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At least 1,801 records · Page 100Linked to original sources
PubMed2005

Microbioassay system for antiallergic drug screening using suspension cells retaining in a poly(dimethylsiloxane) microfluidic device.

This article describes an antiallergic drug-screening system by the detection of histamine released from mast cells (suspension cells) on a multilayer microchip. In this study, the elastmeric material, poly(dimethylsiloxane) (PDMS), was employed to fabricate microchannels and microchambers. The microchip consists of two sections: a histamine-releasing one, which has a cell chamber, and a histamine-derivatizing one. Both were laminated to one microchip. Rat peritoneal mast cells were retained in the cell chamber (1.2 microL) with a filtering system using a cellulose nitrate membrane. This filtering system could easily retain suspension cells without cell damage. Mast cells were viable for a sufficient time to conduct the assay on the cell chamber. The cells were stimulated with a chemical release compound 48/80 (C48/80), and then histamine flowed into the lower layer, where it was derivatized to the fluorescent molecules with o-phthalaldehyde and its fluorescence was detected on the microchip. This flow system could detect the time course of the histamine release, and this microchip system required only 20 min for the assay. By this integrated system, 51 pmol of histamine released from 500 cells was detected, and the number of cells required for the assay was reduced to 1% compared with conventional bulk systems. By comparing the released histamine levels with and without drugs, their effect could be evaluated. The inhibition ratio of C48/80 induced-histamine release using an antiallergic drug, disodium cromoglicate (DSCG), was related to the concentration of DSCG. This flow system was applicable for antiallergy drug screening by rapid measurement of the inhibition of histamine release from a very small amount of mast cells.

Animals↗
PubMed2003

Probabilistic constraint satisfaction at the lexical/phonetic interface: evidence for gradient effects of within-category VOT on lexical access.

Research in speech perception has been dominated by a search for invariant properties of the signal that correlate with lexical and sublexical categories. We argue that this search for invariance has led researchers to ignore the perceptual consequences of systematic variation within such categories and that sensitivity to this variation may provide an important source of information for integrating information over time in speech perception. Data from a study manipulating VOT continua in words using an eye-movement paradigm indicate that lexical access shows graded sensitivity to within-category variation in VOT and that this sensitivity has a duration sufficient to be useful for information integration. These data support a model in which the perceptual system integrates information from multiple sources and from the surrounding temporal context using probabilistic cue-weighting mechanisms.

Eye Movements↗
PubMed2006

Constructed tropical wetlands with integrated submergent-emergent plants for sustainable water quality management.

Improvement of primary effluent quality by using an integrated system of emergent plants (Scirpus grossus in the leading subsurface flow arrangement) and submergent plants (Hydrilla verticillata in a subsequent channel) was investigated. The primary effluent was drawn from a septic tank treating domestic sewage from a student dormitory at the University of Peradeniya, Sri Lanka. Influent and effluent samples were collected once every 2 weeks from May 2004 through July 2005 and analyzed to determine water quality parameters. Both the emergent and submergent plants were harvested at predetermined intervals. The results suggested that harvesting prolonged the usefulness of the system and the generation of a renewable biomass with potential economic value. The mean overall pollutant removal efficiencies of the integrated emergent and submergent plant system were biological oxygen demand (BOD5), 65.7%; chemical oxygen demand (COD), 40.8%; ammonium (NH4+-N), 74.8%; nitrate (NO3--N), 38.8%; phosphate (PO43-), 61.2%; total suspended solids (TSS), 65.8%; and fecal coliforms, 94.8%. The submergent plant subsystem improved removal of nutrients that survived the emergent subsystem operated at low hydraulic retention times. The significant improvement in effluent quality following treatment by the submergent plant system indicates the value of incorporating such plants in wetland systems.

Aquaculture↗
PubMed1976

An experiment in integrated teaching of anatomical sciences.

With the phenomenal expansion of knowledge in both basic and clinical sciences, it is absolutely essential to provide a sound foundation of anatomical sciences for the clinical teaching within the limited time available. Problems like shortage of qualified teachers in anatomy, isolation of anatomical sciences from the rest of the basic and clinical departments and multicentricity of sections of anatomical sciences urged us to apply an integrated system as tailored to our needs and limitations. By interdepartmental integration of gross anatomy, histology and embryology a more coordinated teaching has been achieved. Joint clinicoanatomical presentations by participation of anatomists in clinical teaching and clinicians in teaching of anatomy have not only upgraded the teaching but have also significantly reduced the problem of teachers shortage. These presentations are essentially directed towards illustrating the living anatomy, diagnostic anatomy, operative anatomy, applied embryology and microanatomy or the selected regions, with bearings on physical examination, pattern of the diseases, diagnostic and surgical procedures, genesis and treatment of congenital defects and neuroanatomical localisation of lesions. Fundamental basis of developmental and genetic defects are dealt with by a team of pediatrician, pediatric surgeon and the anatomists, with additional emphasis in the genesis of these defects and resultant disorders of function.

