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SPIRS, WinSPIRS, and OVID: a comparison of three MEDLINE-on-CD-ROM interfaces.

Three MEDLINE-on-CD-ROM interfaces are compared: SPIRS (version 3.11) and WinSPIRS (version 1.0) from SilverPlatter and OVID (version 3.0, DOS and Windows interfaces) from CD Plus Technologies. Though the database is the same, there are substantial differences among the interfaces in the way these data are presented and can be searched. These different approaches are discussed, and a detailed comparative table is included. It is obvious that all three interfaces are quite good yet none of them is perfect; each has desirable and unfortunate features. Together, they offer an enormous range of possibilities. Users would benefit if most of the better features (e.g., easy menu, free-text retrieval, pre-exploded thesaurus terms) were implemented in future versions of these interfaces and if system operators were given greater latitude to determine the system defaults appropriate to their specific situations and customers.

CD-ROM↗

Document management and scanning in the physician's office.

A popular PC magazine recently conducted a survey asking readers whether a paperless office or Santa Claus was more believable. Santa Claus won. Health care professionals would make that same choice. They come from an educational process that teaches, if it is not on paper, it never happened. However, the necessity for fast and easy access to medical documents, particularly in managed care networks, is causing the paperless office to rush forward at breakneck speed.

CD-ROM↗

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↗

RCN nurse ROM.

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CD-ROM↗

[Possibilities for gathering environmental information for training environmental medicine specialists].

In the context of continuing medical education, colleagues frequently face new professional topics. Advanced questions have to be clarified often to realize new skills. Beside the "conservative" information options like journals, literature searches in libraries and questioning colleagues, the "progressive" information procurement via CD ROM or the Internet is a comprehensive option to clarify certain questions quickly.

CD-ROM↗

Index-linked.

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Abstracting and Indexing↗