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The ideal satellite pharmacy.

The pharmacy service at the Seattle Veterans Administration Medical Center moved into a replacement facility in September 1986. A description of the present medical center and the satellite pharmacy is presented. The ideal satellite pharmacy for this medical center is then described. The satellite is discussed with respect to the satellite door, transportation systems (i.e., dumbwaiter, pneumatic tubes), communication systems (i.e., Omnifax, intercom, typewriter, telephone, computer), equipment (i.e., IV hood, refrigerator, shelving), stock, and space. Because each medical center has specific needs and equipment available, the information presented should be used as a guide when designing a satellite pharmacy.

Equipment and Supplies, Hospital↗

[Utilisation of Olivetti P 652 calculator system for RIA evaluation (author's transl)].

The AA. take into consideration the utilisation of the Olivetti calculator system including the following hardware: P 652 basic unit microcomputer; paper tape reader LN 20; Editor 4 ST typewriter, for RIA evaluation. For this purpose they have compiled a series of generalized programmes that utilise for the calculation of the standard curve, the logit transform fitted by using a linear regression or a cubic regression and the sigmoidal linear logarithmic curve calculated by cubic regression. Other two programmes are described also for automatic data reduction in the detection of hepatitis associated antibody (anti-Australia antigen) and of normalized serum thyroxine.

Antibodies↗

Intelligent buildings.

The maturing of technologies in computer capabilities, particularly direct digital signals, has provided an exciting variety of new communication and facility control opportunities. These include telecommunications, energy management systems, security systems, office automation systems, local area networks, and video conferencing. New applications are developing continuously. The so-called "intelligent" or "smart" building concept evolves from the development of this advanced technology in building environments. Automation has had a dramatic effect on facility planning. For decades, communications were limited to the telephone, the typewritten message, and copy machines. The office itself and its functions had been essentially unchanged for decades. Office automation systems began to surface during the energy crisis and, although their newer technology was timely, they were, for the most part, designed separately from other new building systems. For example, most mainframe computer systems were originally stand-alone, as were word processing installations. In the last five years, the advances in distributive systems, networking, and personal computer capabilities have provided opportunities to make such dramatic improvements in productivity that the Selectric typewriter has gone from being the most advanced piece of office equipment to nearly total obsolescence.

Efficiency↗

Computers and the severely physically handicapped: a pilot project at Pearson Hospital.

Computers are a rapidly developing technology affecting the lives of everyone, including those in the handicapped population. Major revolutions are occurring in the technology available for physically and mentally handicapped persons. This article presents the results and findings of a pilot computer project that was implemented at Pearson Hospital. The use of the computer, adapted to persons of severe physical disability, as a typewriter, a programming device, and as a word processor is explained. The success of the program, and the difficulties experienced in making it run, are presented, along with suggestions for setting up and implementing computer projects in other institutions. An assessment form for potential computer users is presented.

British Columbia↗

The utilization of dental skills in non-dental situations.

The development of electronic control systems has enabled severely physically handicapped people to revolutionize their lives by using any minimal residual movements they may have to operate micro-switches linking them with typewriters and other environmetal controls. Technical skills of a high order are required in making the unique splint or interface which links the switches with these residual movements whether of the tongue, lips, chin, eyebrow, finger or toe. Through the initiative of the Cordent Trust and generous financial support from the Leverhulme Trust a mobile laboratory was designed and built and a dental technician appointed for a three-year development project in the use of these switches as it was felt that his experience was particularly appropriate to the work and would also demonstrate how dental skills can be used to bring about a degree of rehabilitation far beyond the oral environment.

Electronics, Medical↗

Automated weighing procedure for toxicological studies on small animals, using a minicomputer.

A compact system was designed for weighing procedures in toxicological studies on small animals that integrated 4 basic functions: data acquistion, record keeping, statistical analysis, and report preparation. An electric balance, a minicomputer, and a typewriter were incorporated into the system. Elimination of clerical work and accelerated flow of information between planning, operation, and evaluation of experiments were found to be the main advantages.

