The document describes Regenstrief Institute's new open-source physician order entry system called Gopher. Gopher has been iteratively developed over 25 years and serves over 1000 workstations. The new web-based version of Gopher was designed using knowledge from past Gopher versions and the literature on CPOE design. It features context-driven dynamic alerts, adaptive learning abilities, natural language processing, multimedia alerts, and an advanced rule authoring environment. Regenstrief Institute aims to release Gopher as open-source software and is seeking partners to collaborate on further development and community building around the platform.
Este documento presenta la nómina de pagos de empleados que trabajaron de 8 al 14 de noviembre en la obra de la Línea 12 del Metro. Incluye el nombre, categoría, salario diario, horas trabajadas y bonificaciones de 14 empleados de Ingeniería y 5 de Administración. Todos trabajaron un total de 6 horas del 8 al 14 de noviembre. Algunos empleados recibieron bonificaciones adicionales de $1,000, $1,200 o $1,500.
The document describes Regenstrief Institute's new open-source physician order entry system called Gopher. Gopher has been iteratively developed over 25 years and serves over 1000 workstations. The new web-based version of Gopher was designed using knowledge from past Gopher versions and the literature on CPOE design. It features context-driven dynamic alerts, adaptive learning abilities, natural language processing, multimedia alerts, and an advanced rule authoring environment. Regenstrief Institute aims to release Gopher as open-source software and is seeking partners to collaborate on further development and community building around the platform.
Este documento presenta la nómina de pagos de empleados que trabajaron de 8 al 14 de noviembre en la obra de la Línea 12 del Metro. Incluye el nombre, categoría, salario diario, horas trabajadas y bonificaciones de 14 empleados de Ingeniería y 5 de Administración. Todos trabajaron un total de 6 horas del 8 al 14 de noviembre. Algunos empleados recibieron bonificaciones adicionales de $1,000, $1,200 o $1,500.
This document discusses dynamic product labeling, which customizes drug label information to be more patient-specific and relevant to providers. It proposes augmenting standard drug labels with additional data layers that can include observational data, literature evidence, adverse event reports, malpractice cases, provider historical data, and ontologies. This customized information would be overlaid on the standard drug label when a specific drug and patient are entered. The goal is to make drug safety information more useful for patients and providers by targeting it based on the individual drug and patient. It notes that such a system would require significant medical knowledge but that the technical framework could be lightweight using web technologies.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Introduction to Regenstrief's New Clinical Information SystemJon Duke, MD, MS
The document summarizes Regenstrief's next-generation clinical information system called Gopher. It describes how Gopher has evolved over 25+ years from a single clinic system to one serving over 1000 workstations. The new web-based version of Gopher was designed based on lessons learned from the past system as well as current literature on clinical systems. The summary describes some of Gopher's key features like order entry, documentation, clinical decision support, and integration with other systems. It also highlights novel aspects like dynamic alerts and natural language processing capabilities.
This document outlines a marketing campaign for Gatorade powder targeted at high school athletes. Research found that while athletes see practice as important, they don't treat it with the same importance as games. The campaign's goal is to position Gatorade powder as unlocking game performance even at practice. It will use television, magazine, social media, and video game ads to elevate the status of practice and showcase how Gatorade powder gives the same benefits as the drink version. The total budget for the three flight media plan spanning 12 months is $29 million.
Regenstrief Gopher CPOE 2013: Advances in CDS and Provider CollaborationJon Duke, MD, MS
Regenstrief's AMIA 2013 demonstration of the latest updates to the Gopher CPOE, including preemptive alerts, advanced rule authoring, real-time NLP, dynamic notes, and collaborative timeline.
This document provides updates on persecution of Christians in various countries around the world and calls for prayer for believers facing challenges in their faith. Updates include a man being released from prison in China for printing Bibles, a Christian man and his children in Somalia who were killed or kidnapped by rebels, Christians in Iran being harassed amid political unrest, efforts to distribute Bibles and gospel materials in China, North Korea and Colombia, and congregations in Indonesia and Pakistan facing opposition from officials and extremists in their worship. Prayer is requested for believers' protection, freedom, opportunities to witness, and for hearts to be open to the gospel message.
Being successful in life requires hard work, perseverance, and having strong values. Develop skills that are useful and help people to build a meaningful career. Maintain good relationships with others through kindness, honesty and respect.
La persona escogió la carrera de logística porque su experiencia laboral está relacionada con aspectos y procesos logísticos. Además, la carrera tiene un futuro prometedor debido a los tratados de libre comercio que se firmarán, especialmente con el mercado asiático. Un proceso logístico exitoso requiere planificar los procesos desde la materia prima hasta el producto terminado, incluyendo la cadena de abastecimiento, el transporte y la selección del medio de transporte apropiado según los costos.
