Protecting clinical data in PACS, teleradiology systems, and research environments

NASA Astrophysics Data System (ADS)

Meissner, Marion C.; Collmann, Jeff R.; Tohme, Walid G.; Mun, Seong K.

1997-05-01

As clinical data is more widely stored in electronic patient record management systems and transmitted over the Internet and telephone lines, it becomes more accessible and therefore more useful, but also more vulnerable. Computer systems such as PACS, telemedicine applications, and medical research networks must protect against accidental or deliberate modification, disclosure, and violation of patient confidentiality in order to be viable. Conventional wisdom in the medical field and among lawmakers legislating the use of electronic medical records suggests that, although it may improve access to information, an electronic medical record cannot be as secure as a traditional paper record. This is not the case. Information security is a well-developed field in the computer and communications industry. If medical information systems, such as PACS, telemedicine applications, and research networks, properly apply information security techniques, they can ensure the accuracy and confidentiality of their patient information and even improve the security of their data over a traditional paper record. This paper will elaborate on some of these techniques and discuss how they can be applied to medical information systems. The following systems will be used as examples for the analysis: a research laboratory at Georgetown University Medical Center, the Deployable Radiology system installed to support the US Army's peace- keeping operation in Bosnia, a kidney dialysis telemedicine system in Washington, D.C., and various experiences with implementing and integrating PACS.

TH-A-12A-01: Medical Physicist's Role in Digital Information Security: Threats, Vulnerabilities and Best Practices

DOE Office of Scientific and Technical Information (OSTI.GOV)

McDonald, K; Curran, B

I. Information Security Background (Speaker = Kevin McDonald) Evolution of Medical Devices Living and Working in a Hostile Environment Attack Motivations Attack Vectors Simple Safety Strategies Medical Device Security in the News Medical Devices and Vendors Summary II. Keeping Radiation Oncology IT Systems Secure (Speaker = Bruce Curran) Hardware Security Double-lock Requirements “Foreign” computer systems Portable Device Encryption Patient Data Storage System Requirements Network Configuration Isolating Critical Devices Isolating Clinical Networks Remote Access Considerations Software Applications / Configuration Passwords / Screen Savers Restricted Services / access Software Configuration Restriction Use of DNS to restrict accesse. Patches / Upgrades Awareness Intrusionmore » Prevention Intrusion Detection Threat Risk Analysis Conclusion Learning Objectives: Understanding how Hospital IT Requirements affect Radiation Oncology IT Systems. Illustrating sample practices for hardware, network, and software security. Discussing implementation of good IT security practices in radiation oncology. Understand overall risk and threats scenario in a networked environment.« less

Analysis of the impact of digital watermarking on computer-aided diagnosis in medical imaging.

PubMed

Garcia-Hernandez, Jose Juan; Gomez-Flores, Wilfrido; Rubio-Loyola, Javier

2016-01-01

Medical images (MI) are relevant sources of information for detecting and diagnosing a large number of illnesses and abnormalities. Due to their importance, this study is focused on breast ultrasound (BUS), which is the main adjunct for mammography to detect common breast lesions among women worldwide. On the other hand, aiming to enhance data security, image fidelity, authenticity, and content verification in e-health environments, MI watermarking has been widely used, whose main goal is to embed patient meta-data into MI so that the resulting image keeps its original quality. In this sense, this paper deals with the comparison of two watermarking approaches, namely spread spectrum based on the discrete cosine transform (SS-DCT) and the high-capacity data-hiding (HCDH) algorithm, so that the watermarked BUS images are guaranteed to be adequate for a computer-aided diagnosis (CADx) system, whose two principal outcomes are lesion segmentation and classification. Experimental results show that HCDH algorithm is highly recommended for watermarking medical images, maintaining the image quality and without introducing distortion into the output of CADx. Copyright © 2015 Elsevier Ltd. All rights reserved.

Factors associated with past research participation among low-income persons living with HIV.

PubMed

Slomka, Jacquelyn; Kypriotakis, Georgios; Atkinson, John; Diamond, Pamela M; Williams, Mark L; Vidrine, Damon J; Andrade, Roberto; Arduino, Roberto

2012-08-01

We described influences on past research participation among low-income persons living with HIV (PLWH) and examined whether such influences differed by study type. We analyzed a convenience sample of individuals from a large, urban clinic specializing in treating low-income PLWH. Using a computer-assisted survey, we elicited perceptions of research and participating in research, barriers, benefits, "trigger" influences, and self-efficacy in participating in research. Of 193 participants, we excluded 14 who did not identify any type of study participation, and 17 who identified "other" as study type, resulting in 162 cases for analysis. We compared results among four groups (i.e., 6 comparisons): past medical participants (n=36, 22%), past behavioral participants (n=49, 30%), individuals with no past research participation (n=52, 32%), and persons who had participated in both medical and behavioral studies (n=25, 15%). Data were analyzed using chi-square tests for categorical variables and ANOVA for continuous variables. We employed a multinomial probit (MNP) model to examine the association of multiple factors with the outcome. Confidence in ability to keep appointments, and worry about being a 'guinea pig' showed statistical differences in bivariate analyses. The MNP regression analysis showed differences between and across all 6 comparison groups. Fewer differences were seen across groupings of medical participants, behavioral participants, and those with no past research experience, than in comparisons with the medical-behavioral group. In the MNP regression model 'age' and level of certainty regarding 'keeping yourself from being a guinea pig' showed significant differences between past medical participants and past behavioral participants.

SeCD electronic folder: CADMIO's application for the medical folder of a service for the care of drug addicts.

PubMed

Della Valle, R M; Baldoni, A; De Rossi, M; Ferri, F

1998-01-01

In this paper we will describe the SeCD (Service for the Care of Drug addicts) electronic folder, a specific application of CADMIO [1] (Computer Aided Design for Medical Information Objects) system. CADMIO is a system for the definition, construction and management of multimedia clinical folders. The Ser.T. (Servizio per la Tossicodipendenza/Service for Drug Addicts) has earned a very special place within the Italian clinical structures as well as any service for drug addicts has done in the rest of the world. Such a structure has special needs and the characteristics of its medical folders are very different from any other folder. Actually, a Ser.T. has to keep updated the patient situation either from the clinical point of view as well as the psychiatric one. Moreover, it must keep track of the clinician subjective considerations about the patient psychic state and his situation in regard of the law. So, we had to redesign some of the features of the existing CADMIO application, to accommodate such highly not structured data into objects easily manipulated by an informative system. The objectives we hope to achieve were mainly two: To show that a well designed adaptive system can be easily exploited to support even very complex and poorly structured data types and actions To design data structures able to accommodate medical, psychiatric and administrative data in an homogeneous manner.

A computer-based maintenance reminder and record-keeping system for clinical laboratories.

PubMed

Roberts, B I; Mathews, C L; Walton, C J; Frazier, G

1982-09-01

"Maintenance" is all the activity an organization devotes to keeping instruments within performance specifications to assure accurate and precise operation. The increasing use of complex analytical instruments as "workhorses" in clinical laboratories requires more maintenance awareness by laboratory personnel. Record-keeping systems that document maintenance completion and that should prompt the continued performance of maintenance tasks have not kept up with instrumentation development. We report here a computer-based record-keeping and reminder system that lists weekly the maintenance items due for each work station in the laboratory, including the time required to complete each item. Written in BASIC, the system uses a DATABOSS data base management system running on a time-shared Digital Equipment Corporation PDP 11/60 computer with a RSTS V 7.0 operating system.

[Research on fast implementation method of image Gaussian RBF interpolation based on CUDA].

PubMed

Chen, Hao; Yu, Haizhong

2014-04-01

Image interpolation is often required during medical image processing and analysis. Although interpolation method based on Gaussian radial basis function (GRBF) has high precision, the long calculation time still limits its application in field of image interpolation. To overcome this problem, a method of two-dimensional and three-dimensional medical image GRBF interpolation based on computing unified device architecture (CUDA) is proposed in this paper. According to single instruction multiple threads (SIMT) executive model of CUDA, various optimizing measures such as coalesced access and shared memory are adopted in this study. To eliminate the edge distortion of image interpolation, natural suture algorithm is utilized in overlapping regions while adopting data space strategy of separating 2D images into blocks or dividing 3D images into sub-volumes. Keeping a high interpolation precision, the 2D and 3D medical image GRBF interpolation achieved great acceleration in each basic computing step. The experiments showed that the operative efficiency of image GRBF interpolation based on CUDA platform was obviously improved compared with CPU calculation. The present method is of a considerable reference value in the application field of image interpolation.

Smoking cessation medications

MedlinePlus

Smoking cessation - medications; Smokeless tobacco - medications; Medications for stopping tobacco ... Smoking cessation medicines can: Help with the craving for tobacco. Help you with withdrawal symptoms. Keep you ...

Corridor consultations and the medical microbiological record: is patient safety at risk?

PubMed Central

Heard, S R; Roberts, C; Furrows, S J; Kelsey, M; Southgate, L

2003-01-01

The performance procedures of the General Medical Council are aimed at identifying seriously deficient performance in a doctor. The performance procedures require the medical record to be of a standard that enables the next doctor seeing the patient to give adequate care based on the available information. Setting standards for microbiological record keeping has proved difficult. Over one fifth of practising medical microbiologists (including virologists) in the UK (139 of 676) responded to a survey undertaken by the working group developing the performance procedures for microbiology, to identify current practice and to develop recommendations for agreement within the profession about the standards of the microbiological record. The cumulative frequency for the surveyed recording methods used indicated that at various times 65% (90 of 139) of respondents used a daybook, 62% (86 of 139) used the back of the clinical request card, 57% (79 of 139) used a computer record, and 22% (30 of 139) used an index card system to record microbiological advice, suggesting wide variability in relation to how medical microbiologists maintain clinical records. PMID:12499432

Information storage for health-care providers: it's not as simple as it seems.

PubMed

Hanauer, David

2004-01-01

As medical practices migrate from paper to computers for record keeping, new issues surrounding the safe storage of such data are arising. These range from choosing an electronic storage format to ensuring that any electronic information stored today will be available and readable years into the future. Privacy and security issues also continue to be important, especially since the HIPAA regulations were instituted. With the rapid advances in technology, finding the right solution may be like trying to hit a moving target, yet some basic principles, outlined in this article, should make this difficult task easier.

38 CFR 17.164 - Patient responsibility in making and keeping dental appointments.

Code of Federal Regulations, 2013 CFR

2013-07-01

... making and keeping dental appointments. 17.164 Section 17.164 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services § 17.164 Patient responsibility in making and keeping dental appointments. Any veteran eligible for dental treatment on a one-time completion basis only and...

38 CFR 17.164 - Patient responsibility in making and keeping dental appointments.

Code of Federal Regulations, 2010 CFR

2010-07-01

... making and keeping dental appointments. 17.164 Section 17.164 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services § 17.164 Patient responsibility in making and keeping dental appointments. Any veteran eligible for dental treatment on a one-time completion basis only and...

38 CFR 17.164 - Patient responsibility in making and keeping dental appointments.

Code of Federal Regulations, 2012 CFR

2012-07-01

... making and keeping dental appointments. 17.164 Section 17.164 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services § 17.164 Patient responsibility in making and keeping dental appointments. Any veteran eligible for dental treatment on a one-time completion basis only and...

38 CFR 17.164 - Patient responsibility in making and keeping dental appointments.

Code of Federal Regulations, 2011 CFR

2011-07-01

... making and keeping dental appointments. 17.164 Section 17.164 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services § 17.164 Patient responsibility in making and keeping dental appointments. Any veteran eligible for dental treatment on a one-time completion basis only and...

38 CFR 17.164 - Patient responsibility in making and keeping dental appointments.

Code of Federal Regulations, 2014 CFR

2014-07-01

... making and keeping dental appointments. 17.164 Section 17.164 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services § 17.164 Patient responsibility in making and keeping dental appointments. Any veteran eligible for dental treatment on a one-time completion basis only and...

Virtual Record Keeping: Should Teachers Keep Online Grade Books?

ERIC Educational Resources Information Center

Lacina, Jan

2006-01-01

Teaching and learning radically changed with advances in technology. Research shows that the computer can be an effective tool in both teaching and learning, and for that reason, school districts throughout the United States support schools by purchasing computers and software for individual classrooms. As a result, many school districts are using…

A Brain-Computer Interface Project Applied in Computer Engineering

ERIC Educational Resources Information Center

Katona, Jozsef; Kovari, Attila

2016-01-01

Keeping up with novel methods and keeping abreast of new applications are crucial issues in engineering education. In brain research, one of the most significant research areas in recent decades, many developments have application in both modern engineering technology and education. New measurement methods in the observation of brain activity open…

A Representation for Gaining Insight into Clinical Decision Models

PubMed Central

Jimison, Holly B.

1988-01-01

For many medical domains uncertainty and patient preferences are important components of decision making. Decision theory is useful as a representation for such medical models in computer decision aids, but the methodology has typically had poor performance in the areas of explanation and user interface. The additional representation of probabilities and utilities as random variables serves to provide a framework for graphical and text insight into complicated decision models. The approach allows for efficient customization of a generic model that describes the general patient population of interest to a patient- specific model. Monte Carlo simulation is used to calculate the expected value of information and sensitivity for each model variable, thus providing a metric for deciding what to emphasize in the graphics and text summary. The computer-generated explanation includes variables that are sensitive with respect to the decision or that deviate significantly from what is typically observed. These techniques serve to keep the assessment and explanation of the patient's decision model concise, allowing the user to focus on the most important aspects for that patient.

Keeping health promotion in the pink. Documentation can show how programs contribute to hospital goals.

PubMed

Kernaghan, S G

1990-01-01

Health promotion encompasses a wide range of services, including health information, health education, wellness, and employee health programs--important efforts, but hardly life-or-death matters. So with increased pressure to put programs to an institutional "worth" test, few health promotion programs make the grade, not because they fail, but because their managers do not know how to document and demonstrate their contributions to hospital goals. The tools that can be used to track program impact range from simple hand-written record keeping on file cards to more complicated and computer-supported systems of data gathering and analysis. It is a mistake to assume that only computer-based systems can yield meaningful information. In the documentation process it may be necessary to start small, but it is necessary to start. Sound management decisions depend on practical evidence that a program is helping a hospital's operations. When one hospital implemented an employee assistance program, program managers set out to document how the program saved the hospital money, improved the work environment, and improved quality of care. At another hospital, the manager of the inpatient cardiac rehabilitation program enlisted the assistance of the medical records department to document to the hospital that patients not in the program had longer lengths of stay than program participants.

Clinical audit teaching in record-keeping for dental undergraduates at International Medical University, Kuala Lumpur, Malaysia.

PubMed

Chong, Jun A; Chew, Jamie K Y; Ravindranath, Sneha; Pau, Allan

2014-02-01

This study investigated the impact of clinical audit training on record-keeping behavior of dental students and students' perceptions of the clinical audit training. The training was delivered to Year 4 and Year 5 undergraduates at the School of Dentistry, International Medical University, Kuala Lumpur, Malaysia. It included a practical audit exercise on patient records. The results were presented by the undergraduates, and guidelines were framed from the recommendations proposed. Following this, an audit of Year 4 and Year 5 students' patient records before and after the audit training was carried out. A total of 100 records were audited against a predetermined set of criteria by two examiners. An email survey of the students was also conducted to explore their views of the audit training. Results showed statistically significant improvements in record-keeping following audit training. Responses to the email survey were analyzed qualitatively. Respondents reported that the audit training helped them to identify deficiencies in their record-keeping practice, increased their knowledge in record-keeping, and improved their record-keeping skills. Improvements in clinical audit teaching were also proposed.

Decision support system and medical liability.

PubMed Central

Allaërt, F. A.; Dusserre, L.

1992-01-01

Expert systems, which are going to be an essential tool in Medicine, are evolving in terms of sophistication of both knowledge representation and types of reasoning models used. The more efficient they are, the more often they will be used and professional liability will be involved. So after giving a short survey of configuration and working of expert systems, the authors will study the liabilities of people building and the using expert systems regarding some various dysfunctions. Of course the expert systems have to be considered only for human support and they should not possess any authority themselves, therefore the doctors must keep in mind that it is their own responsibility and as such keep their judgment and criticism. However other professionals could be involved, if they have participated in the building of expert systems. The different liabilities and the burden of proof are discussed according to some possible dysfunctions. In any case the final proof is inside the expert system by itself through re-computation of data. PMID:1482972

The Changing Hardwood Export Market and Research to Keep the U.S. Competitive

Treesearch

Philip A. Araman

1988-01-01

Primary hardwood processors face many interrelated market, product, processing, and resource problems generated by the increasing export market. In processing, yields and quality must be increased and costs must be reduced to stay competitive. Computer-aided and computer-controlled automated processing is also needed. The industry needs to keep its products competitive...

The Weekly Fab Five: Things You Should Do Every Week To Keep Your Computer Running in Tip-Top Shape.

ERIC Educational Resources Information Center

Crispen, Patrick

2001-01-01

Describes five steps that school librarians should follow every week to keep their computers running at top efficiency. Explains how to update virus definitions; run Windows update; run ScanDisk to repair errors on the hard drive; run a disk defragmenter; and backup all data. (LRW)

Go ahead and fire me!: the top three things generation Y does not like about working @ your medical practice.

PubMed

Johnson, Meagan

2014-01-01

The face of healthcare is changing. Generation Y is the 70 million people that will not only be assisting with the transformation of healthcare, but leading the charge when it comes to medical equipment innovations, life-saving drugs, and quality patient care. The pressure will be focused on medical facilities to not only hire the brightest Gen Yers but also to engage them, keep them motivated, and keep them enthusiastic about their jobs. Here are the top three things Generation Y does not like about working in your medical facility and what you can do about them!

[How can I keep up with my literature?].

PubMed

Vandenbroucke, J P

1998-03-28

To keep up with the literature, the author and his wife have personal home subscriptions to the 'big five' general medical journals, two top general science journals, and close to a dozen specialist journals. Two of the general medical journals are regularly read in more depth. Since computerized search systems permit almost immediate retrieval on whatever subject at whatever work location, the author keeps no filing system of the items of interest. For three (slowly growing) subjects that transgress the boundaries of the usual keywords of search systems, copies of papers are collected in piles: (a) important methodological papers (which may have been published anywhere, on any subject), (b) papers about concepts of the origin and evolution of diseases, and (c) papers of strong general interest. The disadvantage of not keeping track of the literature by a personal filing system is that the author regularly forgets about papers and books he already has; the advantage is that no time is spent keeping a personal filing system.

[Field 4. Environmental safety practice in the intensive care unit. French-speaking Society of Intensive Care. French Society of Anesthesia and Resuscitation].

PubMed

Fougère, S; Beydon, L; Saulnier, F

2008-10-01

Medical devices are known to carry risks from design to scrap. Accident reports in ICU show that medical device account for only 20% of accidents. Formation of users and providing a postmarketing incident reporting are thus essential in health institutions. Clinical and engineering departments should cooperate to produce and secure procedures which should be applied during the lifetime of each clinical device. Several points should be especially fulfilled: close cooperation between clinical departments and biomedical engineering departments with available technicians, computer-based inventory of all devices, evaluation of specifications required before purchasing a new device, education of users on utilisation and maintenance, technical follow-up of devices and keeping maintenance and repair logs, ability to provide users with replacement devices, provision of check-lists before use, forging criteria to decide when device should be discarded. These principles are simple and should be considered as mandatory in order to improve medical device related security.

A Fast and Robust Beamspace Adaptive Beamformer for Medical Ultrasound Imaging.

PubMed

Mohades Deylami, Ali; Mohammadzadeh Asl, Babak

2017-06-01

Minimum variance beamformer (MVB) increases the resolution and contrast of medical ultrasound imaging compared with nonadaptive beamformers. These advantages come at the expense of high computational complexity that prevents this adaptive beamformer to be applied in a real-time imaging system. A new beamspace (BS) based on discrete cosine transform is proposed in which the medical ultrasound signals can be represented with less dimensions compared with the standard BS. This is because of symmetric beampattern of the beams in the proposed BS compared with the asymmetric ones in the standard BS. This lets us decrease the dimensions of data to two, so a high complex algorithm, such as the MVB, can be applied faster in this BS. The results indicated that by keeping only two beams, the MVB in the proposed BS provides very similar resolution and also better contrast compared with the standard MVB (SMVB) with only 0.44% of needed flops. Also, this beamformer is more robust against sound speed estimation errors than the SMVB.

Environmentalists and the Computer.

ERIC Educational Resources Information Center

Baron, Robert C.

1982-01-01

Review characteristics, applications, and limitations of computers, including word processing, data/record keeping, scientific and industrial, and educational applications. Discusses misuse of computers and role of computers in environmental management. (JN)

Medical Device Safety

MedlinePlus

A medical device is any product used to diagnose, cure, or treat a condition, or to prevent disease. They ... may need one in a hospital. To use medical devices safely Know how your device works. Keep ...

Using Medications Safely

MedlinePlus

... health systems play an important role in preventing medication errors. To make sure you use medicines safely and effectively, ASHP recommends that you: Keep a list of all medications that you take (prescribed drugs, nonprescription medicines, herbal ...

Epinephrine Injection

MedlinePlus

... of the thigh, and can be injected through clothing if necessary in an emergency. If you are ... Keep this medication in the plastic carrying tube it came in, tightly closed, and out of reach of children. Keep it at room temperature and away from ...

Managing the star performer.

PubMed

Hills, Laura

2013-01-01

Our culture seems to be endlessly fascinated with its stars in entertainment, athletics, politics, and business, and holds fast to the idea that extraordinary talent accounts for an individual's extraordinary performance. At first glance, managing a star performer in your medical practice may seem like it would be an easy task. However, there's much more to managing a star performer than many practice managers realize. The concern is how to keep the star performer happy and functioning at a high level without detriment to the rest of the medical practice team. This article offers tips for practice managers who manage star performers. It explores ways to keep the star performer motivated, while at the same time helping the star performer to meld into the existing medical practice team. This article suggests strategies for redefining the star performer's role, for holding the star performer accountable for his or her behavior, and for coaching the star performer. Finally, this article offers practical tips for keeping the star performer during trying times, for identifying and cultivating new star performers, and for managing medical practice prima donnas.

Library service delivery via hand-held computers--the right information at the point of care.

PubMed

Peterson, Mary

2004-03-01

Today's health and medical librarians are well aware of the move towards evidence-based clinical practice which has emerged during the past decade. Hand-in-hand with this trend is the need for health practitioners to have access to the best possible evidence to help them in their clinical decision making. Libraries have a key role in the provision of information to their clients, and this means keeping abreast, not only of the various information sources available, but also the means by which those sources may be used. This paper will examine the effects that the hand-held computer is having on the work practices of our clients-library users. It is hoped that the paper will give an insight into the various types of library material which are suitable for use with hand-held devices, and an understanding of their advantages and limitations.

Your Medical Records

MedlinePlus

... sometimes, but many health care providers now keep electronic records. You might hear medical people call these EHRs — short for electronic health records . Electronic records make it easier for ...

3D treatment planning systems.

PubMed

Saw, Cheng B; Li, Sicong

2018-01-01

Three-dimensional (3D) treatment planning systems have evolved and become crucial components of modern radiation therapy. The systems are computer-aided designing or planning softwares that speed up the treatment planning processes to arrive at the best dose plans for the patients undergoing radiation therapy. Furthermore, the systems provide new technology to solve problems that would not have been considered without the use of computers such as conformal radiation therapy (CRT), intensity-modulated radiation therapy (IMRT), and volumetric modulated arc therapy (VMAT). The 3D treatment planning systems vary amongst the vendors and also the dose delivery systems they are designed to support. As such these systems have different planning tools to generate the treatment plans and convert the treatment plans into executable instructions that can be implemented by the dose delivery systems. The rapid advancements in computer technology and accelerators have facilitated constant upgrades and the introduction of different and unique dose delivery systems than the traditional C-arm type medical linear accelerators. The focus of this special issue is to gather relevant 3D treatment planning systems for the radiation oncology community to keep abreast of technology advancement by assess the planning tools available as well as those unique "tricks or tips" used to support the different dose delivery systems. Copyright © 2018 American Association of Medical Dosimetrists. Published by Elsevier Inc. All rights reserved.

Management software for a universal device communication controller: application to monitoring and computerized infusions.

PubMed

Coussaert, E J; Cantraine, F R

1996-11-01

We designed a virtual device for a local area network observing, operating and connecting devices to a personal computer. To keep the widest field of application, we proceeded by using abstraction and specification rules of software engineering in the design and implementation of the hardware and software for the Infusion Monitor. We specially built a box of hardware to interface multiple medical instruments with different communication protocols to a PC via a single serial port. We called that box the Universal Device Communication Controller (UDCC). The use of the virtual device driver is illustrated by the Infusion Monitor implemented for the anaesthesia and intensive care workstation.

Development of a computer model to predict platform station keeping requirements in the Gulf of Mexico using remote sensing data

NASA Technical Reports Server (NTRS)

Barber, Bryan; Kahn, Laura; Wong, David

1990-01-01

Offshore operations such as oil drilling and radar monitoring require semisubmersible platforms to remain stationary at specific locations in the Gulf of Mexico. Ocean currents, wind, and waves in the Gulf of Mexico tend to move platforms away from their desired locations. A computer model was created to predict the station keeping requirements of a platform. The computer simulation uses remote sensing data from satellites and buoys as input. A background of the project, alternate approaches to the project, and the details of the simulation are presented.

Managing Use of Over-the-Counter Medications in the School Setting: Keeping Kids in School and Ready to Learn.

PubMed

Wallace, Anne C

2016-07-01

The use of over-the-counter (OTC) medications in our unique school setting has proven to be a cost-effective and valuable tool in keeping students in the classroom and prepared to learn. Disruptions in educational time due to minor complaints become frustrating for students and teachers. Utilizing the assessment skills of the school nurse and treatment options available through the use of OTC medications decreases those disruptions and protects the educational time. The opportunity to increase student understanding and health literacy regarding the correct use of OTC medications is a valuable way to protect the health of students. Lessons learned in the residential setting may have application to other school settings. © 2016 The Author(s).

40 CFR 63.9060 - In what form and how long must I keep my records?

Code of Federal Regulations, 2010 CFR

2010-07-01

... may be maintained in hard copy or computer-readable format including, but not limited to, on paper, microfilm, hard disk drive, floppy disk, compact disk, magnetic tape, or microfiche. (d) You must keep each...

Drug product distribution systems and departmental operations.

PubMed

Hynniman, C E

1991-10-01

Technologies affecting institutional pharmacy practice and the operation of pharmacy departments are reviewed, future developments are outlined, and implications of these developments for pharmacy education are proposed. Computer technology, especially as applied to areas such as artificial intelligence, online information databases, electronic bulletin boards, hospital information systems, and point-of-care systems, will have a strong impact on pharmacy practice and management in the 1990s. Other areas in which growth is likely to be active include bar-code technology, robotics, and automated drug dispensing. The applications of these technologies are described, with particular attention placed on the effects of increased automation on the drug-dispensing function. Technological advances may effect marked reductions in dispensing and medication errors; questions concerning the cost-effectiveness of these new systems remain to be answered. These advances also create new opportunities for clinical involvement by pharmacists; however, a fundamental understanding of computer systems is essential. Current practitioners can benefit from attending seminars, participating in users' groups, and keeping current with the computer literature. Many students now acquire the needed skills in computer laboratories and in the classroom. Technological advances will offer the opportunity for pharmacists to expand their clinical role.

Childhood Injuries: Keeping the #1 Killer at Bay.

ERIC Educational Resources Information Center

Cutright, Melitta J.

1991-01-01

Suggestions to help parents keep their children safe from injury include learn first aid; child-proof the home; use carseats and safety belts; lock up medications, toxic materials, sharp instruments, and guns; block off stairways; install smoke alarms; insist on bike helmets; and put safety plugs in electric sockets. (SM)

Medical records and issues in negligence

PubMed Central

Thomas, Joseph

2009-01-01

It is very important for the treating doctor to properly document the management of a patient under his care. Medical record keeping has evolved into a science of itself. This will be the only way for the doctor to prove that the treatment was carried out properly. Moreover, it will also be of immense help in the scientific evaluation and review of patient management issues. Medical records form an important part of the management of a patient. It is important for the doctors and medical establishments to properly maintain the records of patients for two important reasons. The first one is that it will help them in the scientific evaluation of their patient profile, helping in analyzing the treatment results, and to plan treatment protocols. It also helps in planning governmental strategies for future medical care. But of equal importance in the present setting is in the issue of alleged medical negligence. The legal system relies mainly on documentary evidence in a situation where medical negligence is alleged by the patient or the relatives. In an accusation of negligence, this is very often the most important evidence deciding on the sentencing or acquittal of the doctor. With the increasing use of medical insurance for treatment, the insurance companies also require proper record keeping to prove the patient's demand for medical expenses. Improper record keeping can result in declining medical claims. It is disheartening to note that inspite of knowing the importance of proper record keeping it is still in a nascent stage in India. It is wise to remember that “Poor records mean poor defense, no records mean no defense”. Medical records include a variety of documentation of patient's history, clinical findings, diagnostic test results, preoperative care, operation notes, post operative care, and daily notes of a patient's progress and medications. A properly obtained consent will go a long way in proving that the procedures were conducted with the concurrence of the patient. A properly written operative note can protect a surgeon in case of alleged negligence due to operative complications. It is important that the prescription for drugs should be legible with the name of the patient, date, and the signature of the doctor. An undated prescription can land a doctor in trouble if the patient misuses it. There are also many records that are indirectly related to patient management such as accounts records, service records of the staff, and administrative records, which are also useful as evidences for litigation purposes. Medical recording needs the concerted effort of a number of people involved in patient care. The doctor is the prime person who has to oversee this process and is primarily responsible for history, physical examination, treatment plans, operative records, consent forms, medications used, referral papers, discharge records, and medical certificates. There should be proper recording of nursing care, laboratory data, reports of diagnostic evaluations, pharmacy records, and billing processes. This means that the paramedical and nursing staff also should be trained in proper maintenance of patient records. The medical scene in India extends from smaller clinics to large hospitals. Medical record keeping is a specialized area in bigger teaching and corporate hospitals with separate medical records officers handling these issues. However, it is yet to develop into a proper process in the large number of smaller clinics and hospitals that cater to a large section of the people in India. PMID:19881136

Myasthenia Gravis (MG): Medical Management

MedlinePlus

... Search MDA.org Close Myasthenia Gravis (MG) Medical Management Many drugs and procedures are available for treating ... on prepubescent children. For more about myasthenia gravis management, see: Managing Myasthenia Keeping Your Focus: Eye Care ...

Athletes with Disabilities. Removing Medical Barriers.

ERIC Educational Resources Information Center

Peck, David M.; McKeag, Douglas B.

1994-01-01

Disability-related conditions such as bladder problems or pressure sores need not keep people from activity. Although active individuals with disabilities require some specialized management, they mainly need medical care for sports-related cuts, sprains, and strains. Physicians can help remove medical barriers to participation for active…

Acetaminophen Injection

MedlinePlus

... narcotic) medications to relieve moderate to severe pain. Acetaminophen is in a class of medications called analgesics (pain ... Ask your pharmacist any questions you have about acetaminophen injection.It is important for you to keep a written list ...

78 FR 41065 - Agency Information Collection Activities; Proposed Collection; Comment Request; Medical Devices...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-09

...] Agency Information Collection Activities; Proposed Collection; Comment Request; Medical Devices; Third... notice solicits comments on the information collection associated with medical devices third-party review... that members of the public submit reports, keep records, or provide information to a third party...

75 FR 57801 - Agency Information Collection Activities; Proposed Collection; Comment Request; Medical Devices...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-22

...] Agency Information Collection Activities; Proposed Collection; Comment Request; Medical Devices Third... ``Medical Devices Third- Party Review under the Food and Drug Administration Modernization Act of 1997... that members of the public submit reports, keep records, or provide information to a third party...

The ANKLe Score: An Audit of Otolaryngology Emergency Clinic Record Keeping

PubMed Central

Dexter, Sara C; Hayashi, Daichi; Tysome, James R

2008-01-01

INTRODUCTION Accurate and legible medical records are essential to good quality patient care. Guidelines from The Royal College of Surgeons of England (RCSE) state the content required to form a complete medical record, but do not address legibility. An audit of otolaryngology emergency clinic record keeping was performed using a new scoring system. PATIENTS AND METHODS The Adjusted Note Keeping and Legibility (ANKLe) score was developed as an objective and quantitative method to assess both the content and legibility of case notes, incorporating the RCSE guidelines. Twenty consecutive otolaryngology emergency clinic case notes from each of 7 senior house officers were audited against standards for legibility and content using the ANKLe score. A proforma was introduced to improve documentation and handwriting advice was given. A further set of 140 notes (20 notes for each of the 7 doctors) was audited in the same way to provide feedback. RESULTS The introduction of a proforma and advice on handwriting significantly increased the quality of case note entries in terms of content, legibility and overall ANKLe score. CONCLUSIONS Accurate note keeping can be improved by the use of a proforma. The legibility of handwriting can be improved using simple advice. The ANKLe score is an objective assessment tool of the overall quality of medical note documentation which can be adapted for use in other specialties. PMID:18430339

Decision support systems for clinical radiological practice — towards the next generation

PubMed Central

Stivaros, S M; Gledson, A; Nenadic, G; Zeng, X-J; Keane, J; Jackson, A

2010-01-01

The huge amount of information that needs to be assimilated in order to keep pace with the continued advances in modern medical practice can form an insurmountable obstacle to the individual clinician. Within radiology, the recent development of quantitative imaging techniques, such as perfusion imaging, and the development of imaging-based biomarkers in modern therapeutic assessment has highlighted the need for computer systems to provide the radiological community with support for academic as well as clinical/translational applications. This article provides an overview of the underlying design and functionality of radiological decision support systems with examples tracing the development and evolution of such systems over the past 40 years. More importantly, we discuss the specific design, performance and usage characteristics that previous systems have highlighted as being necessary for clinical uptake and routine use. Additionally, we have identified particular failings in our current methodologies for data dissemination within the medical domain that must be overcome if the next generation of decision support systems is to be implemented successfully. PMID:20965900

[Myocardial infarction as cause of an accident. The role of multislice CT in polytrauma management, differential diagnosis and insurance aspects].

PubMed

Kleber, C; Oswald, B; Bail, H J; Haas, N P; Kandziora, F

2008-12-01

We present for the first time the use of contrast-enhanced multislice computed tomography in trauma care to detect acute myocardial infarction and verify it as the cause of a traffic accident. In addition to the case report, cardiac contusion, coronary dissection, and facets of insurance law are discussed. The determination of acute myocardial infarction, cardiac contusion, and coronary dissection can be challenging, but answers can be found in the medical history and accident details. The trauma surgeon in the emergency department must always be interested in clarifying the cause of trauma and keeping a secondary diagnosis in mind to strive for the goal of optimal and complete polytrauma care.

Global paradigm shift in medical education: issues of concern for Africa.

PubMed

Gukas, Isaac D

2007-11-01

When medical education became established in Africa, many curricula were adopted from the West so as to achieve comparable standards in training. Over the last half a century however, major global pedagogical shifts have occurred in medical education without African keeping pace. This article reviews key pedagogical changes and other innovations in medical education that have occurred over the last half a century as reported in the literature and identifies some of the issues that need to be addressed in Africa. Socioeconomic and political instability, failure to rapidly overcome the inertia for change by substituting the old curriculum with a more problem, system and student-based one and redefining the goals of medical education are some of the issues of concern for Africa, and its ability to keep up in the dynamic world of medical education. There are only few faculty and school managers with effective medical education backgrounds to initiate, evaluate and sustain these changes. African medical academics, national governments and the international community need to come together to assist Africa to rise up to these challenges to ensure attainment and sustenance of global standards in medical training.

Keeping Track of Technology

ERIC Educational Resources Information Center

Dyrli, Kurt O.

2009-01-01

A lack of consistent and accurate auditing and record keeping of district IT equipment can lead to confusion between administrative departments, including redundant purchases, transferred equipment being mislabeled as stolen, computers and other equipment simply being lost, or a variety of other scenarios. This had led to an increased demand for…

Chemical and Biological Terrorism: Improvements to Emergency Medical Response.

ERIC Educational Resources Information Center

DeGraffenreid, Jeff Gordon

The challenge facing many emergency medical services (EMS) is the implementation of a comprehensive educational strategy to address emergency responses to terrorism. One such service, Johnson County (Kansas) Medical Action, needed a strategy that would keep paramedics safe and offer the community an effective approach to mitigation. A…

Quantum mechanics implementation in drug-design workflows: does it really help?

PubMed

Arodola, Olayide A; Soliman, Mahmoud Es

2017-01-01

The pharmaceutical industry is progressively operating in an era where development costs are constantly under pressure, higher percentages of drugs are demanded, and the drug-discovery process is a trial-and-error run. The profit that flows in with the discovery of new drugs has always been the motivation for the industry to keep up the pace and keep abreast with the endless demand for medicines. The process of finding a molecule that binds to the target protein using in silico tools has made computational chemistry a valuable tool in drug discovery in both academic research and pharmaceutical industry. However, the complexity of many protein-ligand interactions challenges the accuracy and efficiency of the commonly used empirical methods. The usefulness of quantum mechanics (QM) in drug-protein interaction cannot be overemphasized; however, this approach has little significance in some empirical methods. In this review, we discuss recent developments in, and application of, QM to medically relevant biomolecules. We critically discuss the different types of QM-based methods and their proposed application to incorporating them into drug-design and -discovery workflows while trying to answer a critical question: are QM-based methods of real help in drug-design and -discovery research and industry?

Computers and Library Management.

ERIC Educational Resources Information Center

Cooke, Deborah M.; And Others

1985-01-01

This five-article section discusses changes in the management of the school library resulting from use of the computer. Topics covered include data management programs (record keeping, word processing, and bibliographies); practical applications of a database; evaluation of "Circulation Plus" software; ergonomics and computers; and…

Redistricting Is Less Torturous When a Computer Does the Nitty-Gritty for You.

ERIC Educational Resources Information Center

Rust, Albert O.; Judd, Frank F.

1984-01-01

Describes "optimization" computer programing to aid in school redistricting. Using diverse demographic data, the computer plots district boundaries to minimize children's walking distance and maximize safety, improve racial balance, and keep enrollment within school capacity. (TE)

Medical Oxygen Safety

MedlinePlus

... to the air a patient uses to breathe. Fire needs oxygen to burn. If a fire should start in an oxygen-enriched area, the ... Homes where medical oxygen is used need specific fire safety rules to keep people safe from fire ...

Frequently Asked Questions for Parents of Children with PH

MedlinePlus

... questions should I be asking my child’s medical team? It’s important to understand why certain tests are ... to find out how to reach your medical team after normal business hours. Keep a list of ...

Mobile devices in medicine: a survey of how medical students, residents, and faculty use smartphones and other mobile devices to find information.

PubMed

Boruff, Jill T; Storie, Dale

2014-01-01

The research investigated the extent to which students, residents, and faculty members in Canadian medical faculties use mobile devices, such as smartphones (e.g., iPhone, Android, Blackberry) and tablet computers (e.g., iPad), to answer clinical questions and find medical information. The results of this study will inform how health libraries can effectively support mobile technology and collections. An electronic survey was distributed by medical librarians at four Canadian universities to medical students, residents, and faculty members via departmental email discussion lists, personal contacts, and relevant websites. It investigated the types of information sought, facilitators to mobile device use in medical information seeking, barriers to access, support needs, familiarity with institutionally licensed resources, and most frequently used resources. The survey of 1,210 respondents indicated widespread use of smartphones and tablets in clinical settings in 4 Canadian universities. Third- and fourth-year undergraduate students (i.e., those in their clinical clerkships) and medical residents, compared to other graduate students and faculty, used their mobile devices more often, used them for a broader range of activities, and purchased more resources for their devices. Technological and intellectual barriers do not seem to prevent medical trainees and faculty from regularly using mobile devices for their medical information searches; however, barriers to access and lack of awareness might keep them from using reliable, library-licensed resources. Libraries should focus on providing access to a smaller number of highly used mobile resources instead of a huge collection until library-licensed mobile resources have streamlined authentication processes.

Misadministration of radiation therapy in veterinary medicine: a case report and literature review.

PubMed

Arkans, M M; Gieger, T L; Nolan, M W

2017-03-01

Recent technical advancements in radiation therapy have allowed for improved targeting of tumours and sparing nearby normal tissues, while simultaneously decreasing the risk for medical errors by incorporating additional safety checks into electronic medical record keeping systems. The benefits of these new technologies, however, depends on their proper integration and use in the oncology clinic. Despite the advancement of technology for treatment delivery and medical record keeping, misadministration errors have a significant impact on patient care in veterinary oncology. The first part of this manuscript describes a medical incident that occurred at an academic veterinary referral hospital, in a dog receiving a combination of stereotactic radiation therapy and full-course intensity-modulated, image-guided radiation therapy. The second part of the report is a literature review, which explores misadministration errors and novel challenges which arise with the implementation of advancing technologies in veterinary radiation oncology. © 2015 John Wiley & Sons Ltd.

Computerization and its contribution to care quality improvement: the nurses' perspective.

