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Appropriate use of computerized data bases can be useful to the P & T Committee. Although the use of computerized literature searches has been recognized, the microcomputer can be used for other important and time-saving applications. One software system in use at a VA Medical Center is presented here, and its function are described. Potential uses and future applications are discussed.
This article discusses the rationale for the conversion of a card catalog to an on-line system in a special library owning approximately 4000 titles. Equipment, software, and procedures are described. Pros and cons of the use of a microcomputer for such a project, as well as costs and personnel needs, are outlined.
The microcomputer-based SNOMED encoding system, recently announced by the CAP, has been evaluated in a setting designed to emulate the typical surgical pathology environment. Key features such as minimization of manual entry, ease of use, data integrity, and convenient retrieval capabilities were examined. The system was found to perform satisfactorily in all such features.
A consultant pharmacist used a portable microcomputer and a private on-line host system in order to produce drug regimen review letters more efficiently. The portable computer was a Tandy Radio Shack Model-100, and the host system was a Sperry-PC running the MIST+ telecommunications software. The portable computer stored three letter templates used by the consultant pharmacist to prepare letters sent to physicians. After doing a drug regimen review, the consultant pharmacist edited one of the random access memory resident letter templates corresponding to the type of letter which needed to be sent to a patient's physician. The letters consisted of information concerning the drugs and diagnoses of patients at various skilled nursing facilities. The consultant pharmacist personalized the letter templates by editing the physician's name and address, patient's name, skilled care facility name, patient's room number, diagnosis, medications, and pharmacist's recommendations. After the letters were edited at the facility, the letters were then "telecomputed to" and archived on the host system. Personalized letters were then printed and sent to the consultant pharmacist, patient's physician, skilled care facility administrator, skilled nursing facility medical director, and charge nurse. The consultant pharmacist, facility administrators, physicians, and nurses have responded favorably to this computerized practice innovation for consultant pharmacists.
We report our experience with an inexpensive microcomputer system for the storage and retrieval of susceptibility data on urinary isolates for general practitioners and doctors working in the University of Sheffield Student Health Service. Together with the results from a simple questionnaire into their prescribing habits, we believe that help can be given, enabling practitioners to achieve rational prescribing of antibiotics in their treatment of urinary tract infection.
A pharmacy-based aminoglycoside dosing and monitoring service using a microcomputer is described. The service was developed after an audit of aminoglycoside use and serum drug sampling revealed existence of several deficiencies in areas related to aminoglycoside antimicrobial therapy. A protocol was proposed by the pharmacy department and accepted by the Pharmacy and Therapeutics Committee whereby the departments of pharmacy, laboratory, and nursing would initiate a protocol for aminoglycoside dosing and serum drug sampling. The program has been operational for 36 months. The author's experience indicated that a pharmacy-based aminoglycoside dosing and monitoring service can be effectively conducted by baccalaureate-level pharmacists.
The decreasing cost and increasing availability of computers have created both concern and desire on the part of the non-computer professional. This article provides basic information to use in the selection of microcomputer hardware and software. It is slanted toward the small practitioner, one to four physicians, and provides practical guidelines, definitions, and examples relevant for a small practice.
This article describes the development of a microcomputer database within the Mental Health Division of a regional hospital. The multiple uses of this database are illustrated and include management information, program evaluation, assistance with case management and quality assurance, and applied clinical research. Guidance is given on choosing appropriate software and hardware and on negotiating with information providers and funding agencies.
To respond to the many strategic changes in health care, CFOs need to analyze and integrate volumes of information that organizations generate. The microcomputer-based strategic financial planning system brings together all the information that is generated from other decision-support systems with the organization and provides the CFO with concise, timely, and accurate analyses of the changes that are affecting their institutions. This system has been proven to be an efficient and effective means to consolidate and analyze strategic data.
Significant cost savings resulted due to test reduction when a microcomputer-based program for evaluating the performance of diagnostic test was put into use at the Milton S. Hershey Medical Center.
