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Sunday, June 17, 2012

Video: Is reality TV mostly fake?

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Swiss voters say no to yet more referendums

FILE - In this picture taken May 24, 2012 a referendum poster, is photographed in Geneva, Switzerland, urging Swiss voters to reject a proposal to automatically hold a referendum whenever the government signs an important international treaty. Poster reads . Too much Democracy kills Democracy, and at bottom : No. Swiss voters appear to have decided that they have enough democracy already. A nationalist group in the already referendum-happy Alpine republic wanted voters to have an automatic say every time their government signs an important international treaty. But Swiss television reported that the proposal was headed for a heavy defeat. Citing projections by the gfs.bern polling institute based on exit polls and partial counting of Sunday's June 17, 2012 ballots, it said 75 percent voted against and only 25 percent in favor. (AP Photo/Frank Jordans)

GENEVA (AP) ? Swiss voters decided on Sunday that they have enough democracy already, overwhelmingly rejecting a proposal to hold more referendums on international treaties.

A nationalist group in the already referendum-happy Alpine republic wanted voters to have an automatic say every time their government signs an important international agreement.

However, not one of the country's 26 cantons, or states, voted in favor of more referendums in Sunday's referendum, and 75.2 percent of voters rejected the plan. Such proposals need a majority of both voters and cantons to pass.

Most major parties opposed the measure, saying it could gridlock Swiss democracy with constant ballot calls ? as one pre-vote poster put it, "too much democracy kills democracy." Switzerland already holds about half a dozen national referendums each year as well as local ones.

The Action for an Independent and Neutral Switzerland group, which made the proposal, said it wanted referendums whenever Switzerland submits to a foreign law or court ? particularly if it involves the European Union. Switzerland does not belong to the 27-nation bloc but is surrounded by it.

The right-wing Swiss People's Party, the only major party backing the plan, said Sunday's rejection "was predictable given the opponents' massive campaign of fear."

As things stand, all it takes is 50,000 signatures to force a national vote on a new law or treaty in Switzerland, a country of more than 7 million people. The bar is higher ? 100,000 signatures ? if grassroots groups want to propose completely new legislation, but such measures also are voted on frequently and sometimes succeed.

Turnout in Swiss referendums rarely exceeds 40 percent. On Sunday, it was 37.8 percent.

Associated Press

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Greece tops Russia 1-0, makes quarters at Euro

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Saturday, June 16, 2012

California physicians unprepared for electronic health record regulations

ScienceDaily (June 16, 2012) ? Electronic health records (EHRs) are used widely by California physicians, but many of their systems are not designed to meet new federal standards aimed at improving the quality of health care, according to a report from UCSF researchers.

While 71 percent of California physicians have an EHR system, only 30 percent have one with the functionalities needed to achieve "meaningful use" requirements from the Centers for Medicare and Medicaid Services' (CMS), the team reports. These requirements include, for example, the ability to communicate electronically with other health care providers, such as pharmacies, labs, other clinicians, and hospitals, to whom physicians refer patients.

Medicare payments to physicians will be reduced in 2015 if they do not meet these requirements.

The report, available online at http://www.chcf.org/publications/2012/06/meaningful-use-ehrs-physicians, summarizes findings from a 2011 survey conducted by UCSF, in collaboration with the California Medical Board, for the California HealthCare Foundation and the California Department of Health Care Services.

EHRs capture patients' health information, such as medical history, allergies, laboratory test results, radiology images, and payment, in an electronic form that enables clinicians and other providers to access and share the information across medical specialties or facilities. Exchanging electronic records among physician practices and between physician practices and hospitals can improve coordination of care because all providers can have access to the same information.

"We found that physicians are more likely to have electronic health records with functions that support individual patient visits rather than functions that support overall quality improvement," said lead author Janet M. Coffman, PhD, assistant professor at the UCSF Philip R. Lee Institute for Health Policy Studies and UCSF Department of Family and Community Medicine.

For example, Coffman said that 61 percent of physicians have EHRs that enable them to record clinical notes electronically but only 45 percent have the capacity to generate routine reports of quality indicators, such as the percentage of patients with diabetes who receive recommended lab tests, foot exams, and eye exams.