PubMed

Kagan, Ilya; Fish, Miri; Farkash-Fink, Naomi; Barnoy, Sivia

2014-12-01

Despite the widely held belief that the computerization of hospital medical systems contributes to improved patient care management, especially in the context of ordering medications and record keeping, extensive study of the attitudes of medical staff to computerization has found them to be negative. The views of nursing staff have been barely studied and so are unclear. The study reported here investigated the association between nurses' current computer use and skills, the extent of their involvement in quality control and improvement activities on the ward and their perception of the contribution of computerization to improving nursing care. The study was made in the context of a Joint Commission International Accreditation (JCIA) in a large tertiary medical center in Israel. The perception of the role of leadership commitment in the success of a quality initiative was also tested for. Two convenience samples were drawn from 33 clinical wards and units of the medical center. They were questioned at two time points, one before the JCIA and a second after JCIA completion. Of all nurses (N=489), 89 were paired to allow analysis of the study data in a before-and-after design. Thus, this study built three data sets: a pre-JCIA set, a post-JCIA set and a paired sample who completed the questionnaire both before and after JCIA. Data were collected by structured self-administered anonymous questionnaire. After the JCIA the participants ranked the role of leadership in quality improvement, the extent of their own quality control activity, and the contribution of computers to quality improvement higher than before the JCIA. Significant Pearson correlations were found showing that the higher the rating given to quality improvement leadership the more nurses reported quality improvement activities undertaken by them and the higher nurses rated the impact of computerization on the quality of care. In a regression analysis quality improvement leadership and computer use/skills accounted for 30% of the variance in the perceived contribution of computerization to quality improvement. (a) The present study is the first to show a relationship between organizational leadership and computer use by nurses for the purpose of improving clinical care. (b) The nurses' appreciation of the contribution computerization can make to data management and to clinical care quality improvement were both increased by the JCI accreditation process. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Content-independent embedding scheme for multi-modal medical image watermarking.

PubMed

Nyeem, Hussain; Boles, Wageeh; Boyd, Colin

2015-02-04

As the increasing adoption of information technology continues to offer better distant medical services, the distribution of, and remote access to digital medical images over public networks continues to grow significantly. Such use of medical images raises serious concerns for their continuous security protection, which digital watermarking has shown great potential to address. We present a content-independent embedding scheme for medical image watermarking. We observe that the perceptual content of medical images varies widely with their modalities. Recent medical image watermarking schemes are image-content dependent and thus they may suffer from inconsistent embedding capacity and visual artefacts. To attain the image content-independent embedding property, we generalise RONI (region of non-interest, to the medical professionals) selection process and use it for embedding by utilising RONI's least significant bit-planes. The proposed scheme thus avoids the need for RONI segmentation that incurs capacity and computational overheads. Our experimental results demonstrate that the proposed embedding scheme performs consistently over a dataset of 370 medical images including their 7 different modalities. Experimental results also verify how the state-of-the-art reversible schemes can have an inconsistent performance for different modalities of medical images. Our scheme has MSSIM (Mean Structural SIMilarity) larger than 0.999 with a deterministically adaptable embedding capacity. Our proposed image-content independent embedding scheme is modality-wise consistent, and maintains a good image quality of RONI while keeping all other pixels in the image untouched. Thus, with an appropriate watermarking framework (i.e., with the considerations of watermark generation, embedding and detection functions), our proposed scheme can be viable for the multi-modality medical image applications and distant medical services such as teleradiology and eHealth.

Lifelong Learning: Skills and Online Resources

ERIC Educational Resources Information Center

Lim, Russell F.; Hsiung, Bob C.; Hales, Deborah J.

2006-01-01

Objective: Advances in information technology enable the practicing psychiatrist's quest to keep up-to-date with new discoveries in psychiatry, as well as to meet recertification requirements. However, physicians' computer skills do not always keep up with technology, nor do they take advantage of online search and continuing education services.…

Introduction to Forensics and the Use of the Helix Free Forensic Tool

DTIC Science & Technology

2012-01-01

computer system belongs to and his personal activities, interests, and hobbies. An example presented in the paper was that pedophiles might keep...digital records like pictures or video of their delinquent activities. As we mentioned before, we must keep an accurate record of our investigation

Teleradiology network to improve patient care in a peacekeeping military operation

NASA Astrophysics Data System (ADS)

Cleary, Kevin R.; Levine, Betty A.; Norton, Gary S.; Mun, Seong K.; Cramer, Timothy J.; de Treville, Robert E.

1997-05-01

The Imaging Science and Information Systems (ISIS) Center of the Department of Radiology at Georgetown University Medical Center recently collaborated with the US Army in developing an off-the-shelf teleradiology network for Operation Joint Endeavor, the peace-keeping mission in Bosnia-Herzegovina. The network is part of Operation Primetime III, a project to deploy advanced communications and medical equipment to provide state-of-the-art medical care to the 20,000 US troops stationed there. The network encompasses three major sites: the 212th Mobile Army Surgical Hospital (MASH) near Tuzla, Bosnia-Herzegovina; the 67th Combat Support Hospital (CSH) in Taszar, Hungary; and the Landstuhl Regional Medical Center (LRMC) in Landstuhl, Germany. Planning for the project began in January 1996, and all three sites were operational by April 1996. Since the system was deployed, computed radiography (CR) has been sued almost exclusively at the MASH and CSH for all general x-ray exams. From mid- May to September 1996, over 2700 CR images were acquired at the MASH and over 1600 at the CSH. Since there was not a radiologist a the MASH, the images were transferred to the CSH for primary diagnosis and archiving. In the same time period, over 550 patient folders were sent from the MASH to the CSH.

Consulting room computers and their effect on general practitioner-patient communication.

PubMed

Noordman, Janneke; Verhaak, Peter; van Beljouw, Ilse; van Dulmen, Sandra

2010-12-01

in the western medical world, computers form part of the standard equipment in the consulting rooms of most GPs. As the use of a computer requires time and attention from GPs, this may well interfere with the communication process. Yet, the information accessed on the computer may also enhance communication. the present study affords insight into the relationship between computer use and GP-patient communication recorded by the same GPs over two periods. videotaped GP consultations collected in 2001 and 2008 were used to observe computer use and GP-patient communication. In addition, patients questionnaires about their experiences with communication by the GP were analysed using multilevel models with patients (Level 1) nested within GPs (Level 2). both in 2008 and in 2001, GPs used their computer in almost every consultation. Still, our study showed a change in computer use by the GPs over time. In addition, the results indicate that computer use is negatively related to some communication aspects: the patient-directed gaze of the GP and the amount of information given by GPs. There is also a negative association between computer use and the body posture of the GP. Computer use by GPs is not associated with other (analysed) non-verbal and verbal behaviour of GPs and patients. Moreover, computer use is scarcely related to patients' experiences with the communication behaviour of the GP. GPs show greater reluctance to use computers in 2008 compared to 2001. Computer use can indeed affect the communication between GPs and patients. Therefore, GPs ought to remain aware of their computer use during consultations and at the same time keep the interaction with the patient alive.

Deconstructing medical practice marketing.

PubMed

Kasbo, Abe

2010-01-01

The healthcare marketing game has radically changed. Medical practices must rely on strategies instead of tactics to better separate themselves from the competition. The Internet has become a disruptive force in marketing, tipping the balance and control of the reputations of medical practices to the patient. Done right, medical practices can harness this new energy to attract new patients and keep current patients loyal.

Association between apple consumption and physician visits: appealing the conventional wisdom that an apple a day keeps the doctor away.

PubMed

Davis, Matthew A; Bynum, Julie P W; Sirovich, Brenda E

2015-05-01

Fruit consumption is believed to have beneficial health effects, and some claim, "An apple a day keeps the doctor away." To examine the relationship between eating an apple a day and keeping the doctor away. A cross-sectional study of a nationally representative sample of the noninstitutionalized US adult population. A total of 8728 adults 18 years and older from the 2007-2008 and 2009-2010 National Health and Nutrition Examination Survey completed a 24-hour dietary recall questionnaire and reported that the quantity of food they ate was reflective of their usual daily diet. Daily apple eaters (consuming the equivalent of at least 1 small apple daily, or 149 g of raw apple) vs non-apple eaters, based on the reported quantity of whole apple consumed during the 24-hour dietary recall period. The primary outcome measure was success at "keeping the doctor away," measured as no more than 1 visit (self-reported) to a physician during the past year; secondary outcomes included successful avoidance of other health care services (ie, no overnight hospital stays, visits to a mental health professional, or prescription medications). Of 8399 eligible study participants who completed the dietary recall questionnaire, we identified 753 adult apple eaters (9.0%)--those who typically consume at least 1 small apple per day. Compared with the 7646 non-apple eaters (91.0%), apple eaters had higher educational attainment, were more likely to be from a racial or ethnic minority, and were less likely to smoke (P<.001 for each comparison). Apple eaters were more likely, in the crude analysis, to keep the doctor (and prescription medications) away: 39.0% of apple eaters avoided physician visits vs 33.9% of non-apple eaters (P=.03). After adjusting for sociodemographic and health-related characteristics, however, the association was no longer statistically significant (OR, 1.19; 95% CI, 0.93-1.53; P=.15). In the adjusted analysis, apple eaters also remained marginally more successful at avoiding prescription medications (odds ratio, 1.27; 95% CI, 1.00-1.63). There were no differences seen in overnight hospital stay or mental health visits. Evidence does not support that an apple a day keeps the doctor away; however, the small fraction of US adults who eat an apple a day do appear to use fewer prescription medications.

Use of Failure in IS Development Statistics: Lessons for IS Curriculum Design

ERIC Educational Resources Information Center

Longenecker, Herbert H., Jr.; Babb, Jeffry; Waguespack, Leslie; Tastle, William; Landry, Jeff

2016-01-01

The evolution of computing education reflects the history of the professional practice of computing. Keeping computing education current has been a major challenge due to the explosive advances in technologies. Academic programs in Information Systems, a long-standing computing discipline, develop and refine the theory and practice of computing…

Big data computing: Building a vision for ARS information management

USDA-ARS?s Scientific Manuscript database

Improvements are needed within the ARS to increase scientific capacity and keep pace with new developments in computer technologies that support data acquisition and analysis. Enhancements in computing power and IT infrastructure are needed to provide scientists better access to high performance com...

[Constructing a database that can input record of use and product-specific information].

PubMed

Kawai, Satoru; Satoh, Kenichi; Yamamoto, Hideo

2012-01-01

In Japan, patients were infected by viral hepatitis C generally by administering a specific fibrinogen injection. However, it has been difficult to identify patients who were infected as result of the injections due to the lack of medical records. It is still not a common practice by a number of medical facilities to maintain detailed information because manual record keeping is extremely time consuming and subject to human error. Due to these reasons, the regulator required Medical device manufacturers and pharmaceutical companies to attach a bar code called "GS1-128" effective March 28, 2008. Based on this new process, we have come up with the idea of constructing a new database whose records can be entered by bar code scanning to ensure data integrity. Upon examining the efficacy of this new data collection process from the perspective of time efficiency and of course data accuracy, "GS1-128" proved that it significantly reduces time and record keeping mistakes. Patients not only became easily identifiable by a lot number and a serial number when immediate care was required, but "GS1-128" enhanced the ability to pinpoint manufacturing errors in the event any trouble or side effects are reported. This data can be shared with and utilized by the entire medical industry and will help perfect the products and enhance record keeping. I believe this new process is extremely important.

Possible Link between Medical Students' Motivation for Academic Work and Time Engaged in Physical Exercise

ERIC Educational Resources Information Center

Aung, Myo Nyein; Somboonwong, Juraiporn; Jaroonvanichkul, Vorapol; Wannakrairot, Pongsak

2016-01-01

Physical exercise results in an active well-being. It is likely that students' engagement in physical exercise keeps them motivated to perform academic endeavors. This study aimed to assess the relation of time engaged in physical exercise with medical students' motivation for academic work. Prospectively, 296 second-year medical students…

Marketing medical services to an aging America.

PubMed

Mast, L J

1993-01-01

Consumers over age 50 currently comprise 40 percent of consumer demand. Medical services provided in the group practice setting must be structured to accommodate the unique needs of their increasing number of elderly patients According to this professional paper, the development of a marketing plan will provide a strategy that will keep the medical group competitive among older consumers.

Single, Integrated, Service-Centric Model of Military Health System Governance

DTIC Science & Technology

and effectiveness of operational medical support. According to the Joint Concept for Health Services (JCHS), the need for integrated medical support...that keeps pace with the operational agility and organizational flexibility requirements to support globally integrated operations is clear. This

Top 10 Threats to Computer Systems Include Professors and Students

ERIC Educational Resources Information Center

Young, Jeffrey R.

2008-01-01

User awareness is growing in importance when it comes to computer security. Not long ago, keeping college networks safe from cyberattackers mainly involved making sure computers around campus had the latest software patches. New computer worms or viruses would pop up, taking advantage of some digital hole in the Windows operating system or in…

Teaching in the 21st Century

ERIC Educational Resources Information Center

Pence, Harry E.

2010-01-01

It has been over a decade since the computer moved from being primarily a computational and record keeping device to its present state as a communications hub. Some, including this author, have called the application of computing technology to classroom instruction revolutionary. Is this claim justified? More importantly, how will social…

Coordinating Technological Resources in a Non-Technical Profession: The Administrative Computer User Group.

ERIC Educational Resources Information Center

Rollo, J. Michael; Marmarchev, Helen L.

1999-01-01

The explosion of computer applications in the modern workplace has required student affairs professionals to keep pace with technological advances for office productivity. This article recommends establishing an administrative computer user groups, utilizing coordinated web site development, and enhancing working relationships as ways of dealing…

On-Line Computer Testing: Implementation and Endorsement.

ERIC Educational Resources Information Center

Gwinn, John F.; Beal, Loretta F.

1988-01-01

Describes an interactive computer-testing and record-keeping system that was implemented for a self-paced anatomy and physiology course. Results of exploratory research are reported that focus on student preference for online testing, test anxiety, attitude, and achievement; and suggestions are given for integrating a computer-testing program into…

Computers in the Gym: Friends and Assistants.

ERIC Educational Resources Information Center

Hurwitz, Dick

Designed to assist physical education teachers realize the benefits of microcomputer usage, this paper presents the case study of a hypothetical middle school teacher who utilizes Apple computers for record-keeping, planning, teaching, and coaching. The case study shows how the computers save time, assist in individualizing instruction, help…

The Instrument of the Future: Computers in Education.

ERIC Educational Resources Information Center

Leonard, Rex; LeCroy, Barbara

Before computers will be able to fulfill their potential in education, two major challenges must be overcome--the lack of well-trained teachers and a lack of general knowledge about software and its capabilities. Teachers must acquire some computer literacy skills, including programming, word processing, materials generation and record keeping. In…

Recapturing Technology for Education: Keeping Tomorrow in Today's Classrooms

ERIC Educational Resources Information Center

Gura, Mark; Percy, Bernard

2005-01-01

Despite significant investment of funds, time, and effort in bringing computers, the Internet, and related technologies into the classrooms, educators have turned their back on these new power tools of the intellect. School is the last remaining institution to keep 21st Century technology at arms distance. How can technology be used to enrich and…

An automatic system to detect and extract texts in medical images for de-identification

NASA Astrophysics Data System (ADS)

Zhu, Yingxuan; Singh, P. D.; Siddiqui, Khan; Gillam, Michael

2010-03-01

Recently, there is an increasing need to share medical images for research purpose. In order to respect and preserve patient privacy, most of the medical images are de-identified with protected health information (PHI) before research sharing. Since manual de-identification is time-consuming and tedious, so an automatic de-identification system is necessary and helpful for the doctors to remove text from medical images. A lot of papers have been written about algorithms of text detection and extraction, however, little has been applied to de-identification of medical images. Since the de-identification system is designed for end-users, it should be effective, accurate and fast. This paper proposes an automatic system to detect and extract text from medical images for de-identification purposes, while keeping the anatomic structures intact. First, considering the text have a remarkable contrast with the background, a region variance based algorithm is used to detect the text regions. In post processing, geometric constraints are applied to the detected text regions to eliminate over-segmentation, e.g., lines and anatomic structures. After that, a region based level set method is used to extract text from the detected text regions. A GUI for the prototype application of the text detection and extraction system is implemented, which shows that our method can detect most of the text in the images. Experimental results validate that our method can detect and extract text in medical images with a 99% recall rate. Future research of this system includes algorithm improvement, performance evaluation, and computation optimization.

Mobile devices in medicine: a survey of how medical students, residents, and faculty use smartphones and other mobile devices to find information*

PubMed Central

Boruff, Jill T.; Storie, Dale

2014-01-01

Objectives: The research investigated the extent to which students, residents, and faculty members in Canadian medical faculties use mobile devices, such as smartphones (e.g., iPhone, Android, Blackberry) and tablet computers (e.g., iPad), to answer clinical questions and find medical information. The results of this study will inform how health libraries can effectively support mobile technology and collections. Methods: An electronic survey was distributed by medical librarians at four Canadian universities to medical students, residents, and faculty members via departmental email discussion lists, personal contacts, and relevant websites. It investigated the types of information sought, facilitators to mobile device use in medical information seeking, barriers to access, support needs, familiarity with institutionally licensed resources, and most frequently used resources. Results: The survey of 1,210 respondents indicated widespread use of smartphones and tablets in clinical settings in 4 Canadian universities. Third- and fourth-year undergraduate students (i.e., those in their clinical clerkships) and medical residents, compared to other graduate students and faculty, used their mobile devices more often, used them for a broader range of activities, and purchased more resources for their devices. Conclusions: Technological and intellectual barriers do not seem to prevent medical trainees and faculty from regularly using mobile devices for their medical information searches; however, barriers to access and lack of awareness might keep them from using reliable, library-licensed resources. Implications: Libraries should focus on providing access to a smaller number of highly used mobile resources instead of a huge collection until library-licensed mobile resources have streamlined authentication processes. PMID:24415916

Ethics: A Theory of Medical Ethics.

PubMed

Brody, Howard

This book review characterizes Robert Veatch's A Theory of Medical Ethics as a "third-generation" treatise that looks beyond case- and issue-oriented analysis to develop the theoretical bases of a "true system of medical ethics." Veatch proposes a "draft medical ethical covenant" based on a "triple contract" model, in which the moral principles of contract keeping, autonomy, honesty, avoiding killing, and justice govern the physician's relationship to both individual patients and society.

Realization of time keeping alarming system based on CTI technique

NASA Astrophysics Data System (ADS)

Cai, Cheng-Lin; Dong, Shao-Wu

2003-12-01

An application of CTI (Computer Telephone Integration) technique to fault alarming in time keeping system is presented in this paper. Two key parts of this alarming system, telephone phonic card and TTS (Text To Speech) are briefly introduced. A series of events and methods for programming interface based on ActiveX control (phonic.OCX) is discussed, and an alarming program module is developed. The alarming program module can be used in reporting accidents for time keeping system, and can also be applied to power supply system and environmental monitoring system.

Children Falling through the Health Insurance Cracks: Early Observations and Promising Strategies for Keeping Low-Income Children Covered by Medi-Cal and Healthy Families.

ERIC Educational Resources Information Center

Testa, Kristen; Mohamadi, Larissa; Horner, Dawn; Lazarus, Wendy; Richards, Jayleen; Finocchio, Len

In an effort to provide uninsured children with health care, California and states across the nation have focused on locating uninsured children and enrolling them in Medicaid and their state children's health insurance program. This report provides a comprehensive examination of California's efforts and offers strategies for keeping children…

Keeping modern in medicine: pharmaceutical promotion and physician education in postwar America.

PubMed

Greene, Jeremy A; Podolsky, Scott H

2009-01-01

Recent critiques of the role of pharmaceutical promotion in medical practice invoke a nostalgic version of 1950s and 1960s medicine as representing an uncomplicated relationship between an innovative pharmaceutical industry and an idealistic and sovereign medical profession-a relationship that was later corrupted by regulatory or business practice changes in the 1980s or 1990s. However, the escalation of innovation and promotion in the pharmaceutical industry at mid-century had already provoked a broader crisis of overflow in medical education in which physicians came to use both commercial and professional sources in an attempt to "keep modern" by incorporating emerging therapeutics into their practices. This phenomenon was simultaneously a crisis for the medical profession- playing a key role in attempts to inculcate a "rational therapeutics"-and a marketing opportunity for the pharmaceutical industry, and produced the structural foundations for contemporary debates regarding the role of pharmaceutical promotion in medical practice. Tracing the issue from the advent of the wonder drugs through today's concerns regarding formal CME, we document how and why the pharmaceutical industry was allowed (and even encouraged) to develop and maintain the central role it now plays within postgraduate medical education and prescribing practice.

Optical textile tests MRI patients from afar

NASA Astrophysics Data System (ADS)

Gould, Paula

2008-11-01

Researchers in Europe have developed a wearable textile fitted with optical sensors that could be used to remotely monitor a patient's breathing patterns while they undergo magnetic resonance imaging (MRI) scans. The new textile will allow medical staff to keep an eye on children and other vulnerable patients who often have to be calmed with sedatives or anaesthetic drugs to keep them still during a scan. The technique will be particularly useful if proposed European Union (EU) legislation that is designed to protect medical staff from being exposed to the high magnetic fields of MRI systems comes into force in 2012. The new rules would prevent nurses from being in the room where the scan is taking place.

Auditing psychiatric out-patient records.

PubMed

Pillay, Selena; O'Dwyer, Sarah; McCarthy, Marguerite

2010-01-01

Up-to-date patient records are essential for safe and professional practice. They are an intrinsic component for providing adequate care and ensuring appropriate and systematic treatment 2009 plans. Furthermore, accurate and contemporaneous notes are essential for achieving professional standards from a medico-legal perspective. The study's main aim was to investigate current record-keeping practices by looking at whether out-patient communication pathways to general practitioners, from letter dictation to insertion in the chart, were being satisfied. From current out-patient attendees over six months, 100 charts were chosen randomly, and reviewed. A pro-forma was used to collect data and this information was also checked against electronic records. Of the charts reviewed, 15 per cent had no letter. If one considers that one-month is an acceptable time for letters to be inserted into the chart, then only 11 per cent satisfied this condition. Electronic data were also missing. It is impossible to discern whether letters to GPs were dictated by the out-patient doctor for each patient reviewed. Another limitation was that some multidisciplinary hospital teams have different out-patient note-keeping procedures, which makes some findings difficult to interpret. The review drew attention to current record-keeping discrepancies, highlighting the need for medical record-keeping procedures and polices to be put in place. Also brought to light was the importance of providing a workforce sufficient to meet the out-patient team's administrative needs. An extended audit of other medical record-keeping aspects should be carried out to determine whether problems occur in other areas. The study highlights the importance of establishing agreed policies and procedures for out-patient record keeping and the need to have a checking mechanism to identify system weaknesses.

Medical Rights of Minors: Some Answered and Unanswered Legal Questions.

ERIC Educational Resources Information Center

Talbutt, Lou

1980-01-01

Because school counselors work with minors they must keep up with current laws, as well as state and local school policies. Special caution is needed concerning medical rights of minors and parental consent in dealing with student pregnancy, abortion, drug abuse, and child abuse. (JAC)

Computer-Assisted Periodical Routing and Renewal Audit

ERIC Educational Resources Information Center

Yerkey, A. Neil

1973-01-01

A computer-assisted periodical control system was designed to reduce clerical time required to maintain records in three areas: renewal audit, routing, and records-keeping. The renewal audit features are unusual and are described in detail. (3 references) (Author/DH)

How to Keep Your Campus Safe from Infection

ERIC Educational Resources Information Center

Brown, Scott

2005-01-01

In this article, the author explains how antivirus programs work. He also explains how performances of various antivirus programs vary from one to another. He also takes a look at 13 antivirus programs and explains which of these will keep computers protected. These programs include: (1) Sophos Anti-Virus Version 3.86.2; (2) McAfee VirusScan 9.0;…

Computational challenges in modeling gene regulatory events.

PubMed

Pataskar, Abhijeet; Tiwari, Vijay K

2016-10-19

Cellular transcriptional programs driven by genetic and epigenetic mechanisms could be better understood by integrating "omics" data and subsequently modeling the gene-regulatory events. Toward this end, computational biology should keep pace with evolving experimental procedures and data availability. This article gives an exemplified account of the current computational challenges in molecular biology.

Current and Future Development of a Non-hydrostatic Unified Atmospheric Model (NUMA)

DTIC Science & Technology

2010-09-09

following capabilities: 1.  Highly scalable on current and future computer architectures ( exascale computing and beyond and GPUs) 2.  Flexibility... Exascale Computing •  10 of Top 500 are already in the Petascale range •  Should also keep our eyes on GPUs (e.g., Mare Nostrum) 2.  Numerical

Clarkson First College to Require Computer Literacy.

ERIC Educational Resources Information Center

Technological Horizons in Education, 1983

1983-01-01

Freshmen at Clarkson College of Technology (Potsdam, NY) will be issued a Zenith microcomputer. Every aspect of Clarkson's curriculum will be redesigned to capitalize on the new computing and word processing power. Students will pay $200/semester and a one-time $200 maintenance fee and will keep the computer when they graduate. (Author/JN)

Cutting Technology Costs with Refurbished Computers

ERIC Educational Resources Information Center

Dessoff, Alan

2010-01-01

Many district administrators are finding that they can save money on computers by buying preowned ones instead of new ones. The practice has other benefits as well: It allows districts to give more computers to more students who need them, and it also promotes good environmental practices by keeping the machines out of landfills, where they…

Using the computer to optimize human performance in health care delivery. The pathologist as medical information specialist.

PubMed

Korpman, R A

1987-07-01

The demands for information retrieval, processing, and synthesis placed on all providers of health care have increased dramatically in the last several decades. Although systems have been developed to capture charge-related data in support of cost reimbursement, there has been a conspicuous lack of attention paid to information tools to directly enhance the delivery of patient care. The termination of cost reimbursement, together with an increasing recognition of the problems inherent in current manual record-keeping systems, is creating a significant new focus on medical information. This change in focus requires a shift in systems orientation away from financial and departmentally centered systems and toward patient-centered approaches. There is thus increasing recognition of the need for a physician-level medical information specialist to serve as an institution's chief information officer, assuming responsibility for the collection, manipulation, and availability of all patient care-related data. By virtue of training, typical experience, hospital presence, and a noncompetitive position with the hospital's medical staff, the pathologist is uniquely suited for this position. To effectively perform this role, a variety of new specialized data management tools are becoming available. Integrated information systems, patient care management by exception, decision support tools, and, in the future, "artificial intelligence" assists can all be expected to become staples of pathology practice, especially impacting those pathologists who choose to be responsive to the new practice milieu of medical information science.

Telelearning standards and their application in medical education.

PubMed

Duplaga, Mariusz; Juszkiewicz, Krzysztof; Leszczuk, Mikolaj

2004-01-01

Medial education, both on the graduate and postgraduate levels, has become a real challenge nowadays. The volume of information in medical sciences grows so rapidly that many health professionals experience essential problems in keeping track of the state of the art in this domain. e-learning offers important advantages to medical education continuation due to its universal availability and opportunity for implementation of flexible patterns of training. An important trace of medical education is developing practical skills. Some examples of standardization efforts include: the CEN/ISSS Workshop on Learning Technology (WSLT), the Advanced Learning Infrastructure Consortium (ALIC), Education Network Australia (EdNA) and PROmoting Multimedia access to Education and Training in European Society (PROMETEUS). Sun Microsystems' support (Sun ONE, iPlanetTM ) for many of the above-mentioned standards is described as well. Development of a medical digital video library with recordings of invasive procedures incorporating additional information and commentary may improve the efficiency of the training process in interventional medicine. A digital video library enabling access to videos of interventional procedures performed in the area of thoracic medicine may be a valuable element for developing practical skills. The library has been filled with video resources recorded at the Department of Interventional Pulmonology; it enhances training options for pulmonologists and thoracic surgeons. The main focus was put on demonstration of bronchofiberoscopic and videothoracoscopic procedures. The opportunity to browse video recordings of procedures performed in the specific field also considerably enhances the options for training in other medical specialties. In the era of growing health consumer awareness, patients are also perceived as the target audience for medical digital libraries. As a case study of Computer-Based Training systems, the Medical Digital Video Library is presented.

Communications In Postgraduate Medical Education.

ERIC Educational Resources Information Center

Meyer, Thomas C.

1970-01-01

A consequence of the knowledge explosion in the medical sciences is that health care professionals are pressed for time to keep up with developments in their fields. To deal with this problem, the Department of Postgraduate Education of the University of Wisconsin has experimented with three methods of making current pertinent and authoritative…

The Future of School Library Media Centers.

ERIC Educational Resources Information Center

Craver, Kathleen W.

1984-01-01

Examines impact of technology on school library media program development and role of school librarian. Technological trends (computerized record keeping, computer-assisted instruction, networking, home computers, videodiscs), employment and economic trends, education of school librarians, social and behavioral trends, and organizational and…

Keeping Up with Healthcare Trends: IcHeart as a Medication Management Application

NASA Astrophysics Data System (ADS)

Kasinathan, Vinothini; Mustapha, Aida; Azah Samsudin, Noor

2016-11-01

According to the US governments, more than 125,000 people die each year due to failure to manage their medications, leading to approximately USD100 billion in preventable costs to healthcare systems. The core failure in medication management is attributed by patients failing to adhere their medication regimens, whether by accident, negligence, or intentional. Recognizing the importants of vigilant monitoring in medication management, this paper is set to review the latest android-based healthcare trends and propose a new mobile medication reminder application called IcHeart.

[Computer-assisted multimedia interactive learning program "Primary Open-Angle Glaucoma"].

PubMed

Dick, V B; Zenz, H; Eisenmann, D; Tekaat, C J; Wagner, R; Jacobi, K W

1996-05-01

Advances in the area of information technology have opened up new possibilities for the use of interactive media in the training of medical students. Classical instructional technologies, such as video, slides, audio cassettes and computer programs with a textbook orientation, have been merged into one multimedia computer system. The medical profession has been increasingly integrating computer-based applications which can be used, for example, for record keeping within a medical practice. The goal of this development is to provide access to all modes of information storage and retrieval as well as documentation and training systems within a specific context. Since the beginning of the winter semester 1995, the Department of Ophthalmology in Giessen has used the learning program "Primary Open Angle Glaucoma" in student instruction. One factor that contributed to the implementation of this project was that actual training using patients within the clinic is difficult to conduct. Media-supported training that can provide a simulation of actual practice offers a suitable substitute. The learning program has been installed on Power PCs (Apple MacIntosh), which make up the technical foundation of our system. The program was developed using Hypercard software, which provides userfriendly graphical work environment. This controls the input and retrieval of data, direct editing of documents, immediate simulation, the creation of on-screen documents and the integration of slides that have been scanned in as well as QuickTime films. All of this can be accomplished without any special knowledge of programming language or operating systems on the part of the user. The glaucoma learning program is structured along the lines of anatomy, including an explanation of the circulation of the aqueous humor, pathology, clinical symptoms and findings, diagnosis and treatment. This structure along with the possibility for creating a list of personal files for the user with a collection of illustrations and text allows for quick access to learning content. The program is designed in such a way that working with and through it is done in a manner conducive to learning. Student response to the learning program as an accompaniment to instruction has been positive. Independent, supplemental student learning by means of an interactive learning program has raised the quality of study within the sciences. The use of a pedagogically sound multimedia program, that is oriented toward problem solving and based on actual cases offers students the opportunity to actively work ophthalmological material. An additional benefit is the development of competence in working with computer-support information systems, something that is playing an ever-increasing role within the medical profession.

Move to outpatient settings may boost medical hotels.

PubMed

Burns, J

1992-06-08

The shift of surgeries to outpatient settings could be healthy for medical hotels, those amenity-equipped facilities originally developed to ease patients out of costly acute-care beds. Because fewer hospitals have a pressing need to use such alternative lodging, some medical hotels are hoping to hitch their fortunes to the outpatient trade, keeping patients overnight after surgeries that don't require hospital admission.

Matrix computations in MACSYMA

NASA Technical Reports Server (NTRS)

Wang, P. S.

1977-01-01

Facilities built into MACSYMA for manipulating matrices with numeric or symbolic entries are described. Computations will be done exactly, keeping symbols as symbols. Topics discussed include how to form a matrix and create other matrices by transforming existing matrices within MACSYMA; arithmetic and other computation with matrices; and user control of computational processes through the use of optional variables. Two algorithms designed for sparse matrices are given. The computing times of several different ways to compute the determinant of a matrix are compared.

Image quality assessment for CT used on small animals

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cisneros, Isabela Paredes, E-mail: iparedesc@unal.edu.co; Agulles-Pedrós, Luis, E-mail: lagullesp@unal.edu.co

Image acquisition on a CT scanner is nowadays necessary in almost any kind of medical study. Its purpose, to produce anatomical images with the best achievable quality, implies the highest diagnostic radiation exposure to patients. Image quality can be measured quantitatively based on parameters such as noise, uniformity and resolution. This measure allows the determination of optimal parameters of operation for the scanner in order to get the best diagnostic image. A human Phillips CT scanner is the first one minded for veterinary-use exclusively in Colombia. The aim of this study was to measure the CT image quality parameters usingmore » an acrylic phantom and then, using the computational tool MATLAB, determine these parameters as a function of current value and window of visualization, in order to reduce dose delivery by keeping the appropriate image quality.« less

Bridging the knowledge-action gap in diabetes: information technologies, physician incentives and consumer incentives converge.

PubMed

Nobel, Jeremy

2006-03-01

The gap between current medical knowledge and its application in chronic disease management is especially apparent in diabetes care. Although research over the last decade has shown that adherence to standards of care can prevent or delay the onset of devastating diabetic complications, little more than one-third of patients achieve adequate glycaemic control. Obstacles to better care include 'system' factors such as inadequate record-keeping and reimbursement policies that reimburse amply for illness but poorly for diabetes education and interventions via telephone and computer. Disparities in healthcare compound the difficulty among vulnerable populations in urban and rural areas. Emerging healthcare delivery systems that encourage payers, providers and consumers to improve diabetes care with the use of information technology and financial incentives are described in different health management settings.

Image quality assessment for CT used on small animals

NASA Astrophysics Data System (ADS)

Cisneros, Isabela Paredes; Agulles-Pedrós, Luis

2016-07-01

Image acquisition on a CT scanner is nowadays necessary in almost any kind of medical study. Its purpose, to produce anatomical images with the best achievable quality, implies the highest diagnostic radiation exposure to patients. Image quality can be measured quantitatively based on parameters such as noise, uniformity and resolution. This measure allows the determination of optimal parameters of operation for the scanner in order to get the best diagnostic image. A human Phillips CT scanner is the first one minded for veterinary-use exclusively in Colombia. The aim of this study was to measure the CT image quality parameters using an acrylic phantom and then, using the computational tool MatLab, determine these parameters as a function of current value and window of visualization, in order to reduce dose delivery by keeping the appropriate image quality.

Design Considerations of Polishing Lap for Computer-Controlled Cylindrical Polishing Process

NASA Technical Reports Server (NTRS)

Khan, Gufran S.; Gubarev, Mikhail; Arnold, William; Ramsey, Brian D.

2009-01-01

This paper establishes a relationship between the polishing process parameters and the generation of mid spatial-frequency error. The consideration of the polishing lap design to optimize the process in order to keep residual errors to a minimum and optimization of the process (speeds, stroke, etc.) and to keep the residual mid spatial-frequency error to a minimum, is also presented.

Computational challenges in modeling gene regulatory events

PubMed Central

Pataskar, Abhijeet; Tiwari, Vijay K.

2016-01-01

ABSTRACT Cellular transcriptional programs driven by genetic and epigenetic mechanisms could be better understood by integrating “omics” data and subsequently modeling the gene-regulatory events. Toward this end, computational biology should keep pace with evolving experimental procedures and data availability. This article gives an exemplified account of the current computational challenges in molecular biology. PMID:27390891

Computer-Assisted Management of Instruction in Veterinary Public Health

ERIC Educational Resources Information Center

Holt, Elsbeth; And Others

1975-01-01

Reviews a course in Food Hygiene and Public Health at the University of Illinois College of Veterinary Medicine in which students are sequenced through a series of computer-based lessons or autotutorial slide-tape lessons, the computer also being used to route, test, and keep records. Since grades indicated mastery of the subject, the course will…

Computers in Life Science Education, Volume 7, Numbers 1-12.

ERIC Educational Resources Information Center

Computers in Life Science Education, 1990

1990-01-01

The 12 digests of Computers in Life Science Education from 1990 are presented. The articles found in chronological sequence are as follows: "The Computer as a Teaching Tool--How Far Have We Come? Where Are We Going?" (Modell); "Where's the Software--Part 1"; "Keeping Abreast of the Literature" (which appears quarterly); "Where's the Software--Part…

Exploring the Process of Adult Computer Software Training Using Andragogy, Situated Cognition, and a Minimalist Approach

ERIC Educational Resources Information Center

Hurt, Andrew C.

2007-01-01

With technology advances, computer software becomes increasingly difficult to learn. Adults often rely on software training to keep abreast of these changes. Instructor-led software training is frequently used to teach adults new software skills; however there is limited research regarding the best practices in adult computer software training.…

Medical Record Keeping in the Summer Camp Setting.

PubMed

Kaufman, Laura; Holland, Jaycelyn; Weinberg, Stuart; Rosenbloom, S Trent

2016-12-14

Approximately one fifth of school-aged children spend a significant portion of their year at residential summer camp, and a growing number have chronic medical conditions. Camp health records are essential for safe, efficient care and for transitions between camp and home providers, yet little research exists regarding these systems. To survey residential summer camps for children to determine how camps create, store, and use camper health records. To raise awareness in the informatics community of the issues experienced by health providers working in a special pediatric care setting. We designed a web-based electronic survey concerning medical recordkeeping and healthcare practices at summer camps. 953 camps accredited by the American Camp Association received the survey. Responses were consolidated and evaluated for trends and conclusions. Of 953 camps contacted, 298 (31%) responded to the survey. Among respondents, 49.3% stated that there was no computer available at the health center, and 14.8% of camps stated that there was not any computer available to health staff at all. 41.1% of camps stated that internet access was not available. The most common complaints concerning recordkeeping practices were time burden, adequate completion, and consistency. Summer camps in the United States make efforts to appropriately document healthcare given to campers, but inconsistency and inefficiency may be barriers to staff productivity, staff satisfaction, and quality of care. Survey responses suggest that the current methods used by camps to document healthcare cause limitations in consistency, efficiency, and communications between providers, camp staff, and parents. As of 2012, survey respondents articulated need for a standard software to document summer camp healthcare practices that accounts for camp-specific needs. Improvement may be achieved if documentation software offers the networking capability, simplicity, pediatrics-specific features, and avoidance of technical jargon.

Let's keep metaphysics out of medical ethics: a critique of Poplawski and Gillett.

PubMed Central

Leavitt, F J

1992-01-01

I argue that the concept of 'longitudinal form', which Poplawski and Gillett have introduced into ethical discussions about embryos and gametes, involves too many metaphysical subtleties to be a useful aid to making moral decisions. I conclude by suggesting a criterion for relevance in medical ethics. PMID:1460650

An initial investigation into methods of computing transonic aerodynamic sensitivity coefficients

NASA Technical Reports Server (NTRS)

Carlson, Leland A.

1988-01-01

The initial effort was concentrated on developing the quasi-analytical approach for two-dimensional transonic flow. To keep the problem computationally efficient and straightforward, only the two-dimensional flow was considered and the problem was modeled using the transonic small perturbation equation.

Record keeping in Norwegian general practice.

PubMed

Lönberg, N C; Bentsen, B G

1984-11-01

Routines of medical record keeping were studied in a random sample of 50 out of 228 general practitioners in two counties, Möre & Romsdal and Sör-Tröndelag. One doctor refused to participate and one had retired. The 48 physicians were interviewed and a questionnaire was completed with details about their record keeping. The standard of the records was assessed according to legibility, quality of notes, past history and tidiness using a score system. All general practitioners had records for every patient, but the quality of the records varied considerably. More than 50 per cent used handwriting in progress notes, which varied from diagnostic labels to extended reports. Few records contained accessible background information about the patient concerned, and many records contained large amounts of old and irrelevant papers. The record-scores varied from 3 to maximum 10 with an average of 6.7. Higher Standards of recording in general practice are called for, since the quality of records does not only affect the individual patient, but, in the end, the quality of medical care in general.

Minimizing medical litigation, Part 1.

PubMed

Harold, Tan Keng Boon

2006-01-01

The global rise in medical litigation has led to defensive medical practices and rising malpractice insurance premiums. There is a need to review all possible factors influencing litigiousness of the society and to develop strategies to control such factors. Some of the contributory causes of rising litigiousness include higher patients' expectations, poor provider-patient communication, and adversarial legalism of the society. A good combination of system, professional, and legislative strategies may keep medical litigation in check. Part 2 of this article will address the development of a dispute resolution framework.

Allergy Medications and Pregnancy: What's Safe?

MedlinePlus

... a filter designed to trap potentially infectious organisms. Physical activity. Exercise helps reduce nasal inflammation. Nasal strips. Over-the-counter adhesive nasal strips can help keep your nasal ...

Ways of achieving continuous service from computers

NASA Technical Reports Server (NTRS)

Quinn, M. J., Jr.