Anatomy↗
PubMed1989

Maimonides Medical Center uses workflow management system.

This optically based system integrates data, image and sound into a unified workflow management system. Running on micros, the system involves a LAN, saves space and time, and has led to a significant reduction in accounts receivable.

Accounts Payable and Receivable↗
PubMedDate not supplied

[Structure of medical work and its evaluation: methodological aspects].

Methodological approaches to studies and description of the structure of medical work are presented with the aim of evaluating it. Studies of labor structure should result in the formation of a complex of its parameters (properties) to be taken account of, which is the priority task in developing a system of evaluations. Medical labor is regarded as a complex integral system requiring a systemic approach. The methodology is based on qualimetric principles and methods. The fundamental principles are necessity and sufficiency. The method for evaluation of medical work is to correspond to the actual potentials and routine of medical institutions.

Delivery of Health Care↗
PubMed2002

[A design of ultrasonic tele-diagnosis and quality control system].

Objective. To study the method for constructing an ultrasonic tele-diagnosis and quality control system. Method. The standard of Intemet/Intranet technology was used for the system. The compression and up-loading component based on wavelet and the software platform of ultrasound image processing were developed to suit the ultrasound image characteristics. The information exchange and storage (DICOM) was studied for the compatibility between the system and the Hospital Information System (HIS). Both of them were combined to form an integrated system. Result. WWW server, relevant case history managing and image processing software were constructed in the system. Conclusion. It is feasible to establish a low cost and maintainable system for ultrasound tele-diagnosis and quality control system based on Internet/Intranet technology.

Feasibility Studies↗
PubMed1988

[Computer-assisted radiology].

New digital imaging modalities and more sophisticated image processing systems will have a profound effect on those areas of medicine concerned with imaging. This mainly means computer-assisted radiology (CAR) and implies a transition from analog film systems to digital imaging systems, integration of digital imaging modalities through picture archiving and communication systems (PACS) and the graduated employment of image-oriented medical work stations (MWS) for computer-assisted representation, communication, diagnosis, and therapy planning.

Germany, West↗
PubMed1976

[Present state of pain surgery].

This report presented to the Société de Neurochirurgie de Langue Française is based on 34 years of unique practice in neurosurgical management of pain; during that long period the author and his associates have collected an unusually large experience in almost every field of neurosurgical management of pain; they have improved or fully devised several new techniques which allow them to ground an appreciation of the procedures still worthy to be used in various pain syndromes. The first part of the report deals with "Cybernetics of pain". This rather long chapter is based both on classical data and personal observations on man during and following operations, meant to relieve pain. Though supporting HEAD and HOLMES, theory on Control of protopathic by epicritic Stimuli, the authors consider that the type of pain associated with noxious stimulation as representative of just one among other types of pain, not induced by nociception and not associated with protection reflexes. Sensory deafferentation as can be produced by amputations, herpes zoster, dorsal column or medullary lesions, cannot be included in Sherrington's scheme of psychical mechanisms associated with protection reflexes and yet is responsible for most of the chronic unbearable and often intractable pain. Moreover, an important modulation of pain as such depends on conditioning, on inherited and acquired patterns of behaviour and on a multiplicating factor which is provisionally named "algogenic neurosis". The fact that an intact nucleus ventralis posterolateralis is a necessity for a "no pain status" tends to prove that this thalamic nucleus acts as a major inhibiting relay on the pain integrating system and for several additional reasons is the level of integration of epicritic versus protopathic stimuli in case of true nociception...

Analgesia↗
PubMed1998

Screening mammography in an integrated health care system: the Kaiser permanente experience.

In this paper, we describe the attributes of a comprehensive approach to breast cancer screening possible in an integrated health care system. We define an integrated health care system as one in which comprehensive preventive and medical care is provided to a defined population, by a defined panel of providers, and in which this care can be tracked using automated electronic data systems. Guided by the Pathways Conceptual Framework, it is possible to identify and systematically address (through research and interventions) the multiple predisposing, enabling, and reinforcing factors at the individual and organizational level associated with each step along the screening process. This framework is helpful as both a planning and an evaluation tool, in identifying places in the screening and follow-up process that could benefit from concerted quality improvement efforts and in guiding an evaluation of those efforts. We describe examples from research and organizational programmatic efforts, and use the framework to point to additional areas for further investigation and potential organizational intervention. These examples use a variety of research methods, impact the breast cancer screening pathway in different places, and therefore show how it is possible to approach the broad issue of reduction of breast cancer mortality from multiple perspectives. Integrated health care systems, unlike more traditional academic settings, are well suited to supporting this full spectrum of research while also providing the context for its application.

