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At least 541 records · Page 30Linked to original sources

Contact allergy to Disperse Blue 106 and Disperse Blue 124 in German and Austrian patients, 1995 to 1999.

Between 1995 and 1999, 1986 patients were tested in the 31 participating centres of the Information Network of Departments of Dermatology (IVDK), all of them members of the German Contact Dermatitis Research Group, with a textile dyes series containing Disperse Blue (DB) 106 and 124, and since 1997 also with a mix of both. 86 patients (4.3%) reacted positively to DB 106 and/or DB 124; with good concordance between the 2 allergens (Cohen's weighted kappa 0.72), and the single allergens and the mix (kappa=0.75 in both cases), which had been tested in parallel in 969 and 975 patients, respectively. In contrast, concordance between DB 106/124 and p-phenylenediamine and p-aminoazobenzene, respectively, was poor. Some 70% of positive reactions to DB 106/124 had current clinical relevance. Furthermore, a significant increase in the proportion of DB 106/124-positive patients among those tested was found from 1995 to 1999. Hence, DB 106/124 are important allergens deserving close monitoring. The use of a mix of DB 106 and DB 124 seems justified in view of the close chemical similarity of both compounds. If possible, the presence of the allergen(s) in individual textiles considered causative should be checked by thin layer or column chromatography.

Austria↗

Sexual abuse and sexual function: an examination of sexually relevant cognitive processes.

Participants were 61 sexually abused and 57 nonsexually abused women. The authors examined whether recent methodologies adopted from social-cognitive psychology might prove helpful in understanding the previously reported negative relation between childhood sexual abuse (CSA) and adult sexual function. In Part I, a card-sort task was used to explore potential differences between sexually abused and nonsexually abused women in the categorization of positive/negative self-information. In Part 2, sexually relevant information networks, believed to represent the way in which information is organized, accessed, and retrieved from memory, were compared. Sexually abused women differed from nonsexually abused women in the meanings they attributed to many sexuality-relevant concepts but not in how they compartmentalized positive/negative self-information. The findings provide insight into the cognitive processes by which CSA experiences might influence adult sexual function and provide a starting point for future research using this type of methodology.

Adolescent↗

Medical data and knowledge management by integrated medical workstations: summary and recommendations.

The health care professional workstation will function as an interface between the user and the patient data as well as an interface pertinent medical knowledge. Appropriate knowledge focus will require the workstation to recognize the concepts and structure of patient data, and understand the scope and access methods of knowledge sources. Issues are organized around five major themes: (i) structure, (ii) reliability and validation, (iii) views, (iv) location, and (v) ethical and legal. Conventional database representations can effectively address data structure and format variations that will inevitably persist in local data stores. The reliability of data and the validation of knowledge are critical issues that may determine the ultimate utility of clinical workstations. Alternative views of patient information and knowledge sources represent the true power of an intelligent data portal, represented by a well-designed clinical workstation. Both data and knowledge are optimally represented in decentralized information networks, although the confidentiality and ownership of this information must be respected. Evolutionary progress toward consistent representations of knowledge and patient data will be facilitated by the establishment of self-documentation standards for the developers of data encoding systems and knowledge sources, perhaps extended from the preliminary model afforded by the Unified Medical Language System (UMLS).

Computer Security↗

Shared information could revolutionize healthcare.

Hospitals soon may learn the value of shared information technology. The idea of "community health information networks" is picking up steam as payers and policymakers look for ways to control costs and measure the quality of care. Backing from the federal government is likely to make the transition speedier and perhaps less painful than it was for other industries.

Community Health Services↗

Hospitals seek strength in numbers.

Six Iowa hospitals that don't have a common owner are banding together to form a health information network using a software system that they couldn't have afforded individually. The network will provide easy access to electronic records throughout a broad, rural area.

Computer Communication Networks↗

[Modern referral-information service in the Central Medical Library of the University of Zagreb Medical School].