1974-01-01

This paper outlines the methods used in the real-time computer complex to keep computers operating. Methods include selectover, high-speed restart, and low-speed restart. The hardware and software needed to implement these methods is discussed as well as the system recovery facility, alternate device support, and timeout. In general, methods developed while supporting the Gemini, Apollo, and Skylab space missions are presented.

Keep Laptop Cool with Simple Custom Riser

ERIC Educational Resources Information Center

Rynone, William

2012-01-01

Although the author's netbook computer--a diminished capacity laptop computer--uses less power than its big brother, when working with it on his lap, his thighs are roasted, even in the winter. When using the unit on a flat surface, such as a table top, the bottom surface of the computer and table top become quite warm--and it is generally…

You Want Me to What?

ERIC Educational Resources Information Center

McGarvey, Robert J.

2010-01-01

It's a riddle faced by virtually every IT director: how to fulfill users' desire for more muscular computing resources while still obliging administrators' commands to keep education spending down. Against long odds, many district technology directors have been fulfilling both counts, optimizing their computing systems with improvements that pay…

The NASA NASTRAN structural analysis computer program - New content

NASA Technical Reports Server (NTRS)

Weidman, D. J.

1978-01-01

Capabilities of a NASA-developed structural analysis computer program, NASTRAN, are evaluated with reference to finite-element modelling. Applications include the automotive industry as well as aerospace. It is noted that the range of sub-programs within NASTRAN has expanded, while keeping user cost low.

[HYGIENIC REGULATION OF THE USE OF ELECTRONIC EDUCATIONAL RESOURCES IN THE MODERN SCHOOL].

PubMed

Stepanova, M I; Aleksandrova, I E; Sazanyuk, Z I; Voronova, B Z; Lashneva, L P; Shumkova, T V; Berezina, N O

2015-01-01

We studied the effect of academic studies with the use a notebook computer and interactive whiteboard on the functional state of an organism of schoolchildren. Using a complex of hygienic and physiological methods of the study we established that regulation of the computer activity of students must take into account not only duration but its intensity either. Design features of a notebook computer were shown both to impede keeping the optimal working posture in primary school children and increase the risk offormation of disorders of vision and musculoskeletal system. There were established the activating influence of the interactive whiteboard on performance activities and favorable dynamics of indices of the functional state of the organism of students under keeping optimal density of the academic study and the duration of its use. There are determined safety regulations of the work of schoolchildren with electronic resources in the educational process.

Implementation of an advanced clinical and administrative hospital information system.

PubMed

Vegoda, P R; Dyro, J F

1986-01-01

Over the last six years since University Hospital opened, the University Hospital Information System (UHIS) has continued to evolve to what is today an advanced administrative and clinical information system. At University Hospital UHIS is the way of conducting business. A wide range of patient care applications are operational including Patient Registration, ADT for Inpatient/Outpatient/Emergency Room visits, Advanced Order Entry/Result Reporting, Medical Records, Lab Automated Data Acquisition/Quality Control, Pharmacy, Radiology, Dietary, Respiratory Therapy, ECG, EEG, Cardiology, Physical/Occupational Therapy and Nursing. These systems and numerous financial systems have been installed in a highly tuned, efficient computer system. All applications are real-time, on-line, and data base oriented. Each system is provided with multiple data security levels, forward file recovery, and dynamic transaction backout of in-flight tasks. Sensitive medical information is safeguarded by job function passwords, identification codes, need-to-know master screens and terminal keylocks. University Hospital has an IBM 3083 CPU with five 3380 disk drives, four dual density tape drives, and a 3705 network controller. The network of 300 terminals and 100 printers is connected to the computer center by an RF broadband cable. The software is configured around the IBM/MVS operating system using CICS as the telecommunication monitor, IMS as the data base management system and PCS/ADS as the application enabling tool. The most extensive clinical system added to UHIS is the Physiological Monitoring/Patient Data Management System with serves 92 critical care beds. In keeping with the Hospital's philosophy of integrated computing, the PMS/PDMS with its network of minicomputers was linked to the UHIS system. In a pilot program, remote access to UHIS through the IBM personal computer has been implemented in several physician offices in the local community, further extending the communications horizons of University Hospital's Information System. The implications of remote access to PDMS through the IBM PC emulating a Siemens Model 420 Patient Data Management Terminal are being examined.

The Relationship between Barcode Medication Administration Satisfaction and the Use of Workarounds among Registered Nurses

ERIC Educational Resources Information Center

Bennett, Sally F.

2012-01-01

Adverse drug events, resulting in preventable patient harm or death, are of great concern. To keep patients safe, hospitals have implemented barcode medication administration (BCMA) technology for RNs who have accepted this technology with varying levels of satisfaction. When nurses are dissatisfied with a BCMA system, they may find alternative…

Medical Tests and Procedures for Finding and Treating Heart and Blood Vessel Disease

MedlinePlus

... the narrowed or blocked blood vessel. Then the balloon is inflated, opening the narrowed artery. Awire mesh tube, called a stent, may be left in place to help keep the artery open. Angioplasty may be done during a heart attack. There are many medical tests and procedures to find and treat heart ...

Critical Transport: A Serious Game to Teach the Recommendations for the Transport of Critically Ill Patients

ERIC Educational Resources Information Center

Ribeiro, Claudia; Antunes, Tiago; Pereira, João; Monteiro, Micaela

2014-01-01

At present, medical knowledge is experiencing an exponential growth. This results in serious difficulties to healthcare professionals in keeping up to date. At the same time, medical education is mostly taught using traditional learning methodologies, not always the most efficient. Recently however, there has been a significant increase in the use…

The Assessment of Self-Directed Learning Readiness in Medical Education

ERIC Educational Resources Information Center

Monroe, Katherine Swint

2014-01-01

The rapid pace of scientific discovery has catalyzed the need for medical students to be able to find and assess new information. The knowledge required for physicians' skillful practice will change of the course of their careers, and, to keep up, they must be able to recognized their deficiencies, search for new knowledge, and critically evaluate…

Medical Simulation in the Community College Health Science Curriculum: A Matrix for Future Implementation

ERIC Educational Resources Information Center

McLaughlin, Michael P.; Starobin, Soko S.; Laanan, Frankie Santos

2010-01-01

As the nation's healthcare education system struggles to keep pace with the demand for its services, educators are seeking creative and innovative solutions to meet the needs of a growing number of students. The integration of medical simulation technology into the community college health science curriculum is a creative solution that can meet…

Security of electronic medical information and patient privacy: what you need to know.

PubMed

Andriole, Katherine P

2014-12-01

The responsibility that physicians have to protect their patients from harm extends to protecting the privacy and confidentiality of patient health information including that contained within radiological images. The intent of HIPAA and subsequent HIPAA Privacy and Security Rules is to keep patients' private information confidential while allowing providers access to and maintaining the integrity of relevant information needed to provide care. Failure to comply with electronic protected health information (ePHI) regulations could result in financial or criminal penalties or both. Protected health information refers to anything that can reasonably be used to identify a patient (eg, name, age, date of birth, social security number, radiology examination accession number). The basic tools and techniques used to maintain medical information security and patient privacy described in this article include physical safeguards such as computer device isolation and data backup, technical safeguards such as firewalls and secure transmission modes, and administrative safeguards including documentation of security policies, training of staff, and audit tracking through system logs. Other important concepts related to privacy and security are explained, including user authentication, authorization, availability, confidentiality, data integrity, and nonrepudiation. Patient privacy and security of medical information are critical elements in today's electronic health care environment. Radiology has led the way in adopting digital systems to make possible the availability of medical information anywhere anytime, and in identifying and working to eliminate any risks to patients. Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Computer Aided Reference Services in the Academic Library: Experiences in Organizing and Operating an Online Reference Service.

ERIC Educational Resources Information Center

Hoover, Ryan E.

1979-01-01

Summarizes the development of the Computer-Aided Reference Services (CARS) division of the University of Utah Libraries' reference department. Development, organizational structure, site selection, equipment, management, staffing and training considerations, promotion and marketing, budget and pricing, record keeping, statistics, and evaluation…

The 512-channel correlator controller

NASA Technical Reports Server (NTRS)

Brokl, S. S.

1976-01-01

A high-speed correlator for radio and radar observations was developed and a controller was designed so that the correlator could run automatically without computer intervention. The correlator controller assumes the role of bus master and keeps track of data and properly interrupts the computer at the end of the observation.

Two Computer-Assisted Experiments

ERIC Educational Resources Information Center

Kraftmakher, Yaakov

2013-01-01

Two computer-assisted experiments are described: (i) determination of the speed of ultrasound waves in water and (ii) measurement of the thermal expansion of an aluminum-based alloy. A new data-acquisition system developed by PASCO scientific is used. In both experiments, the "Keep" mode of recording data is employed: the data are…

Hardware packet pacing using a DMA in a parallel computer

DOEpatents

Chen, Dong; Heidelberger, Phillip; Vranas, Pavlos

2013-08-13

Method and system for hardware packet pacing using a direct memory access controller in a parallel computer which, in one aspect, keeps track of a total number of bytes put on the network as a result of a remote get operation, using a hardware token counter.

Insulin algorithms in the self-management of insulin-dependent diabetes: the interactive 'Apple Juice' program.

PubMed

Williams, A G

1996-01-01

The 'Apple Juice' program is an interactive diabetes self-management program which runs on a lap-top Macintosh Powerbook 100 computer. The dose-by-dose insulin advisory program was initially designed for children with insulin-dependent (type 1) diabetes mellitus. It utilizes several different insulin algorithms, measurement formulae, and compensation factors for meals, activity, medication and the dawn phenomenon. It was developed to assist the individual with diabetes and/or care providers, in determining specific insulin dosage recommendations throughout a 24 h period. Information technology functions include, but are not limited to automated record keeping, data recall, event reminders, data trend/pattern analyses and education. This paper highlights issues, observations and recommendations surrounding the use of the current version of the software, along with a detailed description of the insulin algorithms and measurement formulae applied successfully with the author's daughter over a six year period.

Exercise-induced asthma

MedlinePlus

... warm, moist air helps keep asthma symptoms away. Football, baseball, and other sports with periods when you ... herein should not be used during any medical emergency or for the diagnosis or treatment of any ...

Implantable Medical Devices

MedlinePlus

... Also known as ICD ) - An ICD is a battery-powered device placed under the skin that keeps ... Pacemaker (Also known as Artificial Pacemaker) - A small battery-operated device that helps the heart beat in ...

Personal Health Records

MedlinePlus

... chart there, too. These charts are your medical records. They may be on paper or electronic. To ... good idea to keep your own personal health record. What kind of information would you put in ...

Testosterone Nasal Gel

MedlinePlus

... one else can use it accidentally or on purpose. Keep track of how much medication is left ... to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in ...

System balance analysis for vector computers

NASA Technical Reports Server (NTRS)

Knight, J. C.; Poole, W. G., Jr.; Voight, R. G.

1975-01-01

The availability of vector processors capable of sustaining computing rates of 10 to the 8th power arithmetic results pers second raised the question of whether peripheral storage devices representing current technology can keep such processors supplied with data. By examining the solution of a large banded linear system on these computers, it was found that even under ideal conditions, the processors will frequently be waiting for problem data.

How long should patients be kept non-weight bearing after ankle fracture fixation? A survey of OTA and AOFAS members.

PubMed

Swart, Eric; Bezhani, Hariklia; Greisberg, Justin; Vosseller, J Turner

2015-01-01

Ankle fractures are common injuries treated routinely by orthopaedic surgeons. A variety of different post-operative protocols have been described with differing periods of non-weight bearing after surgery. The aim of this study was to identify how patient injury characteristics and medical comorbidities contribute to the period of non-weight bearing chosen by orthopaedic surgeons after open reduction and internal fixation of rotational ankle fractures. A cross sectional expert opinion survey was administered to members of the AOFAS as well as OTA to determine how long they would instruct patients to be non-weight bearing after open reduction and internal fixation of ankle fractures. Three different injury characteristics were described: supination external rotation type 4 equivalents, bimalleolar, and trimalleolar patterns. These patterns were combined with three different medical statuses: young and healthy, older and healthy, and older with significant medical comorbidity. Respondents selected how long they would keep the patient non-weight bearing after surgery for each of the potential scenarios. Finally, they were directly asked which factors they felt affected their decision about length of time to keep patients non-weight bearing. Seven hundred and two surgeons (31%) responded to the survey. The average time of non-weight bearing selected varied from 4.9 (± 3.1) weeks for in young, healthy patients with SER4 equivalent injuries to 7.6 (± 6.0) weeks for older patients with medical comorbidities with trimalleolar fractures. Responses had a high degree of heterogeneity, but both injury pattern and medical status were significant predictors of non-weight bearing period (p<0.01), with medical status the stronger determinant. There is significant variation among orthopaedic surgeons when selecting period of non-weight bearing after fixation of ankle fractures, with both injury pattern and medical comorbidity playing a role in decision of time to keep patient non-weight bearing. Further research further evaluating the relationship between these factors and safe periods of non-weight bearing could help identify patients that may benefit from earlier mobilization, and improve surgeon's comfort with early mobilization. Therapeutic Level V. Copyright © 2015 Elsevier Ltd. All rights reserved.

Keeping your medications organized

MedlinePlus

... all of your medicines easier. Create an Organizing System That Works for You Create an organizing system ... urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows ...

Diabetes and Foot Problems

MedlinePlus

... medicated pads use liquid corn and callus removers Cutting and over-the counter corn removal products can ... nonsharp nail file. Trimming this way helps prevent cutting your skin and keeps the nails from growing ...

Electronic tools for infectious diseases and microbiology

PubMed Central

Burdette, Steven D

2007-01-01

Electronic tools for infectious diseases and medical microbiology have the ability to change the way the diagnosis and treatment of infectious diseases are approached. Medical information today has the ability to be dynamic, keeping up with the latest research or clinical issues, instead of being static and years behind, as many textbooks are. The ability to rapidly disseminate information around the world opens up the possibility of communicating with people thousands of miles away to quickly and efficiently learn about emerging infections. Electronic tools have expanded beyond the desktop computer and the Internet, and now include personal digital assistants and other portable devices such as cellular phones. These pocket-sized devices have the ability to provide access to clinical information at the point of care. New electronic tools include e-mail listservs, electronic drug databases and search engines that allow focused clinical questions. The goal of the present article is to provide an overview of how electronic tools can impact infectious diseases and microbiology, while providing links and resources to allow users to maximize their efficiency in accessing this information. Links to the mentioned Web sites and programs are provided along with other useful electronic tools. PMID:18978984

Achromatic and uncoupled medical gantry

DOEpatents

Tsoupas, Nicholaos [Center Moriches, NY; Kayran, Dmitry [Rocky Point, NY; Litvinenko, Vladimir [Mt. Sinai, NY; MacKay, William W [Wading River, NY

2011-11-22

A medical gantry that focus the beam from the beginning of the gantry to the exit of the gantry independent of the rotation angle of the gantry by keeping the beam achromatic and uncoupled, thus, avoiding the use of collimators or rotators, or additional equipment to control the beam divergence, which may cause beam intensity loss or additional time in irradiation of the patient, or disadvantageously increase the overall gantry size inapplicable for the use in the medical treatment facility.

Advance care directives

MedlinePlus

... order on your medical chart. Fill out an organ donation card and carry it in your wallet. Keep ... your important papers. You can find out about organ donation from your provider. You can also have this ...

Exercising and asthma at school

MedlinePlus

... The warm, moist air may keep symptoms away. Football, baseball, and other sports that have periods of ... herein should not be used during any medical emergency or for the diagnosis or treatment of any ...

Medications to Treat Bed-Wetting

MedlinePlus

... NKF Online Communities Featured Story Want to save money on your prescriptions? Introducing a new discount card ... Events and Galas Spring Clinical Meetings KEEP Healthy - Free Kidney Health checks Your Kidneys and You Meetings ...

Cyanoacrylates

MedlinePlus

Wash exposed areas with warm water right away. If the glue gets on the eyelids, try to keep the eyelids separated. If the eye becomes glued shut, get emergency medical care right away. If the eye is partially ...

Association Between Apple Consumption and Physician Visits

PubMed Central

Davis, Matthew A.; Bynum, Julie P.W.; Sirovich, Brenda E.

2015-01-01

IMPORTANCE Fruit consumption is believed to have beneficial health effects, and some claim, “An apple a day keeps the doctor away.” OBJECTIVE To examine the relationship between eating an apple a day and keeping the doctor away. DESIGN, SETTING, AND PARTICIPANTS A cross-sectional study of a nationally representative sample of the noninstitutionalized US adult population. A total of 8728 adults 18 years and older from the 2007–2008 and 2009–2010 National Health and Nutrition Examination Survey completed a 24-hour dietary recall questionnaire and reported that the quantity of food they ate was reflective of their usual daily diet. EXPOSURES Daily apple eaters (consuming the equivalent of at least 1 small apple daily, or 149 g of raw apple) vs non–apple eaters, based on the reported quantity of whole apple consumed during the 24-hour dietary recall period. MAIN OUTCOMES AND MEASURES The primary outcome measure was success at “keeping the doctor away,” measured as no more than 1 visit (self-reported) to a physician during the past year; secondary outcomes included successful avoidance of other health care services (ie, no overnight hospital stays, visits to a mental health professional, or prescription medications). RESULTS Of 8399 eligible study participants who completed the dietary recall questionnaire, we identified 753 adult apple eaters (9.0%)—those who typically consume at least 1 small apple per day. Compared with the 7646 non–apple eaters (91.0%), apple eaters had higher educational attainment, were more likely to be from a racial or ethnic minority, and were less likely to smoke (P < .001 for each comparison). Apple eaters were more likely, in the crude analysis, to keep the doctor (and prescription medications) away: 39.0% of apple eaters avoided physician visits vs 33.9%of non–apple eaters (P = .03). After adjusting for sociodemographic and health-related characteristics, however, the association was no longer statistically significant (OR, 1.19; 95%CI, 0.93–1.53; P = .15). In the adjusted analysis, apple eaters also remained marginally more successful at avoiding prescription medications (odds ratio, 1.27; 95%CI, 1.00–1.63). There were no differences seen in overnight hospital stay or mental health visits. CONCLUSIONS AND RELEVANCE Evidence does not support that an apple a day keeps the doctor away; however, the small fraction of US adults who eat an apple a day do appear to use fewer prescription medications. PMID:25822137

Mission statements and vision documents in medical practices.

PubMed

Drury, Ivo; Slomski, Carol

2006-01-01

Thoughtful, carefully constructed mission statements and vision documents serve both to signal the purpose of a medical practice to the public and other professional colleagues, and to keep the practice's providers focused on its key purposes. Practice culture is the primary driver ofmission and vision. We clarify the differences between mission statements and vision documents, and offer guidelines to aid in constructing them.

Analysis of medical student's book reports on Cronin's The Citadel: would young doctors give up ideals for prestige and wealth?

PubMed

Hwang, Se Won; Kim, Hun; Kim, Ae Yang; Hwang, Kun

2016-06-01

The purpose of this study is to find what medical students think the reward for their future work should be and whether they would keep their ideals or abandon them for prestige and wealth by analyzing the book reports of Cronin's The Citadel. Participants were 50 medical students of junior class. A month before the classroom lecture, the book and digital video disk were provided. Students had discussions in groups of seven and wrote book reports which include answers of three questions. Regarding what should be the reward for the medical doctor, two-thirds of students (66.7%) answered with spiritual compensation, while one-third (33.3%) chose material reward. In the situation presented to Manson, three-fifths (60.0%) answered they would keep their ideals (idealist), while the remaining two-fifths (40.0%) decided they would abandon them. Less than one-third of students (30.0%) answered they would reveal the corruptions of the doctor's society, while two-thirds (64.0%) would not. The larger number of idealists who prefer spiritual reward rather than a material reward represents the innocence of youth as in portrayed in The Citadel.

Comparing portable computers with bedside computers when administering medications using bedside medication verification.

PubMed

Ludwig-Beymer, Patti; Williams, Phillip; Stimac, Ellen

2012-01-01

This research examined bedside medication verification administration in 2 adult critical care units, using portable computers and permanent bedside computers. There were no differences in the number of near-miss errors, the time to administer the medications, or nurse perception of ease of medication administration, care of patients, or reliability of technology. The percentage of medications scanned was significantly higher with the use of permanent bedside computers, and nurses using permanent bedside computers were more likely to agree that the computer was always available.

Ultralow Dose MSCT Imaging in Dental Implantology

PubMed Central

Widmann, Gerlig; Al-Ekrish, Asma'a A.

2018-01-01

Introduction: The Council Directive 2013/59 Euratom has a clear commitment for keeping medical radiation exposure as low as reasonably achievable and demands a regular review and use of diagnostic reference levels. Methods: In dental implantology, the range of effective doses for cone beam computed tomography (CBCT) shows a broad overlap with multislice computed tomography (MSCT). More recently, ultralow dose imaging with new generations of MSCT scanners may impart radiation doses equal to or lower than CBCT. Dose reductions in MSCT have been further facilitated by the introduction of iterative image reconstruction technology (IRT), which provides substantial noise reduction over the current standard of filtered backward projection (FBP). Aim: The aim of this article is to review the available literature on ultralow dose CT imaging and IRTs in dental implantology imaging and to summarize their influence on spatial and contrast resolution, image noise, tissue density measurements, and validity of linear measurements of the jaws. Conclusion: Application of ultralow dose MSCT with IRT technology in dental implantology offers the potential for very large dose reductions compared with standard dose imaging. Yet, evaluation of various diagnostic tasks related to dental implantology is still needed to confirm the results obtained with various IRTs and ultra-low doses so far. PMID:29492174

The Operating System Jungle: Finding a Common Path Keeps Getting More Difficult.

ERIC Educational Resources Information Center

Pournelle, Jerry

1984-01-01

Describes the computer field before the advent of CP/M (Control Program for Microcomputers), an operating system which facilitated compatibility between different computers. CP/M's functions and flaws and the advent of Apple DOS and UCSD Pascal, two additional widely used operating systems, and the significance of their development are also…

Alternative Delivery Systems for the Computer-Aided Instruction Study Management System (CAISMS).

ERIC Educational Resources Information Center

Nievergelt, Jurg; And Others

The Computer-Assisted Instruction Study Management System (CAISMS) was developed and implemented on the PLATO system to monitor and guide student study of text materials. It administers assignments, gives quizzes, and automatically keeps track of a student's progress. This report describes CAISMS and several hypothetical implementations of CAISMS…

Handheld, Wireless Computers: Can They Improve Learning and Instruction?

ERIC Educational Resources Information Center

Moallem, Mahnaz; Kermani, Hengameh; Chen, Sue-Jen

2006-01-01

Reports show that handheld, wireless computers, once used by business professionals to keep track of appointments, contacts, e-mail, and the Internet, have found their way into classrooms and schools across the United States. However, there has not been much systematic research to investigate the effects of these new technology tools on student…

Statewide Conference on High Technology. Proceedings (Austin, Texas, October 7-8, 1982).

ERIC Educational Resources Information Center

Texas Advisory Council for Technical - Vocational Education, Austin.

These proceedings contain 11 papers that focus on how education must change what and how it teaches to keep up with the technological revolution. The presentations address the need for vocational education to produce students with skills in electronics and data communications (including computer-to-computer transmission); office systems and…

A Computational Model of Early Argument Structure Acquisition

ERIC Educational Resources Information Center

Alishahi, Afra; Stevenson, Suzanne

2008-01-01

How children go about learning the general regularities that govern language, as well as keeping track of the exceptions to them, remains one of the challenging open questions in the cognitive science of language. Computational modeling is an important methodology in research aimed at addressing this issue. We must determine appropriate learning…

Highly Developed Information-oriented Society and Humanity ; Medical Information Services and Library

NASA Astrophysics Data System (ADS)

Wakimoto, Atsuko

Change in social circumstances caused by arrival of highly developed information-oriented society has altered what information services in medical libraries should be dramatically. Keeping with complication and diversification of needs by users such as medical doctors, researchers, medical technicians and so on medical librarians have been playing important role in the information activities, and are required to master more specialized knowledge. This paper outlines changes in circumstances surrounding medical libraries, discusses role of medical librarians in online information retrieval services, and introduces various curriculum for library education. The author proposes that humanity of librarian him or herself is still a key factor for library services regardless of advancement of computerization.

How to Keep Your Feet Flexible

MedlinePlus

... this site from a secured browser on the server. Please enable scripts and reload this page. Home ... The content is not intended to substitute for professional medical advice, diagnoses or treatments. If you need ...

Heart Attack

MedlinePlus

... it as instructed while awaiting emergency help. Take aspirin, if recommended. Taking aspirin during a heart attack could reduce heart damage by helping to keep your blood from clotting. Aspirin can interact with other medications, however, so don' ...

Evolution of the Hubble Space Telescope Safing Systems

NASA Technical Reports Server (NTRS)

Pepe, Joyce; Myslinski, Michael

2006-01-01

The Hubble Space Telescope (HST) was launched on April 24 1990, with an expected lifespan of 15 years. Central to the spacecraft design was the concept of a series of on-orbit shuttle servicing missions permitting astronauts to replace failed equipment, update the scientific instruments and keep the HST at the forefront of astronomical discoveries. One key to the success of the Hubble mission has been the robust Safing systems designed to monitor the performance of the observatory and to react to keep the spacecraft safe in the event of equipment anomaly. The spacecraft Safing System consists of a range of software tests in the primary flight computer that evaluate the performance of mission critical hardware, safe modes that are activated when the primary control mode is deemed inadequate for protecting the vehicle, and special actions that the computer can take to autonomously reconfigure critical hardware. The HST Safing System was structured to autonomously detect electrical power system, data management system, and pointing control system malfunctions and to configure the vehicle to ensure safe operation without ground intervention for up to 72 hours. There is also a dedicated safe mode computer that constantly monitors a keep-alive signal from the primary computer. If this signal stops, the safe mode computer shuts down the primary computer and takes over control of the vehicle, putting it into a safe, low-power configuration. The HST Safing system has continued to evolve as equipment has aged, as new hardware has been installed on the vehicle, and as the operation modes have matured during the mission. Along with the continual refinement of the limits used in the safing tests, several new tests have been added to the monitoring system, and new safe modes have been added to the flight software. This paper will focus on the evolution of the HST Safing System and Safing tests, and the importance of this evolution to prolonging the science operations of the telescope.

A Mobile Virtual Butler to Bridge the Gap between Users and Ambient Assisted Living: A Smart Home Case Study

PubMed Central

Costa, Nuno; Domingues, Patricio; Fdez-Riverola, Florentino; Pereira, António

2014-01-01

Ambient Intelligence promises to transform current spaces into electronic environments that are responsive, assistive and sensitive to human presence. Those electronic environments will be fully populated with dozens, hundreds or even thousands of connected devices that share information and thus become intelligent. That massive wave of electronic devices will also invade everyday objects, turning them into smart entities, keeping their native features and characteristics while seamlessly promoting them to a new class of thinking and reasoning everyday objects. Although there are strong expectations that most of the users' needs can be fulfilled without their intervention, there are still situations where interaction is required. This paper presents work being done in the field of human-computer interaction, focusing on smart home environments, while being a part of a larger project called Aging Inside a Smart Home. This initiative arose as a way to deal with a large scourge of our country, where lots of elderly persons live alone in their homes, often with limited or no physical mobility. The project relies on the mobile agent computing paradigm in order to create a Virtual Butler that provides the interface between the elderly and the smart home infrastructure. The Virtual Butler is receptive to user questions, answering them according to the context and knowledge of the AISH. It is also capable of interacting with the user whenever it senses that something has gone wrong, notifying next of kin and/or medical services, etc. The Virtual Butler is aware of the user location and moves to the computing device which is closest to the user, in order to be always present. Its avatar can also run in handheld devices keeping its main functionality in order to track user when s/he goes out. According to the evaluation carried out, the Virtual Butler is assessed as a very interesting and loved digital friend, filling the gap between the user and the smart home. The evaluation also showed that the Virtual Butler concept can be easily ported to other types of possible smart and assistive environments like airports, hospitals, shopping malls, offices, etc. PMID:25102342

A mobile Virtual Butler to bridge the gap between users and ambient assisted living: a Smart Home case study.

PubMed

Costa, Nuno; Domingues, Patricio; Fdez-Riverola, Florentino; Pereira, António

2014-08-06

Ambient Intelligence promises to transform current spaces into electronic environments that are responsive, assistive and sensitive to human presence. Those electronic environments will be fully populated with dozens, hundreds or even thousands of connected devices that share information and thus become intelligent. That massive wave of electronic devices will also invade everyday objects, turning them into smart entities, keeping their native features and characteristics while seamlessly promoting them to a new class of thinking and reasoning everyday objects. Although there are strong expectations that most of the users' needs can be fulfilled without their intervention, there are still situations where interaction is required. This paper presents work being done in the field of human-computer interaction, focusing on smart home environments, while being a part of a larger project called Aging Inside a Smart Home. This initiative arose as a way to deal with a large scourge of our country, where lots of elderly persons live alone in their homes, often with limited or no physical mobility. The project relies on the mobile agent computing paradigm in order to create a Virtual Butler that provides the interface between the elderly and the smart home infrastructure. The Virtual Butler is receptive to user questions, answering them according to the context and knowledge of the AISH. It is also capable of interacting with the user whenever it senses that something has gone wrong, notifying next of kin and/or medical services, etc. The Virtual Butler is aware of the user location and moves to the computing device which is closest to the user, in order to be always present. Its avatar can also run in handheld devices keeping its main functionality in order to track user when s/he goes out. According to the evaluation carried out, the Virtual Butler is assessed as a very interesting and loved digital friend, filling the gap between the user and the smart home. The evaluation also showed that the Virtual Butler concept can be easily ported to other types of possible smart and assistive environments like airports, hospitals, shopping malls, offices, etc.

Intraoperative non-record-keeping usage of anesthesia information management system workstations and associated hemodynamic variability and aberrancies.

PubMed

Wax, David B; Lin, Hung-Mo; Reich, David L

2012-12-01

Anesthesia information management system workstations in the anesthesia workspace that allow usage of non-record-keeping applications could lead to distraction from patient care. We evaluated whether non-record-keeping usage of the computer workstation was associated with hemodynamic variability and aberrancies. Auditing data were collected on eight anesthesia information management system workstations and linked to their corresponding electronic anesthesia records to identify which application was active at any given time during the case. For each case, the periods spent using the anesthesia information management system record-keeping module were separated from those spent using non-record-keeping applications. The variability of heart rate and blood pressure were also calculated, as were the incidence of hypotension, hypertension, and tachycardia. Analysis was performed to identify whether non-record-keeping activity was a significant predictor of these hemodynamic outcomes. Data were analyzed for 1,061 cases performed by 171 clinicians. Median (interquartile range) non-record-keeping activity time was 14 (1, 38) min, representing 16 (3, 33)% of a median 80 (39, 143) min of procedure time. Variables associated with greater non-record-keeping activity included attending anesthesiologists working unassisted, longer case duration, lower American Society of Anesthesiologists status, and general anesthesia. Overall, there was no independent association between non-record-keeping workstation use and hemodynamic variability or aberrancies during anesthesia either between cases or within cases. Anesthesia providers spent sizable portions of case time performing non-record-keeping applications on anesthesia information management system workstations. This use, however, was not independently associated with greater hemodynamic variability or aberrancies in patients during maintenance of general anesthesia for predominantly general surgical and gynecologic procedures.

The reported preparedness and disposition by students in a Nigerian university towards the use of information technology for medical education.

PubMed

Fadeyi, A; Desalu, O O; Ameen, A; Adeboye, A N Muhammed

2010-01-01

The computer and information technology (IT) revolution have transformed modern health care systems in the areas of communication, storage, retrieval of medical information and teaching, but little is known about IT skill and use in most developing nations. The aim of this study has been to evaluate the reported preparedness and disposition by medical students in a Nigerian university toward the use of IT for medical education. A self-administered structured questionnaire containing 24 items was used to obtain information from medical students in the University of Ilorin, Nigeria on their level of computer usage, knowledge of computer software and hardware, availability and access to computer, possession of personal computer and e-mail address, preferred method of medical education and the use of computer as a supplement to medical education. Out of 479 medical students, 179 (37.4%) had basic computer skills, 209 (43.6%) had intermediate skills and 58(12.1%) had advanced computer skills. Three hundred and thirty (68.9%) have access to computer and 451(94.2%) have e-mail addresses. For medical teaching, majority (83.09%), preferred live lecture, 56.78% lecture videos, 35.1% lecture handout on web site and 410 (85.6%) wants computer as a supplement to live lectures. Less than half (39.5%) wants laptop acquisition to be mandatory. Students with advanced computer skills were well prepared and disposed to IT than those with basic computer skill. The findings revealed that the medical students with advanced computer skills were well prepared and disposed to IT based medical education. Therefore, high level of computer skill is required for them to be prepared and favorably disposed to IT based medical education.

Computer-based medical education in Benha University, Egypt: knowledge, attitude, limitations, and suggestions.

PubMed

Bayomy, Hanaa; El Awadi, Mona; El Araby, Eman; Abed, Hala A

2016-12-01

Computer-assisted medical education has been developed to enhance learning and enable high-quality medical care. This study aimed to assess computer knowledge and attitude toward the inclusion of computers in medical education among second-year medical students in Benha Faculty of Medicine, Egypt, to identify limitations, and obtain suggestions for successful computer-based learning. This was a one-group pre-post-test study, which was carried out on second-year students in Benha Faculty of Medicine. A structured self-administered questionnaire was used to compare students' knowledge, attitude, limitations, and suggestions toward computer usage in medical education before and after the computer course to evaluate the change in students' responses. The majority of students were familiar with use of the mouse and keyboard, basic word processing, internet and web searching, and e-mail both before and after the computer course. The proportion of students who were familiar with software programs other than the word processing and trouble-shoot software/hardware was significantly higher after the course (P<0.001). There was a significant increase in the proportion of students who agreed on owning a computer (P=0.008), the inclusion of computer skills course in medical education, downloading lecture handouts, and computer-based exams (P<0.001) after the course. After the course, there was a significant increase in the proportion of students who agreed that the lack of central computers limited the inclusion of computer in medical education (P<0.001). Although the lack of computer labs, lack of Information Technology staff mentoring, large number of students, unclear course outline, and lack of internet access were more frequently reported before the course (P<0.001), the majority of students suggested the provision of computer labs, inviting Information Technology staff to support computer teaching, and the availability of free Wi-Fi internet access covering several areas in the university campus; all would support computer-assisted medical education. Medical students in Benha University are computer literate, which allows for computer-based medical education. Staff training, provision of computer labs, and internet access are essential requirements for enhancing computer usage in medical education in the university.

Caregivers

MedlinePlus

... needs help with his or her medical expenses? article Preparing for unexpected events If you need to act quickly, being prepared saves time and protects your loved one. list Your lupus care file ... article Preparing for health emergencies Keep a binder with ...

Types of Arrhythmia in Children

MedlinePlus

... even though they may need to keep taking medicine. Your child will probably need periodic check-ups but will ... minute. Understand and manage medications Parents of a child taking medicine for an arrhythmia should give the medicine at ...

Adjuvant Therapy: Treatment to Keep Cancer from Returning

MedlinePlus

... how well your treatment will work based on comparisons with data from studies of other people with ... Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education ...

Brexit will boost pay.

PubMed

Dorries, Nadine

2016-07-13

Now that we are leaving the European Union we will have more control of our health service. This will allow us to increase the resources available and ensure we have the medical staff needed to keep it running.

The Coast Artillery Journal. Volume 69, Number 2, August 1928

DTIC Science & Technology

1928-08-01

guns effective up to the full range of which they are capahle. A machine-gun data computer was therefore designed, and was tested in 1926 hut found...on broader lines you want a full company of 24 lights, but I think it is quite likely as part and parcel of your searchlight scheme of defense you may...very, very full -time job. One of his duties is to keep in touch with corps and divisions. Keeping in touch is, on occasions, a highly exciting occupation

Trends in computer applications in science assessment

NASA Astrophysics Data System (ADS)

Kumar, David D.; Helgeson, Stanley L.

1995-03-01

Seven computer applications to science assessment are reviewed. Conventional test administration includes record keeping, grading, and managing test banks. Multiple-choice testing involves forced selection of an answer from a menu, whereas constructed-response testing involves options for students to present their answers within a set standard deviation. Adaptive testing attempts to individualize the test to minimize the number of items and time needed to assess a student's knowledge. Figurai response testing assesses science proficiency in pictorial or graphic mode and requires the student to construct a mental image rather than selecting a response from a multiple choice menu. Simulations have been found useful for performance assessment on a large-scale basis in part because they make it possible to independently specify different aspects of a real experiment. An emerging approach to performance assessment is solution pathway analysis, which permits the analysis of the steps a student takes in solving a problem. Virtually all computer-based testing systems improve the quality and efficiency of record keeping and data analysis.

Apology and disclosure for physicians and medical practices: what to keep in mind.

PubMed

Wojcieszak, Doug

2013-01-01

Disclosure and apology is an important issue in healthcare, yet physicians and other healthcare professionals are still struggling to conceptualize this topic. This article will discuss how physicians and medical practices should approach disclosure with their hospital system and/or insurance company, and how they can empathize and stay connected with their patient post-event regardless of insurance coverage.

Nutrition Education in U.S. Medical Schools: An Assessment of Nutrition Content in USMLE STEP Preparation Materials

ERIC Educational Resources Information Center

Patel, Shaily; Taylor, Katelynn H.; Berlin, Kathryn L.; Geib, Roy W.; Danek, Robin; Waite, Gabi N.

2015-01-01

In the U.S., the numbers of obese individuals and of obesity-related health conditions are rising. While physicians understand the need to improve patient health by promoting a healthy lifestyle, the advancement of nutrition education in medical school and residency is not keeping pace. This is evident in the inadequate time dedicated to nutrition…

Occupational Medical Trends in the 70's from Industrial View

NASA Technical Reports Server (NTRS)

Williamson, S. M.

1970-01-01

Industrial health measures to ensure worker productivity constitute physical examinations as well as environmental control systems. Considered are automatic record keeping facilities for case histories, preventive medical and mental counselling, development of safety standards, and health insurance and disability benefit plans. Cooperation of industry health programs with community health aspects is required to eliminate the loss of manpower capability through alcoholism or mental disease.

In Demand: Community Colleges Already Train More than Half the Nation's Health Care Workforce--and Demand for Their Services Is on the Rise

ERIC Educational Resources Information Center

Carnevale, Anthony; Smith, Nicole

2013-01-01

As health care providers, patients, and employers adjust to the changes related to the Patient Protection and Affordable Care Act, which promises to extend medical coverage to thirty million previously uninsured Americans, community colleges are gearing up to keep pace with rising economic and societal demands for medical and allied health…

A Study of the Effect of Knowledge Management on Organizational Culture and Organizational Effectiveness in Medicine and Health Sciences

ERIC Educational Resources Information Center

Tang, Hongmei

2017-01-01

The usage of medical resources can meet required overall medial quality via the implementation of knowledge managements. At the same time, it allows medical professionals to understand and recognize the management strategy of the hospital. They will stay with the hospital and assist it in keeping its competitiveness and the goal of sustainable…

Keeping the medical practice financially viable: a marketer's approach.

PubMed

Patrick, Michelle L; Capraro, Anthony J; Credito, Candace M

2002-01-01

This paper explores a way that medical practices might develop a higher margin revenue source by offering a differentiated service that caters to patients who value more personalized service. Using SERVQUAL, German patients were surveyed to determine if there is a relationship between a desire for personalized service and a willingness to pay a premium for medical care. The results indicate that a greater desire for personalized care distinguishes those who pay a premium for medical care from those who do not. This suggests that medical practices can differentiate their service based on more personalized care and charge a higher fee for this service.

Project-based faculty development for e-learning.

PubMed

Vyas, Rashmi; Faith, Minnie; Selvakumar, Dhayakani; Pulimood, Anna; Lee, Mary

2016-12-01

The Christian Medical College, Vellore, in collaboration with Tufts University, Boston, conducted an advanced workshop in e-learning for medical faculty members in India. E-learning can enhance educational reforms for today's computer-literate generation, and keep faculty members up to speed in a rapidly changing world. The purpose of this paper is to report on the design and evaluation of a project-based faculty member development programme focused on developing faculty members as educators and as peer trainers who can use e-learning for educational reforms. During a 2-day workshop, 29 participants in groups of two or three developed 13 e-learning projects for implementation in their institutions. Evaluation of the workshop was through written feedback from the participants at the end of the workshop and by telephone interview with one participant from each project group at the end of one year. Content analysis of qualitative data was perfomed. The participants reported that they were motivated to implement e-learning projects and recognised the need for and usefulness of e-learning. The majority of projects (10 out of 13) that were implemented 'to some extent' or 'to a great extent' faced challenges with a lack of resources and administrative support, but faculty members were able to overcome them. E-learning can enhance educational reforms for today's computer-literate generation IMPLICATIONS: Designing feasible e-learning projects in small groups and obtaining hands-on experience with e-learning tools enhance the effectiveness of subsequent implementation. To successfully incorporate e-learning when designing educational reforms, faculty member training, continuing support and infrastructure facilities are essential. © 2016 John Wiley & Sons Ltd.

