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Technology solutions for better outcomes: integrated information management in key to productivity increases in medicine.

The challenges to healthcare systems around the world are primarily impacted by two topics: demographic factors and progress in medicine. An ageing population inherently needs more medical services which add financial burdens, in particular, to public healthcare. Since the level of medical education is growing at the same time, we are observing an increased demand for sophisticated (in general expensive) medicine. Drastic changes in financing seem unavoidable. Multiple diagnoses, repeated examinations, trial-and-error, overcapacities and other signs of missing economical considerations are reinforced by reimbursement systems. In a world where, in principle, all information is available everywhere, more than a patient's history should be accessible. Other industries have knowledge management systems in place that make state-of-the-art expertise available everywhere. Intelligent patient databases could consist of learning cycles that (i) enable the individual to benefit from structured knowledge, in addition to personal experience of the physician, and (ii) use the knowledge generated from the individual to extend the database. The novel area of molecular medicine fits perfectly well into these scenarios. Only attached to an IT backbone can the flood of information be managed in a beneficial way. Efficiency improvements in healthcare address the needs of all parties in the system: patients, providers, and payers. The opportunities, however, can only materialize if everyone is prepared to change. IT will set the standards for the biggest challenge in healthcare: The paradigm shift in medicine.

Diffusion of Innovation↗

Semantic codes are not used in integrating information across eye fixations in reading: evidence from fluent Spanish-English bilinguals.

The question of whether meaning can be extracted from unidentified parafoveal words was examined using fluent Spanish-English bilinguals. In Experiment 1, subjects fixated on a central cross, and a preview word was presented to the right of fixation in parafoveal vision. During the saccade to the parafoveal preview word, the preview was replaced by the target word, which the subject was required to name. In Experiment 2, subjects read sentences containing the target word, and, as in the naming task, a preview word was replaced by the target word when the subject's saccade crossed a boundary location. In both experiments, preview words were identical to the target word, translations, orthographic controls for the translations, or unrelated words in the opposite language. In both experiments, the preview benefit from the translation conditions was no greater than would be predicted by the orthographic similarity of the preview to the target. Hence, the data indicated that subjects obtained no useful semantic information from words seen parafoveally that enabled them to identify them more quickly on the subsequent fixation.

Adult↗

[Intranet-based integrated information system of radiotherapy-related images and diagnostic reports].

PURPOSE: To use an intranet technique to develop an information system that simultaneously supports both diagnostic reports and radiotherapy planning images. METHODS: Using a file server as the gateway a radiation oncology LAN was connected to an already operative RIS LAN. Dose-distribution images were saved in tagged-image-file format by way of a screen dump to the file server. X-ray simulator images and portal images were saved in encapsulated postscript format in the file server and automatically converted to portable document format. The files on the file server were automatically registered to the Web server by the search engine and were available for searching and browsing using the Web browser. RESULTS: It took less than a minute to register planning images. For clients, searching and browsing the file took less than 3 seconds. Over 150,000 reports and 4,000 images from a six-month period were accessible. Because the intranet technique was used, construction and maintenance was completed without specialty. CONCLUSION: Prompt access to essential information about radiotherapy has been made possible by this system. It promotes public access to radiotherapy planning that may improve the quality of treatment.

Computer Communication Networks↗