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User friendly inquiry and computer program for following patients with ovarian malignancy.

The establishing of a correct diagnosis in patients with ovarian malignancy requires the combination of a variety of methods of examination. An inquiry for following of malignoma patients has been compiled, accompanied by an adequate computer program. Beside general information regarding the patient, diagnosis and treatment, the inquiry also includes the case history, data regarding clinical, ultrasonographic and preoperative examinations, surgery, histologic findings and follow-up after termination of treatment. A user-friendly computer program was developed for recording and processing of all available data collected during the diagnostic and treatment procedures. The inquiry and the computer program have been in use for three years and we find they are very useful in follow-up of patients with ovarian malignancy. Data are collected at one site, transparent and always available. Statistical analysis of collected data can be performed by computer. The aim of this uniform inquiry and computer program is a concurrent, radical and simplified collecting, processing and comparing of data at each center and between centers dealing with the treatment of ovarian malignancy.

Biopsy↗

The COMPLY computer program for demonstrating compliance with national radionuclide air emission standards.

The Environmental Protection Agency (EPA) has proposed national radionuclide air emission standards for a number of source categories. One of these standards applies to Nuclear Regulatory Commission Licensees and non-Department of Energy facilities having the potential to release radionuclides to the atmosphere. Approximately 6000 facilities are subject to the standard, which limits the effective whole-body dose commitment to the maximally exposed individual from radionuclide releases to the atmosphere. A computer program to assist the regulated community in determining compliance has been developed by the EPA's Office of Radiation Programs. The computer program COMPLY calculates the dose to an individual residing outside the facility. The program considers dose from inhalation, ingestion of contaminated food, air immersion, and ground deposition. It is based on models developed by the National Council on Radiation Protection and Measurements (NCRP). Compliance procedures provided in COMPLY are designed to reduce the burden on the regulated community. The approach begins with simple-to-use methods that are very conservative in determining compliance. The methods become progressively less conservative but more complicated at succeeding levels. Each higher level requires the input of site-specific information, but allows a more realistic estimate of dose. This paper describes the COMPLY program, and provides estimates of the work required and the degree of conservatism in the dose computed at each level.

Air Pollution, Radioactive↗

A simple BASIC computer program to individualize the SRK formula.

A computer program written in BASIC language that calculates, updates, and stores the A value used in the formula for the determination of intraocular lens power is presented. It has the structure of a subroutine, and can either be easily integrated into an already existing larger program or it can function independently of another program.

Computers↗

Effects of an individualized multimedia computer program for health education in patients with a recent minor stroke or transient ischemic attack - a randomized controlled trial.

BACKGROUND: Transient ischemic attack (TIA) and stroke patients often show a striking lack of knowledge about their disease. We developed a computer program that provided health education fitting the educational level, risk profile and symptoms of patients and evaluated it in a randomized controlled trial. METHODS: Transient ischemic attack or minor stroke patients were allocated to health education by a physician (n = 32) or to a combination of education by a physician and the computer program (n = 33). Knowledge was tested by means of a questionnaire at 1 and 12 weeks after inclusion. The maximum possible score was 71 points. RESULTS: Overall knowledge was low - the mean score was 43.6 at 1 week and 42.0 points at 12 weeks for both the groups. The intervention group had slightly better scores at 1 week after using the computer program, 45.4 vs 41.5 (P = 0.09), with the difference increasing to 4.3 points after (post-hoc) adjustment for age and level of education (P = 0.06). After 12 weeks, the score in the intervention group dropped significantly to 42.0 points (P = 0.05), and was no longer different from the standard group. CONCLUSION: This study did not show a lasting effect of health education by an individualized computer program on the knowledge of TIA and minor stroke patients.

Aged↗

Quantitative analysis of sclerotherapy results by using digital photography and a computer program.

