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At least 181 records · Page 10Linked to original sources

On the design of anaesthesia record forms.

The purpose of this report is to develop a rational approach to the design of anaesthesia record forms. The history of anaesthesia record forms was reviewed. A logical approach to the design of an anaesthesia record was developed. The theoretical ideal anaesthetic record was contemplated and criteria were developed for the selection of items to be included in or excluded from the record. Principles were outlined which lead to logical organization of information on the form, improved ergonomics of data entry, and ready access to entered information. A desktop publishing system was used to execute quickly numerous form artwork revision cycles and iteratively converge on a complete design. This approach has resulted in the development and production of a new anaesthesia record for our institution. The record was well accepted by our colleagues. The rationale that has been developed is presented in the hope that it will be useful to others in the process of designing anaesthesia records for their institutions.

Anesthesia↗

[Experiences with a current speech recognition system in creating cardiology reports].

Development of speech recognition software is at a stage where you can use it effectively for creating cardiological reports or at least parts of it. We were very successful in using the Dragon Naturally Speaking system for our reports and we don't need a secretary for our writings any longer. Very important for effective work is a fast and good PC hardware, especially a good sound system and a sufficient amount of internal memory, also important is patience of the user, because a longer training phase is required. I recommend for own experiences to use the standard version which is cheap and includes all necessary features. Following some fundamental rules anyone can be successful with speech recognition. Development of speech recognition is increasing rapidly so that everyone of us will get in contact with it sooner or later, it would be better to be prepared for it now.

Cardiology↗

Knowledge-based decision support for general practitioners: an integrated design.

Most decision-support systems (DSSs) in medicine have been developed in hospital environments, for use in hospitals. Only a few are designed for use by general practitioners (GPs) in primary care. The work reported in this paper aims to (a) design DSSs for GPs in primary care, taking into consideration that primary care is the first level in a health care organization, where the reasons for the patients attendance are seen in a social context; and (b) integrate three approaches-Hypertext, Knowledge-Based Systems and Online Library-since any one of these will not suffice for the varying needs of GPs.

Academic Medical Centers↗

An introduction to computerization of the orthodontic practice: practice and communications systems.

This article is the result of an extensive investigation into currently available computer software and hardware systems. It is designed to present an overview of the options that are available, what to reasonably expect computer systems to do and not to do, and to introduce the reader to the terminology of the computer world to assist in evaluating and selecting appropriate software and hardware for office use.

Computer Systems↗

Practice and communications systems: a word processor based communications system.

The majority of computerized systems currently available for the orthodontic office have been designed for and aimed at those offices that have a volume practice and frequently have multiple practitioners. The stand-alone practitioner and the small office have been grossly ignored. Systems designed for large practices are frequently too complex, too involved in business administration, and too costly for the small office to use effectively. This article describes how an office communications system can be assembled by using commercially available programs. For background information and definition of terms used in this article, I suggest referring to "An Introduction to the Computerization of the Orthodontic Practice," in the Oct. issue of this Journal.

Communication↗

Multimedia in the radiology environment: current concept.

Multimedia has different meanings according to its context. Here, multimedia in the radiology environment is defined as the integration of multiple radiology and medical information systems to facilitate the practice of radiology. These information systems include the hospital information system, radiology information system, picture archiving and communication systems, voice reporting, library information systems, and electronic mail and file systems. The concept of multimedia within the context of integration of these database systems will be presented. An example is given on how to access these information systems by a radiologist's desktop personal computer.

Database Management Systems↗

Fabrication of poly(dimethylsiloxane) microfluidic system based on masters directly printed with an office laser printer.

