Thursday, January 20, 2011

Sources For Cydia 2010 Pokemon

a catheter in the Perfidious Albion (London, day 1) Guinea Pig

Six and thirty-five minutes in the morning. The alarm clock and wake up as if they were not six thirty-five. I'm going to London to spend a few days. Tomorrow and celebrates the winter meeting of the Executive Committee WISTA. At seven I'm closing the case. Fill the case becomes a stressful task that I can not dominate at all, despite the years. We must try to bring as little as possible to avoid becoming overweight around. Must no longer basic necessities such as sunglasses or the anti-cellulite gel. Lo sunglasses is terrible. They come in a huge coffin-like cases there is no way to fit in any bag of medium size. Whenever I browse the Hello I wonder how they do the famous. I'm sure you have a valet oriental sandals walking two or three paces of them with a saddlebag full of junk. Never appear in the photos of the magazines because they are unattractive.
My parents volunteered to take me to the airport of Faro, where Easy Jet flight leaving at a good price. Cruising speed: 96 km / hour. On a downhill stretch reached a whopping 102 Km / hour, when they dug my nails into the seat thinking, "My God, we kill!
We arrived safely at the airport without incident noteworthy. Bill and I agreed to the passenger area. The suitcase weighed 8 kgs. I beat my record. That means I can buy like a madwoman in the London sales.
What my suitcase is a mystery as mysterious as the Virgin of Fatima. I leave home with little weight, do not buy almost anything and turn the bag is busting and touching the weight limit.
147 British passengers, a young Portuguese couple, thirty bags of golf clubs and I composed the passage. The British passed the security check right behind me wearing a iPad said above when we asked if we had computer. "Bastard, I thought. I started because to swear in English, to practice.
Easy Jet, despite being a low-cost airline does not offer as many emotions as Ryanair. Even the garbage bag to go to collect our waste is no supermarket, but orange as the color of the airline.
The flight was scheduled for 10:05 hrs. At 10:04 hrs we were running around the track. Was it that the majority of Britons on board influenced the Punctuality or, perhaps, to control the lighthouse tower is not controlled by the English out of control?
landed at Gatwick with almost twenty minutes early. When leaving the unit, through a gap between the aircraft and the air went cold finger. 5 degrees Celsius, according to the pilot informed us, to the horror of British teenagers who were traveling behind me. The case, thanks.
took the Gatwick Express train bound for Victoria Station. In half an hour arrived and took the metro. I went to the surface at Waterloo station. I walked a few yards and got to the hotel. Yesterday at lunchtime I received a call from here. I made the reservation online and in the "requests" I asked, if possible, a room overlooking the Thames. I called to say he could give me that option, but at 80 pounds per night. "No, thank you very much, it is not necessary. I can take a picture when you arrive and make wallpaper, me cheaper. "
shelter from the cold, just behind the glass of the hotel, there were five gentlemen dressed in black coats and bowler hats. One came swift and fast to hold my bag as soon as I saw appear in the corner. Were the buttons. My suitcase was lost to view and magically appeared in my room after a while. Floor 9. The back wall there. Is glass. And the view is seen in the photos.


