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Personal computer access to MEDLINE: an introduction.

Physicians can personally search MEDLINE to answer clinical questions or to update their knowledge base. The components required, each of which is discussed in the text, are a personal computer, a communications software program, a modem, the literature database, and an information vendor. Physicians can assemble and use these components with a minimum of expense and computer knowledge. For the novice searcher who does not want to make a large initial investment, obtaining a low-cost personal computer and using an information vendor such as GRATEFUL MED or PaperChase may be the most suitable alternative. For searchers without access to a medical library or for more experienced searchers, an information vendor such as BRS, MEDIS, or DIALOG may be more appropriate.

Computers↗

The problems of a social survey in epidemiology: an experience from a Zambian rural community.

A socio-economic study of 1097 people was carried out between November and December 1979. Demographic data and other health characteristics were obtained by census of the entire study population. Interviews covered disease awareness, perceived morbidity, health-care utilization, knowledge, attitudes and practices; all adults aged 15 years and above were interviewed 2 weeks before physical examinations were made. Age and literacy level were found to have no effect on the people's health-seeking behaviour in Kabinga. The results of this social survey failed to reveal the real practices of the community's use of both ethno-medicine and biomedicine.

Adolescent↗

[ONLINE: program for online connection of laboratory apparatus with personal computers with special reference to the requirements of toxicological animal studies].

This paper deals with ONLINE, a program for interfacing laboratory devices with personal computers (PC) via RS-232C. ONLINE was used in our department of toxicology for the evaluation of animal weights and for data transfer from a hematology analyzer to the PC. The program allows simplex as well as duplex connection and supports the programming of communication parameters for the data transfer when using the RS-232C. Files can be generated for the uptake of data up to 100,000 data points. Selected parts of these files can be used for the calculation of descriptive statistical parameters. ONLINE requires a computer compatible to MS-DOS with at least 256 kBytes RAM and with both a serial and a parallel port.

Animals↗

Knowledge about AIDS among Zimbabwean teacher-trainees before and during the public awareness campaign.

Knowledge about AIDS was studied among 4,189 Zimbabwean teacher-trainees from January to March, 1988, about six months after a national AIDS awareness campaign began. Knowledge about AIDS among part of this sample of teacher-trainees surveyed after the AIDS campaign began was also compared with that displayed by 630 teacher-trainees studied in January, 1987, roughly six months before the AIDS campaign began. Over 85 percent of 1988 subjects knew that AIDS is fatal and incurable. More than 80 percent of 1988 respondents knew that a condom is an effective precaution against AIDS. However, among 1988 participants, 35 percent did not know that many people carrying the AIDS virus look healthy, 36 percent believed that many AIDS victims in Africa are homosexual, 36 percent did not know that one cannot contract AIDS from a toilet seat, 40 percent believed that kissing transmits AIDS and nearly half believed that mosquitoes transmit AIDS. Males and subjects from urban homes were better informed about AIDS than females and those from rural homes, respectively. Teacher-trainees surveyed in 1988 were generally more knowledgeable about AIDS than those studied in 1987. The implications of these results for further educational efforts are considered.

Acquired Immunodeficiency Syndrome↗

Program planning of a biomedical communications center: an implementation-oriented approach.

This article illustrates application of (1) Nominal Group Technique and (2) Importance-Performance Analysis, both commonly used planning strategies, to the programmatic planning of a university-based biomedical communications center. The method described may prove useful when successful implementation of such a plan depends upon cooperation between diverse client groups within the organization.

Academic Medical Centers↗

[Smoking in Morocco: an outline of the anti-smoking campaign].

In Morocco, as in many developing countries, tobacco use has become a plague which aggravates the many already existing problems. A coordinated prevention programme which included research and a variety of educational efforts, has been underway for the past five years. The preliminary stage of the non-smoking campaign consisted of research through use of a variety of standardized questionnaires. The research results showed tobacco use in Morocco to be the following: 23.8% of secondary students are smokers with variation according to family, culture, environment and sex (33% male vs. 8.6% female); 33.8% of university students smoke, including those in Medical Schools; 52.1% of adults in the work environment smoke, including doctors. The rate declines drastically among practicing muslims (between the ages of 14 and 65) to 9.8%. The use of other drugs is significantly higher in students who use tobacco (25%) than those who do not (1.5%). A common factor appeared regardless of age, sex, or occupation: there was insufficient information available concerning the harmful effects of smoking. An educational campaign was therefore launched. As the youth were considered to be the most vulnerable target group, a major part of the educational efforts was concentrated on them. A variety of activities was implemented including conference-debates using audiovisual supports; radio and T.V. broadcasts; contests run with the assistance of the CIPADED (International Committee for the Prevention of Alcohol/Drug Dependence). Information of the harmful effects of tobacco use was diffused in workplaces, government offices, and at public assemblies. Efforts were also implemented to promote adoption of legislation which would limit tobacco consumption.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

[Peripheral lymph node tuberculosis in Djibouti].

153 well documented records, gathered in one year in a Tuberculosis Center, were studied. Adenoid localization represents on fourth of all tuberculosis, and 95% of all etiologies of peripheral adenopathies. Value of bacteriological tests is studied and compared to the one of histology. The almost sole presence of Mycobacterium tuberculosis hominis is an uncommon datum, interesting in the field of epidemiology. The recorded outstanding efficacy of modern anti-tuberculosis drugs is less known, perhaps because of scarcity of recent works on such localizations. Some easy and reliable guidance is proposed within the context of a Communicable Diseases Program.

Adolescent↗

[Condoms--AIDS].

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Acquired Immunodeficiency Syndrome↗

Comparison of Tonar II, pressure-flow, and listener judgments of hypernasality in the assessment of velopharyngeal function.

The purpose of the present investigation was to study the interrelationships among Tonar II, pressure-flow, and listener judgments of hypernasality in a consecutive series of patients. The subjects employed were 124 children and adults seen for evaluation at the University of North Carolina Oral-Facial and Communicative Disorders Program. The results indicated that nasalance scores and clinical ratings of hypernasality change systematically among patients as a function of their pressure-flow categorization. A discussion is presented concerning the impact that differential use of information from these assessment techniques can have upon patient management.

Adolescent↗

Therapist's management of the replanted hand.

The treatment of the patient with a replanted hand is a challenge to both the surgeon and the therapist. Because of multiple system involvement, we must be able to assess each structure individually to determine the best treatment protocol for that structure and then compile it into one treatment program. The communication among the triad of physician, therapist, and patient is the only way to guarantee successful results.

Adolescent↗