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You can download Simple House Plan Design Software photos free for personal or non-commercial use. Here is another addition to our calendar family.  It is a monthly calendar template for 2016. These templates are easy to change and you can add your own text, and colour the individual boxes.
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A third group of people who don’t fit into those earlier categories has cropped up in the last few years. Here’s how to open, create and edit a PowerPoint Presentation for free using Office Online. On the right of your screen you can immediately begin creating a new PowerPoint presentation online. PowerPoint Online doesn’t have a Save button because it’s always saving for you in the background.
SlideRocket is a revolutionary new approach to business communications designed from the start to help you make great presentations that engage your audience and deliver tangible results. SlideRocket protects your content investment and opens up a world of previously unavailable possibilities by importing your existing PowerPoint or Google presentations.
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SlideRocket goes way beyond its desktop counterparts and offers you the power of the Internet. Inspiration is just a click away in SlideRocketa€™s gallery of professionally designed presentations. Light the fuse to your presentation project with inspiration from SlideRocket's Presentation Gallery. Presentations hold some of your most precious data, yet presentation files are often left unsecured, stored on laptops or thumb drives and shared indiscriminately. SlideRocket stores and protects your presentations online and ensures you have complete control over how they're accessed and distributed. SlideRocket puts the power of web meetings at your fingertips without the need to download and install additional software. An industry first, SlideRocket analytics lets you measure your presentation effectiveness by showing you who viewed and what they did as a result.
As we adjust to the new server, we expect that there will be technical issues in various sections of the site.
The blending of medicine and healthcare with e-commerce and the Internet raises many questions involving what sort of ethical conduct should be expected by practitioners and developers of the medical Internet. Historically, you are either someone who frequently creates and edits presentations in Microsoft’s PowerPoint app or you aren’t.
Since it’s a web app, Office Online lives inside your browser just like websites and email clients. All of these different pieces are connected by OneDrive, Microsoft’s cloud storage utility. There’s dozens of templates to choose from, each with their own personality and customization options. What’s not immediately evident is that the Office Online apps rely a bit too heavily on OneDrive. Instead, you’re stuck loading your previously made PowerPoint presentation to OneDrive before it can be opened. If it’s a very old presentation some of your formatting might not translate over or you may notice some areas. Import as images for quick and easy sharing or import as editable files for full compatibility with SlideRocket.
Online, offline or mobile you can login, access your presentations and make them available to your customers and prospects 24x7.
Combine themes and layouts, shapes, charts, tables, pictures, audio, HD video, and Flash to tell your story without compromise. Easily integrate content from free public web resources like Flickr or YouTube and utilize plug-ins from Yahoo! Easily share presentations, slides and assets across the organization to facilitate reuse and consistency while letting SlideRocket do the heavy lifting with automatic version management and content inheritance for always up to date slides. Pull data in real time from sources like Google Spreadsheets, Twitter live feeds and Yahoo! Find the creative spark you need to realize your own project and borrow from the experience of the world's best presentation designers to get a head start. The reality is that hard drives crash, viruses attack, computers are stolen, and important documents are lost, accidentally deleted or worse, shared with competitors. If you value your intellectual property, SlideRocket is the easiest way to effectively secure your presentations and related assets. With stunning clarity and support for full motion video, transitions and builds SlideRocket presents your slides with full fidelity so your audience sees them the same way you do. Get high level viewing trends and individual viewing details to understand how well your presentation is performing.
Some of the early pioneers in medical and healthcare Web sites pushed the ethical boundaries with questionable, even unethical, practices. For years, Microsoft has offered Desktop versions of PowerPoint in standalone packages for $129. Every so often, they’re asked to speak and need a visual aid to go along with their topics. OneDrive acts as a storage area for your documents, notebooks, spreadsheets and presentations by default if you have Microsoft Office 2013.
