A fluffy orange polenta cake

Chocolate coconut brownie

175g roughly chopped unsalted butter

175g roughly chopped dark chocolate

3 lightly beaten eggs

1 1/2 cups caster sugar

1/2 cup dessicated coconut

1 teaspoon vanilla essence

1 cup sifted plain flour

1/3 cup sifted cocoa

icing sugar or cocoa, to serve

Preheat oven to 170 deg C. Lightly grease and line a 20 x 30cm baking pan. Melt butter and chocolate in a medium heatproof bowl over a saucepan filled with half-simmering water (make sure the bowl does not touch the water). Use a metal spoon to stir occasionally until the chocolate melts and is smooth. Remove from heat. Place eggs, caster sugar, coconut and vanilla essence in a large bowl. Stir until well combined. Combine flour and cocoa in a separate bowl. Fold melted chocolate into egg mixture, then fold through flour mixture. Stir until just combined. Spoon mixture into prepared pan. Bake for 30-35 minutes or until just firm. Set aside to cool. To serve, slice and dust with icing sugar or cocoa.

#DigitalHealth: Five Fallacies of Remote Patient Monitoring

Experience from the field!

The Digital Health Corner

As defined in Wikipedia, remote patient monitoring (RPM) is: “a technology to enable monitoring of patients outside of conventional clinical settings (e.g. in the home), which may increase access to care and decrease healthcare delivery costs.”  I was a pioneer adopter of RPM as a BETA site for Medtronic’s Carelink wireless system which monitors implantable cardiac rhythm devices (defibrillators and pacemakers). RPM has gained significant attention because of recently mandated penalties for hospital readmissions for certain diagnoses (myocardial infarction, congestive heart failure, stroke, and chronic obstructive lung disease).  RPM is seen as a way of remaining in physiologic contact with these patients who might be managed at home via care systems. There are conflicting study results regarding the utility of remote monitoring preventing hospital readmissions. Some studies show no decrease in hospitalizations, and others with significant benefit.

1.    All remote monitoring is the same. There is no standard definition for…

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End-of-Life Care Should Be Universally Provided and Need-Based

End-of-Life Care Should Be Universally Provided and Need-Based