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Computer-assisted instruction in parasitology: a cross-over design.

We report here the results of the study using CAI compared to the hard copy for study of lessons in parasitology. We evaluated the CAI compared to hard copy lessons in 60 students, attending the third-year parasitology course at Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. The students were randomly divided into two groups (30 each). The lessons tested were Ascaris lumbricoides and Enterobius vermicularis, which were prepared as CAI and hard copy form. Using a cross-over design, the first group was provided CAI form on the topic of A. lumbricoides, then switched to hard copy form on the topic of E. vermicularis. The second group was provided hard copy form on the topic of A. lumbricoides, then switched to CAI form on the topic of E. vermicularis. After 30 minute reading, the 10-multiple choice question test was provided for each topic. There was no significant difference of the scores between 2 groups. The most students (91.67%) had more satisfaction when using CAI compared to hard copy in terms of easy to use, convenient to use, less time consuming, more understandable, more attractive to read, and less stress for study. There were 32.8% students complaining that reading hard copy was boring. Other comments were stress when reading (2%), more difficult (17.2%) and more time needed to search specific information (17.2%), and wasting papers (17.2%). However 58.6% still complained problems when using CAL. About 25% had physical discomfort (e.g. Headache, eye pain), and 25% had difficulty to access to use CAI (e.g. no computers available, problems with computer or network error). We suggested that instructors should create and improve CAI lessons in biomedical sciences both in quantity and quality (e.g. content with details, pictures, narrations).

Computer-Assisted Instruction↗

[Proposal for the teaching and application of informatics at medical schools].

Informatics is the discipline that process efficiently all the necessary data to obtain information. The data acquisition, processing and interpretation is realized through traditional as well as automated means. Medical Informatics is the union of all methods of informatics in medicine including the preparation of medical data required for the application of these methods. Due to the need to keep up with the increasing amount of data that modern medicine is receiving and efficiently process it to obtain meaningful information, we propose the creation of a department of Medical Informatics in our Medical School to: 1) Teach the basic principles of medical informatics to undergraduate and graduate students, including lectures in: Information technics, medical terminology, medical linguistics, international classification of diseases, Hospital informations Systems, practical application of computing in medicine as Oncocyn, Mycin, etc., as well as external data bases. 2) Help the health sciences personnel to obtain and transfer medical information through the National and International Electronic Networks of Medical Information.

Education, Medical↗

Hospital libraries in the United States: historical antecedents.

The hospital health sciences library of today that reaches out to the world knowledge base through electronic networks bears little resemblance to its forebears. Yet to understand the challenges and future directions of the hospital library it is necessary to examine how it began and how it has evolved in more than 200 years. This paper identifies five developmental periods in which major strides were made: the colonial years through the 19th century; World War I to the Great Depression; World War II and the 1950s; the 1960s--the Great Society and the Medical Library Assistance Act; and the 1970s, an era of growth for hospital libraries.

History, 18th Century↗

Health information networking via the Internet with the former Soviet Union.

Because of the severe financial hardships associated with the transition to a market economy in the Newly Independent States (NIS) of the former Soviet Union, the Internet has become a major link to health care resources for many health care workers. In 1992, the University of Illinois at Chicago Library of the Health Sciences (UIC LHS) initiated a special support project with goals of enhancing access to international biomedical information and facilitating international professional networking for interested NIS organizations and individuals. Project objectives included an information needs assessment, development of culturally sensitive Internet training applications, information and referral services, and follow-up e-mail consultations for NIS participants. This paper reviews the historical context of the health care partnerships between the United States and the NIS, and of the UIC LHS International Health Information Networking Project. In the context of UIC, international networking cross-cultural observations, teaching techniques, a Russian training experience, and the development of a Web-based course are reported.

Computer Communication Networks↗

Arizona Telemedicine Program: implementing a statewide health care network.

The Arizona Telemedicine Program was established in July 1996 by the Arizona state legislature. The organizational center for the program is the Arizona Health Sciences Center in Tucson. Key goals for the program include increased access to specialty services for rural, underserved populations; development of cost-effective telemedicine services; and expansion of opportunities for education of health professionals in rural areas. The program provides several levels of services based on both store-and-forward and real-time interactive applications. The telecommunication infrastructures is provided by two methods: The first is a private asynchronous transfer mode network established and operated by program personnel. The second is dial-up access via the public switched telephone network. After an extensive period of organization and vendor evaluations, most of the private network was implemented between June and December 1997. This paper describes experiences establishing the asynchronous transfer mode network.

Arizona↗

RADPLANET--a functional radiology digital image network.

RADPLANET is a functioning LAN (Local Area Network) designed to integrate the many and varied facilities of a university medical center radiology department (Department of Radiation Sciences) into an efficient unified resource providing state-of-the-art diagnostic capabilities and delivering precision radiotherapy. RADPLANET links diagnostic work stations, radiation-therapy planning work stations, and therapy machine stations into an integrated whole. The RADPLANET project exploits technology currently evolving in the PACS (Picture Archiving and Communicating Systems) community but also addresses digital image networking requirements peculiar to radiation therapy. RADPLANET is designed as a modular, expandable, piecemeal updatable system in order to incorporate new, more cost-effective technology as it becomes available and to provide new resources to meet the needs of a growing department and an increasingly sophisticated medical profession. The paper discusses design criteria and rationale, current status of the network, and plans for continuing expansion and enhancement.

