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Biomedical subjects

M Reichert

Publications and source records attributed to M Reichert.

At least 73 records · Page 4Linked to original sources

Structured data collection and knowledge-based user guidance for abdominal ultrasound reporting.

This paper describes a system for structured data collection and report generation in abdominal ultrasonography. The system is based on a controlled vocabulary and hierarchies of concepts; it uses a graphical user interface. More than 17,000 reports have been generated by 43 physicians using this system, which is integrated into a departmental information system. Evaluations have shown that it is a well accepted tool for the fast generation of reports of comparatively high quality. The functionality is enhanced by two additional components: a hybrid knowledge-based module for "intelligent" user guidance and an interactive tutoring system to illustrate the terminology.

Abdomen↗

Reuse of single-use devices. A program model.

There are very few products that could be considered acceptable candidates for a reuse program when using this criteria for reuse. In addition, the cost of the resources necessary to implement and maintain an effective reuse program rarely equate to cost savings. In today's health care environment, the focus on employee safety adds another variable that may make reprocessing unacceptable.

Clinical Protocols↗

[Structured documentation of findings and user acceptance--results of a study of abdominal ultrasound].

Structured reporting of medical findings is known to have positive effects on data quality, whereas user acceptance tends to be low because of time requirements. This paper presents the results of a survey among 19 physicians who worked for 14 months with a computer system using structured data input for abdominal ultrasonography. During this time, they prepared 8.827 reports. The two most important results are that it is feasible to realize well accepted documentation systems with high data quality by using modern computer technology, and that graphic user interfaces tend to increase user acceptance. For comparable systems, evaluation studies are suggested.

Attitude of Health Personnel↗

Take charge. Getting the technical information you need.

Remember that manufacturers want your business. Manufacturers want to provide what you need to use a product correctly. They believe they are meeting that need. It is up to you to decide your future. Your frustration and anxiety with new technology will never change unless you take charge and communicate your needs to manufacturers. Tell them what you like about a product and, just as important, how to make it better. Tell them what resources are needed to minimize the anxiety and frustration associated with using their products.

Disposable Equipment↗

Developing an effective procedure for cleaning and disinfecting G.I. flexible endoscopes.

The field of flexible endoscopy continues to grow at an accelerated pace. The procedures are more aggressive, the patients are sicker, the accessory instruments are more numerous, the infection control issues are more complex and the medicated patient requires more intense observation. Developing in-hospital processing procedures that are logical and supported by a rationale that includes testing is necessary in the absence of coherent, complete recommendations from flexible endoscope manufacturers. These procedures will have the highest probability of compliance and will also have the highest probability of achieving a safe product for patient use.

Central Supply, Hospital↗

Molecular cloning of provirus DNA from bovine leukaemia lymphocytes and its application as a probe for diagnostic purpose.

The provirus DNA isolated from lymphocytes of a cow infected with the bovine leukaemia virus (BLV; positive immunodiffusion test), was subjected to molecular cloning and identified by comparing with the 32P-labelled provirus cDNA isolated in Belgium. Hybridization revealed a clone containing 8.5 kb DNA fragment of the BLV provirus. The probe based on the "Polish fragment" of leukaemia virus was tested on 10 cows with a positive serological response. The presence of provirus DNA in the cellular genome of lymphocytes was confirmed.

Animals↗

[Individual overbite behavior between the deciduous and permanent dentition].

Manuals and relevant publications give rise to the impression that the formation of the overbite in the incisor region throughout its development is a process easy to overlook. Impressions of 108 cases were taken, one of the deciduous dentition and one of the permanent dentition 13 years later. A mathematic-statistical analysis of objective measurable morphological dentition criteria were made and discussed. This shows that neither from the degree of overbite nor from any other feature of the deciduous dentition a prognosis concerning the extent of the final overbite of the permanent dentition can be derived. Changes throughout the development of the overbite are predominant. There are only little correlative coherencies among the morphological symptoms that can be applied quickly and easily for the prognosis in the clinical inspection. For estimating the development tendency longterm individualized observations are necessary.

Adolescent↗

Another look at reuse.

Because the decision to reuse single-use devices now lies with individual healthcare facilities, the ball is in our court. We must evaluate its benefits and identify all associated liabilities. We should utilize the growing expertise of central processing and other healthcare personnel, and press device manufacturers to provide reuse information for their products. We must establish strict reuse procedures to ensure that all necessary precautions are taken. We must strive to protect the safety of all those affected by reuse--especially patients. It is largely fears about safety that have created controversy about reuse. But, it is within our power to provide safe products if we approach reuse objectivity, rationally, and methodically.

Central Supply, Hospital↗

[Reversible functional disorders of the intestinal tract caused by abdominal radiotherapy].

In 20 patients with malignancies receiving abdominal radiotherapy, tests for disturbed intestinal functions were performed at the beginning and at the end of the therapy and after 6 to 12 month following radiation. Four noninvasive tests were performed: 75Se-homotaurocholate (75SeHCAT) test for estimation of bile acid malabsorption; Schillings test for quantification of vitamin B12 absorption; H2-breath analysis before and after a test meal containing lactose as a parameter of lactose malabsorption; and 51Cr-EDTA test for estimation of intestinal permeability. Both bile acid and vitamin B12 absorption decreased significantly towards the end of abdominal radiotherapy in more than 50% of patients. Only one patient developed lactose malabsorption. After 6 to 12 month, these abnormalities had completely disappeared. In contrast, small intestinal permeability did not increase during radiotherapy but was significantly elevated 6 to 12 month following treatment as the only indication of chronic injury of small intestinal mucosa. During radiotherapy, a significant correlation existed between the severity of diarrhea and the degree of bile acid malabsorption.

Diarrhea↗

The dependence on the extramitochondrial ATP/ADP-ratio of the oxidative phosphorylation in mitochondria isolated by a new procedure from rat skeletal muscle.

A simple method for preparation of rat skeletal muscle mitochondria is presented using gentle mechanical homogenization in a syringe and nagarse treatment (EC 3.4.4.16). This method enables the preparation of skeletal muscle mitochondria, whose outer membrane is intact to 95%. Furthermore, with mitochondria prepared by this method the regulation of respiration and phosphorylation by the extramitochondrial ATP/ADP-ratio can be demonstrated. In accordance to rat liver and heart mitochondria and to mitochondria of rabbit reticulocytes, the regulation by the extramitochondrial ATP/ADP-ratio lies in the range from 5 (corresponding to 98% of the maximum respiration) to 100 (corresponding to state 4). At extramitochondrial ATP/ADP-ratios from 0.01 to 1 the respiration rate is nearly constant (maximum rate of respiration).

Adenosine Diphosphate↗