Johns Hopkins Bloomberg School Receives $28 Million in Grants from Gates Foundation, Packard Foundation and Hewlett Foundation to Expand Advanced Family Planning Advocacy

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The whole idea here is to expand access and use of family planning services.  Nine countries will be in the initiative,  India, Indonesia, Nigeria, Senegal, Burkina Faso, the Democratic Republic of the Congo, Uganda, Tanzania and Kenya.  If you have not seen the TED video from Melinda Gates from earlier this year, use the link below and watch it.  You know her influence on the Johns Hopkins grants are is all over it.  BD 

Melinda Gates Talks Birth Control and Contraception–Giving Women the Option To Control When They Want to Have Children–TED Video

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Newswise — The Johns Hopkins Bloomberg School of Public Health has received $28 million in grants from the Bill & Melinda Gates Foundation, the David and Lucile Packard Foundation and the William and Flora Hewlett Foundation to continue and expand the Advance Family Planning advocacy initiative within the Bloomberg School’s Bill & Melinda Gates Institute on Population and Reproductive Health.

Advance Family Planning aims to increase resources and political commitment for quality family planning programs, as part of the July 2012 London Summit on Family Planning (now known as FP2020). The vision of the summit was to enable more women and girls in some of the world’s poorest countries to use contraceptive information, services and supplies, without coercion or discrimination, by 2020.

http://www.newswise.com/articles/view/597573/?sc=rsla&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+NewswiseLatestNews+%28Newswise%3A+Latest+News%29

FDA Approves Another ADHD Generic Version of Concerta

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This will offer another alternative generic as if you read on the web there’s a lot of comments about how the generic doesn’t work as well and this is odd because they are both manufactured in the same Ortho-McNeil plant but we don’t know the formulation so again you would think they would be real close if for no other reason than extensive retooling the production line.  Now here’s one from a totally different manufacturer.  BD 

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Mallinckrodt, the Pharmaceuticals business of Covidien plc (COV - Analyst Report), has won the U.S. Food and Drug Administration (FDA) approval to manufacture and sell a generic version of CONCERTA (methylphenidate HCl) Extended-Release (ER) Tablets USP (CII) in 27 mg, 36 mg and 54 mg dosage strengths.

The tablets are used to treat patients, aged between 6 and 65, suffering from Attention Deficit Hyperactivity Disorder (ADHD). ADHD is a neurobehavioral disorder, usually diagnosed in childhood.

Children with ADHD are inattentive, hyperactive and impulsive. Despite being a long-term chronic condition, it can be successfully treated with proper therapy and medication.

http://www.zacks.com/stock/news/89503/fda-approves-covidien-drug

Dune Medical Gets FDA Approval On Device Used to Identify Breast Cancer Cells Along the Edges of Tissue- Will Help Avoid Second Surgeries To Remove More Cancer That May Have Been Missed

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So what does the machine do? We all wonder when surgery takes place with removing cancer, did they get it all? The devices gives the surgeons the information they need to find out during surgery. The probe uses software that detects to see if any more tissue needs to be cut away.
Radio frequency technology is used and it is the only device that can find microscopic cancer on the marginal tissue. The price is certainly affordable as far as surgical and diagnostics go at 2k. The whole point here is avoid second surgeries of course to remove additional cancer cells.

Right now the device is designed for breast cancer detection only but the company hopes to expand on this for other types of cancers. The clinical trial was done at NYU.

  BD

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Federal regulators have approved a new instrument made by Dune Medical Devices Inc. that enables breast cancer surgeons to determine immediately whether they have removed all of the cancer tissue during lumpectomy procedures, the company is set to disclose Wednesday.

Dune Medical, based in Caesarea, Israel, plans to move its US office from Framingham to Boston’s Innovation District next week as it builds a sales force to market the device, called the MarginProbe system, to breast cancer surgeons across the nation.

Dune Medical’s new device, already in use in Israel, Germany, and Switzerland, got the green light from the Food and Drug Administration eight months after the privately held company filed its application for premarket approval. That followed clinical trials involving 664 patients at two dozen sites in the United States and Israel. MarginProbe was shown to be effective in identifying cancer along the edge of breast tissue during lumpectomy surgery.

“This is the only device that will identify microscopic cancer on the margin,” Levangie said, noting that MarginProbe is his company’s first approved product. “This is a first-of-a-kind device. But the technology can be applied to a wide variety of other cancers.”