Metrological traceability and harmonization of medical tests: a quantum leap forward is needed to keep pace with globalization and stringent IVD-regulations in the 21st century!

PubMed

Cobbaert, Christa; Smit, Nico; Gillery, Philippe

2018-05-07

In our efforts to advance the profession and practice of clinical laboratory medicine, strong coordination and collaboration are needed more than ever before. At the dawn of the 21st century, medical laboratories are facing many unmet clinical needs, a technological revolution promising a plethora of better biomarkers, financial constraints, a growing scarcity of well-trained laboratory technicians and a sharply increasing number of International Organization for Standardization guidelines and new regulations to which medical laboratories should comply in order to guarantee safety and effectiveness of medical test results. Although this is a global trend, medical laboratories across continents and countries are in distinct phases and experience various situations. A universal underlying requirement for safe and global use of medical test results is the standardization and harmonization of test results. Since two decades and after a number of endeavors on standardization/harmonization of medical tests, it is time to reflect on the effectiveness of the approaches used. To keep laboratory medicine sustainable, viable and affordable, clarification of the promises of metrological traceability of test results for improving sick and health care, realization of formal commitment among all stakeholders of the metrological traceability chain and preparation of a joint and global plan for action are essential prerequisites. Policy makers and regulators should not only overwhelm the diagnostic sector with oversight and regulations but should also create the conditions by establishing a global professional forum for anchoring the metrological traceability concept in the medical test domain. Even so, professional societies should have a strong voice in their (inter-) national governments to negotiate long-lasting public policy commitment and funds for global standardization of medical tests.

Application of Sequence Comparison Methods to Multisensor Data Fusion and Target Recognition

DTIC Science & Technology

1993-06-18

lin- ear comparison). A particularly attractive aspect of the proposed fusion scheme is that it has the potential to work for any object with (1...radar sensing is a historical custom - however, the reader should keep in mind that the fundamental issue in this research is to explore and exploit...reduce the computationally expensive need to compute partial derivatives. In usual practice, the computationally more attractive filter design is

Motivating Computer Engineering Freshmen through Mathematical and Logical Puzzles

ERIC Educational Resources Information Center

Parhami, B.

2009-01-01

As in many other fields of science and technology, college students in computer engineering do not come into full contact with the key ideas and challenges of their chosen discipline until the third year of their studies. This situation poses a problem in terms of keeping the students motivated as they labor through their foundational, basic…

Securing Secrets and Managing Trust in Modern Computing Applications

ERIC Educational Resources Information Center

Sayler, Andy

2016-01-01

The amount of digital data generated and stored by users increases every day. In order to protect this data, modern computing systems employ numerous cryptographic and access control solutions. Almost all of such solutions, however, require the keeping of certain secrets as the basis of their security models. How best to securely store and control…

Computer-Based Education: The Best of ERIC, 1989.

ERIC Educational Resources Information Center

McLaughlin, Pamela

This collection is designed for use by educators who need to make decisions about the use of microcomputers in schools, or who want to keep abreast of new developments in the field. The report provides an overview of the literature entered into the ERIC database in 1989 on computer use in elementary and secondary education, adult education, and…

7 CFR 1484.53 - What are the requirements for documenting and reporting contributions?

Code of Federal Regulations, 2010 CFR

2010-01-01

... contribution must be documented by the Cooperator, showing the method of computing non-cash contributions, salaries, and travel expenses. (b) Each Cooperator must keep records of the methods used to compute the value of non-cash contributions, and (1) Copies of invoices or receipts for expenses paid by the U.S...

How to Use Removable Mass Storage Memory Devices

ERIC Educational Resources Information Center

Branzburg, Jeffrey

2004-01-01

Mass storage refers to the variety of ways to keep large amounts of information that are used on a computer. Over the years, the removable storage devices have grown smaller, increased in capacity, and transferred the information to the computer faster. The 8" floppy disk of the 1960s stored 100 kilobytes, or about 60 typewritten, double-spaced…

Issues of medical necessity: a medical director's guide to good faith adjudication.

PubMed

Quinn, C

1997-06-01

The term medical necessity is difficult to define, a problem for insurers who need to clearly describe what is and is not covered in their contracts with subscribers. An unclear, vague definition of medical necessity leaves insurers vulnerable to litigation by subscribers denied care deemed medically unnecessary. To avoid lawsuits, insurers must make every effort to educate their subscribers about their medical coverage, going beyond merely providing a lengthy subscriber handbook. In decisions on medical necessity, medical directors at insurance companies play a key role. They can bolster the insurer's position in denial-of-care cases in numerous ways, including keeping meticulous records, eliminating unreasonable financial incentives, maintaining a claims denial database, and consulting with other insurers to achieve a consensus on medical necessity.

Medical communication skills training in the Indian setting: Need of the hour

PubMed Central

Chatterjee, Sanjoy; Choudhury, Nandita

2011-01-01

Advances in science and technology have revolutionized medical services in the last two decades. Medical education in the undergraduate and postgraduate courses has tried to keep pace with the changes and several curriculum modifications have taken effect. One of the commonly seen changes include active participation in “communication skills” training and implementation of the same in practice. This article discusses the practical issues one would face in day-to-day medical communication and highlights the necessity of the same in the Indian setting, with a focus on transfusion medicine. PMID:21572706

Computers in Medical Education: A Cooperative Approach to Planning and Implementation

PubMed Central

Ellis, Lynda B.M.; Fuller, Sherrilynne

1988-01-01

After years of ‘ad hoc’ growth in the use of computers in the curriculum, the University of Minnesota Medical School in cooperation with the Bio-Medical Library and Health Sciences Computing Services developed and began implementation of a plan for integration of medical informatics into all phases of medical education. Objectives were developed which focus on teaching skills related to: 1) accessing, retrieving, evaluating and managing medical information; 2) appropriate utilization of computer-assisted instruction lessons; 3) electronic communication with fellow students and medical faculty; and 4) fostering a lifelong commitment to effective use of computers to solve clinical problems. Surveys assessed the status of computer expertise among faculty and entering students. The results of these surveys, lessons learned from this experience, and implications for the future of computers in medical education are discussed.

The Canadian Medical Association Code of Ethics 1868 to 1996: a primer for medical educators.

PubMed

Brownell, A Keith W; Brownell, Elizabeth

2002-06-01

The Canadian Medical Association's (CMA) Code of Ethics applies to all physicians, residents, and medical students in Canada. Learning about the code must be a part of every physician's education, and keeping current with it must be a part of every physician's continuing medical education. This article, based on a review of the 19 CMA codes of ethics issued from 1868 to 1996, shows how deeply the Code of Ethics is tied to the past, highlights those topics that have been part of every version, and demonstrates how the code changed over time. This article should assist medical educators as they develop teaching material on codes of medical ethics, and would be of interest to practising physicians.

Keeping Your Kids Cyber Safe

MedlinePlus

... Article >>Healthcare ManagementPreparing Older Children to Make Medical Decisions for ThemselvesThere are steps parents can take to help prepare children for the complex world of health care and making… About Support Us Copyright & Permissions Privacy Policy Contact ...

Going to College

MedlinePlus

... in coffee, but watch out for it in energy drinks, soft drinks, iced teas, and over-the-counter medications. First-Year Fitness Staying fit is easier than ever ... out. That means effort, energy, and exercise to keep you powered up during ...

Keep an Eye on Your Eyes: Technologies for Protecting Vision

MedlinePlus

... worth a pound of cure,” Araj says. Related Stories Struggling to ... are the benefits and risks of any medications or treatments? Are there new technologies that can help correct or manage my eye ...

Taking Care of Your Grandchildren

MedlinePlus

... or death in infants. TV, Computers, and Video Games Follow the AAP's age-related guidelines for keeping ... to try instead of TV or videos, video games, and the Internet. The TV should be turned ...

How to write a medical CV.

PubMed

Agha, Riaz; Whitehurst, Katharine; Jafree, Daniyal; Devabalan, Yadsan; Koshy, Kiron; Gundogan, Buket

2017-07-01

A medical curriculum vitae remains an important document that has 2 main roles: to distinguish candidates applying for various positions, whether that be jobs, posts, grants and it provides a means of keeping an up-to-date record of all your achievements and skills gained thus far. This article provides detailed guidance on how to structure an effective curriculum vitae to maximize your chances of success when applying for these positions.

How to write a medical CV

PubMed Central

Agha, Riaz; Whitehurst, Katharine; Jafree, Daniyal; Devabalan, Yadsan; Koshy, Kiron

2017-01-01

A medical curriculum vitae remains an important document that has 2 main roles: to distinguish candidates applying for various positions, whether that be jobs, posts, grants and it provides a means of keeping an up-to-date record of all your achievements and skills gained thus far. This article provides detailed guidance on how to structure an effective curriculum vitae to maximize your chances of success when applying for these positions. PMID:29177224

Medical Device Plug-and-Play Interoperability Standards and Technology Leadership

DTIC Science & Technology

2010-10-01

Philips Medical Systems Impact of ARRA/HITECH on Device Connectivity: Safe? Effective? Say what?! Todd Cooper President Breakthrough Solutions...that could notify the physician when, say , one of the devices comes discon- nected in the high-vibration environment of the plane. There is no way at...Electronic record-keeping promises to be an improvement over previous methods (eliminating problems such as illeg- ible handwriting and records

Public Key Infrastructure Utilization to Provide an Added Level of Authenticity to Transmitted Data

DTIC Science & Technology

2010-03-01

WIFI Wireless Fidelity – a trademark of the Wi-Fi Alliance that manufacturers may use to brand certified products that belong to a class of...removed by the receiving computer. This security concept is applicable for any WIFI or EVDO wireless transmitted computer because only the end users... hacked and keeping the computer safe from outside sources was still a definite concern. Therefore, a non-Hotmail e-mail account was designed

Analysis of medical student’s book reports on Cronin’s The Citadel: would young doctors give up ideals for prestige and wealth?

PubMed Central

2016-01-01

Purpose: The purpose of this study is to find what medical students think the reward for their future work should be and whether they would keep their ideals or abandon them for prestige and wealth by analyzing the book reports of Cronin’s The Citadel. Methods: Participants were 50 medical students of junior class. A month before the classroom lecture, the book and digital video disk were provided. Students had discussions in groups of seven and wrote book reports which include answers of three questions. Results: Regarding what should be the reward for the medical doctor, two-thirds of students (66.7%) answered with spiritual compensation, while one-third (33.3%) chose material reward. In the situation presented to Manson, three-fifths (60.0%) answered they would keep their ideals (idealist), while the remaining two-fifths (40.0%) decided they would abandon them. Less than one-third of students (30.0%) answered they would reveal the corruptions of the doctor’s society, while two-thirds (64.0%) would not. Conclusion: The larger number of idealists who prefer spiritual reward rather than a material reward represents the innocence of youth as in portrayed in The Citadel. PMID:27240894

If we keep doing what we're doing we'll keep getting what we're getting: A need to rethink "academic" medicine.

PubMed

Wilkes, Michael; Cassel, Christine; Klau, Marc

2018-04-01

For generations there have been warnings of the need to reform medical education at all levels. Today the voices pushing reform are louder, the need is greater, and there is an urgency not seen before. Approaches that have worked in the past to train physicians are no longer as relevant today as demographics, disease patterns, human resources, practice behaviors, technology, and attention to costs demand new collaborative approaches to clinical practice. To prepare for this practice tomorrow's doctors will need a different type of educational model, a different type of learning, in different environments, often taught by different faculty. This paper provides one innovative approach to redefine "academic medicine". After reviewing current trends in medical education, this paper describes one approach being taken by a large nonprofit American health care system to move medical education and discovery (research) out of traditional academic universities and placing it within a health care delivery system. The creation of a learning laboratory in a high functioning health care delivery system allows for leveraging the successes in quality health care delivery to transform medical education with a focus on prevention, improving health care quality, reducing disparities in health, and promoting practical evidence-based clinical and outcomes focused research.

New rules for physicians implement sample drug bill.

PubMed

1990-06-01

Record keeping requirements for dangerous drugs, including samples, has been a source of confusion for physicians and often has lead to misinterpretation of the law. To clarify this issue and to assist in implementing Senate Bill 788 (the sample drug bill), the Texas State Board of Medical Examiners recently has adopted rules for record keeping for dangerous drugs and controlled substances. A dangerous drug is any drug or device that is not listed in the Controlled Substances Act and thus is not safe for self-medication, or bears the legend, "Caution: Federal law prohibits dispensing without a prescription." The Dangerous Drugs Act requires a physician to maintain records for 2 years after the date of the acquisition or disposal of the dangerous drug. The new TSBME rules provide a presumption of compliance by a physician for record keeping for dangerous drug samples if he or she (1) retains a copy of the signed request form required by the Prescription Drug Marketing Act of 1987 for 2 years and (2) makes appropriate entries in a patient's medical records when a dangerous drug sample is supplied to the patient. Generally, a drug company representative provides a copy of the request as a receipt at the time the physician receives the samples. For dangerous drugs that the physician acquires other than as samples, the physician needs to retain a copy of the invoice or receiving order or other form of documentation of receipt or acquisition for 2 years. Once again, the physician should make appropriate entries in patients' records.(ABSTRACT TRUNCATED AT 250 WORDS)

Swiss family physicians' perceptions and attitudes towards knowledge translation practices.

PubMed

Bengough, Theresa; Bovet, Emilie; Bécherraz, Camille; Schlegel, Susanne; Burnand, Bernard; Pidoux, Vincent

2015-12-11

Several studies have been performed to understand the way family physicians apply knowledge from medical research in practice. However, very little is known concerning family physicians in Switzerland. In an environment in which information constantly accumulates, it is crucial to identify the major sources of scientific information that are used by family physicians to keep their medical knowledge up to date and barriers to use these sources. Our main objective was to examine medical knowledge translation (KT) practices of Swiss family physicians. The population consisted of French- and German-speaking private practice physicians specialised in family medicine. We conducted four interviews and three focus groups (n = 25). The interview guides of the semi-structured interviews and focus groups focused on (a) ways and means used by physicians to keep updated with information relevant to clinical practice; (b) how they consider their role in translating knowledge into practice; (c) potential barriers to KT; (d) solutions proposed by physicians for effective KT. Family physicians find themselves rather ambivalent about the translation of knowledge based on scientific literature, but generally express much interest in KT. They often feel overwhelmed by "information floods" and perceive clinical practice guidelines and other supports to be of limited usefulness for their practice. They often combine various formal and informal information sources to keep their knowledge up to date. Swiss family physicians report considering themselves as artisans, caring for patients with complex needs. Improved performance of KT initiatives in family medicine should be tailored to actual needs and based on high quality evidence-based sources.

Sustaining Moore's law with 3D chips

DOE Office of Scientific and Technical Information (OSTI.GOV)

DeBenedictis, Erik P.; Badaroglu, Mustafa; Chen, An

Here, rather than continue the expensive and time-consuming quest for transistor replacement, the authors argue that 3D chips coupled with new computer architectures can keep Moore's law on its traditional scaling path.

Sustaining Moore's law with 3D chips

DOE PAGES

DeBenedictis, Erik P.; Badaroglu, Mustafa; Chen, An; ...

2017-08-01

Here, rather than continue the expensive and time-consuming quest for transistor replacement, the authors argue that 3D chips coupled with new computer architectures can keep Moore's law on its traditional scaling path.

Short Range Wireless Power Transfer (WPT) for UAV/UAS Battery Charging - Phase 1

DTIC Science & Technology

2014-12-01

WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) AND ADDRESS(ES) Department of Electrical and Computer Engineering 8...Research Computer Engineering iii THIS PAGE INTENTIONALLY LEFT BLANK iv ABSTRACT The...battery charging, spacecraft recharging and station keeping, and direct propulsion of UAVs and hovering airships . The client antenna is usually of low

WinHPC System User Basics | High-Performance Computing | NREL

Science.gov Websites

guidance for starting to use this high-performance computing (HPC) system at NREL. Also see WinHPC policies ) when you are finished. Simply quitting Remote Desktop will keep your session active and using resources node). 2. Log in with your NREL.gov username/password. Remember to log out when finished. Mac 1. If you

Walk a Mile in My Shoes: Stakeholder Accounts of Testing Experience with a Computer-Administered Test

ERIC Educational Resources Information Center

Fox, Janna; Cheng, Liying

2015-01-01

In keeping with the trend to elicit multiple stakeholder responses to operational tests as part of test validation, this exploratory mixed methods study examines test-taker accounts of an Internet-based (i.e., computer-administered) test in the high-stakes context of proficiency testing for university admission. In 2013, as language testing…

The Placer Media Management System or Using the Computer in the Small Film Library.

ERIC Educational Resources Information Center

Luckey, Jacqueline

In describing this media management system, which currently serves 84 public schools (K-12) in four rural counties east of Sacramento, this report suggests that the computer is a practical solution for film libraries trying to keep pace with increased use while not reducing their expenditures for purchasing and repairing film stock. The major…

Compression stockings

MedlinePlus

... medical supply store or online. Wash Your Stockings Every Day Keep the stockings clean: Wash the stockings each ... can, have two pairs. Wear one pair each day. Wash and dry the other pair. Replace your stockings every 3 to 6 months so that they maintain ...

32 CFR 634.38 - Involuntary extraction of bodily fluids in traffic cases.

Code of Federal Regulations, 2014 CFR

2014-07-01

... or in control of a vehicle while under the influence of an intoxicant. (i) A search authorization by... extractions. (4) All law enforcement and medical personnel will keep in mind the possibility that the...

32 CFR 634.38 - Involuntary extraction of bodily fluids in traffic cases.

Code of Federal Regulations, 2012 CFR

2012-07-01

... or in control of a vehicle while under the influence of an intoxicant. (i) A search authorization by... extractions. (4) All law enforcement and medical personnel will keep in mind the possibility that the...

32 CFR 634.38 - Involuntary extraction of bodily fluids in traffic cases.

Code of Federal Regulations, 2013 CFR

2013-07-01

... or in control of a vehicle while under the influence of an intoxicant. (i) A search authorization by... extractions. (4) All law enforcement and medical personnel will keep in mind the possibility that the...

32 CFR 634.38 - Involuntary extraction of bodily fluids in traffic cases.

Code of Federal Regulations, 2011 CFR

2011-07-01

... or in control of a vehicle while under the influence of an intoxicant. (i) A search authorization by... extractions. (4) All law enforcement and medical personnel will keep in mind the possibility that the...

Traumatic Brain Injury: A Guide for Caregivers of Service Members and Veterans: Becoming a Family Caregiver for a Service Member/Veteran with TBI. Module 3

DTIC Science & Technology

2010-04-01

Care Comes First? How Can I Stay Emotionally Healthy? How Can I Stay Physically Healthy? What Are Strategies for Self-Care? Chapter 5: Helping Your...care-related information you need in one place • keep all the important documents needed for the Medical Evaluation Board (MEB) and Physical ...notebook or file with the records needed to apply for medical and family benefits or the Medical Evaluation Board/ Physical Evaluation Board (MEB/PEB

How medical students use the computer and Internet at a Turkish military medical school.

PubMed

Kir, Tayfun; Ogur, Recai; Kilic, Selim; Tekbas, Omer Faruk; Hasde, Metin

2004-12-01

The aim of this study was to determine how medical students use the computer and World Wide Web at a Turkish military medical school and to discuss characteristics related to this computer use. The study was conducted in 2003 in the Department of Public Health at the Gulhane Military Medical School in Ankara, Turkey. A survey developed by the authors was distributed to 508 students, after pretest. Responses were analyzed statistically by using a computer. Most of the students (86.4%) could access a computer and the Internet and all of the computers that were used by students had Internet connections, and a small group (8.9%) had owned their own computers. One-half of the students use notes provided by attending stuff and textbooks as assistant resources for their studies. The most common usage of computers was connecting to the Internet (91.9%), and the most common use of the Internet was e-mail communication (81.6%). The most preferred site category for daily visit was newspaper sites (62.8%). Approximately 44.1% of students visited medical sites when they were surfing. Also, there was a negative correlation between school performance and the time spent for computer and Internet use (-0.056 and -0.034, respectively). It was observed that medical students used the computer and Internet essentially for nonmedical purposes. To encourage students to use the computer and Internet for medical purposes, tutors should use the computer and Internet during their teaching activities, and software companies should produce assistant applications for medical students. Also, medical schools should build interactive World Wide Web sites, e-mail groups, discussion boards, and study areas for medical students.

Well-being, health and fitness of children who use wheelchairs: feasibility study protocol to develop child-centred 'keep-fit' exercise interventions.

PubMed

O'Brien, Thomas D; Noyes, Jane; Spencer, Llinos Haf; Kubis, Hans-Peter; Edwards, Rhiannon T; Bray, Nathan; Whitaker, Rhiannon

2015-02-01

To undertake the pre-clinical and modelling phases of the Medical Research Council complex intervention framework to underpin development of child-centred 'keep-fit', exercise and physical activity interventions for children and young people who use wheelchairs. Children who use wheelchairs face many barriers to participation in physical activity, which compromises fitness, obesity, well-being and health. 'Keep-fit' programmes that are child-centred and engaging are urgently required to enhance participation of disabled children and their families as part of a healthy lifestyle. Nurses will likely be important in promoting and monitoring 'keep-fit' intervention(s) when implemented in the community. Mixed-method (including economic analysis) feasibility study to capture child and family preferences and keep-fit needs and to determine outcome measures for a 'keep-fit' intervention. The study comprises three stages. Stage 1 includes a mixed-method systematic review of effectiveness, cost effectiveness and key stakeholder views and experiences of keep-fit interventions, followed by qualitative interviews with children, young people and their parents to explore preferences and motivations for physical activity. Stage 2 will identify standardized outcome measures and test their application with children who use wheelchairs to obtain baseline fitness data. Options for an exercise-based keep-fit intervention will then be designed based on Stage 1 and 2 findings. In stage 3, we will present intervention options for feedback and further refinement to children and parents/carers in focus groups. (Project funded October 2012). At completion, this study will lead to the design of the intervention and a protocol to test its efficacy. © 2014 John Wiley & Sons Ltd.

Spectrum of tablet computer use by medical students and residents at an academic medical center.

PubMed

Robinson, Robert

2015-01-01

Introduction. The value of tablet computer use in medical education is an area of considerable interest, with preliminary investigations showing that the majority of medical trainees feel that tablet computers added value to the curriculum. This study investigated potential differences in tablet computer use between medical students and resident physicians. Materials & Methods. Data collection for this survey was accomplished with an anonymous online questionnaire shared with the medical students and residents at Southern Illinois University School of Medicine (SIU-SOM) in July and August of 2012. Results. There were 76 medical student responses (26% response rate) and 66 resident/fellow responses to this survey (21% response rate). Residents/fellows were more likely to use tablet computers several times daily than medical students (32% vs. 20%, p = 0.035). The most common reported uses were for accessing medical reference applications (46%), e-Books (45%), and board study (32%). Residents were more likely than students to use a tablet computer to access an electronic medical record (41% vs. 21%, p = 0.010), review radiology images (27% vs. 12%, p = 0.019), and enter patient care orders (26% vs. 3%, p < 0.001). Discussion. This study shows a high prevalence and frequency of tablet computer use among physicians in training at this academic medical center. Most residents and students use tablet computers to access medical references, e-Books, and to study for board exams. Residents were more likely to use tablet computers to complete clinical tasks. Conclusions. Tablet computer use among medical students and resident physicians was common in this survey. All learners used tablet computers for point of care references and board study. Resident physicians were more likely to use tablet computers to access the EMR, enter patient care orders, and review radiology studies. This difference is likely due to the differing educational and professional demands placed on resident physicians. Further study is needed better understand how tablet computers and other mobile devices may assist in medical education and patient care.

Spectrum of tablet computer use by medical students and residents at an academic medical center

PubMed Central

2015-01-01

Introduction. The value of tablet computer use in medical education is an area of considerable interest, with preliminary investigations showing that the majority of medical trainees feel that tablet computers added value to the curriculum. This study investigated potential differences in tablet computer use between medical students and resident physicians. Materials & Methods. Data collection for this survey was accomplished with an anonymous online questionnaire shared with the medical students and residents at Southern Illinois University School of Medicine (SIU-SOM) in July and August of 2012. Results. There were 76 medical student responses (26% response rate) and 66 resident/fellow responses to this survey (21% response rate). Residents/fellows were more likely to use tablet computers several times daily than medical students (32% vs. 20%, p = 0.035). The most common reported uses were for accessing medical reference applications (46%), e-Books (45%), and board study (32%). Residents were more likely than students to use a tablet computer to access an electronic medical record (41% vs. 21%, p = 0.010), review radiology images (27% vs. 12%, p = 0.019), and enter patient care orders (26% vs. 3%, p < 0.001). Discussion. This study shows a high prevalence and frequency of tablet computer use among physicians in training at this academic medical center. Most residents and students use tablet computers to access medical references, e-Books, and to study for board exams. Residents were more likely to use tablet computers to complete clinical tasks. Conclusions. Tablet computer use among medical students and resident physicians was common in this survey. All learners used tablet computers for point of care references and board study. Resident physicians were more likely to use tablet computers to access the EMR, enter patient care orders, and review radiology studies. This difference is likely due to the differing educational and professional demands placed on resident physicians. Further study is needed better understand how tablet computers and other mobile devices may assist in medical education and patient care. PMID:26246973

An Overview of the CERC ARTEMIS Project

PubMed Central

Jagannathan, V.; Reddy, Y. V.; Srinivas, K.; Karinthi, R.; Shank, R.; Reddy, S.; Almasi, G.; Davis, T.; Raman, R.; Qiu, S.; Friedman, S.; Merkin, B.; Kilkenny, M.

1995-01-01

The basic premise of this effort is that health care can be made more effective and affordable by applying modern computer technology to improve collaboration among diverse and distributed health care providers. Information sharing, communication, and coordination are basic elements of any collaborative endeavor. In the health care domain, collaboration is characterized by cooperative activities by health care providers to deliver total and real-time care for their patients. Communication between providers and managed access to distributed patient records should enable health care providers to make informed decisions about their patients in a timely manner. With an effective medical information infrastructure in place, a patient will be able to visit any health care provider with access to the network, and the provider will be able to use relevant information from even the last episode of care in the patient record. Such a patient-centered perspective is in keeping with the real mission of health care providers. Today, an easy-to-use, integrated health care network is not in place in any community, even though current technology makes such a network possible. Large health care systems have deployed partial and disparate systems that address different elements of collaboration. But these islands of automation have not been integrated to facilitate cooperation among health care providers in large communities or nationally. CERC and its team members at Valley Health Systems, Inc., St. Marys Hospital and Cabell Huntington Hospital form a consortium committed to improving collaboration among the diverse and distributed providers in the health care arena. As the first contract recipient of the multi-agency High Performance Computing and Communications (HPCC) Initiative, this team of computer system developers, practicing rural physicians, community care groups, health care researchers, and tertiary care providers are using research prototypes and commercial off-the-shelf technologies to develop an open collaboration environment for the health care domain. This environment is called ARTEMIS — Advanced Research TEstbed for Medical InformaticS. PMID:8563249

Medical Yoga Therapy

PubMed Central

Stephens, Ina

2017-01-01

Medical yoga is defined as the use of yoga practices for the prevention and treatment of medical conditions. Beyond the physical elements of yoga, which are important and effective for strengthening the body, medical yoga also incorporates appropriate breathing techniques, mindfulness, and meditation in order to achieve the maximum benefits. Multiple studies have shown that yoga can positively impact the body in many ways, including helping to regulate blood glucose levels, improve musculoskeletal ailments and keeping the cardiovascular system in tune. It also has been shown to have important psychological benefits, as the practice of yoga can help to increase mental energy and positive feelings, and decrease negative feelings of aggressiveness, depression and anxiety. PMID:28208599

Problems and pitfalls in cardiac drug therapy.

PubMed

Stone, S M; Rai, N; Nei, J

2001-01-01

Medical errors in the care of patients may account for 44,000 to 98,000 deaths per year, and 7,000 deaths per year are attributed to medication errors alone. Increasing awareness among health care providers of potential errors is a critical step toward improving the safety of medical care. Because today's medications are increasingly complex, approved at an accelerated rate, and often have a narrow therapeutic window with only a small margin of safety, patient and provider education is critical in assuring optimal therapeutic outcomes. Providers can use electronic resources such as Web sites to keep informed on drug-drug, drug-food, and drug-nutritional supplements interactions.

Technology and Counseling

ERIC Educational Resources Information Center

Loughary, John W.

1977-01-01

Today's world is vastly technological, and counselors need to keep abreast of advances in computer science, biofeedback, and other technical systems. Counseling and technology from a larger perspective define technology as concepts and methods as well as hardware. (Author)

Keep Your Volunteers On-Line.

ERIC Educational Resources Information Center

Lineback, Donald J.

1986-01-01

Good computer files can help colleges find, manage, and solicit alumni volunteers. In 1978 Rhodes College began creating detailed records on alumni and friends, entering gift and biographical data, mostly in coded form, into computerized personal files. (MLW)

Emergency Care of the Snakebite Victim.

ERIC Educational Resources Information Center

Ballard, Carol N.

1994-01-01

Describes emergency care of snakebite victims, including noting signs and symptoms of venomous snakebites, keeping the victim calm, and seeking immediate medical attention. Provides information on variables that affect the amount of injected venom and how to distinguish nonpoisonous from poisonous snakes. (LP)

Keeping Track of Your Blood Sugar

MedlinePlus

... after you join a sports team at school. People who use an insulin pump or who follow a plan ... Editorial Policy Permissions Guidelines Privacy Policy & Terms of ... is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor. © ...

Introducing medical students to medical informatics.

PubMed

Sancho, J J; González, J C; Patak, A; Sanz, F; Sitges-Serra, A

1993-11-01

Medical informatics (MI) has been introduced to medical students in several countries. Before outlining a course plan it was necessary to conduct a survey on students' computer literacy. A questionnaire was designed for students, focusing on knowledge and previous computer experience. The questions reproduced a similar questionnaire submitted to medical students from North Carolina University in Chapel Hill (NCU). From the results it is clear that although almost 80% of students used computers, less than 30% used general purpose applications, and utilization of computer-aided search of databases or use in the laboratory was exceptional. Men reported more computer experience than women in each area investigated by our questionnaire but this did not appear to be related to academic performance, age or course. Our main objectives when planning an MI course were to give students a general overview of the medical applications of computers and instruct them in the use of computers in future medical practice. As our medical school uses both Apple Macintosh and IBM compatibles, we decided to provide students with basic knowledge of both. The programme was structured with a mix of theoretico-practical lectures and personalized practical sessions in the computer laboratory. As well as providing a basic overview of medical informatics, the course and computer laboratory were intended to encourage other areas of medicine to incorporate the computer into their teaching programmes.

Using tablet technology in operational radiation safety applications.

PubMed

Phillips, Andrew; Linsley, Mark; Houser, Mike

2013-11-01

Tablet computers have become a mainstream product in today's personal, educational, and business worlds. These tablets offer computing power, storage, and a wide range of available products to meet nearly every user need. To take advantage of this new computing technology, a system was developed for the Apple iPad (Apple Inc. 1 Infinite Loop Cupertino, CA 95014) to perform health and safety inspections in the field using editable PDFs and saving them to a database while keeping the process easy and paperless.

Marketing your practice in a social world.

PubMed

Martin, Ashley; Grundin, Erica; Harrison, Dash; Espinoza, Jessica

2012-01-01

Social media use has moved beyond just being a way for family and friends to keep in touch. Now it is imperative that all businesses implement a social media strategy into their overall marketing plan. Medical practices are no exception. Using social media within your medical practice will allow you take your marketing to a new level of success. It also allows you to connect with patients on a more personal, less corporate level.

Toward ubiquitous healthcare services with a novel efficient cloud platform.

PubMed

He, Chenguang; Fan, Xiaomao; Li, Ye

2013-01-01

Ubiquitous healthcare services are becoming more and more popular, especially under the urgent demand of the global aging issue. Cloud computing owns the pervasive and on-demand service-oriented natures, which can fit the characteristics of healthcare services very well. However, the abilities in dealing with multimodal, heterogeneous, and nonstationary physiological signals to provide persistent personalized services, meanwhile keeping high concurrent online analysis for public, are challenges to the general cloud. In this paper, we proposed a private cloud platform architecture which includes six layers according to the specific requirements. This platform utilizes message queue as a cloud engine, and each layer thereby achieves relative independence by this loosely coupled means of communications with publish/subscribe mechanism. Furthermore, a plug-in algorithm framework is also presented, and massive semistructure or unstructured medical data are accessed adaptively by this cloud architecture. As the testing results showing, this proposed cloud platform, with robust, stable, and efficient features, can satisfy high concurrent requests from ubiquitous healthcare services.

Are Computers, Smartphones, and the Internet a Boon or a Barrier for the Weaker Reader?

ERIC Educational Resources Information Center

Alvermann, Donna E.; Harrison, Colin

2016-01-01

If boys are spending nine hours a day media multitasking and prefer computers to books, shouldn't they be successful at online learning? Yet, it is not so simple. Online learning requires online reading, which means that boys, who are significantly poorer readers than girls in every nation in the world, may well be struggling to keep up.…

Report on a Highly Used Computer Aid for the Professor in his Grade and Record Keeping Tasks.

ERIC Educational Resources Information Center

Brockmeier, Richard

SPARS is a computer data base management system designed to aid the college professor in handling his students' grades and other classroom data. It can handle multiple sections and labs, and allows the professor to combine and separate these components in a variety of ways. SPARS seeks to meet the sometimes competing goals of simplicity of use and…

Decentralized State Estimation and Remedial Control Action for Minimum Wind Curtailment Using Distributed Computing Platform

DOE PAGES

Liu, Ren; Srivastava, Anurag K.; Bakken, David E.; ...

2017-08-17

Intermittency of wind energy poses a great challenge for power system operation and control. Wind curtailment might be necessary at the certain operating condition to keep the line flow within the limit. Remedial Action Scheme (RAS) offers quick control action mechanism to keep reliability and security of the power system operation with high wind energy integration. In this paper, a new RAS is developed to maximize the wind energy integration without compromising the security and reliability of the power system based on specific utility requirements. A new Distributed Linear State Estimation (DLSE) is also developed to provide the fast andmore » accurate input data for the proposed RAS. A distributed computational architecture is designed to guarantee the robustness of the cyber system to support RAS and DLSE implementation. The proposed RAS and DLSE is validated using the modified IEEE-118 Bus system. Simulation results demonstrate the satisfactory performance of the DLSE and the effectiveness of RAS. Real-time cyber-physical testbed has been utilized to validate the cyber-resiliency of the developed RAS against computational node failure.« less

Decentralized State Estimation and Remedial Control Action for Minimum Wind Curtailment Using Distributed Computing Platform

DOE Office of Scientific and Technical Information (OSTI.GOV)

Liu, Ren; Srivastava, Anurag K.; Bakken, David E.

Intermittency of wind energy poses a great challenge for power system operation and control. Wind curtailment might be necessary at the certain operating condition to keep the line flow within the limit. Remedial Action Scheme (RAS) offers quick control action mechanism to keep reliability and security of the power system operation with high wind energy integration. In this paper, a new RAS is developed to maximize the wind energy integration without compromising the security and reliability of the power system based on specific utility requirements. A new Distributed Linear State Estimation (DLSE) is also developed to provide the fast andmore » accurate input data for the proposed RAS. A distributed computational architecture is designed to guarantee the robustness of the cyber system to support RAS and DLSE implementation. The proposed RAS and DLSE is validated using the modified IEEE-118 Bus system. Simulation results demonstrate the satisfactory performance of the DLSE and the effectiveness of RAS. Real-time cyber-physical testbed has been utilized to validate the cyber-resiliency of the developed RAS against computational node failure.« less

Intraoperative pulse oximetry: frequency and distribution of discrepant data.

PubMed

Pan, P H; Gravenstein, N

1994-01-01

To determine the types of discrepant data during intraoperative pulse oximetry and their frequency and duration. Prospective study. University medical center. 46 consecutive ASA physical status I-III patients undergoing general anesthesia for elective surgical operations. With an integrated computer algorithm on the pulse oximeter and another computer linked to it, data were screened and the frequency and distribution of the following oximeter signals recorded: absent; low quality or interrupted, as detected by the pulse oximeter algorithm; nonphysiologic, identified by the personal computer as a heart rate change greater than 10 beats per minute within 2 consecutive 2-second samples, with no similar abrupt change reported simultaneously on ECG. The number of episodes per hour of discrepant oximeter data and the duration of the episodes were recorded by phase of anesthesia: induction, maintenance, and emergence. Discrepant data occurred most frequently and lasted longest during emergence (p < 0.05); the majority of episodes of discrepant data during emergence lasted less than 12 seconds. Excluding discrepant data that lasted less than 12 seconds decreased the frequency of discrepant data by 63% and excluding those that lasted less than 30 seconds decreased the frequency of discrepant data by 93%. Pulse oximeters frequently report discrepant data intraoperatively, most frequently during emergence from anesthesia. An alarm delay triggered by discrepant data and lasting 12 to 30 seconds would keep most discrepant data from becoming false alarms and, thus, may reduce distracting sound pollution in the operating room.

CIOs use outsourcing to revamp systems.

PubMed

Morrissey, J

1995-07-24

Faced with the challenge of keeping pace with computer technology, many chief information officers are farming out projects to experts. Outsourcing firms are circling the healthcare industry, ready to pounce on market opportunities that exceeded $1 billion in 1994.

Types of Brain Tumors

MedlinePlus

... already registered, you will receive periodic updates and communications from American Brain Tumor Association. Keep me logged in. What's this? Remembers your login information for your convenience. Use only on trusted, private computers. Privacy Policy Spam Control Text: Please leave this ...

Recurrence of Brain Tumors

MedlinePlus

... already registered, you will receive periodic updates and communications from American Brain Tumor Association. Keep me logged in. What's this? Remembers your login information for your convenience. Use only on trusted, private computers. Privacy Policy Spam Control Text: Please leave this ...

Making Science Work.

ERIC Educational Resources Information Center

Thomas, Lewis

1981-01-01

Presents a viewpoint concerning the impact of recent scientific advances on society. Discusses biological discoveries, space exploration, computer technology, development of new astronomical theories, the behavioral sciences, and basic research. Challenges to keeping science current with technological advancement are also discussed. (DS)

Back-to-School Health Tips: Exercise and Sleep

MedlinePlus

... up the same times each day. Keep room temperature on the cool side. A TV or computer in the bedroom can be a distraction. Read More "Back-to-School" Articles Health Tips: Immunizations / Health Tips: Exercise and ...

Project summaries

NASA Technical Reports Server (NTRS)

1990-01-01

Lunar base projects, including a reconfigurable lunar cargo launcher, a thermal and micrometeorite protection system, a versatile lifting machine with robotic capabilities, a cargo transport system, the design of a road construction system for a lunar base, and the design of a device for removing lunar dust from material surfaces, are discussed. The emphasis on the Gulf of Mexico project was on the development of a computer simulation model for predicting vessel station keeping requirements. An existing code, used in predicting station keeping requirements for oil drilling platforms operating in North Shore (Alaska) waters was used as a basis for the computer simulation. Modifications were made to the existing code. The input into the model consists of satellite altimeter readings and water velocity readings from buoys stationed in the Gulf of Mexico. The satellite data consists of altimeter readings (wave height) taken during the spring of 1989. The simulation model predicts water velocity and direction, and wind velocity.

Orbit determination error analysis and comparison of station-keeping costs for Lissajous and halo-type libration point orbits and sensitivity analysis using experimental design techniques

NASA Technical Reports Server (NTRS)

Gordon, Steven C.

1993-01-01

Spacecraft in orbit near libration point L1 in the Sun-Earth system are excellent platforms for research concerning solar effects on the terrestrial environment. One spacecraft mission launched in 1978 used an L1 orbit for nearly 4 years, and future L1 orbital missions are also being planned. Orbit determination and station-keeping are, however, required for these orbits. In particular, orbit determination error analysis may be used to compute the state uncertainty after a predetermined tracking period; the predicted state uncertainty levels then will impact the control costs computed in station-keeping simulations. Error sources, such as solar radiation pressure and planetary mass uncertainties, are also incorporated. For future missions, there may be some flexibility in the type and size of the spacecraft's nominal trajectory, but different orbits may produce varying error analysis and station-keeping results. The nominal path, for instance, can be (nearly) periodic or distinctly quasi-periodic. A periodic 'halo' orbit may be constructed to be significantly larger than a quasi-periodic 'Lissajous' path; both may meet mission requirements, but perhaps the required control costs for these orbits are probably different. Also for this spacecraft tracking and control simulation problem, experimental design methods can be used to determine the most significant uncertainties. That is, these methods can determine the error sources in the tracking and control problem that most impact the control cost (output); it also produces an equation that gives the approximate functional relationship between the error inputs and the output.

The state of medical informatics in India: a roadmap for optimal organization.

PubMed

Sarbadhikari, Suptendra Nath

2005-04-01

In India, the healthcare delivery systems are based on manual record keeping despite a good telecommunication infrastructure. Unfortunately, Indian policy makers are yet to realize the importance of medical informatics (including tele-health, which comprises e-Health and Telemedicine) in delivering healthcare. In the medical curriculum also, nowhere is this treated as a subject or even as a tool for learning. The final aim of most of the medical and paramedical students should be to become good users, and if possible, also experts for advancing medical knowledge base through medical informatics. In view of the fast changing world of medical informatics, it is essential to formulate a flexible syllabus rather than a rigid one for incorporating into the regular curriculum of medical and paramedical education. Only after that one may expect all members of the healthcare delivery systems to adopt and apply medical informatics optimally as a routine tool for their services.

