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A multimedia case based approach to the study of office ergonomics.

Multimedia technology has the capacity to provide students with an interactive approach to problem based learning and to bridge the gap between theoretical knowledge and clinical practice. The present paper describes the design and development of the program ErgoROM, a CD which presents a case study to assist occupational therapy students in their studies of office ergonomics. A pilot study showed that overall, 91% of respondents rated the ErgoROM as either "Excellent" or "Very Good". Additionally they reported that ErgoROM had a positive impact on active learning and critical thinking.

Adult↗

The multimedia electronic patient record: current issues.

Complete online patient data including both traditional medical chart information and clinical images is essential in providing healthcare in a multi-facility environment. To meet this need, the Department of Veterans Affairs has developed a multimedia online patient record that includes traditional medical chart information as well as a wide variety of medical images from specialties such as cardiology, pulmonary and gastrointestinal medicine, pathology, radiology, hematology, and nuclear medicine. The ability to perform direct image acquisition from DICOM devices combined with diagnostic radiology reading from high resolution workstations allows hospitals to operate without making xray film. The wide area network connection supports ad hoc queries to records at other VA sites. The practicing physician has all of the information needed, anywhere in the hospital, at any time.

Humans↗

CASE STUDIES for Dentistry: development of a tool to author interactive, multimedia, computer-based patient simulations.

Computer-based patient simulations have been used to enhance the dental curriculum since the 1980s. This article describes the development of CASE STUDIES for Dentistry (CSD), a patient case simulation building template, developed at Virginia Commonwealth University, with which authors who have no programming expertise can create realistic, effective, interactive multimedia patient simulations by entering their own information and images into a straightforward, fill in the blanks interface. This program was written with Authorware, by Macromedia Inc. Design considerations included emphasis on information collection and analysis, synthesis of collected information, hypothesis proposal and testing, diagnosis, and treatment planning. The program consists of easily accessible interfaces for both authors and students. Authors build simulated patients using typed-in text and their own images. Faculty can build computer-based simulated patients so that students can immediately practice what they learn in class within a simulated doctor-patient relationship. CSD allows building simulations ranging from simple to complex patients in multiple disciplines. Robust feedback and other features allow students to learn both process and content in a self-directed, interactive environment.

Computer Simulation↗

A multimedia educational system to teach epidemiology.

An educational system has been developed which consists of a module to help both teachers to design courses with different levels of knowledge regarding epidemiology and students to get acquainted with the field of epidemiology.The software development product Director was used to develop the software application. The capacity required to install the software is 130MB although each individual component is not greater than 1.2 megabytes in order to facility its handling. The user interface of the system employs colour, text, complementary voices and animation. Moreover, exercises have been designed to facilitate the learning process and to allow students and teachers to interchange information with it.The system has been evaluated by a number of 65 students both graduate and undergraduate. Half of them were attending the undergraduate course in Nursing. The rest were graduate students attending a Master's Course in Health Informatics and Health Management. The first group of students had some prior knowledge of Epidemiology. The latter group had different levels of knowledge (none, little prior knowledge or an intermediate level of knowledge), of Epidemiology. The scope of this research is to prove the efficiency of Multimedia in teaching the rather difficult subject of Epidemiology.

Computer-Assisted Instruction↗

Multimedia quality of life assessment: advances with FLAIR.

Assessing impact of functional dependency on quality of life (QOL) among older adults can provide an in-depth understanding of health preferences. Utilities as a measure of preferences are necessary in conducting cost-effectiveness evaluations of healthcare interventions designed to improve overall QOL. We describe further development of a multimedia utility elicitation instrument that is highly portable and easily accessible. An earlier version, FLAIR1, introduced features designed for older adult, computer inexperienced users. FLAIR2 includes modifications such as migration to a web-based platform, consistency checks, audio/visual updates, and more response methods. As compared with FLAIR1, more FLAIR2 respondents (n=318) preferred using the computer and found the computer program to be enjoyable, easy to use, and easily understood. There were also fewer inconsistencies among FLAIR2 respondents. FLAIR2 enhancements have increased portability, minimized invariance and inconsistency, and produced a more user friendly design.

