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At least 1,603 records · Page 89Linked to original sources
PubMed2000

Local CD-ROM in interaction with HTML documents over the Internet.

The internet and computer assisted learning have enhanced the possibilities of providing quality distance learning in dentistry. The use of multimedia material is an essential part of such distance learning courses. However the Internet technology available has limitations regarding transmission of large multimedia files. Therefore especially when addressing undergraduate students or geographically isolated professionals, large download times make distance learning unattractive. This problem was technically solved in a distance learning course for undergraduate students from all over Europe. The present communication describes a method to bypass the problem of transmitting large multimedia files by the use of a specially designed CD-ROM. This CD-ROM was run locally on the students' PC interacting with HTML documents sent over the Internet.

CD-ROM↗
PubMed2003

The common technical document: the changing face of the New Drug Application.

Drug approval is the goal of the long process of drug development. Once preclinical and clinical trial data have been collected, a New Drug Application must be submitted to the regulatory authority for approval. Although the requirements for this submission have similarities around the world, until now, the applications have been different. Regulatory authorities working under the umbrella of the International Conference on Harmonisation are hoping that the development of the Common Technical Document will soon harmonize the application procedure, and make this process simpler for applicants.

Biotechnology↗
PubMedDate not supplied

Documentation and tagging of casualties in multiple casualty incidents.

The use of triage tags is widely advocated as a tool to improve the management of multiple casualty incident scenes. However, there are no published reports to suggest that triage tags have improved the management of incidents involving more than 24 persons, and a number of reports have detailed problems associated with triage tag use. Alternative systems of scene management such as geographical triage have been successfully used in very large incidents, and are recommended as an alternative to triage tags. Documentation cards attached to casualties may be of use in situations where casualties will pass through an extended evacuation chain, and clear labels for deceased casualties are of benefit as they discourage repeat assessments. Adoption of an evidence-based approach to multiple casualty incident scene management will require a paradigm shift in the thinking of ambulance services. A broad-based educational approach that encourages critical reappraisal of existing procedures is recommended.

Disaster Planning↗
PubMedDate not supplied

Home visitation practice: models, documentation, and evaluation.

This article presents an evaluation of an in-home support program for at-risk mothers and their children. The program was multidisciplinary and was focused on development of parenting capacity and child-development competencies. The authors examine issues and problems that resulted from the blending of two models of practice-stabilization/crisis intervention and early intervention/health promotion-and describe the outcome-based evaluation that was used to assess initial and ongoing child development, parent-child interaction, family environment, and social support. When documentation and evaluation of practice and its effect on outcomes proved a considerable challenge, the authors developed a classification system to describe practice in three areas: situations addressed, interventions used, and referrals made. The article describes challenges surrounding program development, implementation, and evaluation.

Adult↗
PubMed2000

A model instrument for the documentation of outcome after nerve repair.

We present a new model for documentation and quantification of the functional outcome after nerve repair at the wrist or distal forearm level and a protocol that includes a numerical scoring system. The model, presented here along with validation and reliability test results, supports our hypothesis that the summarized test results reflecting specific functional limitations correlates well with the patient's opinion of the impact of the nerve injury on activities of daily living. Seventy patients with nerve repair were examined using the protocol. Analysis included 3 factors: sensory domain (sensory innervation, tactile agnosis, and finger dexterity), motor domain (motor innervation and grip strength), and pain/discomfort domain (hyperaesthesia and cold intolerance). The analysis explained 73% of the variances of the variables and the variables had a logical distribution between the factors. Analysis of internal consistency demonstrated good homogeneity. A calculated total score correlated strongly with the patients' global estimation of the impact of the injury on activities of daily living and the summary of sensory and pain/discomfort domains correlated significantly with the Medical Research Council S0-S4 scale. The presented model represents a useful new tool for evaluation of the functional outcome after nerve injury and repair.

Adolescent↗
PubMed2002

[The Würzburg Ear Forms: a system to document surgery and follow-up evaluation].