Funding medical education: should we follow a different model to general higher education? Commentary.

PubMed

Walsh, Kieran

2015-01-01

There has been much recent discussion on the funding of medical education. There has also been much discussion about the funding of higher education more generally. The topics of discussion have included the rising costs of education; who should pay; the various potential models of funding; and how best to ensure maximum returns from investment. Medical education has largely followed the emerging models of funding for higher education. However there are important reasons why the funding models for higher education may not suit medical education. These reasons include the fact that medical education is as important to the public as it is to the learner; the range of funding sources available to medical schools; the strict regulation of medical education; and the fact that the privatisation and commercialisation of higher education may not been in keeping with the social goals of medical schools and the agenda of diversification within the medical student population.

Computer ergonomics: the medical practice guide to developing good computer habits.

PubMed

Hills, Laura

2011-01-01

Medical practice employees are likely to use computers for at least some of their work. Some sit several hours each day at computer workstations. Therefore, it is important that members of your medical practice team develop good computer work habits and that they know how to align equipment, furniture, and their bodies to prevent strain, stress, and computer-related injuries. This article delves into the field of computer ergonomics-the design of computer workstations and work habits to reduce user fatigue, discomfort, and injury. It describes practical strategies medical practice employees can use to improve their computer work habits. Specifically, this article describes the proper use of the computer workstation chair, the ideal placement of the computer monitor and keyboard, and the best lighting for computer work areas and tasks. Moreover, this article includes computer ergonomic guidelines especially for bifocal and progressive lens wearers and offers 10 tips for proper mousing. Ergonomically correct posture, movements, positioning, and equipment are all described in detail to enable the frequent computer user in your medical practice to remain healthy, pain-free, and productive.

What Medicine And Medical Journal Editing Mean To Me

PubMed Central

Jawaid, Shaukat Ali

2006-01-01

Medicine and medical journalism are both noble professions. Those who are infected with the materialistic virus and want to make quick money should not take up these as professional careers. Editing a good quality peer reviewed medical journal in a developing third world country is extremely frustrating. An editor has to work under considerable stress and strain, and face numerous pressures. However, it is a joy and pleasure to be a successful medical editor. The mere fact that one can help so many authors and influence decision makers in the medical profession, health officials, pharmaceutical trade and industry and all others connected with the health sector gives tremendous professional satisfaction, which is invaluable and keeps one motivated. PMID:22013333

Emergency response nurse scheduling with medical support robot by multi-agent and fuzzy technique.

PubMed

Kono, Shinya; Kitamura, Akira

2015-08-01

In this paper, a new co-operative re-scheduling method corresponding the medical support tasks that the time of occurrence can not be predicted is described, assuming robot can co-operate medical activities with the nurse. Here, Multi-Agent-System (MAS) is used for the co-operative re-scheduling, in which Fuzzy-Contract-Net (FCN) is applied to the robots task assignment for the emergency tasks. As the simulation results, it is confirmed that the re-scheduling results by the proposed method can keep the patients satisfaction and decrease the work load of the nurse.

The implementation of two stages clustering (k-means clustering and adaptive neuro fuzzy inference system) for prediction of medicine need based on medical data

NASA Astrophysics Data System (ADS)

Husein, A. M.; Harahap, M.; Aisyah, S.; Purba, W.; Muhazir, A.

2018-03-01

Medication planning aim to get types, amount of medicine according to needs, and avoid the emptiness medicine based on patterns of disease. In making the medicine planning is still rely on ability and leadership experience, this is due to take a long time, skill, difficult to obtain a definite disease data, need a good record keeping and reporting, and the dependence of the budget resulted in planning is not going well, and lead to frequent lack and excess of medicines. In this research, we propose Adaptive Neuro Fuzzy Inference System (ANFIS) method to predict medication needs in 2016 and 2017 based on medical data in 2015 and 2016 from two source of hospital. The framework of analysis using two approaches. The first phase is implementing ANFIS to a data source, while the second approach we keep using ANFIS, but after the process of clustering from K-Means algorithm, both approaches are calculated values of Root Mean Square Error (RMSE) for training and testing. From the testing result, the proposed method with better prediction rates based on the evaluation analysis of quantitative and qualitative compared with existing systems, however the implementation of K-Means Algorithm against ANFIS have an effect on the timing of the training process and provide a classification accuracy significantly better without clustering.

Iterated Gate Teleportation and Blind Quantum Computation.

PubMed

Pérez-Delgado, Carlos A; Fitzsimons, Joseph F

2015-06-05

Blind quantum computation allows a user to delegate a computation to an untrusted server while keeping the computation hidden. A number of recent works have sought to establish bounds on the communication requirements necessary to implement blind computation, and a bound based on the no-programming theorem of Nielsen and Chuang has emerged as a natural limiting factor. Here we show that this constraint only holds in limited scenarios, and show how to overcome it using a novel method of iterated gate teleportations. This technique enables drastic reductions in the communication required for distributed quantum protocols, extending beyond the blind computation setting. Applied to blind quantum computation, this technique offers significant efficiency improvements, and in some scenarios offers an exponential reduction in communication requirements.

Feasibility of Executing MIMS on Interdata 80.

DTIC Science & Technology

CDC 6500 computers, CDC 6600 computers, MIMS(Medical Information Management System ), Medical information management system , File structures, Computer...storage managementThe report examines the feasibility of implementing large information management system on mini-computers. The Medical Information ... Management System and the Interdata 80 mini-computer were selected as being representative systems. The FORTRAN programs currently being used in MIMS

Classical and modern control strategies for the deployment, reconfiguration, and station-keeping of the National Aeronautics and Space Administration (NASA) Benchmark Tetrahedron Constellation

NASA Astrophysics Data System (ADS)

Capo-Lugo, Pedro A.

Formation flying consists of multiple spacecraft orbiting in a required configuration about a planet or through Space. The National Aeronautics and Space Administration (NASA) Benchmark Tetrahedron Constellation is one of the proposed constellations to be launched in the year 2009 and provides the motivation for this investigation. The problem that will be researched here consists of three stages. The first stage contains the deployment of the satellites; the second stage is the reconfiguration process to transfer the satellites through different specific sizes of the NASA benchmark problem; and, the third stage is the station-keeping procedure for the tetrahedron constellation. Every stage contains different control schemes and transfer procedures to obtain/maintain the proposed tetrahedron constellation. In the first stage, the deployment procedure will depend on a combination of two techniques in which impulsive maneuvers and a digital controller are used to deploy the satellites and to maintain the tetrahedron constellation at the following apogee point. The second stage that corresponds to the reconfiguration procedure shows a different control scheme in which the intelligent control systems are implemented to perform this procedure. In this research work, intelligent systems will eliminate the use of complex mathematical models and will reduce the computational time to perform different maneuvers. Finally, the station-keeping process, which is the third stage of this research problem, will be implemented with a two-level hierarchical control scheme to maintain the separation distance constraints of the NASA Benchmark Tetrahedron Constellation. For this station-keeping procedure, the system of equations defining the dynamics of a pair of satellites is transformed to take in account the perturbation due to the oblateness of the Earth and the disturbances due to solar pressure. The control procedures used in this research will be transformed from a continuous control system to a digital control system which will simplify the implementation into the computer onboard the satellite. In addition, this research will show an introductory chapter on attitude dynamics that can be used to maintain the orientation of the satellites, and an adaptive intelligent control scheme will be proposed to maintain the desired orientation of the spacecraft. In conclusion, a solution for the dynamics of the NASA Benchmark Tetrahedron Constellation will be presented in this research work. The main contribution of this work is the use of discrete control schemes, impulsive maneuvers, and intelligent control schemes that can be used to reduce the computational time in which these control schemes can be easily implemented in the computer onboard the satellite. These contributions are explained through the deployment, reconfiguration, and station-keeping process of the proposed NASA Benchmark Tetrahedron Constellation.

40 CFR 63.11995 - In what form and how long must I keep my records?

Code of Federal Regulations, 2013 CFR

2013-07-01

... years. Records may be maintained in hard copy or computer-readable format including, but not limited to, on paper, microfilm, hard disk drive, floppy disk, compact disk, magnetic tape or microfiche. ...

40 CFR 63.11995 - In what form and how long must I keep my records?

Code of Federal Regulations, 2014 CFR

2014-07-01

... years. Records may be maintained in hard copy or computer-readable format including, but not limited to, on paper, microfilm, hard disk drive, floppy disk, compact disk, magnetic tape or microfiche. ...

40 CFR 63.11995 - In what form and how long must I keep my records?

Code of Federal Regulations, 2012 CFR

2012-07-01

... years. Records may be maintained in hard copy or computer-readable format including, but not limited to, on paper, microfilm, hard disk drive, floppy disk, compact disk, magnetic tape or microfiche. ...

Psst, Can You Keep a Secret?

PubMed

Vassilev, Apostol; Mouha, Nicky; Brandão, Luís

2018-01-01

The security of encrypted data depends not only on the theoretical properties of cryptographic primitives but also on the robustness of their implementations in software and hardware. Threshold cryptography introduces a computational paradigm that enables higher assurance for such implementations.

Crispen's Five Antivirus Rules.

ERIC Educational Resources Information Center

Crispen, Patrick Douglas

2000-01-01

Provides rules for protecting computers from viruses, Trojan horses, or worms. Topics include purchasing commercial antivirus programs and keeping them updated; updating virus definitions weekly; precautions before opening attached files; macro virus protection in Microsoft Word; and precautions with executable files. (LRW)

Records as Genre.

ERIC Educational Resources Information Center

Schryer, Catherine F.

1993-01-01

Reworks the concept of genre from rhetorical, dialectical, and dialogic perspectives. Redefines genre as a stabilized-for-now site of social and ideological action. Applies this definition (in a six-month ethnographic study) to a specific literary practice--medical record keeping--evolving in a specific context--a veterinary college. (SR)

This Good-Health Regimen Keeps Employes Fit--And School Budgets Trim.

ERIC Educational Resources Information Center

Collingwood, Thomas R.

1984-01-01

The Dallas Independent School District's staff stress reduction and health awareness program is described. The program features medical screening, fitness assessment, goal setting, exercise and nutrition prescriptions, health education, exercise classes, motivation, and feedback. Benefits reported include significantly improved health and attitude…

First Aid: Dehydration

MedlinePlus

... rapid or weakened pulse What to Do Mild dehydration often can be treated at home. If your child has diarrhea but no vomiting, continue feeding a ... 20 minutes. Seek Emergency Medical Care If Your Child: shows any sign of severe dehydration is unable to keep clear fluids down Think ...

The pediatrician's role in the diagnosis and management of food allergy.

PubMed

Lau, Claudia H; Gupta, Ruchi S

2013-07-01

CME EDUCATIONAL OBJECTIVES 1. Recognize the signs and symptoms of food allergy versus food intolerance. 2. Review currently available diagnostic testing modalities for food allergy and their applicability in the pediatric outpatient setting. 3. Review appropriate management practices for pediatricians, including prescription of medications, counseling of families, and referrals to keep children safe. Food allergy is a rapidly increasing and potentially life-threatening health concern in the United States. Given the ubiquity of food in our society and the absence of a cure, it is crucial that families receive proper guidance and medication to keep children safe. The pediatrician plays a key role to this end as he or she is often the first, and sometimes the only physician, these children can access. Accordingly, pediatricians must be equipped to recognize, manage, and evaluate food allergies over time while preventing unnecessary avoidance. This review provides practical translation of guidelines into recommended practices that are most pertinent to pediatricians. Copyright 2013, SLACK Incorporated.

Continuing Medical Education and Continuing Professional Development: a credit system for monitoring and promoting excellence.

PubMed

Matos-Ferreira, A

2001-06-01

Probably the most important demand on the career of a medical specialist is that of having to keep up-to-date both scientifically and professionally. But the onus does not fall only on the practitioner. The institutions involved in medical teaching and professional development also have a crucial role to play by providing opportunities for continuing education and assuring that the specialist carries out enough relevant, experience-enhancing tasks to ensure continuous professional growth. As upgrading medical knowledge and developing professionally is a life-long task, both the need and the obligation to learn and improve apply to doctors of all ages and at all hierarchical levels.

Patients' ethical obligation for their health.

PubMed Central

Sider, R C; Clements, C D

1984-01-01

In contemporary medical ethics health is rarely acknowledged to be an ethical obligation. This oversight is due to the preoccupation of most bioethicists with a rationalist, contract model for ethics in which moral obligation is limited to truth-telling and promise-keeping. Such an ethics is poorly suited to medicine because it fails to appreciate that medicine's basis as a moral enterprise is oriented towards health values. A naturalistic model for medical ethics is proposed which builds upon biological and medical values. This perspective clarifies ethical obligations to ourselves and to others for life and health. It provides a normative framework for the doctor-patient relationship within which to formulate medical advice and by which to evaluate patient choice. PMID:6502640

Clinical negligence and the need to keep professionally updated.

PubMed

Tingle, John

Nurses and doctors are under a legal duty to keep reasonably up to date; this is a fundamental aspect of their legal duty of care to their patients. A nurse or doctor could be negligent if a patient is harmed because of ignorance of well accepted and known published nursing and medical research findings. It is all a question of fact and degree and cases will turn on their own circumstances. There are a number of reported court cases which explore this issue and which contain useful guidance. These cases are discussed within the context of the new NHS and the Government's emphasis on health quality, and increasing healthcare litigation.

Outline of a novel architecture for cortical computation.

PubMed

Majumdar, Kaushik

2008-03-01

In this paper a novel architecture for cortical computation has been proposed. This architecture is composed of computing paths consisting of neurons and synapses. These paths have been decomposed into lateral, longitudinal and vertical components. Cortical computation has then been decomposed into lateral computation (LaC), longitudinal computation (LoC) and vertical computation (VeC). It has been shown that various loop structures in the cortical circuit play important roles in cortical computation as well as in memory storage and retrieval, keeping in conformity with the molecular basis of short and long term memory. A new learning scheme for the brain has also been proposed and how it is implemented within the proposed architecture has been explained. A few mathematical results about the architecture have been proposed, some of which are without proof.

Computational Modeling and Treatment Identification in the Myelodysplastic Syndromes.

PubMed

Drusbosky, Leylah M; Cogle, Christopher R

2017-10-01

This review discusses the need for computational modeling in myelodysplastic syndromes (MDS) and early test results. As our evolving understanding of MDS reveals a molecularly complicated disease, the need for sophisticated computer analytics is required to keep track of the number and complex interplay among the molecular abnormalities. Computational modeling and digital drug simulations using whole exome sequencing data input have produced early results showing high accuracy in predicting treatment response to standard of care drugs. Furthermore, the computational MDS models serve as clinically relevant MDS cell lines for pre-clinical assays of investigational agents. MDS is an ideal disease for computational modeling and digital drug simulations. Current research is focused on establishing the prediction value of computational modeling. Future research will test the clinical advantage of computer-informed therapy in MDS.

Proceedings of the Military Librarians’ Workshop (18th) Held at Fort Hauchuca, Arizona on 10-12 September 1974

DTIC Science & Technology

1974-09-12

still look at a set of terms proposed to them by these computer programs based on abstract and title and they still delete and add; there is inter...this message, several new reports relevant to WGA newsletters are computer oroduced your interests probably have entered the col- and electronically...executives and the past by ordering a computer NTlSearch professionals who must keep up to date. of all the research reports in your area of interest, dating

A survey of GPU-based medical image computing techniques

PubMed Central

Shi, Lin; Liu, Wen; Zhang, Heye; Xie, Yongming

2012-01-01

Medical imaging currently plays a crucial role throughout the entire clinical applications from medical scientific research to diagnostics and treatment planning. However, medical imaging procedures are often computationally demanding due to the large three-dimensional (3D) medical datasets to process in practical clinical applications. With the rapidly enhancing performances of graphics processors, improved programming support, and excellent price-to-performance ratio, the graphics processing unit (GPU) has emerged as a competitive parallel computing platform for computationally expensive and demanding tasks in a wide range of medical image applications. The major purpose of this survey is to provide a comprehensive reference source for the starters or researchers involved in GPU-based medical image processing. Within this survey, the continuous advancement of GPU computing is reviewed and the existing traditional applications in three areas of medical image processing, namely, segmentation, registration and visualization, are surveyed. The potential advantages and associated challenges of current GPU-based medical imaging are also discussed to inspire future applications in medicine. PMID:23256080

Medical education and information and communication technology.

PubMed

Houshyari, Asefeh Badiey; Bahadorani, Mahnaz; Tootoonchi, Mina; Gardiner, John Jacob Zucker; Peña, Roberto A; Adibi, Peyman

2012-01-01

Information and communication technology (ICT) has brought many changes in medical education and practice in the last couple of decades. Teaching and learning medicine particularly has gone under profound changes due to computer technologies, and medical schools around the world have invested heavily either in new computer technologies or in the process of adapting to this technological revolution. In order to catch up with the rest of the world, developing countries need to research their options in adapting to new computer technologies. This descriptive survey study was designed to assess medical students' computer and Internet skills and their attitude toward ICT. Research findings showed that the mean score of self-perceived computer knowledge for male students in general was greater than for female students. Also, students who had participated in various prior computer workshops, had access to computer, Internet, and e-mail, and frequently checked their e-mail had higher mean of self-perceived knowledge and skill score. Finally, students with positive attitude toward ICT scored their computer knowledge higher than those who had no opinion. The results have confirmed that the medical schools, particularly in developing countries, need to bring fundamental changes such as curriculum modification in order to integrate ICT into medical education, creating essential infrastructure for ICT use in medical education and practice, and structured computer training for faculty and students.

Furniture and Equipment: How Can We Keep Our Children from Being at Risk?

ERIC Educational Resources Information Center

Enderle, Jerry

2002-01-01

Presents an interview with Dr. Lorraine Maxwell, an expert in human-environment relations, about important comfort and health issues to consider when looking at the furniture used as computer workstations in U.S. schools. (EV)

The Secrets of Effective Floor Care.

ERIC Educational Resources Information Center

Michels, Ed

2002-01-01

Discusses the importance of staff training and a maintenance program to the care of hard floors. Describes four key features to look for in a computer-based training program and types of floor pads and matting used to keep flooring clean. (EV)

Psst, Can You Keep a Secret?

PubMed Central

Vassilev, Apostol; Mouha, Nicky; Brandão, Luís

2018-01-01

The security of encrypted data depends not only on the theoretical properties of cryptographic primitives but also on the robustness of their implementations in software and hardware. Threshold cryptography introduces a computational paradigm that enables higher assurance for such implementations. PMID:29576634

Pathways of Toxicity

EPA Science Inventory

Despite wide-spread consensus on the need to transform toxicology and risk assessment in order to keep pace with technological and computational changes that have revolutionized the life sciences, there remains much work to be done to achieve the vision of toxicology based on a m...

Cutting Tobacco's Toll. Worldwatch Paper 18.

ERIC Educational Resources Information Center

Eckholm, Erik

This pamphlet discusses the "unnatural" history of tobacco, the broadening medical indictment, world smoking trends, who profits, and public policy and public health. Equalling a fourth of the global military budget, consumer expenditure on cigarettes ensures that powerful, strongly motivated interests will struggle to keep global cigarette sales…

Facing Fibromyalgia | NIH MedlinePlus the Magazine

MedlinePlus

... these kinds of symptoms? Try to find the right doctor who is willing to work with you and listen to you. Keep trying ... process. Medications are scary, and they don't work for everyone, but for me the right one made me feel like myself again. What ...

Adherence of Heart Transplant Recipients to Prescribed Medication and Recommended Lifestyle Habits.

PubMed

Brocks, Y; Zittermann, A; Grisse, D; Schmid-Ott, G; Stock-Gießendanner, S; Schulz, U; Brakhage, J; Benkler, A; Gummert, J; Tigges-Limmer, Katharina

2017-06-01

Nonadherence may cause severe health problems in heart transplant (HTx) recipients. The present study aimed to investigate adherence to prescribed medication and recommended lifestyle habits in post-HTx patients and to assess associations between adherence, quality of life (QOL), and psychological well-being. A questionnaire package was sent to all HTx patients from our clinic (n = 858) to answer questions anonymously on medication adherence, dietary recommendations (avoidance of raw animal products and ice cream), pet keeping (risk of zoonosis), anxiety and depression, QOL, and posttraumatic stress disorders. Of the contacted patients, 524 (61%) responded and 505 fulfilled the inclusion criteria (age ≥18 years and ability to understand German). Of the study participants, 72.4% reported taking their medications very correctly, 72.2% stated consuming alcohol less often than once a week, 58.3% performed physical exercise at least once a week, one-third reported eating nonrecommended foods, 22.1% stated pet keeping, and 4.3% reported smoking. Adherence to prescribed medication was positively associated with age ( P < .001) and mental QOL ( P = .015) but was unrelated to eating nonrecommended foods ( P > .05). Depressiveness correlated inversely with physical QOL ( r = -0.232; P < .01) and mental QOL ( r = -0.411; P < .01). Stress disorders and minor stressful events were reported by 7.8% and 46.6%, respectively. Stress disorders correlated inversely with mental QOL ( r = -0.282; P < .01) and physical QOL ( r = -0.422; P < .01). Many HTx patients adhere to prescribed medications and health advice. Nevertheless, nonadherence is a problem, especially in younger HTx patients, indicating the need for a nonadherence crisis intervention program for long-term HTx patients.

Medicines in Pharmacy Students’ Residence and Self-medication Practices

PubMed Central

Auta, A; Banwat, SB; Sariem, CN; Shalkur, D; Nasara, B; Atuluku, MO

2012-01-01

This study was aimed at identifying the types of medicines in pharmacy students’ residence and to determine if a relationship exists between keeping medicines in students’ accommodation and self-medication practices. A cross-sectional survey of a random sample of 240 undergraduate pharmacy students of the University of Jos, Jos, Nigeria, was carried out. Participating students were given a self-administered questionnaire, and only 188 students returned their filled questionnaire. The data collected were entered and analyzed using SPSS 16, and the χ2-test was used to determine associations between the variables. The results revealed that 66.0% of respondents had medicines in their room. A total of 318 medicines items (2.56 items per student's room) of which 37.1% were leftover medicines were present in respondents’ rooms. Analgesics (34.3%) and antibiotics (25.2%) were the common classes of medicines present in respondents’ rooms. Respondents reported getting these medicines on prescription (25.8%) and self-medication (56.5%) or both (17.7%). Self-medication practice was common among respondents (53.2%); however, no significant relationship (P>0.05) existed between having medicine in students’ room and self-medication practices. Common reasons given by respondents for having medicines in their rooms were that they were leftover medicines and that they were keeping them for emergency use or for use in an event of a similar illness. Most respondents (72.2%) reported disposing of their unused medicines in a trash can/dust bin. This study demonstrated that the prevalence of medicine storage in students’ room and self-medication practice is high. Analgesics and antibiotics were the most common types of medicines present in students’ residence. PMID:22754265

Computer-based simulation training in emergency medicine designed in the light of malpractice cases.

PubMed

Karakuş, Akan; Duran, Latif; Yavuz, Yücel; Altintop, Levent; Calişkan, Fatih

2014-07-27

Using computer-based simulation systems in medical education is becoming more and more common. Although the benefits of practicing with these systems in medical education have been demonstrated, advantages of using computer-based simulation in emergency medicine education are less validated. The aim of the present study was to assess the success rates of final year medical students in doing emergency medical treatment and evaluating the effectiveness of computer-based simulation training in improving final year medical students' knowledge. Twenty four Students trained with computer-based simulation and completed at least 4 hours of simulation-based education between the dates Feb 1, 2010 - May 1, 2010. Also a control group (traditionally trained, n =24) was chosen. After the end of training, students completed an examination about 5 randomized medical simulation cases. In 5 cases, an average of 3.9 correct medical approaches carried out by computer-based simulation trained students, an average of 2.8 correct medical approaches carried out by traditionally trained group (t = 3.90, p < 0.005). We found that the success of students trained with simulation training in cases which required complicated medical approach, was statistically higher than the ones who didn't take simulation training (p ≤ 0.05). Computer-based simulation training would be significantly effective in learning of medical treatment algorithms. We thought that these programs can improve the success rate of students especially in doing adequate medical approach to complex emergency cases.

Y2K: prepare, don't panic.

PubMed

Russo, R

1999-04-01

Y2K issues could affect anyone, so it is important for HIV-positive people to make preparations to ensure their health and security. There are wide-ranging opinions about the effects of the so-called Millennium Bug, but some planning will make any changes more manageable. Patients should have adequate supplies of food, water, and medications at home in case of shortages or production problems. Other prudent steps include keeping extra cash on hand and obtaining copies of medical records and benefit plans. Internet resources are listed.

Social media in dermatology: moving to Web 2.0.

PubMed

Travers, Robin L

2012-09-01

Patient use of social media platforms for accessing medical information has accelerated in parallel with overall use of the Internet. Dermatologists must keep pace with our patients' use of these media through either passive or active means are outlined in detail for 4 specific social media outlets. A 5-step plan for active engagement in social media applications is presented. Implications for medical professionalism, Health Insurance Portability and Accountability Act compliance, and crisis management are discussed. Copyright © 2012. Published by Elsevier Inc.

Privacy-preserving periodical publishing for medical information

NASA Astrophysics Data System (ADS)

Jin, Hua; Ju, Shi-guang; Liu, Shan-cheng

2013-07-01

Existing privacy-preserving publishing models can not meet the requirement of periodical publishing for medical information whether these models are static or dynamic. This paper presents a (k,l)-anonymity model with keeping individual association and a principle based on (Epsilon)-invariance group for subsequent periodical publishing, and then, the PKIA and PSIGI algorithms are designed for them. The proposed methods can reserve more individual association with privacy-preserving and have better publishing quality. Experiments confirm our theoretical results and its practicability.

The Herd Mentality: Strength in Numbers, and Combining Studies.

PubMed

Jupiter, Daniel C

2016-01-01

Although clinicians may have the best of intentions in terms of keeping up with the medical literature, the overwhelming volume of published studies and the press of clinical responsibilities can make this difficult. A medical version of the Reader's Digest(©) would thus be a valuable asset. This is something of the role that systematic reviews and meta-analyses play: synthesis and summary of the information in the literature. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Universal blind quantum computation for hybrid system

NASA Astrophysics Data System (ADS)

Huang, He-Liang; Bao, Wan-Su; Li, Tan; Li, Feng-Guang; Fu, Xiang-Qun; Zhang, Shuo; Zhang, Hai-Long; Wang, Xiang

2017-08-01

As progress on the development of building quantum computer continues to advance, first-generation practical quantum computers will be available for ordinary users in the cloud style similar to IBM's Quantum Experience nowadays. Clients can remotely access the quantum servers using some simple devices. In such a situation, it is of prime importance to keep the security of the client's information. Blind quantum computation protocols enable a client with limited quantum technology to delegate her quantum computation to a quantum server without leaking any privacy. To date, blind quantum computation has been considered only for an individual quantum system. However, practical universal quantum computer is likely to be a hybrid system. Here, we take the first step to construct a framework of blind quantum computation for the hybrid system, which provides a more feasible way for scalable blind quantum computation.

Financial wellness awareness: A step closer to achieve Millennium Development Goals for Pakistan

PubMed Central

Rehman, Rehana; Katpar, Shahjahan; Khan, Rakhshaan; Hussain, Mehwish

2015-01-01

Objective: To explore financial wellness (FW) awareness amongst public and private sector medical college students of Karachi. Methods: A cross sectional questionnaire based survey was conducted on medical students from 3 public and 5 private sector medical colleges of Karachi from February 2011 to December 2011. All ethnic groups having age range of 18-23 years were included. A questionnaire tailored from wellness wheel evaluated the responses of FW on a four point Likert’s scale ranging from 0-3(never, sometimes, mostly, and always). Factor analysis explored common FW factors among both public and private sector medical college (MC) students. Results: Private MC Students were better in terms of making short and long terms financial goals compared to students in public sector. The students of public MC were more focused to make and restricting to given budgets (p=0.05). The FW element of keeping savings in bank account was responded more by private MC candidates (P < 0.0001) but was spent thrift as well (P < 0.0001). Factor analysis revealed two factors; ‘Financial Security Wellness’ which was better in Private MC Students (p=0.001) and ‘Care towards Expenses Wellness” in which results were not significant. Conclusion: Both groups of medical college students lacked FW awareness element in terms of caring towards financial expenses. The awareness of importance of financial security was practiced better by private MC students in terms of making short and long term financial goals and keeping savings in bank accounts. They were however deficient in the knowledge of making and restricting themselves to budgets. PMID:25878613

Financial wellness awareness: A step closer to achieve Millennium Development Goals for Pakistan.

PubMed

Rehman, Rehana; Katpar, Shahjahan; Khan, Rakhshaan; Hussain, Mehwish

2015-01-01

To explore financial wellness (FW) awareness amongst public and private sector medical college students of Karachi. A cross sectional questionnaire based survey was conducted on medical students from 3 public and 5 private sector medical colleges of Karachi from February 2011 to December 2011. All ethnic groups having age range of 18-23 years were included. A questionnaire tailored from wellness wheel evaluated the responses of FW on a four point Likert's scale ranging from 0-3(never, sometimes, mostly, and always). Factor analysis explored common FW factors among both public and private sector medical college (MC) students. Private MC Students were better in terms of making short and long terms financial goals compared to students in public sector. The students of public MC were more focused to make and restricting to given budgets (p=0.05). The FW element of keeping savings in bank account was responded more by private MC candidates (P < 0.0001) but was spent thrift as well (P < 0.0001). Factor analysis revealed two factors; 'Financial Security Wellness' which was better in Private MC Students (p=0.001) and 'Care towards Expenses Wellness" in which results were not significant. Both groups of medical college students lacked FW awareness element in terms of caring towards financial expenses. The awareness of importance of financial security was practiced better by private MC students in terms of making short and long term financial goals and keeping savings in bank accounts. They were however deficient in the knowledge of making and restricting themselves to budgets.

Medical image computing for computer-supported diagnostics and therapy. Advances and perspectives.

PubMed

Handels, H; Ehrhardt, J

2009-01-01

Medical image computing has become one of the most challenging fields in medical informatics. In image-based diagnostics of the future software assistance will become more and more important, and image analysis systems integrating advanced image computing methods are needed to extract quantitative image parameters to characterize the state and changes of image structures of interest (e.g. tumors, organs, vessels, bones etc.) in a reproducible and objective way. Furthermore, in the field of software-assisted and navigated surgery medical image computing methods play a key role and have opened up new perspectives for patient treatment. However, further developments are needed to increase the grade of automation, accuracy, reproducibility and robustness. Moreover, the systems developed have to be integrated into the clinical workflow. For the development of advanced image computing systems methods of different scientific fields have to be adapted and used in combination. The principal methodologies in medical image computing are the following: image segmentation, image registration, image analysis for quantification and computer assisted image interpretation, modeling and simulation as well as visualization and virtual reality. Especially, model-based image computing techniques open up new perspectives for prediction of organ changes and risk analysis of patients and will gain importance in diagnostic and therapy of the future. From a methodical point of view the authors identify the following future trends and perspectives in medical image computing: development of optimized application-specific systems and integration into the clinical workflow, enhanced computational models for image analysis and virtual reality training systems, integration of different image computing methods, further integration of multimodal image data and biosignals and advanced methods for 4D medical image computing. The development of image analysis systems for diagnostic support or operation planning is a complex interdisciplinary process. Image computing methods enable new insights into the patient's image data and have the future potential to improve medical diagnostics and patient treatment.

Aggregated Indexing of Biomedical Time Series Data

PubMed Central

Woodbridge, Jonathan; Mortazavi, Bobak; Sarrafzadeh, Majid; Bui, Alex A.T.

2016-01-01

Remote and wearable medical sensing has the potential to create very large and high dimensional datasets. Medical time series databases must be able to efficiently store, index, and mine these datasets to enable medical professionals to effectively analyze data collected from their patients. Conventional high dimensional indexing methods are a two stage process. First, a superset of the true matches is efficiently extracted from the database. Second, supersets are pruned by comparing each of their objects to the query object and rejecting any objects falling outside a predetermined radius. This pruning stage heavily dominates the computational complexity of most conventional search algorithms. Therefore, indexing algorithms can be significantly improved by reducing the amount of pruning. This paper presents an online algorithm to aggregate biomedical times series data to significantly reduce the search space (index size) without compromising the quality of search results. This algorithm is built on the observation that biomedical time series signals are composed of cyclical and often similar patterns. This algorithm takes in a stream of segments and groups them to highly concentrated collections. Locality Sensitive Hashing (LSH) is used to reduce the overall complexity of the algorithm, allowing it to run online. The output of this aggregation is used to populate an index. The proposed algorithm yields logarithmic growth of the index (with respect to the total number of objects) while keeping sensitivity and specificity simultaneously above 98%. Both memory and runtime complexities of time series search are improved when using aggregated indexes. In addition, data mining tasks, such as clustering, exhibit runtimes that are orders of magnitudes faster when run on aggregated indexes. PMID:27617298

Multimedia and physiology: a new way to ensure the quality of medical education and medical knowledge.

PubMed

Lessard, Yvon; Siregar, Pridi; Julen, Nathalie; Sinteff, Jean-Paul; Le Beux, Pierre

2006-01-01

since the eighties and the existence of virtual campuses, the value of computers in distance education has been acknowledged. The development of information and communication technologies is driving at discriminating distance education and on-line education. the aim of the "Campus Numérique de Physiologie" is not to reproduce an on-line copy of classical textbooks but to put at students' and physicians' disposal the huge possibilities of multimedia resources for an active and easier understanding of complex physiopathological phenomena. the on-line course materials were created using both original IBC-made and registered trade-mark software tools. Multiscale modelling and corresponding knowledge bases were implemented by mathematicians, biologists and software engineers from Rennes. The website, which is accessible through a server of the French Virtual Medical University, was developed in the language HTML/PHP connected to a MySQL database. the content managing system is consistent with classical home page facilities and multicriteria browser. Interactive resources are freely available for the site's users. Two- and three-dimensional simulations born out of mathematical qualitative and quantitative models at the molecular, cellular or organic level keep students active with regards to fundamental mechanisms by interactively manipulating the simulation environment. authors comment the already available course materials which should stimulate the creation of new documents following a validation by a qualified commission of the "Société de Physiologie". Providing evaluation tests, teachers anticipate that the increasing content of this virtual campus will allow users to gain a complete understanding and an integrative view of many physiopathological mechanisms.

Partnerships Take a New Turn.

ERIC Educational Resources Information Center

Rich, Don

1983-01-01

Milwaukee Area Technical College has joined with business and industry to develop training programs for computer-based information processing, and engineering and manufacturing technologies. These partnerships are important as companies look for ways to improve productivity and quality, keep abreast of changing technology, and ensure economic…

Trends Shaping Housing Design.

ERIC Educational Resources Information Center

Kennedy, Mike

2002-01-01

Proposes 10 strategies that colleges and universities can use to keep students living on their campuses. Strategies include providing more amenities to living areas, having greater electrical capacity in each room, providing computer connectivity, assuring greater fire safety and personal security, offering more dining options, and allowing…

Accelerated Reader.

ERIC Educational Resources Information Center

Education Commission of the States, Denver, CO.

This paper provides an overview of Accelerated Reader, a system of computerized testing and record-keeping that supplements the regular classroom reading program. Accelerated Reader's primary goal is to increase literature-based reading practice. The program offers a computer-aided reading comprehension and management program intended to motivate…

Low Cost Ways to Keep Software Current.

ERIC Educational Resources Information Center

Schultheis, Robert A.

1992-01-01

Discusses strategies for providing students with current computer software technology including acquiring previous versions of software, obtaining demonstration software, using student versions, getting examination software, buying from mail order firms, buying few copies, exploring site licenses, acquiring shareware or freeware, and applying for…

Protecting Your Child's Privacy Online

MedlinePlus

... Keeping Up With Kids' Apps infographic Kids and Computer Security Kids and Mobile Phones Kids and Socializing Online ... email Looking for business guidance on privacy and ... The Federal Trade Commission (FTC) is the nation’s consumer protection agency. The FTC works to prevent fraudulent, deceptive ...

Permethrin Topical

MedlinePlus

... because your treatment will not work as well. Dry your hair with a towel until just damp. Shake permethrin lotion well right before use to mix the medication evenly. Use a towel to cover your face and eyes. Be sure to keep your eyes closed during this treatment. You may need to have an adult help ...

Heat Problems.

ERIC Educational Resources Information Center

Connors, G. Patrick

Heat problems and heat cramps related to jogging can be caused by fluid imbalances, medications, dietary insufficiency, vomiting or diarrhea, among other factors. If the condition keeps reoccurring, the advice of a physician should be sought. Some preventive measures that can be taken include: (1) running during the cooler hours of the day; (2)…

76 FR 17673 - Bienvenido Tan, M.D.; Denial of Application

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-30

...]'' and that his ``prescribing was `an extreme departure from the standard of care expected of a licensed... reprimanded the Respondent `for his departures from the standard of care regarding his medical record keeping... each party's experts (who had examined various patient records) regarding the standard of care for...

78 FR 17069 - National Poison Prevention Week, 2013

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-20

.... To keep our kids safe, parents and caregivers can take action by storing medicine and hazardous products out of their children's reach and removing unused or expired medications from their homes. Anyone who believes a child or loved one has been poisoned should call the National Poison Help Line...

Tailoring Clinical Faculty Development to Meet Departmental Needs

ERIC Educational Resources Information Center

Miller, Karen Hughes; Ostapchuk, Michael; Patel, Pradip; Roberts, John L.

2013-01-01

Because different medical specialties accredit their residency programs in different ways, departmental needs for faculty development in essentially the same content may vary. This training team realized that using a consultant model allowed them to meet departmental needs while keeping content validity intact. By combining best practice from…

Health Instruction Packages: Record-Keeping in Allied Health.

ERIC Educational Resources Information Center

Andrews, Roberta L.; And Others

Text, illustrations, and exercises are utilized in this set of four learning modules designed to instruct nurses and nursing students in writing objective clinical reports. The first module, "Nursing Notes in POMR" by Roberta L. Andrews, discusses the four components of a nursing report written under the Problem-Oriented Medical Record…

Medical Knowledge Bases.

ERIC Educational Resources Information Center

Miller, Randolph A.; Giuse, Nunzia B.

1991-01-01

Few commonly available, successful computer-based tools exist in medical informatics. Faculty expertise can be included in computer-based medical information systems. Computers allow dynamic recombination of knowledge to answer questions unanswerable with print textbooks. Such systems can also create stronger ties between academic and clinical…

Management of chemical warfare injuries (on CD-ROM). Data file

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1996-08-01

The threat of use of chemical warfare agents (agents of `mass destruction`) is no longer confined to the battlefield. Agent releases by terrorists in Japan in 1995 served to awaken the world to the dangers faced by civilian communities far removed from centers of armed conflict. The ability to save lives in the event of a chemical agent release turns on provision of immediate and correct medical care in the field and hospital. Being able to ensure availability of life-saving care depends on reaching both military and civilian medical personnel with information on chemical warfare agents and on keeping theirmore » skills and knowledge current. While this is of critical importance both to the Department of Defense and to civilian agencies charged with protecting the public, it also is a daunting and potentially expensive task in view of the numbers and geographic dispersion of persons to be trained. The Department of Defense has addressed and overcome these challenges, to the benefit of the military and civilians, by using computer technology as the vehicle by which cost-effective chemical warfare agent training may be conveniently delivered to all who require it. The multi-media instructional program, Management of Chemical Warfare Injuries, was developed for military use by the Naval Health Sciences Education and Training Command, with the technical assistance of the U.S. Army Medical Command. It was originally designed for delivery via video disc, a format used extensively within the Navy. However, in response to a request from the Federal Emergency Management Agency, the Office of the Secretary of Defense agreed to repackage the materials for delivery on CD-ROM in order to make them accessible to a larger audience. In addition, the Navy agreed to include on the two CD-ROMs which contain the program a ready reference not found on the video disc: the Army`s `Medical Management of Chemical Casualties` handbooks for field and medical personnel.« less

Cloud-assisted mutual authentication and privacy preservation protocol for telecare medical information systems.

