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At least 1,423 records · Page 79Linked to original sources
PubMed1983

Developing a system for documenting teaching effectiveness.

Faculty evaluation in nursing education is becoming increasingly important as economic realities and accountability efforts hit higher education. Efforts to document teaching effectiveness in nursing are essential to demonstrate nursing education's accountability to the profession and the public it serves. The purposes of faculty evaluation and its interface with the institutional mission and program goals are discussed. Characteristics of effective teaching, evaluation models, and the effects of teaching styles and student learning styles are presented. Also, variables in the instructional setting and evaluation participants re discussed. Components of teaching effectiveness evaluation including student, peer, self, and administrative evaluation are described. Finally, input, outcome and process measures are presented as a model for teaching effectiveness evaluation and guidelines are provided to assist with the development of a system for documenting effective teaching in nursing.

Education, Nursing↗
PubMed1998

The Community Adaptive Planning Assessment: a clinical tool for documenting future planning with clients.

OBJECTIVES: The objectives of this article are to (a) identify features needed in a clinical tool in order to organize collaborative planning for the future between therapist and client; (b) describe the structure and procedures for use of the Community Adaptive Planning Assessment (CAPA), which was developed to meet these needs; (c) summarize research on the usability, trustworthiness, and clinical effectiveness of the CAPA; and (d) consider future work to further evaluate qualitative tools like the CAPA for clinical and research purposes. METHOD: Initial and revised versions of the CAPA were evaluated through several studies. Usability was examined through questionnaires completed by therapists who used the CAPA in acute care, rehabilitation, home health, and community programs with a total of 105 clients who had a variety of acute and chronic disabilities. Trustworthiness was evaluated through comparison of information gathered from 21 clients with that from their family members. Clinical effectiveness was evaluated for discharge planning through content analysis of community outcomes of goals and plans established before discharge. RESULTS: Initial studies indicate that the CAPA has sound usability, trustworthiness, and clinical effectiveness for a variety of service delivery systems and with a variety of clients when used by experienced therapists. Findings support use of these three criteria for evaluation of tools designed to document qualitative consultation-based practice. CONCLUSIONS: Results are related to broader issues in the profession, including a need for further study of collaborative planning for the future between clients and therapists, ways in which qualitative aspects of practice can be documented efficiently, ways in which outcomes of consultation-based practice can be evaluated, and establishment of criteria for evaluation of emerging qualitative assessments and intervention tools.

Disability Evaluation↗
PubMed2001

Comparison of axial reconstructed ultrasonographic images from three-dimensional data volumes and computed tomographic scans in the documentation and detection of liver lesions.

OBJECTIVE: To compare axial reconstructed ultrasonographic images from three-dimensional data volumes and conventional computed tomographic scans in documentation and detection of liver lesions. METHODS: The livers of 23 patients were examined by a multifrequency curved array transducer to acquire three-dimensional data volumes and by conventional computed tomography The ultrasonographic device was equipped with three-dimensional ultrasonographic technology allowing for real-time parallel movement in every plane within an acquired data volume. Axial ultrasonographic images reconstructed from three-dimensional data volumes were compared with conventional computed tomographic scans. RESULTS: When both methods were taken together, a total of 51 different liver lesions could be detected. Reconstructed ultrasonographic images depicted 44 (86%) of 51 lesions, and computed tomographic scans showed 46 (90%) of 51 lesions. Compared with computed tomography, ultrasonography depicted 5 additional lesions in 3 of the patients (4 hemagiomas and 1 unspecified lesion), whereas 7 lesions were missed in another 4 patients (4 metastases, 2 calcifications, and 1 cyst). The Pearson correlation coefficient between ultrasonography and computed tomography was r = 0.84 (P < .001). CONCLUSIONS: Our study shows that ultrasonographic images can be effectively reconstructed from three-dimensional data volumes. With respect to documentation and detection of liver lesions, the results obtained by three-dimensional ultrasonography appear comparable with those obtained by conventional computed tomography. However, several technical and procedural limitations have to be respected.

Adult↗
PubMed1976

[Psychiatry and EDP. First experience with specialty-specific additional documentation-psychiatry with computer epicrisis].