BACKGROUND: Despite different telangiectasia treatments in the lower limbs, there is no method standardization for results assessment, making comparison between the existing treatments conflicting. OBJECTIVE: To compare the assessment carried out by a group of specialists with the assessment carried out by a computer program, according to clearance degree of telangiectasias during treatment by sclerotherapy. MATERIALS AND METHODS: Nineteen patients (21 studied areas) with telangiectasias of thighs and popliteal fossa were assessed, with a mean age of 37.5 (21-59) years old, all female. The pre- and posttreatment photos were standardized as per distance, light exposure, and aperture time. The sclerotherapy sessions were performed with 75% glucose. The clearance degree of telangiectasias was judged by a group of six doctors and by a computer program that analyzed the initial and final photos. The results of such assessment were compared according to concordance and correlation. RESULTS: There was no statistical difference between the assessments carried out by the specialists and the assessments carried out by the computer program according to the sclerotherapy results. CONCLUSION: The assessment carried out by the computer program was equivalent to the assessment carried out by the specialists in the judgment of clearance degree of telangiectasias of the lower limbs.

Adult↗

Evaluating RECONSIDER. A computer program for diagnostic prompting.

RECONSIDER, a computer program designed to perform as a diagnostic prompting aid, was evaluated for its ability to include the correct diagnosis in an ordered computed list of candidate diseases. The study was performed using 100 consecutive first admissions to the medical service of a university hospital, where the individuals entering the data into the program were blind to all but a limited set of findings known at time of admission. Each person entering the data created one or more lists of diagnostic possibilities (versions) using the program. The program suggested the correct diagnosis within the first 40 on its list 61% (498/797) of the time; the correct diagnosis was present with the first 40 in at least one version 93% (98/105) of the time. Performance was found to be best with cases having a single diagnosis and when more terms were entered into the program.

Computers↗

A topological model of cell division: structure of the computer program.

The general structure of a computer program (CD3D) simulating division in a sheet of cells is presented. The program is based on a topological representation of cell division previously developed by the authors, and the biological background to the model is discussed. The computer modelling of the various elements of the model (i.e. vertices, edges and meshes) is described, and an annotated description of the subroutines making up the program is given in an Appendix. Although the program and model are specifically designed to represent cell division processes, the graph framework may have applicability in other biological subject areas where dynamic relationships between elements are involved.

Animals↗

Computer programs to support clinical decision making.

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.

Artificial Intelligence↗

Use of an educational computer program before genetic counseling for breast cancer susceptibility: effects on duration and content of counseling sessions.

PURPOSE: Patients seeking genetic testing for inherited breast cancer risk are typically educated by genetic counselors; however, the growing demand for cancer genetic testing will likely exceed the availability of counselors trained in this area. We compared the effectiveness of counseling alone versus counseling preceded by use of a computer-based decision aid among women referred to genetic counseling for a family or personal history of breast cancer. METHODS: We developed and evaluated an interactive computer program that educates women about breast cancer, heredity, and genetic testing. Between May 2000 and September 2002, women at six study sites were randomized into either: Counselor Group (n = 105), who received standard genetic counseling, or Computer Group (n = 106), who used the interactive computer program before counseling. Clients and counselors both evaluated the effectiveness of counseling sessions, and counselors completed additional measures for the Computer Group. Counselors also recorded the duration of each session. RESULTS: Baseline characteristics did not differ significantly between groups. Participants and counselors both rated the counseling sessions as highly effective, whether or not the sessions were preceded by computer use. Computer use resulted in significantly shorter counseling sessions among women at low risk for carrying BRCA1/2 mutations. In approximately half of the sessions preceded by clients' computer use, counselors indicated that clients' use of the computer program affected the way they used the time, shifting the focus away from basic education toward personal risk and decision-making. CONCLUSION: This study shows that the interactive computer program "Breast Cancer Risk and Genetic Testing" is a valuable adjunct to genetic counseling. Its use before counseling can shorten counseling sessions and allow counselors to focus more on the clients' individual risks and specific psychological concerns. As the demand for counseling services increases, a program such as this can play a valuable role in enhancing counseling efficiency.

