วันพุธที่ 25 พฤศจิกายน พ.ศ. 2552

Medical Malpractice Chronicles Number One

I am now retired, but in 30 years the specialty practice of general surgery. As a board-certified specialists, I have noted the many medical problems of our colleagues in the face. I think the public is not aware of the pressures that are applied to the medical community.

The public wonders why doctors leave the state in a state of practice with lower malpractice rates. They wonder why so many people leaving the profession and early retirement. You are notrealize, or perhaps do not even relate to the fact that misconduct rising prices - especially because of frivolous complaints or complaints are unfounded. Insurance benefits were reduced, unbelievable, and Medicare has continued to reduce its performance.

That is a huge squeeze play to reduce where many practitioners believe that to rise as their office costs and overheads continue and further their income, they are not able to practice medicine. MostThese people started their careers as physicians with high ideals, and they were trampled to this day. What was once considered a challenge, but a call for wonderful life is now the second set and the best people are smart enough not to go into medicine.

A sad story immediately comes to mind. This is the story of a good OB GYN doctor who was a bachelor. And as a result, the medicine was the greatest thing in his life. He took his office, every candidate, regardless of theirAbility to pay. He had a high percentage of non-payers. He continued to do so, and the result was a very large practice. So he had more than most of the operations and more on the potential medical legal problems.

Because of these facts, which he had more than a certain number of processes that the insurance company would accept. I do not know the number of frivolous claims or lawsuits without merit, that were brought against the doctor, but I know that was the doctor to get avery competent people. His insurance put it.

When did the insurance company, he could no longer practice because the hospitals require a physician to have a large amount of insurance. This is the hospital, because if the doctor is sued, protect and sue them all, which could possibly be associated with it. These include the hospital. In this case, when both the hospital and the doctor of the hospital will be sued, many times to take the brunt of the problem because of their"Deep Pockets". This means that the lawyers come to the hospital because they have more assets than an individual doctor. The result was that the doctor could no longer practice medicine. He was a very good man, and, indeed, would many of the doctors who send their wives to him for treatment, because they knew of his expertise.

This is one of many sad stories. It is one of the things to think if in the not too distant future, an individual is not able to find a doctor,willing to do the necessary operations.



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วันจันทร์ที่ 16 พฤศจิกายน พ.ศ. 2552

Doing a 'Does My Ex Still Love Me Quiz'

Find the wish that someone a "does my ex me quiz" that you could just fill it out and find the answers you need to know, could? Really, there is no reason why not bring a test is an element of insight, can be in a "heart". But it is a tricky thing to achieve the reality.

Why is this so? The quiz is a playful exercise only used to provide information regarding a specific topic. You can not expect a quiz to seriously the emotional dynamics of deepening yourRelationship. That is asking too much of a quiz. If you appreciate their limits and just use it for "possible feedback 'and then a quiz would have something for themselves and value. The question of whether my ex still loves me in a number of areas are divided. I always find it advantageous , starting with the "how, when, where and why" areas of questions. Example questions:

Did you break the relationship?
Has your ex with someone down?
Has your ex ever undertakencontact you?
Has your ex changed all his (their) bad habits?
Has your ex ever show any interest if he (she) see?
Has your ex-appear "brighter" if he (or she) see?
Is your ex long hours and looked tired and rundown?
Has your ex ever invite you and your group of friends?
Does your ex seem to "linger" around you, for no apparent reason?

As you can see this quiz try to figure out whether you and your ex are adsSigns of distress or attachment of any type of "loss" from the relationship. A sense of "history" and current practices are other aspects covered in these questions. Finally, many mistakes to break through and it is usually worthwhile to try it again. It's certainly a possibility of success if you want it badly enough! You may fail, but the danger is that you's. Doing a quiz about whether your ex still loves you can can not, or to help you something in yourself, yourSearch. So, a "not my ex I still try to quiz" and see what results you get. Good luck!



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วันจันทร์ที่ 9 พฤศจิกายน พ.ศ. 2552

Obama's Scholarship For Moms Program

Working mothers have a lot on his plate. So, if you have a working mother, the suggestion that you should go back to school and get your degree probably sounds ridiculous. But it is possible to completely overburdened school with no return. Lack of money may prevent one or the things that you are realizing your educational dreams. The Federal Government Scholarship for Moms program can be up to 9,000 U.S. dollars a year to help with your training.

This funding will help you to payfor tuition, books and other college expenses you may have. And it is particularly attractive for mothers to be able to use this scholarship money online!

