Culture


Doctors Give Patients 11 Seconds To Explain Reason For Visit Before Interrupting

21 July 2018

Ever feel like your doctor is in a rush to get you out the door when you come in for a visit? You’re not just imagining things. A new study finds physicians give a patient an average of just 11 seconds to describe their issue before cutting them off.

Researchers from the University of Florida determined that for all the waiting we do after we arrive at a medical practitioner’s office, its the doctors who seem to have the least amount of patience. The study showed that just a third of physicians give patients adequate time to explain why they’re there.

“Our results suggest that we are far from achieving patient-centered care,” says study co-author Naykky Singh Ospina in a release, adding that medicals specialists proved to be in the biggest hurry, compared to primary care physicians.

Singh Ospina, who led the research team, sought to examine the flow of conversation between clinicians and patients, and more importantly, see how viable it was for the most important person in the room — the patient, of course — to lead the discussion. Her researchers secured videos of consultations that were filmed in clinics across the U.S. as training sessions for the physicians between 2008 and 2015.

The team specifically analyzed the first few minutes of the 112 consultations, looking to find out how frequently doctors let the patients dictate the conversation through inquiries such as “Tell me what brings you in today,” or “What can I do for you today?” If patients were given the opportunity to set the agenda, the researchers then timed the responses to see how long they could speak before the doctor interrupted them.

The results showed that just 36% of doctors ask questions that allowed patients to set the agenda, but two-thirds (67%) of those patients were interrupted after responding. Researchers calculated the doctors cut patients off 11 seconds on average into a response, while those who were able to describe their issue in full needed only six seconds to do so.

“If done respectfully and with the patient’s best interest in mind, interruptions to the patient’s discourse may clarify or focus the conversation, and thus benefit patients,” says Singh Ospina. “Yet, it seems rather unlikely that an interruption, even to clarify or focus, could be beneficial at the early stage in the encounter.”

The results also showed that only 20% of specialists give patients the opportunity to describe their issue at the onset of a consultation, though it’s certainly possible because they’ve already been briefed on a patient’s problem through a referral or a nurse’s inquiry. Conversely, half of primary care physicians reviewed in the study inquired about a patient’s agenda off the bat.

 

 

source/read more: https://www.studyfinds.org/doctors-give-patients-11-seconds-describe-visit/

 

Full study here: https://link.springer.com/article/10.1007/s11606-018-4540-5

New road signs can detect mobile phones are being used in vehicles

 

11th july 2018

Road signs that know when a mobile phone is being used in a moving vehicle are being installed in Norfolk, in a bid to tackle usage behind the wheel.

The system, which can tell the difference between active phone calls and other activities based on the strength of a signal and how long it lasts, flashes up a red warning signal to drivers when it detects a call.

The technology cannot yet log number plates or be used to help catch offending drivers, but it is hoped it will act as a deterrent.

Holding a phone while driving was outlawed in the UK in 2003 but 23% of people admitted to taking a call in last year’s RAC Report on Motoring.

Inspector Jonathan Chapman from Norfolk Roads Policing said: “This scheme is a good example of how we can work with local authorities to make using a mobile phone whilst driving as socially unacceptable as drink or drug-driving.

“Any scheme which prevents this kind of behaviour is welcomed. Using a mobile phone at the wheel is one of the fatal four road offences which can have devastating consequences if it causes a fatal or serious collision.

“We will be using the information provided by Norfolk County Council’s road safety team to help us target drivers in the future but the message is simple – leave your phone alone whilst you’re behind the wheel.”

Norfolk County Council’s road safety team have worked with speed and warning sign specialists Westcotec on deploying the next-level signs, which are a first for UK roads.

The system is able to simultaneously detect bluetooth signals so that anyone legally in a call via their car’s speakers is not wrongly issued a warning.

Although the signs are unable to log offending number plates, such a feature is being considered for development in the future. There is also no facility for the signs to record footage.

For now, a counter will keep track of phone usage on the road to help authorities understand driver habits.

Diane Steiner, deputy director of public health said: “Our priority in public health is to make Norfolk a healthy and safe place to live and the new technology enables us to provide a reminder to drivers who may be using their handset whilst driving.

 

 

 

 

 

source:http://home.bt.com/tech-gadgets/tech-news/new-road-signs-can-detect-mobile-phones-are-being-used-in-vehicles-11364282956723

Anti-gun protester David Hogg — protected by armed guards?