New technologies in information and retrieval services of the Central Medical Library are presented, as well as comparison between traditional search of biomedical literature and search of biomedical bases available on CD-ROM and on-line. MeSH thesaurus represents the basis for all modes of searches, either through published indexes (Index Medicus, Biomedicina Iugoslavica), searches through on-line, or via CD-ROM technology. Experience in indexing according to MeSH structure helps us to search and retrieve biomedical literature on new media too. Great interest in new media for search and retrieval of biomedical literature among our users (100%) justifies their introduction into the Library. In the period of four months, 75% of our users chose CD-ROM technology in their search, 25% chose on-line search, and both technologies were combined by 33% of the users. Having these new media in our library we have reached the point from which we join the world biomedical information network and successfully meet the growing need for information in the field of biomedicine.

Information Systems↗

Sex education and family planning services for young adults: alternative urban strategies in Mexico.

In Mexico, youth face difficulties in obtaining reliable information on sex education and family planning through existing community programs. Two alternative strategies to provide these services are being tested in poor urban areas of Monterrey. In one experimental area, Integrated Youth Centers were established, which provide sex education and family planning services as well as counseling, academic tutoring, and recreational activities. In another area, trained young adults and community counselors work through informal networks to provide sex education and family planning information. Both utilization and the cost of these services are examined in the context of plans for expanding coverage in Mexico-U.S. border areas.

Adolescent↗

Cost-effective health information systems: user-driven internal development at the University of Iowa.

GOALS: The Information Network For Online Retrieval & Medical Management (INFORMM), health information system (HIS) for the University of Iowa Hospitals and Clinics (UIHC), was analyzed with regard to development of a Computer-Based Patient Record (CBPR) in a cost-effective manner. The analysis: i) profiles INFORMM system functionality; ii) displays INFORMM use and satisfaction among physicians, nurses, and other hospital employees; iii) characterizes dynamics affecting INFORMM growth; and iv) evaluates the cost of a system of internal-development of software. DATA SOURCES: INFORMM utilization for 1989, 1994, and 1995; service requests from users for the years 1985, 1990, and 1994; 1994 MECON-PEERx data; gap analysis user survey conducted by an independent consulting firm. MAIN RESULTS: 1) Physician use has been dominated by a single function: retrieval of laboratory results. 2) Nurse use of the system was more diverse. A recent surge of nurse and physician use resulted from the introduction of online documentation of nursing care. 3) Overall use has been predominantly by non-clinician users, no one function dominating their pattern of use. 4) User service requests were predominantly from the non-clinician group of users. Requests from non-physician groups have been coordinated by a limited number of representatives of those groups, unlike requests from physicians. 5) The UIHC HIS ranked high in user satisfaction. 6) The overall cost of the UIHC HIS system is relatively low as a percentage of the gross operating budget or as a ratio to the volume of patient activities in this medical center. CONCLUSIONS: Internal development of INFORMM has been a cost-effective solution to the information demands of nursing staff and other users. INFORMM system composition reflects the quantity and organization of user requests. Satisfying the needs of physicians requires a change in the manner in which physician needs are assessed.

Attitude to Computers↗

The need for a global health disaster network.

When a disaster occurs, a major difficulty is knowing where to find accurate information, and how to help coordinate efforts to share accurate information in a quick and organized manner. The establishment of a global information network, that is in place before a disaster occurs, could link all the communication efforts for relief. We propose that a Global Health Unit for Disaster and Relief Coordination be set up as part of the Global Health Network, utilizing the Internet as its backbone. This Unit would establish the links for the disaster information mosaic.

Computer Communication Networks↗

[A model of the compression of acoustic information in neuronal networks].

A model for processing of acoustic information in neuron networks has been proposed. The model takes into account the final rate of transfer of electric signal along the nerve fibers. The model indicates a possibility for the existence of a mechanism of compression of the input wide frequency band signal that retains its energetic parameters (in a certain limit). The model allowed to create a very efficient synthesizer of repellent acoustic signals that may be used to manage the bird behavior and regulate their numbers.

Animals↗

A catalyst for the networking movement.

Charles Jones has a clear vision for how community health information networks can improve health care delivery in West Virginia. He's seen what EDI has done for retailing and manufacturing industries. Now, he's trying to turn his dreams into reality by heading a consortium that's developing a strategy for building several networks in the state. Jones is demonstrating how one hospital executive with strong personal convictions can spark a sweeping effort to change the way a state health care system functions.

