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Biomedical subjects

A N Moore

Publications and source records attributed to A N Moore.

18 recordsLinked to original sources

Nine generations of a family with autosomal dominant retinitis pigmentosa and evidence of variable expressivity from census records.

We present a nine generation family with autosomal dominant retinitis pigmentosa (ADRP). Evidence of blindness in the early generations, as obtained from census returns and clinical records, and examination of current patients show variable expressivity with a spectrum which ranges from asymptomatic in late life to blindness in the third decade of life. The family is not linked to any of the chromosomal locations so far described in ADRP and further illustrates the heterogeneity of the disorder.

Adolescent

Analysis of meal census patterns for forecasting menu item demand.

The purpose of this research was to identify functional relationships between the patient census and the official institutional census recorded at midnight for hospital inpatients and for mental health patients cared for in a satellite facility at the University of Missouri-Columbia Health Sciences Center. Investigation of these relationships was necessary to provide knowledge essential for the design of a statistical menu item forecasting system. Patient census for three meals (breakfast, lunch, and supper) was compared with the midnight census, using graphical analysis and analysis of variance. Reliable patterns were identified in the patient census data which required accommodation in a mathematical forecasting model. Three forecasting design options were identified and appraised. The simplest design option and the two more complex design options forecasted identical quantities.

Dietetics

Computer-generated fiscal reports for food cost accounting.

To optimize resource utilization for the provision of health-care services, well designed food cost accounting systems should facilitate effective decision-making. Fiscal reports reflecting the financial status of an organization at a given time must be current and representative so that managers have adequate data for planning and controlling. The computer-assisted food cost accounting discussed in this article can be integrated with other sub-systems and operations management techniques to provide the information needed to make decisions regarding revenues and expenses. Management information systems must be routinely evaluated and updated to meet the current needs of administrators. Further improvements in the food cost accounting system will be desirable whenever substantial changes occur within the foodservice operation at the University of Missouri-Columbia Medical Center or when advancements in computer technology provide more efficient methods for manipulating data and generating reports. Development of new systems and better applications of present systems could contribute significantly to the efficiency of operations in both health care and commercial foodservices. The computer-assisted food cost accounting system reported here might serve s a prototype for other management cost information systems.

Accounting

A computer-assisted personnel data system for a hospital department of dietetics. I. Development of the data base.

A data base was developed for a computer-assisted personnel data system for a university hospital department of dietetics which would store data on employees' employment, personnel information, attendance records, and termination. Development of the data base required designing computer programs and files, coding directions and forms for card input, and forms and procedures for on-line transmission. A program was written to compute accrued vacation, sick leave, and holiday time, and to generate historical records.

Computers

A computer-assisted personnel data system for a hospital department of dietetics. II. Labor accounting reports.

To provide timely and accurate labor accounting reports for a university hospital department of dietetics, six reports were designed: Monthly analysis of labor costs for biweekly employees, ledger of monthly labor costs, quarterly analysis of turnover, monthly report of unscheduled absenteeism for biweekly employees, labor listing, and seniority listing. Computer programs were written to generate four of these reports; two were generated from a generalized data base management system.

Absenteeism

A multi-echelon menu item forecasting system for hospitals.

A multi-echelon system was designed to generate statistical forecasts of menu-item demand in hospitals from one- through twenty-eight-day intervals prior to patient meal service. The three interdependent echelons were: (1) Forecasting patient census, (2) estimating diet category census, and (3) calculating menu-item demand. Eighteen weeks of supper data were utilized to analyze diet category distribution patterns and menu-item preferences, to test forecasting models, and to evaluate the performance of the forecasting system. A cost function was used to evaluate the efficiency of the mathematical forecasting system and manual technique over a nine-week period. The cost of menu-item forecast errors resulting from the use of adaptive exponential smoothing and Box-Jenkins formulations was approximately 40 per cent less than costs associated with the manual system.

Computers

Automated purchasing: Forecasts to determine stock levels and print orders.

An automated purchasing system to optimize inventory levels of frozen foods, including meat items, while minimizing stock outages, was developed and implemented. Menu item forecast data were coordinated with on-hand quantities to automate the calculation of order quantities and printing purchase requisitions. The model selected also incorporated: (a) Safety stock level, (b) accumulated forecasts, and (c) accumulated orders already placed. The project was smoothly integrated into an on-going computer-assisted management system. All programs functioned as planned; computer documents were complete and accurate. The system design was retained for use in the foodservice operation.

Computers

Menu item forecasting systems in hospital foodservice. A cost comparison of two- and three-echelon systems.

The forecasting efficiency of two- and three-echelon menu item forecasting systems was compared. Two forecasting models were used with each system, adaptive exponential smoothing and a Box-Jenkins model. The two systems were compared in terms of forecast error costs. The two-echelon system, using adaptive exponential smoothing, was recommended. This technique resulted in the lowest forecast error costs at a majority of the lead times which probably would be used most frequently. Also, this technique was the least complicated of the four techniques which were compared.

Computers

Development of an automated form generating system for menu item data.

At the University of Missouri-Columbia, an Automated Form Generating System consisting of six computer programs was developed to generate the master menu, production forecast and usage forms, production worksheet, food order report, and selective menus for patients. In the initial testing of the programs, this computer-assisted system showed a 30 per cent reduction in time requirred by dietitians and clerks when compared with the manual system. Some expected benefits include ease in making menu changes, substantial reduction in errors, automatic updating of documents, and reduction in storage space for forms because documents will be generated just prior to a production week. The system will be implemented at a later date.

Computers