MarginProbe, including the console and probes, will cost health care providers about $2,000, a fraction of the cost of screening equipment used to make the initial diagnosis of breast cancer.

http://bostonglobe.com/business/2013/01/02/dune-medical-wins-fda-approval-sell-new-breast-cancer-tissue-assessment-tool/km72J2iXqbt2Sv3G0mnHRJ/story.html

Physician Rating Sites Are Seeing Fewer Reviews These Days–Flawed Data Catching Up Along With Loss of Value As Consumers and Doctors Lose Interest?

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It looks like a group at Loyola University did a study on these sites and they kind of came up with what I have been saying for the last couple of years.  First of all I go back a few years ago when myself and several doctors looked around the sites, dead doctors was one of the first issues we found.  There’s nothing wrong with keeping a listing as those are helpful but the over all grading systems don’t offer much anymore as everyone who does ratings has their own set of parameters they use to judge and give that report card grade.  Now according to this report fewer patients are rating doctors too so more evidence that these sites as far as value have dropped?  Every time I go to one of them I find errors with only a couple searches and the sites blame the state boards for the data but in my opinion, some simple web searches will help all of them update their information.  You can read below where I said six months ago that these sites are getting dated. 

HealthGrades Puts Out Top Hospital List–Time to Drop All the Hospital Ratings Sites As Nobody Cares, Many Don’t Have Time To Read and Too Much “Flawed Data”

You read stories in the news too with major hospitals who get a “C” rating and yet they provide life saving procedures that are not available at smaller hospitals so what’ up with that.  I’m back to my same old rant again about quality of data and the rise of “flawed data” in some areas of healthcare.  Healthgrades is now owned by a marketing company so what does that mean?  Better marketing or better information, and I think it’s more like the first. 

 

HealthGrades to Merge with CPM Marketing–Will Their Data and Questionable Algorithms Will Be Improved For Consumers?

I also said consumers were too busy and that’s a fact as now consumers are just as busy as doctors in “correcting” all the flawed data posted by various sites and companies about them.  It’s a scary growing trend but companies make billions selling all kinds of data they mine and they put the money in the bank and consumers and doctors have to spend time on their own dime to fix the flawed data that makes billions in profits for corporate USA.  I said over a year go that it’s time to excise tax all that sell data which would include banks, companies, social networks, etc. 

We could fund the FDA and the NIH with such money.  This is a runaway train here with corporate USA getting free labor to fix all their mistakes as there’s a captive audience here who is stuck as they can’t get whatever they need, be it a car, house or whatever until on their own dime, they fix the flawed data that makes billions in profits for corporate USA, one of my Attack of the Killer Algorithm posts.  Nobody minds the shop government wise and there’s very little risk and these profit makers found the ultimate free labor to fix their data, doctors and consumers sadly.  I only got in on this a few years ago when I found my former doctor who had been dead for 8 years still listed as seeing new patients and the AMA and I had a nice chat about it. 

Here’s some other related information about E-Scoring that gets around the law with what they call their business and you and I as consumers have not a clue on what data they have or have any access as they found a loophole in the law that allows them to do this and sure there’s others who do this as well.  BD

 

One More Good Reason to Tax the Data Sellers– Create Additional Funding for the NIH and FDA From Sources That Otherwise Are Too Greedy to Share & Contribute

Start Licensing and Taxing the Data Sellers of the Internet Making Billions of Profit Dollars Mining “Free Taxpayer Data”–Attack of the Killer Algorithms Chapter 17 - “Occupy Algorithms”– Help Stop Inequality in the US

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Newswise — MAYWOOD, Il. - Millions of Americans read physician ratings on websites such as Healthgrades.com, but such ratings are based on scores from an average of only 2.4 patients, a Loyola University Medical Center study has found.

The study of 500 randomly selected urologists found that 79.6 percent of physicians were rated by at least one of the 10 free physician-review websites researchers examined. Eighty-six percent of physicians had positive ratings, with 36 percent receiving highly positive ratings. Healthgrades had the most physician ratings.