Using the microcomputer, as a voice training method in the treatment of gynecophonus was presented in 2 cases, to further study the treatment of this kind of voice disorder. Satisfactory results were gained. Meanwhile, the method and effect were also discussed.
This article describes a computer system to support decisions in Intensive Medicine developed for a multipurpose Intensive Care Unit (13 beds and about 700 yearly patients). The system is used in a microcomputer (486DX4). Works done in this area are mentioned; and the different programs which integrate the system, the advantages of its use and the results accomplished are described. Some of the most important results are the quality increment of the medical care given, physicians' possibilities of dedicating more time to their patients, cost reductions, and improvements in the development of teaching and in the conditions to carry out research work in the Intensive Care Unit (ICU). An analysis is made of the system requirements that guarantee its integration to the Unit work, and the easy and safe use of it by the physicians and nurses.
Ventricular QRS classification is key technique of ventricular arrhythmias detection in single-chip-microcomputer based dynamic electrocardiogram real-time analyser. This paper adopts morphological feature vector including QRS amplitude, interval information to reveal QRS morphology. After studying the distribution of QRS morphology feature vector of MIT/BIH DB ventricular arrhythmia files, we use morphological feature vector cluster to classify multi-morphology QRS. Based on the method, morphological feature parameters changing method which is suitable to catch occasional ventricular arrhythmias is presented. Clinical experiments verify missed ventricular arrhythmia is less than 1% by this method.
This paper introduces a microcomputer system of data analysis and methods of measuring oxygen consumption for biological materials. The system overcame some disadvantages of operating inconvenience and difficulties of collective and analytic data by traditional means. The system possesses functions of automatic enactment, collection, save/take and analysis for many experimental data. It can be used to measure oxygen consumption of tissues, cells and mitochondria.
OBJECTIVE: We evaluated in a prospective study microcomputer nutritional teaching games and their contribution to the children's acquisition of nutritional knowledge and improvement of eating habits. MATERIAL AND METHODS: One thousand eight hundred seventy-six children aged 7-12 years took part in this study at school. All 16 schools of the same school district were randomized into two groups: games group and control group, both receiving conventional nutritional teaching by their teachers. The children in the games group played computer games during the conventional nutritional teaching period (2 hours a week for 5 weeks). At completion of the study, dietetic knowledge and dietary records were evaluated in both groups. RESULTS: Dietary knowledge tests results were better in the games group (p<0.001). The children in the games group had a significantly better balanced diet for an energy intake of about 1900 kilocalories: more carbohydrate (46.4 +/- 0.2% vs 45.7 +/- 0.2%, p<0.05), less fat (37.1 +/- 0.1% vs 37.6 +/- 0.2%, p<0.05), less protein (16.5 +/- 0.1% vs 16.7 +/- 0.1%, p<0.05), less saccharose (11.5 +/- 0.1% vs 12.2 +/- 0.2%, p<0.001), more calcium (p<0.001) and more fiber (p<0.05). The games group had a better snack at 10 a.m., a less copious lunch and less nibbling (p<0.001). CONCLUSION: The children in the games group had slightly but significantly better nutritional knowledge and dietary intake compared to children in the control group. Using our micro computer nutritional teaching games at school provides an additional and modern support to conventional teaching.
This paper presents a kind of single-chip-microcomputer based mid-frequency current physiotherapy instrument. Its composition, function, hardware and software are briefly introduced.
The authors describe a software program called CeDAR, for Census Data Analysis and Retrieval System, which is "a microcomputer-based census information system that can be used to retrieve, display, manipulate and analyze published data from the 1980 U.S. Census and other geographic databases." General characteristics, sequence of operation, and availability of CeDAR are discussed.
An Introduction a measuring and analyzing instrument, based on the single-chip microcomputer, which provides sample gathering, processing, controlling, adjusting, keyboard and printing. All informations are provided and displayed in Chinese.