected basis. The reliability built within the business partnerships and bonds established in two differing cultural environments, is founded upon the agreement of mutual advancement and progress in regards to the establishment of skill by developing nations' employees. Although, the system of globalization and cultural diversity surface the obstacle of continuous intellectual and business development for developing nations, it is the gesture of surpassing cultural and business ideology that will truly trial both stakeholders involved.
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