Healthgrades posted reviews on 54 percent of physicians, followed in order by Vitals.com, 45 percent of physicians; Avvo.com, 39 percent; RateMDs.com, 25 percent; Drscore, 13 percent; Revolutionhealth.com, 5 percent; Kudzu.com and Healthcarereviews.com, 1 percent; and Zocdoc.com and Yelp.com, less than 1 percent.

http://www.newswise.com/articles/physician-rating-websites-rely-on-few-patient-reviews

Lexmark Buys Acuo Technologies–Software to Connect to PACS Systems and More To EMRs

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This side of the business has certainly grown as I remember the early days and there’s still a lot of this that goes on to get paper information scanned and connected to an EMR to reference.  As a matter of fact many offices did this to to have not go back and pull out older paper charts, a great idea and system.  Now we are at the Enterprise level with bringing  in imaging to connect which again makes sense.  It’s all about the indexing and connecting the relative patient data.  BD

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Lexmark International, Inc. has announced the acquisition of Acuo Technologies, LLC, a leader in high performance software and services for clinical content management, data migration and vendor neutral archives (VNA), for a cash purchase price of approximately $45 million. Acuo Technologies will become a part of Perceptive Software, a Lexmark company.

Acuo Technologies, when combined with Lexmark’s Perceptive Software healthcare software solutions, will enable customers to deploy a single, enterprise-wide access platform for clinical content via any electronic medical record (EMR) system.

Acuo Technologies’ offerings include a single integration point for all medical imaging assets, lowering costs and risks through the Universal Clinical Platform’s ability to work with different systems – enabling flexibility and efficiency across users and departments.

http://www.kyforward.com/2013/01/lexmark-acquires-acuo-technologies-continuation-of-capital-allocation-framework/

The LuLac Edition #2305, December 23rd, 2012

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Guns in America. (Photo gawker.com) 

ON SECOND THOUGHT..........

I’ve been thinking of the National Rifle Association’s news conference the other day where they wanted to start a program to put an armed person in every school. At first (and I said this on TV) I thought it was a good idea. But on second thought, where will it end? Gun massacres happened in churches, malls and movie theatres. Are we going to put armed guards in every one of those places? Like Osama Bin Laden with his 911 attacks succeeded briefly for taking away our basic, convenient freedoms, will not this idea do the same? An armed guard, even two won’t be able to stop a madman with a gun that could fire off multiple bullets in less than thirty seconds whether it be a school, church or movie theatre. Plus the head of the NRA who used the trite line worn out on FaceBook by millions before he even said it, “The only way to stop a bad man with a gun is a good man with a gun” is problematic. Who are the good men? And women? How do we sort this out?
The conservative movement repeatedly talks about “taking away our freedoms” by the Obama administration. But in a real sense, this latest tragedy as well as the NRA response to it might really endanger our basic freedom of movement. Are we as Americans who bridled against inconveniences and invasions of privacy at airports willing to live in armed camps if we take the NRA suggestion to its logical conclusion? 

 40 YEARS AGO THE IMMACULATE RECEPTION 

We were getting ready for Christmas and as usual in the hustle and bustle before our Christmas on DeWitt and Cliff Streets in the unction, there was football on the TV. We had on NBC which at that time ran all the AFC Conference games. It was a close game pitting the Steelers and Oakland. With about a minute and a half left, the Raider’s Ken Stable threw a touchdown pass giving Oakland a 7-6 lead). My father was sitting on the sofa watching the game and I was crossing over into the kitchen from the parlor. Franco Harris scooped up a pass intended Barry Pearson, a receiver playing in his very first NFL game. Under intense pressure, Quarterback Terry Bradshaw changed course and threw the ball toward Halfback Frenchy Fuqua. Fuqua collided with Jack Tatum and as he was falling to the ground the ball sailed upwards from the velocity of the hit. Franco Harris who was blocking on the play saw the ball in the air, snagged it on the run and ran into the end zone to give the Steelers a score of 13 to 7 after the extra point. 
To this day the play is still talked about. Steelers broadcaster Myron Cope dubbed it “The Immaculate Reception” and NFL Films has dubbed it as the number 1 play in NFL History. From a pop culture standpoint, it changed the way the NFL promoted itself (you have to watch the game till the end when rivals collide) and made Franco Harris an instant celebrity. IN my mind, this play planted the seed for the now 24 hour cable network saturation of sports in America. 40 years ago…..today, here is that magnificent play.

The LuLac Edition #2307, December 25th, 2012

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The Nativity.  (Photo: Fine Art America).

