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At least 145 records · Page 8Linked to original sources

A proposal for laboratory data reporting.

Changes are proposed regarding the presentation of laboratory information. More definitive statements are required for reference limits, sampling variance (the Clinical Delta Range), and multivariate group analysis of large test batteries. To make this transition possible, laboratory reports should be classed so that the practicing physician has some measure of confidence in the product and its compatability with other sources. The proposal extends to the range of financial reimbursement and suggests that class standing be issued by an accrediting agency and support a structured level of payment.

Analysis of Variance↗

Toxicology case data reporting system.

A computerized system has been organized to serve the toxicology sections of seven R.C.M.P. laboratories across Canada. Scientists may view and retrieve information concerning drugs and drug combinations, blood and liver drug concentrations, etc. from cases of sudden death or impaired driving which were analyzed in the laboratories. This has proven to be a great help in interpreting toxicology case results for the investigator or the courts and also in choosing methodology to be used in analyzing specimens for unusual drugs or poisons.

Canada↗

A computerized single entry system for recording and reporting data on high-risk newborn infants.

A computer-assisted system for data collection in an intensive care nursery is described. Maternal history, infant history, diagnoses, and treatment are sequentially identified on a single form and then entered in batches into a computer at the time of patient discharge. Computer production of a discharge summary and letters to referring and follow-up physicians from a single data-entry form account for an approximately 80% savings in physician record-keeping time per patient. Accuracy of the data is approximately two and one-half times greater than with existing methods of data gathering. Survey of disease occurrence and case fatality rates are rapidly available.

California↗

[Authorship and data reporting according to gender in four Spanish biomedical journals].

AIMS: To describe authorship according to gender in the articles published in four Spanish scientific journals of general medicine and public health, and to analyse the type of presentation of the results in relation to the sex of the subjects of the study. METHODS: We examined 423 articles from four Spanish scientific journals published during 1998. RESULTS: 70.7% of the articles revised had a man as the first author. The sex difference was significant in the editorials (12.4% of the women vs. 29.8% of the men, p < 0.05). Stratification of the results by sex was presented in 167 articles and in 85.6% of them the information about men. DISCUSSION: Gender inequalities in the publication of scientific works in the field of general medicine and public health are found.

Authorship↗

Reporting data following major trauma and analysing factors associated with outcome using the new Utstein style recommendations.

STUDY OBJECTIVE: To collect and present retrospectively the recommended core data from the Utstein style, analyse factors associated with outcome in major trauma, and discuss the value of the Utstein style definition of major trauma. DESIGN: A retrospective trauma cohort study. SETTING: A Norwegian trauma system with a 1200 bed combined local and referral trauma hospital without a formal trauma registry, covering a population of approximately 2.0 million. PARTICIPANTS: 3391 injured patients admitted 12 months from January 15, 1996. MAIN OUTCOME MEASURES: Recommended core data from the Utstein style, and factors associated with outcome defined as in-hospital death within 30 days. RESULTS: 225 patients had an injury severity score (ISS)>15. In each of the 225 patients, we were able to obtain at least 47% of the recommended core data. Age >70 years, fall as a mechanism of injury, and a Trauma Score (TS)< or =14 were significantly associated with poor outcome. Of 22 with no major trauma (ISS<16), two died in hospital and 20 had an intensive care unit stay of more than 2 days. CONCLUSION: We found it difficult to collect retrospectively the recommended core data of the Utstein style. Age and physiological alterations (TS) were significantly related to outcome. The recommended definition of major trauma (ISS>15) did not cover all life-threatening injuries. The implementation of trauma registries based on the Utstein style recommendations could facilitate system evaluation and comparison, but definitions and categorizations should be further developed. Efforts should be made to reduce the number of core data.

Adolescent↗