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Microcomputer software to facilitate costing in pathology laboratories.

A software program is described which will enable laboratory managers to calculate, for their laboratory over a 12 month period, the cost of each test or investigation and of components of that cost. These comprise the costs of direct labour, consumables, equipment maintenance and depreciation; allocated costs of intermediate operations--for example, specimen procurement, reception, and data processing; and apportioned indirect costs such as senior staff time as well as external overheads such as telephone charges, rent, and rates. Total annual expenditure on each type of test is also calculated. The principles on which the program is based are discussed. Considered in particular, are the problems of apportioning indirect costs (which are considerable in clinical laboratory work) over different test costs, and the merits of different ways of estimating the amount or fraction of staff members' time spent on each kind of test. The computer program is Crown copyright but is available under licence from one of us (JAS).

Computers↗

Development of a microcomputer system for recording veterinary visits, preparing accounts, and as an aid to herd fertility and herd health schemes.

A computerised method of recording clinical information from farm animal practice visits and using it for herd fertility visits, herd health schemes, the investigation of disease outbreaks and as a source of data for epidemiological studies was developed in the University of Liverpool farm animal practice. The system stores clinical and reproductive information in a data base from which data can be readily extracted and analysed, and monthly bills produced.

Data Collection↗

A microcomputer model for predicting output from beef suckler herds.

The design of a computer spreadsheet model for predicting the output of beef suckler herds is described and validated with results from three herds. The effects of changing variables in the model on the output of these herds are demonstrated, particularly with respect to changes in herd management.

Animal Husbandry↗

OBUS: a microcomputer system for measurement, calculation, reporting, and retrieval of obstetric ultrasound examinations.

A computer system called OBUS is described. This system is helpful in many ways in obstetric sonography: measurement of fetal parameters, calculation of gestational age and weight from measurements as well as from clinical dates, assessment of fetal growth, generation of examination reports, patient file management, and retrieval of reports. The time-consuming nature of these tasks, the reliance on quantitation, and the stylized, yet detailed nature of the reports make them particularly suited for automation. The system has been accepted by ultrasonographers performing approximately 40 obstetric examinations a day. Because of its ease of use, manpower savings, and low cost, OBUS has proved to be highly cost-effective.

Computers↗

Compliance in microcomputer-assisted conventional insulin therapy: computer simulation study results.

Compliance in diabetes self-management is a complex issue. It involves the interdependent daily actions of self-measurement of blood glucose and adherence to a prescribed schedule of daily activities. This impacts strongly on lifestyle because it necessitates precise meal timing as well as control of size and carbohydrate content. We sought to identify how strongly relaxing the lifestyle constraints per se would impact the ability to achieve improved metabolic control. To isolate these effects from those that result from poor measurement compliance, we used a computer simulator called OMNI et al. Furthermore, to standardize the "clinical" therapy, a second microprocessor device called an "Insulin Dosage Computer" was used to adjust insulin doses based on the usual clinical practice of four times a day precibal blood glucose measurements. Ten type 1 diabetic patients were stimulated and each followed for 120 simulated days. In each such subject, the simulation was repeated three times to include three different levels of lifestyle compliance ranging from excellent to poor. In all three protocols, starting from a level of poor control of diabetes, mean blood glucose values were significantly improved without significant differences after 120 days of computer-simulated treatment. Only the standard deviations, expressing the fluctuations of blood glucose and hence its stability, increased with decreasing lifestyle compliance. This computer simulation predicts that consistent self-monitoring of four blood glucose values per day is the cornerstone of diabetic self-control and that the use of these data according to a standardized therapeutic algorithm for insulin adjustment may successfully stabilize even patients with poor lifestyle compliance. Clinical studies must follow.

Blood Glucose↗