Animal Feed↗

Computer-stored faculty publication file using the MT/ST in a medium-sized medical center library.

The Bowman Gray School of Medicine Library has implemented a computerized faculty publication file adapted from an existing system that utilized a Magnetic Tape/Selectric Typewriter for catalog card production and computer storage. The faculty publication file has provided printouts for the school's annual report and monthly faculty bulletins. After the data for all faculty bibliographies have been stored in the file, it will be possible to retrieve complete author and departmental listings. The file will be continuously updated by adding current citations and the bibliographies of new faculty members and by deleting data when faculty members leave the staff.

Cataloging↗

Toxicology and Carcinogenesis Studies of C.I. Pigment Red 3 (CAS No. 2425-85-6) in F344/N Rats and B6C3F1 Mice (Feed Studies).

C.I. Pigment Red 3, a yellowish red solid, is widely used for coloring paints, inks, plastics, and rubber, and in textile printing. It is used in a wide range of consumer items such as wallpaper, typewriter ribbons, carbon paper, and art materials. Toxicology and carcinogenicity studies were conducted by feeding groups of F344/N rats and B6C3F1 mice of each sex diets containing C.I. Pigment Red 3 (97% pure) for 2 weeks, 13 weeks, and 2 years. Genetic toxicology studies were conducted in Salmonella typhimurium and cultured Chinese hamster ovary cells. 2-Week Studies: Groups of five rats and five mice of each sex were given feed containing 0, 6,000, 12,500, 25,000, 50,000, or 100,000 ppm C.I. Pigment Red 3 for 2 weeks. No chemical-related deaths occurred in rats or mice. Final mean body weights of exposed rats and male mice were lower than controls; female mice that received 6,000 and 50,000 ppm had significantly increased final mean body weights compared to that of the controls. The feed consumption of treated rats and mice was slightly greater than that of the controls, suggesting that C.I. Pigment Red 3 had no adverse effects on the feed palatability. Dose-related decreases in erythrocyte counts and hematocrit values and an increase in reticulocyte counts were observed in rats. Changes in these parameters were observed in mice, but there were no clear, dose-related trends. 13-Week Studies: Groups of ten rats and ten mice of each sex were given feed containing 0, 3,000, 6,000, 12,500, 25,000, or 50,000 ppm C.I. Pigment Red 3 for 13 weeks. No chemical-related deaths were observed in rats or mice. The final mean body weights of exposed female rats were significantly lower than that of the controls; the final mean body weights of exposed male rats and exposed mice were similar to controls. There were significant increases in relative liver and kidney weights of exposed male rats. Increases in the relative liver weights in mice did not occur with a dose-related trend and thus they were not considered related to chemical administration. Sites for the toxicity of C.I. Pigment Red 3 were the bone marrow, kidney, liver, and spleen in rats. Lesions observed in rats included bone marrow hyperplasia, congestion and hematopoietic cell proliferation of the spleen, and iron-positive pigmentation of the spleen, kidney, and liver. Sites for the toxicity of C.I. Pigment Red 3 in mice were the liver, kidney, and spleen in males and the liver and spleen in females. Lesions noted among mice in the spleen were hematopoietic cell proliferation and iron-positive pigmentation. In the liver, there was hematopoietic cell proliferation in male and female mice. Cytomegaly occurred in the renal tubule epithelium of the male mouse kidney. 