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To maximize the potential benefits from automation in the nursing department, you must fully understand the work flow. With this understanding, and a concomitant understanding of automation strategies, the best fit of an information system into nursing practice can be developed.
Recent reports dealing with apparent motion challenged the standard view according to which motion processing should be impossible if the visual attributes matched across space and time are processed in independent channels (the similarity principle). The present work examines this possibility insofar as it relates to the spatiotemporal combination of pure chromatic and pure luminance information. The data indicate that the "similarity principle" is indeed infringed at low (< or = 2.5 Hz, i.e. velocities of 2.5 deg/sec for spatial modulations of 1 c/deg, in this study) but not at high (> or = 7.5 Hz) temporal frequencies. The fact that colour and luminance may or may not combine to yield motion perception depending on their temporal modulation reconciliates contradictory results in the literature and supports the idea of two motion systems, a "fast"/specific one, integrating information only from similar subunits, and a "slow"/unspecific one, integrating information across dissimilar subunits (in the present case, across the chromatic and achromatic "domains"). This dichotomy is also supported by the finding that chromatic reverse-phi (i.e. with equiluminant, red and green stimuli) can be observed at medium temporal frequencies but is replaced by direct motion at low temporal frequencies, presumably within the range of the "slow"/unspecific system. Using a modified "minimum motion" technique (referred to as the Reverse-Phi equiluminance method) we present data allowing to assess the relative weights of the two systems as a function of temporal frequency.
Infants undergo a series of preventive and therapeutic health interventions and activities. Typically, each activity includes collection and submission of data to a dedicated information system. Subsequently, health care providers, families, and health programs must query each information system to determine the child's status in a given area. Efforts are underway to integrate information in these separate information systems. This requires specifying the core functions that integrated information systems must perform.
In general, there is agreement that robust integrated information systems are the foundation for building successful regional health care delivery systems. Integrated Advanced Information Management System (IAIMS) institutions that, over the years, have developed strategies for creating cohesive institutional information systems and services are finding that IAIMS strategies work well in the even more complex regional environment. The key elements of IAIMS planning are described and lessons learned are discussed in the context of regional health information systems developed. The challenges of aligning the various information agencies and agendas in support or a regional health information system are complex; however, the potential rewards for health care in quality, efficacy, and cost savings are enormous.
An integrated multimedia medical information network system at Shimane Medical university has been developed to organize medical information generated from each section and provide information services useful for education, research and clinical practice. The report describes the outline of our system. It is designed to serve as a distributed database for electronic medical records and images. We are developing the MML engine that is to be linked to the world wide web (WWW) network system. To the users, this system will present an integrated multimedia representation of the patient records, providing access to both the image and text-based data required for an effective clinical decision making and medical education.
This paper focuses on the functional requirements that support the activities performed by healthcare professionals, i.e. functions performed in the healthcare enterprise which result in requirements for IT support. The emphasis is on IT support for nursing activities as a part of general IT support for the whole care process realized through EHCRS. We argue that a standard for functionality (including user interface and functions supporting information security) would benefit manufacturers by giving them a well-defined target to aim for and give purchasers and users of EHCRS a foundation on which to base their specifications. Quality would be enhanced by ensuring that all EHCRS contained a standard core functionality and were compliant with basic structural requirements. To get a comprehensive list of requirements to ensure that EHCRS with IT support for nursing activities serve as an aid to the process of care it is essential that nurses get directly involved in the process of defining the requirements. In this paper we also give some examples of requirements that are candidates for standardisation.
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Decrements in performance on cognitive tasks resulting from pressure to perform (i.e., choking) are thought to be caused by interference with the ability to use explicit strategies (the distraction theory). This view suggests that pressure should improve performance on tasks for which explicit strategies hamper performance. This hypothesis was tested by giving subjects one of two nearly identical learning tasks, a task that required learning a rule or one that required using a holistic information-integration strategy. Explicit rule use would hurt performance in the latter task. As predicted by the distraction theory, pressure decreased performance on the rule-based task but enhanced performance on the information-integration task.
This article presents a framework for developing strategic information systems (SISs) for hospitals. It proposes a SIS formulation process which incorporates complexity theory, strategic/organizational analysis theory, and conventional MIS development concepts. Within the formulation process, four dimensions of SIS are proposed as well as an implementation plan. A major contribution of this article is the development of a hospital SIS framework which permits an organization to fluidly respond to external, interorganizational, and intraorganizational influences. In addition, this article offers a checklist which managers can utilize in developing an SIS in health care.
The purpose of this study was to evaluate a portable tool for use by first responders in documenting triage of victims in a mass casualty incident (MCI) more effectively. The tool presented in this study allows first responders to gather patients vital signs, injuries, and triage status in a prompt and accurate way, and enables first responders to wirelessly communicate vital health information throughout the entire care continuum. The architecture infrastructure for the portable device is called Triage and Casualty Informatics Technology (TACIT) and can expedite triage, transport and treatment procedures within an MCI. TACIT was developed by integrating handheld devices, wireless networks, global positioning system (GPS), digital cameras, and bar code scanners with customized triage software. Two MCI initial field trials verified that the TACIT software, battery life, data accuracy, and wireless transmission met the emergency response system requirements. Initial field trials also demonstrated robustness of operation, reduced triage collection time and improved collection accuracy. The TACIT system could work as an efficient prehospital response tool and platform.
