Electronic information for physicians: a new dimension in solving problems.
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As care for the chronically ill makes increasing demands upon our medical system, cost-effective methods for addressing those demands are being sought. The use of self-monitoring coupled with telecommunication of results to the health-care provider can be expected to provide a partial solution in the appropriate clinical setting. An electronic spirometer with telecommunication ability for use by cystic fibrosis patients in the home has been developed.
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Motorized scanning stages are valuable in microscopy systems that employ digital image analysis and for the development of semiautomatic computer-assisted microscope systems; the development of standard software "tools" to control such stages will facilitate their integration into a variety of computer-based systems. A set of Microsoft BASIC and Turbo PASCAL programs that interfaces a microprocessor-controlled stepper motor microscope stage (MDACE 1000) to an IBM PC or PC-AT or compatible microcomputer via a serial interface (RS-232) is described. These programs can be integrated into other software written in either BASIC or PASCAL, or used via a menu program that directs the routines to control scanning patterns and to locate the microscope stage to a selected area of the slide. Coordinates of significant events on a slide can be stored on a disk file to allow future examination. The software and interface also provide control of a filter wheel in the microscope for use in multicolor fluorescence assays.
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This paper focuses on the creation of the IAIMS workstation in the context of the outcomes of a year-long IAIMS strategic planning process at the Johns Hopkins Medical Institutions (JHMI). These outcomes include a long-term institutional vision for a functional knowledge management environment, a JHMI IAIMS model, a strategic plan, and two model prototypes. The functional requirements and specific implementation strategies for the IAIMS workstation, the prototype for managing the knowledge base of the published biomedical literature, are discussed in detail.
Integral-2MT is designed for differential diagnosis of tumor-like neoplasms. It also provides for automatized morphological parameter examination of cells which are either deposited on the slides or photographed in the form of a positive or negative picture. The analyser design and its operation principle are described. The analyser structural diagram is based on the modular main principle using the Electronika-60M microcomputer. The analyser software permits to determine 8 morphological cell parameters, to calculate statistical cell population features, to draw automatically histograms in various scales according to the operator's choice. The possible application spheres are described.
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A low-cost and user-friendly computerized medical record system that includes patient demographic data, family genogram and social information, problem list, medication list and repeat prescription, progress notes, and laboratory data has been developed for a general practice teaching clinic. The system also has an automated health maintenance and disease management package, a number of research report programs, and a basic accounting package. The computerized medical record system has provided a very valuable tool for improving patient care, teaching, and general practice research. A standard software package has been developed for other small to medium-sized practices to use without having to redevelop their own software.
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Computer programs to assist with medical decision making have long been anticipated by physicians with both curiosity and concern. This article summarizes the current status of computer-based medical decision support, the goals of system developers, the reasons for slow progress since the field began almost 30 years ago, and the logistical and scientific challenges that lie ahead. It emphasizes in particular that decision-support programs are intended to serve as tools for trained practitioners who retain ultimate responsibility for determining diagnostic and therapeutic strategies.
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