A supplementary documentation on psychiatry, of which the purpose is to systematically collect certain predetermined patient data, was prepared as part of the electronic data processing project "Basic processes of patient-related information processing" which has been mapped out by workers at the Dresden Medical Academy. A psychiatric "computer-based epicrisis" has been formulated and introduced into daily psychiatric practice. A brief description of documents serving as vouchers is followed by a discussion of the advantages and disadvantages of such a method as well as the basic possibilities of development.

Computers↗
PubMed1990

Document image management systems: promise versus reality.

Do you dream of using a document image management system at your facility? This article balances the reasons why healthcare facilities are slow to invest in such technology against the benefits offered by electronic document image management systems. The author also provides a list of vendors.

Capital Expenditures↗
PubMed1993

Full-text document storage and retrieval in a clinical information system.

The overall design of the CIS at CPMC is heavily influenced by the decision support component. The type of automated decision support being implemented dictates the need for highly structured or coded data. The value of decision support systems has been well documented. The current reliance on free-text documents is natural and a rewarding first step to a more valuable mix of coded and free text. While the health care provider might find the textual comments of the various reports extremely useful, the capability of an automated system to vigilantly review every data element for trends and anomalies is becoming invaluable in today's ever more complex health care delivery environment. Other approaches such as optical imaging systems would facilitate human decision support, but do not supply data in a format that can be processed by automated decision support systems. The developers of the CIS at CPMC believe that data are most valuable when available for both human and automated decision support.

Clinical Medicine↗
PubMed1996

IVBT-documented platelet function correlates with flow cytometric data.

Thrombocytopenic patients with identical platelet counts often show different bleeding tendencies owing to significant differences in the platelet function. This could be demonstrated by the in vitro bleeding test (IVBT). Using flow cytometry, we tried to find characteristics of platelet antigen expression in order to explain these differences in function. Thirty patients with bone marrow hypoplasia receiving 65 platelet transfusions (mainly from a cell separator) were observed for 3 to 29 days. Size, granulation and fluorescence of platelet-rich plasma (n = 522 samples) were evaluated using monoclonal antibodies against GP IIIb (collagen receptor), GP IIb/IIIa (fibrinogen receptor) and GP Ib (thrombin receptor). We defined separate gates for each antibody using the results from 50 normals and by laying an orthograde cross over the gate to divide the gate into four equal quadrants. The platelet populations were divided into four different groups according to the occlusion time (OT) of the IVBT and the Simplate time (ST). The thrombocytes with the most impaired function (OT > or = 485 s/ST > 30 min) had significantly less platelet fluorescence when marked with antibodies against GP IIIb and GP Ib than those with short OT and ST (OT < 100 s/ST < 15 min). Similar results were obtained when evaluating the data relative to the bone marrow status: patients with < 1000 WBC/microliters showed significantly less platelet fluorescence when marked with anti-GP IIIb and anti-GP Ib than thrombocytopenic patients, who had a spontaneous platelet rise beyond 30,000 platelets/microliters a few days later. One day after platelet transfusion, significantly more platelets with high GP IIIb and Ib expression could be found. We were also able to document better transfusion efficacy of platelet concentrates with high GP IIIb and Ib expression. Finally, patients with high bleeding scores showed less GP Ib expression on the platelets than patients with low bleeding scores. In summary, the IVBT-documented platelet function clearly corresponded to an increased expression of the collagen receptor and the thrombin receptor of platelets.

Bleeding Time↗
PubMed1997

Revised precautionary measures to reduce the possible transmission of Creutzfeldt-Jakob disease (CJD) by blood and blood products; guidance document; availability--FDA. Notice.

The Food and Drug Administration (FDA) is announcing the availability of a guidance document entitled "Revised Precautionary Measures to Reduce the Possible Transmission of Creutzfeldt-Jakob Disease (CJD) by Blood and Blood Products," dated December 11, 1996. The guidance document is intended to provide recommendations to the blood industry and may include information useful to other interested persons.

Blood Banks↗
PubMedDate not supplied

Informational and documentational needs for education and training for health and family welfare--"para-professional and auxiliary".

In this paper, the author stressed the needs for a central arrangement for acquisition, exchange and dissemination of scientific information in the field of health and family welfare so as to increase the efficiency and effectiveness of planning, administration and evaluation of health and family planning programmes and also to carry out research when needed. The proposed arrangement in the form of a documentation centre must collect information on health care systems as their main functions so that the information and documentational needs for the education and training of health personnel are rationally developed in the context of present and future health needs and demands.