Activities of Daily Living↗

Implementation of computer multimedia for diabetes prevention in African-American women.

Two urban churches received touch-screen computers with health education software installed. The software included a multimedia application on diabetes risk factor reduction tailored for African-American women. A "Computer Promoter" was recruited at each church to encourage computer use and provide basic technical support. After one year following implementation, two focus groups of congregants discussed barriers to computer use. Computer usage was related to church leadership, hardware location, promoter enthusiasm, and current interest level in prevention.

Black or African American↗

Multimedia and physiology: a new way to ensure the quality of medical education and medical knowledge.

BACKGROUND: since the eighties and the existence of virtual campuses, the value of computers in distance education has been acknowledged. The development of information and communication technologies is driving at discriminating distance education and on-line education. PURPOSE: the aim of the "Campus Numérique de Physiologie" is not to reproduce an on-line copy of classical textbooks but to put at students' and physicians' disposal the huge possibilities of multimedia resources for an active and easier understanding of complex physiopathological phenomena. METHODS: the on-line course materials were created using both original IBC-made and registered trade-mark software tools. Multiscale modelling and corresponding knowledge bases were implemented by mathematicians, biologists and software engineers from Rennes. The website, which is accessible through a server of the French Virtual Medical University, was developed in the language HTML/PHP connected to a MySQL database. RESULTS: the content managing system is consistent with classical home page facilities and multicriteria browser. Interactive resources are freely available for the site's users. Two- and three-dimensional simulations born out of mathematical qualitative and quantitative models at the molecular, cellular or organic level keep students active with regards to fundamental mechanisms by interactively manipulating the simulation environment. CONCLUSION: authors comment the already available course materials which should stimulate the creation of new documents following a validation by a qualified commission of the "Société de Physiologie". Providing evaluation tests, teachers anticipate that the increasing content of this virtual campus will allow users to gain a complete understanding and an integrative view of many physiopathological mechanisms.

Education, Distance↗

The effect of a multimedia health educational program on the postoperative recovery of patients undergoing laparoscopic cholecystectomy.

Aim of this study is the evaluation of the impact of preoperative informative session using a Multimedia Health Educational Program (MHEP) on patients undergoing elective Laparoscopic Cholecystectomy (LC) for cholelithiasis, preoperative anxiety and postoperative pain and nausea. Sixty consecutive patients scheduled for elective LC were considered for enrollment in the trial. Patients were assigned randomly to four groups: Group A included 15 patients, preoperatively informed regarding LC through the MHEP presented by a Registered Nurse (RN). Group B included 15 patients preoperatively informed through a leaflet (designed and developed using the exact contents of the MHEP). In Group C, there were 15 patients who were being informed verbally from the RN. Finally, the control Group D included 15 patients, who had the conventional preoperative information about the operation and postoperative course by the attending surgeon and anesthesiologist, as every other patient included in groups A, B, C. Preoperative assessment of patient's knowledge about cholelithiasis and LC was performed after informative session, and was based on a specifically developed "closed, true-false" questionnaire. Preliminary results suggest that conventional information provided by the attending surgeon (Group D) is inadequate. Specifically developed informative sessions with the contribution of MHEP seems to be effective on reducing preoperative anxiety and postoperative pain, in patients undergoing elective LC.

Adult↗

Interactive multimedia sexual risk assessment: using a video doctor to screen patients.

Sexual risk assessment is a vital component of early detection of HIV infection and other sexually transmitted diseases (STDs). We developed the Interactive Multimedia Sexual Risk Assessment, which uses a "video doctor" to question patients about risk-associated sexual behavior, and administered it to a convenience sample of 393 people. Their acceptance of the technology was evaluated, and their risk of contracting an STD was identified according to both liberal and conservative criteria. Most respondents (99%) reported that they had answered the questions truthfully, 74% reported that they had felt comfortable answering the questions, and 79% stated that they would return to the physician portrayed in the video. Fifty-nine percent were at risk for an STD according to the liberal definition, compared with 8% according to the conservative definition.

Adolescent↗

A multimedia system for infection control education.