Again, PowerPoint Online has saved a copy of your presentation to your OneDrive storage folder in case of emergency. Click on the Upload button along the top of OneDrive or simply drag your document from your Desktop into the window. SlideRocket delivers the same beautiful experience across operating systems and devices so your message is always well received. Just publish a presentation URL and share it, embed your presentation in a web page or blog, or send an invite, all with a few simple clicks. Wherever you are SlideRocket's HTML5 viewer lets you seamlessly share presentations on any HTML5 compliant device to deliver moving presentations wherever you move.
It should be noted, though, that this is created as a series of rectangles drawn on the page, not a Powerpoint table. In addition to that, buying a copy of Microsoft Office Home & Student for $139 also includes PowerPoint.
It’s hard to convince these users to purchase a piece of $129 software that they’re rarely going to use.
Office Online works in Google’s Chrome Web Browser, Apple’s Safari Web Browser and Mozilla’s Firefox Web Browser.
Chances are you don’t, but that’s ok for reasons we’ll get more into OneDrive in just a bit. You’ll want to use the same Microsoft Account you use on any other Microsoft products you own. Getting PowerPoint presentations create in newer apps to work in older apps is always a pain, but also pretty doable too. Your team, customers and partners always see the latest information, straight from the source. So not easy to edit if you need to, for example, resize it to fit your own page layout template, or apply formatting to the entire month at once.


Ultimately, all those involved in the creation, maintenance, and marketing of medical and healthcare Web sites should be required to adhere to a strict code of ethical conduct, one that has been fairly determined by an impartial international organization with reasonable power to regulate the code. No matter the price, having to buy PowerPoint has always been a necessity for anyone in school or works at an office. This code could also serve as a desirable, recognizable label-of-distinction for ethical Web sites within the medical and healthcare Internet community. One challenge for those involved with the medical and healthcare Internet will be to determine what constitutes "Medical Internet Ethics" or "Healthcare Internet Ethics," since the definition of medical ethics can vary from country to country.
In both cases, if the prerequisites are not in place to ensure trust in the product or services provided, consumers will not utilize the product or service. In the case of the medical field, the public trusts the medical profession to regulate its own practices [2]. Knowledge and capabilities of new technology or an area of study often develop faster than the guidelines and principles needed for practitioners to practice ethically in the new arena. One area of rapid technological and economic expansion is that of the Internet, in particular how quickly the Internet is impacting and changing the practice of medicine in the 21st century. We hope, for the success of medical practice, even with the rapid changes in technology and the medical field, that practitioners involved with the Medical Internet will continue to behave ethically.
This modern method of communication has been the fastest-growing medium in the world, reaching 50 million users in only 4 years, compared to radio, which existed for 38 years before reaching 50 million listeners, and television, which took 13 years to reach the same level of use [3].
There are more than 20,000 Web sites online devoted to medicine and healthcare [5] originating from diverse sources-medical, health, personal, and commercial.
Online health consumers (also known as patients) can access: Web sites related to health, on-line support groups, chatrooms and Web sites devoted to a specific disease, pharmaceutical sites, alternative-health sites, information on medical products, and online practitioners or consultants. By recent estimates, 52 million American adults, or 55% of those with Internet access, have used the Web to obtain health or medical information [6].
The merger of medicine and healthcare with e-commerce has resulted in a number of online business models: selling services or healthcare products, creating high-profile health or medical portals, and providing online services to physicians and healthcare providers. Even with the recent decline in "dotcoms," there is still great projected monetary potential for those involved with medical and healthcare sites. Business-to-consumer (B2C) healthcare commerce is expected to become a $70 billion industry by 2003, while business-to-business (B2B) healthcare commerce is expected to grow into a $170 billion industry [8].
This commitment to help and serve others has traditionally taken precedence over economic interests [11]. Most physicians are governed by their own internal code of ethics and more-formalized codes have been developed by professional organizations to advocate that their members behave ethically.
The American Medical Association (AMA), one of the major medical organizations in the United States, established the Code of Medical Ethics for members, which has served as an ethical guideline since the mid 1840's.