The London Eye, the giant Ferris wheel built to commemorate the millennium, from the front. On the left, the Houses of Parliament with Big Ben, which I cover a piece the former Greater London Council, which is what prevents me from the view of the Thames. Luggage
ripped it, I connected to internet to verify it worked correctly and then went for a walk very warm. To cross Westminster Bridge on the river ran a Siberian wind that cut the skin. In the middle of the bridge, a Scottish piper, lack Scottish bagpipe playing. I hope you will take shorts ... ... .... for good.
They played four in the afternoon at Big Ben when I started up the avenue Whitehall. Towards the middle, left, Downing Street, home to the premier. It occurred to me that I have been there as Tenants first lady was so dry, then Tony Blair, then to the hairs in the nose, and now that boy so cute. Just above
was finishing the changing of the guard of the queen on horseback. Not that the queen was riding. Are those of the guard going on horseback. Due to the cold wearing a huge blue coats with red trim. Very elegant. One of them was black. This is the first time I see a black member of the guard on horseback.
Arriving at Trafalgar Square I went into Waterstone's bookstore, where he had a very pleasant temperature. I thumbed through books but did not buy any. I leave the shop for another day. Strand I kept walking and I looked for the MacDonalds nearest dinner. Yes, I had dinner at five o'clock. I was hungry I ate rocks. Today I only had a sandwich on the plane. I remembered that Charing Cross area was one where the son of some friends of my parents worked years ago when he came to perfect the language. There was MacDonalds. I ate a double cheeseburger, which is not served in Spain, for mysterious reasons. The tomato did not you get it in packets. There is a huge dispenser tomato in the center of the restaurant and go there with a cardboard cup filled with the amount you need. I sat at a table across from the bathrooms. I amused myself watching the people go. The funny thing is that leaving people who had seen her enter. Strange looking people. A black lady with hemp sandals wedge open in front. There, yes sir. A five degrees with the foot in the air. Different types of homeless people who use McDonald's as a public bath.
When going out it was dark. Five-fifteen in the afternoon. Well, quarter past five p.m.. Fucking cold. Lots of people on the street. Workers returning home in a hurry. You have to go with the eye at the time so you do not run over.
I retraced my steps to the hotel. I went on the road in two souvenir shops for the latest news and keep warm. As expected, objects are those devoted Star the wedding of Prince William and Kate Middleton. Spoons, cups, plates, postcards, thimbles, etc.
also entered a Spar to buy two objects of worship there is no way to find in Spain: a can of Cherry Coke and a candy bar WISPA. The'm tasting as I write.



The piper was playing bagpipes on Westminster Bridge. A fool tried Trileros two Orthodox Jews, those with curls in front of the ears and hat black. Bitter cold on the bridge. I stepped in a hurry and arrived at the hotel in minutes. Once in the room, I prepared a hot bath with some salts kind gift to the guests along with the plastic shower cap and soap. I went into heat right away and wanted to take a shower before you dry off. There are overhead shower and shower head. Fifteen minutes of searching the switch, lever, button or similar that will operate the damn shower. Fifteen minutes remembering that Elvira Lindo article telling a similar experience in a Japanese hotel, which made me laugh then and it almost makes me mourn today. Finally, without thinking, I turned on the tap in the opposite direction as if it were to close but stronger. And he began to leave the cold water from the shower head. Their dead. Following the same logic, followed by operating the tap in the same direction, and began to leave the water for the shower head. It will be a Japanese invention.
already dry and dressed again I had to wait to turn on / load the computer because I have only a plug adapter and was using it to charge the phone. Here are three pin plugs.
I was watching TV a little hobby I do not practice in my normal life. BBC1 was emitting a variety show. Among other things I learned this afternoon stabbed a teenager in north London. I note not to visit North London. Then came an individual who collects milk bottles. The program ended with the presenters devouring a cake of vanilla and chocolate. Now I have put the radio to concentrate on what I write.
ten o'clock at night in Spain and nine here. I think I'm going to bed now. Tomorrow I expect a long day.

Wednesday, January 19, 2011

Diprosalic Pommade Used

Ashes.

These days it has launched the campaign "My life without you " a collaborative proposal for the Internet, encouraged by health care professionals to offer smoking cessation advice.

in different areas of the healthcare blogosphere have echoed the campaign, more or less following a common discourse, for example in the case of Maria Garcia-Puente , Montse Carrasco or with some variations as María José Alonso ... there were many more, no doubt, I have chosen these three examples as being the closest.

In my case, I can not the snuff ... for years and professional issues have been in smoking environments bitter and believe me when I say that I was very funny.

But in this post I'm not going to talk about my personal experiences with the snuff ... I am going to speak from a professional standpoint.

The snuff is not only bad for your health ... also for the electronic equipment .

Ash is a good conductor of electricity, and as such, so we can see in the ashtray as having a microscopic size and is contained within the smoke, pose a serious threat to electronic devices.

One of the metrics with which measures the reliability of electronic equipment is MTBF (Mean Time Between Failures), and there is evidence of the drastic reduction of time between failures when this equipment is operated in a smoky environment.

Thus, writing in the notebook with a cigarette or talk on the phone while exhaling smoke through his nose and mouth makes the duration of these devices is less.