24th June 2018

David Hogg is a VIP now.

The 18-year-old attended the Parkland, Florida school where a student murdered 17 people in February, then made himself famous with relentless calls for gun control in the wake of the tragedy.

Now he’s got a book deal, and publicists — and armed guards.

Sean Di Somma snapped some pictures of Hogg strolling the streets of New York City recently with his new entourage in tow.

 

 

 

source/read more: http://www.theamericanmirror.com/anti-gun-protester-david-hogg-struts-through-nyc-with-armed-guards/

http://www.dailymail.co.uk/news/article-5877331/Parkland-survivor-David-Hogg-seen-New-York-City-armed-security-guards.html

 

Facebook Will Harass You Mercilessly if You Try to Break Up

20th June 2018

Breaking up with Facebook is apparently as difficult as breaking up with a bad boyfriend or girlfriend who won’t accept your decision. That’s the experience Henry Grabar of Slate had when he stopped signing on. He stopped logging in on June 6 and stayed off Facebook for ten days. He had been a member for over ten years and this was the longest period he had remained off the social network. But Facebook didn’t leave him alone. He received 17 email messages in a span of nine days urging him to return.

Grabar is not alone in trying to wean himself off Facebook for various reasons. Some do it because they realize it can be a waste of time, while others do it because of the company’s inability to protect (or lack of interest in protecting) its members’ personal data. The company has mistakenly released data of nearly 100 million of its members and friends of members to third parties, and many of them have used the data for illicit purposes. While Facebook says they are not losing members, some recent statistics paint a different story. According to a Pew study, only 51 percent of U.S. teenagers use the service now, down from 71 percent in 2015. This was the first time the numbers have fallen.

Grabar found that the messages he received actually reinforced his decision to stay off the platform. On one day he received two emails telling him a distant friend had posted a new photo. On another day he received a message telling him that 88 people liked a post in a group he belonged to. And on another day he received an email telling him there was a post to his college alumni group.

A few days later he was notified in an email that a few dozen members of a group he belonged to had commented about a news article. The email notices followed along these lines and included more messages about Facebook friends adding new photos or commenting on other posts, and even emailing him reminders to “see what people are talking about in your group.” Then he received an email in the middle of the night asking, “You up? How about a little late-night content from a guy on your soccer team who is the little brother of your colleague’s boyfriend?”

The following day there was an email saying, “5 people like a post in your group.” And another: “603 people like a photo in your group.” It continued much like this over the ten days he was off.

 

 

 

 

source/read more:https://pjmedia.com/trending/facebook-will-harass-you-mercilessly-if-you-try-to-break-up/

This nation faces a DNA dilemma: Whether to notify people carrying cancer genes

18th June 2018

Sometime in the future, U.S. researchers will be able to press a button and reliably identify the thousands of people who carry cancer-causing genes, including those that trigger breast cancer.

In Iceland, that day is already here. With a relatively uniform population and extensive DNA databases, Iceland could easily pinpoint which of its people are predisposed to certain diseases, and notify them immediately. So far, the government has refused to do so. Why? Iceland confronts legal and ethical obstacles that have divided the nation and foreshadow what larger countries may soon face.

Since the late 1990s, tens of thousands of Icelanders have agreed to contribute their DNA to a public-private science projects aimed at delivering medical breakthroughs. But in contributing their DNA — and in many cases, their medical records — these people never explicitly consented to be notified of personal health risks that scientists might discover.

Icelandic regulators have determined that without that explicit consent, neither the government nor private industry can notify people of these risks.

“That is utter, thorough bulls–t,” Dr. Kári Stefánsson, a world-renowned Icelandic neurologist and biotech leader who has been at the center of the nation’s DNA debate, told McClatchy in an interview in his Reykjavík office. “There is a tradition in American society, there is a tradition in Icelandic society, to save people who are in life-threatening situations, without asking them for informed consent. Should there be a different rule if the danger is because of a mutated gene?”

In Iceland more than anywhere, the promises of technology and “personalized medicine” are clashing with concerns over privacy and medical norms. In the United States and elsewhere, scientists and doctors will soon have the capability to tell people about their predispositions to diseases. But at what age should they be told, and with what caveats? Should researchers only tell individuals about diseases that can be prevented — such as with a mastectomy — as opposed to those they can’t stop, such as Alzheimer’s? And what if people don’t want to know?

source: https://www.mcclatchydc.com/news/nation-world/article213014904.html

Bill Clinton ‘son’ calls for ‘dad’ to take paternity test

18th June 2018

Danney Williams still wants to have a relationship with the man he calls his “dad.”

