A study on information induced medication errors

The electronic health record (eHR) system has recently been considered one of the biggest advancements in healthcare services. A personally controlled electronic health record (PCEHR) system is proposed by the Australian government to make the health system more agile, secure, and sustainable. Although the PCEHR system claims the electronic health records can be controlled by the patients, healthcare professionals and database/system operators may assist in disclosing the patients’ eHRs for retaliation or other ill purposes. As the conventional methods for preserving the privacy of eHRs solely trust the system operators, these data are vulnerable to be exploited by the authorised personnel in an immoral/unethical way. Furthermore, issues such as the sheer number of eHRs, their sensitive nature, flexible access, and efficient user revocation have remained the most important challenges towards fine-grained, cryptographically enforced data access control. In this paper we propose a patient centric cloud-based PCEHR framework, which employs a homomorphic encryption technique in storing the eHRs. The proposed system ensures the control of both access and privacy of eHRs stored in the cloud database

Career Experiences of Counselor Educators: Early and Near-Tenure Experiences

Counselor educators near the tenure years (5-10 years) experience challenges that differentiate them from their early and late career colleagues, regardless of tenure status. The following phenomenological study sought to ascertain the experiences of counselor education faculty during these distinct years of their academic careers. Eight counselor educators were interviewed and themes were derived, including a need for increased support pre- and post-tenure, adequate doctoral level preparation for faculty roles, and challenges in balancing the functions within and outside of the academy. Recommendations for current and emerging counselor educators are provided

Career Experiences of Counselor Educators: Early and Near-Tenure Experiences

Counselor educators near the tenure years (5-10 years) experience challenges that differentiate them from their early and late career colleagues, regardless of tenure status. The following phenomenological study sought to ascertain the experiences of counselor education faculty during these distinct years of their academic careers. Eight counselor educators were interviewed and themes were derived, including a need for increased support pre- and post-tenure, adequate doctoral level preparation for faculty roles, and challenges in balancing the functions within and outside of the academy. Recommendations for current and emerging counselor educators are provided

Big data in healthcare: What is it used for?

Big data analytics is a growth area with the potential to provide useful insight in healthcare. Whilst many dimensions of big data still present issues in its use and adoption, such as managing the volume, variety, velocity, veracity, and value, the accuracy, integrity, and semantic interpretation are of greater concern in clinical application. However, such challenges have not deterred the use and exploration of big data as an evidence source in healthcare. This drives the need to investigate healthcare information to control and reduce the burgeoning cost of healthcare, as well as to seek evidence to improve patient outcomes. Whilst there are a number of well-publicised examples of the use of big data in health, such as Google Flu and HealthMap, there is no general classification of its uses to date. This study used a systemic review methodology to create a categorisation of big data use in healthcare. The results indicate that the natural classification is not clinical application based, rather it falls into four broad categories: administration and delivery, clinical decision support (with a sub category of clinical information), consumer behaviour, and support services. Further, the results demonstrate that the use of big data in all examples in the literature is not singular in its approach and each study covers multiple use and application areas. This study provides a baseline to assess the proliferation of the use of big data in healthcare and can assist in the understanding the breadth of big data applications

Establishment and characterization of primary human pancreatic carcinoma in continuous cell culture and in nude mice.

Primary human panceratic exocrine adenocarcinoma has been established in tissue culture and as xenografts in immune-deficient nu/nu mice. The cell line has a doubling time of 36 h and grows as a confluent monolayer together with a constant population of free-floating cells. Evidence of tumourigenicity was provided by growth on an early diploid fibroblast monolayer and in soft agar, and as solid tumours in immune-deficient nu/mu mice. Chromosome analysis of the cultured cells confirmed their tumour origin. Xenografts established from the cell line or directly from primary tumour tissue have retained a similar histology to the original tumour on serial transplantation. An electrophoretic study of exportable pancreatic digestive enzymes and a number of intracellular enzymes has shown that the cell line and xenografts maintain a human intracellular enzyme profile, but do not produce pancreatic digestive enzymes

Macroscopic Quantum Tunneling of a Fluxon in a Long Josephson Junction

Macroscopic quantum tunneling (MQT) for a single fluxon moving along a long Josephson junction is studied theoretically. To introduce a fluxon-pinning force, we consider inhomogeneities made by modifying thickness of an insulating layer locally. Two different situations are studied: one is the quantum tunneling from a metastable state caused by a single inhomogeneity, and the other is the quantum tunneling in a two-state system made by two inhomogeneities. In the quantum tunneling from a metastable state, the decay rate is estimated within the WKB approximation. Dissipation effects on a fluxon dynamics are taken into account by the Caldeira-Leggett theory. We propose a device to observe quantum tunneling of a fluxon experimentally. Required experimental resolutions to observe MQT of a fluxon seem attainable within the presently available micro-fabrication technique. For the two-state system, we study quantum resonance between two stable states, i.e., macroscopic quantum coherence (MQC). From the estimate for dissipation coefficients due to quasiparticle tunneling, the observation of MQC appears to be possible within the Caldeira-Leggett theory.Comment: 30 pages LaTeX including 11 PS figures, using jpsj.sty. To be published on J. Phys. Soc. Jpn. Overestimates for damping amplitude is correcte

Quantum Manipulations of Small Josephson Junctions

Low-capacitance Josephson junction arrays in the parameter range where single charges can be controlled are suggested as possible physical realizations of the elements which have been considered in the context of quantum computers. We discuss single and multiple quantum bit systems. The systems are controlled by applied gate voltages, which also allow the necessary manipulation of the quantum states. We estimate that the phase coherence time is sufficiently long for experimental demonstration of the principles of quantum computation.Comment: RevTex, 15 pages,4 postscript figures, uuencoded, submitted to Phys. Rev. Lett., estimates of the experimental parameters correcte