Allied Health Personnel↗
PubMed1982

Medicare program: access to books, documents, and records of subcontractors--Health Care Financing Administration.

These regulations implement section 952 of the Omnibus Reconciliation Act of 1980 (Pub. L. 96-499), which conditions Medicare reimbursement for the cost of services performed under certain contracts upon compliance with prescribed criteria. If a contract between a provider and a subcontractor covers services valued at or costing $10,000 or more over a 12-month period, Medicare reimbursement cannot be made for the services unless the contract includes a clause allowing the Secretary of Health and Human Services and the Comptroller General access to the contract and to the subcontractor's books, documents, and records necessary to verify the costs of the contract. The clause in the contract must also permit similar access top any subcontract between the subcontractor and a related organization of the subcontractor when the subcontract is worth or costs $10,000 or more over a 12-month period. These regulations specify the criteria and procedures that the Department will use to obtain access to affected books, documents, and records. The purpose of the legislation and these proposed regulations is to permit the Secretary and Comptroller General to make an accurate determination of the reasonable costs under these contracts.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed1982

Medicare program; access to books, documents and records of subcontractors--Health Care Financing Administration. Proposed rule.

This proposal would implement section 952 of the Omnibus Reconcilation Act of 1980 (Pub. Law 96-499), which conditions Medicare reimbursement for the cost of services performed under certain contracts upon compliance with prescribed criteria. If a contract between a provider and a subcontractor covers services valued at or costing $10,000 or more over a 12-month period, Medicare reimbursement cannot be made for the services unless the contract includes a clause allowing the Secretary of Health and Human Services and the Comptroller General and access to the contract and to the subcontractor's books, documents and records necessary to verify the costs of the contract. The clause in the contract must also permit similar access to any subcontract between the subcontractor and a related organization of the subcontractor when the subcontract is worth or costs $10,000 or more over a 12-month period. This proposal specifies the criteria and procedures that the Department would use to obtain access to affected books, documents and records. The purpose of the legislation and these proposed regulations is to permit the Secretary and Comptroller General to make an accurate determination of the reasonable costs under these contracts.

Centers for Medicare and Medicaid Services, U.S.↗
PubMedDate not supplied

Minimal requirements in prostate cancer irradiation: a consensus document by the AIRO Lombardia Cooperative Group.

PURPOSE: With the aim of establishing clinical and technical criteria to homogenize radiotherapy practice, a working group of AIRO-Lombardia (Associazione Italiana di Radioterapia Oncologica--Gruppo regionale della Lombardia) has tried to define minimal requirements for radical and postoperative irradiation in prostate cancer. The document has been structured in such a way as to be also of interest to the urological and medical oncology communities. METHODS: The working group, composed of representatives of most of the regional radiotherapy departments in the Lombardy region, had monthly meetings during 1996 and 1997. The document on minimal requirements has been derived from the participants' combined experience and knowledge, from review of the literature, and from a 1995 regional survey on current practice of prostate irradiation. RESULTS: Minimal requirements for radical and postoperative irradiation of prostate cancer have been defined with respect to treatment strategies, pre-treatment diagnostic evaluation and staging, treatment prescription, preparation and execution, and quality assurance procedures. CONCLUSION: Standards of reference for minimal requirements in prostate cancer irradiation adapted to the regional structures and resources have been defined.

Humans↗
PubMed1999

[ICH M4: the standardized international restration dossier or "C.T.D." (common technical document)].

The ICH E3 guideline "Structure and Content of Clinical Study Reports" has allowed to harmonize the structure and the contents of the study report, as well as the information to be provided in each section. Industry has wished to pursue this process and has asked for an ICH guideline regarding the complete harmonization of the registration dossier, called "C.T.D." or Common Technical Document, for the three parts of the dossier in terms of quality, safety and efficacy. A survey was carried out comparing the documentation to be provided, identifying the differences and potential obstacles to harmonization, and assessing the advantages and disadvantages of the C.T.D. The C.T.D. leading to a single registration dossier should allow pharmaceutical companies and health authorities to make savings in terms of resources (time, money and expertise), to facilitate exchanges through IT systems and to improve communication. The ICH expert groups in charge of the pharmaceutical, pre-clinical and clinical parts of the dossier are expected to start their work in February 1998. By February 2000, it is anticipated that this project will become a valuable tool for the international registration and evaluation of medicines. The C.T.D. should improve the dialogue between industry and authorities with regard to medicines and public health.

