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Lisa Rosenbaum, M.D.: Transitional Chaos or Enduring Damage? The EHR and the Disruption of Medicine A decade ago, a primary care physician I undone admired seemed to come caverta . His effectiveness had derived not really from rushing between patients but from knowing them therefore well that his charting was effortless and fast. But suddenly he became distracted, losing his grasp on the facts of his sufferers’ lives. He slumped around, shirt half-untucked, perpetually pulling a yellowed handkerchief from his pocket to wipe his perspiring forehead.

Indirect Aftereffect of Vaccination Among the 245 schools that participated in the mass vaccination plan, the vaccination coverage rates varied from less than 1.0 percent to 54.4 percent. To measure the indirect effect of vaccination, we compared the time incidence of confirmed instances of 2009 H1N1 virus infection among unvaccinated students on the basis of the school’s vaccination insurance. Although the relationship had not been linear, the time incidence were lower in universities with a vaccination coverage of at least 40 percent than in those with a coverage of less than 40 percent .