BACKGROUND: About a decade ago a PC based system to document surgery and follow up evaluation was installed. At that time the wide spread DOS systems provided only inputs via the keyboard. However, we believed that to assure the system would be accepted by the user, a graphical user interface would be necessary. Such an interface provides greater user-comfort and ensures the validity of entered data. METHODS: A simple graphical platform was installed, which provided all the necessary functions without being too complex. Several forms were designed for data collection. The first form implemented was designed for ear surgery. It comprises 356 items. The relevant data in the form are selected by a mouse click from possible alternatives. Although a large number of items are provided, it takes only one to two minutes to fill in the form. RESULTS: At present, September 2001, the database contains 10 453 records related to ear operations, 9633 preoperative audiograms and the results from 16 140 follow up evaluations. A special language and an interpreter for analyzing the data were added to complete the system. CONCLUSIONS: The large number of cases stored in the database allows data analysis with a high level of statistical confidence for any conclusions based upon the data. It also allows investigations of the simultaneous influence of a large number of variables on the results.

Computer Graphics↗
PubMed2002

[Documentation and treatment of mental impairment in somato-medical rehabilitation].

Using routine data collected in 2000 for the quality assurance programme of the German Pension Insurance subjective mental impairment and disorders documented in discharge letters of patients undergoing rehabilitation funded by the Federal Insurance Institute for Salaried Employees (BfA) (n = 19,272) were correlated with psychological treatment and inpatient somato-medical rehabilitation provided. The results show discrepancies between self-evaluation, original diagnosis and treatment received. The frequency of treatments varies between hospitals. The differences in treatment are attributed rather to a varying quality of implementation of the bio-psycho-social concept than to a lack of human resources.

Adolescent↗
PubMed2004

[New documentation sheet for medical examination due to exposures to dust].

With beginning of the year 2004 a new documentation sheet for occupational preventive medical examinations according to exposures to mineral dust (quartz, asbestos, ceramic fibres) will replace the existing sheet. The new investigation sheet is presented in this publication and changes are described.

Asbestos↗
PubMed1997

[The clientel of a psychotherapeutic polyclinic in the light of a documentation base].

A documentation system for use during the diagnostical process with psychotherapy outpatients is outlined, and sociodemographic, medical and psychosocial data of newly admitted patients of a university psychotherapy outpatient department are presented. The population structure is described on the basis of data collected during the first 18 months of the implementation of the assessment system. Data are compared with those of other psychotherapeutical institutions that differ with regard to setting (outpatient vs. inpatient), health care sector (acute care vs rehabilitation) and geographic region. Sociodemographic and medical data are given. Patients' mean age is 33.5 years. Two-thirds of the patients are female. The majority is single and has higher formal education. Slightly more than half of the patients are working. Modes of admittance, somatic and psychological complaints and aspects of illness behaviour are described. Pertaining to diagnostical classification, affective disorders (34%), somatoform disorders (15%) and anxiety disorders (11%) are most frequent. Mean duration of symptoms is 6 years. However, only few patients had prior psychological treatment. Treatments most frequently selected at the time of assessment were psychodynamic psychotherapy (41%), behavioural therapy (24%), and group therapy (10%). When comparing the study population with those of other institutions, differences showed up especially in contrast to rehabilitation clinics, where older, male, and working persons as well as those with somatoform disorders and longer durations of illness are more frequent.

Adult↗
PubMed1990

[Documentation of the surgical report with graphic statistical data analysis--a simplification of daily routine work].

A data collection system on microcomputer connected with an automatic medical report system for operations, was developed to facilitate both medical report as well as documentation. Linking different commercial software products by use of a Pascal programme, we were able to speed up daily routine work as well as establish efficient graphical statistics of patient data.

Cesarean Section↗
PubMed1980

[The problem of documentation and quality control in operative gynaecology (author's transl)].