You might want to move in your current occupation by additional training. Maybe you want to train an entire career, starting in a new field of work. In any case, you should be able to get your classes on the Internet and reach your goals. There are still interesting jobs in areas that still have a shortage ofqualified individuals. You can be in a situation of high demand by a degree in the right field of study.

Education contributes to poverty reduction; President Obama knows this. A college degree is almost always significantly increase your income. Employees who earn a college degree is almost always more salary than those who do not. And the promotion time, employers look favorably on someone with a college degree.

Now is a good time to go back to school. You can closeThey began to study earlier or just starting your college education. Scholarships for Mothers can help you, the financial burden of paying for college. You should consider what opportunities there are for you and your future.



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วันเสาร์ที่ 7 พฤศจิกายน พ.ศ. 2552

Understanding Reliability of Test Scores

Reliability is an essential characteristic of a good test. It is a way to give coherence and therefore the reliability of results by the students, even if repeated on several occasions and forms reached. Reliability can be "a measure of the consistency of results across different evaluators will be established for different periods. It is used to support elements of the level of scrutiny given to the candidates and get the real feel of his ability.

To eliminate reliabilityInconsistency arising from any error of measurement. Accorded the status of virtually any test can be considered absolutely reliable and completely trustworthy, because mistakes from time to time and situation to situation, which disagreements, because there are a lot of human errors and their perceptions. Would you take an example given on the same students on two separate occasions tests show the same values. In addition, the notes would be equal if the same test is altered in several ways. TheEffort has to increase the reliability by limiting the inevitable errors in measurement.

It is worth considering the factors that mean errors in the measurement of the test score to help leading to reduced reliability

• Faulty and inadequate samples: The content of the test must be complete with quality and quantity of opportunities guess work easier. The content of the test should have sufficient number of questions and these questions shouldexcellent quality and the intention to have a thorough knowledge of the candidate assess. Manage should be sure to put the correct number of test items that are no more and no less, and better quality. The elements of the sample test should be able to assess and distinguish the candidates what they earn and help with the assignment of reliability to the test. The test, if they should rise to various forms and manage to show consistent results. The test questions show the bestResults in terms of consistency and reliability when they brought in ascending order of difficulty. All too easy and difficult questions, if they are clustered together with little variation in the assessments of performance and reliability, and thus lowered the true test of skills.

• The language used in the construction of the test samples should be clear and be free of multiple interpretations.

• The environmental factors also play a role in extending the test resultsthe student. Extreme climate, noise, dim light, different test times to different student has to bring an influence on errors in line with the actual measurement of the caliber of the candidate. Personal factors such as poor health of the pupils, anxiety also affects performance in a big way.

• Correct contribute to health care benefits test scores also help to close, reliability and consistency correspond to the test. The examination is a right mix of objective testing as well as subjective essay type questions. Objective testshelp to decipher more precisely different services.

Type of reliability

• Test-retest reliability: This means that the test administered on the same candidates at least twice at different points of time and then correlated to ensure the reliability of the results. The correlations between zero is low, the reliability and high reliability 1 indicates. For example, children of class IX, the subject of an objective test or quiz on the biology are in April. After theirPromotion of class X, they are again on the same test set in December, there are likely to have different opinions.

• Alternative forms: Manage test 1 test to a group and then administer 2 to the same group and correlate the results.

• Split Half Reliability: It is to compare test results between the two groups of elements in the same test.

• Inter-rater reliability: Two or more independent inspectors / markers for the same test to increase the coherence and thus the reliability ofScores achieved by the candidate.

• Internal consistency: This is commonly referred to as Cronbach's alpha, which supports the Article correlations measured. The questions on the same topic are asked in a number of ways to help in dispensing more consistent. Alpha, 90 reflects the high level of reliability, 80 is of moderate reliability, and, 70 is of low reliability.



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วันพุธที่ 4 พฤศจิกายน พ.ศ. 2552

Verbal Abuse is Still Abuse

If you have never participated in a violent relationship, it is difficult to understand why someone is to continue in place Harms way.

The last straw for me came one night as I lay in bed next to my now ex-husband. For some reason he was angry, so angry to the point he turned to me and said, "I just want to blow your (starting) brains out and leave our children orphans."

After that I could not sleep for months, even though a friend of mine has helped me and the children getout.

It was as bi-polar diagnosis in the previous year. The same threat was a year ago, but I saw it differently, because I knew he was sick. The second time, but I have not seen any excuses. He had been on medication for over a year.