The research team also found that the size of a physician's practice is the strongest predictor of having an EHR. Physicians who practice in Kaiser Permanente, other large medical groups, the Department of Veteran Affairs, or the military are much more likely to have EHRs than physicians in smaller practices.

Federal regulations identify three categories of objectives aimed at achieving meaningful use of the technology: core objectives, such as the collection of basic medical information; menu objectives, such as submitting electronic immunization data to immunization registries; and electronic reporting on the quality of care. In 2011 and 2012, clinicians are required to report three quality measures: blood pressure, tobacco status, and adult weight status, as well as three additional clinical quality measures of the clinician's choice.

To further increase the adoption and use of electronic health records, the federal government will provide incentive payments to hospitals and providers that achieve meaningful use of the technology.

The Health Information Technology for Economic and Clinical Health (HITECH) Act incentive payments could total up to $27 billion over 10 years, or as much as $44,000 (through Medicare) and $63,750 (through Medicaid, called Medi-Cal in California) per clinician. This funding also will provide the basis for the creation of a nationwide network of EHRs.

"The Medicare and Medicaid incentive payments will provide valuable resources to physician practices that do not yet have EHRs that will meet meaningful use standards," said Coffman. "Medicaid payments especially are important since we found that community health centers, rural health clinics, and other practices that primarily serve Medicaid beneficiaries and uninsured persons are less likely to have EHRs. Many of these practices are struggling to keep their doors open. Medicaid incentive payments give these practices an opportunity to purchase EHRs."

When fully implemented, EHRs can improve care in a variety of ways, said Coffman. "Reminder systems can alert physicians and other health professionals when patients are due for screening tests, and electronic prescribing systems can incorporate alerts to warn providers if they attempt to prescribe a non-standard dose of a medication or a medication to which a patient is allergic," she said.

For the report, a questionnaire was sent to 10,353 physicians with MD degree license renewals that were due to the California Medical Board between June 1 and July 31, 2011. The questionnaire asked physicians if they had an EHR at their main practice location, and assessed eight of the 15 core objectives and four of the 10 menu objectives that CMS established for meaningful use of EHRs.

The survey was limited to the 7,931 physicians in the sample who reported that they practiced in California and provided at least one hour of patient care per week; 5,384 of these physicians (68 percent) completed the survey.

Co-authors are Kevin Grumbach, MD, chair of the UCSF Department of Family and Community Medicine; Margaret Fix, MPH, research associate at the UCSF Philip R. Lee Institute for Health Policy Studies; Leon Trainer, programmer/analyst at the UCSF Philip R. Lee Institute for Health Policy Studies; and Andrew B. Bindman, MD, professor at the UCSF Philip R. Lee Institute for Health Policy Studies and UCSF Department of Medicine.

The study was completed under the auspices of the California Medicaid Research Institute and supported by funds from the State of California Department of Health Care Services, Office of Health Information Technology and the California HealthCare Foundation.

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The above story is reprinted from materials provided by University of California, San Francisco (UCSF). The original article was written by Karin Rush-Monroe.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.

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Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.

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Microsoft patent app wants SMS-to-spreadsheet, so you can Excel while you excel

If you're too busy racking up commissions to submit your expense report, a Microsoft patent application might let you text that steak-dinner-schmoozefest straight to a spreadsheet in accounting. That's one use that pops to mind for the proposed invention, which which could permit text and multimedia messages to interact with Redmond's Office suite. It could then process that info and redirect the message or send you a reply, confirming your shenanigans. Now, how to justify that $1,500 bottle of cognac?

[Image Credit: Shutterstock]

Microsoft patent app wants SMS-to-spreadsheet, so you can Excel while you excel originally appeared on Engadget on Fri, 15 Jun 2012 10:54:00 EDT. Please see our terms for use of feeds.