These organizations will need to adopt or establish ethical standards to guide their members in ethical conduct, in the areas of research, development, commerce, and practice on the Internet.With the exponential expansion of the Internet, online entrepreneurs, business and medical, are trying to cash in on the projected potential of Internet commerce with healthcare services and products.
Depending on how one regards online site visitors - as visitors, clients, healthcare consumers, or patients - these actions can be seen to be in direct conflict with the AMA's Principles of Medical Ethics and other professional codes of conduct. Some may regard the paid-physician consultants to medical e-commerce sites as having a clear conflict of interest; others may not see it as an ethical issue. If one redefines the physician-patient relationship to be merely a provider-consumer one, then without "patients" there is no conflict of interest.
However, if medical leaders do not introduce rigorous and credible conflict-of-interest rules, they risk eroding the public's trust in the profession to self-regulate [2]. Some of the early medical and healthcare Web site leaders pushed the boundaries of traditional medical ethics, so that many regarded their business practices as unethical. Ethical boundaries were stretched, even broken, in disregard for their Web site visitors, often in the name of profit.
Also, with the medical or healthcare Internet the focus is on medical and healthcare interactions, transactions, and research that occur over the Internet. This information is often of a very private nature and may result in life-altering and, in some situations, life-and-death decisions.Business and computer professionals have typically not been held to the same ethical code of behavior as medical and healthcare professionals. With the merger of medicine and e-commerce, business, computer, medical and healthcare professionals are working side by side in developing online Web sites. Non-medical professionals involved in providing online medical services may be unaware of the unique standards they must adhere to when dealing with online healthcare consumers and may need to be educated about the obligation not to exploit patients or clients and to respect issues of privacy and confidentiality. Those who develop, maintain, and sell healthcare computing systems and components, including Web sites, have an ethical obligation to make patient care a primary concern [15].Studies have shown that most adult Internet users are unaware their movements are being tracked and are also not aware of the personal information gathered about them when visiting a Web site [16]. Many Internet users believe they can visit a site anonymously and obtain information about controversial subjects such as AIDS, herpes, or suicide without anyone else ever knowing. New technology - such as mobile phones, hand-held computers, personal device assistants (PDAs), and even wearable computer devices - is being developed. Describing Medical Internet Ethics is much like the parable of "The Blind Men and The Elephant" only with more people involved. Their descriptions of the elephant differ depending on which part of the animal was touched: side, tusk, knee, ear, trunk, or tail.
Each man becomes convinced his experience and subsequent description is the only correct one. People from different professions - physician, Web site designer, information technologist, marketing personnel, computer programmer, researcher, patient, consumer, ethicist, healthcare practitioner, hospital administrator, lawyer, and policy maker - are all asked to describe their ideal medical or health Web site. They are also asked to include what they would consider to be acceptable professional or business practices for the people involved with developing and creating the Web site.
Different professions and different professionals may have very different views on ethical practices. It will be a challenge for Medical Internet Ethicists to reach a consensus on what constitutes "ethics" and which areas should be included in defining the field of Medical Internet Ethics. The remainder of this paper will explore some of these issues.Defining Medicine, Health, and Ethics on the InternetIn determining the ethics of the medical and health Internet, it is important to establish a common vocabulary.