Hospital Departments↗

European myeloma network: the value of collaborative research.

The European Myeloma Network was established as a result of collaboration and cooperation between myeloma physicians and researchers. The initial impetus that brought this group together came from the Sixth Framework Programme (2002), as the group initially formed to apply for funding from this source. Although the application was unsuccessful, it provided encouragement to continue the activities, and the network was formally established in October 2003. The basic idea was to create interaction between the people working in different areas of myeloma (for example, basic science, clinical trials and patient education) and build an interface to establish standardisation of laboratory techniques such as fluorescent in-situ hybridisation (FISH) techniques for these groups. The aim of the network is to bring these groups together in some way, to deliver better quality research. Resources need to be used wisely, with priorities being set. Establishing a common databank of trials from the European Community where trial data is pooled is one such priority. This project can then extend into the future to analyse clinical, biological and genetic prognostic factors. Looking ahead to other potential benefits of the network, there may be opportunities to examine orphan treatments, and it has the potential to act as the intermediate organisation, helping pharmaceutical companies and tumour working groups in a variety of countries to establish the most appropriate clinical trials.

Biomedical Research↗

From task force to statute: establishing health sciences libraries in state law as a component of the health care system.

This paper describes how Montana librarians successfully incorporated health sciences libraries into the statewide health care resource management plan being developed under 1993 state law. First, a broad-based Montana Task Force for Biomedical Information was formed with funds from the National Network of Libraries of Medicine/Pacific Northwest Region and the Montana Area Health Education Center. The resulting report reviewed findings from national studies and trends to current state developments and deficiencies. The report was presented to the governor and state legislators in the context of cost-containment measures being considered in the state's health care reform bill. Now Montana law provides that "it is further the policy of the state of Montana that the health care system should ... facilitate universal access to current health sciences information," and "The management plan must include ... identification of the current supply and distribution of ... health sciences library resources and services." This experience highlights the need for health sciences librarians to develop skills in advocacy, lobbying, and networking with other components of the health care industry.

Cost Control↗

The measurement of solar ultraviolet radiation.

High skin cancer rates, stratospheric ozone depletion and increased public interest and concern have resulted in a strong demand for solar ultraviolet radiation measurements and information. The Australian Radiation Laboratory (ARL) has been involved since the mid-1980s in the measurement of solar ultraviolet radiation (UVR) using spectroradiometers (SRM) and a network of broadband detectors at 18 sites in Australia and Antarctica and in Singapore through a collaborative agreement with the Singapore Institute of Science and Forensic Medicine. Measurement locations range from equatorial (Singapore, 1.3 degrees N) through tropical (Darwin, 12.4 degrees S) to polar (Mawson, 67.6 degrees S) and as a result there are many difficulties associated with maintenance and calibration of the network detectors, and transfer of data to ensure an accurate and reliable data collection. Calibration procedures for the various detectors involve the comparison with simultaneous spectral measurements using a portable SRM incorporating a double monochromator, calibrated against traceable standard lamps. Laboratory measurements of cosine response and responsivity are also made. Detectors are intercompared at the Yallambie site for a number of months before installation at another location. As an additional check on the calibrations, computer models of solar UVR at the earth's surface for days with clear sky and known ozone are compared with the UV radiometer measurements.

Antarctic Regions↗

trans meets cis in MADS science.

The interaction between a transcription factor and its binding site at the DNA is an integral part of transcriptional regulatory networks, which is fundamental for an understanding of biological processes. An example is the family of MADS domain transcription factors, which represent key regulators of processes in yeast, animals and plants. However, despite our extensive knowledge of these transcription factors, limited information is available on the cis-elements to which these proteins bind or how these elements are defined. Here, we discuss the current understanding of MADS protein binding sites and compare data from various organisms. This information can help us in developing algorithms to predict binding sites for MADS domain transcription factors, which would be a significant step forward in the identification of "down-stream" target genes and the elucidation of transcriptional networks.

Base Sequence↗

The art and science of dream interpretation: Isakower revisited.

Dream imagery presents a special opportunity to lead patient and analyst through the patient's network of memories to the discovery of unconscious memories that have complicated and interfered with the patient's attempts to resolve important life problems. This is an important, perhaps indispensable, first step on the way to successful working through to solutions that are more rational and realistic than the neurotic symptoms that brought the patient to treatment in the first place. Theoretical and empirical rationales are presented for a technical approach to dreams that takes full advantage of the special opportunities that working with dream imagery provides: for deepening the psychoanalytic process and for acquainting the patient with principles of mental function applicable to aspects and phases of the analytic process that he/she will encounter as the work progresses.

Adult↗