This Father’s Day, Williams, who says Bill Clinton is his father, is backing calls for Clinton to undergo a paternity test to prove — or disprove — his assertion.

“Retweet!” Williams tweeted, sharing a post from Carl Barvensky Paul, who urged President Trump to use his “presidential power” to get Clinton to do a DNA test.

“I’m willing to pay for the test including a $20k donation on your next campaign,” he said.

He retweeted a tweet from Right Chick, who urged Clinton take a paternity test.

“In doing so,” she wrote, “one of two things will happen:

1. Finally legitimize & acknowledge your son @danney_williams.

OR

2. Put the rumors to rest forever

She included the hashtags “#BillClintonSon” and “#ClintonKid”.

Appearing at the National Press Club shortly before the 2016 election, Williams made an emotional plea to Clinton intern and lover Monica Lewinsky, but also to the people he says are his family.

“I also want to take this opportunity to appeal to my step-mom, Hillary Clinton,” Williams said.

“She has the power to have Bill Clinton provide a DNA sample,” which Williams is attempting to secure through threatened legal action.

“I heard Hillary say she spent her life helping children. If black lives truly matter to her, why not mine?” he said.

“Why don’t you care about me, Hillary? Are you embarrassed about me? Hillary, are you ashamed of me? I am black, I am real,” he said, appearing to fight back tears.

“Hillary, please don’t deny my existence. You are my step-mother, Chelsea is my sister, Bill Clinton is my father,” Williams said.

“Please just step up at this time and treat me like the equal member of your family.

“I heard her say before it takes a village to raise a kid, I just want her to accept me in her village today,” Williams said.

 

 

 

source/read more: http://www.theamericanmirror.com/fathers-day-bill-clinton-son-calls-for-dad-to-take-paternity-test/

Stress test: saliva swab detects workplace burnout

17th July 2018

A simple saliva test can show within hours whether someone on the job is overly stressed and at risk of burnout, researchers said Friday.

Measuring levels of the anti-stress hormone cortisol at different times of the day more accurately reveals stress levels than more complicated measures, including blood tests, they reported in the peer-reviewed journal Scientific Reports.

In experiments, scientists compared healthy workers with burnout patients diagnosed by psychologists.

“People who were identified as having a high level of work-related stress had noticeably higher cortisol values at midday and also in the evening,” the study said.

“This means that we can use these markets for preventively identifying people who are at greater risk of burnout.”

The results were nearly “100 percent accurate,” the researchers said in a statement.

Workplace stress is increasingly recognised as a widespread and costly problem.

source/read more: https://www.yahoo.com/news/stress-test-saliva-swab-detects-workplace-burnout-162145768.html

California becomes first state to pass water law limiting toilet flushes

6th June 2018

California has become the first state in the nation to pass a controversial new law that places tough limits on home water usage, KOVR-TV reported.

That means the state will have “more focus on flushes and scrutiny over showers,” according to the report.

How many gallons per day can people use?

Starting in 2022, California will limit water to 55 gallons per-person, per-day. By 2030, the amount falls to 50 gallons.

To put this into perspective, just taking one eight-minute shower (17 gallons of water) and doing one load of laundry (up to 40 gallons) is enough to exceed the 55-gallon limit. Taking a bath can use 80 to 100 gallons of water.

Why is the state doing this?

“So that everyone in California is at least integrating efficiency into our preparations for climate change,” said Felicia Marcus, chair of the State Water Resources Control Board.

Some residents said the limits are unrealistic.

“With a child and every day having to wash clothes, that’s — just my opinion — not feasible. But I get it and I understand that we’re trying to preserve, but 55 gallons a day?” Sacramento mom Tanya Allen, who has a 4-year-old daughter, said to KOVR.

Rocka Mitchell and his wife, Ginger, agreed that the water limits would be difficult to meet.

“She likes to bathe three times a day and she does laundry all day,” Rocka Mitchell said of his wife.

How would people achieve this?

Water-efficient fixtures could be used to help homeowners cut back on how much water they use, advocates say.

 

 

 

 

source/read more:https://www.theblaze.com/news/2018/06/01/california-becomes-first-state-to-pass-water-law-limiting-toilet-flushes-showers