For the context of this paper, the use of the term "medical" is intended to cover the range of healthcare professions. The term "medical" or "medicine" is often used interchangeably with "health" or "healthcare." [17]Medical Internet Ethics is the field existing at the intersection of medicine, ethics, and computers, but is conducted, occurs, or practiced in the new arena of the Internet. Therefore, a definition can be stated as:Medical Internet Ethics is an emerging interdisciplinary field that considers the implications of medical knowledge utilized via the Internet, and attempts to determine the ethical guidelines under which ethical participants will practice online medicine or therapy, conduct online research, engage in medical e-commerce, and contribute to medical websites. Healthcare Ethics is the term used in the description of Medical Ethics, in Encyclopedia of Ethics, to distinguish ethical principles that apply to healthcare providers - including nurses - other than physicians [18]. Thus, Healthcare Internet Ethics would involve the ethical principles that apply to nurses and other healthcare providers, however, in the context of this discussion, we are using "healthcare" interchangeably with "medicine" or "medical" when referring to Internet ethics.e-health and e-healthcare are other terms being touted for use by the "dotcom" and e-commerce circles. This formulated vocabulary tries to create an aura of specialized, technical, insider knowledge, one that requires high-priced consultants to help others decipher and apply, rather than using recognizable, understandable terms. Kassirer, MD [2] When considering ethics one must also distinguish between what is considered "ethical" and what is considered "the law," since in many instances there is a fine line separating the two.
Legal principles are often derived from ethical ones.Ethics attempt to determine what is good or meritorious and which behaviors are desirable or correct in accordance with higher principles. Many legal principles deal with the inadequacies and imperfections in human nature, compared with ethics, which looks to establish the ideal behaviors of individuals or groups. Legal practices also tend to be more affected by historical precedent, matters of definition, issues related to detectability and enforceability, and evolution of new circumstances than are ethical ones [15].Dr. George Lundberg, editor-in-chief of Medscape, is one of the medical leaders working to define online medical ethics.
He believes "the essence of professionalism is self-governance," and that the leaders of the e-health information enterprise should be the ones setting common standards for ethical behavior, not governments [21].
Self-regulation relies upon professionals upholding their personal and professional code of ethics; there are limited means of enforcing the ethical guidelines. During the early dotcom bonanza days of the Internet, there were few real standards of accountability and ethical behavior for medicine and healthcare on the Internet. Web sites and the organizations supporting them were left to regulate their own ethical behavior.
In many instances esteemed medical leaders, professional organizations, and medical institutions proved to be less than exemplary ethical role models.In a recent article, Dr. Jerome Kassirer, with Tufts University School of Medicine, examined the problem of "pseudoaccountability" where weak regulations give the appearance of setting and enforcing high standards [2].
There is concern that many of the existing codes of ethics are in actuality promoting pseudoaccountablility; they are lengthy codes of conduct crafted with technical or obfuscating language to give the impression of setting high standards, but are in reality non-enforceable. Kassirer and others do not believe that self-regulation guidelines for medical Web sites are enforceable [2].


Glenn McGee, a professor in bioethics at the University of Pennsylvania School of Medicine, described some of the early efforts as being self-inclusive and lacking objectivity, reminding us that "real peer review means thinking about and making rules with regard to conflict of interest." He believes these early efforts fell short of providing well-regulated, enforceable ethical codes [22]. There is a realistic concern that without mechanisms of enforcing ethical codes and rigorous, credible conflict-of-interest rules, the medical profession risks further eroding society's trust in their abilities [2].
For physicians, nurses, and psychologists, ethical issues are often among the greatest challenges in practice.
Long after their training, students in training tend to remember-and may even be influenced more by-experiences rather than factual knowledge.
It is important that all professions involved in the development of the medical Internet understand, respect, and uphold the uniqueness of the physician-patient, practitioner- patient, or therapist-patient relationship. Goodman and Miller maintain that the Hippocratic injunction should apply to all those involved in Web site development as well as to the practitioners [17].
Supporters of an Oath for scientists promote its great symbolic value to reaffirm the importance of scientist to behave ethically. A survey by the American Association for the Advancement of Science (AAAS) identified an estimated 15 to 16 oaths for scientists or engineers proposed or currently in use [23,24]. Another oath promoted by the Institute for Social Inventions is a modified version of the Hippocratic Oath.
