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Teleradiology.

Advances in telecommunications and computer software have led to the development of radiology image transfer systems. Radiologists may now report radiographs at a site distant from that of the examination, in some cases almost instantaneously. Computed tomography, magnetic resonance imaging, and ultrasonography may also be supervised from afar. Developments over the past few decades are reviewed, allowing an understanding of the systems currently available. These include systems that transmit static images and real time video systems that enable interactive supervision from a radiologist at a distant site. The implications for the practice of radiology are discussed and the main areas of development over the next few years explored.

Computer Communication Networks↗

Recipients of oocyte donation: an integrative review.

OBJECTIVE: To conduct a systematic review of published research to provide a synthesis of the psychosocial characteristics of donor oocyte recipient women. DATA SOURCES: The sample of published studies was selected from 1983 to September 2002. Retrieval of the studies used online computer searches from CINAHL, MEDLINE, PsycINFO, and Wilson's Social Science Abstracts using the terms reproduction techniques, in vitro fertilization, oocyte donation, oocyte recipients, and egg donation; citations from references and bibliographies of previously located articles; and two 60-minute retrieval sessions with a librarian specializing in health science literature. STUDY SELECTION: The majority of studies retrieved were completed in the natural sciences. The final sample resulted in 16 studies. DATA EXTRACTION: Each study was read and the data were extracted using a survey instrument developed by the investigator. DATA SYNTHESIS: Multiple methodologies were used in the sample; most were exploratory, retrospective, and descriptive studies. Thus, the data were analyzed using a qualitative discursive approach. A total of 827 donor oocyte recipient women participated in the studies. CONCLUSIONS: Published research investigating the psychosocial characteristics of donor recipient women was categorized into six focused areas: motivation; desired donor characteristics; selection of a known versus an anonymous donor; demographic, educational, and psychosocial profiles; disclosure of the method of conception to family members, friends, and the resulting child; and the relationship between the oocyte recipient and her resulting offspring. Research involving the psychosocial aspects of donor oocyte recipient women is in the infancy stage.

Attitude to Health↗

The future of nursing in a technological age: computers, robots, and TLC.

The computer has become a major tool in the medical treatment of disease. Computers can record vital signs, keep records, and provide central networks for interactive diagnosis. Individual medical histories can be contained in an optical card the size of a credit card. Advances in technology just over the horizon will permit an individual to consult a computer much as one now consults a physician for diagnosis, recommendations, instructions, and treatment. Surgery can be conducted in "virtual space," with the physician operating inside the body (via computer) as if he or she were present at the site of the surgery. Only a step beyond this is the development of robots who can do a better surgical job than a human being. What is missing from this scenario? Tender loving care. That is the nurse's job, and it is something that computers cannot do because it involves feelings and human communication that are beyond mere technology. Consequently, nurses will be needed long after physicians have passed into limbo. The practical lesson of this look into the future is that, although nurses certainly must remain in touch with the cutting edge of technology, their primary purpose will be to retain and sharpen the skills that Florence Nightingale introduced. Human response will never be replaced by technology, and the unchanging need for the nurses' caring function will assure their future.

Computers↗

Manuscript Architect: a Web application for scientific writing in virtual interdisciplinary groups.

BACKGROUND: Although scientific writing plays a central role in the communication of clinical research findings and consumes a significant amount of time from clinical researchers, few Web applications have been designed to systematically improve the writing process. This application had as its main objective the separation of the multiple tasks associated with scientific writing into smaller components. It was also aimed at providing a mechanism where sections of the manuscript (text blocks) could be assigned to different specialists. Manuscript Architect was built using Java language in conjunction with the classic lifecycle development method. The interface was designed for simplicity and economy of movements. Manuscripts are divided into multiple text blocks that can be assigned to different co-authors by the first author. Each text block contains notes to guide co-authors regarding the central focus of each text block, previous examples, and an additional field for translation when the initial text is written in a language different from the one used by the target journal. Usability was evaluated using formal usability tests and field observations. RESULTS: The application presented excellent usability and integration with the regular writing habits of experienced researchers. Workshops were developed to train novice researchers, presenting an accelerated learning curve. The application has been used in over 20 different scientific articles and grant proposals. CONCLUSION: The current version of Manuscript Architect has proven to be very useful in the writing of multiple scientific texts, suggesting that virtual writing by interdisciplinary groups is an effective manner of scientific writing when interdisciplinary work is required.

Authorship↗

Analysis of reference transactions using packaged computer programs.

Motivated by a continuing education class attended by the authors on the measurement of reference desk activities, the reference department at Scott Memorial Library initiated a project to gather data on reference desk transactions and to analyze the data by using packaged computer programs. The programs utilized for the project were SPSS (Statistical Package for the Social Sciences) and SAS (Statistical Analysis System). The planning, implementation and development of the project are described.

Computers↗

OneSearch in a dental library: beyond MEDLINE.

MEDLINE, which includes the Index to Dental Literature, has been the database of choice for most search requests generated at Indiana University School of Dentistry. However, many requests extend beyond dentistry and the health sciences into the realms of business, education, psychology, law, and computer technology. For these requests, DIALOG's new OneSearch feature can be a simple and cost-effective mechanism for supplementing searches that would otherwise be confined to MEDLINE.

Dentistry↗

[Simulation as a method for solving medical technical problems].

The present paper first presents a comprehensive overview of the methodological aspects of simulation. It lists the various approaches to the modelling of real-world systems and emphasizes the respective constraints on the interpretation of model data. For this purpose, a classification of typical applications of simulation models is given, and is followed by a discussion of three structurally different ways of constructing a model. The correct matching of these modelling concepts to the particular application problem in hand is discussed, with special consideration being given to the drawing of conclusions from, and the interpretation of, the simulation results. To round of the classification, the simulation models are differentiated in accordance with the nature of their implementation. By defining application type, modelling concept and model implementation, an understanding of the validity and appropriate application of any industrial model is derived.

Computer Simulation↗

Implementing communication between Windows PCs and test equipment using RS-232 and Borland C++ Builder.

Modern experiments in the behavioral sciences frequently employ several items of electronic equipment such as computers, monitoring devices, stimulus presentation equipment, and response collection systems. In many cases it would be advantageous for these items to communicate directly with each other. Such communication may facilitate greater automation of experiments (i.e., reduced experimenter influences during the experiment), more precise experiment control (i.e., superior timing and synchronization capabilities of electronic devices), and greater accuracy of data collection (i.e., reduced ambiguity of participant responses). Many electronic experiment devices already provide external interfaces through which communication with other devices can be implemented. The most common is based on the RS-232 protocol, which is also found in all standard PCs. Therefore, Microsoft Windows based computers can be programmed to control experiments by communicating directly with electronic experiment devices. We show how to implement this RS-232 interconnection between devices and a Windows PC using currently available software tools.

Computer Communication Networks↗

Service delivery mechanisms in rehabilitation technology.

Rehabilitation technology is a rapidly advancing area involving professionals from multiple disciplines, including engineers, occupational and physical therapists, speech pathologists, computer programmers, and many others. This paper focuses on the use of computers and other personal assistive devices by disabled persons, but the concepts presented apply to all areas of personal rehabilitation technology. The topics covered include a perspective on the use of advanced technology, technological appliances versus tools, skills or special knowledge needed for the effective delivery of rehabilitation technology, new roles for the service delivery team, sources of training in rehabilitation technology, and issues in qualification or certification of rehabilitation technology professionals. The purpose of this paper is to put the use of advanced technology for rehabilitation in its proper perspective and to present ideas for consideration in building more effective service delivery mechanisms for these technologies.

Certification↗