PubMed

Li, Chun-Ta; Shih, Dong-Her; Wang, Chun-Cheng

2018-04-01

 With the rapid development of wireless communication technologies and the growing prevalence of smart devices, telecare medical information system (TMIS) allows patients to receive medical treatments from the doctors via Internet technology without visiting hospitals in person. By adopting mobile device, cloud-assisted platform and wireless body area network, the patients can collect their physiological conditions and upload them to medical cloud via their mobile devices, enabling caregivers or doctors to provide patients with appropriate treatments at anytime and anywhere. In order to protect the medical privacy of the patient and guarantee reliability of the system, before accessing the TMIS, all system participants must be authenticated.  Mohit et al. recently suggested a lightweight authentication protocol for cloud-based health care system. They claimed their protocol ensures resilience of all well-known security attacks and has several important features such as mutual authentication and patient anonymity. In this paper, we demonstrate that Mohit et al.'s authentication protocol has various security flaws and we further introduce an enhanced version of their protocol for cloud-assisted TMIS, which can ensure patient anonymity and patient unlinkability and prevent the security threats of report revelation and report forgery attacks.  The security analysis proves that our enhanced protocol is secure against various known attacks as well as found in Mohit et al.'s protocol. Compared with existing related protocols, our enhanced protocol keeps the merits of all desirable security requirements and also maintains the efficiency in terms of computation costs for cloud-assisted TMIS.  We propose a more secure mutual authentication and privacy preservation protocol for cloud-assisted TMIS, which fixes the mentioned security weaknesses found in Mohit et al.'s protocol. According to our analysis, our authentication protocol satisfies most functionality features for privacy preservation and effectively cope with cloud-assisted TMIS with better efficiency. Copyright © 2018 Elsevier B.V. All rights reserved.

Making medical research clinically friendly: a communication-based conceptual framework.

PubMed

McGrath, John; Lawrence, Valerie; Richardson, W Scott

2004-11-01

It often takes a long time before the results of medical research are actually used by health care practitioners in day-to-day clinical settings. This problem, referred to as "the evidence-to-practice gap", has significant implications for patient health care. Practitioners have difficulty keeping up with the latest information in part because it is reported in hundreds of journals that may not be easily accessed and understood. This essay conceptualizes the evidence-to-practice gap as a communication problem and suggests how academic research can be translated into messages that are easier for practitioners to access, comprehend and incorporate into their medical practice. A "translation framework" shows the importance of targeting messages to specific audiences and provides a communication-based conceptual approach for summarizing research for clinicians. Targeting the results of academic research to practitioners will decrease the time it takes for patients to benefit from the latest medical evidence. Translation guidelines can help health researchers write more effectively for both academic and practitioner audiences. Since the evidence-to-practice gap is a systemic problem that begins with how we train our health researchers, educators should consider addressing this topic in the health professions classroom. The framework presented here can serve as the basis for an instructional unit on interpreting and reporting research findings. Finally, information technology can play a much larger role in the communication process because of the enormous advantages of quick access and data organization that computers and the Internet provide. Practitioner-targeted research summaries could be made available on government or not-for-profit sponsored websites as well as by journals themselves. Funding opportunities exist for research that focuses on how technology can help improve health care, and so the time is right for health researchers to investigate ways of making their studies more accessible and quickly usable via web-based distribution. The potential of medical science should not be limited by an information delivery system that we have the knowledge, expertise and resources to improve.

[Drug-drug interactions: interactions between xenobiotics].

PubMed

Haen, E

2014-04-01

Drug-drug interactions (DDI) are a major topic in programs for continuous medical education (CME). Many physicians are afraid of being trapped into charges of malpractice; however, DDI cannot be avoided in many cases. They belong to routine medical practice and it is often impossible to avoid them. Moreover, they do not just occur between drugs but between any kind of foreign substance (xenobiotica), such as food (e.g. grapefruit juice, broccoli, barbecue) as well as legal (e.g. tobacco smoke, caffeine and alcohol) and illegal drugs. Therefore, the medical challenge is not just to avoid any interaction. Instead the physician faces the question of how to proceed with drug treatment in the presence of such interactions. Based on the medical education a physician has to judge first of all whether there is a risk for interactions in the prescription being planned for an individual patient. The classification of interactions proposed in this article (PD1-PD4, PK1-PK3) might help as a sort of check list. For more detailed information the physician can then consult one of the many databases available on the internet, such as PSIAConline (http://www.psiac.de) and MediQ (http://www.mediq.ch). Pharmacokinetic interactions can be easily assessed, monitored and controlled by therapeutic drug monitoring (TDM). Besides these tools it is important to keep in mind that nobody knows everything; even physicians do not know everything. So take pride in asking someone who might help and for this purpose AGATE offers a drug information service AID (http://www.amuep-agate.de). Just good for nothing, without being based on any kind of medical approach are computer programs that judge prescriptions without taking into account a patient's individual peculiarities. In case these types of programs produce red exclamation marks or traffic lights to underline their judgment, they might even work in a contrapuntal way by just eliciting insecurity and fear.

Computer-assisted learning in critical care: from ENIAC to HAL.

PubMed

Tegtmeyer, K; Ibsen, L; Goldstein, B

2001-08-01

Computers are commonly used to serve many functions in today's modern intensive care unit. One of the most intriguing and perhaps most challenging applications of computers has been to attempt to improve medical education. With the introduction of the first computer, medical educators began looking for ways to incorporate their use into the modern curriculum. Prior limitations of cost and complexity of computers have consistently decreased since their introduction, making it increasingly feasible to incorporate computers into medical education. Simultaneously, the capabilities and capacities of computers have increased. Combining the computer with other modern digital technology has allowed the development of more intricate and realistic educational tools. The purpose of this article is to briefly describe the history and use of computers in medical education with special reference to critical care medicine. In addition, we will examine the role of computers in teaching and learning and discuss the types of interaction between the computer user and the computer.

[The clinical history in surgical processes. Bioethical aspects and basic professional ethics].

PubMed

Collazo Chao, Eliseo

2008-11-01

Surgeons are increasingly facing multiple civil liability claims from their patients. Against this background and taking any eventual liability claims into account, surgeons must be increasingly aware of the importance of maintaining patient medical histories, which raises numerous questions on the length of time and form of keeping them. Ethical and legal obligations need to be taken into account in order to identify the controversial aspects related to patients and their environment, as well as shedding light on the most appropriate behaviour in each case. We must never forget the case history is a clinical document, subjected to the medical art and medical ethics which regulate it.

FDA working to ensure the safety of medical devices used in the pediatric population.

PubMed

Flack, Marilyn Neder; Gross, Thomas P; Reid, Joy Samuels; Mills, Thalia T; Francis, Jacqueline

2012-12-01

Special initiatives exist in FDA's Center for Devices and Radiological Health (CDRH), the Center for Drug Evaluation and Research, and the Center for Biologics Evaluation and Research to ensure the safety and effectiveness of medical products used in the vulnerable pediatric population. This article focuses on the special programs, projects, and special studies implemented by CDRH to ensure this safety and effectiveness in devices used in pediatric patients throughout the devices' total product life-cycles. Pediatricians play a major role in keeping medical devices safe for use in children by reporting device problems to FDA. Published by Elsevier Inc.

Feature tracking for automated volume of interest stabilization on 4D-OCT images

NASA Astrophysics Data System (ADS)

Laves, Max-Heinrich; Schoob, Andreas; Kahrs, Lüder A.; Pfeiffer, Tom; Huber, Robert; Ortmaier, Tobias

2017-03-01

A common representation of volumetric medical image data is the triplanar view (TV), in which the surgeon manually selects slices showing the anatomical structure of interest. In addition to common medical imaging such as MRI or computed tomography, recent advances in the field of optical coherence tomography (OCT) have enabled live processing and volumetric rendering of four-dimensional images of the human body. Due to the region of interest undergoing motion, it is challenging for the surgeon to simultaneously keep track of an object by continuously adjusting the TV to desired slices. To select these slices in subsequent frames automatically, it is necessary to track movements of the volume of interest (VOI). This has not been addressed with respect to 4DOCT images yet. Therefore, this paper evaluates motion tracking by applying state-of-the-art tracking schemes on maximum intensity projections (MIP) of 4D-OCT images. Estimated VOI location is used to conveniently show corresponding slices and to improve the MIPs by calculating thin-slab MIPs. Tracking performances are evaluated on an in-vivo sequence of human skin, captured at 26 volumes per second. Among investigated tracking schemes, our recently presented tracking scheme for soft tissue motion provides highest accuracy with an error of under 2.2 voxels for the first 80 volumes. Object tracking on 4D-OCT images enables its use for sub-epithelial tracking of microvessels for image-guidance.

Robotic invasion of operation theatre and associated anaesthetic issues: A review.

PubMed

Kakar, Prem N; Das, Jyotirmoy; Roy, Preeti Mittal; Pant, Vijaya

2011-01-01

A Robotic device is a powered, computer controlled manipulator with artificial sensing that can be reprogrammed to move and position tools to carry out a wide range of tasks. Robots and Telemanipulators were first developed by the National Aeronautics and Space Administration (NASA) for use in space exploration. Today's medical robotic systems were the brainchild of the United States Department of Defence's desire to decrease war casualties with the development of 'telerobotic surgery'. The 'master-slave' telemanipulator concept was developed for medical use in the early 1990s where the surgeon's (master) manual movements were transmitted to end-effector (slave) instruments at a remote site. Since then, the field of surgical robotics has undergone massive transformation and the future is even brighter. As expected, any new technique brings with it risks and the possibility of technical difficulties. The person who bears the brunt of complications or benefit from a new invention is the 'Patient'. Anaesthesiologists as always must do their part to be the patient's 'best man' in the perioperative period. We should be prepared for screening and selection of patients in a different perspective keeping in mind the steep learning curves of surgeons, long surgical hours, extreme patient positioning and other previously unknown anaesthetic challenges brought about by the surgical robot. In this article we have tried to track the development of surgical robots and consider the unique anaesthetic issues related to robot assisted surgeries.

Analysis of Temperature Variability in Medication Storage Compartments in Emergency Transport Helicopters.

PubMed

O'Donnell, Margaret A; Whitfield, Justin

The purpose of this study was to determine whether the temperature in medication storage compartments in air medical helicopters was within United States Pharmacopeia (USP)-defined limits for controlled room temperature. This was a prospective study using data obtained from a continuous temperature monitoring device. A total of 4 monitors were placed within 2 medication storage locations in 2 identical helicopters. The data collection period lasted 2 weeks during the summer and winter seasons. Data retrieved from monitors were compared against USP parameters for proper medication storage. Results documented temperatures outside the acceptable range a majority of the time with temperatures above the high limit during summer and below the low limit during winter. The study determined that compartments used for medication storage frequently fell outside of the range for USP-defined limits for medication storage. Flight programs should monitor storage areas, carefully taking actions to keep medication within defined ranges. Copyright © 2016 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

Medical education as a science: the quality of evidence for computer-assisted instruction.

PubMed

Letterie, Gerard S

2003-03-01

A marked increase in the number of computer programs for computer-assisted instruction in the medical sciences has occurred over the past 10 years. The quality of both the programs and the literature that describe these programs has varied considerably. The purposes of this study were to evaluate the published literature that described computer-assisted instruction in medical education and to assess the quality of evidence for its implementation, with particular emphasis on obstetrics and gynecology. Reports published between 1988 and 2000 on computer-assisted instruction in medical education were identified through a search of MEDLINE and Educational Resource Identification Center and a review of the bibliographies of the articles that were identified. Studies were selected if they included a description of computer-assisted instruction in medical education, regardless of the type of computer program. Data were extracted with a content analysis of 210 reports. The reports were categorized according to study design (comparative, prospective, descriptive, review, or editorial), type of computer-assisted instruction, medical specialty, and measures of effectiveness. Computer-assisted instruction programs included online technologies, CD-ROMs, video laser disks, multimedia work stations, virtual reality, and simulation testing. Studies were identified in all medical specialties, with a preponderance in internal medicine, general surgery, radiology, obstetrics and gynecology, pediatrics, and pathology. Ninety-six percent of the articles described a favorable impact of computer-assisted instruction in medical education, regardless of the quality of the evidence. Of the 210 reports that were identified, 60% were noncomparative, descriptive reports of new techniques in computer-assisted instruction, and 15% and 14% were reviews and editorials, respectively, of existing technology. Eleven percent of studies were comparative and included some form of assessment of the effectiveness of the computer program. These assessments included pre- and posttesting and questionnaires to score program quality, perceptions of the medical students and/or residents regarding the program, and impact on learning. In one half of these comparative studies, computer-assisted instruction was compared with traditional modes of teaching, such as text and lectures. Six studies compared performance before and after the computer-assisted instruction. Improvements were shown in 5 of the studies. In the remainder of the studies, computer-assisted instruction appeared to result in similar test performance. Despite study design or outcome, most articles described enthusiastic endorsement of the programs by the participants, including medical students, residents, and practicing physicians. Only 1 study included cost analysis. Thirteen of the articles were in obstetrics and gynecology. Computer-assisted instruction has assumed to have an increasing role in medical education. In spite of enthusiastic endorsement and continued improvements in software, few studies of good design clearly demonstrate improvement in medical education over traditional modalities. There are no comparative studies in obstetrics and gynecology that demonstrate a clear-cut advantage. Future studies of computer-assisted instruction that include comparisons and cost assessments to gauge their effectiveness over traditional methods may better define their precise role.

Keeping the culture alive: the laboratory technician in mid-twentieth-century British medical research

PubMed Central

Tansey, E.M.

2008-01-01

This paper reports results from a detailed study of the careers of laboratory technicians in British medical research. Technicians and their contributions are very frequently missing from accounts of modern medicine, and this project is an attempt to correct that absence. The present paper focuses almost entirely on the Medical Research Council's National Institute for Medical Research in North London, from the first proposal of such a body in 1913 until the mid 1960s. The principal sources of information have been technical staff themselves, largely as recorded in an extensive series of oral history interviews. These have covered a wide range of issues and provide valuable perspectives about technicians' backgrounds and working lives. PMID:18548906

Medical technology: a Pandora's box?

PubMed

Hewa, Soma

1994-01-01

This paper examines the development of medical technology in terms of Max Weber's theory of rationalization. It argues that medical technology is a part of the general process of social, political and economic changes in modern Western societies. Medical technology today keeps many people alive who, in the past, would have died from their illness. In recent years, burgeoning technological achievements in medicine have been regarded as a threat to the individual's freedom to die. Many people believe that the prolongation of life only adds to the suffering of the patient and to the emotional distress of the family. They argue that a quiet death is preferable to the indignities inflicted by mechanical life support. This paper addresses these issues in light of Weber's theoretical arguments.

Predictors of long-term compliance in attending a worksite hypertension programme.

PubMed

Landers, R; Riccobene, A; Beyreuther, M; Neusy, A J

1993-12-01

Variables such as patient's anxiety, knowledge, number of medication changes, medication-induced side-effects and programme-derived benefits and conveniences have been reported or theorised to be important determinants of patient's attendance at worksite hypertension programmes. This study investigates whether these variables have predictive value in differentiating compliers from noncompliers attending a union-sponsored worksite hypertension programme for at least five years. Scores were created from a questionnaire distributed to 243 patients with a response rate of 98%. Compliance was defined as missing < or = 25% of scheduled clinic appointments. By discriminant statistical analysis scores for patient's anxiety, knowledge, number of medication changes, medication side-effects, perceived benefits and conveniences failed to show any predictive value for patient's compliance with appointment keeping.

Mobile medical computing driven by the complexity of neurologic diagnosis.

PubMed

Segal, Michael M

2006-07-01

Medical computing has been split between palm-sized computers optimized for mobility and desktop computers optimized for capability. This split was due to technology too immature to deliver both mobility and capability in the same computer and the lack of medical software that demanded both mobility and capability. Advances in hardware and software are ushering in an era in which fully capable computers will be available ubiquitously. As a result, medical practice, education and publishing will change. Medical practice will be improved by the use of software that not only assists with diagnosis but can do so at the bedside, where the doctor can act immediately upon suggestions such as useful findings to check. Medical education will shift away from a focus on details of unusual diseases and toward a focus on skills of physical examination and using computerized tools. Medical publishing, in contrast, will shift toward greater detail: it will be increasingly important to quantitate the frequency of findings in diseases and their time course since such information can have a major impact clinically when added to decision support software.

Computer and Internet use among Undergraduate Medical Students in Iran

PubMed Central

Ayatollahi, Ali; Ayatollahi, Jamshid; Ayatollahi, Fatemeh; Ayatollahi, Reza; Shahcheraghi, Seyed Hossein

2014-01-01

Objective: Although computer technologies are now widely used in medicine, little is known about its use among medical students in Iran. The aim of this study was to determine the competence and access to computer and internet among the medical students. Methods: In this descriptive study, medical students of Shahid Sadoughi University of Medical Science, Yazd, Iran from the fifth years were asked to answer a questionnaire during a time-tabled lecture slot. The chi-square test was used to compare the frequency of computer and internet use between the two genders, and the level of statistical significance for all test was set at 0.05. Results: All the students have a personal computer and internet access. There were no statistically significant differences between men and women for the computer and internet access, use wireless device to access internet, having laptop and e-mail address and the difficulties encountered using internet. The main reason for less utilization of internet was slow speed of data transfer. Conclusions: Because of the wide range of computer skills and internet information among medical students in our institution, a single computer and internet course for all students would not be useful nor would it be accepted. PMID:25225525

Digital Technologies Jump Start Telemedicine

ERIC Educational Resources Information Center

Pierce, Alan

2011-01-01

The technologists, research doctors, computer programmers, electrical engineers, and biomedical engineers who design and create new medical diagnostic equipment and medical treatments are now working on medical systems that use the computing power of personal computers and cell phones. For disease diagnosis, they are finding ways to shrink…

Microelectronics and Computers in Medicine.

ERIC Educational Resources Information Center

Meindl, James D.

1982-01-01

The use of microelectronics and computers in medicine is reviewed, focusing on medical research; medical data collection, storage, retrieval, and manipulation; medical decision making; computed tomography; ultrasonic imaging; role in clinical laboratories; and use as adjuncts for diagnostic tests, monitors of critically-ill patients, and with the…

Open Source Virtual Worlds and Low Cost Sensors for Physical Rehab of Patients with Chronic Diseases

NASA Astrophysics Data System (ADS)

Romero, Salvador J.; Fernandez-Luque, Luis; Sevillano, José L.; Vognild, Lars

For patients with chronic diseases, exercise is a key part of rehab to deal better with their illness. Some of them do rehabilitation at home with telemedicine systems. However, keeping to their exercising program is challenging and many abandon the rehabilitation. We postulate that information technologies for socializing and serious games can encourage patients to keep doing physical exercise and rehab. In this paper we present Virtual Valley, a low cost telemedicine system for home exercising, based on open source virtual worlds and utilizing popular low cost motion controllers (e.g. Wii Remote) and medical sensors. Virtual Valley allows patient to socialize, learn, and play group based serious games while exercising.

Digital radiography and electronic data storage from the perspective of legal requirements for record keeping.

PubMed

Figgener, L; Runte, C

2003-12-01

In some countries physicians and dentists are required by law to keep medical and dental records. These records not only serve as personal notes and memory aids but have to be in accordance with the necessary standard of care and may be used as evidence in litigation. Inadequate, incomplete or even missing records can lead to reversal of the burden of proof, resulting in a dramatically reduced chance of successful defence in litigation. The introduction of digital radiography and electronic data storage presents a new problem with respect to legal evidence, since digital data can easily be manipulated and industry is now required to provide adequate measures to prevent manipulations and forgery.

Lotus Dust Mitigation Coating and Molecular Adsorber Coating

NASA Technical Reports Server (NTRS)

O'Connor, Kenneth M.; Abraham, Nithin S.

2015-01-01

NASA Goddard Space Flight Center has developed two unique coating formulations that will keep surfaces clean and sanitary and contain contaminants.The Lotus Dust Mitigation Coating, modeled after the self-cleaning, water-repellant lotus leaf, disallows buildup of dust, dirt, water, and more on surfaces. This coating, has been successfully tested on painted, aluminum, glass, silica, and some composite surfaces, could aid in keeping medical assets clean.The Molecular Adsorber Coating is a zeolite-based, sprayable molecular adsorber coating, designed to prevent outgassing in materials in vacuums. The coating works well to adsorb volatiles and contaminates in manufacturing and processing, such as in pharmaceutical production. The addition of a biocide would also aid in controlling bacteria levels.

Changing (Almost) Everything and Keeping (Almost) Everyone Happy.

ERIC Educational Resources Information Center

Stewart, Craig A.; Grover, Douglas; Vernon, R. David

1998-01-01

In 1994, the information technology organization at Indiana University, Bloomington, undertook a major computing technology conversion that affected 40,000 people. The project is described, and factors contributing to its success are discussed, including system architecture, marketing and customer communications, and migration of information…

10 CFR 209.24 - Maintenance of records.

Code of Federal Regulations, 2014 CFR

2014-01-01

..., telegraphic, telecopied, microfilmed and computer printout material), and where such communication... participants shall keep a full and complete record of any communications (other than in a meeting held pursuant... under this part. When two or more potential participants are involved in such a communication, they may...

10 CFR 209.24 - Maintenance of records.

Code of Federal Regulations, 2012 CFR

2012-01-01

..., telegraphic, telecopied, microfilmed and computer printout material), and where such communication... participants shall keep a full and complete record of any communications (other than in a meeting held pursuant... under this part. When two or more potential participants are involved in such a communication, they may...

10 CFR 209.24 - Maintenance of records.

Code of Federal Regulations, 2013 CFR

2013-01-01

..., telegraphic, telecopied, microfilmed and computer printout material), and where such communication... participants shall keep a full and complete record of any communications (other than in a meeting held pursuant... under this part. When two or more potential participants are involved in such a communication, they may...

10 CFR 209.24 - Maintenance of records.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., telegraphic, telecopied, microfilmed and computer printout material), and where such communication... participants shall keep a full and complete record of any communications (other than in a meeting held pursuant... under this part. When two or more potential participants are involved in such a communication, they may...

10 CFR 209.24 - Maintenance of records.

Code of Federal Regulations, 2011 CFR

2011-01-01

..., telegraphic, telecopied, microfilmed and computer printout material), and where such communication... participants shall keep a full and complete record of any communications (other than in a meeting held pursuant... under this part. When two or more potential participants are involved in such a communication, they may...

Helping DE Keep Pace with Changes in Marketing

ERIC Educational Resources Information Center

Patchen, Frank M.

1974-01-01

A futuristic outlook on changes in retail business and marketing is given. Distributive educational needs in developing a person in the fields of marketing, retailing and economics will increase along with the use of computers for research in the next ten or fifteen years. (DS)

Reading Motivation.

ERIC Educational Resources Information Center

Yohe, Paula

1997-01-01

"The Electronic Bookshelf," a computer-based reading motivation/management system, is described. The program verifies reading comprehension skills, keeps student records, provides a master list of titles for students to choose from, provides feedback and the opportunity to re-quiz, allows teachers and/or students to create quizzes, and includes a…

The TI-99/4A Software.

ERIC Educational Resources Information Center

Wrege, Rachael; And Others

1982-01-01

Describes the software modules produced by Texas Instruments for use with the TI-99/4A home computer. Among the modules described are: Personal Real Estate, Programing Aids, Home Financial Decisions, Music Maker, Weight Control and Nutrition, Early Learning Fun, and Tax/Investment Record Keeping. (JL)

14 CFR 1212.203 - Disclosures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Records § 1212.203 Disclosures. (a) The system manager shall keep a disclosure accounting for each... computer matching programs (See NASA Management Instruction (NMI) 1382.18). (b) Disclosure accountings are... (2) In accordance with § 1212.203(g) (1) and (2), below. (c) The disclosure accounting required by...

Performance assessment. Family physicians in Montreal meet the mark!

PubMed Central

Goulet, François; Jacques, André; Gagnon, Robert; Bourbeau, Denis; Laberge, Denis; Melanson, Jacques; Ménard, Claude; Racette, Pierre; Rivest, Raymond

2002-01-01

OBJECTIVE: To assess the clinical performance of a representative non-volunteer sample of family physicians in metropolitan Montreal, Que. DESIGN: Assessment of clinical performance was based on inspection visits to offices, peer review of medical records, and chart-stimulated recall interviews. The procedure was the one usually followed by the Professional Inspection Committee of the Collège des médecins du Québec. SETTING: Family physicians' practices in metropolitan Montreal. PARTICIPANTS: One hundred randomly selected family physicians. INTERVENTIONS: For each physician, 30 randomly chosen patient charts with data on three to five previous visits were reviewed using explicit criteria and a standard scale using global scores from 1 to 5 (unacceptable to excellent). MAIN OUTCOME MEASURES: Scores were assigned for office practices; record keeping; number of continuing medical education (CME) activities; and quality of clinical performance assessed in terms of investigation plan, diagnostic accuracy, treatment plan, and relevance of care. RESULTS: Overall performance was judged to be good to excellent for 98% of physicians in their private practices; for 90% of physicians concerning CME activities; for 94% of physicians concerning their clinical performance in terms of quality of care; and for 75% of physicians as to record keeping. There was a link between record keeping and quality of care as well as between the number of CME activities and quality of care. CONCLUSION: The overall clinical performance of family physicians in the greater Montreal region is excellent. PMID:12228963

Intellectual wellness in medical university teachers: Gender based comparison.

PubMed

Syed, Sadiqa; Rehman, Rehana; Hussain, Mehwish; Shaikh, Saifullah

2017-05-01

A cross section, questionnaire based study was carried out from January 2012 till December 2014 to compare intellectual wellness (IW) awareness on the basis of gender in teachers of basic sciences at medical universities of Karachi, Pakistan. Data was collected from 3 public and 5 private medical universities of Karachi, Pakistan. Questionnaire was tailored from "Wellness Wheel" and responses were aggregated for eight questions in the dimension of IW to obtain aggregate IW score. Reliability of the questionnaire was measured using Cronbach's alpha. The average intellectual score was 24.99 ± 3.93 with a minimum score of 8 and maximum 32.The frequency of keeping informed about research updates was significantly higher in males (p = 0.043) that emphasized significantly better IW awareness of male medical teachers involved in teaching of medical sciences in both public and private medical universities of Pakistan.

Automatic editing of manuals

NASA Technical Reports Server (NTRS)

Rich, R. P.

1970-01-01

The documentation problem is discussed that arises in getting all the many items included in a computer program prepared in a timely fashion and keeping them all correct and mutually consistent during the life of the program. The proposed approach to the problem is to collect all the necessary information into a single document, which is maintained with computer assistance during the life of the program and from which the required subdocuments can be extracted as desired. Implementation of this approach requires a package of programs for computer editorial assistance and is facilitated by certain programming practices that are discussed.

Introduction to the LaRC central scientific computing complex

NASA Technical Reports Server (NTRS)

Shoosmith, John N.

1993-01-01

The computers and associated equipment that make up the Central Scientific Computing Complex of the Langley Research Center are briefly described. The electronic networks that provide access to the various components of the complex and a number of areas that can be used by Langley and contractors staff for special applications (scientific visualization, image processing, software engineering, and grid generation) are also described. Flight simulation facilities that use the central computers are described. Management of the complex, procedures for its use, and available services and resources are discussed. This document is intended for new users of the complex, for current users who wish to keep appraised of changes, and for visitors who need to understand the role of central scientific computers at Langley.

APA Summit on Medical Student Education Task Force on Informatics and Technology: learning about computers and applying computer technology to education and practice.

PubMed

Hilty, Donald M; Hales, Deborah J; Briscoe, Greg; Benjamin, Sheldon; Boland, Robert J; Luo, John S; Chan, Carlyle H; Kennedy, Robert S; Karlinsky, Harry; Gordon, Daniel B; Yager, Joel; Yellowlees, Peter M

2006-01-01

This article provides a brief overview of important issues for educators regarding medical education and technology. The literature describes key concepts, prototypical technology tools, and model programs. A work group of psychiatric educators was convened three times by phone conference to discuss the literature. Findings were presented to and input was received from the 2005 Summit on Medical Student Education by APA and the American Directors of Medical Student Education in Psychiatry. Knowledge of, skills in, and attitudes toward medical informatics are important to life-long learning and modern medical practice. A needs assessment is a starting place, since student, faculty, institution, and societal factors bear consideration. Technology needs to "fit" into a curriculum in order to facilitate learning and teaching. Learning about computers and applying computer technology to education and clinical care are key steps in computer literacy for physicians.

Distributed Computer Networks in Support of Complex Group Practices

PubMed Central

Wess, Bernard P.

1978-01-01

The economics of medical computer networks are presented in context with the patient care and administrative goals of medical networks. Design alternatives and network topologies are discussed with an emphasis on medical network design requirements in distributed data base design, telecommunications, satellite systems, and software engineering. The success of the medical computer networking technology is predicated on the ability of medical and data processing professionals to design comprehensive, efficient, and virtually impenetrable security systems to protect data bases, network access and services, and patient confidentiality.

Roles of Medical Record and Statistic Staff on Research at the Tawanchai Center.

PubMed

Pattaranit, Rumpan; Chantachum, Vasana; Lekboonyasin, Orathai; Pradubwong, Suteera

2015-08-01

The medical record and statistic staffs play a crucial role behind the achievements of treatment and research of physicians, nurses and other health care professionals. The medical record and statistic staff are in charge of keeping patient medical records; creating databases; presenting information; sorting patient's information; providing patient medical records and related information for various medical teams and researchers; Besides, the medical record and statistic staff have collaboration with the Center of Cleft Lip-Palate, Khon Kaen University in association with the Tawanchai Project. The Tawanchai Center is an organization, involving multidisciplinary team which aims to continuing provide care for patients with cleft lip and palate and craniofacial deformities who need a long term of treatment since newborns until the age of 19 years. With support and encouragement from the Tawanchai team, the medical record and statistic staff have involved in research under the Tawanchai Centre since then and produced a number of publications locally and internationally.

Computer generated hologram from point cloud using graphics processor.

PubMed

Chen, Rick H-Y; Wilkinson, Timothy D

2009-12-20

Computer generated holography is an extremely demanding and complex task when it comes to providing realistic reconstructions with full parallax, occlusion, and shadowing. We present an algorithm designed for data-parallel computing on modern graphics processing units to alleviate the computational burden. We apply Gaussian interpolation to create a continuous surface representation from discrete input object points. The algorithm maintains a potential occluder list for each individual hologram plane sample to keep the number of visibility tests to a minimum. We experimented with two approximations that simplify and accelerate occlusion computation. It is observed that letting several neighboring hologram plane samples share visibility information on object points leads to significantly faster computation without causing noticeable artifacts in the reconstructed images. Computing a reduced sample set via nonuniform sampling is also found to be an effective acceleration technique.

Application of Blind Quantum Computation to Two-Party Quantum Computation

NASA Astrophysics Data System (ADS)

Sun, Zhiyuan; Li, Qin; Yu, Fang; Chan, Wai Hong

2018-06-01

Blind quantum computation (BQC) allows a client who has only limited quantum power to achieve quantum computation with the help of a remote quantum server and still keep the client's input, output, and algorithm private. Recently, Kashefi and Wallden extended BQC to achieve two-party quantum computation which allows two parties Alice and Bob to perform a joint unitary transform upon their inputs. However, in their protocol Alice has to prepare rotated single qubits and perform Pauli operations, and Bob needs to have a powerful quantum computer. In this work, we also utilize the idea of BQC to put forward an improved two-party quantum computation protocol in which the operations of both Alice and Bob are simplified since Alice only needs to apply Pauli operations and Bob is just required to prepare and encrypt his input qubits.

Application of Blind Quantum Computation to Two-Party Quantum Computation

NASA Astrophysics Data System (ADS)

Sun, Zhiyuan; Li, Qin; Yu, Fang; Chan, Wai Hong

2018-03-01

Blind quantum computation (BQC) allows a client who has only limited quantum power to achieve quantum computation with the help of a remote quantum server and still keep the client's input, output, and algorithm private. Recently, Kashefi and Wallden extended BQC to achieve two-party quantum computation which allows two parties Alice and Bob to perform a joint unitary transform upon their inputs. However, in their protocol Alice has to prepare rotated single qubits and perform Pauli operations, and Bob needs to have a powerful quantum computer. In this work, we also utilize the idea of BQC to put forward an improved two-party quantum computation protocol in which the operations of both Alice and Bob are simplified since Alice only needs to apply Pauli operations and Bob is just required to prepare and encrypt his input qubits.

Implementation and evaluation of an efficient secure computation system using ‘R’ for healthcare statistics

PubMed Central

Chida, Koji; Morohashi, Gembu; Fuji, Hitoshi; Magata, Fumihiko; Fujimura, Akiko; Hamada, Koki; Ikarashi, Dai; Yamamoto, Ryuichi

2014-01-01

Background and objective While the secondary use of medical data has gained attention, its adoption has been constrained due to protection of patient privacy. Making medical data secure by de-identification can be problematic, especially when the data concerns rare diseases. We require rigorous security management measures. Materials and methods Using secure computation, an approach from cryptography, our system can compute various statistics over encrypted medical records without decrypting them. An issue of secure computation is that the amount of processing time required is immense. We implemented a system that securely computes healthcare statistics from the statistical computing software ‘R’ by effectively combining secret-sharing-based secure computation with original computation. Results Testing confirmed that our system could correctly complete computation of average and unbiased variance of approximately 50 000 records of dummy insurance claim data in a little over a second. Computation including conditional expressions and/or comparison of values, for example, t test and median, could also be correctly completed in several tens of seconds to a few minutes. Discussion If medical records are simply encrypted, the risk of leaks exists because decryption is usually required during statistical analysis. Our system possesses high-level security because medical records remain in encrypted state even during statistical analysis. Also, our system can securely compute some basic statistics with conditional expressions using ‘R’ that works interactively while secure computation protocols generally require a significant amount of processing time. Conclusions We propose a secure statistical analysis system using ‘R’ for medical data that effectively integrates secret-sharing-based secure computation and original computation. PMID:24763677

Implementation and evaluation of an efficient secure computation system using 'R' for healthcare statistics.

PubMed

Chida, Koji; Morohashi, Gembu; Fuji, Hitoshi; Magata, Fumihiko; Fujimura, Akiko; Hamada, Koki; Ikarashi, Dai; Yamamoto, Ryuichi

2014-10-01

While the secondary use of medical data has gained attention, its adoption has been constrained due to protection of patient privacy. Making medical data secure by de-identification can be problematic, especially when the data concerns rare diseases. We require rigorous security management measures. Using secure computation, an approach from cryptography, our system can compute various statistics over encrypted medical records without decrypting them. An issue of secure computation is that the amount of processing time required is immense. We implemented a system that securely computes healthcare statistics from the statistical computing software 'R' by effectively combining secret-sharing-based secure computation with original computation. Testing confirmed that our system could correctly complete computation of average and unbiased variance of approximately 50,000 records of dummy insurance claim data in a little over a second. Computation including conditional expressions and/or comparison of values, for example, t test and median, could also be correctly completed in several tens of seconds to a few minutes. If medical records are simply encrypted, the risk of leaks exists because decryption is usually required during statistical analysis. Our system possesses high-level security because medical records remain in encrypted state even during statistical analysis. Also, our system can securely compute some basic statistics with conditional expressions using 'R' that works interactively while secure computation protocols generally require a significant amount of processing time. We propose a secure statistical analysis system using 'R' for medical data that effectively integrates secret-sharing-based secure computation and original computation. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Use of an Information Retrieval Service in an Obstetrics/Gynecology Residency Program.

ERIC Educational Resources Information Center

And Others; Gunning, John E.

1980-01-01

A program that uses the clinical librarian as a member of the patient care team has been developed by an obstetrics and gynecology department of a university medical center to keep faculty and hospital house staff knowledgeable about current developments and research. Program objectives, methodology, costs, evaluation, and information utilization…

Adult Day Care--Extended Family.

ERIC Educational Resources Information Center

Smith, Bert Kruger

This pamphlet describes a multi-purpose day-care center for the elderly in Abilene, Texas which is intended to fill the "extended family" role of offering companionship, medical attention, and other aspects of concern to older persons in the community. The goals of the program are as follows: (1) to keep individuals out of institutions…

Asthma: Not Just a Childhood Condition.

ERIC Educational Resources Information Center

Strauss, Kandra

2002-01-01

Asthma has grown to epidemic proportions among school-age children, and nearly 10 million U.S. adults suffer from it. This paper describes asthma and its triggers and explains how to take measures to manage asthma symptoms within the school (e.g., dusting regularly and keeping medications available). A sidebar presents tips on controlling asthma…

Exploring Deliberate Practice in Medicine: How Do Physicians Learn in the Workplace?

ERIC Educational Resources Information Center

van de Wiel, Margje W. J.; Van den Bossche, Piet; Janssen, Sandra; Jossberger, Helen

2011-01-01

Medical professionals need to keep on learning as part of their everyday work to deliver high-quality health care. Although the importance of physicians' learning is widely recognized, few studies have investigated how they learn in the workplace. Based on insights from deliberate practice research, this study examined the activities physicians…

Building a Sense of Ownership to Facilitate Change: The New Curriculum

ERIC Educational Resources Information Center

Elizondo-Montemayor, Leticia; Hernandez-Escobar, Claudia; Ayala-Aguirre, Francisco; Aguilar, Graciela Medina

2008-01-01

Just as trends in medical education are changing continuously, so must curricula. To keep pace with such trends the School of Medicine Tec de Monterrey, Mexico, underwent a curriculum reform process with the goal of developing a new educational model and reducing resistance to change. The Curriculum Committee created seven subcommittees involving…

Investigating Wireless Power Transfer

ERIC Educational Resources Information Center

St. John, Stuart A.

2017-01-01

Understanding Physics is a great end in itself, but is also crucial to keep pace with developments in modern technology. Wireless power transfer, known to many only as a means to charge electric toothbrushes, will soon be commonplace in charging phones, electric cars and implanted medical devices. This article outlines how to produce and use a…

Are We Serious about Keeping Women in Science?

ERIC Educational Resources Information Center

White, Kate

2015-01-01

Women continue to be outnumbered by men in science leadership in most OECD countries. While they are over-represented as PhD students in some science disciplines, there are few senior women scientists. In 2014 women accounted for 63 per cent of applications for the Australian National Health and Medical Research Council's (NHMRC's) early-career…

Assembling a solid staff. Job rotation, job shaping and cross-training help employee retention.

PubMed

Redling, Robert

2003-03-01

Qualified workers for medical practices are in short supply, and you want to keep the good staff you have. Here are strategies to match employees with the right positions, ease workplace stress, heighten morale and ensure coverage of duties when you're down a position or two.

An Algorithm for Controlled Integration of Sound and Text.

ERIC Educational Resources Information Center

Wohlert, Harry S.; McCormick, Martin

1985-01-01

A serious drawback in introducing sound into computer programs for teaching foreign language speech has been the lack of an algorithm to turn off the cassette recorder immediately to keep screen text and audio in synchronization. This article describes a program which solves that problem. (SED)

78 FR 40823 - Reports, Forms, and Record Keeping Requirements

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-08

... at time of approval. Title: National Survey of Principal Drivers of Vehicles with a Rear Seat Belt... from both groups and information on their passengers seat belt usage habits, as well as the... use computer-assisted telephone interviewing to reduce interview length and minimize recording errors...

Adapting risk management and computational intelligence network optimization techniques to improve traffic throughput and tail risk analysis.

DOT National Transportation Integrated Search

2014-04-01

Risk management techniques are used to analyze fluctuations in uncontrollable variables and keep those fluctuations from impeding : the core function of a system or business. Examples of this are making sure that volatility in copper and aluminum pri...

Interactive-Observation in Communicative Disorders.

ERIC Educational Resources Information Center

Hall, Ed; Harris, Ruth

Through interactive-observation, the strengths of the video recorder (actual viewing experience) and the strengths of the computer (capability for feedback, record keeping, and problem analysis) can be combined and used in the preparation of personnel to educate handicapped children and youth. In the area of communicative disorders, accurate…

Does Your Technology Support Measure Up?

ERIC Educational Resources Information Center

Abramson, Paul

1998-01-01

Provides tips on ways to keep computer systems in colleges and universities from failing while also controlling costs. Trinity College (Hartford) is used to illustrate how proper staffing, system maintenance, hardware purchasing decisions, technician compensation, and the use of students for maintenance work can effectively support a school's…

Family Day Homes: Get Organized with Information Systems.

ERIC Educational Resources Information Center

Dague, Mindy

1999-01-01

Notes that record keeping and management are critical aspects of home day care centers. Highlights options for tools, including calendars, loose-leaf notebooks, ledgers, computer spreadsheet software, and file boxes. Provides guidelines for organizing information as well as particular information necessary regarding provider, parent, and child.…

Naturalistic conversation improves daytime motorway driving performance under a benzodiazepine: a randomised, crossover, double-blind, placebo-controlled study.

PubMed

Moták, Ladislav; Bayssac, Laëtitia; Taillard, Jacques; Sagaspe, Patricia; Huet, Nathalie; Terrier, Patrice; Philip, Pierre; Daurat, Agnès

2014-06-01

The adverse effects of benzodiazepines on driving are widely recognised. The aims of this study were both to determine the impact of naturalistic conversation on the driving ability of drivers under a benzodiazepine, and to measure the accuracy of drivers' assessments of the joint effects of the benzodiazepine and conversation. Sixteen healthy male participants (29.69 ± 3.30 years) underwent a randomised, crossover, double-blind, placebo-controlled study with the benzodiazepine lorazepam (2mg). They drove 200 km (125 miles) on a motorway in the morning. We measured two driving ability-related variables (i.e., lane-keeping performance), and collected a set of self-assessed variables (i.e., self-assessment of driving performance) during two 10-min sequences of interest (no conversation vs. conversation). An analysis of variance revealed an interaction whereby lane-keeping performance under lorazepam was worse in the no-conversation condition than in the conversation condition. No such difference was detected under placebo. Pearson's correlation coefficients revealed that self-assessments were (i) not at all predictive of lane-keeping when performed before the drive, but (ii) moderately predictive of lane-keeping performance when performed during or after the drive. We conclude that conversation with a passenger may contribute to safer lane-keeping when driving under a benzodiazepine. Moreover, a degree of awareness may be attained after some experience of driving under the influence of this type of medication. Copyright © 2014 Elsevier Ltd. All rights reserved.