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'The Choice': Joe Jonas Stumbles Over A Question About Virginity (VIDEO)

Mon., June 11: "Tia and Tamera"

(8 p.m. ET on Style) season premiere As they face the realities of motherhood and matrimony, Tia and Tamera lean heavily on each other to lighten the difficult moments with comedic insight and advice. After giving birth to her first child, Tia is figuring out how to balance being a successful actress and a successful mom. Tamera, as she approaches her one-year anniversary, is wondering about her new role as a working wife. With homes in Los Angeles and Napa Valley, where her husband's family also owns a vineyard, Tamera finds herself pulled between two different worlds, struggling to decide which she will ultimately call home.

Mon., June 11: "Bunheads"

(9 p.m. ET on ABC Family) series premiere Don't let the title put you off -- this witty, heartfelt dramedy from "Gilmore Girls" creator Amy Sherman-Palladino is as close a return to Stars Hollow as we're ever going to get. It has that signature "GG" rapid-fire banter, all too familiar music cues and a smart, sarcastic brunette at its center (this time played by Broadway star Sutton Foster). Did we mention it also stars Kelly Bishop? Foster plays Michelle, a Las Vegas showgirl who impulsively marries a man, moves to his sleepy coastal town, and takes an uneasy role at her new mother-in-law's dance school.

Mon., June 11: "Lost Girl"

(10 p.m. ET on Syfy) Bo's efforts to help Trick find a stolen body uncover a lethal Lich -- and our heroine is put in a precarious position that helps open her eyes to the true extent of her powers.

Tues., June 12: "The Catalina"

(8 p.m. ET on The CW) It's Gay Pride weekend in South Beach and The Catalina has never been more fabulous. Eyal and the staff build a float to compete in a local parade, while hotel manager Stephanie becomes romantically involved with a guest.

Tues., June 12: "Thorne: Sleepyhead"

(9 p.m. ET on Encore) original miniseries Part One of the eerie and atmospheric crime drama event, starring David Morrissey as the compelling Detective Inspector Tom Thorne, who possesses a gritty sensibility and an unhinged desire to discover killers. In the first installment, Thorne investigates a series of unusual attacks on young women. The first three victims are found dead, however the fourth victim -- Alison Willetts -- survived an excruciating attack and is lucky to be alive. The miniseries concludes on Wed., June 13 at 9 p.m. ET with "Thorne: Scaredy Cat," when Thorne is joined by Sandra Oh ("Grey's Anatomy") as Detective Sergeant Sarah McEvoy, who appears to be a tough, calm and capable cop to her male colleagues, but is simultaneously battling a serious drug addiction.

Tues., June 12: "The Next Big Thing"

(11 p.m. ET on Oxygen) series premiere Starring Trapper Felides, a top New York City performance coach and musical director who gives his clients the blunt truth and tough love they need to succeed. The series will follow Felides as he mentors a group of performers as they prepare for their next career-changing audition or their big music industry break. In each episode viewers will get an inside look at Trapper's uncensored methods for success to turn good performers into great ones, and great ones into stars. Trapper is much more than just a vocal coach and career maker -- he's also a life coach, a brother, a mentor and a seasoned guide through the tough world of show business.

Wed., June 13: "Dallas"

(9 p.m. ET on TNT) two-hour series premiere Larry Hagman, Patrick Duffy and Linda Gray reprise their famous characters as J.R., Bobby and Sue Ellen Ewing, returning to Southfork with secrets, schemes and betrayals. This time, they're joined by the next generation of Ewings, played by Josh Henderson and Jesse Metcalfe, who take ambition and deception to a new level as the future of Southfork is called into question.

Wed., June 13: "Duets"

(9.31 p.m. ET on ABC) new timeslot For the next two weeks, the talent contest moves to Wednesday nights, returning to 8 p.m. Thursdays on June 28. Kelly Clarkson, John Legend, Jennifer Nettles and Robin Thicke take the stage and perform party songs with their hand-picked Duet Partners. Tonight one amateur is eliminated, leaving six remaining in the competition.

Wed., June 13: "America's Best Dance Crew"

(10 p.m. ET on MTV) season finale The two remaining crews, 8 Flavahz and Elektrolytes, battle it out for the coveted title.

Thurs., June 14: "Burn Notice"

(9 p.m. ET on USA) season premiere Season 6 of this summer favorite picks up after Fiona turned herself in on charges of terrorism to save Michael from an extreme case of blackmail. With Fiona in federal custody, Michael and his crew must band together to rescue their friend from a lifetime prison sentence.