Message: Smoking is bad. Let.

may not want to do it for you , even not give in to pressure from your partner or your children, even to be cold on the sidewalk to take a cut for not giving up "the pleasure " ... then do your expensive gadgets they always have and you use most your package snuff.

Do it for your iPhone, your Mac or Vaio ... They will thank you!

Thursday, January 13, 2011

Kingdom Hearts 365/2 Rom With Patch



are falling I have boogers, I just brush my teeth and did not feel the bristles (sorry) to grazed my palate, I drool on the left side of the mouth. All this is a consequence of having become a laboratory guinea pig, guinea pig in the hands of two thugs, an otolaryngologist and an allergist.

all started four and half months ago, when I decided to take matters into lead after a while gasping for air. As I am more donkey to a plow, leaving what was left until the situation became untenable. Not that I'm drowning, but almost.

I took the list of doctors and sought an audiologist. I found one with two names that are familiar to me. Had to be the brother of two sisters of mine from college. A Serious and formal insurance, because I remember going with eight years of the hands of their parents to school functions and holding our school stoically. Then I played the mandolin, but that's another story.

Upon arrival at the consultation recognized him immediately. It was he, no doubt. Twice as high but with the same face. He treated me with great formality, calling you, then get a pair of pliers in the nose and open up holes all he could to look inside. He prescribed a few medications and sent me for blood tests if it was an allergy. In case of a positive result would need to go to an allergist.

It was. Asked an allergist appointment the first day made me roll up both arms, I painted blue streaks with a pen, I made a Cortecito next to each line, different drops dropped on each wound and sent me to the waiting room that guise. "If it stings, do not scratch. Within 20 minutes 'll get you. "And so I sat in the waiting room, before the startled eyes of patients who had never seen an allergy test. What if itching? Five minutes later that began to bite their dead, and I blew for relief, hoping to scratch the arms to get rid of that torture. When he came to fetch me, almost clawed her face.

"You're allergic to grass and olive trees. Going to take these medications and return within 20 days. " Fortunately I do not live in Jaén and I have a mill.

The 20 days became 35 because of various reasons. The drugs I had taken effect. What I loved was the bottle of sea water that I had to spray in the nose just up in the morning. Yes there that I fell of snots, but we will not go into details.

decided Dr. or send me to a radiologist for X-rays of breasts. No, not breast you're thinking. Is that the two sides of the nose also have breasts. Another moment of torture. Put me against a wall, I did lift her head, open your mouth as possible and support the head against that wall, as if I were to eat. I love to hang here radiography, but I do not know how. It is hilarious. I posted this I found on the Internet. Is similar but with my face.

After a few days I went to the allergist with my hilarious radiography. I have a cyst behind the nose. Mucus cyst. Mocos "petrified? I did a report and referred me to hold back from school functions stoic, whose I just returned query. Upon arrival I began to write this story, hot, so it does not escape me any details. The guy sat in a torture chamber, I threw a few drops in the nose, droplets left and I ran down her face. Were anesthetic drops. So I have the dumb lip. When my nose was considered enough sleep, took out of nowhere a contraption that looked like a whip and a meter long, with a little light at the end. My God! I was going to get through the nose. It was a camera. "If you introduce me whole, I will come out through the anus (sorry), I thought. I closed my eyes to that. It gives me creeps thinking. I started to notice that thing inside my nose. First through a hole and then the other. I almost kick him in the crotch when I really hurt. Finally ended that. "I will send to do a CAT scan to see what we have." So torture continues. Will finish in the operating room, time to time.

Friday, January 7, 2011

Kates Playground Folla

Reflections on a can of peas.

In trancurso of the twitterview Medical Journal, among other gems, I said the health sector requires a conversion ...

What I mean by this?

Look at the diagram on the organization of a hospital ... that ye ... mind you.

In all cases we see a diagram that reminds us powerfully to a pyramid.

the past 60 years, these diagrams have been more or less branches of the same class.

Hospitals, therefore, are not designed with the patient in mind or with the clinician in mind ... are designed with the operator in mind.

decisions ranging from top to bottom (top-down ), with little or no opposition, there is little interaction side or diagonal, and facilities "of the force of gravity" of management in difficulties become decision if the road is from the bottom up.

