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PubMed2002

Will claims workers dislike a computerized fraud detector?

The computerized fraud detector (CFRD) assigns suspicion scores to questionable automobile insurance claims. Evaluators pilot tested this algorithm in three offices, comparing its effects with three matched offices. Observers uncovered that in two target offices and one comparison office, Millennium 2000 (M2K) also was being installed. The study design thus became as follows: Two offices had two interventions, one office had CFRD but not M2K, another office had M2K but not CFRD, and two offices had neither. Hierarchical linear models document that offices with both new computer systems will have the most unfavorable employee attitudes toward computerized fraud detection, followed by offices with only one new system. Employees with jobs of higher rank and employees not receptive to innovation will dislike computerized fraud detection. Implementation of one computer system, CFRD or M2K, may have minor negative fixed effects on employee attitudes, but their effects on the between-office variance are inconsequential.

Algorithms↗
PubMed1965

NERVOUS SYSTEM RESEARCH WITH COMPUTERS.

The experimental system described above has been in full-scale operation now for about one year. It has been possible in this short period only to begin the exploration of the potentialities of the system for aiding nervous system research. The most intensively developed programs have been those on the insect (3) and on human vision and eye movements (5). In both of these programs the facility has permitted new research techniques which have provided answers to important questions, answers which would have been unobtainable without such a data-processing and control system.

Animals↗
PubMed1977

Radiology of cysticercosis of the central nervous system including computed tomography.

Cysticercosis is a parasitic disease in which man serves as the intermediate host of Taenia solium, the pork tapeworm. The larvae have a predilection for the central nervous system and can cause a variety of neurologic and psychiatric symptoms. Areas of involvement are classified as intraventricular, parenchymal, arachnoidal, and mixed. The diagnosis is made primarily by roentgenographic and spinal fluid examinations. The authors reviewed 232 cases of cysticercosis involving the central nervous system. It was found that computed tomography is a useful tool in assessing this illness.

Adolescent↗
PubMed1980

Data processing in microbiology: an integrated, simplified system.

A MUMPS based computer system is described for the processing of data in a microbiology laboratory. The system uses visual display units and mnemonic codes for data input. All functions are carried out within the department by the medical, technical, and clerical staff. While the system described is integrated with other user-systems in the hospital, it is readily adaptable, and portable to a stand-alone system.

Laboratories↗
PubMed1991

Microcomputer software needs for home care services: similarities to and differences between hospital inpatient systems.

A home care computer system and database manager designed specifically for the needs of home care are needed in a time when documentation requirements are many and qualified personnel are few. Home care software allows these clinicians to provide consistent data, minimize mathematical errors, handle the complex reimbursement system, and maximize the efficiency of the organization's professional, administrative, and clerical staff. Good quality patient care and time management are critical to providing high quality, cost-effective, parenteral therapy home care in the 1990s. This system and the user training program are designed to accommodate both the experienced home care provider and the novice, inexperienced provider. The Specialized Clinician also carries out reimbursement, thus eliminating the major cause of failure of inexperienced start-up home infusion care programs.

Documentation↗
PubMed2004

[Proper use of own data bases warranted by call recording system].

A newly created computer system for call (toxicological information) recording and a Base of Toxic Substances created in native Polish language are presented in the paper. An extended structure of this data base enable to catalogue different groups of toxic substances (e.g. medication drugs, psychoactive substances, pesticides), and toxins (animals' poisons, toxic plants and mushrooms) concerning their specificity. Construction of the Base also enable to reach necessary information quickly. What more, identification of toxic substances could be easier due to possibility enclosing photos.

Databases as Topic↗
PubMed2005

Evaluation and testing of computed radiography systems.