2-Year Studies: Doses selected for the 2-year feed studies were 0, 6,000, 12,500, and 25,000 ppm for rats and 0, 12,500, 25,000, and 50,000 ppm for mice. The dose selection for rats was based on body weight changes observed for females that received 50,000 ppm; the dose selection for mice was based on the lack of body weight depression or death at the doses tested during the 13-week studies. Concentrations higher than 50,000 ppm in the feed were not used because higher levels might have adversely affected the nutritional value of the diet during the 2-year studies. Body Weight, Feed Consumption, Clinical Findings, and Survival in the 2-Year Studies: Final mean body weights for male rats that received 25,000 ppm, female rats that received 12,500 and 25,000 ppm, and male and female mice that received 50,000 ppm were more than 10% lower than those of the controls. Feed consumption of exposed rats and mice was similar to that of the controls. No clinical findings indicative of toxicity were observed in rats or mice. The survival of low-dose male rats was greater than that of the controls (0 ppm, 28/50; 6,000 ppm, 40/50; 12,500 ppm, 28/50; 25,000 ppm, 20/50). Survival of exposed female rats and exposed male mice was similar to the controls; the survival of high-dose female mice was significantly decreased compared to thcompared to that of the controls (39/50, 37/50, 31/50, 25/50). The reduced survival in this dose group may have been due to the increased incidence of ovarian abscesses. Neoplasms and Nonneoplastic Lesions in the 2-Year Studies: Benign adrenal pheochromocytomas were significantly increased in the 12,500 and 25,000 ppm groups of male rats compared to the controls (22/50, 29/50, 35/50, 34/50). However, malignant neoplasms were not increased in incidence (6/50, 7/50, 10/50, 4/50). The incidence of adrenal pheochromocytomas in dosed groups exceeded the range for NTP historical controls for feed studies (22%-48%), and the increased incidence of this neoplasm was attributed to C.I. Pigment Red 3 administration. Squamous cell papillomas of the skin occurred with a positive trend in male rats (0/50, 4/50, 2/50, 6/50), and the incidence in the high-dose group was significantly greater than that of the controls. A poorly differentiated squamous cell carcinoma (diagnosed as carcinoma) was observed in a control male. The historical control rate for squamous cell papillomas in NTP feed studies is low (16/800 or 2%, range 0%-4%), and the higher incidence of this tumor in male rats may have been caused by the administration of C.I. Pigment Red 3. Hepatocellular adenomas occurred with a positive trend in female rats, with a significantly greater incidence in the high-dose group than in the control group (0/50, 0/50, 1/50, 10/50). This neoplasm has occurred in only one historical control group in NTP feed studies (3/800, range 0%-6%), and the increase in hepatocellular adenomas in female rats was attributed to chemical administration. Chemical-related nonneoplastic lesions observed in the livers of male and female rats included eosinophilic or mixed type foci of cellular alteration. Foci were often accompanied by angiectasis and cystic degeneration in males and by granulomas and cholesterol pigmentation in females. Chronic nephropathy occurred with increased severity in exposed male and female rats. The lesions were more severe in males than in females. Other lesions considered secondary to renal disease included parathyroid gland hyperplasia, fibrous osteodystrophy of the bone, and mineralization of various organs (stomach, intestine, heart, and blood vessels). The increased incidence of hyperplasia of the transitional epithelium of the renal papilla observed in treated rats was considered to be part of the chronic nephropathy. Zymbal's gland carcinoma incidences were marginally increased in the mid- and high-dose male rats (0/50, 0/50, 2/50, 3/50). The incidence in the high-dose group was outside the NTP historical control range (0%-4%), and the Zymbal's gland carcinomas may have been related to C.I. Pigment Red 3 administration. Mononuclear cell leukemias, mammary gland fibroadenomas, and preputial gland/clitoral gland adenomas occurred at lower incidences in exposed male and female rats. The decrease in mononuclear