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A minicomputer laboratory data-management system: the St. Mary's system and its haematology applications.

The computer system developed at St Mary's Hospital Medical School, and now used in six hospital haematology laboratories, is described. The system allows for the rapid retrieval of pathology results from an archive of at least 180 000 records on a 10 megabyte disk. Two main data files are used, the "Current File", from which reports are prepared, and an "Archive File" which contains cumulated results. The files are indexed by parts of both the name and, if available, the hospital number. Patient linkage is accomplished using the whole known identification, but, unlike most other systems, no absolute requirement is placed on the existence of a hospital number. It is concluded that this method of patient linkage removes many of the management overheads associated with hospital number linked systems, and that use of the computer not only aids reporting, but also improves quality control and provides data for research.

Computers↗

Teaching dialysis kinetics with a minicomputer.

The quantitative aspects of dialysis kinetics are poorly understood by the majority of nephrology fellows in training. For this reason, we have developed three teaching programs for use on the Apple II computer. The programs, based on the dialysis equations of Gotch et al. [1] and Gotch [2], allow the student to alter each of the dialysis variables independently, and to graphically display the resulting dialysis curves, so that the effects of changing variables can be visually compared. The three teaching programs describe intradialysis kinetics, dialysis kinetics during a single intradialytic and interdialytic period, and dialysis kinetics during a 2-week interval.

Computer-Assisted Instruction↗

Results of electroencephalographic monitoring during 367 carotid endarterectomies. Use of a dedicated minicomputer.

Three hundred sixty-seven carotid endarterectomies were monitored using routine electroencephalographic (EEG) techniques. In 9.8%, changes in the EEG followed clamping of the internal carotid artery and could roughly be grouped into 6 patterns. The most common (47%) was rapid unilateral or bilateral attenuation of background anesthetic-induced fast EEG activity. Conclusions drawn from studies of the 9 patients who had immediate postoperative neurological deficits of varying degrees are presented as they illustrate monitoring techniques that are useful for early recognition of cerebral ischemia. Thirty-five patients were monitored with both routine and computerized techniques--the latter proved more useful than the former on all counts.

Anesthesia↗

Minicomputer-based system for obstetric ultrasound analysis, with multi-user and networking capability.

A computer-assisted approach to the dating of gestation and the evaluation of fetal growth by ultrasonography that relies on a computer-based information management system of a general hospital is described. The system processes, stores, retrieves, and compares ultrasound data, and a report can be generated by the ultrasonographer while the patient is still on the examining table. A major feature is that the system can be accessed by any authorized user from any terminal within the hospital where obstetric ultrasound examinations are performed and from off-site physicians' offices. The large memory capacity, the networking among several data bases, and the statistical manipulation capabilities of the system make it ideal for clinical research.

Computers↗