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[An experimental study on the duration of a single spell of work on VDT (visual display terminal) performance].

The relation between work load and the duration of a single spell of work on VDT performance studied in an experimental word processing task. Nine healthy male college students performed 2-hour visual tasks under the following three sets of work conditions. In the first set, subjects performed VDT work for two hours without intermission. In the second set, subjects had a 10-minute intermission after a 1-hour task. In the third set, there was a 5-minute intermission after a 30-minute task. Critical flicker fusion, near point distance, subjective fatigue symptoms, heart rate, respiratory rate, blinking counts, electromyogram in upper limb and performance score were measured. Results are as follows. Decrease in critical flicker fusion, increase in near point distance and subjective fatigue symptoms appeared in all three sets of experimental conditions after two hour tasks. Increased slow wave components on electromyogram and increased errors in performance appeared after 60-minute or more tasks without intermission. Effects on the critical flicker fusion, near point distance, subjective fatigue symptoms, electromyogram, blinking counts and errors in performance were least in the third set. The results of this study suggest that in order to reduce operators' fatigue on VDT work of the conversation type, countermeasures such as shortening the duration of a single spell of work to less than 60 minutes and taking frequent short intermission are necessary.

Adult↗

[An experimental study of work load on VDT performance. Part 1. Effects of polarity of screen and color of display].

Study were made on the effects of polarity of screen and color of display on work load of VDT tasks. The subjects of the present experiment were eight healthy male college students (age: 21-23 yr) having a naked binocular vision of not less than 0.7 and no astigmatism nor hyperopia. The test consisted of an experimental word processing task in which the subjects visually searched e's in given sequences of alphabetical letters displayed on the CRT and converted them to 5's through keyboard operation. As for experimental conditions, four levels of screen image, that is, positive and negative screens and green and white colored displays were adopted and 2 hr were given for each operation time. Critical flicker fusion (CFF), near point distance, accommodation time, subjective fatigue symptoms, heart rate, electromyogram in upper limbs and performance score were measured. The following results were obtained. Decrease in C.F.F. and extension of near point distance were observed in all experimental conditions during the operating time. Increase in complaints of subjective fatigue related to visual function was observed in all experimental conditions after two hour VDT task. Greater extension of near point distance and larger complaints of subjective fatigue were observed in subjects using the green colored display than in those using the white colored display. This suggests that the visual load using the green colored display is larger than that using the white colored display. A larger decreased in C.F.F. and greater complaints of subjective fatigue were demonstrated in subjects using negative screen than those using positive screen. This suggests that the visual load using the negative screen is larger than that using the positive screen.

Adult↗

Building and growing a hospital intranet: a case study.

BACKGROUND: The Intranet is a rapidly evolving technology in large hospitals. In this paper, we describe the first phase of an Intranet project in a multi-hospital system in New York City. OBJECTIVES: (1) To encourage the use of the Intranet among physicians, nurses, managers, and other associates in a multi-hospital system; and (2) to build the Intranet in a cost-effective manner using existing resources. METHODS: A WebTrends Log Analyzer assessed the Intranet use in terms of the number of accesses from each department. RESULTS: A broad range of features, including medical knowledge resources, clinical practice guidelines, directions, patient education, online forms, phone directory, and discussion forums were developed. Analysis of more than 890,000 hits revealed the departments with hits greater than 1,000 were the Library (6,130), Physicians Gateway (2,539), Marketing (1,321), Information Systems (1,241), and Nutrition (1,221). Of 819 unique visitors, 74 per cent visited more than once. CONCLUSIONS: It is possible to create and diffuse an Intranet in a multi-hospital system in a cost-effective manner. However, the key challenges were selling the potential of this new technology to opinion leaders and other stakeholders, and converting pre-existing printed content by obtaining word processed and image files from other departments or contracted print publishers.

Computer Communication Networks↗

Microcomputer patient database management system for an MRI facility.