The implementation of film replacement digital radiographic imaging systems throughout Europe is now gathering momentum. Such systems create the foundations for totally digital departments of radiology, since radiographic examinations constitute the most prevalent modality. Although this type of development will lead to improvements in the delivery and management of radiological service, such widespread implementation of new technology must be carefully monitored. The implementation of effective QA tests on installation, at periodic intervals and as part of a routine programme will aid this process. This paper presents the results of commissioning tests undertaken on a number of computed radiography imaging systems provided by different manufacturers. The aim of these tests was not only to provide baseline performance measurements against which subsequent measurements can be compared but also to explore any differences in performance, which might exist between different units. Results of measurements will be presented for (1) monitor and laser printer set-up; (2) imaging plates, including sensitivity, consistency and uniformity; (3) resolution and contrast detectability; and (4) signal and noise performance. Results from the latter are analysed in relationship with both system and quantum noise components.

Computers↗
PubMedDate not supplied

RGSS-ID: an approach to new radiologic reporting system.

RGSS-ID is a developmental computer system that applies artificial intelligence (AI) methods to a reporting system. The representation scheme called Generalized Finding Representation (GFR) is proposed to bridge the gap between natural language expressions in the radiology report and AI methods. The entry process of RGSS-ID is made mainly by selecting items; our system allows a radiologist to compose a sentence which can be completely parsed by the computer. Further RGSS-ID encodes findings into the expression corresponding to GFR, and stores this expression into the knowledge data base. The final printed report is made in the natural language.

Artificial Intelligence↗
PubMed1991

The human cerebro-cerebellar system: its computing, cognitive, and language skills.

In this review of the human cerebro-cerebellar system, the focus is on the possible contributions of the cerebellum to cognitive and language functions. The role of the cerebellum in these human functions has tended to be obscured by the traditional preoccupation with the motor functions of the cerebellum, which have been widely observed in other vertebrates as well. In the human brain, some phylogenetically new parts evolved and enlarged in the cerebellum, concomitantly with the enlargement of association areas in the cerebral cortex. Anatomical evidence and behavioral evidence combine to suggest that this enlarged cerebellum contributes not only to motor function but also to some sensory, cognitive, linguistic, and emotional aspects of behavior. The anatomical evidence derives from the modularity of the cerebellum, whose cortical nerve cells are organized into longitudinal micro-modules, which are arrayed perpendicular to the cortical surface and parallel to each other. The number of these micro-modules increased when the cerebellum enlarged, which enlarged the computing capabilities of the network. (From principles underlying the processing of information, it is known that when modules with modest processing capabilities are assembled in large numbers in parallel, the resulting network can achieve remarkably powerful computing capabilities.) Such cerebellar computing capabilities can be utilized in the different areas of the cerebral cortex to which the cerebellum sends signals. The cerebellar output connections convey signals through the thalamus to the cerebral cortex in segregated channels of communication, which preserve the modularity of the cerebellum. Through these channels, modules in the lateral cerebellum can send signals to new cognitive and language areas of the cerebral cortex, such as Broca's area in the prefrontal cortex. The anatomy of the human cerebro-cerebellar system therefore suggests that the cerebellum can contribute to the learning not only of motor skills but also of some cognitive and language skills. Supporting this anatomical evidence is the mounting behavioral evidence, obtained both in normal brains and in clinical studies, which indicates that the lateral cerebellum is indeed involved in some cognitive and language functions.

Brain↗
PubMed1977

Computed tomography of systemic lupus erythematosus.

Computed tomographic (CT) findings in 14 patients with systemic lupus erythematosus are correlated with clinical symptomatology. Microinfarction (manifested by perisuical atrophy) large infarcts, and hematomas are the major abnormalities demonstrated by CT. The neuropathology of these changes is discussed.

Adolescent↗
PubMed1992

Automated therapeutic drug monitoring in an ambulatory care endocrine clinic.