Computer Communication Networks↗

The health sciences librarian as Internet navigator and interpreter.

Over the past several years, thousands of networked information resources have become available to individuals and institutions with access to the Internet. Unfortunately, the dizzying array of computing and networking environments often frustrates end users' attempts to navigate the Internet. Librarians have begun to take responsibility not only for instructing users in the use of basic network tools such as file transfer, remote log-in, and electronic mail, but also for answering questions concerning network access and even information system design. The authors show how, by continuing to adapt to this new and volatile environment, health sciences librarians find themselves playing increasingly important roles in shaping the information policies and practices of their institutions. To illustrate these new roles, the authors review the experiences of health sciences librarians at the University of California, Los Angeles, and the University of California, San Diego. These institutions have varying and complex networking environments, and their biomedical libraries have taken lead roles in clarifying and interpreting their particular Internet features.

California↗

An epidemic of apprehension: questions about HIV/AIDS to an east African newspaper health advice column.

While AIDS awareness is almost universal in Uganda, cultural values discourage open discussion of sexual behaviour. Thus many questions remain unasked, especially in public. This study managed to analyse some of these queries by examining 1252 letters written spontaneously to a newspaper health advice column: of the letters, more than 325 included specific questions about HIV/AIDS. Being written, the questions include topics too embarrassing or stigmatized to voice in a spoken forum. The most common underlying emotions in the letters about HIV/AIDS were apprehension and anxiety. Many of the letters expressed, directly or indirectly, that people feel they cannot control their lives and cannot effectively protect themselves or their families from the threat of AIDS. Health education information about HIV/AIDS has been interpreted through an emotional filter of fear, vulnerability and distrust. Writers often turned to informal networks of peers, friends and relatives for confirmation of information about HIV/AIDS. However, this 'common knowledge' seemed frequently to serve as an obstacle to understanding and change rather than a source of support. People wrote that they feared transmission of HIV through unlikely and unavoidable daily activities such as eating. Fear magnified a wide range of common and persistent symptoms (rashes, coughs, fevers, sore throats) into the feared diagnosis of AIDS. Accurate information is vital and necessary, but information alone will not offset emotional vulnerability or anxiety. People also need to have their fears acknowledged and addressed in a credible way.

Acquired Immunodeficiency Syndrome↗

Nursing documentation in the computer-based patient record.

This paper describes the INFORMM NIS (Information Network for On-line Retrieval & Medical Management Nursing Information System) charting system developed by the Departments of Nursing and Information Systems at the University of Iowa Hospitals and Clinics (UIHC). The documentation system features automated work lists, defaulted charting responses, decision support, automatic computations, chart forms and reports, and graphical displays of clinical data. The impact of the on-line charting system has been demonstrated by content standardization with Nursing Interventions Classification (NIC), improved standards compliance, increased efficiency, enhanced timeliness, expanded accessibility, and an augmented data archive.

Forms and Records Control↗

[Informationization policies of local governments].

In line with the rapid progress in technical innovation, the wave of informationization is now reaching every aspect of Japanese society. With the explosive spread of the Internet, local governments are implementing administrative policies to facilitate the construction of information network systems which will help promote the spread of information at the local level. The Ministry of Posts and Telecommunications, the Ministry of International Trade and Industry, and other organizations of the Japanese government are also implemending a variety of measures to assist these moves on the part of local governments. A look at administrative services for local residents reveals a great need for the proliferation of information within the areas of welfare and medical care; in particular, counselling concerning nursing care and medical services in remote areas are needed. In order to realize new measures promoting informationization, however, the cooperation and understanding of local governors or mayors are essential. Because these people are very busy, short video and computer graphic presentations should be prepared in order to make the greatest impact in the least amount of time.

Computers↗

As networks multiply, privacy concerns grow.

Ensuring the confidentiality of health care data is a critical issue as consumers become increasingly worried about the prospects of having sensitive medical information shared over health information networks. System designers are taking many steps to safeguard medical information.

Computer Communication Networks↗