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Posts from the ‘Commentary’ Category

Attention to detail


“Your great attention to detail is both a blessing and a curse”  – Chinese proverb

This message, found in a fortune cookie, inspired the folks at Oxford University Press (the Pencil and question markpublishers of the AMA Manual of Style, used by ANS), to start a blog!  The blog is the AMA Style Insider, and I highly recommend it – even for those who are not blessed with great attention to detail!  It is free of charge and anyone can visit the blog — I recommend that you subscribe to stay informed of many important issues facing writers, editors and publishers.  As they note in the announcement that circulated about the new blog, even though the AMA Manual of Style is over 1000 pages long, there are endless issues and questions that come up for writers every day.  And, the issues they address are not limited to any one approach to “style” – in fact they refer to other style manuals and traditions besides their own.

So far there are only a handful of posts on the blog, but every one of them is interesting!  They deal with topics ranging from recent FAQ’s from users of the AMA Manual of Style, to word usage (heathy vs healthful for example), placement of an apostrophe, the dangers of duplicate e-publication, and much more!  And, the information addresses not just the “facts” of how to handle problems of style, spelling, grammar, usage, and so forth, but the issues surrounding the problems and various points of view about how to deal with the issue in your own work.

The Importance of Letters to the Editor


Letters to the Editor are vital in achieving a primary purpose established early in the history of Advances in Nursing Science.  The current issue (Vol. 34:1) contains two letters in response to the article titled “The Politics of Nursing Knowledge and LettersEducation: Critical Pedagogy in the Face of the Militarization of Nursing in the War on Terror.” (Vol. 33:3).  The letters in response to this article are free downloads from the ANS web site.

These letters prompted lively discussion at our annual Advisory Board meeting (November, 2010), and the Board recommended that we invite external reviews of the issues that were raised in the Read more

Disaster preparedness


The Washington Post had a story yesterday that should raise some concerns, for a day or two:  “US Health Care System Unprepared for Major Nuclear Emergency, Officials Say”Disaster Relief

As I suggested in another post, it is difficult, if not impossible to be prepared for a catastrophe when our health care facilities are barely handling routine loads.

Disaster preparedness requires tremendous redundancies: Extra staff, extra supplies, extra equipment, extra medications, extra food, and alternative energy sources. Read more

Regulating Medical Loss Ratios


I was just thinking about a new paper in the American Journal of Managed Care:

—————————————————————————————————————————————————
Regulating the Medical Loss Ratio: Implications for the Individual Market
Jean M. Abraham, PhD; and Pinar Karaca-Mandic, PhD
(Am J Manag Care. 2011;17(3):211-218)

“Results:In 2009, using a PPACA-adjusted MLR definition, we estimated that 29% of insurer-state observations in the individual market would have MLRs below the 80% minimum, corresponding to 32% of total enrollment. Nine states would have at least one-half of their health insurers below the threshold. If insurers below the MLR threshold exit the market, major coverage disruption could occur for those in poor health; we estimated the range to be between 104,624 and 158,736 member-years.”Conclusion: The introduction of MLR regulation as part of the PPACA has the potential to significantly affect the functioning of the individual market for health insurance.”————————————————————————————————————————

The Robert Wood Johnson Foundation thought enough of it to post it on their website and I did a post over there

http://www.rwjf.org/coverage/product.jsp?id=72089&cid=XEM_910232#disqus_thread

but sometimes they don’t like them, so I’ll edit it and redo it here because I think Read more

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