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Re: Digital Microscope ($70) Replaces my Dermatoscope plus Canon EOS w Macro Lens & (~$4000)
I have no obtained a dig microscope following reading this. Works very well. Still takes some time to import pictures into software.
Re: Digital Microscope ($70) Replaces my Dermatoscope plus Canon EOS w Macro Lens & (~$4000)
We have now bought one to try as well. All docs in clinic have decided to get one after demoing it.
Re: Getting Growled at!
Hi Phil
DCP needs to be updated to the latest version for Growl. I have tested the MD3 and BP versions.

Other than that - I’m not sure what may be preventing Growl registering the DCP.
Perhaps firewall - the Growl app sends /receives messages via TCP, but I had no problem with growl and Norton Firewall . As it is on the local machine it should not be a problem.
Cheers
Re: Getting Growled at!
When Growl is running it doesn't notice the DCP starts up i.e. DCP is not registered with Growl. What may be blocking it?
Re: DCP Subscriptions - Soon available
Any update on how we can have non-doctors writing/contributing to care plans. Especially the AUSDRISK assessments!! At the moment, the nurses are doing AUSDRISK, but it is not being recorded in Doctor's Control Panel, and so the risk of unnecessary repetition is high.
Re: DCP Subscriptions - Soon available
Any update on how we can have non-doctors writing/contributing to care plans. Especially the AUSDRISK assessments!! At the moment, the nurses are doing AUSDRISK, but it is not being recorded in Doctor's Control Panel, and so the risk of unnecessary repetition is high.
Re: DCP Subscriptions - Soon available
please i would like to get more information about the subscription, how much it costs per year and how can i subscribe
thanks
UPDATE 2010
The k550 was retired.
I have now changed all printers over to HP 5400 dt models at the surgery. All have CISS. No problems with any of them.I was able to hunt around and find the superceded K5400 models at a rediculously CHEAP price $70-$100 at officeworks (scrounged all the stores in Victoria). I would have bought 10 at that price. Even with $130 for each CISS it is cheap.Total running cost for surgery is about $100 per year. Down from $1000+. Plus no inconvenience of replacing cartridges. I have two in my office plus a small epson for envelopes.
Re: DCP Subscriptions - Soon available
please email me

Medicine And Software

Jul 15

Written by: admin
Tuesday, July 15, 2008  RssIcon

THE DCP
The DCP Will add to workload but I have optimised code so that the load will be small.
There are about 12 queries that will run every 60 seconds or when a new patient is opened. Each query runs on a new connection and lasts a few miliseconds. Since the queries are the same (unless a new patient), SQL Server will usually return cached information from memory and no disk access is required. A few kilobytes transferred in this way will not noticeably affect SQL server performance. You could run hundreds of DCP's with minimal performance degradation on your overall system.

The statistics form is not able to be optimised and runs thousands of queries. It will function like a stress test on your server. If you want to see if there is any degradation of your system due to SQL Load then try the statistics while opening patients in MDW. I have noticed minimal impact.

Most degradation in performance arises from MDW  running on a slow machine OR  'RUNNING MULTIPLE SESSIONS OF MDW IN TERMINAL SERVICE MODE , ALL CONNECTING TO THE ONE SERVER, WITH THE SQL SERVER INSTANCE BEING HOSTED ON THE SAME TERMINAL SERVER'. This will kill the server performance faster than an electrical 'spanner in the works'. If you think that having a faster server with a bucket load of memory will fix this , think again. Distributing load over several Windows Machines is vastly superior.

As a minumum - Separate the Terminal Server from the SQL server instance on different machines. (The SQL Server instance can be run on Windows XP).

If the load is high on the terminal server (running more than 5-10 Sessions concurrently), and the Terminal server has 3Gig RAM, then add another machine as a terminal server.
Also try to reduce the amout of ram required by each terminal server user - limit number of programs open concurrently, dont use memory intensive applications(other than MDW).

Adding another Terminal Server means adding another Windows server box configured to act as a terminal server. There are load distribution mechanisms for Terminal server that I have not had the displeasure of having to configure so I cant offer experienced advice here.

Theoretically, changing to the full SQL server will probably never become an issue for you unless you approach the limits of memory or file size.



FROM THE MICROSOFT PROMOTIONAL BLURB

THERE IS NO WORKLOAD GOVERNOR IN SQL SERVER EXPRESS EDITION.
SQL Server Express uses the same reliable and high-performance database engine as the other versions of SQL Server 2005. It also uses the same data access APIs such as ADO.NET, SQL Native Client, and T-SQL. In fact, it is differentiated from the rest of the SQL Server 2005 editions only by the following:

* Lack of enterprise features support
* Limited to one CPU
* One GB memory limit for the buffer pool
* Databases have a 4 GB maximum size

  

SQL Server loves using memory and can cache more data if you throw in more memory. If you want faster SQL Server performance this is generally the way to go(Allows serving cached information , obviating frequent disk access). SQL Express cannot use more than 1 gigabyte, however this is more than adequate for the type of data accessed by MDW(i.e. sequential access to individual patient information).
If you use the full version SQL server, it could theoretically cache the entire database in memory, (all information for every patient). You would need ~4-16Gig RAM (only possible in the 64 BIT Edition of WINDOWS SERVER/SQL SERVER). But this will NOT provide any realised benefit for typical workstations using MDW. For high performance web servers and stock market applications this can be a bonus.

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Re: The DCP and Windows Server / SQL Server / MD3 Performance

I'm impressed Anton. Well done. I look forward to being able to use it in Best Practice.

By Mal on   Sunday, July 20, 2008

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