Thus far, over a hundred eminent signatories, including 40 Nobel Prize winners and University Vice Chancellors are supporting this Hippocratic Oath equivalent for scientists, engineers, and executives [26].As with the medical profession, the main value of an oath would be symbolic, but supporters believe it would also stimulate young scientists and professionals to reflect on the wider consequences of their field of study before embarking on a career in academia or industry [25]. Proponents believe the oath would encourage a deeper reflection by scientists and engineers on the conduct and impact of their work and create a greater sense of accountability [24]. The long-term goal is for ethics to be included in the scientific curriculum and that an ethical oath would become part of the graduation ceremony for scientists, engineers, and executives.Why be concerned about online ethical principles? The Not-so-Legitimate Internet PractitionersComplicating the situation, in addition to all of the legitimate online practitioners abiding by the current ethical principles, there are also the unethical, voyeuristic people functioning outside of the traditional boundaries of medical and healthcare Internet ethics. These individuals often push the limits of Internet laws and existing Web site code of ethics, even blatantly ignoring one of the fundamentals of medical ethics whereby patients trust their physician or provider to maintain confidentiality of their personal medical information.
For these unscrupulous individuals looking to make easy money on the Internet before they get caught, self-regulation may not be enough to protect healthcare consumers. Permission is 'granted' somewhere within the fine print of the privacy policy for a Web site. Many are working outside the ethical and legal boundaries on the Internet hawking their "life lesson" expertise, selling services or products that may constitute health fraud.These unlicensed, unqualified online information providers are not professionals so there are no overseeing professional regulatory organizations to which they can be reported for professional misconduct. One potential solution in the United States is to report Internet fraud, to the Internet Fraud Complaint Center (IFCC), a government agency that addresses issues of fraud committed over the Internet including both criminal and civil violations [33]. In the US the Criminal Division's Computer Crime and Intellectual Property Section (CCIPS) was established as a separate section of the Department of Justice. Their staffs focus exclusively on the issues raised by computer and intellectual property crime, encryption, electronic privacy laws, search and seizure of computers, e-commerce, cracker investigations, and intellectual property crimes [36].With the growth of the Internet and the increase in cybercrime, it is easy to see why protection of privacy is an issue of great concern particularly among Internet users seeking health information [37]. In August 2000, it was made public that the Kaiser Permanente Health Care System had the confidentiality of 858 members breached; this security issue was actually an internal problem due to human error, not from external hackers [38]. In January 2001, the University of Washington Medical Center affirmed that a hacker had infiltrated its computer system in December 2000. The 25-year-old hacker gained access to administrative databases containing confidential records of at least 5,000 patients. Representatives from the University of Washington have since admitted that their databases were not secure [39]. In a March 12, 2001 survey released by the Computer Security Institute and the FBI's (Federal Bureau of Investigation's) San Francisco Computer Crime Squad, they reported that 85% percent of respondents (primarily large corporations and government agencies) had detected computer security breaches within the last 12 months and 40% had detected system penetration from the outside [40]. It may only be a matter of time before the medical and healthcare professions are more affected.One can imagine potential disastrous scenarios, both personal and professional, that could occur if medical information or a person's personal seemingly "anonymous" online health surfing habits, e-mail messages, or confidential medical records were made public. Insurance companies could hire online medical information brokers to obtain medical information on policyholders and use this information to deny coverage or claims.
Potential employers could use information brokers to obtain health information and health-Web-site (eg, cancer, AIDS, herpes, suicide, alcohol, and depression Web sites) surfing habits on current or potential employees and use this information to fire or not employ a person.
Online marketers are already using private information to design targeted e-mail advertising that fills our e-mail boxes. It is easy to copy and paste bits and pieces from different articles or graphics on different Web sites to "write" a paper. One has to carefully look at copyright issues, especially at what constitutes a copyrighted work, what constitutes copyright violation, and what constitutes "fair use."The principle of "fair use" is often cited when materials found on the Internet are incorporated into lectures, scientific reviews, or education-based Web sites. Fair use of a copyrighted work can be cited when using works for the purposes of criticism, comment, news reporting, teaching, scholarship, and research. If a work falls into the category of fair use, it is exempted from normal copyright laws, and using the material is not considered an infringement of copyright.