Journal Article↗
PubMed2005

An integrated mini biosensor system for continuous water toxicity monitoring.

An integrated water toxicity monitoring system that uses recombinant bioluminescent bacteria was successfully developed for the continuous monitoring and classification of toxicities present in water. This system consists of four channels arranged horizontally inside of a cylinder, with each channel having two small bioreactors that are vertically connected to each other to maintain a separation of the culture reactor from test reactor. This system is easily handled and installed, making its application in the field a potential reality. As well, it performed stably and continuously due to the vertical separation of the culture reactor from the test reactor and a long term operation was also performed because of its small working volume, i.e., only 1 ml for the 1st bioreactor and 2 ml for the 2nd. During an operation with four strains, i.e., EBHJ2, DP1, DK1 and DPD2794, which are responsive to superoxide damage (EBHJ2 and DP1), hydrogen peroxide (DK1), and DNA damage (DPD2794), the O.D. and bioluminescence of the bacterial cultures inside the system were constant when no chemical was injected. However, with the addition of paraquat, hydrogen peroxide or mitomycin C, the bioluminescent responses of the strains were found to be dose-dependent to different concentrations of these chemicals.

Biological Assay↗
PubMed1991

Relationship of avian retrovirus DNA synthesis to integration in vitro.

An in vitro integration system derived from avian leukosis virus-infected cells supports both intra- and intermolecular integration of the viral DNA. In the absence of polyethylene glycol, intramolecular integration of viral DNA molecules into themselves (autointegration) was preferred. In the presence of polyethylene glycol, integration into an exogenously supplied DNA target was greatly promoted. Analysis of integration intermediates revealed that the strand transfer mechanisms of both reactions were identical to those of retroviruses and some transposons: each 3' end of the donor molecule is joined to a 5' end of the cleaved target DNA. The immediate integration precursor appears to be linear viral DNA with the 3' ends shortened by 2 nucleotides. Finally, in the avian system, most cytoplasmic viral DNA appears to be incomplete and further DNA synthesis is required for integration in vitro.

Avian Leukosis Virus↗
PubMed1998

Sustaining the development of primary care in academic medicine. Working Group on Sustaining the Development of Academic Primary Care. Association of American Medical Colleges.

This article is the report of the Working Group on Sustaining the Development of Academic Primary Care, one of the six subgroups of the Advisory Panel on the Mission and Organization of Medical Schools (APMOMS) sponsored by the Association of American Medical Colleges (AAMC). To begin, the group draws a distinction between primary care and generalism. Primary care is a core domain of health care and, in the context of emerging integrated systems, will increasingly be a multidisciplinary shared function. Non-subspecialized physicians, or "generalists," are a key element in the provision of primary care, but do not act alone. Core competencies for primary care are central to the education of all physicians. Therefore, irrespective of workforce goals for generalist physicians, primary care should have a strong, central position in the medical school so that graduates can receive a sound general medical education and can be prepared for any specialty and for lifelong learning in an evolving health care system. For primary care to achieve that position, medical schools must integrate primary care into their missions, strategic plans, operation, organization, academic administrative structures, curriculum development, faculty development (both school- and community-based), resource development, alliances with appropriate clinical services networks, financial policy, and evaluation and educational monitoring systems. The group briefly describes the elements of those changes and also proposes ways that the AAMC and medical school leaders could promote the central role of primary care in medical schools.

Curriculum↗
PubMed2002

Getting more for their dollar: a comparison of the NHS with California's Kaiser Permanente.

OBJECTIVE: To compare the costs and performance of the NHS with those of an integrated system for financing and delivery health services (Kaiser Permanente) in California. METHODS: The adjusted costs of the two systems and their performance were compared with respect to inputs, use, access to services, responsiveness, and limited quality indicators. RESULTS: The per capita costs of the two systems, adjusted for differences in benefits, special activities, population characteristics, and the cost environment, were similar to within 10%. Some aspects of performance differed. In particular, Kaiser members experience more comprehensive and convenient primary care services and much more rapid access to specialist services and hospital admissions. Age adjusted rates of use of acute hospital services in Kaiser were one third of those in the NHS. CONCLUSIONS: The widely held beliefs that the NHS is efficient and that poor performance in certain areas is largely explained by under investment are not supported by this analysis. Kaiser achieved better performance at roughly the same cost as the NHS because of integration throughout the system, efficient management of hospital use, the benefits of competition, and greater investment in information technology.