We developed a computer system for infection control education utilizing multimedia including video presentation. To evaluate the efficiency of the system, trial sessions were held among dental students attending final year of clinical courses. According to our results of comparison between pre and post assessment tests among these students, we concluded that this system has a great potential and advantages for achieving certain level of knowledge of infection control in limited amount of time.

Computer-Assisted Instruction↗

WebReport: a World Wide Web based clinical multimedia reporting system.

This paper describes WebReport, a World Wide Web (WWW) client for the Image Engine multimedia clinical information system under development at the University of Pittsburgh. WebReport uses advanced HTML features such as frames, forms, tables and inline JPEG image display to provide an easy to use system for retrieving and viewing diagnostic images and reports generated by clinical procedures such as gastrointestinal endoscopy, radiology and surgical pathology. WebReport implements a number of WWW client-side features, such as HTML forms data entry verification and makes extensive use of the JavaScript programming language. The WebReport system uses a number of approaches for ensuring the confidentiality and security of patient data transmitted over the InterNet.

Computer Communication Networks↗

MAGIC: an experimental system for generating multimedia briefings about post-bypass patient status.

We describe MAGIC, an experimental system for generating multimedia briefings about the clinical status of post-bypass patients entering a cardiac ICU. MAGIC is a distributed system whose components use knowledge-based techniques for planning and generating briefings in text, speech, and graphics. These briefings are coordinated together by reasoning with dynamically generated temporal and spatial constraints. Formative evaluation using system mock-ups with ICU nurses and residents have been used to determine the general format and content of these briefings. We present an overview of MAGIC's architecture and show what it can currently generate.

Computer Systems↗

Multimedia instruction of cardiac auscultation.

The cardiac physical examination is in itself a multimedia experience. It is an amalgamation of visible, palpable, and audible sensations, preceded by the collection of an appropriate historical context in which to place these multiple sensations. It is unlikely that any electronic media could ever replace the real life experience of admitting, examining, diagnosing, and effectively treating a patient with mitral stenosis who has decompensated because of the onset of atrial fibrillation with rapid ventricular response, or a patient with sudden, severe aortic regurgitation due to endocarditis. These potentially fatal conditions can be effectively treated only if the suspicion of their presence is seriously raised. Although there is no substitute for first-hand experience, attempts to provide an effective surrogate experience are worth pursuing.

Acoustics↗

[Role of the multimedia technology in the evolution of learning of endonasal surgery of the sinuses].

The functional endonasal sinus surgery makes great strides. In the meantime learning the surgical techniques can be difficult. A learning curve describes the evolution in mastering the surgical steps by the analysis of the number of complications. This means that each learning step presents specific risks. An interactive training system with multimedia technology has been developed to diminish the complication rate. This system is presented briefly. In our view it allows an improvement of the training of ENT surgeons. It permits the visualized reproduction of difficult surgical steps as a base to master then. We propose a plan for progressive learning including this technology.

CD-ROM↗

[Computer multimedia technology in otorhinolaryngology].

The author draws attention of ENT specialists to advantages of the novel computer system multimedia which is a promising tool for otorhinolaryngologists as it allows composition of the image, sound, text, drawing, animation, etc. The author describes the program and devices providing visualization of the ENT organs on the computer display.

Electronic Data Processing↗

[The application of interactive multimedia software in taxonomy and biological diversity studies].

To study biodiversity and to monitor changes in our biological environment high quality taxonomic and distributional data are imperative. At present access to species information and identification keys is limited by the fact that literature is scattered over a vast amount of sources. Exchange of biodiversity data between various researchers is hampered by the lack of universal documentation tools. The introduction of PC's in biological sciences rendered thousands of small and medium sized databases in hundreds of different incompatible formats. Modern multimedia computer techniques, allowing nearly unlimited storage of graphic information in addition to text, will facilitate distribution of easy accessible data. The Linnaeus II software package for biodiversity documentation is an answer to these needs as it presents a universal tool for biologists to document biodiversity and exchange standardized data. Regularly updated electronic monographs on CD-ROM will form the basis for modern, fast accessible libraries.

CD-ROM↗