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PubMed1988

Apple Macintosh programs for nucleic and protein sequence analyses.

This paper describes a package of programs for handling and analyzing nucleic acid and protein sequences using the Apple Macintosh microcomputer. There are three important features of these programs: first, because of the now classical Macintosh interface the programs can be easily used by persons with little or no computer experience. Second, it is possible to save all the data, written in an editable scrolling text window or drawn in a graphic window, as files that can be directly used either as word processing documents or as picture documents. Third, sequences can be easily exchanged with any other computer. The package is composed of thirteen programs, written in Pascal programming language.

Amino Acid Sequence↗
PubMed1990

Computer use and education in radiology residency programs.

Computers play an increasingly important role in radiology education and research. We surveyed all U.S. residency programs to assess computer availability, education, and use by residents. Out of 210 questionnaires sent, 132 were returned (63% response). Areas of inquiry included computer equipment and software as well as resident use of facilities. Opinions were also solicited concerning the importance of computer literacy and education. Sixty-nine percent of the respondents have computer facilities (61% within the department). Predominant uses include scientific papers, slides/audiovisual presentations and resume preparation. Popular software includes word processing, spreadsheets, databases and graphics. Of those training programs with computers, 85% provided computer education, and most (70%) felt computer training was very important. Forty-seven percent expected their residents to have at least passing acquaintance with computers. However, in 60% of programs with computers, the computers are used by less than half the residents. Of those programs without a computer, 61% provided no computer training, and only 44% felt computer education was very important. A sizable minority of radiology residency programs are still without computer facilities. Those programs that have computers tend to place a greater emphasis on computer education and literacy for radiology residents. However, even in programs that have computers, it seems they are often underutilized by residents.

Computer User Training↗
PubMed1989

A more cost-effective method of preoperative computerized imaging.

Stimulated by the explosive expansion of the computerized desk top publishing industry during the past few years, microcomputer hardware and software are evolving at a staggering rate. Memory is rapidly increasing, and prices are declining. I have found that with the hardware and software described in this paper, I was able to obtain, in a much more cost-effective manner, as useful preoperative information for my practice as I could obtain with more expensive "turnkey" (only one use) computerized imaging systems. This type of microcomputer, of course, is not limited to just the imaging system, but can be used for a variety of other programs as well, such as word processing, slide labeling and production, spreadsheet functions, billing and filing, and numerous business and other applications. The ease of use with readily available 35-mm slides of my patients has greatly enhanced the appeal of this system. Computerized imaging, when used as an educational tool, can be very helpful in preoperative planning, resident teaching, and for illustration and discussion of a patient's proposed surgery. The electronic imaging disclaimer compiled by the American Society of Plastic and Reconstructive Surgeons has been extremely helpful in clarifying the limits of computerized imaging and reducing any false expectations that my patients might have. All of us are experiencing the dawn of a very exciting evolution.

Cephalometry↗
PubMed1983

A microcomputer-based information storage and retrieval system for the maintenance of records for a culture collection.

A microcomputer-based system for the storage and retrieval of information on strains in a culture collection is described. The system was designed around commercially available software packages written for microcomputers. Two additional programs were written using the BASIC language to allow a catalogue of the culture collection to be printed in a specific format. The details of each strain in the collection were stored on a floppy disc. Details of new strains were added to this database and information relating to existing cultures was modified or, where necessary, deleted from the collection. The database can be searched to supply details of a particular culture or to identify those cultures which possess certain attributes. The records for the whole collection were sorted alphabetically by species name, and numerically by accession number, and a word-processing package was used to print a catalogue of the culture collection.

Bacteriology↗
PubMed1984

Design and preparation of a formulary--guide to the prescribing of medicines.

In recent years there has been a renewed interest in the use of local hospital 'formularies'. The development and preparation at The London Hospital (Whitechapel) of a guide of prescribing which embraces and extends the concept of a formulary is described. A method of involving staff in the preparation of text was developed to ensure the rapid production of a reasonably comprehensive guide which would command respect and a high degree of compliance. The use of word-processing techniques and graphic design expertise are described. The guide has been carefully introduced together with plans for monitoring compliance and its influence on drug expenditure. These are discussed in the light of one year's experience with the guide.

Drug Prescriptions↗
PubMed1989

Information technology in postgraduate medical education.

Information technology in postgraduate medical education has developed rapidly over the last 5 years. This report describes the experience of setting up a computer-based information system in postgraduate centres in the West of Scotland. It includes a viewdata service, library facilities, computer-assisted learning, word processing, and statistics. An electronic mail system provides rapid communication between users. The costing and some of the problems in setting up such systems are discussed.

Education, Medical, Graduate↗
PubMed1983

Microcomputers and microprocessors in urology: present and future.

