My Usenet posts
Word of the day: to beal; to suppurate, to gather, to weep pus. Obsolete in standard English. The OED describes that it is still in use in Scotland, and I can report today that it is used in the area of the East Donegal plantation.
It is either a Norse doublet of boil (in the meaning of a furuncle) or an internal English variant on the word. Cf. German die Beule with the same meaning.
FeverPAIN. 8th of September, 2018 POST·MERIDIEM 11:18
At the beginning of 2018, Public Health England published a clinical decision rule for doctors managing sore throat, advising:
‘[Use] of the FeverPAIN or Centor clinical prediction score to determine the likelihood of streptococcal infection (and therefore the need for antibiotic treatment):’
In the context of a pending non-MICGP post-graduate exam I am obliged to remember this clinical rule and regurgitate it onto the page the day of the exam. I have no plans to use it in practice.
Here are its weaknesses as they occur to me:
In summary; if you’re a doctor reading this; if there is any whisper of a sore throat being bacterial, give the patient the penicillin. The patient will be happier and likely less sick, there will be little to no further resistance to penicillin in the community, and you won’t have to think about wasting time with penicillin if they re-present because of a resistant organism.
VTE Dublin 2017, and its Ultrasound Workshop. 19th of September, 2017 POST·MERIDIEM 11:01
I want to make a shout-out Cian McDermott, Andy Neill and everyone else involved in organising and running the Ultrasound Workshop at the VTE Dublin conference. Excellent sessions, great instructors, wonderful to have formal instruction on ultrasound for DVT, PE, and an introduction to echocardiogram.
I’m a GP trainee in Donegal who does Emergency Medicine as a side specialty, taking the exams and working lots of shifts in Northern Ireland. There’s a lot of cross-over between the two sets of generalists, and if anything, there’s even more reason for GPs to be putting ultrasound probes to people than ED doctors; ‘I haven’t felt my [unborn] baby move in just over a day’ should never go to the Emergency Department, absent bleeding or pain; poor local access to echo means I have a patient currently who probably has a new right-to-left ventricular shunt across a VSD, but her best chance of having that confirmed in the next 18 months is my buying something like a Philips S4-1 and putting it to her chest.
Thankfully, my first ED shift after the workshop wasn’t as eventful as that of Dan Horner. I only had a thirty-something man with back pain and light-headedness, who happily had a normal abdominal aortic diameter, and a non-EU expectant mother with a headache, at 18 weeks gestation, who couldn’t access the usual antenatal care because the Home Office was siting on her documentation. She was very glad to see her singleton intrauterine pregnancy with good fetal movement, good heartbeat and an abdominal circumference appropriate for dates.
So, in sum; ultrasound, great, VTE Dublin ultrasound workshop, fantastic!
Ben Goldacre’s Bad Pharma 30th of September, 2012 ANTE·MERIDIEM 01:06Bad Pharma, and noticed the braille on the cover. Here it is (possibly upside-down, but I don’t think so):
⠄⠒⠎⠥⠍⠑ ⠄⠊⠍⠍⠇⠽I’m disappointed! The good doctor requested suggestions for two words to put up there, but as far as I can see it’s just ‘:Sume Immly.’ I’ll be unimpressed if it’s just nonsense, but I’m open to correction.
Word of the day: دیدن، بین /didæn/, /bin/ are the infinitive and present stem of ‘to see’ in Persian.
Last comment from zocky on the 5th of October at 0:08
⠄ is the abbreviation marker (used before both words), and ⠒ is the abbreviation for "con"
So it says "consume immediately".
Forcing Amazon RDS databases to non-UTC server timezone 6th of July, 2011 POST·MERIDIEM 06:37
Amazon Relational Database System (RDS) is a fine service, allowing you to move MySQL and Oracle databases to the care of a company that administers them and backs them up competently and in huge number, and charges a not-unreasonable price for it.
Now, if you’ve chosen MySQL as your database, you’ve probably made other less-than-optimal programming decisions in the past too, like not storing timestamps as UTC, and relying on the database server to have the same time zone as most of the clients. (The latter of which is, in many contexts fine; cf. Japanese developers developing apps for Japan, a country of 120 million people with one time zone.)
Unfortunately, Amazon doesn’t support setting the SQL server time zone of an RDS database instance, it requires UTC. kaz_goto in that thread offers a solution, but that solution hangs when the database instance is rebooted. I’ve developed that solution a little further; my approach requires the following stored procedure in the database:
DELIMITER | CREATE PROCEDURE mysql.store_time_zone () IF NOT (POSITION('rdsadmin@' IN CURRENT_USER()) = 1) THEN SET SESSION time_zone = 'Europe/Dublin'; END IF | DELIMITER ;And, as in kaz_goto’s post there, the database parameters need to be modified to include something with a space—follow his instructions, but make sure the result reflects the following:
$ rds-describe-db-parameters PARAMGROUP --source=User DBPARAMETER Parameter Name Parameter Value Source Data Type Apply Type Is Modifiable DBPARAMETER init_connect CALL mysql.store_time_zone user string dynamic true $
Once this is done, rebooting will not be a problem, though starting up databases with that parameter group but without the associated stored procedure will lead to hangs on connection.
Word of the day: die Umnachtung is German for derangement.