A documentation system by punch card, key and program system was developed at the University Department for Women in Tübingen and used for operative gynaecology. From each patient 12 quantitative and 19 qualitative parameters were coded. Included in the code were the diagnosis or several diagnoses, the operation or several operations, previous operation or previous operations, risk factors, complications during the operation and following the operation and data on the anesthesia. 1,700 procedures with opening of the peritoneum were reviewed retrospectively. From these data 499 vaginal hysterectomies with anterior and posterior colporrhaphy and with/or without bilateral salpingo-oophorectomy were selected as well as 249 abdominal hysterectomies with Marshall Marchetti operation in the Tübingen modification with/or without bilateral salpingo-oophorectomy and with/or without colporhaphy. These two groups were compared regarding important parameters. It was confirmed that the morbidity in vaginal hysterectomy was much higher than in abdominal hysterectomy.

Anesthesia↗
PubMedDate not supplied

[Diagnosis--therapy and documentation].

The procedures of documentation of diagnostic findings are well established--but different in their graphical and structural appearance of patients histories. Out of multiple findings a retrieval with valid informations is very clumsy. In order to increase quality a complete and reliable registration of clinical data base is necessary. For this purpose the use of electronic media is profitable if the requirements of the data-base are well defined. A nationwide agreement on one key-system--including the transformation of textual structures--is proposed. Only this way leads to comparable results in therapeutic procedures.

Data Collection↗
PubMedDate not supplied

[Documentation and quality control].

Documentation and quality control in hospitals are not only required due to legal obligations, but should be a representation, how physicians see themselves. The fast changes in medical treatment procedures makes adequate techniques of information management indisposable. In the past data analysis in hospitals was characterized by a too strong restriction in variables under study, and a too sharp project orientation with the consequences, that many tasks had to be done repeatedly and an overview on the whole situation wasn't achieved either. So in recording postoperative wound sepsis many separate aspects have to be taken into consideration and microbiological results have to be stored in a way, that differentiation over time is possible. For medical data management a time oriented database structure is therefore advisable and more adequate than a relational one.

Cross Infection↗
PubMed2003

Panniculectomy, documentation, reimbursement, and the WOC nurse.

Panniculectomy surgery is a reconstructive procedure performed to remove a panniculus, sometimes referred to as a pannus or abdominal apron. The pannus frequently contributes to a number of health concerns, including chronic wounds. Panniculectomy surgery becomes necessary for many patients who have had massive weight loss as a result of successful bariatric weight-loss surgery. Bariatric weight-loss surgery is one of the fastest growing specialties in America, and therefore, nurses can expect to care for increasing numbers of patients who require this reconstructive procedure. Despite the medical necessity of panniculectomy surgery, barriers to reimbursement exist. An update on the demographics of obesity, nationally and worldwide, are presented, especially as this information relates to the growing interest in panniculectomy surgery following massive weight loss. Bariatric weight-loss surgery and panniculectomy surgery are described and barriers to reimbursement are explained. The importance of wound care documentation in making the case for reimbursement is described, and a sample letter of appeal is provided.

Abdomen↗
PubMed2005

A thermometry system for quality assurance and documentation of whole body hyperthermia procedures.

Since December 2001, the Department of Oncology and Medical Physics, Haukeland University Hospital, Norway has been conducting whole body hyperthermia (WBH) studies, treating patients with either ovarian carcinoma or non-Hodgkin lymphomas. Accurate and reliable thermometry instrumentation is important in all types of hyperthermia procedures, particularly in WBH, where the target patient body temperature is 41.8 degrees C. Reliable documentation of side-effects in clinical studies is also dependent on precise temperature monitoring, since in this temperature range even small, but systematic, inaccuracies (0.1-0.2 degrees C) in the temperature monitoring is expected to affect the amount of side effects. Readily available heating and temperature data from previous treatment sessions of the same patient is also valuable for precise temperature control in future treatment sessions. The WBH thermometry system implemented at Haukeland University Hospital is described. It is based on commercially available components, including standard medical thermistor probes, and includes a temperature calibration and verification facility. The thermometry system is accurate, reliable, easy to use, comfortable for the patient and relatively inexpensive. By implementing the Steinhart-Hart polynomial fit to standard medical thermistor probe data, it is shown that the WBH treatment thermometers used can measure the patient body temperatures with a short- and long-term accuracy of +/- 0.01 degrees C.

Body Temperature↗