This document discusses customizing electronic medical record (EMR) systems through advanced rule authoring. It introduces the Rule Authoring and Validation Environment (RAVE), a tool developed by Regenstrief Institute to empower stakeholders to customize EMR systems. RAVE allows users to mix and match "channels" like patients, alerts, orders, and observations to create rules without needing a programmer. Rules can be used for clinical decision support, alerts, or other functions. The RAVE generates standard rule syntax that can then be implemented in EMR systems.
Drug-Drug Interaction Alerts: Time for a New ParadigmJon Duke, MD, MS
The document discusses issues with current drug-drug interaction alert systems. It notes that override rates for alerts remain very high, around 60-95%. While efforts have been made to improve alert usability and clinical context, they have not significantly reduced override rates. There is also inconsistency in how different clinical decision support systems handle the same drug interactions. The knowledge bases that power alerts also need ongoing management and updating to improve specificity. Overall, drug interaction alerts have low physician satisfaction and adherence due to perceived excessive, irrelevant alerts and suboptimal presentation. More work is still needed to optimize alerts and build trust in clinical decision support systems.
This document proposes evidence-enhanced product labeling (EPL) to better convey drug safety information and evidence to patients and providers. EPL would inject approved product labels with visual emphasis and on-demand displays of data from external sources like OHDSI. This would make the immense work of OHDSI more accessible while using a standard labeling reference. The EPL framework could work with any web application and is designed to flexibly incorporate novel evidence sources and presentation layers as OHDSI knowledge bases and APIs continue to develop.
ATTENZIONE: RACCONTO AD ALTO CONTENUTO EROTICO - VIETATO AI MINORI DI 18 ANNI !
Un’istitutrice veramente “speciale” avvia la sua pupilla a piaceri languidi e femminili.
Si prenderà “cura” della giovane Nicole fino all’atto più estremo del suo svezzamento erotico.
Un gioco troppo facile che, alla fine, si ritorce proprio contro di lei, in maniera del tutto inaspettata.
This document discusses dynamic product labeling, which customizes drug label information to be more patient-specific and relevant to providers. It proposes augmenting standard drug labels with additional data layers that can include observational data, literature evidence, adverse event reports, malpractice cases, provider historical data, and ontologies. This customized information would be overlaid on the standard drug label when a specific drug and patient are entered. The goal is to make drug safety information more useful for patients and providers by targeting it based on the individual drug and patient. It notes that such a system would require significant medical knowledge but that the technical framework could be lightweight using web technologies.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Introduction to Regenstrief's New Clinical Information SystemJon Duke, MD, MS
The document summarizes Regenstrief's next-generation clinical information system called Gopher. It describes how Gopher has evolved over 25+ years from a single clinic system to one serving over 1000 workstations. The new web-based version of Gopher was designed based on lessons learned from the past system as well as current literature on clinical systems. The summary describes some of Gopher's key features like order entry, documentation, clinical decision support, and integration with other systems. It also highlights novel aspects like dynamic alerts and natural language processing capabilities.
This document outlines a marketing campaign for Gatorade powder targeted at high school athletes. Research found that while athletes see practice as important, they don't treat it with the same importance as games. The campaign's goal is to position Gatorade powder as unlocking game performance even at practice. It will use television, magazine, social media, and video game ads to elevate the status of practice and showcase how Gatorade powder gives the same benefits as the drink version. The total budget for the three flight media plan spanning 12 months is $29 million.
Regenstrief Gopher CPOE 2013: Advances in CDS and Provider CollaborationJon Duke, MD, MS
Regenstrief's AMIA 2013 demonstration of the latest updates to the Gopher CPOE, including preemptive alerts, advanced rule authoring, real-time NLP, dynamic notes, and collaborative timeline.
This document provides updates on persecution of Christians in various countries around the world and calls for prayer for believers facing challenges in their faith. Updates include a man being released from prison in China for printing Bibles, a Christian man and his children in Somalia who were killed or kidnapped by rebels, Christians in Iran being harassed amid political unrest, efforts to distribute Bibles and gospel materials in China, North Korea and Colombia, and congregations in Indonesia and Pakistan facing opposition from officials and extremists in their worship. Prayer is requested for believers' protection, freedom, opportunities to witness, and for hearts to be open to the gospel message.
Being successful in life requires hard work, perseverance, and having strong values. Develop skills that are useful and help people to build a meaningful career. Maintain good relationships with others through kindness, honesty and respect.
La persona escogió la carrera de logística porque su experiencia laboral está relacionada con aspectos y procesos logísticos. Además, la carrera tiene un futuro prometedor debido a los tratados de libre comercio que se firmarán, especialmente con el mercado asiático. Un proceso logístico exitoso requiere planificar los procesos desde la materia prima hasta el producto terminado, incluyendo la cadena de abastecimiento, el transporte y la selección del medio de transporte apropiado según los costos.