Applications of poly(dimethylsiloxane) (PDMS)-based microfluidic systems are more popular nowadays. Previous fabrication methods of the masters for PDMS microchannels require complicated steps and/or special device. In this paper, we demonstrated that the toner printed on the transparency film with the office laser printer (1200 dpi) can be used as the positive relief of the masters. The transparency film was printed in two steps in order to obtain the same printing quality for the crossed lines. With the laser-printed master, the depth of the fabricated PDMS microchannels was ca. 10 microm and the smallest width was ca. 60 microm. Surface characteristics of the PDMS/PDMS microchannels were performed with SEM. Their electrokinetic properties were investigated by the aids of the measurement of electroosmotic flow (EOF) and the Ohm's curve. Using the PDMS/PDMS microchip CE systems, electroactive biological molecules and non-electroactive inorganic ions were well separated, respectively. This simple approach could make it easy to carry out the studies of PDMS microfluidic systems in more general labs without special devices.

Dimethylpolysiloxanes↗

Can cardiovascular clinical characteristics be identified and outcome models be developed from an in-patient claims database?

The objective of this study was to assess whether administrative (claims) databases can be used to assess clinical variables and predict outcome. Although administrative databases are useful for assessing resource utilization, their utility for assessing clinical information is less certain. Prospectively gathered clinical databases, however, are expensive and not widely available. The UB92 formulation of the hospital bill was used as an administrative source of data and compared with the clinical cardiovascular database at Emory University. The claims database was compared with the clinical database for 11 variables. Outcome models were developed with multivariate methods. A total of 11,883 patients who underwent catheterization (5,255 underwent percutaneous transluminal coronary angioplasty [PTCA] and 3,794 underwent coronary artery bypass surgery [CABG]) between 1991 and 1995 were included. For some variables, the claims database correlated well (diabetes, sensitivity 87%, specificity 99%), whereas for others the claims database was less accurate (peripheral vascular disease, sensitivity 20%, specificity 99%). Uncertain coding in the claims database, which can result in the same code being used for co-morbid states and severity of disease, as well as complications, limited the ability of claims to predict outcome. Clinical databases may also be limited by lack of objectivity and missing data. The utility of claims databases to assess severity of disease and co-morbid states is limited, and outcome modeling and risk assessment from claims databases may be inappropriate and spurious. Developing better data standards and less expensive methods for acquisition of clinical data is necessary for improved outcome assessment.

Cardiovascular Diseases↗

Technological stress: psychophysiological symptoms in modern offices.

Increasingly, employees in modern office environments report suffering from psychosomatic symptoms. Studies of employees in high-technology industries suggest that psychosomatic symptoms are related in part to high perceived mental demands in combination with lack of sufficient skills. Employees with symptoms more commonly report that they are not sufficiently recognized by their employer, as compared with nonsymptomatic peers. Low perceived organizational efficiency correlates with high mental stress among employees. In a controlled stress management program, we observed lower mental stress levels among participants, as compared with controls, and lower physiological arousal, measured as circulating levels of prolactin. It is suggested that organizational reengineering and the introduction of information technologies constitute potential stressors challenging employees' cognitive resources. It is predicted that psychosomatic syndromes in the workplace will most likely increase in the foreseeable future due to the rapid changes currently transcending working life.

Computer Terminals↗

Computerizing the medical staff office.

To assist its medical staff in making appointments and reappointments to the medical staff, delineating clinical privileges, and maintaining quality assurance information, as well as to streamline clerical duties in the medical staff office, El Camino Hospital (a 460-bed acute care facility in Mountain View, California) developed a comprehensive, computerized medical staff quality assurance database (MESQUAD). This article describes MESQUAD as a program developed by one hospital to meet its unique needs.

California↗

World Wide Web resources for the biologist.

The World Wide Web is currently the major networking resource for biologists. It has passed Gopher and simple electronic mail (email) servers in popularity. In the 1990s, the advent of client-server software will be the main driving force in bioinformatics. During the past few years, biologists have used the Internet increasingly to distribute data, and the methods of doing this have become more and more sophisticated as the speed with which network links can be made has increased.

Biology↗

Internet resources for dermatology.

Accessible today, through the use of a computer with a modem, are many new Internet resources that represent major advances in information management. These resources, which are available at little or no expense, are of special value to physicians and scientists. This article describes many of the more basic and valuable Internet services with an emphasis on applications for dermatologists.

Computer Communication Networks↗