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[Use of computers in radiology. Word processing, office technology and documentation--continuing the past or using newer technology?].

The use of computers can result in drastic rationalisation in radiology with regard to text processing, office automation and documentation. The staff can be streamlined and work can be processed more rapidly, easier and more reliably, thus essentially improving effective productivity levels. Basing on the experience collected in handling the COMRAD system. Where the textrail is the most important software component, the article explains by means of the example of three different types of reports how the radiologist is assisted in his work by the computer.

Hospital Departments↗

Hand-carried cardiac ultrasound (HCU) device: recommendations regarding new technology. A report from the Echocardiography Task Force on New Technology of the Nomenclature and Standards Committee of the American Society of Echocardiography.

The newest introduction to echocardiography is a hand-carried ultrasound (HCU) device. It is a small echocardiographic machine that typically weighs less than 6 lb and can obtain echocardiographic images and data. However, neither the device nor the context of the examination fulfills the criteria for a comprehensive or complete echocardiographic examination. The American Society of Echocardiography believes that HCU will extend the concept of the "complete physical examination," allowing more rapid assessment of cardiovascular anatomy, function, and physiology. However, appropriate user-specific training (Level 1 at a minimum) and assumption of responsibility are essential to ensure the most accurate acquisition, interpretation, and use of the data.

Echocardiography↗

An anaesthetic minimum dataset and report format. Society for Computing and Technology in Anaesthesia (SCATA). European Society for Computing and Technology in Anaesthesia (ESCTAIC).

The dataset necessary to produce reports for anaesthetic training purposes is described, together with appropriate definitions. The format for a standard report that may be used in a logbook is also described. These have been accepted by the Royal College of Anaesthetists. The German Anaesthetic Society (Deutsche Gesellschaft für Anaesthesiologie und Intensivmedizin, DGAI) has accepted the dataset and definitions.

Anesthesiology↗

Are minority children the last to benefit from a new technology? Technology diffusion and inhaled corticosteriods for asthma.

BACKGROUND: Racial and ethnic disparities in health and health care have been well documented, but few studies have addressed how disparities may change over time. OBJECTIVE: We sought to determine the change in relative rates over time of corticosteroid metered dose inhaler (MDI) use in minority and nonminority populations with asthma. DESIGN AND SETTING: We used a cross-sectional survey for 5 periods of 2 years' each (1989-1990, 1991-1992, 1993-1994, 1995-1996, 1997-1998) using the National Ambulatory Medical Care Surveys (NAMCS). PARTICIPANTS: A total of 3671 visits by adults and children with asthma to U.S. office-based physicians comprised our sample. MAIN OUTCOME MEASURE: We sought to measure differences in inhaled corticosteroid use for minority and nonminority adults and children controlling for gender, specialty, U.S. region, and type of insurance. RESULTS: Minority patients with asthma were less than half as likely as nonminority patients to have had a steroid MDI prescribed during 1989-1990. By 1995-1996, minority and nonminority patients with asthma were equally likely to have had a steroid MDI prescribed. Although differences between black and white patients resolved, differences between white and Hispanic patients persisted even after adjusting for insurance. Children initially were less likely than adults with asthma to have steroid MDI prescribed, and this difference persisted. Minority children had the greatest delay in adoption of steroid MDIs. CONCLUSION: Steroid MDIs diffused into minority and nonminority adult and child populations at different rates.

Administration, Inhalation↗