OBJECTIVE: To develop and implement an automated therapeutic drug monitoring system for accessing data from endocrine clinic patients who had been prescribed insulin, oral hypoglycemic agents (OHA), or levothyroxine. DATA SOURCES: We designed a computer system to retrieve clinical data from the Medical Information System (MIS), a centralized hospital computer system, and import this information directly into a Macintosh personal computer. Physician entry of prescriptions for insulin, OHA, or levothyroxine into MIS formed the basis for a computer program to retrieve daily diagnostic and prescription information, demographics, and laboratory analyses, including blood glucose and glycosylated hemoglobin for insulin and OHA orders and free and total thyroxine, total triiodothyronine, and thyroid stimulating hormone for levothyroxine orders. The information was imported into a database program (4th Dimension). RESULTS: The system identifies laboratory values outside of predetermined therapeutic ranges, maintains an up-to-date patient profile, and edits and generates reports. Preliminary experience suggests that automation eliminates 75-90 percent of the time required to manually collect the same information, and improves the accuracy, comprehensiveness, and utility of reports. CONCLUSIONS: Automated therapeutic drug monitoring minimizes the time required to collect clinical data, alerts clinicians to potential problems, and provides a means to assess overall therapeutic management. Our methodology can be used to evaluate other medications in a variety of general or specialty clinics.

Ambulatory Care↗
PubMed1997

[Data collection in anesthesia. Experiences with the inauguration of a new information system].

UNLABELLED: In many institutions information systems are used to process off-line anaesthesia data for invoices, statistical purposes, and quality assurance. Information systems are also increasingly being used to improve process control in order to reduce costs. Most of today's systems were created when information technology and working processes in anaesthesia were very different from those in use today. Thus, many institutions must now replace their computer systems but are probably not aware of how complex this change will be. Modern information systems mostly use client-server architecture and relational data bases. Substituting an old system with a new one is frequently a greater task than designing a system from scratch. This article gives the conclusions drawn from the experience obtained when a large departmental computer system is redesigned in an university hospital. METHODS: The new system was based on a client-server architecture and was developed by an external company without preceding conceptual analysis. Modules for patient, anaesthesia, surgical, and pain-service data were included. Data were analysed using a separate statistical package (RS/1 from Bolt Beranek), taking advantage of its powerful precompiled procedures. RESULTS: Development and introduction of the new system took much more time and effort than expected despite the use of modern software tools. Introduction of the new program required intensive user training despite the choice of modem graphic screen layouts. Automatic data-reading systems could not be used, as too many faults occurred and the effort for the user was too high. However, after the initial problems were solved the system turned out to be a powerful tool for quality control (both process and outcome quality), billing, and scheduling. The statistical analysis of the data resulted in meaningful and relevant conclusions. CONCLUSIONS: Before creating a new information system, the working processes have to be analysed and, if possible, made more efficient; a detailed programme specification must then be made. A servicing and maintenance contract should be drawn up before the order is given to a company. Time periods of equal duration have to be scheduled for defining, writing, testing and introducing the program. Modern client-server systems with relational data bases are by no means simpler to establish and maintain than previous mainframe systems with hierarchical data bases, and thus, experienced computer specialists need to be close at hand. We recommend collecting data only once for both statistics and quality control. To verify data quality, a system of random spot-sampling has to be established. Despite the large investments needed to build up such a system, we consider it a powerful tool for helping to solve the difficult daily problems of managing a surgical and anaesthesia unit.

Anesthesia↗
PubMedDate not supplied

Internally developed medical equipment management system: a viable alternative.

A medical equipment management computer system, internally developed by Rhode Island Hospital, is presented. Hospital biomedical engineering departments must contend with ever-increasing regulatory requirements for patient-care equipment. Computerization is a viable solution to meeting the documentation standards dictated by healthcare governing bodies. Rhode Island Hospital's system consists of a Macintosh computer, Panorama database software, and Psion LZ64 Organiser handheld computer. Files were set up on equipment data, JCAHO-required historical documentation, service, inspections, part codes and locations, and vendor contact information. Technician inspection data recording time was reduced by approximately 30%.

Biomedical Engineering↗
PubMed2006

Grid scheduling for interactive analysis.

Grids are facing the challenge of moving from batch systems to interactive computing. In the 70s, standalone computer systems have met this challenge, and this was the starting point of pervasive computing. Meeting this challenge will allow grids to be the infrastructure for ambient intelligence and ubiquitous computing. This paper shows that EGEE, the largest world grid, does not yet provide the services required for interactive computing, but that it is amenable to this evolution through relatively modest middleware evolution. A case study on medical image analysis exemplifies the particular needs of ultra-short jobs.

Databases as Topic↗