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The Health Care Financing Administration (HCFA) is amending the system notice for the Health Insurance Master Record HHS/HCFA/BPO No. 09-70-0502, to add two new routine uses.
The Consumer Product Safety Commission is republishing its Privacy Act systems of records with certain changes, additions, and deletions.
Standardising a documentary language makes only sense if we use it for documentation consequently. Using an example of Paediatric Oncology in Germany we have developed a procedure that generates CRFs from a documentary language. The introduced procedure has proved to be feasible in practice. With it we can support developers of documentation systems in creating their CRFs; through the guaranteed use of the documentation terminology we further achieve that information recorded with the created CRFs may be statistically analysed across different institutions.
During his life in the army in 1252 - 1261, Luo Tianyi wrote down case records taken from his patients, including soldiers, military officials and their relatives. In addition to infectious diseases such as malaria, dysentery, vomiting and diarrhea and seasonal epidemics, he also treated psychosis, digestive disorders, cold damage, beriberi, coughing and cold in the legs and external diseases such as eye diseases, boils and carbuncles, hernia. The therapeutics he applied included recipes, pills, powders, pastes as well as acu - moxibustion.
A new combined anaesthesia and recovery room record is presented, consisting of a treble sheet of self-copying paper two times prefolded to the standard chart size. It meets the increasing requirements of pre-, intra-, and postoperative anaesthesiological documentation.
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In functional cerebral studies, it has been established that co-registered electroencephalography (EEG) measurements and functional magnetic resonance imaging (fMRI) were complementary. However, EEG data recorded inside an MRI scanner are heavily distorted, mainly by the most prominent artifact, the cardiac pulse artifact (PA). We describe an original algorithm which yields a high-quality PA filter and demonstrates how this tool can be used to improve the quality of P300 ERP measurements during event-related fMRI (e-fMRI) experiments. EEG data were acquired in interleaved mode during e-fMRI while six healthy volunteers performed a visual odd-ball task, involving Distractors, Target and Novel stimuli, to elicit P300 components. The PA was corrected with the original algorithm. The temporal variations in the PA were evidenced using a principal component analysis (PCA), on each EEG channel. The procedure yielded several PA templates, which were regressed from the EEG data. The PA removal procedure was optimised, and then implemented to improve the measured P300 components. Regressing the most adequate PA template resulted in a high-quality reduction in spectral power at frequencies associated with the cardiac PA. More reliable P300 component measurements were obtained, evidencing higher amplitudes for Novels (9.76-11.20 microV) than for to Targets (6.3-9.09 microV) in centro-parietal and prefrontal areas. The improvement of the processing of EEG data acquired simultaneously with fMRI data provides a new tool and casts perspectives to study the functional organisation of the brain.
This paper describes the procedure of assembling a miniature microdrive and silicon probe system for surgical implantation into the adult rat brain. Successful recordings of single and multiunit activity with parallel depth profiles of spontaneous and evoked field potentials are shown. The procedure for histological verification of the position of the silicon probe is described.
This article presents a method for the evaluation of cardiac depolarizations in a relatively short time with a minimum number of electrodes. With the negative electrode attached to the right infraclavicular region, voltage variations on the chest surface exhibit larger excursions than do the usual unipolar leads. Peak voltages of the PQRST waveforms measured on 12 normal patients by both methods were similar in polarity but were statistically significantly higher in the right infraclavicular leads. Data are presented on 21 normal patients, which show that digitized signals allow for an expanded time-scale leading to higher resolution of rate of change and onset and offset times. The digitized signals also more clearly define notches that distort the QRS complex. In 55 cardiac patients, the 12-lead unipolar electrocardiograms were visually compared to digitized electrocardiograms recorded by using the bipolar right infraclavicular leads. The authors suggest that RIC leads would be most useful in the design of a pocket-sized digitizing bipolar-lead electrocardiograph.