A management system for a magnetic resonance imaging facility was developed to store pertinent patient data and to maintain a teaching file. The system was developed on a Digital PRO-350 microcomputer using a commercially available database software package. The cost of the system was about $7000. The patient data are entered at a terminal by a clerk typist. Input data are condensed or abbreviated to accommodate the limited data storage on the microcomputer. Cases can be rapidly retrieved and sorted on the basis of any of the 42 data fields available or any combination of these fields. The system has been successfully used for 18 months to create directories for a teaching file, for presentations, and for clinical research. Census-type data can be compiled, and the system can be used for word processing.

Computers↗

Authentication and management of radiologic reports: value of a computer workstation integrated with a radiology information system.

An increasing number of radiology departments are using computers to facilitate management of radiologic information. Transcription, storage, and printing of radiologic reports are among the primary functions of a radiology information system. Consequently, manual signature of radiologic reports is being replaced by on-line electronic authentication. However, the utilities provided on most radiology information systems to review, edit, and otherwise manipulate radiologic reports are relatively crude compared with commercial word-processing and data-base management software available for personal computers. We have developed a personal computer software system that is integrated with our existing radiology information system; expedites the radiologist's task of reviewing, editing, and authenticating (i.e., signing) radiologic reports; provides a teaching file data base on the workstation into which radiologic reports and patients' demographics can be instantly transferred; and provides a similar data base to facilitate follow-up on those examinations deemed appropriate for quality-assurance procedures. These features improve the radiologist's efficiency and increase his or her willingness to more fully exploit the intended purposes of a radiology information system.

Humans↗

Psychology of computer use: XXXVI. Visual discomfort and different types of work at videodisplay terminals.

The relationship between visual discomfort (or asthenopia) and different types of work using display units for 10,626 videodisplay terminal operators of the Italian Telecommunication Company was studied. Visual discomfort was evaluated as related to data entry, data checking, word processing, dialogue, enquiry, and various services. Chi-squared indicated that visual discomfort was not significantly related to any particular type of work for subjects with similar amounts of weekly time using videodisplay units. These findings are consistent with earlier results indicating that the main factor determining visual fatigue in VDT operators is the amount of time spent on the display units.

Adult↗

Ocular surface area as an informative index of visual ergonomics.

A large ocular surface area (OSA) is thought to be one of the causes of eye irritation and eye fatigue. Because ocular surface is very sensitive to various irritants such as dust, heat, dryness, air flow, etc., a large OSA increases the possibility of eye surface exposure to such irritants. Thus, OSA is one of the most important indices of visual ergonomics. This paper aims at making OSA an exact and practical index by first describing an accurate method of measuring it, and then clarifying the relationship between OSA, the width of the palpebral fissure, and vertical gaze direction, all of which are thought to be strongly correlated with each other. We derived the following equations: 1) y = 0.039x1 + 3.36, r = 0.99, 2) y = 3.05x2 - 0.39, r = 0.97, 3) x1 = 72.7x2 - 91.4, r = 0.97, where x1 = vertical gaze direction (degrees), x2 = width or the palpebral fissure (cm), y = OSA (cm2). Finally, this paper also introduces the practical applications of OSA measurement, and notes the differences between OSA when VDT work (word processing using a keyboard and drawing a picture using a mouse) is performed and when traditional office work without a VDT (reading, drawing, and writing) is performed.

Adult↗

The introduction of personal computers into clinical cancer research in Norway.

Present and estimated future use of personal computers (PCs) in clinical cancer research was assessed after the distribution of 24 personal computers to clinicians and scientists engaged in clinical cancer research. Two questionnaires were sent to the clinicians with an interval of six months. The clinicians were divided into two main groups, 'Experts' and 'Non-experts', based on their background knowledge of and previous experience with computers. Word processing and recording of patient details were the main application fields for the PC. Requested tasks for future were the performance of statistical analyses and graphics. The clinicians, especially the Non-experts, met the following problems upon the reception of the PC: Lack of time and help to become acquainted with the PC, as well as lack of appropriate software. Half of the clinicians were reluctant to admit any usefulness of artificial intelligence for clinical cancer care. It is concluded that the introduction of personal computers will probably improve the facilities for clinical cancer research. However, clinicians need sufficient time and help to get started, and appropriate software must also be provided.

