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Would You Hire This Guy?

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Resume for November Hire.

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Written by patwa

26/07/2012 at 1:25 pm

Iatrogenic Disease :: Hello Hospitals?

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[Photo too disturbing to publish goes here]

Flesh, cells and protein rot.  You’ve seen vegetables disintegrating into piles of squashed odor and off-beat color.  You’ve smelled rancid milk.  You didn’t eat that meat or the fish that seemed a little off. You know that wounds are risky sites.

Social niceness keeps us in the dark about the decadent reality of human flesh. It rots fast.  My great grand-aunt went  to gangrene (we’re so sorry, it was a hospital infection, as they used to say) while in hospital care  for a broken bone in a suburb of Washington, DC that begins with B.  I was six years old and I’ve never forgotten the odor, her pain and death.

Political and business interests avoid revealing the facts of iatrogenic disease, which is a fancy name for infection that starts in medical settings — clinics, emergency rooms, ICU, surgeries, waiting rooms, examining rooms, and all the other places where practitioners of all stripes wear latex gloves but forget to wash their hands.

Read more about staph infections and the many ways they are transmitted in medical settings.  Know the symptoms and act immediately to secure proper care.  Understand how to protect yourself from infection after or during emergency care settings, particularly in certain states, provinces, regions and countries where you’d think medical care is universally top notch, but in fact, it’s not.   Not by a long shot.  Read Ivan Illich’s book Medical Nemesis.

The key to evaluating medical care  is not counting how many successful transplants or open heart surgeries occur, nor how many elaborate imaging and analytic processes are on offer, but knowing the incidence of staph infection acquired during brief emergency room encounters or infection associated with routine procedures will help you keep your flesh, and your life.

Does the U.S. Center for Disease Control weekly Morbidity and Mortality report include iatrogenic staph infection numbers?  Australia started publishing the numbers in 2011.  Does your state or country?

Did you know common staphylococcus aureus infections are resistant to medication?

Look at this mess of medical malpractice and lack of knowledge management reported by Maureen Dowd in the New York Times.  Here’s a fast solution —  Each patient on intake receives a secure wiki page in the hospital’s online LAN on which all comment, diagnosis, data, treatment and symptoms are noted so that all practitioners, family and institutions caring for the individual can monitor progress and decline.  Maybe it will prevent decline and iatrogenic disease and death.  Wikis can be created in seconds. Any medical idiot can add content and there are certainly plenty of them to go around.

Florida  2012

http://www.cbsnews.com/8301-504763_162-57431162-10391704/aimee-copeland-24-battles-flesh-eating-necrotizing-fasciitis-following-zip-lining-accident/

“…was zip-lining last Tuesday near her home with her friends when she suffered a cut on her calf that required 22 staples to close. She came back to the emergency room at Tanner Medical Center in Carrollton, Ga. …”

Perhaps the staphylococcus aureus infection and subsequent necrotizing fascists commenced but after contact in the emergency room where her leg was stapled (!) together.  The cut wasn’t the source of infection, but the subsequent emergency room contacts infected her.

Florida 2012

http://www.firstcoastnews.com/news/article/257238/3/Starke-man-dies-after-fight-with-necrotizing-fasciitis

Florida – Tampa

http://www.dailymail.co.uk/news/article-2163297/Flesh-eating-bacteria-Lisa-Maria-Carter-sues-Tampa-hospital-losing-hands-feet.html

South Carolina 2012

http://www.wtsp.com/news/health/article/255604/12/Another-woman-victim-of-flesh-eating-bacteria

“It’s caused by two usually common bacteria, streptococcus and staphylococcus aureus …”

commonly found in hospital emergency room settings as well as on the human body.

Resources:

http://www.soilandhealth.org/03sov/0303critic/030313illich/Frame.Illich.Ch1.html

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5953a1.htm?s_cid=mm5953a1_w

http://www.fidanoski.ca/medicine/staphylococcus-streptococcus.htm

http://www.abcactionnews.com/dpp/news/state/golf-outing-palm-frond-leads-to-flesh-eating-disease-necrotizing-fasciitis-for-florida-man

http://www.amazon.com/American-Way-Death-Revisited/dp/0679771867/ref=sr_1_1?s=books&ie=UTF8&qid=1287503475&sr=1-1

http://www.ncbi.nlm.nih.gov/pubmed/18476182

Written by patwa

18/07/2012 at 1:11 pm

Mapping Party :: Congressional Cemetery Washington DC

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OpenStreetMap.org holds a mapping party at Congressional Cemetery on Sunday, July 15 10 a.m. to 3 pm.

OpenStreetMap (OSM) is a collaborative project to create a free editable map of the world. Two major driving forces behind the establishment and growth of OSM have been restrictions on use or availability of map information across much of the world and the advent of inexpensive portable satellite navigation devices.

I heard about this project at Wikimania 2012 which is going on this week at George Washington University and other venues around town including  Tech@State events.

Written by patwa

14/07/2012 at 7:09 pm

Margaret Atwood at Georgetown University

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In Gaston Hall, on the evening of April 2, 2012 Margaret Atwood mused on debt, payback, revenge and  Image  what might the world be like now if the events of September 11, 2001 has been forgiven (after a period of thoughtful mourning) by the affected nations and their political leaders instead of a trigger excuse to bomb a swath of the Middle East and Central Asia into smithereens, killing hundreds of thousands of ordinary people and extending the dull-minded cycle of revenge.

Never mind, it didn’t happen that way.  Forgiveness costs too much.

But what is the price of payback? Image

Does anyone know the number of multi-national soldiers who have died in the endless Middle East wars? Does anyone know the number of children, elders, women and men killed because they were in the way of military actions in Ir-Af-Pak during the decades after 2001?