And this within the same organization, because if we talk at the macro level, the fit is much more complex.

I have no doubt that when it undertakes a process re-engineering is done with process view, but not from an organizational perspective, so there is no genuine reengineering => no conversion.

And I think that being in the XXI century, in full immersion in what we call "knowledge society", continue with this model of organization ...

Believe me when I say that without vision the organization and clinical process re-engineering, ICTs increase the efficiency: they do is that inefficient to run faster ... Really

there is no alternative?

Because when building a new hospital, innovation is manifested in a technical or clinic, yet the organization and management model has not changed.

We filled the mouth of responsibility (empowerment) of patient and clinician, in " Equity and excellence: Liberating the NHS " talking to decentralize and empower management to physicians, but not the underlying structures change ...

We also talked about 2.0, but in most organizations, only the outside world.

I know the difficulties of those who, on a daily basis, spend part of their energy to overcome the inertia of organizations disorganized ... outdated administrative structures and oversized when, to paraphrase Johann Cruyff, " the money should be in the field ."

And some who, in desperation, abandon the struggle and, at times, the organization, because there has been a willingness to listen and understand. Let

get around this.

Assume for a moment that the "Pandora Health Service" has the crazy idea :-) (and financial resources) to create a different health organization, with levels of PA and Hospital Outpatient ... as different as the only constraint for its creation is not copy the usual pyramidal organizational model.

I asked a question on Twitter with this premise: the best response was "Well, then, would not be a hospital."

True ... the author of the response (Miguel Angel Máñez ) nailed it.

I have some questions ... "Easing the management overhead? "Management contracts? Process-oriented "? "Goals? "Multidisciplinary teams? Should there be a hospital property? "Stewardship? "Interaction between family physicians and specialties? How? When? How often? "Telemedicine? "Coworking?

How to combine this with criteria of relational networks, peer-to-peer ... and not die trying? Well ..

input and if we succeed, for me the winning combination would focused on patient and family doctor ... the family doctor is one who knows cross so the patient, who manages chronic if chronic and who should act as clinical consultant to the length and breadth of specialized levels of care ... and this implies that every clinical decision, of any kind whatsoever, should participate and be patient and jointly share responsibility for family doctor: the patient may be responsible, We can provide standard, but will always need support and professional advice that is closest to him ...

But thinking again, the support and co-responsibility model does not correspond to a binomial, a Combat Air Patrol approach ... the real model and the work would an equilateral triangle, where the patient would have a vertex in another family doctor, and the third to a representative of levels of hospitalization, citing the focus and center the process of care ... that's the model of responsibility that really work. What

care professional would the most suitable for providing accompaniment on the hospital level?

In my view, an internist because of all professionals in a hospital, is, along with pediatrician and geriatrician who can get a better look cross between specialties and who can best coordinate the work of everyone in a complex disease affecting various equipment ... and who, for having this vision, more like a professional practitioner.

The model will be shared responsibility with the family doctor in the transit of ambulatory care patient, shared with the general practitioner in hospital care, and coordination family doctor - internist to avoid gaps.

On the other hand, the orientation of the levels of hospitalization do not think it should be for services, the classical, but transverse liquid and targeting large groups process.

therefore required, imbuing coworking culture, since that provision involves a multidisciplinary organization with a professional relationship based on peer to peer ... the spirit of BreakOut.

In fact, I think the differentiation between primary and specialized care should no longer exist, so also would need to change the concept of care Hopitalaria and are turning to call Residential Care.

Streamlining of processes: it can be solved by ICT, which did not resolve a clinical ... no more administrative tasks. Therefore

horizontal organization between different levels of care, greater efficiency liquid and the administrative apparatus is reduced to a control of economic management.

The best way to test this model is to use the theory can of peas .

There was once an engineer who was asked to design a pea canning factory, the engineer had no one ever built ... so I asked him to teach how to make a can of peas: knowing the processes and problems in the manufacture of a unit, we can imagine / design processes for mass production.

And relatively speaking, is the way we used to approach this challenge successfully.

And you know what best part? This is not going to be in a post ... this was going to do.

It is possible to find difficulties, we should change approaches, and here the key is flexibility, dialogue, collaboration ... peer-to-peer ... coworking.

Be water, my friend. :-)