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At least 55 records · Page 3Linked to original sources

Cardiology education using hypermedia and digital imagery.

A computer-based educational system for the study of cardiovascular imaging is described. This system, based on HyperCard * and a standard Macintosh II, integrates hypertext retrieval, computer graphics, sound, and medical images into a single interactive environment stored on a standard hard disk. This 'hypermedia' approach allows arbitrary complexity coupled with direct, immediate, easy traversal of the images and related text, which provides the opportunity for students to move at their own pace, choose their own direction through the material and repeat as often as desired. Storage on magnetic medium allows for easy updating with new studies and material in order to keep pace with advances in medical imaging technology. The system could be mastered onto CD-ROM for ease of distribution if so desired. The system includes a tutorial on the basics of digital image representation and example studies from cineangiography, nuclear medicine, echocardiography and magnetic resonance imaging of the heart. Quantitative techniques for evaluation of left ventricular function are explained using computer graphics overlays on the original medical images. Color encoded functional images are also included as an aid to visualization of ventricular performance data. The system has proven useful as a primer for digital imaging in cardiology prior to specific case study in a traditional mentor relationship.

CD-ROM↗

Goal specificity and learning with a hypermedia program.

Problem solving research has found that a nonspecific goal (NSG) leads to better learning than a specific goal (SG). This effect can be understood in terms of dual-space search theories of problem solving. To apply the theory, we studied goal specificity effects with a hypermedia program in which participants had to learn about the outbreak of World War 1, either with the goal to find twenty dates (i.e., SG) or with the goal to explain the reasons for the war (i.e., NSG). As expected, compared to the SG-group, the NSG-group correctly answered more factual questions about the text during the task, spent more time on average per page, and more often looked for extra information. In a final questionnaire with factual and inferential questions, the NSG-group still performed better than the SG-group. The NSG-group may also show better transfer of what they had learnt to a new situation.

Goals↗

HyperOncology: demonstration of an evolving comprehensive hypermedia-based workstation for the radiation oncologist.

HyperOncology is a prototype hypermedia-based workstation designed for the practicing radiation oncologist. Individual patient records consist of linked demographic, clinical history, presentation, staging, course, laboratory and treatment data. Searching and sorting capabilities, navigational aids, information printing and archiving, plotting capability, and graphics and updating tools are available. Upon integration with an evolving knowledge base, HyperOncology will eventually become a comprehensive clinical database and information retrieval system in the specialty of radiation oncology.

Information Storage and Retrieval↗

A hypermedia tutorial for cross-sectional anatomy: HyperMed.

Modern imaging techniques like computer tomography (CT) and nuclear magnetic resonance (MR) imaging have become essential in clinical diagnostics and also in teaching gross anatomy to medical students. As a consequence, special classes in (cross)-sectional anatomy are being added to the curriculum in many anatomical institutions. Since institutional budgets often do not allow extensive supervision beyond the very limited time frame of traditional courses in gross anatomy, a computer-based hypermedia tutorial (HyperMed) was created and integrated into the teaching program of the Institute of Anatomy at Essen University. HyperMed offers two components, one for authors (e.g. teachers who can customize the contents of the program) and a second for users (e.g. students). In the present version, digital cross-sectional human images have been edited. The relevant anatomical structures in these images have been marked, named, and linked to additional information and figures (in particular schematic figures and CT images). Users can obtain information at different levels: (1) index-based retrieval, (2) navigational retrieval (on inspecting cross-sectional images the user is asked to identify structures) and (3) a history list enabling users to go back to any previous point of navigation. HyperMed was first tested in the winter terms 1995/1996 and 1996/1997 during classes on cross-sectional anatomy which are a supplement to the traditional dissection course of the Institute of Anatomy, University Essen. It was well received by the students who found it a helpful adjunct to learning cross-sectional anatomy.

Anatomy, Cross-Sectional↗

Student Assistant for Learning from Text (SALT): a hypermedia reading aid.

Student Assistant for Learning from Text (SALT) is a software system for developing hypermedia versions of textbooks designed to help students with learning disabilities and other low-achieving students to compensate for their reading difficulties. In the present study, 10 students with learning disabilities (3 young women and 7 young men ages 15 to 17) in Grades 9 and 10 read passages from a science textbook using a basic computer version and an enhanced computer version. The basic version included the components found in the printed textbook (text, graphics, outline, and questions) and a notebook. The enhanced version added speech synthesis, an on-line glossary, links between questions and text, highlighting of main ideas, and supplementary explanations that summarized important ideas. Students received significantly higher comprehension scores using the enhanced version. Furthermore, students preferred the enhanced version and thought it helped them learn the material better.

Adolescent↗

Hypermedia in biomedical education: a case study.