Urology departments have a heavy outpatient workload requiring efficient secretarial, appointments and records services. Microcomputers are relatively inexpensive and can facilitate efficient routine clinical and research work. Unlike mainframe computers, formal training is not usually required, a simple introduction being sufficient for the enthusiast. An Apple computer is used in this department for word processing incorporating standard letters, paragraphs and phrases. With more sophisticated programs urological screening by computer interrogation could be linked to an appointments system to coordinate investigations, minimising hospital visits. Microprocessors can facilitate a wide variety of measurement recording and data handling. Urodynamic measurements can be computed and graphs superimposed to facilitate interpretation.

Computers↗
PubMed1986

Combined computer generated discharge documents and surgical audit.

A computerised audit system using a commercially available database program and a word processing program was devised to produce discharge documents close to the time of discharge. The data were available for audit of the surgical unit's work. It was found that secretarial time was more efficiently used and general practitioners received more information about their patients earlier than before.

Computers↗
PubMed1992

The computer-based cumulative report: improvement in quality and efficiency.

A cumulative radiology report, like clinical progress notes, contains a listing of examinations and findings in chronologic order. Word processing is the most efficient way to create such a report, with follow-up examinations handled as additions to an existing document. Since 1988, cumulative reports on 127 cases involving 483 examinations have been made for a long-term industrial chest radiology survey by using a personal computer and custom software that employs minimum keystrokes to manage files. The results were as follows: (a) Quality improved operationally owing to routine auditing of prior information. (b) Efficiency improved owing to computer speed and software functions that included a refined "last in-first out" index and user-defined macros. (c) The radiologist saved time by not having to reiterate previously reported findings that were unchanged. This method is ideal for long-term surveys and could be a useful option for follow-up examinations in general.

Humans↗
PubMedDate not supplied

An assessment of computer use, knowledge, and attitudes of diabetes educators.

A questionnaire to survey attitudes, use, and knowledge of computers was sent to 816 randomly selected members of AADE to determine the degree to which currently available computer resources are used in diabetes education and to investigate the need for future computing resources designed to support diabetes education. Analysis of the data showed that even diabetes educators who use computers infrequently have a generally favorable attitude toward them. Highest use of computers is in noneducational applications, mostly for word processing and record keeping. Most respondents believe that computers have yet to make a major contribution to the teaching and learning process in diabetes education, and few felt adequately prepared for creative use or development of computer applications. Increasing the role of computers in support of patient education will require encouragement and demonstrations of computer efficacy from health care institutions and professional organizations.

Adult↗
PubMed1982

Selecting a computer for your needs.

Realistic goals and adequate information about equipment and program capabilities are essential prerequisites when selecting a computer system. Problems of equipment selection are dealt with by discussing a range of microcomputers emphasising the need to consider expansion and compatibility with standards such as the S. 100 bus. The importance of ready availability of word processing and management programs is emphasised.

Anesthesiology↗
PubMed1990

Making adult education accessible to the deaf. A model of direct instructor communication in ASL.

The purpose of this study was to develop a model of direct communication in American Sign Language for mainstreamed adult education courses. The model uses an individual instruction format with limited lecture time. Data were collected for 23 students (12 hearing and 11 deaf) newly enrolled in a mainstreamed word processing class. They were compared on average hours required to complete an exercise, average rates of attendance, and weekly drop rate. Attendance and drop rates were compared for new and returning students in the mainstreamed class (34 students) and 25 hearing students from a nonmainstreamed class. In addition, the average number of hours required to complete the exercises was compared for 10 new hearing students from the mainstreamed class and 11 new hearing students from the nonmainstreamed class. No significant differences were found in any of the comparisons. The study recommends further research to compare this Direct Instructor Communication Model with other more traditional deaf education models.

Adult↗
PubMed1988

Microcomputer-aided instruction for ob-gyn education.

PC-CAI is a computer program that presents text characters from a word-processed file. The software was created to allow rapid authoring of computer-aided-instruction modules or multiple choice tests that give explanation and feedback to the student about their choice of responses. The program is IBM-PC/XT/AT compatible under MS-DOS. It is used in the Department of Obstetrics and Gynecology for medical students to supplement faculty lectures and also to administer pre- and post-tests to those students. The program is additionally used to create practice tests for our residents to prepare for their in-training exams. The software's main forte is to create multiple choice question modules, with feedback and explanations, that serve as learning tools rather than just as testing tools. Its use has enabled our department to create a comprehensive set of teaching modules in a relatively short period of time. These modules are easily modifiable as medical concepts or teacher emphasis changes.

Arkansas↗
PubMed1984

[An experimental study on the duration of a single spell of work on VDT (visual display terminal) performance].