My thought is that forgiveness is a magnificent gesture of leadership.  It would require a period of sorrowful reflection and consultation with the other countries whose nationals perished in the event.

*  2,176 of the people who died at the WTC were born in the USA.

*  573 were born in other countries.

*  Data in the report noted below are based on 2,746 death certificates filed with the Office of Vital Records and 3   deaths that were reported outside New York City through October 31, 2003.

* Data on total deaths related to the events of that day in New York, Pennsylvania and Virginia were not included in the WTC Disaster Death report authored by the City of New York.

Source: Departent of Mental and Mental Hygiene, Bureau of Vital Statistics, The City of New York.  Special Section: World Trade Center Disaster Deaths, December 2003.  http://www.nyc.gov/health

Written by patwa

03/04/2012 at 2:55 pm

This Mountain :: That Border

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Llivia is a town under Basque Spanish jurisdiction yet  it is completely surrounded by France.

Andorra is another Pyrénées Mountain region divided between France and Spain during 1276, as part of feudal settlement by the Bishop of Urgell and the Count of Foix. Their political descendants were the Kings of France and in current times, the President of the Republic of France.

Border specifics might not always be clear to the people, herds and horsemen in the area.  Thousands of French troops migrated into Spain from the early decades of the 1800’s onward, starting but not limited to Napoleon’s invasion.  Warning shouts and, if not heeded, shots, kept the traders and contraband runners inside the border lines of their respective countries.

19th c. Royalist France was trying to shut out disease (cholera) and liberal ideas.  Earlier,  Napoleon was bent on keeping France free of English colonial resources and soldiers. The area remained a hot spot, disputed particularly because surveyors and political forces didn’t know where one mountain range left off and the next began.  What appeared to some observers as the northerly edge of  the Pyrenees was actually the Corbieres range running from Narbonne on the Mediterranean coast, south west towards the Ariege.  Constant battling and raiding caused village administrative and legal records or archives to be looted and burned.  Sometimes there was intentional looting of church ledgers and records during anti-clerical phases, where many demographic records were recorded.

Written by patwa

26/05/2011 at 6:02 pm

Reality Check

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Organizational Culture shows us how governments, corporations, associations and other organizations manage their story and proactively shape their message.  Al-Qaeda has an organizational culture just like any other entity and hey, it’s run by a guy in the construction business with a bunch of sub-contractors who deliver their trade which happens to be self-inflicted mayhem and death.

The U.S. is a squeamish organization — we don’t like to see blood and heart-breaking scenes and we don’t like to violate our values and standards by using taboo subjects (religion, race, ethnicity, gender, etc) to our advantage in an information campaign. The U.S. is tough minded when it has to be, but its organizational culture steers away from making decisions, embracing necessary change or cutting off what isn’t working.

The government has pathological difficulty in cutting off funding for what isn’t working.  That would be the “war” in Afghanistan and the “deomacratization” of Iraq and Afghanistan.

Throwing money and human beings in the form of soldiers at problems that require tougher decisions and a longer term frame of reference is how the U.S. has avoided the painful work of facing reality.  Now reality means no more money.  Perhaps, at last,  bankruptcy and debt will force prudent decisions.

Written by patwa

10/11/2009 at 12:51 am

Age :: Debt and who will take care of Grandma?

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Older Chinese Couple

 

In 2000, 6.8 percent of China’s vast population were age 65 or older.

By 2025, 13.4 percent of China’s population will be age 65 or older.

Source:  Eberstat, N. (2004, Fall) Four Surprises in Global Demography. Orbis 48, 4:673-684.  p. 676

So what does that mean for ordinary people?  China depends on families to look after the health and welfare of its elderly population. The one-child policy has been effective in stabilizing population growth, but the replacement population is skewed to males.

China may need a gender based immigration policy to continue a stable replacement worker population to continue the growth which can support the rapidly aging population through individual care or a national pension scheme.

China will always have a vast population, so that demographic impacts may not be as deep, but widespread.  The political history has been to shift populations around the territory in order to support continued growth, populate empty areas and stimulate development. However, soon China will have a top heavy aged population — and the stereotype that Chinese are long-lived applies here — with many of those elders without family members to care for them.  Some of those sole offspring did not survive or did not reproduce because of the under-representation of females since the one-child policy took effect. Some emigrated.

China will have to revisit the current policy on pensions and health care. This may provide emerging market opportunities for developed nations to provide China with services such as elder care and health care delivery.

And, look out China, under-educated, unskilled American females may be headed your way to pick up prosperous spouses.

Debt

Did you know…..China’s public debt as a percent of GDP  —  16.20 (2008 est.), #101 on the global list. India’s public debt as a percent of GDP — 61.30 (2008 est.) # 23.  The public debt of the United States — 60.80 in relation to GDP (2007 est.) #24 on the list.

Source: CIA (2009). Country Comparison::Public Debt. The World Factbook. Retrieved October 3, 2009 from: https://www.cia.gov/library/publications/the-world-factbook/rankorder/2186rank.html

The U.S. was only a notch ahead of India on the amount of public debt as a percentage of GDP in 2008, using data prior to the global economic implosion.

While India and the U.S. will retain their robust populations to continue economic dynamism, by 2050 half of the U.S. population will be middle-aged or older.

India and the U.S. have similar profiles  of public debt in relation to GDP, but working-aged population is projected to diverge.  This will impact U.S. ability to sustain its economic growth pattern in relation to mounting proportion of public debt. If  the U.S. enhances trade partnerships with the more stable and growing economies such as India, the U.S.  economic outcome may improve.

Great-Grandmama may be able to afford a caregiver — a sponsored immigrant from India who speaks excellent English and has nursing training.

Resources: http://www.Kumarafoundation.com

Written by patwa

01/11/2009 at 11:38 pm

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