Routinely reported data are typically the sort of data we use when we work on health care insurance data bases. So the article referenced below is very useful and accurate when working on health care insurance data bases.
Thanks to Hervé Maisonneuve Blog for having referenced this article.
Sometimes, it is good to stop, to take a little time to look at yourself, through the eyes of others. It is something I have tried to do throughout my life, but I think, I have reached the point, where I really have to stop doing it. It wouldn’t be a problem if the world understood what living with a chronic illness really means. Today is a perfect example. Today is pancake day, that means I have to spend a large part of it, making my Psyllium pancakes, essential to keeping my internal systems working. I have laid out before the work that it takes, the time that it takes and just how exhausting the whole process is to me. Trust me, this is probably the day in my current life, that has to be carried out frequently, that I hate. Through the eyes of others, it is one of…
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French health insurance for salaried executes algorithms on its databases with a public health purpose. The following published articles aim to target potential deviant behaviours or abuses that put at risk the health of the insured.
Patterns of methylphenidate use and assessment of its abuse and diversion in two French administrative areas using a proxy of deviant behaviour determined from a reimbursement database: main trends from 2005 to 2008.
Frauger E, Pauly V, Natali F, Pradel V, Reggio P, Coudert H, Thirion X, Micallef J.
CNS Drugs. 2011 May;25(5):415-24. doi: 10.2165/11587640-000000000-00000.
Pauly V, Frauger E, Pradel V, Rouby F, Berbis J, Natali F, Reggio P, Coudert H, Micallef J, Thirion X.
Drug Alcohol Depend. 2011 Jan 1;113(1):29-36. doi: 10.1016/j.drugalcdep.2010.06.016. Epub 2010 Aug 8.
Frauger E, Pauly V, Thirion X, Natali F, Pradel V, Reggio P, Rouby F, Coudert H, Micallef J.
Int Clin Psychopharmacol. 2009 Nov;24(6):318-24. doi: 10.1097/YIC.0b013e328330ae4b.
Pradel V, Delga C, Rouby F, Micallef J, Lapeyre-Mestre M.
CNS Drugs. 2010 Jul;24(7):611-20. doi: 10.2165/11531570-000000000-00000.
Leaving the bedside as a nurse for a management job was quite possibly one of the worst things I have ever done.
Now that I have returned to the bedside, I feel nervous, anxious, worried, and doubtful. And it sucks. Big time. Things as simple as an IV push medication have become anxiety-provoking. I am afraid I’ll forget something, forget everything, forget to chart a detail, forget to draw a lab, forget my brain at home.
Yes, it’s true. I have forgotten how it feels to be a confident floor nurse.
I have bit my tongue for quite some time about my stint in management, but when I look back upon that brief experience, I don’t have much to feel good about. I felt awful going to work almost every single shift. I never once felt that I was making a difference.
I felt like I was checking boxes.
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I have received in my mailbox the message below. The CEO of a French public
hospital would sue one of his Doctor for libel against his institution.
The point is that both the Doctor And the hospital CEO have the same
ultimate goal: to protect the Public Health Service.
They should, in my opinion , try to find a common ground. Filing a lawsuit
or attacking a public hospital in the media are not part of the solution but instead
are parts of the problem.
Below the message tha I have received:
De : alain braillon [mailto:xxxxxxxxx]
Envoyé : mercredi 24 juin 2015 17:13
À : Christian M
Objet : le Dr Marescaux poursuivi par son hôpital car il se bat pour la qualité des soins!
C’est est un brillant neurologue (voir PUBMED
Il s’inquiète du manque de moyens pour ses malades avec un AVC!
Son hôpital le poursuit en justice!
Ni le conseil de l’ordre des médecins, ni la Haute Autorité de Santé qui doivent pourtant être concernés, ne semblent agir.
Voici un lien avec son histoire dans Rue89
S’il vous plaît aidez : a) faites suivre; b) laissez une réponse en ligne pour montrer votre soutien; c) ou écrivez lui lui à xxxxxxxx.com … etc …
Il y a même une pétition http://www.petitions24.net/sauvetage_filiere_avc_aux_hopitaux_universitaires_de_strasbourg
Dr Alain Braillon http://braillon.net/alain/
Working on databases we should always be aware of the possibility of a re-identification attack on the data we release in our publications. Such possibilities are in fact very rare because we aggregate all our data in the articles we submit to publishers. Nevertheless the odds that our data could be re-identified are to be known. Mathematicians have brilliantly addressed the issue in the article referenced below:
Title: A Game Theoretic Framework for Analyzing Re-Identification Risk
Authors: Zhiyu Wan, Yevgeniy Vorobeychik, Weiyi Xia, Ellen Wright Clayton, Murat Kantarcioglu, Ranjit Ganta, Raymond Heatherly, Bradley A. Malin
Clearly the balance has to be found between on one hand the fines paid for the consequences of privacy violation and on the other hand the gain for authors and publishers in terms of respectively grants,notoriety,transparency, and audience for releasing accurate data and practicing data sharing which is what research is heading toward.
“Our readers are intelligent, well-educated scientists. Why should we make our language dumbed-down, patronising and imprecise in the name of ‘readability’?”
It’s a fair question. Here’s the answer.
Never talk down to your readers. But never waste their time, either. And scientists, while intelligent and educated, are also busy. As well as their research, they may have teaching, management or clinical duties to perform, funding applications to write, presentations to plan, journals to keep up to date with… They don’t have time to wade through verbiage in search of facts.
If you’re writing about something complex, then of course you need to give all the necessary detail. If you’re writing for specialists, you can use their specialist terms. But you don’t need to add verbal complexity beyond that. Keep it clear and direct. This makes your writing more efficient and more likely to succeed in communicating your message. It’s also…
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In this post, I want to talk about an issue that has been troubling me for as long as I have been writing this blog. Should I be using the singular they? That is, should I be using they as a gender-neutral pronoun for a grammatically singular antecedent? In general, I have not done so, but trying to fix this sentence from a recent post forced me to revisit that policy:
An established Harvard academic writing a book is doing something very different than a new doctoral student attempting their first article.
My usual way to circumvent this issue has been to use the plural. But that solution—‘doctoral students attempting their first articles’—worked dismally here. Making the whole sentence plural sounded daft, and making only the second half plural upset the comparison. So I left it as it was and made a note to make a more systematic decision later (and…
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“Where you stand . . . depends on where you sit . . .” The viewpoints you are most likely to advance (your stance politically, your opinions) are decisively determined by the place you occupy economically, in your career, in your community, in your organization, in society. We must not ever presume to speak for others; especially those outside of our scope, like the poor, the battered and bruised, the broken hearted, the “least of these.” We must ‘live’ there . . . and listen.
Three years ago, I sat in a very different place in life with very different viewpoints.
An entrepreneur, a social entrepreneur at that, making enough money to actually pay the bills.
Two income family.
Living in a middle class neighborhood.
Going to a middle class church in a poor neighborhood. (Made me feel better about church)
Wondering why those people in that poor…
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