The computer gaming industry is of course massive and simulation games have been popular for a long time. Traditionally though, game makers made their money by selling games and upgrades for games. The SIMS being one of the best examples. I must admit to having enjoyed some of their games in the past, especially the classic Sim City.
Zynga has taken this to a whole new level of success with Farmville, a sim game which has become incredibly popular on Facebook. People pay real money to buy virtual tractors and other items in the game. This has now gone to such an extreme that Tesco is now about to start to sell real money vouchers in their stores.
In About Us on Zynga, they emphasize that their games are free, which is totally true, but there are elements in many of their games where you pay money to buy virtual things, or for example in the poker game, to buy back in to the weekly tournament if you lose your chips.
This adds an amazing dimension to this free game business. According to industry experts, as reported on Rev2.org, Zynga could be worth as much as US$5 Billion, which they predict could double in the next 5 years. Seems the concept of free and internet based games may have some commercial merit:)
A friend of mine was prepped for 2 days with nil by mouth a month or 2 ago for urgent cancer surgery. The first day she got bumped and the 2nd day was the start of a radiographers strike. Last night she was prepped for an 8 hour operation and got bumped due to a critical case that suddenly appeared. We thought she was criticial, but obviously that’s not for us to judge.
I’ve asked the question before “Is hospital the best place to be when you are sick?” and pretty much decided unless it was a private hospital, possibly not. But of course most of us don’t have any choice especially as we get older.
It is nice to see that some things are improving. For example Auckland Health Board has decided to send some patients to private clinics for radiation treatment to reduce waiting times.
I had blogged previously about waiting times at North Shore Hospital based on experiences waiting with family members in A & E and subsequently in corridors in some cases for days, without being assigned to wards. Each time we were told that it was an exceptional case and we were just unlucky. A registrar was sick and therefore his team couldn’t operate was a common excuse. Think about it, an entire team doesn’t operate because one person doesn’t turn up? Maybe they were stretching the truth, being they are short staffed and can’t afford another registrar, and they didn’t turn up because they didn’t exist.
According to the reports, North Shore Hospital is improving and it is now only the 3rd worst in New Zealand. North Shore Hospital supports North Shore and Waitakere with an excess of 400,000 population and rapidly growing. Of course things will change with the new Super City, but the problems won’t go away.
As you can see in previous blogs I’ve written such as ‘76 Deaths, Surgical Mistakes in New Zealand Hospitals‘ I have been pushing for more specialized technology to streamline processes for many years. The technology has been around for a long time, yet we still seem to rely heavily on paper. Tablet and handheld computing has been around for a long time. Most of us use WiFi in the home, in cafe’s, at the airport and understand the power of dealing with information once, accurately and allowing instant access to anyone who needs it in a timely fashion. That’s how we live.
I now see bar codes on patient wrist bands, but I don’t see them being read by a handheld computer to check for allergies, conditions etc at the bedside. This technology could have saved many NZ lives at a tiny fraction of the cost of their lost lives, productivity etc.
When I started promoting this technology, it was with Pocket PC, Palm and Symbol technologies (handheld computers, 3D Bar Code Readers, Portable Printers, Digital Cameras which were being used in many US and European hospitals and that was 20 years ago!
Today there is superior technology such as the Panasonic Mobile Clinical Assistant CF-H1 which runs on Windows 7. The video is pretty corny but it really does illustrate how efficient it is to use mobile technology. Of course this technology has a rugged drop spec, is chemical resistant, lasts 6 hours on a standard battery.
This technology means everyone is in sync and has access to critical data on demand. Paper gets misplaced in hospitals. I had one visit with a daughter that was delayed by 90 minutes simply because someone had misplaced her file. Data can be shared with specialists and medical staff in and out of hospital, including images such as scans, x-rays, photos, test results, charts and graphs. Allergies and condition interactions can be monitored to minimise risk of causing new problems, doses can be confirmed, approvals provided remotely. Pretty much the whole world’s medical knowledge is available online today.
Today’s world should be about harnessing technology to work smarter rather than harder. I suspect the focus is on cost of the technology because our hospitals are run by administrators tasked with saving money. Of course they are largely man aged by politicians. If health is a major election platform every election, why is it that the performance is still so poor?
Next time you are in hospital, have a look at how they use or don’t use technology. Think about how you operate in your business. Think about what’s at stake and ask them why they do things the way they do.
We have national elections next year. They will be talking about improving the health system. Will they be talking about improving the ICT structure and putting information in the hands of the clinicians? Or will they be talking about saving money, improving the monitoring of staff performance and measuring waiting times in A&E?
We have an ageing population and growing population. They are going to need more services and we could increase our throughput, reduce patient risk, significantly improve outcomes by harnessing technology, working smarter rather than harder, expecting great results from staff working double shifts several times a week.