[Design of Smart Care Tele-Monitoring System for Mother and Fetus].

PubMed

Xi, Haiyan; Gan, Guanghui; Zhang, Huilian; Chen, Chaomin

2015-03-01

To study and design a maternal and fetal monitoring system based on the cloud computing and internet of things, which can monitor and take smart care of the mother and fetus in 24 h. Using a new kind of wireless fetal monitoring detector and a mobile phone, thus the doctor can keep touch with hospital through internet. The mobile terminal was developed on the Android system, which accepted the data of fetal heart rate and uterine contraction transmitted from the wireless detector, exchange information with the server and display the monitoring data and the doctor's advice in real-time. The mobile phone displayed the fetal heart rate line and uterine contraction line in real-time, recorded the fetus' grow process. It implemented the real-time communication between the doctor and the user, through wireless communication technology. The system removes the constraint of traditional telephone cable for users, while the users can get remote monitoring from the medical institutions at home or in the nearest community at any time, providing health and safety guarantee for mother and fetus.

Current tecniques and new perpectives research of magnetic resonance enterography in pediatric Crohn’s disease

PubMed Central

Masselli, Gabriele; Mastroiacovo, Ilaria; De Marco, Emidio; Francione, Giulia; Casciani, Emanuele; Polettini, Elisabetta; Gualdi, Gianfranco

2016-01-01

Crohn’s disease affects more than 500000 individuals in the United States, and about 25% of cases are diagnosed during the pediatric period. Imaging of the bowel has undergone dramatic changes in the past two decades. The endoscopy with biopsy is generally considered the diagnostic reference standard, this combination can evaluates only the mucosa, not inflammation or fibrosis in the mucosa. Actually, the only modalities that can visualize submucosal tissues throughout the small bowel are the computed tomography (CT) enterography (CTE) with the magnetic resonance enterography (MRE). CT generally is highly utilized, but there is growing concern over ionizing radiation and cancer risk; it is a very important aspect to keep in consideration in pediatric patients. In contrast to CTE, MRE does not subject patients to ionizing radiation and can be used to detect detailed morphologic information and functional data of bowel disease, to monitor the effects of medical therapy more accurately, to detect residual active disease even in patients showing apparent clinical resolution and to guide treatment more accurately. PMID:27551337

Evidence, logic, the rule and the exception in Renaissance law and medicine.

PubMed

Maclean, I

2000-01-01

This article sets out to investigate aspects of the uptake of Renaissance law and medicine from some of the logical and natural-philosophical components of the university arts course. Medicine is shown to have a much laxer operative logic than law, reflecting its commitment to the theory of idiosyncrasy as opposed to the demands made upon the law by the need for a uniform application of justice. Symptomatic of the different uptake are the contrasting meanings of "regulariter" and "generaliter" in the two disciplines. Whereas the law treats the rule as inviolable and the exception as only valid if made explicit in due legal form, medicine is able to conceive of a nature as a field of knowledge broader than that encompassed by its rules of art. Both law and medicine approach evidence in ways which reflect their attempts to keep apart the process of information-gathering from that of interpretation; this is exemplified by the legal computation of competing testimony on the one hand and by the various medical modes of sign interpretation on the other.

Veterinary medical manpower: supply-demand projections to 2020.

PubMed

McLaughlin, G W; Bard, H E; Talbot, R B

1976-02-15

A supply projection model to estimate the number of veterinarians available through the year 2020 was developed. When projected available manpower was compared with the need for veterinary medical services, as estimated in a National Academy of Science study, a net shortage was indicated in each year between 1976 and 2020. The manpower supply available if 3 additional veterinary colleges were developed in the United States was also estimated. It was concluded that, even with the additional output of these colleges, the supply of veterinarians will not keep pace with future needs for veterinary services.

Neurology at Sanjay Gandhi PGI: Beginning, progress and hope.

PubMed

Misra, Usha Kant; Kalita, Jayantee

2016-01-01

High quality publications, patient care and educational standard have made Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, India a favored destination for the patients and medical students, for getting treatment and education, respectively. The current article traces the history and milestone of the Department of Neurology, SGPGIMS, Lucknow and summarizes its achievements and facilities. The uniqueness of the department lies in being sensitive to the expectation of the patients, students and its faculty's own aspirations in research, keeping the patient as the center of focus.

The Design of an Experimental Apparatus to Measure the Motions of a Towed Submersible Environmental Sensor Vehicle.

DTIC Science & Technology

1983-06-01

obtained by the vertical excitation apparatus, keeping the horizontal excitation apparatus .4 at zero frequ ncy. The model c.g. moves in a sinusoidal...point between the support plates and the rail module, foam rubber pads were inserted.. These pads increased the coefficient of friction and reduced the...involved the CADIG 4051 Tektronix computer data SI acquistion and graphic display system. The Tektronix 4050 series computers can be used as stand alone

A Content Standard for Computational Models; Digital Rights Management (DRM) Architectures; A Digital Object Approach to Interoperable Rights Management: Finely-Grained Policy Enforcement Enabled by a Digital Object Infrastructure; LOCKSS: A Permanent Web Publishing and Access System; Tapestry of Time and Terrain.

ERIC Educational Resources Information Center

Hill, Linda L.; Crosier, Scott J.; Smith, Terrence R.; Goodchild, Michael; Iannella, Renato; Erickson, John S.; Reich, Vicky; Rosenthal, David S. H.

2001-01-01

Includes five articles. Topics include requirements for a content standard to describe computational models; architectures for digital rights management systems; access control for digital information objects; LOCKSS (Lots of Copies Keep Stuff Safe) that allows libraries to run Web caches for specific journals; and a Web site from the U.S.…

A mathematical model for computer image tracking.

PubMed

Legters, G R; Young, T Y

1982-06-01

A mathematical model using an operator formulation for a moving object in a sequence of images is presented. Time-varying translation and rotation operators are derived to describe the motion. A variational estimation algorithm is developed to track the dynamic parameters of the operators. The occlusion problem is alleviated by using a predictive Kalman filter to keep the tracking on course during severe occlusion. The tracking algorithm (variational estimation in conjunction with Kalman filter) is implemented to track moving objects with occasional occlusion in computer-simulated binary images.

Computer literacy enhancement in the Teaching Hospital Olomouc. Part I: project management techniques. Short communication.

PubMed

Sedlár, Drahomír; Potomková, Jarmila; Rehorová, Jarmila; Seckár, Pavel; Sukopová, Vera

2003-11-01

Information explosion and globalization make great demands on keeping pace with the new trends in the healthcare sector. The contemporary level of computer and information literacy among most health care professionals in the Teaching Hospital Olomouc (Czech Republic) is not satisfactory for efficient exploitation of modern information technology in diagnostics, therapy and nursing. The present contribution describes the application of two basic problem solving techniques (brainstorming, SWOT analysis) to develop a project aimed at information literacy enhancement.

Computer Series, 13: Bits and Pieces, 11.

ERIC Educational Resources Information Center

Moore, John W., Ed.

1982-01-01

Describes computer programs (with ordering information) on various topics including, among others, modeling of thermodynamics and economics of solar energy, radioactive decay simulation, stoichiometry drill/tutorial (in Spanish), computer-generated safety quiz, medical chemistry computer game, medical biochemistry question bank, generation of…

The Regulation of Medical Computer Software as a “Device” under the Food, Drug, and Cosmetic Act

PubMed Central

Brannigan, Vincent

1986-01-01

Recent developments in computer software have raised the possibility that federal regulators may claim to control medical computer software as a “device” under the Food, Drug and Cosmetic Act. The purpose of this paper is to analyze the FDCA to determine whether computer software is included in the statutory scheme, examine constitutional arguments relating to computer software, and discuss regulatory principles that should be taken into account when deciding appropriate regulation. This paper is limited to computer program output used by humans in deciding appropriate medical therapy for a patient.

Demonopolizing medical knowledge.

PubMed

Arora, Sanjeev; Thornton, Karla; Komaromy, Miriam; Kalishman, Summers; Katzman, Joanna; Duhigg, Daniel

2014-01-01

In the past 100 years, there has been an explosion of medical knowledge-and in the next 50 years, more medical knowledge will be available than ever before. Regrettably, current medical practice has been unable to keep pace with this explosion of medical knowledge. Specialized medical knowledge has been confined largely to academic medical centers (i.e., teaching hospitals) and to specialists in major cities; it has been disconnected from primary care clinicians on the front lines of patient care. To bridge this disconnect, medical knowledge must be demonopolized, and a platform for collaborative practice amongst all clinicians needs to be created. A new model of health care and education delivery called Project ECHO (Extension for Community Healthcare Outcomes), developed by the first author, does just this. Using videoconferencing technology and case-based learning, ECHO's medical specialists provide training and mentoring to primary care clinicians working in rural and urban underserved areas so that the latter can deliver the best evidence-based care to patients with complex health conditions in their own communities. The ECHO model increases access to care in rural and underserved areas, and it demonopolizes specialized medical knowledge and expertise.

[Rapid diagnosis for infectious diseases: the respective roles of physician and medical technologist].

PubMed

Yamane, N

2000-01-01

The outcome of infectious disease greatly depends on the rapidity of making a definite diagnosis. For this, smooth and tight cooperation between physician and laboratory where medical technologists are working will become to the key. Rapid diagnosis for infectious diseases can contribute on the patient care, however the laboratory has a self-limitation. That is a seesaw phenomenon; rapidity vs accuracy, rapidity vs sensitivity, rapidity vs easygoing, rapidity vs carefulness, etc. From the laboratory aspect, medical technologists should function as the effective access-point in the evidence-based medicine (EBM), and should have a reasonable balance in judging seesaw phenomena, and should be keeping up their knowledge and technical skill.

Evaluation of child maltreatment in the emergency department setting: an overview for behavioral health providers.

PubMed

Leetch, Aaron N; Leipsic, John; Woolridge, Dale P

2015-01-01

Emergency providers are confronted with medical, social, and legal dilemmas with each case of possible child maltreatment. Keeping a high clinical suspicion is key to diagnosing latent abuse. Child abuse, especially sexual abuse, is best handled by a multidisciplinary team including emergency providers, nurses, social workers, and law enforcement trained in caring for victims and handling forensic evidence. The role of the emergency provider in such cases is to identify abuse, facilitate a thorough investigation, treat medical needs, protect the patient, provide an unbiased medical consultation to law enforcement, and provide an ethical testimony if called to court. Copyright © 2015 Elsevier Inc. All rights reserved.

[The Application of the Fault Tree Analysis Method in Medical Equipment Maintenance].

PubMed

Liu, Hongbin

2015-11-01

In this paper, the traditional fault tree analysis method is presented, detailed instructions for its application characteristics in medical instrument maintenance is made. It is made significant changes when the traditional fault tree analysis method is introduced into the medical instrument maintenance: gave up the logic symbolic, logic analysis and calculation, gave up its complicated programs, and only keep its image and practical fault tree diagram, and the fault tree diagram there are also differences: the fault tree is no longer a logical tree but the thinking tree in troubleshooting, the definition of the fault tree's nodes is different, the composition of the fault tree's branches is also different.

The preparedness level of final year medical students for an adequate medical approach to emergency cases: computer-based medical education in emergency medicine

PubMed Central

2014-01-01

Background We aimed to observe the preparedness level of final year medical students in approaching emergencies by computer-based simulation training and evaluate the efficacy of the program. Methods A computer-based prototype simulation program (Lsim), designed by researchers from the medical education and computer science departments, was used to present virtual cases for medical learning. Fifty-four final year medical students from Ondokuz Mayis University School of Medicine attended an education program on June 20, 2012 and were trained with Lsim. Volunteer attendants completed a pre-test and post-test exam at the beginning and end of the course, respectively, on the same day. Results Twenty-nine of the 54 students who attended the course accepted to take the pre-test and post-test exams; 58.6% (n = 17) were female. In 10 emergency medical cases, an average of 3.9 correct medical approaches were performed in the pre-test and an average of 9.6 correct medical approaches were performed in the post-test (t = 17.18, P = 0.006). Conclusions This study’s results showed that the readiness level of students for an adequate medical approach to emergency cases was very low. Computer-based training could help in the adequate approach of students to various emergency cases. PMID:24386919

Cloud based emergency health care information service in India.

PubMed

Karthikeyan, N; Sukanesh, R

2012-12-01

A hospital is a health care organization providing patient treatment by expert physicians, surgeons and equipments. A report from a health care accreditation group says that miscommunication between patients and health care providers is the reason for the gap in providing emergency medical care to people in need. In developing countries, illiteracy is the major key root for deaths resulting from uncertain diseases constituting a serious public health problem. Mentally affected, differently abled and unconscious patients can't communicate about their medical history to the medical practitioners. Also, Medical practitioners can't edit or view DICOM images instantly. Our aim is to provide palm vein pattern recognition based medical record retrieval system, using cloud computing for the above mentioned people. Distributed computing technology is coming in the new forms as Grid computing and Cloud computing. These new forms are assured to bring Information Technology (IT) as a service. In this paper, we have described how these new forms of distributed computing will be helpful for modern health care industries. Cloud Computing is germinating its benefit to industrial sectors especially in medical scenarios. In Cloud Computing, IT-related capabilities and resources are provided as services, via the distributed computing on-demand. This paper is concerned with sprouting software as a service (SaaS) by means of Cloud computing with an aim to bring emergency health care sector in an umbrella with physical secured patient records. In framing the emergency healthcare treatment, the crucial thing considered necessary to decide about patients is their previous health conduct records. Thus a ubiquitous access to appropriate records is essential. Palm vein pattern recognition promises a secured patient record access. Likewise our paper reveals an efficient means to view, edit or transfer the DICOM images instantly which was a challenging task for medical practitioners in the past years. We have developed two services for health care. 1. Cloud based Palm vein recognition system 2. Distributed Medical image processing tools for medical practitioners.

Einstein's Riddle as a Tool for Profiling Students

ERIC Educational Resources Information Center

Özeke, Vildan; Akçapina, Gökhan

2016-01-01

There are many computer games, learning environments, online tutoring systems or computerized tools which keeps the track of the user while learning or engaging in the activities. This paper presents results from an exploratory study and aims to group students regarding their behavior data while solving the Einstein's riddle. 45 undergraduate…

Hardware Realization of an Ethernet Packet Analyzer Search Engine

DTIC Science & Technology

2000-06-30

specific for the home automation industry. This analyzer will be at the gateway of a network and analyze Ethernet packets as they go by. It will keep... home automation and not the computer network. This system is a stand-alone real-time network analyzer capable of decoding Ethernet protocols. The

Keeping It Simple: The Case for E-Mail.

ERIC Educational Resources Information Center

Haimovic, Gila

The Open University of Israel (OUI) is a distance education institution that offers over 250 computer-mediated courses through the Internet. All OUI students must pass an English reading comprehension exemption exam or take the University's English reading comprehension courses. Because reading instruction differs from content instruction,…

The Electronic Diary: The Technologization of the Personal.

ERIC Educational Resources Information Center

Desser, Daphne

With each technological advancement--telephone, automobile, television, and modem--people gain convenience, efficiency, and speed; they lose immediacy, real as opposed to virtual community, and physicality. At a writer's computer conference, journal writers who have used a diary with a lock and key to keep writings private wonder how to reconcile…

Teaching Statistics with Minitab II.

ERIC Educational Resources Information Center

Ryan, T. A., Jr.; And Others

Minitab is a statistical computing system which uses simple language, produces clear output, and keeps track of bookkeeping automatically. Error checking with English diagnostics and inclusion of several default options help to facilitate use of the system by students. Minitab II is an improved and expanded version of the original Minitab which…

An Application of Discrete Mathematics to Coding Theory.

ERIC Educational Resources Information Center

Donohoe, L. Joyce

1992-01-01

Presents a public-key cryptosystem application to introduce students to several topics in discrete mathematics. A computer algorithms using recursive methods is presented to solve a problem in which one person wants to send a coded message to a second person while keeping the message secret from a third person. (MDH)

Crossing the Internet Threshold: An Instructional Handbook. 2nd Edition.

ERIC Educational Resources Information Center

Tennant, Roy; Ober, John; Lipow, Anne G.

This how-to manual for the beginning Internet user contains sections on: the authors; an overview of computer networking; Internet basics, including a glossary, information on getting connected and keeping current, and a bibliography; electronic mail, including electronic discussions and electronic journals: Internet Remote Login (Telnet); File…

First Database Course--Keeping It All Organized

ERIC Educational Resources Information Center

Baugh, Jeanne M.

2015-01-01

All Computer Information Systems programs require a database course for their majors. This paper describes an approach to such a course in which real world examples, both design projects and actual database application projects are incorporated throughout the semester. Students are expected to apply the traditional database concepts to actual…

Electronic Engineering Technology Program Exit Examination as an ABET and Self-Assessment Tool

ERIC Educational Resources Information Center

Thomas, Gary; Darayan, Shahryar

2018-01-01

Every engineering, computing, and engineering technology program accredited by the Accreditation Board for Engineering and Technology (ABET) has formulated many and varied self-assessment methods. Methods used to assess a program for ABET accreditation and continuous improvement are for keeping programs current with academic and industrial…

The Newsroom to the Year 2001.

ERIC Educational Resources Information Center

Keirstead, Phillip O.

Projections for a possible scenario for a television broadcast newsroom in 2001 would include a nearly completely computerized system, one which will write scripts, select and create graphics, organize newscasts and visuals, keep records, do research, and manage the newsroom from terminals. This computer system will generate many more newscasts…

An Electronic Web-Based Assessment System

ERIC Educational Resources Information Center

Petrova, Raina; Tibrewal, Abhilasha; Sobh, Tarek M.

2006-01-01

In keeping with the outcome-based assessment outlined by ABET's Education Criteria 2000, the School of Engineering at the University of Bridgeport has defined fifteen general student outcomes for its computer engineering program. These outcomes form the basis of its instructional program and assessment activities. In assessing and monitoring the…

Student Record Automating Using Desktop Computer Technologies.

ERIC Educational Resources Information Center

Almerico, Gina M.; Baker, Russell K.; Matassini, Norma

Teacher education programs nationwide are required by state and federal governments to maintain comprehensive student records of all current and graduated students in their programs. A private, mid-sized university established a faculty team to analyze record-keeping procedures to comply with these government requirements. The team's mandate was…

Internet of Things

ERIC Educational Resources Information Center

Ritz, John; Knaack, Zane

2017-01-01

In the 21st century, electronic connectivity is a major component of everyday life. One expects to have mobile phone coverage and to have access to log a computer or tablet onto the internet. This connectivity enables users to keep track of personal affairs and conduct work from remote locations. Designers and manufacturers are also connecting…

An Automated Circulation System for a Small Technical Library.

ERIC Educational Resources Information Center

Culnan, Mary J.

The traditional manually-controlled circulation records of the Burroughs Corporation Library in Goleta, California, presented problems of inaccuracies, time time-consuming searches, and lack of use statistics. An automated system with the capacity to do file maintenance and statistical record-keeping was implemented on a Burroughts B1700 computer.…

Just Click Here: New Technology and Testing.

ERIC Educational Resources Information Center

Cutshall, Sandy

2001-01-01

With increasing emphasis on accurate assessment and accountability, computer-based testing and simulation may signify the future for teachers wishing to keep current on technology in the classroom. If career and technical education is to use new testing technology, features such as authentic assessment and criterion-based testing must be…

Computer and internet use by first year clinical and nursing students in a Nigerian teaching hospital.

PubMed

Ajuwon, Grace Ada

2003-09-18

The internet is an important source of up-to-date medical information. Although several studies in different countries have explored the extent to which health science students use the computer and the internet, few researches are available on this subject in Nigeria. The aim of this study was to assess the uptake of computer and internet by health science students studying in the country. One hundred and eighty three first year medical and nursing students of the University College Hospital, Ibadan, Nigeria, completed a-25 item questionnaire during routine Library Orientation Program in the medical library. The EPI-Info software was used for data analysis. The mean ages for medical students and the student nurses were 22 and 24.6 years respectively. Overall, 42.6% of the entire sample could use the computer, 57.4% could not. While more than half (58%) of the medical students are computer literate, majority (75.9%) of the student nurses are not. Slightly more than two thirds (60.7%) of the entire students had ever used the internet, 33. 9% had not. E-mail was the most popular of internet services used by the students (76.4%) and the cyber café was the common place where students had accessed these services. The students' mean scores on a 15-point perceived self-efficacy scale for internet-related tasks was 3.8 for medical and 0.7 for nursing students (p = 0.00). Students who are computer literate had superior mean scores (4.8) than those without (0.6) (p = 0.000). First year clinical and nursing students in Ibadan Nigeria have not fully utilised the opportunity that the use of computer and internet offer for medical education. Improved efforts such as inclusion of computer education in medical and nursing curricular and establishment of computer laboratories are required to increase the student's access to computers and internet.

Computer and internet use by first year clinical and nursing students in a Nigerian teaching hospital

PubMed Central

Ajuwon, Grace Ada

2003-01-01

Background The internet is an important source of up-to-date medical information. Although several studies in different countries have explored the extent to which health science students use the computer and the internet, few researches are available on this subject in Nigeria. The aim of this study was to assess the uptake of computer and internet by health science students studying in the country. Methods One hundred and eighty three first year medical and nursing students of the University College Hospital, Ibadan, Nigeria, completed a-25 item questionnaire during routine Library Orientation Program in the medical library. The EPI-Info software was used for data analysis. Results The mean ages for medical students and the student nurses were 22 and 24.6 years respectively. Overall, 42.6% of the entire sample could use the computer, 57.4% could not. While more than half (58%) of the medical students are computer literate, majority (75.9%) of the student nurses are not. Slightly more than two thirds (60.7%) of the entire students had ever used the internet, 33. 9% had not. E-mail was the most popular of internet services used by the students (76.4%) and the cyber café was the common place where students had accessed these services. The students' mean scores on a 15-point perceived self-efficacy scale for internet-related tasks was 3.8 for medical and 0.7 for nursing students (p = 0.00). Students who are computer literate had superior mean scores (4.8) than those without (0.6) (p = 0.000). Conclusion First year clinical and nursing students in Ibadan Nigeria have not fully utilised the opportunity that the use of computer and internet offer for medical education. Improved efforts such as inclusion of computer education in medical and nursing curricular and establishment of computer laboratories are required to increase the student's access to computers and internet. PMID:14498997

Adiabatic topological quantum computing

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cesare, Chris; Landahl, Andrew J.; Bacon, Dave

Topological quantum computing promises error-resistant quantum computation without active error correction. However, there is a worry that during the process of executing quantum gates by braiding anyons around each other, extra anyonic excitations will be created that will disorder the encoded quantum information. Here, we explore this question in detail by studying adiabatic code deformations on Hamiltonians based on topological codes, notably Kitaev’s surface codes and the more recently discovered color codes. We develop protocols that enable universal quantum computing by adiabatic evolution in a way that keeps the energy gap of the system constant with respect to the computationmore » size and introduces only simple local Hamiltonian interactions. This allows one to perform holonomic quantum computing with these topological quantum computing systems. The tools we develop allow one to go beyond numerical simulations and understand these processes analytically.« less

Adiabatic topological quantum computing

DOE PAGES

Cesare, Chris; Landahl, Andrew J.; Bacon, Dave; ...

2015-07-31

Topological quantum computing promises error-resistant quantum computation without active error correction. However, there is a worry that during the process of executing quantum gates by braiding anyons around each other, extra anyonic excitations will be created that will disorder the encoded quantum information. Here, we explore this question in detail by studying adiabatic code deformations on Hamiltonians based on topological codes, notably Kitaev’s surface codes and the more recently discovered color codes. We develop protocols that enable universal quantum computing by adiabatic evolution in a way that keeps the energy gap of the system constant with respect to the computationmore » size and introduces only simple local Hamiltonian interactions. This allows one to perform holonomic quantum computing with these topological quantum computing systems. The tools we develop allow one to go beyond numerical simulations and understand these processes analytically.« less

[From record keeping to scientific research: obstacles and opportunities for research with electronic health records].

PubMed

Scholte, R A; Opmeer, B C; Ploem, M C

2017-01-01

As a result of increasing digitisation of medical record keeping, electronic health records (EHRs) are an attractive source for data reuse. However, such record-based research is still suffering from poor quality of data stored in EHRs. Lack of consent for reuse of data also plays an impeding role, especially in retrospective record-based research. That said, increasing cooperation between healthcare institutions and current attention for EHR organisation also offer opportunities for record-based research. Patient data can be recorded in more standardised ways and in increasingly harmonised EHRs. In addition, if healthcare institutions were to establish a generic consent procedure - preferably with national scope - the potential of EHRs for scientific research could be exploited in considerably better ways.

Research on the generation of the background with sea and sky in infrared scene

NASA Astrophysics Data System (ADS)

Dong, Yan-zhi; Han, Yan-li; Lou, Shu-li

2008-03-01

It is important for scene generation to keep the texture of infrared images in simulation of anti-ship infrared imaging guidance. We studied the fractal method and applied it to the infrared scene generation. We adopted the method of horizontal-vertical (HV) partition to encode the original image. Basing on the properties of infrared image with sea-sky background, we took advantage of Local Iteration Function System (LIFS) to decrease the complexity of computation and enhance the processing rate. Some results were listed. The results show that the fractal method can keep the texture of infrared image better and can be used in the infrared scene generation widely in future.

Using CLIPS in a distributed system: The Network Control Center (NCC) expert system

NASA Technical Reports Server (NTRS)

Wannemacher, Tom

1990-01-01

This paper describes an intelligent troubleshooting system for the Help Desk domain. It was developed on an IBM-compatible 80286 PC using Microsoft C and CLIPS and an AT&T 3B2 minicomputer using the UNIFY database and a combination of shell script, C programs and SQL queries. The two computers are linked by a lan. The functions of this system are to help non-technical NCC personnel handle trouble calls, to keep a log of problem calls with complete, concise information, and to keep a historical database of problems. The database helps identify hardware and software problem areas and provides a source of new rules for the troubleshooting knowledge base.

The computer in office medical practice.

PubMed

Dowdle, John

2002-04-01

There will continue to be change and evolution in the medical office environment. As voice recognition systems continue to improve, instant creation of office notes with the absence of dictation may be commonplace. As medical and computer technology evolves, we must continue to evaluate the many new computer systems that can assist us in our clinical office practice.

Use of Electronic Medication Administration Records to Reduce Perceived Stress and Risk of Medication Errors in Nursing Homes.

PubMed

Alenius, Malin; Graf, Peter

2016-07-01

Concerns have been raised about the effects of current medication administration processes on the safety of many of the aspects of medication administration. Keeping electronic medication administration records could decrease many of these problems. Unfortunately, there has not been much research on this topic, especially in nursing homes. A prospective case-control survey was consequently performed at two nursing homes; the electronic record system was introduced in one, whereas the other continued to use paper records. The personnel were asked to fill in a questionnaire of their perceptions of stress and risk of medication errors at baseline (n = 66) and 20 weeks after the intervention group had started recording medication administration electronically (n = 59). There were statistically significant decreases in the perceived risk of omitting a medication, of medication errors occurring because of communication problems, and of medication errors occurring because of inaccurate medication administration records in the intervention group (all P < .01 vs the control group). The perceived overall daily stress levels were also reduced in the intervention group (P < .05). These results indicate that the utilization of electronic medication administration records will reduce many of the concerns regarding the medication administration process.

The use of instant medical history in a rural clinic. Case study of the use of computers in an Arkansas physician's office.

PubMed

Pierce, B

2000-05-01

This study evaluated the acceptance of using computers to take a medical history by rural Arkansas patients. Sex, age, race, education, previous computer experience and owning a computer were used as variables. Patients were asked a series of questions to rate their comfort level with using a computer to take their medical history. Comfort ratings ranged from 30 to 45, with a mean of 36.8 (SEM = 0.67). Neither sex, race, age, education, owning a personal computer, nor prior computer experience had a significant effect on the comfort rating. This study helps alleviate one of the concerns--patient acceptance--about the increasing use of computers in practicing medicine.

Development of informational-communicative system, created to improve medical help for family medicine doctors.

PubMed

Smiianov, Vladyslav A; Dryha, Natalia O; Smiianova, Olha I; Obodyak, Victor K; Zudina, Tatyana O

2018-01-01

Introduction: Today mobile health`s protection service has no concrete meaning. As an research object it was called mHealth and named by Global observatory of electronic health`s protection as "Doctor and social health practice that can be supported by any mobile units (mobile phones or smartphones), units for patient`s health control, personal computers and other units of non-wired communication". An active usage of SMS in programs for patients` cure regimen keeping was quiet predictable. Mobile and electronic units only begin their development in medical sphere. Thus, to solve all health`s protection system reformation problems a special memorandum about cooperation in creating E-Health system in Ukraine was signed. The aim: Development of ICS for monitoring and non-infection ill patients` informing system optimization as a first level of medical help. Materials and methods: During research, we used systematical approach, meta-analysis, informational-analytical systems` schemes projection, expositive modeling. Developing the backend (server part of the site), we used next technologies: 1) the Apache web server; 2) programming language PHP; 3) Yii 2 PHP Framework. In the frontend developing were used the following technologies (client part of the site): 1) Bootstrap 3; 2) Vue JS Framework. Results and conclusions: Created duo-channel system "doctor-patient" and "patient-doctor" will allow usual doctors of family medicine (DFM) take the interactive dispensary cure and avoid uncontrolled illness progress. Doctor will monitor basic physical data of patient`s health and curing process. The main goal is to create automatic system to allow doctor regularly write periodical or non-periodical notifications, get patients` questioning answers and spread information between doctor and patient; that will optimize work of DFMs.

GPU computing in medical physics: a review.

PubMed

Pratx, Guillem; Xing, Lei

2011-05-01

The graphics processing unit (GPU) has emerged as a competitive platform for computing massively parallel problems. Many computing applications in medical physics can be formulated as data-parallel tasks that exploit the capabilities of the GPU for reducing processing times. The authors review the basic principles of GPU computing as well as the main performance optimization techniques, and survey existing applications in three areas of medical physics, namely image reconstruction, dose calculation and treatment plan optimization, and image processing.

A Low Cost Micro-Computer Based Local Area Network for Medical Office and Medical Center Automation

PubMed Central

Epstein, Mel H.; Epstein, Lynn H.; Emerson, Ron G.

1984-01-01

A Low Cost Micro-computer based Local Area Network for medical office automation is described which makes use of an array of multiple and different personal computers interconnected by a local area network. Each computer on the network functions as fully potent workstations for data entry and report generation. The network allows each workstation complete access to the entire database. Additionally, designated computers may serve as access ports for remote terminals. Through “Gateways” the network may serve as a front end for a large mainframe, or may interface with another network. The system provides for the medical office environment the expandability and flexibility of a multi-terminal mainframe system at a far lower cost without sacrifice of performance.

LLNL: Science in the National Interest

ScienceCinema

George Miller

2017-12-09

This is Lawrence Livermore National Laboratory. located in the Livermore Valley about 50 miles east of San Francisco, the Lab is where the nations topmost science, engineering and technology come together. National security, counter-terrorism, medical technologies, energy, climate change our researchers are working to develop solutions to these challenges. For more than 50 years, we have been keeping America strong.

Military Personnel. Army Needs to Better Enforce Requirements and Improve Record Keeping for Soldiers Whose Medical Conditions May Call for Significant Duty Limitations

DTIC Science & Technology

2008-06-01

rations. Endocrine disorders–recent or repeated peptic ulcer activity–chronic gastrointestinal disease requiring dietary management. CODE F...or skin condition of the feet or legs that, when aggravated by continuous wear of combat boots, tends to develop unfitting ulcers . CODE P

21 CFR 369.9 - General warnings re accidental ingestion by children.

Code of Federal Regulations, 2010 CFR

2010-04-01

... by children. Section 369.20 includes under certain items, but not all medicines, the statement: “Keep this and all medicines out of children's reach. In case of overdose, get medical help or contact a... children. 369.9 Section 369.9 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN...

Caring for You and Your Baby: From Pregnancy through the First Year of Life.

ERIC Educational Resources Information Center

Minnesota Univ., Minneapolis. Fairview Health Services.

Prepared by the Maternal and Newborn Services staff at a health care system affiliated with the University of Minnesota, this book is designed as several resources in one, encompassing pregnancy, childbirth, infant care, child development, baby keepsakes, medical records, and journal-keeping. The book provides authoritative, up-to-date information…

Empowering Employees: How Colleges Can Dramatically Reduce Their Medical Costs.

ERIC Educational Resources Information Center

Powell, Bill

1993-01-01

A plan that offers college employees an incentive to contain health care insurance costs is outlined. It consists of three parts: the institution's offering of coverage for claims above a certain level; an employee deductible; and an accounting system that rewards employees for keeping health care costs down as well as involving them in management…

Some Latent Effects of Current Social Policies on the Elderly.

ERIC Educational Resources Information Center

Valas, Lee

Current social policies for the elderly are intended to assure a better standard of living, promote adequate medical treatment, and assure safe and clean housing, but they have unintended consequences. It is argued that these social policies serve to keep older people in a state of dependency, poverty, and segregation. Some social policies may be…

How I Manage Jock Itch.

PubMed

Ramsey, M L

1990-08-01

In brief Jock itch, an extremely common skin infection, is caused by dermatophytic fungi. Usually the condition is easily diagnosed and responds well to treatment. Therapy consists of administering antifungal medications and keeping the warm, moist environment of the groin area as cool and dry as possible. After the skin disturbance clears, measures should be taken to prevent recurrent infection.

Editorial [Special issue on software defined networks and infrastructures, network function virtualisation, autonomous systems and network management

DOE PAGES

Biswas, Amitava; Liu, Chen; Monga, Inder; ...

2016-01-01

For last few years, there has been a tremendous growth in data traffic due to high adoption rate of mobile devices and cloud computing. Internet of things (IoT) will stimulate even further growth. This is increasing scale and complexity of telecom/internet service provider (SP) and enterprise data centre (DC) compute and network infrastructures. As a result, managing these large network-compute converged infrastructures is becoming complex and cumbersome. To cope up, network and DC operators are trying to automate network and system operations, administrations and management (OAM) functions. OAM includes all non-functional mechanisms which keep the network running.

Computer program for maintenance of individual animal records in a nonhuman primate colony.

PubMed

Kuehl, T J; Dukelow, W R

1977-06-01

A computer program was developed to maintain animal records for a nonhuman primate colony used in research. The program was designed for use with an existing laboratory notebook system. The computer program identifies each notebook entry containing information about each animal and keeps other information, including animal name, sex, species, projects to which the animal is assigned, location of the animal, dates and body weights. The program is interactive and easy to use. Information stored in the system is readily accessible to all investigators using the animals. In 17 months of use, 1382 master file entries were developed for 113 monkeys.

[Use of the film Keep on the open road in palliative care education of undergraduate medical students : Proof-of-concept study].

PubMed

Dietz, I; Gerbershagen, K; Mielke, A; Pattberg, S; Pesch, E; Poels, M; Schmalz, O; Joppich, R

2012-09-01

Recently palliative care has become an integral and compulsory part of undergraduate medical training in Germany. From 2014 onwards every German medical faculty must have developed and implemented undergraduate teaching in this cross-disciplinary medical field and to conduct examinations. At Witten/Herdecke University (Germany) this new cross-sectional course in palliative care was taught for the first time in 2011. The film "Keep on the open road" was incorporated and the use of this film as part of compulsory palliative care education was evaluated from the student perspective. In two teaching units (1.5 h each) the film was watched with the students and discussed in the context of the palliative care setting with a special focus on psychosocial aspects. A semi-quantitative evaluation was performed after the debriefing. A total of 23 students participated in the course, 87 % (n = 20) evaluated the use of the film as unrestricted useful and 14 indicated a benefit from the film in terms of their medical attitude. Most of the students (n = 19, 83%) did not consider bed-side teaching to be more useful than the film unit. The free text answers underlined that primarily the multidisciplinary aspects of a palliative treatment situation and the meaning of a social environment were highlighted by the film. According to the evaluation of the students and the judgement of the participating teachers the use of the film is a suitable method to clarify complex medical, social and psychological aspects in palliative care. Especially at faculties with much larger numbers of students the film unit is thought to be a helpful method to teach psychosocial aspects and to promote development of attitude in palliative care. In future semesters further experience with the unit and the use of films in palliative care teaching will be collected.

Evaluation of Mobile Authoring and Tutoring in Medical Issues

ERIC Educational Resources Information Center

Alepis, Efthymios; Virvou, Maria

2010-01-01

Mobile computing facilities may provide many assets to the educational process. Mobile technology provides software access from anywhere and at any time, as well as computer equipment independence. The need for time and place independence is even greater for medical instructors and medical students. Medical instructors are usually doctors that…

Usefulness and preference for tablet personal computers by medical students: are the features worth the money?

PubMed

Wiese, Dawn; Atreja, Ashish; Mehta, Neil

2008-11-06

Tablet Personal Computers (PCs) have a huge potential in medical education due to their interactive human- computer interface and the need for anatomical diagrams, annotations, biochemistry flow charts etc. We conducted an online survey of medical students to determine their pattern of usage of the tablet features. The results revealed that the majority of medical students use the tablet features infrequently and most do not place a high value on the tablet features.

Increasing processor utilization during parallel computation rundown

NASA Technical Reports Server (NTRS)

Jones, W. H.

1986-01-01

Some parallel processing environments provide for asynchronous execution and completion of general purpose parallel computations from a single computational phase. When all the computations from such a phase are complete, a new parallel computational phase is begun. Depending upon the granularity of the parallel computations to be performed, there may be a shortage of available work as a particular computational phase draws to a close (computational rundown). This can result in the waste of computing resources and the delay of the overall problem. In many practical instances, strict sequential ordering of phases of parallel computation is not totally required. In such cases, the beginning of one phase can be correctly computed before the end of a previous phase is completed. This allows additional work to be generated somewhat earlier to keep computing resources busy during each computational rundown. The conditions under which this can occur are identified and the frequency of occurrence of such overlapping in an actual parallel Navier-Stokes code is reported. A language construct is suggested and possible control strategies for the management of such computational phase overlapping are discussed.

Image analysis and modeling in medical image computing. Recent developments and advances.

PubMed

Handels, H; Deserno, T M; Meinzer, H-P; Tolxdorff, T

2012-01-01

Medical image computing is of growing importance in medical diagnostics and image-guided therapy. Nowadays, image analysis systems integrating advanced image computing methods are used in practice e.g. to extract quantitative image parameters or to support the surgeon during a navigated intervention. However, the grade of automation, accuracy, reproducibility and robustness of medical image computing methods has to be increased to meet the requirements in clinical routine. In the focus theme, recent developments and advances in the field of modeling and model-based image analysis are described. The introduction of models in the image analysis process enables improvements of image analysis algorithms in terms of automation, accuracy, reproducibility and robustness. Furthermore, model-based image computing techniques open up new perspectives for prediction of organ changes and risk analysis of patients. Selected contributions are assembled to present latest advances in the field. The authors were invited to present their recent work and results based on their outstanding contributions to the Conference on Medical Image Computing BVM 2011 held at the University of Lübeck, Germany. All manuscripts had to pass a comprehensive peer review. Modeling approaches and model-based image analysis methods showing new trends and perspectives in model-based medical image computing are described. Complex models are used in different medical applications and medical images like radiographic images, dual-energy CT images, MR images, diffusion tensor images as well as microscopic images are analyzed. The applications emphasize the high potential and the wide application range of these methods. The use of model-based image analysis methods can improve segmentation quality as well as the accuracy and reproducibility of quantitative image analysis. Furthermore, image-based models enable new insights and can lead to a deeper understanding of complex dynamic mechanisms in the human body. Hence, model-based image computing methods are important tools to improve medical diagnostics and patient treatment in future.

Medical Information Processing by Computer.

ERIC Educational Resources Information Center

Kleinmuntz, Benjamin

The use of the computer for medical information processing was introduced about a decade ago. Considerable inroads have now been made toward its applications to problems in medicine. Present uses of the computer, both as a computational and noncomputational device include the following: automated search of patients' files; on-line clinical data…

Distributed micro-releases of bioterror pathogens : threat characterizations and epidemiology from uncertain patient observables.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wolf, Michael M.; Marzouk, Youssef M.; Adams, Brian M.