CHRISTMAS

And it came to pass in those days, that there went out a decree from Caesar Augustus, that all the world should be taxed.  (And this taxing was first made when Cyre'ni-us was governor of Syria.) And all went to be taxed, every one into his own city. And Joseph also went up from Galilee, out of the city of Nazareth, into Judea, unto the city of David, which is called Bethlehem, (because he was of the house and lineage of David,)  to be taxed with Mary his espoused wife, being great with child. 
And so it was, that, while they were there, the days were accomplished that she should be delivered.  And she brought forth her firstborn son, and wrapped him in swaddling clothes, and laid him in a manger; because there was no room for them in the inn. The Shepherds and the Angels And there were in the same country shepherds abiding in the field, keeping watch over their flock by night.  
And, lo, the angel of the Lord came upon them, and the glory of the Lord shone round about them; and they were sore afraid.  And the angel said unto them, Fear not: for, behold, I bring you good tidings of great joy, which shall be to all people.  For unto you is born this day in the city of David a Saviour, which is Christ the Lord. And this shall be a sign unto you; Ye shall find the babe wrapped in swaddling clothes, lying in a manger.  And suddenly there was with the angel a multitude of the heavenly host praising God, and saying,  Glory to God in the highest, and on earth peace, good will toward men. 
And it came to pass, as the angels were gone away from them into heaven, the shepherds said one to another, Let us now go even unto Bethlehem, and see this thing which is come to pass, which the Lord hath made known unto us.  And they came with haste, and found Mary and Joseph, and the babe lying in a manger.  And when they had seen it, they made known abroad the saying which was told them concerning this child.  And all they that heard it wondered at those things which were told them by the shepherds.  But Mary kept all these things, and pondered them in her heart.  And the shepherds returned, glorifying and praising God for all the things that they had heard and seen, as it was told unto them. Gospel according to Luke.

The LuLac Edition #2309, December 26th, 2012

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"Write On Wednesday" logo. 

WRITE ON WEDNESDAY 

 HOPE FOR SMALL TOWNS

With revenue being deceased from Federal and State governments, funding for smaller towns and boroughs is decreasing. But Gerald Cross, the head of the Pennsylvania Economy League has some sounds suggestions. His article which appeared in local newspapers a few weeks ago is the subject of this week's "Write On Wednesday". 
There's an easy way for area leaders to save big money Counties, boroughs, townships and school districts, many of which are scrambling to lower costs in the face of rising expenses to avoid tax increases or reduced services, can collectively save millions of dollars by exercising a once-in-four-year opportunity to change the method of pay for elected tax collectors. The Pennsylvania Economy League has found through numerous studies that certain compensation approaches for tax collectors are significantly less costly than others. But local government bodies must act swiftly if a change in type or amount of pay for an elected tax collector is warranted. The state only allows adjustments to be made every four years. Governing bodies must set the rates for incoming tax collectors by February 15, 2013. There are three basic types of compensation for elected tax collectors: commission, salary or per bill payment. Some jurisdictions use a combination of methods. PEL past studies have clearly shown that commission-based pay costs significantly more than the other methods. Not only are commissions more expensive, they have no bearing on the amount of work performed to collect the tax and instead are a reflection of the amount of tax collected. Under the commission method, tax collectors receive a percentage of the bill. Thus, the more tax owed, the more the tax collector receives. An increase in the assessed valuation of a property or in the millage rate produces increased commissions, but the tax collector workload remains the same. Also, large tax bills generate large commissions, yet they are no more expensive to handle than small ones. In contrast, not only are salary and per bill compensation more logical and more in keeping with the work performed, they tend to be less costly as well. A PEL 2003 study of boroughs and townships in 12 Central and Eastern Pennsylvania counties found that the 267 municipalities that used commission-based pay spent 2.81 percent of the taxes collected for the service. Tax collectors earning a per bill fee received 1.06 percent of the taxes collected, while those working on salary made 0.79 percent of taxes collected. As a result, those paying commission had an average cost of compensation that was almost three-fourths higher than the overall average and about three and one-half times higher than the average for those that paid a salary. Regardless of the method used, governing bodies must act now to reduce costs by changing compensation methods, capping commissions, lowering per bill fees and salaries or freezing compensation at current levels, among other options. Governing bodies can determine how to adjust the method and rate of compensation for their tax collectors through three steps: n Find out how your compensation costs compare with others. n Find out why some jurisdictions can collect taxes at lower compensation costs. n Find out if a change in the method and/or rate of compensation for your elected tax collector is justified and which method and rate would be most cost effective. Unfortunately, despite documentation suggesting the potential for major savings, many jurisdictions let the opportunity slip by. Remember, local governments that fail to act by February 15 deadline will have no chance to make changes for another four years. 
Gerald Cross is Pennsylvania Economy League Central Division executive director.