Drug Industry↗
PubMedDate not supplied

Glomerulopathic light chain-mesangial cell interactions modulate in vitro extracellular matrix remodeling and reproduce mesangiopathic findings documented in vivo.

Glomerulopathic light chains (LCs) are associated with two distinct mesangiopathies: AL (light-chain-related) amyloidosis and light-chain deposition disease (LCDD) with immunomorphologic features that are well documented in the literature. Even though both conditions are caused by monoclonal LCs, these entities differ dramatically in their morphologic expressions. In AL amyloidosis the mesangial matrix is replaced by amyloid fibrils, while in LCDD the matrix increases as a consequence of deposition of excess extracellular matrix (ECM). The immunomorphologic mesangial alterations observed in biopsy material are closely reproduced in vitro when mesangial cells grown on an artificial matrix are incubated with monoclonal light chains obtained from the urine of patients with either condition. This article summarizes previously reported data, reports new findings, and focuses on integrating all the available information on the subject. When mesangial cells are incubated with LCDD-LCs, production of ECM proteins (collagen IV, laminin, fibronectin, and tenascin) is increased, with maximum effect at 72 hours post LC treatment. A concomitant decrease in collagenase IV activity further accentuates the accumulation of mesangial matrix. These effects are mediated through transforming growth factor-beta (TGF-beta) activation. In contrast, when mesangial cells are incubated with Am-LCs, a decrease in ECM protein production and a stimulatory effect on collagenase IV is observed, which results in matrix degradation and facilitates amyloid deposition. The decreased TGF-beta documented in the literature in this setting precludes adequate matrix repair. These findings substantiate the morphologic alterations observed in renal biopsy specimens and in the in vitro model. Using this in vitro model, it is then possible to delineate the LC interactions with putative receptors at the mesangial cell surface that regulate mesangial cell pathobiologic responses and mesangial matrix homeostasis.

Amyloid↗
PubMed1999

[Use of the publications and documents of the World Health Organization].

For 50 years the development of reliable information has been one of the functions of WHO. Much of this information is made available through an extensive programme of publications. The National Medical Library. Prague as the WHO Documentation Centre acts as a national support to the promotion, distribution and reproduction of WHO documentation.

Czech Republic↗
PubMed1998

A data dictionary approach to multilingual documentation and decision support for the diagnosis of acute abdominal pain. (COPERNICUS 555, an European concerted action).

This paper describes the design and development of a multilingual documentation and decision support system for the diagnosis of acute abdominal pain. The work was performed within a multi-national COPERNICUS European concerted action dealing with information technology for quality assurance in acute abdominal pain in Europe (EURO-AAP, 555). The software engineering was based on object-oriented analysis design and programming. The program cover three modules: a data dictionary, a documentation program and a knowledge based system. National versions of the software were provided and introduced into 16 centers from Central and Eastern Europe. A prospective data collection was performed in which 4020 patients were recruited. The software design has been proven to be very efficient and useful for the development of multilingual software.

Abdomen, Acute↗
PubMed1999

Food and Drug Administration Modernization Act of 1997; list of documents issued by the Food and Drug Administration that apply to medical devices regulated by the Center for Biologics Evaluation and Research. Food and Drug Administration, HHS. Notice.

The Food and Drug Administration (FDA) is publishing a list of documents issued in response to the Food and Drug Administration Modernization Act of 1997 (FDAMA), and clarifying their applicability to medical devices regulated by the Center for Biologics Evaluation and Research (CBER). This notice is intended to inform the public of the availability of these documents, clarify their scope of applicability, and to provide instructions on ways to access them.

Equipment and Supplies↗
PubMed1999

MEDTAG: tag-like semantics for medical document indexing.

Medical documentation is central in health care, as it constitutes the main means of communication between care providers. However, there is a gap to bridge between storing information and extracting the relevant underlying knowledge. We believe natural language processing (NLP) is the best solution to handle such a large amount of textual information. In this paper we describe the construction of a semantic tagset for medical document indexing purposes. Rather than attempting to produce a home-made tagset, we decided to use, as far as possible, standard medicine resources. This step has led us to choose UMLS hierarchical classes as a basis for our tagset. We also show that semantic tagging is not only providing bases for disambiguisation between senses, but is also useful in the query expansion process of the retrieval system. We finally focus on assessing the results of the semantic tagger.

Abstracting and Indexing↗