The origination, development and application of a hypermedia system for use in the life sciences is described. Implemented in the Apple Macintosh HyperCard environment, the project has been designed to make use of commercially produced laser discs as visual archives and has included the production of authoring and navigational tools. We report here on our experience in authoring stacks for undergraduate teaching, monitoring of student use and assessment of effectiveness as a self-teaching resource. Future developments and applications within the biomedical sciences are discussed.

Biological Science Disciplines↗

Developing a clinical hypermedia corpus: experiences from the use of a practice-centered method.

This paper outlines a practice-centered method for creation of a hypermedia corpus. It also describes experiences with creating such a corpus of information to support interprofessional work at a Primary Healthcare Center. From these experiences, a number of basic issues regarding information systems development within medical informatics will be discussed.

Hospital Information Systems↗

Hypermedia in pathology--the Dartmouth Interactive Medical Record project.

Hypermedia and hypertext are the focus of intense interest in multiple disciplines in medicine, particularly pathology. This communication provides explanation of theories and applications that serve as motivation for the expansion of use of these technologies. The Dartmouth Interactive Medical Record (IMR) project is discussed.

Humans↗

[Hypermedia software for teaching anatomy of the upper abdomen with computerized tomography and magnetic resonance].

The authors have developed a hypermedia program for creating a tutorial of CT and MR anatomy of the upper abdomen. The program was created on a Mcintosh computer, with the Supercard software: it is made up of a series of windows, each of them containing images, texts, schematic representations and sound. Moreover, each window contains buttons which are activated with the mouse and allow different kinds of function, all created by the authors to be displayed. In particular, navigation buttons allow the users to move in the program either sequentially or non-linearly, according to their needs. The possibility of obtaining information and schematic representations is given by specific buttons. There are also multiple buttons hidden in the images which, when activated, allow the name of the selected organ to be displayed. In conclusion, this program can be especially helpful since it allows different data sets to be integrated to provide the user with complete information. Moreover, the program allows learning to be controlled, that is the user to be informed on timing and methods for more effective studying.

Abdomen↗

Pneumoconiosis assistant: a hypermedia-based classification of the pneumoconioses.

Workers exposed to harmful dusts such as coal often are screened for possible pneumoconiosis. A classification devised by the International Labor Office (ILO) is used for film interpretation. Film interpretation is time consuming and requires the comparison of the subject's radiograph with as many as 22 standard films and the completion of a nonintuitive form. A computer program has been written to aid in interpretation of films. This program, written in SuperCard, uses hypermedia concepts to link textual, diagrammatic, and digital images. The program includes digitized ILO radiographs, guidelines, references, and other textual and radiographic material. The program is easy to use and reduces the time required to interpret films. The concepts of how the program is constructed are emphasized so that others may devise similar program aids.

Data Display↗

Hypermedia patient data retrieval and presentation through WWW.

WWW can be a helpful tool for PACS and HIS data retrieval and presentation. The use of gateways to access both text and hypermedia databases (images and video) enables fetched data to be presented in virtually any computer system. WWW browsers provide a very friendly interface and require little training to operate. This paper presents a prototype that uses a SQL gateway for accessing relational patient databases. The dataset used here include text data from reports of diagnostic procedures as well as pointers to the corresponding images. Images can be displayed by the browsers' viewers.

Computer Communication Networks↗

A microcomputer teaching and decision-support system for emergency medicine: use of hypermedia and artificial intelligence in combination.

Hospital emergency units are submitted to a continuous intensive and polyvalent practice of medicine. In addition to the few experienced physicians, the medical staff is often made up of young and unskilled students and residents. The ability to reach at any time a wide and flexible knowledge is of the utmost importance to improve the quality of care given to patients and to perfect bedside teaching. The purpose of this work was to present a computerized system, a kind of shell, using, in combination, artificial intelligence and hypertext/hypermedia tools. A modular architecture is presented integrating two entities: an illustrated encyclopedic hypertext network and several expert modules based on production rules concerning well-limited fields of medicine (basic clinical problem-solving, metabolic and acid-base disorders). An interface using the World Wide Web (WWW) will soon be proposed.

Artificial Intelligence↗

Radiology information and image management system: new approach to PACS with hypermedia capabilities of personal computers.

A system for archiving patient data and images was developed, installed, and evaluated in a radiology department. The system was developed with a relational database program for use with commercially available computers linked with an Ethernet network. The main options of the system are those of a conventional radiology information system: scheduling, registration, examination execution, reporting, archives and statistics, and system administration. However, the main feature of the system is the image archiving capability. Images are associated with patient records after capture by direct acquisition of the video signal or by scanning. Only relevant pathologic images are archived and a commonly employed compression algorithm is used, reducing the total memory requirement for each case to 200-600 kbytes. The diagnosis is still made by reading the original images. The low-resolution images stored in the system have an important role in teaching and consultation and as a first-line archive. Good results have been obtained with this system, which is used by medical and nonmedical staff without any special training.

Humans↗