The LuLac Edoition #2315, December 31st, 2012

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Photo: (libreto.com) 

JUST ONE MORE THING….. 

As the hours slip away, here are a few items we didn’t get to in our Year End Review. By including them so late, please do not minimize their significance. We’re about 3 hours and 45 minutes before 2013 so let’s start NOW. 

LOCAL LOSSES 

2012 saw the loss of former Judge and State Senator Charles Lemmond who passed away in the spring, former Wilkes Barre City Controller Mercedes Leighton, former Wilkes Barre City Councilman Eric Redick, West Pittston politicos Gary Del Sera and Sam Agolino and former principle in Sordoni Industries, George Sordoni. Also, there was the death of wrestling legends Francis Yogi Michael. They were all quality people and will be missed.

GETTING PICKED OVER 

2012 saw appearances by two local businesses on “American Pickers”. Host Mike Wolfe and Frank Fritz paid a visit to Kunkle Motors in well, Kunkle, thus the name.. When I first Mrs. LuLac, she drove a Saab and Danny Meeker serviced it for her. The duo stopped by and bought stuff from Danny’s grandson. Later in the year, they visited my good friend Leo D'Angelo Sr. at his store, La Salle The Image Makers. I bought many a suit from Leo through the years (including my purple double breasted number) and was glad to see the American Pickers guys spar with Leo and his son. It was a great show but why does Leo still have more hair than I do???? 

MEDIA MOVES 

Rusty Fender’s long reign as Traffic Whiz ended at Entercom Communications in early November. His alter ego, Shadoe Steele also was let go leaving oldies lovers who loved Steele’s interviews wanting. Steele will reemerge in January at a Hazleton Area station in early January….Sportscasters made a move out of the area. WYLN’s Kenny Carra relocated to the Central Pennsylvania area and WBRE TV’s Colin Riccobon moved on. Colin did a terrific job covering the Olympics in conjunction with NBC’s coverage……Kyla Campbell from the WBRE Morning Show moved her considerable talents to the Washington, D.C. area…..the big buzz about “The Talker” was the David Madiera program. The Talker replaced Don Imus with the good doctor. Imus was tried three times and cancelled three times in this market. First he was on Bob Cordaro’s Sports Station in the 90s, replaced Terry McNulty on WARM in the late 90s and then re-emerged on The Talker. The “I Man” just doesn’t wear well in this area………meanwhile Joe Peters is doing well as a political commentator on WNEP TV as well as his Saturday Morning duties on The Talker. My good friend Brian Hughes continues to hit it out of the park every week with his Sunday Magazine Show on the Cumulus Stations……and finally kudos to WILK’s Nancy Kman for all the abuse she took from callers to the Morning program who were convinced President Obama was the devil and that Mitt Romney would be our 45th President. Nancy took the slings and arrows but should remember that just when you think there are more of them than us………….there aren’t. The election results told us that in great detail.
Our 1967 logo.
The Buckinghams. (Photo Wikipedia) 

BAND OF THE YEAR-'67 

If someone asked who what band was the most popular in terms of charted records for the year 1967, you’d most likely answer either The Beatles or The Rolling Stones. But you would be wrong. The year 1967 was a banner year for the Buckinghams. The group had 6 chart hits in 1967. They were: King of A Drag Don’t You care Lawdy Lawdy Miss Clawdy Mercy Mercy Mercy Hey Baby. To have 5 hits in one calendar year is nothing short of amazing. That’s like a hit every six weeks and everyone except “Lawdy Lawdy Miss Clawdy” was in the top ten.

The LuLac Edition #2317, January 1st, 2013

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Breaking News logo.

89-8

Fox News reports that the United States Senate has voted 89-8 to pass a bill that would keep the U.S. from leaping over the Fiscal Cliff. The Senate is voted on legislation that will avert the "fiscal cliff", with a deal that stops most tax cuts and delays automatic spending cuts. Later today, maybe at noon,  the House of Representatives would still have to approve it.  Earlier, Democratic senators emerged from a meeting with Vice President Joe Biden, and said that was strong support for quickly passing legislation aimed at averting the fiscal cliff. 2:41AM.

