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MT India Digest
Moderated Discussion List
"Effective MT Forum"
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Published by:
MT India www.MTIndia.org Moderated by:
Amit Chatterjee,SM
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Aug 18, 2000 Digest #046
.................................................. .....IN THIS DIGEST..... ===========NEW===================== -=Americanisms=- ~Gavin Haines
"American English versus British English" -=Speech Recognition=- ~Dr. N. V. Rao.
"the time has come to stop practicing the "art"
of medicine" ===========CONTINUING============== -=Community=- ~Saagarika Haran
"we should have "watch dogs" who will monitor all
aspects of this still nascent industry in India." -=Training=- ~Bapat
"getting training from a smaller institute might
not be such a wise decision!!" ~Srivatsan Gopalan
"which is the best book to train people to get
themselves acclimatized with the medical terms" ===========BILLBOARD============== -=Internet Security=-
~Harman Dhingra -=HIPAA=-
~Ms Aquino ===========GEEK TIPS============== -=Win 95 Tip=-
~ Sherlock Holmes ===========NEW===================== From: Gavin Haines <
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Subject: English Hi MTIDers! I used to be a teacher of English as a foreign language, and have
researched "American English versus British English". The facts are
these: The so-called "American" spelling system was first proposed by Dr
Johnson, an English lexicographer in 1746, but his spellings were
not adopted in England. Noah Webster's patriotic "American Spelling
Book" introduced Dr Johnson's scheme to the United States in 1783.
In 1828, Webster published his monumental "American Dictionary of
the English Language". This dictionary followed most of Samual
Johnson's proposals, and established a distinct standard of English
in the USA, including such words as "center" and "honor", instead
of "centre" and "honour". The written form of the two main cultural languages of western
Europe -- English and French, is very far removed from the spoken
form. The reason for this state of affairs is that the spelling of
English, which was reasonably close to the spoken language in the
medieval period, has not kept pace with changing pronounciation.
For example the -gh in "light", "brought", is a relic of a sound -
the "ch" of "loch", that had disappeared 100 years ago. There have been many proposals for reform. Dr Johnson's scheme, as
adopted by Webster, is the only one which has gained acceptance.
The problem with Dr Johnson, is that he was an eccentric, and his
opinions were not based on any research teaching children to read. It has been found that although the Samual Johnson's spellings more
accurately reflect the pronounciation of the time, they hamper
legibility. Similar problems have been found with many other
schemes such as "ITA" (Initial Teaching Alphabet). >From the point of view of using a search engine, the Oxford
English or Websters spelling can be used to reduce ambiguity. For
example Webster's spelling of "program" can be used to mean a
computer program, and "programme" can be used to mean a television
programme. No system of spelling belongs exclusively one side of the Atlantic.
In these days of world-wide communication, and compulsory
education, we can no longer dismiss the subject as Swift did when
he spoke of, "... the foolish opinion advanced of late years that
we should spell exactly as we speak... ". "Those who reverence [the uncompromising tyranny of our spelling
system], said Robert Bridges, "have to learn that it has no divine
right, and if they obstinately uphold it usurpation they are
playing into the hands of the revolutionists, who would cast it off
altogether and substitute the worse tyranny a a questionable
phonetic system". For more information on this subject, please see "Fowler's Modern
English Usage". Gavin Haines Comment?
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++++ new post - different topic ++++ From: Nicolas Rao <
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Subject: Continuous speech recognition technology might actually
not be a boon! Hi MTIDers! Real-time reporting portrays a much brighter picture for
healthcare: dramatic cost savings coupled with the immediate
availability and distribution of the report. Since we would
then have faster clinical decisions and actions, good things
will happen to the clinical process. For example, inpatients
will sometimes get out of the hospital sooner. And
referring physicians will now be able to be more quickly
responsive to outpatients, making clinicians and patients
alike extremely appreciative of the service provided. However, regardless of whether the recognition is finalized
immediately or takes place off-line, this stuff is like magic.
And the leasing costs will typically be less than the ongoing
cost of transcription - substantially so if you choose the right
approach. Eons ago, I submitted that if continuous speech recognition
arrived before we could seduce physicians into structured
/codified input, it might be one of the worst things that could
ever happen to healthcare. Medical science has not learned
sufficiently from the world of clinical experiences! The data
that need to be analyzed to bring about this valuable learning
are all hidden inside the medical record. The only functional way
to aggregate and learn from all these experiences is to enter
clinical notes in a structured/codified manner and according
to a standardized coding system. That provides real data,
which can be rigorously analyzed - with appropriate
statistical controls for potentially confounding variables - to
perform desperately needed clinical practice research.
This learning can then be transferred into real-time clinical
decision support systems, which would therefore be based
upon an empirically developed understanding of health
maintenance and the clinical process. This advantage goes away in an era of sufficiently accurate
continuous speech recognition. If physicians can dictate
directly into a computer and have it accurately type out what
they say, it's hard to imagine them being willing to do anything
but that. And so, the logic goes, we can forget about getting
them to provide the structured/codified data necessary to
advance the science of medicine. This is why the astonishing
accomplishments in continuous speech recognition technology
might actually not be a net societal good!! Has the time has come to stop practicing the "art" of medicine?? Regards to all, Dr. N. V. Rao. Comment?
