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or a surgeon but he or she is always a qualified doctor licensed to practise medicine (and perhaps telemedicine [267 2681) in the location where the intervention takes place In telemedicine procedures, there is scope for ambiguity since there may be two clinicians involved, a GP with the patient and a specialist at the other end of the remote link Alternatively, there may be a nurse or another healthcare professional with the patient who may act to some extent as a proxy for the remote specialist The guideline must therefore make clear the competencies required of the various participants It should also specify that these must be established, and the necessary authorisations received, before the teleconsdtation can proceed [74] Enszrriizg N I I ethicul basis Normal rules of patient confidentiality and security apply to the storage and transmission of patient data derived from telemedicine.



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Over the past 15 years, I have found that the investment industry has changed considerably. Information that was available only to professional





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Data may only be transmitted with the informed consent of the patient and only data relevant to the patient s condition and problem can be sent These constraints are essential to preserve the patient-doctor relationship and the autonomy of the patient For these reasons, the guideline should require that the doctor and patient can reliably identify one another at the start of a teleconsultation Ensirring qrrrrIitj*of care We have already noted (Section 521) that participants in a teleconsultation must be satisfied that the technical standard of the equipment and its operation, safety and security are fit for the intended purpose These quality considerations must also apply to the collection of data and to the documentation of the whole consultation just as they would to a traditional patient-doctor interaction.

Example 1.6 Figure 1.6 shows 8 points arranged in two-dimensional space in a constellation known as 8-PSK (phase-shift keying). Each point has a three-bit designation. The signal corresponding to the point (alk, U z k ) is selected by three input bits and transmitted. Thus the signal

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is painful or tender. If radiographs were not taken, the same treatment objective would be sought decrease the TMJ in ammation. As the in ammation resolves, the osseous degeneration concurrently resolves and adaptive remodeling occurs.

Healthcare professionals at both ends of the telemedicine link may contribute to the record of the consultation and the notes should identify the authors of these contributions While the benefits associated with guidelines are highly desirable, they are not easy to achieve Some of the most commonly cited limitations include the difficulty of getting the layout right and pitching the content at the right level [269], the threat to professional status, the perceived restrictions on good.

When this condition is detected, single-error correction can proceed. Suppose there are two or three errors, e ( x ) = x J l xJz x j 3 , Let z1 = B j l , z2 = BJz and z3 = 83 be the error locators, where z3 = 0 in the case of only two errors.) The syndromes in this case are

Psychologists distinguish between outright lies, exaggerations, and subtle lies (DePaulo, Kashy, Kirkendol, Wyer, & Epstein, 1996).1 Outright lies (also referred to as falsi cations, Ekman, 1997) are lies in which the information conveyed is completely different from what the liar believes to be the truth. A guilty suspect who denies any involvement in the crime, is telling an outright lie; so is a student who says that she was revising for her exam when, in fact, she was shopping. Moreover, applicants who claim in a selection interview that they are happy in their present job but just fancy a change after having been in that job for so many years, are telling an outright lie when the real reason for their application is that they have been sacked; and when he testi ed in the Paula Jones2 case, former US President Clinton told an outright lie when he said that he could not remember whether he had ever been alone together with Monica Lewinsky in the Oval Of ce. Exaggerations are lies in which the facts are over- or understated (understatements are also called minimisations; Tyler, Feldman, & Reichert, 2006). People can exaggerate their regret at arriving too late

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The channel capacity has been dejined as the maximum mutual information between the input and the output But Shannon sthe channel coding theorem, tells us what the capacity means Recall that an error correction code has a rate R = k / n , where k is the number of input symbols and n is the number of output symbols, the length of the code The channel coding theorem says this: Provided that the coded rate of transmission R is less than the channel capacity, for any given probability of error E specified, there is an error correction code of length no such that there exist codes of length n exceeding no for which the decoded probability of error is less than E.

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