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[Asthma mortality trends in Mexico].

The objective of this cross-sectional study was to estimate mortality and morbidity from asthma in Mexico by federative entity (state) of residence, age, and sex during the period between 1960 and 1988. Statistics published by the National Institute of Statistics, Geography, and Information Science were reviewed, as were vital statistics and information from other sources. Data were selected on mortality, hospital admissions, and outpatient visits, as well as population by federative entity, age, and sex. Mortality and morbidity rates were adjusted for age using the direct method. From 1960 to 1987, mortality decreased for both sexes. The groups with the highest asthma mortality were those under 4 years of age and those over 50. From 1960 to the present, the state with the highest mortality was Tlaxcala. Hospitalizations increased from 10 to 140 per 100,000 population for the country as a whole. When both outpatient visits and hospitalizations were considered, the morbidity rates rose from 180 to 203.4 per 100,000 between 1960 and 1970. In 1970, hospital morbidity was higher among males than females. From 1960 up to the 1990s, the highest rates of hospitalization and outpatient visits were registered among those under 4 and those over 60. The states with the highest asthma hospitalization rates were Morelos, Baja California Sur, Nuevo León, Durango, and Tamaulipas. It is concluded that asthma mortality in Mexico is showing a downward trend, while morbidity is increasing considerably, especially among adolescents.

Adolescent↗

On medical informatics.

This paper summarizes the author's point of view of defining medical informatics, to stimulate further discussions on how this "newly emerging discipline" should further proceed. We realize that the term "informatics" is related rather to the term "information science" than to "computer science". Accordingly, medical informatics deals with the systematic processing of information in medicine. Many information systems in medicine are interrelated and can hardly be regarded as independent systems. As a result, medicine becomes gradually more an "empirical science of extreme complexity". Because of its complexity and wide range of applications, medical informatics should be considered as a separate discipline, its aim being to contribute to the systematic processing of information in medicine. The contribution of medical informatics should be a better understanding of the human being and means for the provision of high quality patient care.

Electronic Data Processing↗

Linking information needs with evaluation: the role of task identification.

Action Identification Theory was used to explore user's subjective constructions of information tasks in a primary care setting. The first part of the study involved collecting clinician's descriptions of their information tasks. These items were collated and then rated by another larger group of clinicians. Results clearly identified 6 major information tasks, including communication, patient assessment, work monitoring, seeking science information, compliance with policies and procedures, and data integration. Results discussed in terms of implications for evaluation and assessing information needs in a clinical setting.

Communication↗

Informatics education and the professions.

This Perspectives is the outgrowth of work begun at Maryland under the Informatics Task Force and its national and international advisory groups. In a theoretical discussion of what information science can contribute to the health professions, the authors address questions of definition and describe application and knowledge models for the emerging profession of informatics. A review of existing programs includes curriculum models and provides details on informatics programs emphasizing information and computer science; programs emphasizing the health sciences; and specialized informatics programs (undergraduate, master, and doctoral level). Focus is placed on models for informatics program development. The authors hope to build upon the database reported on in this article, and thereby foster the informatics education for the professions.

Canada↗

Going provincial: preceptoring and mentoring revisited in the health sciences. Part I.

This article describes the Preceptor & Mentor Initiative for Health Sciences in BC, a provincial strategy to facilitate preceptoring and mentoring. A web site was developed with a comprehensive preceptor/mentor framework and resources, based on best practices and applicable to all health sciences. Informal feedback indicates this Initiative is effective in supporting health sciences preceptoring and mentoring in BC. A formal evaluation will be conducted by March 2003 and reported in a future FORUM article.

Benchmarking↗

Authorship outlets of academic health sciences librarians.

Journal articles are the most common publication format for U.S. academic health sciences librarians. This is consistent with the findings of other researchers. Of the total publications in this study, 68% were in journals. Watson found that 69% of the academic librarians' publications were published in some type of journal [8]. Similarly, Yerkey and Glogowski found that 67% of the publications in their study were journal articles, although their population consisted of all types of authors of library/information science materials [9]. Both the present study and Watson found that monographs were the second most common publication outlet. Watson found that 16% of the total publications were monographs; the current study identified 14.8% of the total publications as monographs [10]. Although Watson's findings are similar to the newer results, it is important to note that Watson's study was conducted in a different manner and included book reviews, which were not counted in the present study. The health sciences librarians in the present study published more than two thirds of their articles in library/information science journals and 27% in health sciences journals. Similarly, in Yerkey and Glogowski's study, the second-largest number of library/information science articles appeared in medical and health sciences journals [11]. Fang also found that 22.57% of the journal articles on health sciences librarianship or by health sciences librarians were in medical journals [12. This seems to demonstrate the desire of health sciences librarians to communicate with the health professionals. Yerkey and Glogowski that library and information science is an interdisciplinary field, "borrowing and supplying information to and from other disciplines"[13].

Authorship↗

Telemedicine for the operating room of the future.

Telemedicine is becoming a subset of information science and should benefit tremendously from the geometric growth of information architecture in hospitals. The use of telemedicine to break the isolation of the operating room is a highly achievable goal. An open operating room has information on demand for the personnel, fluid communication among operating room personnel, and broad interaction with the learner community and consultants. In an operating room with significant data capture, the patient is brought into the process not only as a real person, but also as a huge data set that acquires all the events of the surgery. The data include the visual, electrical, and mechanical events that define the surgical procedure. As part of a dynamic electronic medical record, they are available to those who are present and those who are asked to help from even a great distance away with real-time advice. The data are also available to those who seek to understand what happened to the patient afterwards for the purpose of root cause analysis, near miss analysis, instruction, or more accurate medical records.

