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The Greeks, Asclepions of Hippocrates's time, screened for diabetes by taste. An alternative method was accomplished by poring the patient's urine on the ground and observing whether or not the urine attracted ants. The taste-test was said to have greater sensitivity while the ante-test offered greater specificity. It might be interesting to compare the sensitivity and specificity of the ante-test and the taste-test with today's fasting blood sugar and one hour glucose challenge test.
(EMR) Electronic Medical Record, (DSS) Discussion Support Systems, Translational Medicine, Current Medical Information Terminology, the architecture of design largely ignores differential diagnosis and current medical information. A Tsunami of new biomedical knowledge changes half of what we know and overwhelms attempts at setting standards. We lack a dynamic current medical information database that is accessible to the clinician and that can quantitate diagnostic evidence based on outcome.
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