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Local area networks and the hospital.

Hospital information systems are characterized by their complexity of individual functions, heterogeneity of functions, and dependence upon integration. A distributed computerized information system is well suited to meeting the needs of hospitals. A local area communications network (LACN) removes a major impediment to the use of distributed systems. An advanced microprocessor-based LACN using fiberoptic communications has been developed by the Applied Physics Laboratory of The Johns Hopkins University and has been implemented at the University of California, San Francisco Hospital.

California↗

Grateful Med on an institutional local area network.

Grateful Med version 6.0 provides new features very desirable to network users. These include: a single copy of the application resident on a server providing access to many users; a new communications architecture which provides access to Medline via the Internet or local network modems; additional scripting capabilities allowing local customization. These new features reduce the overhead in installing and maintaining Grateful Med (GM), allow much quicker downloading of citations and abstracts from Medline, and remove the requirement of a local modem for each PC accessing Medline.

Grateful Med↗

Maximizing the utilization and impact of medical educational software by designing for local area network (LAN) implementation.

The design, development and implementation of medical education software often occurs without sufficient consideration of the potential benefits that can be realized by making the software network aware. These benefits can be considerable and can greatly enhance the utilization and potential impact of the software. This article details how multiple aspects of the IMMEX problem solving project have benefited from taking maximum advantage of LAN resources.

California↗

Local area networks. Temporary reluctance to grow.

While the impact of IBM's move to improved connectivity and processing distribution may well become a compelling factor in the LAN marketplace, the current LAN movement is driven by departmental needs for improved performance and access. The introduction of the PS/2 product line has been a significant factor over the past several months. The announcement will continue to cause turmoil in the LAN industry as vendors move to make their offerings compatible with new technologies. However, while these factors will have a marked impact on the use of LANs, it is doubtful that they will cause the LAN movement to escalate rapidly in the near future.

Computer Systems↗

Digital imaging in the radiation oncology environment: a personal computer local area network solution.

Personal computer (PC) driven digital imaging devices are now becoming available in the market place for use in radiation oncology to produce what are known as real time portal images. These limited contrast images are used to verify the patient anatomy under treatment by megavoltage x-rays and are a vital part of the patient treatment. The current generation of devices can produce both single and movie loop images in real time for physician review and approval. To disseminate these images and other digital images used in the planning and delivery of radiation therapy, a PC-based picture archiving and communications system has been developed that is tailored to the special needs of radiation oncology.

Humans↗

Avoiding pitfalls when implementing local area networks in hospital environments.

This paper is intended to outline some of the most commonly encountered, but yet still underestimated pitfalls during the implementation of computer systems networks in hospitals and health care institutions and to give information technology planners and responsibles some practical hints for avoiding them. Pitfalls encountered during the difficult process of achieving consensus among all groups concerned on the necessity for electronic data processing in health care institutions will not be addressed here [1], though the authors believe that some major risks for project failure stem from shortcomings in this field. Instead, those pitfalls encountered during project initialization and project realization with the phases of analysis, design, contracting, installation, and maintenance will be discussed. The paper concludes with the authors' opinion that only the application of industry-proven project management and realization techniques will allow health care administrators to cope with the steadily increasing risks for failure of information technology projects in health care.

Hospital Information Systems↗

Advances in Navy pharmacy information technology: accessing Micromedex via the Composite Healthcare Computer System and local area networks.

The pharmacy profession has long used technology to more effectively bring health care to the patient. Navy pharmacy has embraced technology advances in its daily operations, from computers to dispensing robots. Evolving from the traditional role of compounding and dispensing specialists, pharmacists are establishing themselves as vital team members in direct patient care: on the ward, in ambulatory clinics, in specialty clinics, and in other specialty patient care programs (e.g., smoking cessation). An important part of the evolution is the timely access to the most up-to-date information available. Micromedex, Inc. (Denver, Colorado), has developed a number of computer CD-ROM-based full-text pharmacy, toxicology, emergency medicine, and patient education products. Micromedex is a recognized leader with regard to total pharmaceutical information availability. This article discusses the implementation of Micromedex products within the established Composite Healthcare Computer System and the subsequent use by and effect on the international Navy pharmacy community.

CD-ROM↗

Parallel processing of chemical information in a local area network--III. Using genetic algorithms for conformational analysis of biomacromolecules.

Multi-dimensional nuclear magnetic resonance experiments are an excellent means of revealing the three-dimensional structure of biomacromolecules in solution. However, the search space in the conformational analysis of biomacromolecules, using multi-dimensional NMR data, is huge and complex. This calls for global optimization techniques with good sampling properties. This paper describes a genetic algorithm that optimizes the fit between (simulated) experimental two-dimensional Nuclear Overhauser Effect spectra and the corresponding calculated spectra for trial structures. This is a very computational intensive procedure. Speed-up of performance is achieved by parallelizing the algorithm, i.e. creating small subpopulations of trial structures, each of which can be processed on different processors. Good sampling behavior is obtained by initializing each subpopulation with its own random seed and the introduction of a migration operator. The latter replaces the best performing individual from one subpopulation with the worst performing individual from another subpopulation after a predetermined number of generations. A parallel genetic algorithm for the conformational analysis of nucleic acids is developed using the software package HYDRA. It is demonstrated that, for the data sets used in the study, a considerable reduction in computation time is obtained for the parallel genetic algorithm as compared to a sequential implementation, while the same optimal solutions are found.

Algorithms↗

[Micro-wave local area network for radiological image transmission].

Shinshu University consists of five campuses in different locations, a situation that presents some problems in communication. To solve this problem, the Shinshu University Video and Data Network System (SUNS), which includes a high-speed audio-visual transfer function, has been developed and utilized for pre- and postgraduate education, administrative teleconferences, and local telephone (PBX) and Fax services. In 1988, a cooperative group for the study of radiographic image processing was organized, consisting of staff members of Shinshu University Hospital in Matsumoto, the Faculty of Engineering in Nagano (75 km from Matsumoto) and the Faculty of Textile Science and Technology in Ueda (45 km from Matsumoto). The system has been developed with a pair of personal computer (PC)-based interactive image workstations and high-speed digital telecommunication interfaces to the SUNS. A transmission time of 878 kbps has been attained, including the time needed for read/write onto the PC hard disk. Image data thus transferred from the hospital have been utilized for the study of image processing by researchers in the Faculty of Engineering, and the processed images have been sent back to the hospital for evaluation of clinical efficacy of the processing by diagnostic radiologists. This kind of microwave network is a promising alternative for high-speed data transmission for radiological images and their processing.

Computer Communication Networks↗

A distribution system for digital images from diverse image sources. Incorporating a local area network in an imaging environment.

This paper proposes a unified image-processing and viewing system as a viewing station and initially as the central file server in a unified digital image distribution and processing network, linking various digital image sources through a high speed data link and a common image format. The network allows for viewing and processing of all images produced within the complex and for locating viewing stations in any number of convenient areas. The system proposed can be slowly expanded to include all the digital images produced within the department of institution.

Computers↗