Humans↗

The origin and development of a concept: the information society.

The constructs that underlie a discipline are complex and often times uncertain. It is argued that the ways in which we perceive and conceptualize are influenced by our habits of mind and our view of the world. This paper traces the concept of the "Information Society" from its inception in the discipline of economics through its development and its subsequent diffusion to the field of information science.

Costs and Cost Analysis↗

Precautionary information-generation in science and the law.

An information-generation system should be part of precautionary approaches to protecting the public's health and the environment. Such a system would include inventories or surveys of health and the environment, monitoring of them, as well as scoping out or scouting for threats or other harmful things that could occur and providing sentinels to try to identify threats before they materialize. I, then, suggest some ways in which such strategies could be adopted in science and the law as part of a precautionary approach. Doing more to generate information in an anticipatory way will assist implementation of the precautionary principle and help remove some of the uncertainty in environmental and public health protections.

Environment↗

Using scientific evidence to improve information practice.

The recent policy statement of the Medical Library Association (MLA) takes the position that scientific evidence is the basis for improving the quality of library and information sciences now and in the future. Research activity is seen as the foundation of an evolving knowledge base for the profession--a knowledge base that will set health sciences librarians apart from others in an increasingly competitive world of information service providers. The statement represents the culmination of many years of activity by association members, during which the role of research in health information practice has been debated. Over a similar time period, the quality movement, with its increasing demand for the collection and use of data, has been growing. Developments such as total quality management (TQM) and continuous quality improvement (CQI) reinforce the centrality of research with its increasing demand for the collection and use of data, has been growing. Developments such as total quality management (TQM) and continuous quality improvement (CQI) reinforce the centrality of research and its relationship to efficient and effective information practice as envisioned in the MLA policy statement.

Artificial Intelligence↗

Health care information services in Ireland.

Against a background of fundamental change in the Irish health care environment, a research project was commissioned to determine the information needs of all health care practitioners (including physicians, allied health professionals, managers, scientists, and technicians) as well as the public, patients, and their caregivers. The research, including a study of international best practice, revealed serious deficiencies in access, awareness, and availability of information for both staff and patients in Ireland. Recommendations include the establishment of a panel to develop a comprehensive national health information strategy and plan to coordinate the future development of health sciences information services.

Caregivers↗

Interdisciplinary media management and information skills training.

The rationale for planning, teaching, and subsequent revision of a course in health sciences information skills and media management practices presented as a part of a curriculum in medical illustration training is described. National events influencing the course content are discussed. Effects of the course on student attitudes and perceptions are presented in the conclusions.

Audiovisual Aids↗

Science, government, and information: 1988 perspective.

Twenty-five years have passed since the appearance of Science, Government, and Information (SGI), the 1963 report by the President's Science Advisory Committee (PSAC). The Information Analysis Center, which was prominently recommended in SGI, has not become a central element of the information system. Instead automation, which was only beginning in 1963, has become dominant. Though extreme automation may be appropriate for those activities that are time constrained, it may lead to clogged information channels for those scientific activities for which time is less important than depth of understanding.

Government↗

Finding clusters of similar events within clinical incident reports: a novel methodology combining case based reasoning and information retrieval.

A novel methodological approach for identifying clusters of similar medical incidents by analyzing large databases of incident reports is described. The discovery of similar events allows the identification of patterns and trends, and makes possible the prediction of future events and the establishment of barriers and best practices. Two techniques from the fields of information science and artificial intelligence have been integrated--namely, case based reasoning and information retrieval--and very good clustering accuracies have been achieved on a test data set of incident reports from transfusion medicine. This work suggests that clustering should integrate the features of an incident captured in traditional form based records together with the detailed information found in the narrative included in event reports.

Artificial Intelligence↗

Emergent information. Towards a unified information theory.

This paper proposes the restoration of information theory by means of a philosophy of evolutionary systems. What this philosophy implies for the conception of information may be called a multi-stage model, comprising both the history and the ordering of information processing by real-world systems. Such a unifying information concept may assist suitable research in the coming field of information science.

Biological Evolution↗

Teaching the integrated and modern perspectives of analytical chemistry.

The present situation of analytical chemistry teaching within a chemistry curriculum is exemplified by the reformed chemistry curriculum in Germany. This approach is contrasted with teaching analytical chemistry within a novel curriculum in natural sciences termed 'applied science'. The latter curriculum ensures a superior education in chemistry, physics, biology, mathematics and information science, thus gaining an integrated perspective of analytical chemistry.

Journal Article↗

Information system, data bases, and on-line services of the Japan Information Center of Science and Technology (JICST).

The JICST information processing system consists of the data-base production system, authority file management system, bibliographic retrieval system, and printed issue compiling system. The bibliographic retrieval service based on the JICST On-line Information System (JOIS-I) has been available through leased line since 1976 and now also through dial-up line, which covers five data bases: the JICST bibliographic and on-going research information files, CA Condensates, MEDLARS, and TOXLINE files. The on-line output in Japanese kanji is also available. The newly revised JOIS-II system is now being developed.

Forecasting↗