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================CONTINUING======================= From: Saagarika Haran <
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Subject: Medical transcription - future Hi everybody! I read a front page article in the Indian Express(IE.
dt.31.7.00 or 1.8.000) by Mr.Unny, wherein he had
stated that with the advent of Voice Recognition
Software(VRS), MT would soon become a thing of the
past. This is exactly the kind of reporting that is not only
irresponsible but damaging. Does the writer know that
whatever VRS can or cannot do, it certainly cannot
produce accurate medical transcription - not at the
levels of accuracy required.To quote the american
doctor " 98% works but the 2% kills".That's the most
telling statement, I ever heard! Even the medical spell-check is unreliable when you
have homonyms. The Medical as well as the English
Language is replete with homonyms. Can Mr. Unny
enlighten us how VRS is going to distinguish between
"ileum" and "ilium"? "Urine samples" would easily be
transcribed as "youre'in samples" "angiography" as
"and geography". Need I go on? It must be remembered that in medical reports we are
dealing with the life of a human being (the
patient's)and we cannot afford to have such big
bloomers!. As for the "alarmist prognosis" that MTs would have no
jobs in the future, only highlights the ignorance of
the person who authors such misleading statements. It
is clear that most reporters/writers don't research
their subjects when they write. As a matter of fact I had written to the IE about this
but naturally I can understand why it never got
published! In pursuance of my earlier article in MT digest#044, I
really think we should have "watch dogs" who will
monitor all aspects of this still nascent industry in
India. In the wake of our 53rd independence day celebrations
besides making lofty speeches from the ramparts of
'Lal Quila' we would do well to reflect on "how much
more quality conscious we must become and dedicate
ourselves to taking India to greater levels of
achievement and progress not just in terms of
performance but to higher standards of ethics and
morality. The bane of humanity is that there are very few people
left, with any ideals or values. The vast majority
wants to "make a quick buck" and has equated business
with fraud. If there are only more willing people (I have already
had people echoing my thoughts) we could organize
ourselves into a regulating body and keep the cream in
and throw the scum out. Sagarika Haran Comment?
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++++ new post - different topic ++++ From: "Bapat" <
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Subject: Re: Production Companies into training!! Hi MTIDers! Arora wrote:
>Each trainee will be also be given a stipend. ALL THIS AT NO
>COST !!. On completion of successful trainee, candidates will
>be observed in the company itself hence ASSURED JOB.< Can anyone name / disclose such companies training fresh
graduates in MT and giving them jobs on completion? Where are they located? I heard HealthScribe and Selectonics
have also started charging. Same with Heartland subsidiaries.
In fact KGISL charges 60,000 per student!! CBay subsidiaries
have always been charging. If someone has any fresh input, please mail me or to the list. Regards,
Bapat Comment?
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++++ new post - different topic ++++ From: Srivatsan Gopalan <
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Subject: Re:Training Dear Readers, I happen to read the mails sent to me from MT India. I would like
to pose a question if that is allowed. I would like to know which
is the best book that a doctor can choose to teach Medical
transcription and train people to get themselves acclimatized
with the medical terms.This is apart from the Stedman's
Medical Dictionary and The Language of Medicine written
by Shabbner. Expecting a positive reply, Yours, Srivatsan Gopalan Comment?
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================= BILLBOARD =================== From: HARMAN DHINGRA <
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Subject: Internet Security Visa has just published a set of security requirements for
Visa-participating merchants on the 'net. These seem to basically
codify common sense, but I suspect will be influential. And they
seem very consistent with what *ought* to be going on in
healthcare. >From the Visa website: <<Top Ten List At the most basic level, the program consists of a "Top Ten" list
of requirements plus several "best practices" for protecting Visa
cardholder information. The Top Ten requirements includes the
following: 1. Install and maintain a working network firewall to protect data
accessible via the Internet.
2. Keep security patches up-to-date.
3. Encrypt stored data accessible from the Internet.
4. Encrypt data sent across networks.
5. Use and regularly update anti-virus software.
6. Restrict access to data by business "need to know."
7. Assign unique IDs to each person with computer access to data.
8. Track access to data by unique ID.
9. Don't use vendor-supplied defaults for system passwords and
other security parameters.
10. Regularly test security systems and processes. In addition, Visa recommends the following three "best practices": 11. Screen employees with access to data to limit the "inside job."
12. Don't leave papers/diskettes/computers with data unsecured.
13. Destroy data when it's no longer needed for business reasons. These top-level principles apply to all entities participating in
the Visa payment system that process or store cardholder
information and have access to it though the Internet or
mail-order/telephone-order.>> Hey,"I" like them. "Living in today's complex world of the future is a lot like having
bees in your head. But, there they are."
- Firesign Theater Harman Dhingra Comment?
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++++ new post - different topic ++++ From: Maria Soledad De Guzman Aquino <
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Subject: Internet Security Hi there! OK, the Administrative Simplification home page now has separate
links to the preamble, to the regulation text, and to the companion
rule on the DSMOs (Designated Standards Maintenance Organizations).
Enjoy! Regulation Preamble: http://aspe.hhs.gov/admnsimp/final/txfin00.htm Regulation Text http://aspe.hhs.gov/admnsimp/final/txfin01.htm Companion Regulation on DSMOs: http://aspe.hhs.gov/admnsimp/frdsmo.htm Sincerely,
Miss Aquino Comment?
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=================GEEK TIPS========================
From: Sherlock Holmes <
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Subject: Win 95 Tip
Hi everyone!
Speed up your start menu. Obtain the Microsoft Powertoy 'TweakUI' from the Microsoft Web
Site. It contains an option to speed up the Start Menu. This change
will not take effect until you restart Windows 95. This setting can also be changed using the Registration Editor,
'RegEdit', but 'TweakUI' is much safer. Regards, Sherlock Holmes Comment?
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