cell leukemia was attributed to the direct effect of C.I. Pigment Red 3 or its metabolites on the mechanism responsible for inducing leukemias in aging rats, while the decreased incidence of mammary gland fibroadenomas might be attributed to decreased body weights in female rats. The cause of the decreased incidences of preputial and clitoral gland tumors is unknown. Tubule adenomas of the renal cortex occurred at a significantly higher incidence in high-dose male mice than in controls (0 ppm, 0/50; 12,500 ppm, 0/50; 25,000 ppm, 0/50; 50,000 ppm, 6/50). Because this tumor occurred only in exposed males and was outside the range for NTP historical controls in feed studies (0%-2%), renal cortical tubule adenomas in male mice were considered to be related to the administration of C.I. Pigment Red 3. Follicular cell adenoma of the thyroid gland occurred with a positive trend in male mice (0/50, 0/49, 1/50, 5/50). Theincidence in the high-dose group was significantly greater than that in the controls. This chemical-related effect is supported by the increased incidence of follicular cell hyperplasia. Because the incidence of this tumor exceeded the range of the historical controls from NTP feed studies (0%-4%), the increase of follicular cell adenoma was attributed to chemical administration. Female mice receiving C.I. Pigment Red 3 had a significant increase in follicular cell hyperplasia but showed no increase in tumor incidence at this site. Focal renal tubule hyperplasia and cystic hyperplasia occurred in exposed male mice but not in the controls. Cytomegaly (karyomegaly) of the renal tubule epithelium was seen in all treated male mice. The severity of the accompanying chronic nephropathy was increased in both male and female mice. Genetic Toxicology: C.I. Pigment Red 3 was mutagenic in Salmonella typhimurium strains TA100 and TA98 in the presence of exogenous metabolic activation (S9); no increases in gene mutation were observed in strains TA1535 and TA1537, with or without S9. C.I. Pigment Red 3 did not induce sister chromatid exchanges or chromosomal aberrations in Chinese hamster ovary cells in either the presence or the absence of S9. Conclusions: Under the conditions of these 2-year feed studies, there was some evidence of carcinogenic activity of C.I. Pigment Red 3 in male F344/N rats as exhibited by increased incidences of benign pheochromocytomas of the adrenal gland. The marginal increase in the incidences of squamous cell papillomas of the skin and Zymbal's gland carcinomas may have been related to C.I. Pigment Red 3 administration. There was some evidence of carcinogenic activity of C.I. Pigment Red 3 in female F344/N rats as indicated by the increased incidence of hepatocellular adenomas. There was some evidence of carcinogenic activity of C.I. Pigment Red 3 in male B6C3F1 mice as exhibited by the increased incidences of tubule adenomas of the renal cortex and follicular cell adenomas of the thyroid gland. There was no evidence of carcinogenic activity of C.I. Pigment Red 3 in female B6C3F1 mice that received 12,500, 25,000, or 50,000 ppm. The incidences of mononuclear cell leukemia and preputial gland tumors in male rats and mononuclear cell leukemia, mammary gland fibroadenoma, and clitoral gland tumors in female rats were lower in the exposed groups. The incidences of liver foci were markedly increased in exposed male and female rats. The severity of chronic nephropathy was increased in male rats and to a lesser extent in female rats given C.I. Pigment Red 3. An increase in the severity of nephropathy was observed in male and female mice; cytomegaly (karyomegaly) of renal tubule epithelium was observed in male mice. Thyroid follicular cell hyperplasia occurred with an increased incidence in male and female mice receiving C.I. Pigment Red 3. Synonyms: 2-Naphthalenol, 1-((4-methyl-2-nitrophenyl)azo)-; Calcotone Toluidine Red YP; Fast Red A; Pigment Scarlet R; Recolite Fast Red RBL; Sengale Light Red B

