Whale of a joke


Little bit of dry humour from the science joke website continuing the whale theme from Friday/Saturday’s events on the Thames:

“The species of whale known as the black right whale has four kilos of brains and 1,000 kilos of testicles. If it thinks at all, we know what it is thinking about.”
Jon Lien, “Whale Professor” at St. John’s University, Newfoundland, speaking to the Norwegian Telegram Agency (spring 1995).

Or if you prefer exams:

“From an ecology exam at the University of Nottingham:
Q: What is the consequence of the extinction of whales?
A: “The sea level will fall, combating the effect of global warming.”

You ain’t seen nothing yet


I went to a very interesting meeting on London’s NHS IT last night, very informative, with an interesting point that at present the roll out has been of stand-alone systems. When these are connected up, as is the master plan so to speak, that’s when worries about who will have access to patient records will really take hold. The principle is that it’s based on your NHS work role, but that generally means you will have greater access to records than you really need. And it will be a hugely complicated system to administer and audit. If you think the sex offenders in schools was a tough one then go figure the challenges faced by one of the largest organisations in the world – the NHS. This is why training and education will be as important as physical security measures for records – soft systems as well as hard systems if you like.

On the plus side when the IT system implemented by Connecting for Health does connect up it will provide a national databank of great value to medical researchers – once the problems over data confidentiality have been sorted out!

Illyria – land of the free


The latest on the history of the pyramids:

“Illyria is a name that has been applied to the western part of the Balkan Peninsula but the origins of the Illyrians remain unclear. Archaeology has, though, been a little more helpful in explaining who the Illyrians were and ancient writings have provided clues as to their origins.

“It is understood that the Illyrians were a tribal people governed by chieftains, but the ancient written records tell little else of their culture, their language and their origins.

“It may be that the Illyrians were Indo-Europeans of an Aryan race – a Caucasoid people who are believed to have originated from the Caucasus Mountains in today’s Georgia republic south of Russia.

“Other research into ancient texts suggests evidence of an Illyrian migration from what is now present day Turkey.

“Albanian scholars and philologists alike contend that the meaning of the Illyrian name comes from the Albanian interpretation of the Illyrians, ‘Iliret’.

“The root in ‘Iliret is ‘i lir’ which simply means, ‘free’. Thus, the meaning of ‘Iliret’ is ‘freemen’ and the meaning of Illyria is ‘land of the free’.

“It appears that the Illyrians settled in the Balkan Peninsula at the end of the Bronze Age and the beginning of the Iron Age, sometime in the middle to late second millennium BC, although there is also evidence of artifacts resembling Illyrian types that date much earlier.

“The Illyrians were bearers of the Hallstatt culture – a period in history that denotes the transition from the use of bronze to iron in Central and Western Europe. Objects found in Illyrian burial places suggest more than average funeral rites; a known characteristic of the Hallstatt culture.

“Some other things are known about the life of Illyrians. Human sacrifice, for example, played a role in their ceremonies. The ancient historian, Arrian, records the Illyrian chieftain, Kleitus, sacrificing three boys, three girls and three rams just before his battle with Alexander the Great.

“Much of what we have learned about the Illyrians has come through archaeological exploration. The most common type of burial among the Illyrians was ‘tumulus’ or ‘mound’ burial. The kin of the first tumuli would be buried around that and the higher the status of those in these burials, the higher the mound.

“Archaeology has brought forth numerous artifacts placed within these tumuli such as weapons, ornaments, garments, and clay vessels – items needed for the journey into the Illyrian afterlife.

“Through archaeology, it is known that the Illyrians used many weapons and excavations have produced swords, javelins, battle-axes, bows and arrows as well as battle knives.

“When it came to defences, the Illyrian military equipped itself with wooden and leather shields that were embossed with metal. Their defences also included breastplates, helmets and leg protection, but those were probably reserved for the military elite.

“The geographical location of Illyria, deeply wooded and mountainous, made them a difficult race to conquer.

“The Illyrians, who were known to be a warlike people, were naturally incorporated into the Roman military and Illyricum itself became a leading recruiting grounds for Roman legions. The Romans even used the territory of Illyricum as a strategic defence because of its mountain ranges and valleys.

“In the late fourth century AD, when the Roman Empire became divided into the western and eastern empires, Illyricum would also be divided. The southern half of Illyricum was incorporated into the Byzantine, or Greek empire and northern Illyricum remained as part of the Roman, or Latin empire with the river Drin as the boundary between northern and southern Illyricum.

“The Illyrians in the highlands were not as Romanized as their lowland counterparts and some Illyrian highlanders would continue to reject Roman rule or ignore it altogether, such as the Albani tribe, or the Albanians as they are modernly known.

“The Roman geographer, Ptolemy, first records the Albani in the first century AD. Obviously, modern day Albania gets its name from them – although the Albani would soon be able to overthrow their Roman rulers.

“During the fifth century, Rome was overrun by the Visigoths – Germanic tribes who ransacked everything in their path, eventually capturing the western empire and ending Roman rule in 476.

“The Illyrians in the highlands were protected from these invaders and there was also little impact on the southern Illyrians, who were still under the protection of the Eastern empire.

“Later, however, the Slavic tribes – the Serbs, the Croats, and the Slovenes – conquered all of what was once Illyria proper. The inhabitants of Illyria then had to adapt to Slavic domination and culture. Thus, the Illyrians became thoroughly Slavonized and by the late ninth century AD, they disappeared into Slavic society all together except for the Albanians.

“As the last surviving tribe of the Illyrians, the Albanians have preserved a part of the Illyrian tongue and tradition that exists to this day.”