California↗
PubMed1987

A prescription for better pharmacy computerization.

The net effect of these features in an integrated system is that the pharmacist spends time more productively managing patient drug therapy, not the computer system. The patient's location and demographics, once entered, are immediately available in a clinically useful form. Information about medications, the patient's responses to them and all other clinical parameters is available in the pharmacy without leaving the pharmacy application, making the pharmacist more effective and efficient. Physicians' orders are qualified by the system as they are entered, minimizing the number of nonproductive encounters between the pharmacist and the physician. Medication orders arrive at the pharmacy in a more timely manner and with fewer problems. The pharmacy can, in turn, be more responsive, helping the patient receive medication that is timely, accurate and clinically appropriate. These benefits arise primarily as a by-product of the pharmacy being integrated into an information system environment in which data is easily and directly accessed and shared. The more closely the pharmacy and its information requirements are examined, the more important the integration component appears. Many of the above benefits are not achievable with a dedicated stand-alone pharmacy computer system; some are achievable with an interface to a stand-alone nursing-station based HIS. In the pharmacy, is to increase and flourish in its role as an important and integral part of the healthcare delivery team, then access by the pharmacist to all patient information, and access by other providers to information contributed by the pharmacy is a necessary requisite. Improvement inpatient care can be the only result of such enhanced interchange.

Hospital Information Systems↗
PubMed2002

Integrative medicine and systemic outcomes research: issues in the emergence of a new model for primary health care.

Clinicians and researchers are increasingly using the term integrative medicine to refer to the merging of complementary and alternative medicine (CAM) with conventional biomedicine. However, combination medicine (CAM added to conventional) is not integrative. Integrative medicine represents a higher-order system of systems of care that emphasizes wellness and healing of the entire person (bio-psycho-socio-spiritual dimensions) as primary goals, drawing on both conventional and CAM approaches in the context of a supportive and effective physician-patient relationship. Using the context of integrative medicine, this article outlines the relevance of complex systems theory as an approach to health outcomes research. In this view, health is an emergent property of the person as a complex living system. Within this conceptualization, the whole may exhibit properties that its separate parts do not possess. Thus, unlike biomedical research that typically examines parts of health care and parts of the individual, one at a time, but not the complete system, integrative outcomes research advocates the study of the whole. The whole system includes the patient-provider relationship, multiple conventional and CAM treatments, and the philosophical context of care as the intervention. The systemic outcomes encompass the simultaneous, interactive changes within the whole person.

Complementary Therapies↗
PubMed1995

Implementation of the totally integrated hospital information system (Humane) in Osaka University Hospital.

On September 1, 1993, in the new Osaka University Hospital, we implemented a new hospital information system named "HUMANE" (Human oriented Universal Medical Assessment system by Network Environment). We had planned to organize a more effective and efficient medical care system in the new hospital and improve the medical services to patients. To succeed in constructing a totally integrated hospital information system, the original data must be entered. Most of it would be entered by doctors who are not accustomed to the operation of a computer system, thus the production of a good man-machine interface is indispensable. For this reason, we adopted a micro-medium-main frame link system for the system configuration. The interface program and the copy of the master data about each subsystem are located on the microframe. Although, all patient data is stored on the mainframe, most of the active patients' data is delivered to the mediumframe before the data is requested. This system design makes it possible to shorten the response time and to use a comfortable user interface. On the basis of this system configuration, we made subsystems that support hospital management, for example, an ordering system, a reporting system, a reservation system, a supporting system for hospitalization, a nurse supporting system, and so on. These systems promote automation control in each central service division; pharmacy, radiology, laboratory for clinical investigation and accounting section, resulting in man-power being saved. At the same time, medical service to patients is improved, because waiting time is shortened and redundant examinations or prescription are avoided.

Computer Systems↗
PubMed2002

Double-ring network model of the head-direction system.

In the head-direction system, the orientation of an animal's head in space is encoded internally by persistent activities of a pool of cells whose firing rates are tuned to the animal's directional heading. To maintain an accurate representation of the heading information when the animal moves, the system integrates horizontal angular head-velocity signals from the vestibular nuclei and updates the representation of directional heading. The integration is a difficult process, given that head velocities can vary over a large range and the neural system is highly nonlinear. Previous models of integration have relied on biologically unrealistic mechanisms, such as instantaneous changes in synaptic strength, or very fast synaptic dynamics. In this paper, we propose a different integration model with two populations of neurons, which performs integration based on the differential input of the vestibular nuclei to these two populations. We mathematically analyze the dynamics of the model and demonstrate that with carefully tuned synaptic connections it can accurately integrate a large range of the vestibular input, with potentially slow synapses.

Animals↗

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