Journal Article↗

DATA PROCESSING ASPECTS OF MEDLARS.

The speed and volume requirements of MEDLARS necessitate the use of high-speed data processing equipment, including paper-tape typewriters, a digital computer, and a special device for producing photo-composed output. Input to the system is of three types: variable source data, including citations from the literature and search requests; changes to such master files as the medical subject headings list and the journal record file; and operating instructions such as computer programs and procedures for machine operators. MEDLARS builds two major stores of data on magnetic tape. The Processed Citation File includes bibliographic citations in expanded form for high-quality printing at periodic intervals. The Compressed Citation File is a coded, time-sequential citation store which is used for high-speed searching against demand request input. Major design considerations include converting variable-length, alphanumeric data to mechanical form quickly and accurately; serial searching by the computer within a reasonable period of time; high-speed printing that must be of graphic quality; and efficient maintenance of various complex computer files.

Abstracting and Indexing↗

Color separation of signature and stamp inks to facilitate handwriting examination.

The questioned documents laboratory often encounters cases where handwriting that is to be examined intersects with some interfering factor such as a rubber stamp, typewriting or background printing. In these cases, line direction, beginning and ending features of letters and other fine details of the handwriting may be lost in the "noise" of the intersecting ink. The purpose of this paper is to show several new digital photography methods that may be used to "subtract" the effect of the intersecting ink, thereby enhancing that of the handwriting ink in order to enable the document examiner to conduct a complete examination. These methods have the advantage of being fast and do not involve the use of expensive material or equipment. Several new methods are described that may be used to separate the colors of the handwriting ink from that of the intersecting ink: the analog method and several digital methods such as RGB-HSB-CMYK, L*a*b color, and color separation using the Channel Mixer function of Adobe Photoshop. Successful application of these color separation methods to specific handwriting ink/rubber stamp ink color combinations shows that the effect of the intersecting ink may indeed be minimalized if not canceled altogether. Application of the suggested methods may well make the difference between a nonconclusive handwriting examination and a full analysis of the questioned handwriting.

Journal Article↗

Inhalant abuse by adolescents: a new challenge for Indian physicians.

Inhalant abuse has been commonly reported especially in the young during the last decades globally. The reason for the relative paucity of literature from India may be attributed to a lack of knowledge about this growing problem among health professionals. A series of five cases of inhalant abuse is described in order to understand this growing public health concern. Most of the cases started inhalant abuse during adolescence. All patients except one abused typewriter erasing fluid and thinner which contains toluene. All the patients reported using inhalants as addictive substance because of their easy accessibility, cheap price, their faster onset of action and the regular 'high' that it provided. Whereas several features of inhalant dependence were fulfilled, no physical withdrawal signs were observed. The diagnosis of inhalant abuse can be difficult and relies almost entirely on clinical judgment. Treatment is generally supportive.

Administration, Inhalation↗

Trichloroethylene: environmental and occupational exposure.

Trichloroethylene is used in paint strippers, rug cleaners, spot removers, typewriter correction fluid and industrial cleaners. It is a common environmental contaminant, detected in over one-third of hazardous waste sites and in 10 percent of groundwater sources. Acute workplace exposure above acceptable levels can cause neurologic, respiratory and hepatic problems. The health effects of prolonged occupational and environmental low-level exposure are probably minimal, but whether such exposure poses a risk remains controversial. Although trichloroethylene has been shown to cause cancer in some animals, it has not been proven to be a human carcinogen. Trichloroethylene has been involved in several well-publicized cases of contamination of community water supplies, and family physicians are likely to receive questions about this chemical.

Animals↗

HIV infection risk to nonhealth-care workers.

As has been summarized above, the risk of casual contact transmission of HIV virus is remote. A review of these data should provide reassurance to both workers and management. No evidence exists for direct contact spread through shaking hands and nonsexual touching. There is also no evidence for indirect spread through contact with shared inanimate objects such as typewriters, telephones, computers, water fountains, rest rooms, dining facilities, exercise equipment, bathing facilities, spas, saunas, and swimming pools. In addition, there is no evidence to suggest the airborne spread of HIV, thus there should be no potential risk of transmission through air-conditioning units, air-handling systems, or by sharing the same office space with an infected individual. The fear of AIDS may lead to irrational beliefs and biased perceptions of risk. This, unfortunately, can sometimes lead to discriminatory and inhumane treatment of persons with AIDS. The best way to manage this potential problem in the workplace is through effective educational interventions.

Adult↗

[Scanning electron microscopy studies for the analysis of mixed script].

Mixed script is a criminalistic problem which--though it is described in different papers--is not systematically investigated. We, therefore, analyzed the mixed script produced by different instruments by SEM: pencil, ink/India ink, ball point pen, felt-tip pen, copied scripts and typewriter. The significance of REM investigations in mixed scripts is stressed.

