[Electronic data processing systems in nuclear medicine].
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A computer program for a UNIX workstation has been developed to support routine activities in a surgical department. A relational database contains reports on operations, medical letters and further data imported from independent computer subsystems outside the department. Data are accessible at 15 terminals and PCs through a simple and intuitive user interface with a mouse. The patient record is organized in a hypertext fashion and permits direct access to the various types of documents in a consistent manner. The implementation is currently used to manage information on 40,000 patients and has proved valuable in daily routine over a 2-year period.
A report is made on the model of a programmed outpatient department for diseases of the thyroid, which proved its value since 1973. Permanent patient data, diagnoses, therapy, course of therapy, suggested therapy, recommended examinations, follow-up dates and laboratory findings are recorded on punch cards. With the aid of a data processing center, medical reports are issued and settlements passed to account. The entire data put out are available for documentation purposes and statistical evaluations.
As elsewhere, in medicine it has become evident that the "pure" ideal of on-line, full-text real-time computerized systems offers no panacea for the diverse information problems of researchers, practitioners, and administrators. More flexible, efficient and economical possibilities are available in the form of "hybrid" systems of computers and other techniques, such as micrographics and COM. There are a number of alternative strategies. LORBAS is one family of such systems. LORBAS is based on a mini-microfilm technique (reduction ratio to 250:1, up to 200,000 pages per liter), permitting rapid digital random access to every page. The computer is used off-line for the administration of the system and for generating a variety of retrieval aids which are worked into the film inventory (through COM). Numerous user stations can be equipped with the full document basis(incl. the retrieval aids), and operated off-line. On-line linkage is optional on every desired level of sophistication.
Karl Wittmaack, head of the otology department at Greifswald (1904-1908) and professor of otorhinolaryngology at the universities of Jena (1908-1925) und Hamburg (1926-1946) created a unique histological collection of human and animal temporal bones that is thought to be the largest of its kind in the world. The serial sections of more than 1700 human temporal bones still represent current otological problems--many of which are now rare but are still encountered--such as tuberculosis, lues or diphtheria of the ear. Complications following acute otitis--which were much more frequent and dangerous in the pre-antibiotic era--can be studied in detail. There are numerous cases of labyrinthitis, meningitis, sinus thrombosis, brain abscess etc.--complications which must always be borne in mind to this day. The same is true for tumors like acoustic neurinomas or even malignant tumors, metastases, or manifestations of leukemia. Differences in pneumatization or changes of the bone structure as in otosclerosis have been the subjects of studies dating from Wittmaack's time until very recently. In spite of its topicality, the true value of the collection has only be appreciated by a limited group of persons, which may be due in part to difficulties in orientation within this vast amount of material. Although there are catalogues, it may be difficult to find the appropriate preparations for particular questions. Searching for such specimens often requires rummaging through the whole collection, sometimes resulting in damage or loss of slides or handwritten notes.(ABSTRACT TRUNCATED AT 250 WORDS)
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A uniform medical documentation system for school health care in the FRG does not seem to be realistic. On the contrary, a system based on singular modules could be adapted to the different local or regional requirements. This solution depends on two agreements, first of all the formal compatibility of the database, and secondly a compulsory basic panel to guarantee uniform youth health reporting.
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