Dr. Oz on Technology and Doctors–It’s Not About Medicine Depending Technology And Not Doctors But Rather About Developing an Awareness of Tools & Technology That Have Value And Are Available…

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This was a very “touch” interview of sorts. He makes good points as far as having “public” systems available with technology. Very carefully the word “nudge” is used which I think is the right terminology. He’s right with the new tools we have coming out but I don’t think the title here for this interview was maybe correct? I do not believe he is saying that the future of medicine is technology and not the doctors, again my opinion here. I would say more so he’s telling all to “pay attention” to some of the tools that are out there, and there are some good ones. Granted we get los in the “app for everything” concept that seems to breed today and finding the “value” in what we do see as being something we can use is a task. There’s crap out there too, but again I think he’s suggesting to look for the tools out there than can guide and educate.

Sure the car is mentioned but you have to ask yourself if we are ready for this or is the best scenario in a mall as he talks about to find time to educate yourself. I say this as when you are getting in a car to drive and go somewhere you have one thing on your mind, going somewhere, where as at a mall you are not focusing on operating a car but are walking around and looking anyway. Myself I don’t want a car to tell me what’s wrong with me right now as it could be a distraction and some of the technologies that are available could be included in time, but when you are bringing in healthcare at a time when you need to be on time for an appointment, its not the right time to disrupt. We all learn at times when it is either convenient or productive when we have “time” so to constantly throw analytics in your face whenever you want to go somewhere could spoil the party if you will.


We have a lot of years without a car telling us our heart rate and other information it could offer and thus so to move too quickly in this area without some “technology baby steps” could send a good thing over the edge too quickly, we all still need to adapt, thus I think this article was just a little out of context with what Dr. Oz was trying to say here, keep all things in context I say. 

When it comes to “context” today I have a couple my favorite videos that make this point better than I can with writing additional text on the topic and here’s the links to both posts and videos.  Give them a look and see what you think as unless you know some of the mechanics today on how formulas and math are used, it’s easy to get swept away and there’s a lot of great steroid marketing out there today to do just that as it makes money and has gone beyond just pharmaceutical companies advertising. 

Pharma has done it for years, why, because it works so take time and think about what is being presented and search out what you consider to be value, and it’s not always easy today.  At times when I give some deep thought to some of what I see out there, I do laugh at times, and other times it makes me mad that some of the marketing is done strictly for money and lacks value, but we all need to make those decisions for ourselves and sort it out.  BD 

Big Data/Analytics If Used Out of Context and Without True Values Stand To Be A Huge Discriminatory Practice Against Consumers–More Honest Data Scientists Needed to Formulate Accuracy/Value To Keep Algo Duping For Profit Out of the Game

Context is Everything–More About the Dark Arts of Mathematical Deception–Professor Siefe Lecture Given at Google’s New York Office–Big Healthcare Focus

http://www.businessinsider.com/dr-oz-on-the-future-of-medicine-2012-12

As The Fiscal Cliff Approaches, Time To Reflect With A Little Music For Thought: “This Is Not America”

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There was a move made a while back called “The Falcon and the Snowman” and it was about who selling America out and it was a good movie and the soundtrack alone was equally as good as the movie and one song that sticks in my brain today is this one as a “normal” environment we have known for years is changing and are we in a place that is no longer familiar to us in many ways…in watching our government with trying to agree and collaborate with solutions, which doesn’t seem to be going very well, this song keeps kicking around in my head (lyrics below) “this could be a miracle”?  How many snowmen are there out there?  Anyway the lyrics seem to somewhat say this is not the same as the country I grew up in as we watch current events and values get replaced  with new ones that seem to leave out some of the greatness of the past, inequality seems to be the big one that comes to mind. 

A little piece of you
The little peace in me
Will die
For this is not America
Blossom falls to bloom
This season
Promise not to stare
Too long
For this is not a miracle
There was a time
A storm that blew so pure
For this could be the biggest sky
And i could have
The faintest idea
Snowman melting
From the inside
Falcon spirals
To the ground
So bloody red
Tomorrows clouds
A little piece of you
The little piece in me
Will die
For this is not America
There was a time
A wind that blew so young
For this could be the biggest sky
And i could have the faintest idea
This could be the biggest sky
This could be a miracle

http://www.youtube.com/watch?v=MJRF8xGzvj4