Qantas has had some bad press lately, having to abort several flights due to engine or other malfunctions. The most recent was when a flight to Buenos Aires from Sydney returned to Sydney yesterday after smoke was detected in the cockpit. A few days earlier a Qantas flight from Perth to Melbourne returned to Perth not long after take off due to engine trouble. In all 4 Qantas flights have been unable to reach their destination in less than 2 weeks.
In the overall scheme of things, this is of concern, but what it got me thinking about was that every time a plane gets turned back to due a malfunction, they dump most of their fuel because it would be dangerous to try to land a plane ‘heavy’ with aviation fuel, especially when there are already technical problems with the flight. Obviously the fuel itself adds weight and restricts low altitude manoeverability, but also represents a major fire/explosion risk.
With the price of fuel, I’m sure that airlines take as much as required to cover contingency plans and civil aviation law will also dictate rules around this. Nevertheless, it got me thinking about how much fuel is dumped from aircraft around the world on a daily basis and what the consequences might be.
According to an enlightening article in Wikipedia only large aircraft, fitted with fuel dumping systems have the ability to dump fuel. It is not universal. It also says that they generally dump fuel at high altitude which means that most of it dissipates before it hits the ground.
So is it safe? The Institute for Southern Studies found that fuel dumping was behind crop damage in Tennessee. They say that most of the fuel vaporizes and doesn’t reach the ground, yet the net is full of news stories about problems caused by fuel dumping. Of course it could be considered far less risky than an explosion on impact and in my research, there was far more evidence of massive losses of oil at sea from ships.
I found it really difficult to get any sort of statistic of how many fuel dumps happen around the world daily, I know its a lot because of the number of PA’s I have heard from the flight deck on my travels. I’d be interested if anyone has any statistics on this. One thing I do note is that in New Zealand we don’t have problems like acid rain and we have very low flight density. Yes, I do understand that most acid rain comes from heavy industrial pollution.
Anyway, just something I’ve been thinking about. Yes, I would still fly Qantas without hesitation.
Auckland’s Sky City Convention Centre is hosting the World Dairy Summit this week, a conference which will be attended by delegates from all over the world.
I was pleased to hear that sustainability is a major part of this event, with a day committed to the environment. One of those sections is on knowing your water footprint and water accounting in the dairy industry. Another is zero waste, although I’m not sure if that takes into consideration the leaching of all sorts of bio waste, hormones and fertilizers into the rivers, such as the Waikato River from which we Aucklanders have to drink, but I digress.
In a recent blog about In Vitro Meat I mentioned that according to Fred Pearce who wrote the book When the Rivers Run Dry, it requires around 24,000 liters of water to grow the feed to make a kilo of beef, or 2,400 liters for a Quarter Pounder. Now that’s a lot of water. We’re quite lucky in New Zealand being an island nation, that we get a lot of rain, but a lot of the world is not so lucky.
Of course this water is recycled in some ways, although not scientifically, most of it flows back into the ground together with whatever chemicals and particulates have been absorbed with it. That is why I previously blogged about the water quality issue in Auckland with the Super City Elections, but this was not high on any agendas.
Now my blog has been criticized before by farmers saying I am anti farming. This couldn’t be further from the truth and I love eating meat. I’ve gone off pork in recent times having seen how its farmed, but I won’t say no to wild pork.
I chose the following video because it helps explain the water issue in growing beef, but I won’t be following the advice to become a vegetarian. I don’t think humans were supposed to be vegetarian. I just think we need to stop the outrageous waste of water in our current farming methods and find better ways to grow feed, recycle water and reduce the amounts required in the farming process. I hope that New Zealand will take a stronger leadership position on water and its preservation. We are on the verge of a global water crisis and I believe that we are taking it for granted that we will always have plenty downunder.
The following presentation is fascinating. So many people suffer from autoimmune problems. Could it be that many of them can be cured using a subset of Vitamin D?
It makes sense that many bacterial genomes damage the immune system over time and incrementally shut it down. In effect microbiota block the Vitamin D Receptors from producing antimicrobials.
Professor Trevor Marshall has worked with over 500 human subjects and demonstrated reversibility of many autoimmune conditions including Lupus, MS, Type 2 diabetes and many more conditions, typically chronic inflammation conditions.
What is even more impressive is that as the inflammation receded, a host of other conditions that the subjects suffered from also disappeared. These included memory loss, obsessive compulsive disorder, osteoporosis, bipolar and even cardiovascular disease.
In their research they discovered a couple of very interesting points. One is that only 1,25 dihydroxyviatmin-D can activate VDR transcription, whereas Vitamin D that we can take as pills actually inhibit it.
Could this be one of the discoveries that will help increase our life expectancy and potentially cure people from many terrible diseases?
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