During consideration of three film mammographic systems (see article I), the concept of signal/noise ratio is developed as a quantitative measure of film quality. The ability to recognise detail related to detail size, film blackening and exposure geometry was studied for various systems, and the quality profiles are discussed. There is a considerable difference in quality between industrial films without screens and film-screen combinations; however, exposure geometry during mammography has a considerable effect which tends to reduce the difference. Consequently, detail sizes of 200 mu to 1,000 mu (including the majority of mammographic micro-calcifications) are shown about equally well. Contrast for the lo-dose system (D = 1.1) is somewhat less than for adequately exposed industrial film (D = 2.0) or for Cronex 75 m with lo-dose screen (D = 1.5 to 2.0). The lo-dose system (D = 1.1) is 8.6 times more sensitive than Cronex 75 m (D = 2.0), and the system Cronex 75 m with lo-dose screens is 11.6 times more sensitive. Over-exposure with the lo-dose system, contrary to industrial film, rapidly leads to unsatisfactory results (loss of contrast and increased granularity for D greater than 1.5). On the other hand it is often not possible to obtain an adequate exposure (D = 2.0) when using industrial film. For these reasons it is often an advantage to examine large breasts (with considerable geometric unsharpness) and the dense breasts of young women with a film-screen combination (eg. lo-dose system) which requires approximately one eighth of the dose necessary for industrial film. For small or easily compressable breasts (little geometric unsharpness) best results are obtained, using an adequate exposure by employing industrial film; radiation dose it then acceptable. Detailed analysis of the systems has shown that the recording system unsharpness of film-screen combinations in mammography should be reduced.
The problem of electrode selection for neurophysiological monitoring, whether for routine clinical applications or special scientific research, still remains to be resolved. In addition to the classical types of electrode-cup (silver/silver chloride or gold) or needle electrodes, new self adhesive electrodes (e.g. zipprep electrodes) for rapid application and reliable recording have recently come onto the market. However, this electrode type can lead to superficial lesions of the skin or inflammatory infiltration, which so far have not been investigated. New developments in the field of cortex electrodes and so-called active electrodes are additionally discussed.
The Public Health Service (PHS) is publishing notice of a new routine use, responding to comments, changing the system name, providing the contractor's address, and making editorial clarifications for system of records: 09-15-0054, "Health Care Practitioner Adverse Credentialing Data Bank, HHS/HRSA/BHPr", now titled "National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners, HHS/HRSA/BHPr."
In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing a notice of a proposal to initiate a new system of records in the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA), National Institute of Mental Health (NIMH), entitled, "Mental Health Epidemiologic and Biometric Research Data, HHS/ADAMHA/NIMH." The purpose of the new system will be to maintain a data base for biometric and epidemiologic research in the area of mental health and mental illness. This system will allow the statistical analysis of research data to test hypotheses about relationships among the various items of information and generate new hypotheses to guide future research.
In accordance with 5 U.S.C. 552(e)(4), we are publishing notices of systems of records which HCFA maintains. The notices are complete as of August 10, 1982 and do not contain any new routine uses or new material which would require a report to Congress and the Office of Management and Budget as described in OMB Circular A-108. The notices do, however, contain editorial and general clarifying changes which make them accurate and complete. If any errors appear in this publication, we will publish corrections in a later issue of the Federal Register.
The Department of Health and Human Services is amending system of records 09-90-0024 to add new routine uses for the purpose of collecting debts owed the Federal Government, and to add a disclosure to consumer reporting agencies as authorized by 5 U.S.C. 552a(b) (12) as added by the Debt Collection Act of 1982 (Pub. L. 97-365). A number of other amendments have been made to reflect changes of organization and titles. We invite public comment on these routine uses.
In accordance with the requirements of the Privacy Act of 1974, we are proposing to establish a new system of records, "Medicare Physician Identification and Eligibility System (MPIES)," HHS/HCFA/BPO No. 09-70-0525. We have provided background information about the proposed system in the "SUPPLEMENTARY INFORMATION" section below. Although the Privacy Act requires only that the "routine uses" portion of the system be published for comment, HCFA invites comments on all portions of this notice. See date section for comment period.
We are issuing public notice of our intent to conduct matches of certain Federal Medicare records maintained by HCFA's carriers and physician Registry, and data maintained by the AMA. A matching report is set forth below.
In accordance with the requirements of the Privacy Act, the Public Health Service (PHS) is publishing a notice of a new system of records entitled, "Respondents in a Validity/Reliability Study of Self-Reported Drinking." HHS/ADAMHA/NIAAA, in the Alcohol, Drug Abuse, and Mental health Administration (ADAMHA). The system notice establishes two routine uses. PHS invites interested persons to submit comments on the proposed routine uses on or before June 28, 1982.