Most lectures that incorporate slides or video clips into their presentations would probably fall under the category of "fair use" if the sources were being used for the purposes of "teaching, criticism, or scholarship"; however credit should be given to the source. There is no "international copyright" that automatically protects works on the World Wide Web. Most countries do offer protection to foreign works under certain conditions specified by international copyright treaties and conventions. An international consensus will need to be reached about how these conditions apply to the Internet so that online works will be protected against unauthorized use [42].One novel way of dealing with copyright infringement and cyberplagiarism, particularly in the scientific and research realm, is to make articles and resources freely available on the Internet and avoid copyright concerns altogether.
Concern about the liabilities of practicing online has been a driving force to try and clearly define the online physician-patient relationship.Online physicians and therapists are innovators, exploring the types of interactions and services that can be provided over the Internet. Thus far, a consensus has yet to be reached regarding what ethical responsibility exists, if any, between the physician or therapist and Web site visitor.
Everett Koop, felt no professional ethical obligation towards visitors to his Web site, because they were not "his patients." [47] Key questions still need to be answered to define the online relationship: Does a patient have to be seen, examined or spoken to, to have a relationship with their physician? Is it dependent on the type of services or contact offered to users at a Web site or the consultant's position with the Web site? Can traditional therapy be translated to the Internet, or is it primarily a new form-e-therapy? Case law has not determined at what point, if any, the physician-patient or therapist-client relationship begins, when the only contact is between them is online.The eRisk Working Group in Healthcare (comprised of the leading medical malpractice insurers, Medem, and medical societies) is working on determining the issues and liabilities associated with online physician-patient interactions. The AMA Council on Judicial and Ethical Affairs (CEJA) is also working to determine what constitutes the essential elements of physician-patient relationships and how this may be translated to the Internet [22].
These issues are still ill defined since there have been few legal cases challenging online physician-patient communication and cybermedicine [9]. Seeman and Seeman have examined e-psychiatry, how the patient-psychiatrist relationship is practiced in the electronic age [48]. In January 2000 the International Society for Mental Health On-line (ISMHO), and the Psychiatric Society for Informatics (PSI) endorsed "Principles for the Online Provision of Mental Health Services" defining the online client-therapist relationship and what constitutes providing online mental health services [49].
The National Board of Certified Counselors (NBCC) has established standards for their counselors that define what constitutes an ethical practice of Web counseling [50].
Organizations in the medical community are exploring the nature of the physician-patient relationship [9,22,51].Professionals-physicians, psychologists, psychiatrists, and social workers-are licensed by their respective professional agencies and therefore required to follow a certain professional code of conduct established by their professional boards.
The logistics of who is traveling through cyberspace to meet whom is the first issue that needs to be determined. With telemedicine, many states already require licensure in their state before an out-of-state physician can electronically provide services to patients [52]. With the Internet, it needs to be decided if it is the patient or the provider traveling to meet the other through cyberspace.
However, if the provider is the one traveling to meet the patient, following the telemedicine statutes, then the provider would need to be licensed in the state the patient was residing, severely limiting the practice of cybermedicine, e-psychiatry, or e-therapy.How the practice of online medicine and therapy will be conducted is yet another issue.
Several approaches have been proposed for credentialing practitioners of online medicine and therapy. These include: self-regulation through abiding by ethical guidelines, advanced training for "e-providers," or requiring a special license. However, self-regulation will only work if there exist some enforceable penalties for violators, otherwise the unscrupulous will push the limits hoping to make their fortune before they are caught. Additionally, special training programs for healthcare providers who want to become "e-providers" and practice online medicine or online therapy could be instituted.
These programs could educate potential online providers about online ethical obligations, essentials of the provider-healthcare consumer relationship, e-commerce, privacy and security issues, and Internet legalities [46].



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