I was verbally by my now ex-husband abused for almost 10 years. A few years later I started counseling and it was then that I found what he had done for me is abuse.

I closed my advice a year ago, as my two oldestChildren. Thanks to support from friends, family and my best friend, who was also coach my life, I am a happy, confident person.

My ex-husband verbally abused me for years calling me every name in the book if I do not anything, or had things his own way.

For the longest time but I did not for abuse. When I started consulting, I was told months later that it was abuse.

I did not realize how bad my self, until I entered counseling. Since my children were sentto therapy and they also had a low self esteem issues. For the longest time I thought I was useless. My son was probably hit by all, though. He was just a child when all this happened to a head. He has behavior problems that I must keep DHS had counseling and services for children. Most of it has come, however, a lack of interaction with his father. Last year was a good friend of mine went to a male mentor for him. While he still has behavior issues, my sons in totalBehavior has greatly improved.

I stayed in the marriage for my children, at least for a while. However, I have tried the advice of a divorce lawyer on three occasions during the course of three years. Every time I was told that because my husband was the breadwinner, he would remember the house and car. The first two consultations, I had only a part-time seasonal job, although most of the time I stay at home mom. Finally I could get my own transportation, and my husband was veryunhappy about it.

Of the 10 years we were together (off and got married), I know only about two weeks in total, he was sober. Some days were worse than others with his drinking. Budweiser He loved so much. I passed. Our daughter saw how he fall down many times. He paid no attention, however, that his daughter walked by to see him, would get up drooling in the computer chair, or urine on himself because he was so drunk from the chair.

When he was sober, that if he was the mostbe verbally abusive. I've learned to keep my mouth shut and just accept everything. Whenever I said, doing the wrong thing all hell would break loose. I wish she screamed and cursed at every time. There was even the time he was standing in my face and shook his hand as if he wanted to beat me.

The most common names I was called is what you would call a bitch. If it was very bad, he added, stupid (Lot) is added.

There was some physical abuse, which occasionally happened. There were signs that I amonly just saw years later during the counseling sessions.

He was mad at me twice in a week and tried to push me down the stairs (13 steps). The first time I did not see it coming, and almost caught on the railing. Second time I was able to catch the railing before he could get a good push. During this period he was also locked me out of the apartment, when I called a relative for help. When he realized who I was, he spoke to me again

A few years later, he became angrywith me again, while living in our house. We sat down to speak when I said the wrong thing. He chased me upstairs pushed me into the wall. It was a struggle, then he threw a paint can full of Kilz me that struck into the wall. The fight went into the living room, where he hit me in the face. I was able to defend in self-defense knocks out a tooth.

At this time, but I felt because I had fought back (which I thought wrongly) that I had noMerit, and I was just as guilty.

That's not true though. I did not deserve to be attacked, and I had every right to defend myself.

It was after our son was born that my ex-husband began now signs that something was mentally wrong. He had just returned to work at home. One night he came very late and early from his 12-hour shift. He was balling his eyes out and did not know why. The next day I took him to our family doctor who gave him anti-depressants.He kept him out of work for a few weeks before the medication kicked in

I can not even count how many medications were switched. No matter what he still offensive to me. It did not matter how much I cared about him, stood by his side and defended him. He swore at me still.

Surprisingly, when it comes to family, they overlooked, while some others can not be easy, it has all those involved. This part of the reason why I do not see it as the abuse was.

When I was in counseling, I have triedto work on my marriage. My husband wanted to go with me and then quit several times. After a meeting with him, my adviser, who said to focus on restoring marriages happened to me, I had to get out of me. You could say that he abused and when she told me it was ok to leave, I knew this time I could say: I have tried everything.

I stopped and threw him out. Interestingly enough, he was to accept that it was over. He moved with his mother, got a job and is working on more soberly. He continues toearnestly to take his medication. He begins to spend more time with our children, valuable time. Recently, he began to go back into the church with the help of the children.

Every now and then, while I catch up with the anger, but this time I take for myself I have learned not to allow him to have control over me, which he hates. I am no longer afraid of him.

While my story is very low, but still abuse. What I learned is that most families do not want to get involved in situationslike this. If they had more physical abuse, I am sure they would have entered

If you feel they are abused, it is best to consult with someone neutral, like a counselor or clergy. Looking for a consultant who makes the community work. My advisor received a grant for community service. Churches will be able to help you find. Some pastors do the same advisory itself.



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