Crime↗

[Creative arts activity in manually handicapped patients].

Congenital or acquired conditions directly or indirectly causal in total or partial impairment of manual function are set out. The possibilities for creative-expressive activity, using various techniques, nothwithstanding manual disabilities are pointed out. In Cefischer, who until his war-related loss of both upper limbs had been a renowned cartoonist, a comparison of his works, drawn initially by hand and later with the mouth, reveals his characteristic style of expression having remained the same. Further examples are given of creative expression in the presence of manual disability even under extreme circumstances (such as 11 years of confinement to the Iron Lung). Arts and crafts work of persons with leprosy-related manual handicaps are mentioned; typewriter graphics as a method inaugurated by Basset is presented as used in young people with total manual disability. Partial disability of manual function due to arthritis was present in Renoir, Jawlensky, and Grandma Moses, the course of their conditions is described over time. Contents and form of their pictures, after long years of being manually disabled, do not reveal any essential changes in comparison to their earlier ones.

Art↗

Principles of automatic processing of speech signals and their application in medical technology and for aids for handicapped.

Digital processing of speech signals has made great advances in the last few years. This has brought about many new possibilities for man-machine communication in information technology. Automatic recognition and synthesis of speech signals give chances to communicate in a very direct manner with data processing machines. This gives quite good advances in all areas where communication is often done by vocal commands. Medical technology is one example where people normally use spoken commands to get any action or to produce medical documents by voice input. Another and today still much more important area are aids for handicapped people. There are different tasks which may be done using speech recognizers or synthesizers. For paraplegics it will be important to operate their usual aids through vocal commands. For people with communication defects speech recognizers may be useful for the deaf to aid them in participating in speech communication or for training their speech capabilities. For people with speech defects through e.g. spastic paralysis speech aids may help them to produce an intelligible speech signal from written texts, produced by typing on a keyboard. Blind people may use reading machines with speech output to become relatively independent in text reading and text preparation using typewriters. Speech understanding systems may help to make a direct voice dialogue with medical expert systems. On the other hand, advanced research in hearing psychology and the physiology of speech production may help to develop more advanced automatic speech processing.

Blindness↗

Computer-aided instruction at the Ottawa General Hospital.

We have reviewed our experiences with the first systematic use of CAI at the University of Ottawa Medical School. The Bleich acid-base and electrolyte program was employed by senior clinical clerks in the Department of Medicine during the past year using APL version of the program, an IBM 360-65 computer linked by acoustic coupler to the typewriter-style IBM 2741 terminal. We have been impressed with the importance of: (1) minimizing technical difficulties, (2) enhancing the teaching capacity of the program (as opposed to its consultant function) and (3) carefully ensuring that the user understands its limitations. This pilot project in clinical CAI has identified problems which will likely be experienced in other medical centres and has suggested important areas for further development.

Acid-Base Equilibrium↗

Rehabilitative potentialities and successes of aphasia therapy in children and young people after cerebrotraumatic lesions (author's transl).

Novel verbal and nonverbal therapeutic techniques are described by means of examples. The aphasic clients range from preschool and school children to young people up to the age of 18. Identification and evaluation of main interest areas enabled individualised combinations of therapeutic measure as well as novel play and/or work situations to be developed, which also involved technical devices: animal voice imitation, play telephone, normal telephone, typewriter, electronic pocket calculator, magic screen, keyed instruments (toy piano, etc.). Rhythmically stressed and "sports" speech training (revolving disc, indoor bicycle, "jouk" sport), hydrotherapy, horseback riding, swimming. Age-adapted conversation, storytelling, motivation through joy and success ("circulus hortativus"), music therapy. Even in cases of extremely delayed treatment, advances may be achieved. Special hints: shorthand therapy, pseudo-phenomena, cotherapy, conversion of right-handed to left.

Adolescent↗