The relation between work load and the duration of a single spell of work on VDT performance studied in an experimental word processing task. Nine healthy male college students performed 2-hour visual tasks under the following three sets of work conditions. In the first set, subjects performed VDT work for two hours without intermission. In the second set, subjects had a 10-minute intermission after a 1-hour task. In the third set, there was a 5-minute intermission after a 30-minute task. Critical flicker fusion, near point distance, subjective fatigue symptoms, heart rate, respiratory rate, blinking counts, electromyogram in upper limb and performance score were measured. Results are as follows. Decrease in critical flicker fusion, increase in near point distance and subjective fatigue symptoms appeared in all three sets of experimental conditions after two hour tasks. Increased slow wave components on electromyogram and increased errors in performance appeared after 60-minute or more tasks without intermission. Effects on the critical flicker fusion, near point distance, subjective fatigue symptoms, electromyogram, blinking counts and errors in performance were least in the third set. The results of this study suggest that in order to reduce operators' fatigue on VDT work of the conversation type, countermeasures such as shortening the duration of a single spell of work to less than 60 minutes and taking frequent short intermission are necessary.

Adult↗
PubMed1986

[An experimental study of work load on VDT performance. Part 1. Effects of polarity of screen and color of display].

Study were made on the effects of polarity of screen and color of display on work load of VDT tasks. The subjects of the present experiment were eight healthy male college students (age: 21-23 yr) having a naked binocular vision of not less than 0.7 and no astigmatism nor hyperopia. The test consisted of an experimental word processing task in which the subjects visually searched e's in given sequences of alphabetical letters displayed on the CRT and converted them to 5's through keyboard operation. As for experimental conditions, four levels of screen image, that is, positive and negative screens and green and white colored displays were adopted and 2 hr were given for each operation time. Critical flicker fusion (CFF), near point distance, accommodation time, subjective fatigue symptoms, heart rate, electromyogram in upper limbs and performance score were measured. The following results were obtained. Decrease in C.F.F. and extension of near point distance were observed in all experimental conditions during the operating time. Increase in complaints of subjective fatigue related to visual function was observed in all experimental conditions after two hour VDT task. Greater extension of near point distance and larger complaints of subjective fatigue were observed in subjects using the green colored display than in those using the white colored display. This suggests that the visual load using the green colored display is larger than that using the white colored display. A larger decreased in C.F.F. and greater complaints of subjective fatigue were demonstrated in subjects using negative screen than those using positive screen. This suggests that the visual load using the negative screen is larger than that using the positive screen.

Adult↗
PubMed1986

Microcomputer patient database management system for an MRI facility.

A management system for a magnetic resonance imaging facility was developed to store pertinent patient data and to maintain a teaching file. The system was developed on a Digital PRO-350 microcomputer using a commercially available database software package. The cost of the system was about $7000. The patient data are entered at a terminal by a clerk typist. Input data are condensed or abbreviated to accommodate the limited data storage on the microcomputer. Cases can be rapidly retrieved and sorted on the basis of any of the 42 data fields available or any combination of these fields. The system has been successfully used for 18 months to create directories for a teaching file, for presentations, and for clinical research. Census-type data can be compiled, and the system can be used for word processing.

Computers↗
PubMed1989

The introduction of personal computers into clinical cancer research in Norway.

Present and estimated future use of personal computers (PCs) in clinical cancer research was assessed after the distribution of 24 personal computers to clinicians and scientists engaged in clinical cancer research. Two questionnaires were sent to the clinicians with an interval of six months. The clinicians were divided into two main groups, 'Experts' and 'Non-experts', based on their background knowledge of and previous experience with computers. Word processing and recording of patient details were the main application fields for the PC. Requested tasks for future were the performance of statistical analyses and graphics. The clinicians, especially the Non-experts, met the following problems upon the reception of the PC: Lack of time and help to become acquainted with the PC, as well as lack of appropriate software. Half of the clinicians were reluctant to admit any usefulness of artificial intelligence for clinical cancer care. It is concluded that the introduction of personal computers will probably improve the facilities for clinical cancer research. However, clinicians need sufficient time and help to get started, and appropriate software must also be provided.

Humans↗
PubMed1992

IAIMS at Columbia-Presbyterian Medical Center: accomplishments and challenges.

The concept of "one-stop information shopping" is becoming a reality at Columbia-Presbyterian Medical Center. Our goal is to provide access from a single workstation to clinical, research, and library resources; university and hospital administrative systems; and utility functions such as word processing and mail. We have created new organizational units and installed a network of workstations that can access a variety of resources and systems on any of seventy-two different host computers/servers. In November 1991, 2,600 different individuals used the clinical information system, 700 different individuals used the library resources, and 900 different individuals used hospital administrative systems via the network. Over the past four years, our efforts have cost the equivalent of $23 million or approximately 0.5% of the total medical center budget. Even small improvements in productivity and in the quality of work of individuals who use the system could justify these expenditures. The challenges we still face include the provision of additional easy-to-use applications and development of equitable methods for financial support.

Academic Medical Centers↗