Humans↗

A Macintosh and Windows program for assessing body-image disturbance using adjustable image distortion.

Body image is one of the most important concepts in the study of eating disorders. The assessment and treatment of body-image issues are considered to be integral aspects of assessment and clinical management of eating disorders (Thompson, 1996b). The program, BodyImage, is software for the assessment of body-image disturbance. It uses an image-distorting technique to estimate body size. The image of the whole body or parts of the body can be captured as a digital image by a digital camera. Response data from participants are recorded as ASCII files so that other computer programs such as spreadsheets or word processing programs can handle the data. BodyImage works on personal computers, both Macintosh and Windows. It is available at no cost, and it can be obtained from the following URL: http://homepage2.nifty.com/s_shibata/softwares/bodyimage.html.

Algorithms↗

Software for recording observational files.

We offer the new software Codex, written in Visual Basic 3.0. It is a tool adequate in observational methodology. Its fundamental objective is to record motor and verbal behavior using the data types proposed by Bakeman and Quera (1995, 1996), together with the field formats proposed by Hall (1963), Weick (1968), Hutt and Hutt (1974), and Anguera (1979). It is designed to allow for data interchange between specific programs in use in observational methodology (SDIS-GSEQ, The Observer, and Theme) and other general programs (spread sheets, statistics applications, word processing programs, sound cards, etc.).

Behavior↗

Lexical integration: sequential effects of syntactic and semantic information.

Both semantic and syntactic context constraints can influence word processing at the level of lexical integration. In event-related brain potentials (ERPs), semantic integration is reflected by a negativity around 400 msec (N400), whereas phrase structure assignment and syntactic integration are assumed to be reflected by an early left anterior negativity and a late positivity (P600), respectively. An ERP study is presented in which participants read different types of sentences whose terminal verb was either congruent with the preceding context or incongruent due to a phrase structure violation, a semantic violation, or both. The main finding was that only the pure semantic violation condition, but not the combined semantic and syntactic violation condition, elicited a large N400. The two conditions containing phrase structure violations were predominantly characterized by a P600. Both semantic violation conditions, moreover, displayed a late negativity around 700 msec that overlapped with the P600 in the double violation condition. The absence of an N400 effect for elements that are syntactically as well as semantically incongruent with prior context suggests an early influence of phrase structure information on processes of lexical-semantic integration. The present data are discussed in comparison to previous ERP findings, and a new view of lexical integration processes is proposed.

Adult↗

Nursing information technology knowledge, skills, and preparation of student nurses, nursing faculty, and clinicians: a U.S. survey.

Because health care delivery increasingly requires timely information for effective decision making, information technology must be integrated into nursing education curricula for all future nurse clinicians and educators. This article reports findings from an online survey of deans and directors of 266 baccalaureate and higher nursing programs in the United States. Approximately half of the programs reported requiring word processing and e-mail skill competency for students entering nursing undergraduate programs. Less than one third of the programs addressed the use of standardized languages or terminologies in nursing and telehealth applications of nursing. One third of the programs cited inclusion of evidence-based practice as part of graduate curricula. Program faculty, who were rated at the "novice" or "advanced beginner" level for teaching information technology content and using information technology tools, are teaching information literacy skills. The southeastern central and Pacific regions of the United States projected the greatest future need for information technology-prepared nurses. Implications for nurse educators and program directors are discussed.

Computer Literacy↗

A comparison of teaching strategies: lecture notes combined with structured group discussion versus lecture only.