Thurs., June 14: "Suits"

(10 p.m. ET on USA) season premiere The future of brilliant, but not-technically-legal, associate Mike Ross hangs in the balance when a friend threatens to expose him. Legendary law partner Harvey Specter attempts to guard his secret from the firm's top suit Jessica Pearson while she faces even bigger problems when the other half of Pearson Hardman reemerges on the scene.

Thurs., June 14: "The Conversation with Amanda de Cadenet"

(11 p.m. ET on Lifetime) Presenting an honest, authentic and raw view of the shared issues affecting women today, each episode features de Cadenet having powerful and in-depth interviews with some of the world's most famous and influential women. This week's topic is "Living Deliberately," with guests Connie Britton, Mira Sorvino, Kelly Preston and Christina Applegate.

Fri., June 15: "Fairly Legal"

(9 p.m. ET on USA) season finale Kate digs deeper when a news station fires a lesbian couple for fraternizing in the workplace. Also, Kate must choose between Justin and Ben.

Fri., June 15: "Say Yes To The Dress"

(9 p.m. ET on TLC) season premiere The show returns to its roots at New York's famous Kleinfeld Bridal salon. Part fashion show, part bridal story, part family therapy, the series uncovers the hurdles every staff member faces to make each bride completely satisfied on what may be the single most important day of her life. The new season brings a new batch of unique personalities. From demanding moms to picky fianc?s, brides with unlimited budgets and an appearance from fashion-forward Olympic figure skater Johnny Weir, viewers will be exposed to nearly every aspect of dress shopping in preparation for the big day.

Fri., June 15: "Comedy Bang! Bang!"

(10 p.m. ET on IFC) In each episode, host Scott Aukerman engages his guests with unfiltered and improvisational lines of questioning, punctuated by banter and beats provided by bandleader, one-man musical mastermind Reggie Watts, to reinvent the traditional celebrity interview. Packed with character cameos, filmic shorts, sketches and games set amongst an off-beat world, the show delivers thirty minutes of absurd laugh-loaded fun featuring some of the biggest names in comedy. This week's guest is "Parks and Recreation" star Amy Poehler.

Sat., June 16: "Piranhaconda"

(9 p.m. ET on Syfy) original telefilm With a name like that, how can you resist? In B-movie icon Roger Corman's latest, a hybrid creature -- half piranha and half anaconda -- attacks a movie crew on location near her nest when her egg is stolen. Now they must outrun and kill the deadly piranhaconda as well as stop the mad scientist who stole the egg -- before they all become dinner. Stars Michael Madsen and Rachel Hunter.

Sun., June 17: "Falling Skies"

(9 p.m. ET on TNT) two-hour season premiere After last season's cliffhanger finale, Tom returns to the resistance, but his loyalty is called into question, while Pope takes command of a renegade faction within the 2nd Mass.

Sun., June 17: "The Killing"

(9 p.m. ET on AMC) season finale Will the second season finale cause as much controversy as last year's did? Only time will tell. Sarah and Holder close the case. Richmond sets out on a bold new path. The Larsen family gains closure from an unsuspected source.

Sun., June 17: "Forensic Firsts"

(9 p.m. ET on The Smithsonian Channel) series premiere This series showcases the history of the forensic tools we take for granted today. Each episode weaves together two criminal cases: a headline-grabbing modern murder investigation and the very first case where a forensic technique was invented and tested in court. Through the course of the hour, the cases reveal how the science evolved, often from a simple hunch into a sophisticated tool that revolutionized crime science.

Sun., June 17: "Nurse Jackie"

(9 p.m. ET on Showtime) season finale Cruz pushes Jackie to the breaking point, then fires her. Followed by the season finales of "The Big C" and "The Borgias."

Sun., June 17: "Girls"

(10 p.m. ET on HBO) season finale It's been a divisive freshman season, but we're intrigued to see what Lena Dunham has in store for the finale. Hannah's on the hunt for a new roommate, and has a surprising confrontation with Adam, while Jessa throws a "mystery party."

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Friday, June 15, 2012

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