MOTIVATION: Scientific data pertaining to GABA receptors, which are of medical importance, are widely scattered throughout numerous heterogeneous Internet resources. This situation has made the integrated acquisition of such data difficult and substantially time consuming even for researchers who are Internet aficionados. Thus, there exists a genuine need for the development of Internet applications, such as GABAagent, which provide efficient and timely access to concise and integrated information. RESULTS: We report here the establishment of a novel server (GABAagent) which has been written in Perl script, and which is freely accessible through the Internet. GABAagent is designed to assist researchers in retrieving focused and integrated information related to GABA receptors from various public domain databases. GABAagent relies on server-side flat-file databases that have been created through data mining from Internet sources such as the PubMed, DDBJ, SWISS-PROT and TrEMBL, in addition to the many World Wide Web (Web) sites which are accessible through Excite (E-Web). These warehouse databases are regularly updated and contain among other things, information concerning: (i) GABA receptor publications, (ii) DNA and protein sequences and (iii) the contents of related E-Web sites along with their addresses. Our system also provides hard links to the above-mentioned Web sites and E-Web sites; the feature which adds to it the character of virtual federation type of database. The current version of GABAagent provides two user-friendly services. The first is a search engine possessing intelligent query reformulation support (GABAengine), the second an elaborate email alert service was designed into the system (GABAalert). The GABAengine allows the user to search server-side databases exclusively for GABA receptor-related queries. Whereas, GABAalert allows the user, by means of subscription, to receive immediate and/or monthly updates automatically. AVAILABILITY: GABAagent is freely accessible at the following Web address http://www.ust.hk/gaba.
Many recent studies have examined the neural basis of category learning. Behavioral neuroscience results suggest that both the prefrontal cortex and the basal ganglia play important category-learning roles; neurons that develop category-specific firing properties are found in both regions, and lesions to both areas cause category-learning deficits. Similar studies indicate that the inferotemporal cortex does not mediate the learning of new categories. The cognitive neuroscience literature on category learning appears contradictory until the results are partitioned according to the type of category-learning task that was used. Three major tasks can be identified: rule based, information-integration, and prototype-distortion. Recent results are consistent with the hypotheses that (a) learning in rule-based tasks requires working memory and executive attention and is mediated by frontal-striatal circuits, (b) learning in information-integration tasks requires procedural memory and is mediated primarily within the basal ganglia, and (c) learning in prototype-distortion tasks depends on multiple memory systems, including the perceptual representation system.
To investigate the integration of visual information across space and time, infants watched the contour of a shape being traced out by a moving point source of light and then viewed 2 objects: 1 with the shape they had just seen traced and 1 with a novel shape. In the first study, which varied the number of tracings (velocity about 16.7 cm/sec), 12-month-olds looked longer at the novel object in all conditions, indicating that they recognized the similarity between the alternative object and tracing of like contour. Study 2, which varied velocity (14.7 and 7.4 cm/sec), stimuli, and the number of tracings, provided evidence for the generalizability of these results but indicated that performance suffered at the slower speed. Studies 3 and 4 held velocity constant (14.7 cm/sec) while varying the size of the tracings and age of the infant: 12-month-olds, but not 6-month-olds, recognized figures in instances where it took up to 10 sec to complete a single tracing. Because it took so long to complete many of the tracings, central rather than purely retinal mechanisms appear to be involved in integrating shape in these situations.
Normal subjects were asked to estimate the total surface of two black spots presented tachistoscopically, either both to the right or both to the left visual field, or bilaterally to either visual field. Performance was highest with unilateral left visual field presentation and lowest with bilateral presentation of the spots. Interhemispheric integration varied with the quantitative relation between the stimuli in the left and right visual fields. Errors may be due in part to an insufficient cooperation of the left hemisphere and/or to an ignorance of the right hemisphere and/or to an unreliable transfer by the cerebral commissures.
A novel internet-based application is presented which provides access to anatomy knowledge through symbolic modality expressed by keywords taken from controlled or non-controlled terminology. The system is based on a database where anatomical concepts have been organized into a hierarchical framework. Along with term queries that allow retrieving concepts containing or exactly matching the used keyword, the system also provides semantic access to anatomical information. Queries can be setup, which retrieve concepts relying to a particular meaning and sharing a particular relationship. Moreover, the application has the capability to refine the search of the terms by querying the UMLS knowledge server. Anatomical image data have been integrated by using Visible Human Dataset. A set of these images has been indexed according to our anatomical classification and is used inside the application. The system has been implemented through Java client-server technology and works within standard Internet browsers.
Social information processing and moral domain theories have developed in relative isolation from each other despite their common focus on intentional harm and victimization, and mutual emphasis on social cognitive processes in explaining aggressive, morally relevant behaviors. This article presents a selective summary of these literatures with the goal of showing how they can be integrated into a single, coherent model. An essential aspect of this integration is Crick and Dodge's (1994) distinction between latent mental structures and online processing. It is argued that moral domain theory is relevant for describing underlying mental structures regarding the nature and boundaries of what is moral, whereas the social information processing model describes the online information processing that affects application of moral structures during peer interactions.
Current approaches to the assessment of intellectual level and functional ability with intellectually handicapped persons are focussing on information processing measures, rather than standardized power measures such as I.Q. The present study involves an examination of cognitive processing ability as defined by the information-integration model, and its relationship to success on a set of work samples, the latter having been defined as good predictors of later work success. Following the assessment of 50 intellectually handicapped adults, it was concluded that the basic tenets of information-integration theory are supported in this population, and that successive processing ability, as opposed to simultaneous processing or planning, has much to do with successful work sample performance. Results are discussed in terms of their implication for program planning and vocational training.
To prepare for a career, in which they keep up-to-date with current physical therapy procedures and health care trends, it is imperative that students become life-long learners. Four core competencies have been identified as skills to promote life-long learning: e-mail, professional electronic mailing lists (listservs), online data-base searching, and searching the World Wide Web. This paper discusses integrating the core competencies into the curriculum of a physical therapist assistant program through a collaborative effort between the physical therapist assistant program faculty and librarians.