In this study, we compared two teaching strategies: lecture notes combined with structured group discussion versus lecture only. We sought to help nurse educators identify the most effective teaching strategies for nursing students. We compared the examination scores of two groups of students who took a 3-credit medical-surgical nursing course. The control group (N = 88) received lecture only as the teaching method, whereas the experimental group (N = 81) received word-processed lecture notes along with structured group discussion. A one-tailed, independent sample t test was used to compare the mean examination scores of the two groups. The chi-square test was used to determine whether a significant difference existed between the course-passing rates of the two groups. The results showed a statistically significant difference between the means of the experimental and control groups. However, no statistically significant difference existed between the course-passing rate of students in the experimental group and that of students in the control group. These results provide strong support for the use of lecture notes in conjunction with structured group discussion as a teaching strategy. We recommend replicating this study using samples from other courses, and conducting further studies that include students' NCLEX-RN results as a third dependent variable.

Attitude of Health Personnel↗

Adaptive computer use for a person with visual impairment.

A single-subject research design that used multiple baselines across behaviors compared traditional adaptations (e.g., the use of readers) to adapted computer technologies for typical reading activities performed by an adult with severe visual impairment. A Macintosh IIci equipped with software that translated information displayed on the monitor into synthesized speech was paired with a page scanner and optical character recognition software to convert scanned images of printed text into computer documents. These computer technologies were applied to three reading behaviors: proofreading of word-processed documents, reading of printed research articles, and reading of common printed materials such as letters and instruction sheets. The findings demonstrated that the use of adapted computer technology, rather than traditional methods, increased the subject's reading efficiency and frequency. The increased functional independence that occurred as a result of the computer technology improved the subject's patterns of adaptation in reading-related tasks and improved the quality of her life.

Activities of Daily Living↗

Plagiarism: the Internet makes it easy.

This article examines the issue of plagiarism by nursing students and academics in British universities and highlights how electronic developments such as the Internet and word processing have made it easier. It describes how some websites support plagiarism and how, for a price, a qualification up to and including higher degree level may be gained without the recipient of the award having to do any coursework.

Education, Nursing↗

Computer use in Canadian drug information centres.

In July 1988, a survey was conducted to determine the extent of computer use by Canadian drug information centres. A questionnaire, mailed to 36 major DI centres, yielded an 89% return. Computers were being used by 75% of the responding centres (65.6% personal computers, 9.4% mainframe). Word processing was the most popular computer application, followed by formulary maintenance, online literature searching, compiling workload statistics, pharmacokinetic calculations, storing answered requests, and storing journal article citations. Medline was the most common database accessed; the National Library of Medicine was the most popular vendor. Compact disc read only memory systems were used by 18.75% of centres. Some respondents reported developing internal programs for drug information.

Canada↗

Integrated software packages and the radiology administrator.

An integrated software package offers word processing, database, spreadsheet, and communications in one common format that has enough power and flexibility to handle most radiology management computer needs. The ease of use, shorter learning time and the exchange of information between the modules are ideal for the radiology administrator's level of informational needs and time availability.

Decision Making↗

Educating patients' families on their level.

OBJECTIVE: To provide well-written, easy-to-read, comprehensible education materials without losing sight of their medical accuracy. PARTICIPANTS AND THEIR DUTIES: Employees from all hospital departments develop first drafts. A multidisciplinary committee, patient-education program (PEP), composed of a pharmacist, dietitian, respiratory therapist, radiology technician, medical illustrator, and inpatient and outpatient nurses facilitate these handouts. Laypeople critique the readability and experts evaluate content. METHOD: Patient-education handouts are coded into one of seven divisions and tracked through the stages of writing, word processing, proofing by experts, proofing for readability, illustrating, printing, and distribution. PHARMACY PEP DESIGN: A medication template is used to standardize the format and general information that needs to be included in all medication education materials. CONCLUSIONS: Through better-written and more comprehensible educational materials, patients' families are able to understand the medical treatment being rendered, thereby easing stress and encouraging their participation in total care.

Educational Status↗