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Using Treemaps to represent medical data.

Confronted with the inadequacy of traditional charts, we tested the contribution of Treemaps to the representation of medical data. Treemap charts allow description of large hierarchical collections of quantitative data, on a synthetic way. Treemaps were implemented using PHP5, and were tested in the field of DRG-mining and other medical informations. From now on, this implementation is used in an interactive web-based request tool, and could be used to design interactive piloting tools.

Computer Graphics↗

[Following and using the scientific literature on a home computer with the REPRINT program system].

REPRINT, running on the Commodore 64 home computer, and originally meant to manage a file containing several thousand reprints, has capabilities exceeding this simple task considerably. Bibliographic data can be entered into REPRINT through a word processor or a special input program which automatically corrects usage of capital letters. Code numbers referring to the contents of a reprint can be added to the bibliographic data. Thus, scientific information not contained in the title can also be stored. Searches can be done on code numbers or on any term in the title, authors or source. REPRINT is able to read the text of an article from a disk and automatically construct the list of references to it in the format used by the periodical which the author wants to publish it. While there is no need for any computer knowledge for its application, the speed of REPRINT seems to be satisfactory: search by a code number on 600 reprints takes 48 seconds. Five years of using REPRINT have proven its capabilities to efficiently support usage of a growing personal reprint file in different phases of the process of publication.

Computer Systems↗

Using medical genetics applications to educate for computer competence.

This article proposes specific areas of computing competence and illustrates how these skills can be acquired as an integral part of the curriculum of medical genetics. Geneticists are at the forefront in the use of computers for medical care, because of the driving force of the Human Genome Project. Computer searching of international data bases is the most efficient method to keep current with the explosion in molecular genetics data and with its immediate relevance to clinical care. The use of computers in genetics education could go far beyond the use of computer-assisted instruction (CAI) to show how to use computer systems to assist with clinical decisions. The proposed basic computer skills can be obtained using genetics software. The six proposed skills include the use of (1) microcomputers, (2) productivity software, (3) CAI, patient simulations and specific application programs, (4) remote computers, (5) data bases and knowledge bases, and (6) computers to improve the clinical care of patients.

Clinical Medicine↗

The computer and the future of continuing medical education.

Traditional continuing medical education-general reading, attending courses and conferences and having discussions with colleagues-helps physicians review fundamental concepts and learn new developments in medicine. This type of continuing education is well established and will not change dramatically. Beyond this, physicians learn from specific problems that arise in practice. A computer can enhance practice-related continuing medical education by providing information when a physician is developing diagnostic and therapeutic plans. Computer mail and telephone voice mail improve communication among physicians. Computers, by storing practice data, enable physicians to study their practices and profit from experience. Hospitals, specialty societies and medical schools should investigate using computers to help physicians profit maximally from experience.

Computers↗

Medical uses of the Internet.

Unless you've spent the last couple of years in Antarctica or maybe Ulan Bator, you've been reading a lot about the Internet. All the hype and hoopla may leave you wondering whether the Internet will be useful for you. The answer is somewhere between "probably" and an unqualified "yes," depending on whether your perspective is short term or long term. This article, one of a series on applications of personal computers for physicians, describes some of the resources available on the Internet.

Computer Communication Networks↗

HyperDOC.

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Computer Communication Networks↗

Use of medical information by computer networks raises major concerns about privacy.

The development of computer data-bases and long-distance computer networks is leading to improvements in Canada's health care system. However, these developments come at a cost and require a balancing act between access and confidentiality. Columnist Michael OReilly, who in this article explores the security of computer networks, notes that respect for patients' privacy must be given as high a priority as the ability to see their records in the first place.

Civil Rights↗

The computer-based patient record and Robert Fulghum's 16 principles.

Robert Fulghum proposed 16 principles learned in kindergarten that he claimed should govern all human activities. How do these principles apply to current efforts to create a computer-based patient record? Fulghum's principles, when recast for the computer-based patient record, emphasize cooperation, privacy, security, and standardization--elements that are easily recognized as essential features of an electronic medical record. However, a number of less frequently discussed issues, such as data quality, integrity, abuse, and misuse can also be considered in terms of Fulghum's principles.

Attitude to Computers↗

Critical care medicine in cyperspace: Internet resources and techniques for the intensivist.

The internet, is an informational tool of impressive proportions and capabilities. New software developments puts the use of this informational technology into the hands of all physicians. The use of Internet informational resources allows the intensivist to stay abreast of new developments in critical care medicine, communicate in a matter of seconds with colleagues half a world away, acquire medically related software, access remote database structures, obtain continuing medical education, and in the near future to "see' patients and obtain physiological data in real time. This tutorial will introduce the Internet and it's current tool suite.

Computer Communication Networks↗

Advances in computer technology: impact on the practice of medicine.

Advances in computer technology provide a wide range of applications which are revolutionizing the practice of medicine. The development of new software for the office creates a web of communication among physicians, staff members, health care facilities and associated agencies. This provides the physician with the prospect of a paperless office. At the other end of the spectrum, the development of 3D work stations and software based on computational chemistry permits visualization of protein molecules involved in disease. Computer assisted molecular modeling has been used to construct working 3D models of lens alpha-crystallin. The 3D structure of alpha-crystallin is basic to our understanding of the molecular mechanisms involved in lens fiber cell maturation, stabilization of the inner nuclear region, the maintenance of lens transparency and cataractogenesis. The major component of the high molecular weight aggregates that occur during cataractogenesis is alpha-crystallin subunits. Subunits of alpha-crystallin occur in other tissues of the body. In the central nervous system accumulation of these subunits in the form of dense inclusion bodies occurs in pathological conditions such as Alzheimer's disease, Huntington's disease, multiple sclerosis and toxoplasmosis (Iwaki, Wisniewski et al., 1992), as well as neoplasms of astrocyte origin (Iwaki, Iwaki, et al., 1991). Also cardiac ischemia is associated with an increased alpha B synthesis (Chiesi, Longoni et al., 1990). On a more global level, the molecular structure of alpha-crystallin may provide information pertaining to the function of small heat shock proteins, hsp, in maintaining cell stability under the stress of disease.

Computer Graphics↗

Computers in medicine.

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Computer Communication Networks↗