* International experts sought for pyramid excavations:
http://www.bosnianpyramid.com/index_files/Archive.html

Data death/data lives


Saw this report in today’s Guardian having just read the Connecting for Health 05/06 business plan. Surely if there’s one thing that would get the medical profession motivated about the benefits of C4H its that in a few years it will as a result (see Financial Times article on Monday) in an unparalleld national dataset on patient health which can be mined? But that opportunity will be wasted if the bureaucracy issue is not sorted:

“Tens of thousands of lives are being lost every year in the UK because medical researchers are hampered by bureaucracy in obtaining patient data, according to scientists. A report published yesterday by the Academy of Medical Sciences said that large population-scale medical studies are in jeopardy because of an “undue emphasis on privacy” by regulators.”

2005 best web technologies?


What were the highlights of 2005, in terms of new websites/applications? Here’s Ryan Carson’s choices on e-consultancy.com for your consideration:

1) Backpack

2) RSS

3) FeedBurner

4) Delicious 

5) Technorati

6) Flickr

7) Google Maps

8) AJAX

9) Ruby on Rails

NTL – it’s not the NFL (US football league)


Well it’s been two weeks, three visits, one formal complaint, a missed visit, two set top boxes, and numerous phone calls before NTL in simply trying to fix our NTL channel problem with unequal volume over different channels has finally concluded – they need to get the special tech team to sort it. Then of course I checked (cause no one told me if they’d finished the job) and it didn’t work. So after speaking to Tina at faults dept on Monday nights I have yet another engineer booked for Saturday. Is there no end to this?!

Chinese Admiral’s Legacy Ignites Tensions in Asia


Check it out – the Chinese Admiral Zheng He sailed around the world before Columbus only for his boats to be royally sunk. Life magazine ranked Zheng He the 14th most important person of the last millennium. He was a Muslim Hui Chinese:
뉴스게릴라들의 뉴스연대 – 오마이뉴스

Anita’s site


Just come across a useful links page on Anita Roddick’s website – Important Links – which I’ve also added to my del.icio.us links you can access on the bottom left menu bar..

NHS Connecting for Health Response


I was interested to read the NHS Connecting for Health response to the Medix survey of GPs on the progress to date. Perhaps CfH should set up a simple feedback site using Blog/Wiki technology, like Patient Opinion for patients, to encourage GPs to give their views? Also check out the Rod Space piece on this story.

“NHS Connecting for Health recognises that communicating with clinicians from a range of disciplines is essential. Our National Clinical Leads have been strengthening links with professional bodies representing clinicians through national clinical advisory groups, speaking at conferences, meeting with their peers and building networks. In addition, they have been ensuring that the views of the clinical community are represented to NHS Connecting for Health.

“Our own MORI research shows that NHS staff want to be engaged at local level. We have therefore been working through the Strategic Health Authorities to ensure that responsibility is shared and delivered at local level. For example, over a million leaflets went to NHS organisations last year to distribute to their clinicians and staff about the NHS Care Records Service. Further communications to NHS staff are planned.

“MORI work surveyed a range of NHS staff not just doctors and overall, the findings are positive:

  • Staff are supportive of what the programme is trying to achieve and consider it an important priority for the NHS.
  • Around half of staff are favourable towards the programme and around a quarter are neutral.
  • According to MORI, NHS staff awareness levels of NPfIT are as high as could reasonably be expected given that it is a relatively new initiative.
  • Staff agree on the benefits of the National Programme for IT (NPfIT) – that it will improve patient care, improve access to information and release more time to be spent with patients.

“It is well known that there is usually a dip in confidence in IT change programmes as early implementation gets underway – this is the phase that NHS Connecting for Health is in. Once people become familiar with new systems their confidence rises. For example, the Quality Management and Analysis System (QMAS) – delivered by NHS Connecting for Health – that enables GPs to get paid for the quality of their care is now ubiquitous and the survey shows that 75% of GPs think it is important.

“Media reporting tends to pick out the negative items. But there is much to be positive about in the full survey:

  • 59% of GPs and 66% of hospital doctors say that clinical care will be significantly improved in the longer term by NPfIT.
  • Over 50% of GPs and 40% of hospital doctors say they have had some / a lot of information about the NPfIT.
  • The majority of doctors are either neutral or think NPfIT will improve their working lives in the longer term.
  • The majority of doctors agree that NPfIT is a priority for the NHS.
  • Half of GPs and the majority of hospital doctors are neutral or positively supportive of NPfIT.

“However, the survey did not give doctors the opportunity to comment on some NPfIT services. For example 94% of GPs’ premises have had a new high speed, backed-up broadband connection installed at their surgery under the N3 programme. This is a foundation stone of NPfIT and the N3 programme is ahead of schedule.

“Concern was expressed on expenditure on NPfIT. However, the aggregated buying power via NHS Connecting for Health of the combined NHS has delivered huge savings over previous piecemeal approaches to IT procurement. Central purchasing of core systems will save the NHS an estimated £3.8 billion over ten years.

“We accept that the NHS has found it challenging to implement Choose and Book, due to the complex technical integration of old and new systems and the organisational and cultural change that is required. We have worked with the NHS to support their implentation efforts. Once people start to use it they become more supportive. Most importantly, Choose and Book is really valued by patients who have used it, they like the certainty of getting an appointment and when it suits them.

“A majority of doctors say there has not been adequate “personal” consultation with them about NPfIT. This is unsurprising given there are nearly 100,000 doctors in England. There has been significant consultation and discussion with doctors’ leaders and representatives and many, many clinical reference groups and user groups. In any case, 5% of responders are satisfied with the level of personal consultation. In aggregate this suggests some 4500 doctors have been personally consulted.”