Hur itrevligt du är.
Dr. Donald E. Stanley
Pathologist
500 West Neck Road
Nobleboro, Maine 04555(207)563-1560
M. (207)952-0908
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[log in to unmask]
On 01/9/12 10:46 AM, "[log in to unmask]" <[log in to unmask]>
wrote:
>Childish! If you have a lot of spare time, go out and help keep the
>streets
>clean!
>//Bengt
>
>>----Ursprungligt meddelande----
>>Från: [log in to unmask]
>>Datum: 2012-01-09 15:01
>>Till: <[log in to unmask]>
>>Ärende: Re: Ten commandments for testing
>>
>>Tom
>>
>>I thanketh thee most sincerely in the first person active present
>>singular indicative for thy syntactic pedagogy.
>>
>>m
>>
>>
>>On 1/9/12, Roper Tom (WESTERN SUSSEX HOSPITALS NHS TRUST)
>><[log in to unmask]> wrote:
>>> If it is the intention to publish, I'd suggest that some attention to
>>> archaic grammar, particularly verb-endings, might enhance the
>commandments'
>>> value.
>>> The ending -eth was used in the third person singular indicative. So,
>>> 'before thou ordereth a test' should be 'before thou orderest'...and
>>>so on
>>> Tom
>>>
>>> Tom Roper
>>> Primary Care Librarian
>>> West Sussex Knowledge & Libraries
>>> Mobile: 07786 981123
>>> E-mail: [log in to unmask]
>>> http://www.westsussexknowledge.nhs.uk/
>>>
>>> ________________________________
>>> From: Evidence based health (EBH)
>>>[[log in to unmask]]
>On
>>> Behalf Of Ash Paul [[log in to unmask]]
>>> Sent: 09 January 2012 13:21
>>> To: [log in to unmask]
>>> Subject: Re: Ten commandments for testing
>>>
>>> Dear Greg,
>>>
>>> I have biblified yours/Anna's list and circulated it to our NHS Public
>>> Health Commissioners e-group. I have proposed calling them the Fell-
>Sayburn
>>> Commandments
>>>
>>>
>>>
>>>
>>> 1. Before thou ordereth a test, thou shalt remembereth that ?All
>>>tests
>can
>>> doeth harm. Many tests doeth good. Some tests doeth more good than
>>>harm?
>>>
>>>
>>>
>>> 1. Thou shalt knoweth the predictive positive value and predictive
>>> negative value of the test before thou ordereth it
>>>
>>>
>>>
>>> 1. Thou shalt knoweth that if thou ordereth a test with a positive
>>> predictive value below 50%, thou might as well tosseth a coin
>>>
>>>
>>>
>>> 1. Thou shalt knoweth the prevalence of the disease in the
>>>population
>from
>>> which the person thou art going to test cometh from; for combined with
>>> positive predictive value or negative predictive value, thou can then
>>> ensureth that thou hast interpreted the result properly. Thou shalt
>>> recogniseth that in a low prevalence population, even a very sensitive
>test
>>> has poor predictive value, and if thou ordereth such a test, thou
>>>might as
>>> well tosseth a coin.
>>>
>>>
>>>
>>> 1. Thou shalt knoweth exactly what thou art going to doeth with the
>result
>>> of the test before thou ordereth it. ?If thou doth not know what to
>>>doeth
>>> with the result, or if the test is not part of an evidenced-based
>>>pathway,
>>> then thou shalt DESIST from ordering such a test.?
>>>
>>>
>>>
>>> 1. Thou shalt knoweth the cost of the test thou art going to
>>>ordereth,
>>> before thou ordereth it, and also enquireth whether there are cheaper
>>>ways
>>> of finding the same result.
>>>
>>>
>>>
>>> 1. Thou shalt knoweth who else might have in the past, or might in
>>>the
>>> future, ordereth the same test under the same set of circumstances,
>>>and
>then
>>> ensureth they know they are wasting resources as thou hast done it
>>>already
>>> before. Therefore, thou shalt recordeth the result of the test thou
>ordereth
>>> very clearly for all others to see.
>>>
>>>
>>>
>>> 1. Thou shalt informeth patients that ?shinier scanners and swizzier
>kits"
>>> might well giveth better resolution pictures but they might not
>>>actually
>>> changeth a clinical management decision
>>>
>>>
>>>
>>> 1. Thou shall simply not asketh or ordereth patients to undertake
>>> diagnostic tests for which there is well proven evidence of no benefit
>>>
>>> 10. Thou shalt explaineth to the patient, clearly and without
>>>bias,
>what
>>> the test can and canst tell thou, and thou shalt asketh them if they
>>>are
>>> happy to goeth ahead on that basis.
>>>
>>>
>>> Regards,
>>>
>>> Ash
>>>
>>>
>>> ________________________________
>>> From: Fell Greg <[log in to unmask]>
>>> To: [log in to unmask]
>>> Sent: Monday, 9 January 2012, 12:19
>>> Subject: Re: Ten commandments for testing
>>>
>>> accept the need for a ?full? version (with refs and all that)?.guess it
>>> depends on intended audience and endpoint. I feel the slightly humerous
>>> biblified version might have more ?reach? (on account of the humour
>>> factor)?.but accept that ?reach? and ?influence? might be two slightly
>>> different things.
>>> I am not going to die in a ditch about either.
>>> The important thing is that the list sees the light of day outside
>>>this e
>>> group ? published / blogged / other. I am intending on using it
>extensively
>>> locally.
>>> Do colleagues feel this is publishable.
>>>
>>> gf
>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>> ________________________________
>>>
>>>
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>>
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