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The link between telemedicine and pharmaceutical dispensing may not seem too obvious but we have come a long way since the telephone poison control centres of the 1950s [179]. Telepharmacy is now big business. In the USA, socalled Internet pharmacies allow patients to buy prescribed drugs online at discount prices. When, the healthcare system requires the patient to pay the full price of medication it pays to shop around to find the best price. While the law is quite clear that only medication that has been properly prescribed by a certified physician can be purchased in this way. there are apparently increasing numbers of fly-by-night companies [ 1SO] that are prepared to sell anything to anyone. The legal companies want tighter regulation. Pharmacists are only just beginning to consider the impact of telemedicine. Since patients do not need to see the doctor for a repeat prescription, they are now asking why they need to see the pharmacist to get the drugs. Alternatively, if you are in the drug store or chemist s shop, why not contact your doctor over the Internet, prove your identity, get your repeat prescription printed out and pick up the drugs on the spot. Clearly, there are many issues of ethics, security and confidentiality, reimbursement and funding to be sorted out but the convenience factor will drive solutions in the e-health direction. A voluminous article [lS I ] with the title Telemedicine and telepharmacy: current status and future implications says more about the former than the latter but it is a good source of material. That concludes our survey of telemedicine in the mainstream health sector. To end our discussion we turn our attention to the services offered by the commercial sector and other agencies.

Although usually reliable-the source will indicate the credentials-it is seldom validated and it may be too technical or designed for a more sophisticated audience than has access to it (see Section 64) Either way, the information can be difficult for a layperson to digest or appraise critically and may present a case of a little learning is a dangerous thing Information may also be inconiplete eg costs may be omitted or coniplicating pathologies ignored These omissions increase the risk to the patient or their relatives if the information is taken at face value and the frustration to the physician, who has to explain its unsuitability Problems can also arise from out-of-date or absent hyperlinks which produce spurious or no information The Internet user must be aware of these potential pitfalls In general.

10 m

however, the benefits of a more informed public increasingly involved in, and able to take responsibility for, their own care easily outweigh the possible problems The web certainly has the ability to change the doctor-patient relationship for the good as well as for the bad (see Sections 333 and 64) We should remember, however, that radio and television offer well-tried alternatives for public health education that reach much greater audiences than the Internet [63]..

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Dreamweaver provides an excellent tool for managing timelines the Timelines panel. Open this tool by choosing Window Timelines or using the keyboard shortcut Shift+F9. The Timelines panel uses VCR-style controls combined with a playback head, which is a visual representation showing which frame is the current one. As shown in Figure 29-1, the Timelines panel gives you full control over any of the timeline functions.

- 1 1 1 1 1 1 1 1 0 0 1 1 0 0 1 1 0 0 0 0 1 1 1 1

1.2 35

Figure 7-4: You can control what the Site Map shows as well as its overall appearance through the Site Map Layout category.

Now the degree b(x) is 12 - 1 < 1, so deg(p(x)) < m = deg(p(x)). But since p ( x ) is irreducible, b ( x ) and p ( x ) must be relatively prime. Therefore, since v ( x ) is (assumed to be) a code polynomial, x j - i 1 must be divisible by p ( x ) (since it cannot be divisible by x2'-l 1). Therefore, j - i must be a multiple of p . By (10.6), j - i must also be multiple of 21 - 1. So j - i must be a multiple of the least common multiple of 2 - 1 and m. But 2 this least common multiple is n. We now reach the contradlction which leads to the final conclusion: j - i cannot be a multiple of n , since j and i are both less than n. We conclude, therefore, that v ( x ) is not a codeword, so the bursts x i a ( x ) and xjb(x) are in different cosets. Hence they are correctable error patterns. 0