Breast Neoplasms↗

Evaluating audio-visual and computer programs for classroom use.

Appropriate faculty decisions regarding adoption of audiovisual and computer programs are critical to the classroom use of these learning materials. The author describes the decision-making process in one college of nursing and the adaptation of an evaluation tool for use by faculty in reviewing audiovisual and computer programs.

Audiovisual Aids↗

[A computer program for the power spectra analysis of biomedical signals].

This paper presents a useful program for the power spectra analysis of biomedical signals on a microcomputer. The frequency spectra to show the allocation of frequency were calculated from the acquired biomedical signal via a window algorithm and the real signal special handling. The frequency spectra became normalized power spectra through algorithm and could be displayed on a monitor or printer in the mode of histogram. We have got good results using this program to compute the power spectra of phrenic nerve discharges from the rabbit.

Algorithms↗

Computer corner #18. A computer program suitable for routine hip replacement follow up and clinical research.

A computer program was developed to facilitate routine follow up examination of patients with total hip replacements and to allow detailed analysis of the collected data for clinical research purposes. Information on more than 800 low friction arthroplasties has now been entered into the computer program. The system is versatile and can be modified to suit particular needs. The method of entering and recalling data can be learned rapidly by those unfamiliar with computers, however, analysis of the data requires advanced computer expertise. Hardware and software requirements for the program are listed at the end of this article.

Follow-Up Studies↗

Evaluation of a computer program for teaching laboratory diagnosis of acid-base disorders.

A computer program was evaluated as a tool for increasing the diagnostic acumen of medical housestaff and students in identifying acid-base disorders. The participants were randomized into two groups; group A (N = 20) was encouraged to use the software, and group B (N = 19) was denied access. Pre- and post-tests were administered to delineate the groups' ability to identify correctly an acid-base disorder from laboratory data (electrolytes and arterial blood gas). During 6 weeks, group A used the computer for a mean of 2.83 h (range 1 to 6). The mean +/- SE number of correct answers out of 20 questions, prior to use of the computer program, were 5.7 +/- 0.8 (95% confidence interval 3.9 to 7.5) for group A and 5.2 +/- 0.6 (95% confidence interval 3.9 to 6.5) for group B. These results were not statistically different. Correct responses increased significantly in group A to 10.3 +/- 0.9 (P < 0.0001, 95% confidence interval 8.4 to 12.2) but did not increase significantly in group B. The data suggest that this software program was effective in increasing the diagnostic capabilities of medical housestaff and students for identifying acid-base disorders.

Acid-Base Imbalance↗

A computer program for the evaluation of ELISA data obtained using an automated microtiter plate absorbance reader.

A new computer program is described which calculates titers and antibody concentrations from ELISA data. Optical densities are measured in 96-well microtiter plates using an automated colorimeter and simultaneously fed into a microcomputer. The data can then be arranged and printed in an 8 X 12 format corresponding to the format of a 96-well microtiter plate. The computer program can also compute the titers of samples if the samples are arranged and titrated in one of the suggested formats. In addition, the titers of unknown samples can be automatically compared with the titer of a standard to obtain concentrations. An ELISA designed to measure the concentration of murine antibodies to the cell wall polysaccharide (PnC) extracted from Streptococcus pneumoniae was performed to document the use of the program.

Computers↗

Computer program for maintenance of individual animal records in a nonhuman primate colony.

A computer program was developed to maintain animal records for a nonhuman primate colony used in research. The program was designed for use with an existing laboratory notebook system. The computer program identifies each notebook entry containing information about each animal and keeps other information, including animal name, sex, species, projects to which the animal is assigned, location of the animal, dates and body weights. The program is interactive and easy to use. Information stored in the system is readily accessible to all investigators using the animals. In 17 months of use, 1382 master file entries were developed for 113 monkeys.

Animals↗