This document discusses customizing electronic medical record (EMR) systems through advanced rule authoring. It introduces the Rule Authoring and Validation Environment (RAVE), a tool developed by Regenstrief Institute to empower stakeholders to customize EMR systems. RAVE allows users to mix and match "channels" like patients, alerts, orders, and observations to create rules without needing a programmer. Rules can be used for clinical decision support, alerts, or other functions. The RAVE generates standard rule syntax that can then be implemented in EMR systems.
Drug-Drug Interaction Alerts: Time for a New ParadigmJon Duke, MD, MS
The document discusses issues with current drug-drug interaction alert systems. It notes that override rates for alerts remain very high, around 60-95%. While efforts have been made to improve alert usability and clinical context, they have not significantly reduced override rates. There is also inconsistency in how different clinical decision support systems handle the same drug interactions. The knowledge bases that power alerts also need ongoing management and updating to improve specificity. Overall, drug interaction alerts have low physician satisfaction and adherence due to perceived excessive, irrelevant alerts and suboptimal presentation. More work is still needed to optimize alerts and build trust in clinical decision support systems.
This document proposes evidence-enhanced product labeling (EPL) to better convey drug safety information and evidence to patients and providers. EPL would inject approved product labels with visual emphasis and on-demand displays of data from external sources like OHDSI. This would make the immense work of OHDSI more accessible while using a standard labeling reference. The EPL framework could work with any web application and is designed to flexibly incorporate novel evidence sources and presentation layers as OHDSI knowledge bases and APIs continue to develop.
ATTENZIONE: RACCONTO AD ALTO CONTENUTO EROTICO - VIETATO AI MINORI DI 18 ANNI !
Un’istitutrice veramente “speciale” avvia la sua pupilla a piaceri languidi e femminili.
Si prenderà “cura” della giovane Nicole fino all’atto più estremo del suo svezzamento erotico.
Un gioco troppo facile che, alla fine, si ritorce proprio contro di lei, in maniera del tutto inaspettata.
Senza pretese artistiche, cercherò di riproporre i racconti di nonna Nicolina così come ce li raccontava lei.
È il mio modesto omaggio a mia nonna alla quale sono ancora legato al di là del tempo e delle dimensioni che ci dividono.
3. I REGALI NELLO SGABUZZINO
Il postino suonò due volte. Aveva fra le braccia un grosso pacco avvolto in
carta. «Avanti», disse una voce dall'interno.
Il postino entrò. Seduto in una poltrona c'era un vecchio.
«Guardi che stupendo paccone di Natale!» disse allegramente il postino.
«Grazie. Lo metta pure per terra», disse il vecchio con la voce più triste che
mai.
«Ma, signore, non dovrebbe fare un po' di festa a questo magnifico
regalo?».
«Non posso... Non posso proprio», disse il vecchio con le lacrime agli occhi.
E raccontò al postino la storia della figlia che si era sposata nella città vicina
ed era diventata ricca. Tutti gli anni gli mandava un pacco per Natale : «Da
tua figlia Luisa e marito». Mai un augurio personale, una visita, un invito:
«Vieni a passare il Natale con noi».
«Venga a vedere», aggiunse il vecchio e si alzò stancamente.
Il postino lo seguì fino ad uno sgabuzzino. Il vecchio aprì la porta.
«Lo sgabuzzino traboccava di regali natalizi. Erano tutti quelli dei Natali
precedenti. «Ma non li ha neanche aperti!» esclamò il postino allibito.
«No», disse mestamente il vecchio. «Non c'è amore dentro».
5. L’AQUILA DALLE ALI MOZZE E LA VOLPE
Una volta un’aquila fu catturata da un uomo. Questi le
mozzò le ali e poi la lasciò andare, perché vivesse in
mezzo al pollame di casa. L’aquila stava a capo chino e
non mangiava più per il dolore: sembrava un re in
catene. Poi la comperò un altro, il quale le strappò le
penne mozze e, con un unguento di mirra, gliele fece
ricrescere. Allora l’aquila prese il volo, afferrò con gli
artigli una lepre e gliela portò in dono. Ma la volpe che la
vide, ammonì: "I regali non devi farli a questo, ma
piuttosto al padrone di prima: questo è già buono per
natura; l’altro invece è meglio che tu lo rabbonisca,
perché non ti privi delle ali se ti acchiappa di nuovo".
Sta bene ricambiare generosamente i benefattori, ma
bisogna anche guardarsi prudentemente dai malvagi.
6. Il mito è una narrazione investita di
sacralità relativa alle origini del mondo o
alle modalità con cui il mondo stesso e le
creature viventi hanno raggiunto la forma
presente in un certo contesto socio
culturale o in un popolo specifico.
Di solito i suoi protagonisti sono dei ed
eroi come protagonisti delle origini del
mondo in un contesto sacrale.