2008-10-01

Terrorist attacks using an aerosolized pathogen preparation have gained credibility as a national security concern since the anthrax attacks of 2001. The ability to characterize the parameters of such attacks, i.e., to estimate the number of people infected, the time of infection, the average dose received, and the rate of disease spread in contemporary American society (for contagious diseases), is important when planning a medical response. For non-contagious diseases, we address the characterization problem by formulating a Bayesian inverse problem predicated on a short time-series of diagnosed patients exhibiting symptoms. To keep the approach relevant for response planning, we limitmore » ourselves to 3.5 days of data. In computational tests performed for anthrax, we usually find these observation windows sufficient, especially if the outbreak model employed in the inverse problem is accurate. For contagious diseases, we formulated a Bayesian inversion technique to infer both pathogenic transmissibility and the social network from outbreak observations, ensuring that the two determinants of spreading are identified separately. We tested this technique on data collected from a 1967 smallpox epidemic in Abakaliki, Nigeria. We inferred, probabilistically, different transmissibilities in the structured Abakaliki population, the social network, and the chain of transmission. Finally, we developed an individual-based epidemic model to realistically simulate the spread of a rare (or eradicated) disease in a modern society. This model incorporates the mixing patterns observed in an (American) urban setting and accepts, as model input, pathogenic transmissibilities estimated from historical outbreaks that may have occurred in socio-economic environments with little resemblance to contemporary society. Techniques were also developed to simulate disease spread on static and sampled network reductions of the dynamic social networks originally in the individual-based model, yielding faster, though approximate, network-based epidemic models. These reduced-order models are useful in scenario analysis for medical response planning, as well as in computationally intensive inverse problems.« less

The role of a clinically based computer department of instruction in a school of medicine.

PubMed

Yamamoto, W S

1991-10-01

The evolution of activities and educational directions of a department of instruction in medical computer technology in a school of medicine are reviewed. During the 18 years covered, the society at large has undergone marked change in availability and use of computation in every aspect of medical care. It is argued that a department of instruction should be clinical and develop revenue sources based on patient care, perform technical services for the institution with a decentralized structure, and perform both health services and scientific research. Distinction should be drawn between utilization of computing in medical specialties, library function, and instruction in computer science. The last is the proper arena for the academic content of instruction and is best labelled as the philosophical basis of medical knowledge, in particular, its epistemology. Contemporary pressures for teaching introductory computer skills are probably temporary.

Creating an Agile ECE Learning Environment through Engineering Clinics

ERIC Educational Resources Information Center

Jansson, P. M.; Ramachandran, R. P.; Schmalzel, J. L.; Mandayam, S. A.

2010-01-01

To keep up with rapidly advancing technology, numerous innovations to the electrical and computer engineering (ECE) curriculum, learning methods and pedagogy have been envisioned, tested, and implemented. It is safe to say that no single approach will work for all of the diverse ECE technologies and every type of learner. However, a few key…

Transfer of Learning: The Effects of Different Instruction Methods on Software Application Learning

ERIC Educational Resources Information Center

Larson, Mark E.

2010-01-01

Human Resource Departments (HRD), especially instructors, are challenged to keep pace with rapidly changing computer software applications and technology. The problem under investigation revealed after instruction of a software application if a particular method of instruction was a predictor of transfer of learning, when other risk factors were…

IT Field Provides Some Stability for Workers Changing Careers

ERIC Educational Resources Information Center

Allen, Peg

2011-01-01

When it comes to curriculum, certifying and training, no industry is more challenged to keep current than the information technology field (IT). IT industry professionals experience constant changes in computer software and hardware. As one of the top fields listed nationally, IT training programs are thriving at the Warren County Career Center…

Energy Drain by Computers Stifles Efforts at Cost Control

ERIC Educational Resources Information Center

Keller, Josh

2009-01-01

The high price of storing and processing data is hurting colleges and universities across the country. In response, some institutions are embracing greener technologies to keep costs down and help the environment. But compared with other industries, colleges and universities have been slow to understand the problem and to adopt energy-saving…

34 CFR 668.24 - Record retention and examinations.

Code of Federal Regulations, 2010 CFR

2010-07-01

... representative. (3) An institution may keep required records in hard copy or in microform, computer file, optical disk, CD-ROM, or other media formats, provided that— (i) Except for the records described in paragraph (d)(3)(ii) of this section, all record information must be retrievable in a coherent hard copy format...

Keeping Current: The Digital Divide: Can School Library Media Specialists Help Build the Bridge?

ERIC Educational Resources Information Center

Barron, Daniel D.

2000-01-01

Discusses the growth of electronic commerce as well as electronic education and suggests ways that schools and public libraries can help overcome inequity of access. Highlights include access to the Internet and computers; educational levels; Blacks; race and ethnic origin; rural access; use of the Internet; and income. (LRW)

Hardware for Hard-Up Schools?

ERIC Educational Resources Information Center

St. John, Stuart A.

2012-01-01

The purpose of this work was to investigate ways in which everyday computers can be used in schools to fulfil several of the roles of more expensive, specialized laboratory equipment for teaching and learning purposes. The brief adopted was to keep things as straightforward as possible so that any school science department with a few basic tools…

Howard University Engineers Success: Interdisciplinary Study Keeps Howard on the Cutting Edge

ERIC Educational Resources Information Center

Chew, Cassie M.

2004-01-01

According to Engineering Workforce Commission annual reports, in 1999 Howard University graduated 108 students, 92 of whom were African American, in its chemical, civil, electrical, and mechanical engineering programs and computer science programs. After two more years of graduating approximately 100 students across programs, in 2002, according to…

User-Design: A Case Application in Health Care Training.

ERIC Educational Resources Information Center

Carr-Chellman, Alison; Cuyar, Craig; Breman, Jeroen

1998-01-01

Discussion of user-design as a theoretical process for creating training, software, and computer systems focuses on a case study that describes user-design methodology in home health care through the context of diffusing a new laptop patient-record-keeping system with home nurses. Research needs and implications for the design process are…

Working for America. Career Schools: A Tremendous Resource for Employers.

ERIC Educational Resources Information Center

Career Education, 1992

1992-01-01

Discusses industries that are vital to the nation's economy and the numbers of skilled workers they will need to keep moving ahead. Industries profiled are aviation, automotive, allied health, trucking, paralegal, electronics, and computer-aided drafting. Also looks at proprietary schools that are educating the work force of the future. (JOW)

Learning Computer Hardware by Doing: Are Tablets Better than Desktops?

ERIC Educational Resources Information Center

Raven, John; Qalawee, Mohamed; Atroshi, Hanar

2016-01-01

In this world of rapidly evolving technologies, educational institutions often struggle to keep up with change. Change often requires a state of readiness at both the micro and macro levels. This paper looks at a tertiary institution that undertook a significant technology change initiative by introducing tablet based components for teaching a…

A System Dynamics Model of the Departmental Deployment of Instructional Resources.

ERIC Educational Resources Information Center

Beck, Bruce D.

This paper reports on the development and testing of a system dynamics model of the departmental deployment of instructional resources at the University of Wisconsin-Madison. A model was developed using the Stella II computer software package. The model describes describes how departments keep student enrollments, number of course sections, and…

Tensions in a Nepali Telecenter: An Ethnographic Look at Progress Using Activity Theory

ERIC Educational Resources Information Center

Lee, Jeffrey Chih-Yih

2010-01-01

Developing countries such as Nepal struggle to keep up technologically. While advances make it possible for average Nepalis to access mobile phones, computers, and digital cameras, barriers impede access. As with other governments (Huerta & Rodrigo, 2007; Mokhtarian & Meenakshisun, 2002), Nepal responded in 2004 with telecenters to push…

Delivery of Hardware for Syracuse University Faculty Loaner Program.

ERIC Educational Resources Information Center

Jares, Terry

This paper describes the Faculty Assistance and Computing Education Services (FACES) loaner program at Syracuse University and the method used by FACES staff to deliver and keep track of hardware, software, and documentation. The roles of the various people involved in the program are briefly discussed, i.e., the administrator, who handles the…

Integrating CALL into an Iranian EAP Course: Constraints and Affordances

ERIC Educational Resources Information Center

Mehran, Parisa; Alizadeh, Mehrasa

2015-01-01

Iranian universities have recently displayed a growing interest in integrating Computer-Assisted Language Learning (CALL) into teaching/learning English. The English for Academic Purposes (EAP) context, however, is not keeping pace with the current changes since EAP courses are strictly text-based and exam-oriented, and little research has thus…

Drone Class: Keeping Coursework Current as Technology Advances

ERIC Educational Resources Information Center

Hanssen, Sarah

2016-01-01

Today's students prioritize employment; they want to be sure that there will be work for them upon graduation. Film and media students, in particular, need a long list of computer software and film equipment skills on their resumes, especially newer technologies that professionals in the workforce have not yet mastered. Consider, in this regard,…

Exploring Virtual Reality for Classroom Use: The Virtual Reality and Education Lab at East Carolina University.

ERIC Educational Resources Information Center

Auld, Lawrence W. S.; Pantelidis, Veronica S.

1994-01-01

Describes the Virtual Reality and Education Lab (VREL) established at East Carolina University to study the implications of virtual reality for elementary and secondary education. Highlights include virtual reality software evaluation; hardware evaluation; computer-based curriculum objectives which could use virtual reality; and keeping current…

IMPROVEMENT OF SMVGEAR II ON VECTOR AND SCALAR MACHINES THROUGH ABSOLUTE ERROR TOLERANCE CONTROL (R823186)

EPA Science Inventory

The computer speed of SMVGEAR II was improved markedly on scalar and vector machines with relatively little loss in accuracy. The improvement was due to a method of frequently recalculating the absolute error tolerance instead of keeping it constant for a given set of chemistry. ...

A Process for Evaluating Student Records Management Software. ERIC/AE Digest.

ERIC Educational Resources Information Center

Vecchioli, Lisa

This digest provides practical advice on evaluating software for managing student records. An evaluation of record-keeping software should start with a process to identify all of the individual needs the software produce must meet in order to be considered for purchase. The first step toward establishing an administrative computing system is…

Blurring Boundaries in Education: Context and Impact of MOOCs

ERIC Educational Resources Information Center

Loeckx, Johan

2016-01-01

The opinions on MOOCs go to extremes, covering a wide variety of topics, affecting economy, pedagogy, and computer science which makes it hard to keep oversight. Despite the many excellent research reports and articles, an overview of the bigger picture, providing a holistic qualitative summary of the different opinions, is still very welcome.…

Administrative Strategies for Successful Adoption of Computer Technology.

ERIC Educational Resources Information Center

Aitken, Joan E.; Shedletsky, Leonard J.

2001-01-01

Suggests that offering online courses extends the reach of education to people who otherwise may be unable to complete courses. Gives administrators a perspective from the standpoint of professors who are not "techies," but have been involved in the infusion of technology. Proposes that administrators keep seven critical ideas before them while…

LCS Content Document Application

NASA Technical Reports Server (NTRS)

Hochstadt, Jake

2011-01-01

My project at KSC during my spring 2011 internship was to develop a Ruby on Rails application to manage Content Documents..A Content Document is a collection of documents and information that describes what software is installed on a Launch Control System Computer. It's important for us to make sure the tools we use everyday are secure, up-to-date, and properly licensed. Previously, keeping track of the information was done by Excel and Word files between different personnel. The goal of the new application is to be able to manage and access the Content Documents through a single database backed web application. Our LCS team will benefit greatly with this app. Admin's will be able to login securely to keep track and update the software installed on each computer in a timely manner. We also included exportability such as attaching additional documents that can be downloaded from the web application. The finished application will ease the process of managing Content Documents while streamlining the procedure. Ruby on Rails is a very powerful programming language and I am grateful to have the opportunity to build this application.

Update in perioperative medicine: practice changing evidence published in 2016.

PubMed

Regan, Dennis W; Kashiwagi, Deanne; Dougan, Brian; Sundsted, Karna; Mauck, Karen

2017-10-01

This summary reviews 18 key articles published in 2016 which have significant practice implications for the perioperative medical care of surgical patients. Due to the multi-disciplinary nature of the practice of perioperative medicine, important new evidence is published in journals representing a variety of medical and surgical specialties. Keeping current with the evidence that drives best practice in perioperative medicine is therefore challenging. We set out to identify, critically review, and summarize key evidence which has the most potential for practice change. We integrated the new evidence into the existing body of medical knowledge and identified practical implications for real world patient care. The articles address issues related to anticoagulation, transfusion threshold, immunosuppressive medications, postoperative delirium, myocardial injury after noncardiac surgery, postoperative pain management, perioperative management of antihypertensives, perioperative fasting, and perioperative diabetic control.

On the security of a dynamic ID-based authentication scheme for telecare medical information systems.

PubMed

Lin, Han-Yu

2013-04-01

Telecare medical information systems (TMISs) are increasingly popular technologies for healthcare applications. Using TMISs, physicians and caregivers can monitor the vital signs of patients remotely. Since the database of TMISs stores patients' electronic medical records (EMRs), only authorized users should be granted the access to this information for the privacy concern. To keep the user anonymity, recently, Chen et al. proposed a dynamic ID-based authentication scheme for telecare medical information system. They claimed that their scheme is more secure and robust for use in a TMIS. However, we will demonstrate that their scheme fails to satisfy the user anonymity due to the dictionary attacks. It is also possible to derive a user password in case of smart card loss attacks. Additionally, an improved scheme eliminating these weaknesses is also presented.

Care maps for children with medical complexity.

PubMed

Adams, Sherri; Nicholas, David; Mahant, Sanjay; Weiser, Natalie; Kanani, Ronik; Boydell, Katherine; Cohen, Eyal

2017-12-01

Children with medical complexity require multiple providers and services to keep them well and at home. A care map is a patient/family-created diagram that pictorially maps out this complex web of services. This study explored what care maps mean for families and healthcare providers to inform potential for clinical use. Parents (n=15) created care maps (hand drawn n=10 and computer-generated n=5) and participated in semi-structured interviews about the process of developing care maps and their perceived impact. Healthcare providers (n=30) reviewed the parent-created care maps and participated in semi-structured interviews. Data were analysed for themes and emerging theory using a grounded theory analytical approach. Data analysis revealed 13 overarching themes that were further categorized into three domains: features (characteristics of care maps), functions (what care maps do), and emerging outcomes (benefits of care map use). These domains further informed a definition and a theoretical model of how care maps work. Our findings suggest that care maps may be a way of supporting patient- and family-centred care by graphically identifying and integrating experiences of the family as well as priorities for moving forward. Care maps were endorsed as a useful tool by families and providers. They help healthcare providers better understand parental priorities for care. Parents can create care maps to demonstrate the complex burden of care. They are a unique visual way to incorporate narrative medicine into practice. © 2017 Mac Keith Press.

Prevalence of medical workplace violence and the shortage of secondary and tertiary interventions among healthcare workers in China.

PubMed

Hall, Brian J; Xiong, Peng; Chang, Kay; Yin, Ming; Sui, Xin-Ru

2018-06-01

Medical workplace violence (MWV) is a key occupational hazard facing medical professionals worldwide. MWV involves incident where medical staff are abused, threatened and assaulted. MWV affects the health and well-being of medical staff exposed, causes significant erosion of patient-physician trust and leads to poorer health outcomes for patients. In China, the prevalence of MWV appears to be rising. Laws were enacted to keep medical staff safe, but clear surveillance and enforcement is needed to improve the condition. In the current essay, we conducted a systematic literature review to identify secondary and tertiary prevention programmes designed to ameliorate psychological suffering following MWV. This review identified only 10 published studies. A critical gap in the intervention literature exists with regard to addressing the public health burden of MWV. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Financing North American medical libraries in the nineteenth century.

PubMed

Belleh, G S; Luft, E

2001-10-01

Culture not only justifies the existence of libraries but also determines the level of funding libraries receive for development. Cultural appreciation of the importance of libraries encourages their funding; lack of such appreciation discourages it. Medical library development is driven by culture in general and the culture of physicians in particular. Nineteenth-century North American medical library funding reflected the impact of physician culture in three phases: (1) Before the dawn of anesthesia (1840s) and antisepsis (1860s), when the wisdom of elders contained in books was venerated, libraries were well supported. (2) In the last third of the nineteenth century, as modern medicine grew and as physicians emphasized the practical and the present, rather than books, support for medical libraries declined. (3) By the 1890s, this attitude had changed because physicians had come to realize that, without both old and new medical literature readily available, they could not keep up with rapidly changing current clinical practice or research. Thus, "The Medical Library Movement" heralded the turn of the century.

My Obstetrician Got Me Fired: How Work Notes Can Harm Pregnant Patients and What to Do About It.

PubMed

Jackson, Rebecca A; Gardner, Sigrid; Torres, Leah N; Huchko, Megan J; Zlatnik, Marya G; Williams, Joan C

2015-08-01

Prenatal care providers are frequently asked to provide employment notes for their patients requesting medical leave or changes to work duties. Writing employment notes correctly can help patients negotiate for and obtain medically indicated workplace accommodations, allowing them to continue to work and earn an income. However, a poorly written or poorly timed note can jeopardize a patient's employment and salary. This commentary provides an overview of pregnancy-related employment laws and guidance in writing work accommodations letters that allow pregnant women to keep their jobs while maintaining a healthy pregnancy.

The Police and Criminal Evidence Bill under attack.

PubMed

Deitch, Rodney

1983-03-26

The British Medical Association and the Royal College of General Practitioners are among groups objecting to the Police and Criminal Evidence Bill scheduled to reach the House of Lords in May 1983. A clause in the bill would allow police access, with the permission of a circuit judge, to the records of doctors, solicitors, and members of the clergy. Medical organizations are concerned about the impact on health care if the confidential physician patient relationship is threatened and doctors become reluctant to keep detailed records. Strong opposition to the bill is expected in the House of Lords.

[Inpatient rehabilitation of adults with atopic dermatitis].

PubMed

Breuer, K; Kapp, A

2006-07-01

Atopic dermatitis is a chronic inflammatory skin disease which often persists until adulthood. In severe cases, eczematous lesions and pruritus are resistant to therapy and result in depression, impairment of professional activities and social withdrawal. The goal of inpatient rehabilitation measures is to keep the patient involved and active in professional and social activities. Rehabilitative measures include diagnostics and medical therapy according to current guidelines, instruction in basic medical information, psychological intervention (relaxation techniques, improvement of self-confidence), dietetic measures, exercise, and social advice. Patients with atopic dermatitis often have work-related problems which should be identified as early as possible during rehabilitation.

Users' guides to the medical literature: how to use an article about mortality in a humanitarian emergency

PubMed Central

Mills, Edward J; Checchi, Francesco; Orbinski, James J; Schull, Michael J; Burkle, Frederick M; Beyrer, Chris; Cooper, Curtis; Hardy, Colleen; Singh, Sonal; Garfield, Richard; Woodruff, Bradley A; Guyatt, Gordon H

2008-01-01

The accurate interpretation of mortality surveys in humanitarian crises is useful for both public health responses and security responses. Recent examples suggest that few medical personnel and researchers can accurately interpret the validity of a mortality survey in these settings. Using an example of a mortality survey from the Democratic Republic of Congo (DRC), we demonstrate important methodological considerations that readers should keep in mind when reading a mortality survey to determine the validity of the study and the applicability of the findings to their settings. PMID:18826636

Robotic automation of medication-use management.

PubMed

Enright, S M

1993-11-01

In the October 1993 issue of Physician Assistant, we published "Robots for Health Care," the first of two articles on the medical applications of robotics. That article discussed ways in which robots could help patients with manipulative disabilities to perform activities of daily living and hold paid employment; transfer patients from bed to chair and back again; add precision to the most exacting surgical procedures; and someday carry out diagnostic and therapeutic techniques from within the human body. This month, we are pleased to offer an article by Sharon Enright, an authority on pharmacy operations, who considers how an automated medication-management system that makes use of bar-code technology is capable of streamlining drug dispensing, controlling safety, increasing cost-effectiveness, and ensuring accurate and complete record-keeping.

Barriers to Medical Error Reporting for Physicians and Nurses.

PubMed

Soydemir, Dilek; Seren Intepeler, Seyda; Mert, Hatice

2017-10-01

The purpose of the study was to determine what barriers to error reporting exist for physicians and nurses. The study, of descriptive qualitative design, was conducted with physicians and nurses working at a training and research hospital. In-depth interviews were held with eight physicians and 15 nurses, a total of 23 participants. Physicians and nurses do not choose to report medical errors that they experience or witness. When barriers to error reporting were examined, it was seen that there were four main themes involved: fear, the attitude of administration, barriers related to the system, and the employees' perceptions of error. It is important in terms of preventing medical errors to identify the barriers that keep physicians and nurses from reporting errors.

Computer and Internet Utilization among the Medical Students in Qassim University, Saudi Arabia.

PubMed

Aldebasi, Yousef Homood; Ahmed, Mohamed Issa

2013-06-01

Computer-based training (CBT) and internet-based training (IBT) have become a vital part of the Medical Education. A cross-sectional study was carried out in Qassim University-Kingdom of Saudi Arabia (KSA), with the objective of assessing the pattern of the computer and Internet utilization among both male and female medical students. A total of 500 medical students from 4 different medical colleges of Qassim University participated in this study. A semi-structured, pre-tested questionnaire was used to collect the data and the data analysis was done by using SPSS, Version 17. Forty two percent female and twenty four percent male students used computers to get general information, 80% of the students reported using computers for academic activities and 52% females and 22% males used computers for entertainment. Most of the females preferred using computers at home (84%), while 54% males used computers at cyber cafés. For the information retrieval, 84% males used the internet, followed by journals/library (36%) and textbooks (35%), while the females preferred textbooks (75%) and the internet (14%). Google was found to be most commonly used search engine. The internet creates an educational delivery system; it is highly needed to increase the credit hours for the university requirement courses in computer application and the internet use for both among the male and female students.

Computer and Internet Utilization among the Medical Students in Qassim University, Saudi Arabia

PubMed Central

Aldebasi, Yousef Homood; Ahmed, Mohamed Issa

2013-01-01

Background: Computer-based training (CBT) and internet-based training (IBT) have become a vital part of the Medical Education. A cross-sectional study was carried out in Qassim University-Kingdom of Saudi Arabia (KSA), with the objective of assessing the pattern of the computer and Internet utilization among both male and female medical students. Methods: A total of 500 medical students from 4 different medical colleges of Qassim University participated in this study. A semi-structured, pre-tested questionnaire was used to collect the data and the data analysis was done by using SPSS, Version 17. Results: Forty two percent female and twenty four percent male students used computers to get general information, 80% of the students reported using computers for academic activities and 52% females and 22% males used computers for entertainment. Most of the females preferred using computers at home (84%), while 54% males used computers at cyber cafés. For the information retrieval, 84% males used the internet, followed by journals/library (36%) and textbooks (35%), while the females preferred textbooks (75%) and the internet (14%). Google was found to be most commonly used search engine. Conclusion: The internet creates an educational delivery system; it is highly needed to increase the credit hours for the university requirement courses in computer application and the internet use for both among the male and female students. PMID:23905114

Sustainable Cooperative Robotic Technologies for Human and Robotic Outpost Infrastructure Construction and Maintenance

NASA Technical Reports Server (NTRS)

Stroupe, Ashley W.; Okon, Avi; Robinson, Matthew; Huntsberger, Terry; Aghazarian, Hrand; Baumgartner, Eric

2004-01-01

Robotic Construction Crew (RCC) is a heterogeneous multi-robot system for autonomous acquisition, transport, and precision mating of components in construction tasks. RCC minimizes resources constrained in a space environment such as computation, power, communication and, sensing. A behavior-based architecture provides adaptability and robustness despite low computational requirements. RCC successfully performs several construction related tasks in an emulated outdoor environment despite high levels of uncertainty in motions and sensing. Quantitative results are provided for formation keeping in component transport, precision instrument placement, and construction tasks.

The Design of Fault Tolerant Quantum Dot Cellular Automata Based Logic

NASA Technical Reports Server (NTRS)

Armstrong, C. Duane; Humphreys, William M.; Fijany, Amir

2002-01-01

As transistor geometries are reduced, quantum effects begin to dominate device performance. At some point, transistors cease to have the properties that make them useful computational components. New computing elements must be developed in order to keep pace with Moore s Law. Quantum dot cellular automata (QCA) represent an alternative paradigm to transistor-based logic. QCA architectures that are robust to manufacturing tolerances and defects must be developed. We are developing software that allows the exploration of fault tolerant QCA gate architectures by automating the specification, simulation, analysis and documentation processes.

Computing 3-D steady supersonic flow via a new Lagrangian approach

NASA Technical Reports Server (NTRS)

Loh, C. Y.; Liou, M.-S.

1993-01-01

The new Lagrangian method introduced by Loh and Hui (1990) is extended for 3-D steady supersonic flow computation. Details of the conservation form, the implementation of the local Riemann solver, and the Godunov and the high resolution TVD schemes are presented. The new approach is robust yet accurate, capable of handling complicated geometry and reactions between discontinuous waves. It keeps all the advantages claimed in the 2-D method of Loh and Hui, e.g., crisp resolution for a slip surface (contact discontinuity) and automatic grid generation along the stream.

Control of the TSU 2-m automatic telescope

NASA Astrophysics Data System (ADS)

Eaton, Joel A.; Williamson, Michael H.

2004-09-01

Tennessee State University is operating a 2-m automatic telescope for high-dispersion spectroscopy. The alt-azimuth telescope is fiber-coupled to a conventional echelle spectrograph with two resolutions (R=30,000 and 70,000). We control this instrument with four computers running linux and communicating over ethernet through the UDP protocol. A computer physically located on the telescope handles the acquisition and tracking of stars. We avoid the need for real-time programming in this application by periodically latching the positions of the axes in a commercial motion controller and the time in a GPS receiver. A second (spectrograph) computer sets up the spectrograph and runs its CCD, a third (roof) computer controls the roll-off roof and front flap of the telescope enclosure, and the fourth (executive) computer makes decisions about which stars to observe and when to close the observatory for bad weather. The only human intervention in the telescope's operation involves changing the observing program, copying data back to TSU, and running quality-control checks on the data. It has been running reliably in this completely automatic, unattended mode for more than a year with all day-to-day adminsitration carried out over the Internet. To support automatic operation, we have written a number of useful tools to predict and analyze what the telescope does. These include a simulator that predicts roughly how the telescope will operate on a given night, a quality-control program to parse logfiles from the telescope and identify problems, and a rescheduling program that calculates new priorities to keep the frequency of observation for the various stars roughly as desired. We have also set up a database to keep track of the tens of thousands of spectra we expect to get each year.

Keeping It Real: Exploring an Interdisciplinary Breaking Bad News Role-Play as an Integrative Learning Opportunity

ERIC Educational Resources Information Center

Sweeney, Catherine; O'Sullivan, Eleanor; McCarthy, Marian

2015-01-01

Palliative care is a complex area of healthcare best delivered by an interdisciplinary team approach. Breaking bad news is an inherent part of caring for people with life-limiting conditions. This study aims to explore an interdisciplinary breaking bad news role-play in a palliative care module. Participants were undergraduate medical and nursing…

Getting the Most out of Pay-Per-View: A Feasibility Study and Discussion of Mediated and Unmediated Options

ERIC Educational Resources Information Center

Hosburgh, Nathan

2012-01-01

The increasing costs of science, technology, and medical journals, combined with decreasing or stagnant budgets, have forced libraries to take a hard look at current journal subscriptions. Even when budgets remain stable or increase, they may not keep pace with the escalating costs of subscriptions from various publishers. In the face of potential…

[The traditional obstetrics, puerperal rites and child nursing among Vainakhs].

PubMed

Bataev, Kh M; Kindarov, Z B; Gaĭrbekova, R D; Iakh'iaeva, Z I

2011-01-01

Already in the beginning of XX century the traditional healing among Vainakhs consisted ofsynthesis of rational and religious magic methods, especially in obstetrics and healing of children. Some of these methods survived in time and even nowadays keep their medical hygienic significance. Nevertheless, a lot in traditional healing of Vainakhs, the rite side in particular has today only a historical value.

Use of Combination Thermal Therapy and Radiation in Breast-Conserving Treatment of Extensive Intraductal Breast Cancer

DTIC Science & Technology

1997-07-01

Review Board of the DFCI is provided in Appendix A . The investigator will keep the following information on each patient: 1. Past medical ...treatments, you will receive radiation therapy to your breast. Your radiation oncologist will decide what radiation dose you receive . On the basis of... Activities 6/87 Controversies in radiation therapy in

Implementing an Over-the-Counter Medication Administration Policy in an Elementary School

ERIC Educational Resources Information Center

Foster, Lori S.; Keele, Rebecca

2006-01-01

A major focus of school nursing interventions is to improve school attendance. In many schools, parents are required to leave work and/or to arrange transportation to bring their children over-the-counter medicines. Many times these children went home, missing class and making it difficult to keep up with class work. The purpose of this study was…

Cracking the code: a decode strategy for the international business machines punch cards of Korean war soldiers.

PubMed

Mitsunaga, Erin M

2006-05-01

During the Korean War, International Business Machines (IBM) punch cards were created for every individual involved in military combat. Each card contained all pertinent personal information about the individual and was utilized to keep track of all soldiers involved. However, at present, all of the information known about these punch cards reveals only their format and their significance; there is little to no information on how these cards were created or how to interpret the information contained without the aid of the computer system used during the war. Today, it is believed there is no one available to explain this computerized system, nor do the original computers exist. This decode strategy is the result of an attempt to decipher the information on these cards through the use of all available medical and dental records for each individual examined. By cross-referencing the relevant personal information with the known format of the cards, a basic guess-and-check method was utilized. After examining hundreds of IBM punch cards, however, it has become clear that the punch card method of recording information was not infallible. In some cases, there are gaps of information on cards where there are data recorded on personal records; in others, information is punched incorrectly onto the cards, perhaps as the result of a transcription error. Taken all together, it is clear that the information contained on each individual's card should be taken solely as another form of personal documentation.

Introducing the Computer to Family Practice

PubMed Central

Petreman, Mel

1984-01-01

The medical profession has been far more reluctant than the general business community to adopt the computer as a useful business tool. The experience of a group of five family physicians who have been using a computer since 1979 demonstrates that it is possible to achieve significant financial benefits, and to reduce the stress and workload of both physicians and office staff. The computerization of medical records, scheduling, and patient billing is discussed in detail. Physicians have controlled the paper load of the modern medical office by pioneering their own medical software system. PMID:21279036

Parents' perspectives on supporting children during needle-related medical procedures.

PubMed

Karlsson, Katarina; Englund, Ann-Charlotte Dalheim; Enskär, Karin; Rydström, Ingela

2014-01-01

When children endure needle-related medical procedures (NRMPs), different emotions arise for the child and his/her parents. Despite the parents' own feelings, they have a key role in supporting their child through these procedures. The aim of this study is to describe the meanings of supporting children during NRMPs from the perspective of the parents. Twenty-one parents participated in this study. A reflective lifeworld research (RLR) approach was used and phenomenological analysis was applied. The essential meaning of the phenomenon-supporting children during an NRMP-is characterized as "keeping the child under the protection of one's wings," sometimes very close and sometimes a little further out under the wingtips. The essential meaning is additionally described through its constituents: paying attention to the child's way of expressing itself, striving to maintain control, facilitating the child's understanding, focusing the child's attention, seeking additional support, and rewarding the child. The conclusion is that parents' ability to be supportive can be affected when seeing their child undergo an NRMP. To regain the role as the child's protector and to be able to keep the child "under the protection of one's wings," parents need support from the staff.

Making it safe, making it legal, and creating peace of mind.

PubMed

Strom, D J

2001-11-01

The job of a medical or academic radiation safety officer has three parts: keeping it safe, keeping it legal, and helping people feel that they are safe. Absence of peace-of-mind about radiation protection matters can create very real health effects, even when there is little or no radiation exposure involved. Frightened people may make decisions such as changing jobs (and losing health insurance), terminating a pregnancy, or moving, all of which impact health. Furthermore, frightened people who choose to stick with it may suffer from anxiety, stress, insomnia, and weight loss or even weight gain. Genuinely listening to the concerns of those who benefit from radiation safety services can help to provide peace-of-mind and minimize decisions that are risky to health.

Making It Safe, Making It Legal, and Creating Peace of Mind

DOE Office of Scientific and Technical Information (OSTI.GOV)

Strom, Daniel J.

2001-11-01

The job of a medical or academic radiation safety officer has three parts: keeping it safe, keeping it legal, and helping people feel that they are safe. Absence of peace-of-mind about radiation protection matters can create very real health effects, even when there is little or no radiation exposure involved. Frightened people may make decisions such as changing jobs (and losing health insurance), terminating a pregnancy, or moving, all of which impact health. Furthermore, frightened people who choose to stick with it may suffer from anxiety, stress, insomnia, and weight loss or even weight gain. Genuinely listening to the concernsmore » of those who benefit from radiation safety services can help to provide peace-of-mind and minimize decisions that are risky to health.« less

Detecting Phase Boundaries in Hard-Sphere Suspensions

NASA Technical Reports Server (NTRS)

McDowell, Mark; Rogers, Richard B.; Gray, Elizabeth

2009-01-01

A special image-data-processing technique has been developed for use in experiments that involve observation, via optical microscopes equipped with electronic cameras, of moving boundaries between the colloidal-solid and colloidal-liquid phases of colloidal suspensions of monodisperse hard spheres. During an experiment, it is necessary to adjust the position of a microscope to keep the phase boundary within view. A boundary typically moves at a speed of the order of microns per hour. Because an experiment can last days or even weeks, it is impractical to require human intervention to keep the phase boundary in view. The present image-data-processing technique yields results within a computation time short enough to enable generation of automated-microscope-positioning commands to track the moving phase boundary

A novel clinical decision support algorithm for constructing complete medication histories.

PubMed

Long, Ju; Yuan, Michael Juntao

2017-07-01

A patient's complete medication history is a crucial element for physicians to develop a full understanding of the patient's medical conditions and treatment options. However, due to the fragmented nature of medical data, this process can be very time-consuming and often impossible for physicians to construct a complete medication history for complex patients. In this paper, we describe an accurate, computationally efficient and scalable algorithm to construct a medication history timeline. The algorithm is developed and validated based on 1 million random prescription records from a large national prescription data aggregator. Our evaluation shows that the algorithm can be scaled horizontally on-demand, making it suitable for future delivery in a cloud-computing environment. We also propose that this cloud-based medication history computation algorithm could be integrated into Electronic Medical Records, enabling informed clinical decision-making at the point of care. Copyright © 2017 Elsevier B.V. All rights reserved.

Diabetes mellitus and CKD awareness: the Kidney Early Evaluation Program (KEEP) and National Health and Nutrition Examination Survey (NHANES).

PubMed

Whaley-Connell, Adam; Sowers, James R; McCullough, Peter A; Roberts, Tricia; McFarlane, Samy I; Chen, Shu-Cheng; Li, Suying; Wang, Changchun; Collins, Allan J; Bakris, George L

2009-04-01

Diabetes contributes to increased morbidity and mortality in patients with chronic kidney disease (CKD). We sought to describe CKD awareness and identify factors associated with optimal glycemic control in diabetic and nondiabetic individuals both aware and unaware of CKD. This cross-sectional analysis compared Kidney Early Evaluation Program (KEEP) and National Health and Nutrition and Examination Survey (NHANES) 1999 to 2006 participants with diabetes and CKD. CKD was defined and staged using glomerular filtration rate (estimated by using the 4-variable Modification of Diet in Renal Disease Study equation) and urine albumin-creatinine ratio. NHANES defined diabetes as self-reported diabetes or fasting plasma blood glucose level of 126 mg/dL or greater, and KEEP as self-reported diabetes or diabetic retinopathy, use of diabetes medications, fasting blood glucose level of 126 mg/dL or greater, or nonfasting glucose level of 200 mg/dL or greater. Of 77,077 KEEP participants, 20,200 (26.2%) were identified with CKD and 23,082 (29.9%) were identified with diabetes. Of 9,536 NHANES participants, 1,743 (18.3%) were identified with CKD and 1,127 (11.8%) were identified with diabetes. Of KEEP participants with diabetes and CKD (n = 7,853), 736 (9.4%) were aware of CKD. Trends in lack of CKD awareness were similar for KEEP participants with and without diabetes. Unaware participants with and without diabetes identified with stages 1 and 2 CKD were less likely to reach target glucose levels, defined as fasting glucose level less than 126 mg/dL or nonfasting glucose level less than 140 mg/dL, than those with stages 3 to 5 (odds ratio, 0.69; 95% confidence interval, 0.62 to 0.78; odds ratio, 0.69; 95% confidence interval, 0.58 to 0.81; P < 0.001, respectively). Our data support that KEEP, as a targeted screening program, is a more enriched population with CKD and comorbid diabetes than NHANES. In addition, our findings highlight the relationship between dysglycemia and early stages of unidentified CKD.

Computations on Wings With Full-Span Oscillating Control Surfaces Using Navier-Stokes Equations

NASA Technical Reports Server (NTRS)

Guruswamy, Guru P.

2013-01-01

A dual-level parallel procedure is presented for computing large databases to support aerospace vehicle design. This procedure has been developed as a single Unix script within the Parallel Batch Submission environment utilizing MPIexec and runs MPI based analysis software. It has been developed to provide a process for aerospace designers to generate data for large numbers of cases with the highest possible fidelity and reasonable wall clock time. A single job submission environment has been created to avoid keeping track of multiple jobs and the associated system administration overhead. The process has been demonstrated for computing large databases for the design of typical aerospace configurations, a launch vehicle and a rotorcraft.

Convolution of large 3D images on GPU and its decomposition

NASA Astrophysics Data System (ADS)

Karas, Pavel; Svoboda, David

2011-12-01

In this article, we propose a method for computing convolution of large 3D images. The convolution is performed in a frequency domain using a convolution theorem. The algorithm is accelerated on a graphic card by means of the CUDA parallel computing model. Convolution is decomposed in a frequency domain using the decimation in frequency algorithm. We pay attention to keeping our approach efficient in terms of both time and memory consumption and also in terms of memory transfers between CPU and GPU which have a significant inuence on overall computational time. We also study the implementation on multiple GPUs and compare the results between the multi-GPU and multi-CPU implementations.

The challenge of ubiquitous computing in health care: technology, concepts and solutions. Findings from the IMIA Yearbook of Medical Informatics 2005.

PubMed

Bott, O J; Ammenwerth, E; Brigl, B; Knaup, P; Lang, E; Pilgram, R; Pfeifer, B; Ruderich, F; Wolff, A C; Haux, R; Kulikowski, C

2005-01-01

To review recent research efforts in the field of ubiquitous computing in health care. To identify current research trends and further challenges for medical informatics. Analysis of the contents of the Yearbook on Medical Informatics 2005 of the International Medical Informatics Association (IMIA). The Yearbook of Medical Informatics 2005 includes 34 original papers selected from 22 peer-reviewed scientific journals related to several distinct research areas: health and clinical management, patient records, health information systems, medical signal processing and biomedical imaging, decision support, knowledge representation and management, education and consumer informatics as well as bioinformatics. A special section on ubiquitous health care systems is devoted to recent developments in the application of ubiquitous computing in health care. Besides additional synoptical reviews of each of the sections the Yearbook includes invited reviews concerning E-Health strategies, primary care informatics and wearable healthcare. Several publications demonstrate the potential of ubiquitous computing to enhance effectiveness of health services delivery and organization. But ubiquitous computing is also a societal challenge, caused by the surrounding but unobtrusive character of this technology. Contributions from nearly all of the established sub-disciplines of medical informatics are demanded to turn the visions of this promising new research field into reality.

An "education for life" requirement to promote lifelong learning in an internal medicine residency program.

PubMed

Panda, Mukta; Desbiens, Norman A

2010-12-01

Lifelong learning is an integral component of practice-based learning and improvement. Physicians need to be lifelong learners to provide timely, efficient, and state-of-the-art patient care in an environment where knowledge, technology, and social requirements are rapidly changing. To assess graduates' self-reported perception of the usefulness of a residency program requirement to submit a narrative report describing their planned educational modalities for their future continued medical learning ("Education for Life" requirement), and to compare the modalities residents intended to use with their reported educational activities. Data was compiled from the Education for Life reports submitted by internal medicine residents at the University of Tennessee College of Medicine Chattanooga from 1998 to 2000, and from a survey sent to the same 27 graduates 2 to 4 years later from 2000 to 2004. Twenty-four surveys (89%) were returned. Of the responding graduates, 58% (14/24) found the Education for Life requirement useful for their future continued medical learning. Graduates intended to keep up with a mean of 3.4 educational modalities, and they reported keeping up with 4.2. In a multivariable analysis, the number of modalities graduates used was significantly associated with the number they had planned to use before graduation (P  =  .04) but not with their career choice of subspecialization. The majority of residents found the Education for Life requirement useful for their future continued medical learning. Graduates, regardless of specialty, reported using more modalities for continuing their medical education than they thought they would as residents. Considering lifelong learning early in training and then requiring residents to identify ways to practice lifelong learning as a requirement for graduation may be dispositive.

An “Education for Life” Requirement to Promote Lifelong Learning in an Internal Medicine Residency Program

PubMed Central

Panda, Mukta; Desbiens, Norman A.

2010-01-01

Background Lifelong learning is an integral component of practice-based learning and improvement. Physicians need to be lifelong learners to provide timely, efficient, and state-of-the-art patient care in an environment where knowledge, technology, and social requirements are rapidly changing. Objectives To assess graduates' self-reported perception of the usefulness of a residency program requirement to submit a narrative report describing their planned educational modalities for their future continued medical learning (“Education for Life” requirement), and to compare the modalities residents intended to use with their reported educational activities. Materials and Methods Data was compiled from the Education for Life reports submitted by internal medicine residents at the University of Tennessee College of Medicine Chattanooga from 1998 to 2000, and from a survey sent to the same 27 graduates 2 to 4 years later from 2000 to 2004. Results Twenty-four surveys (89%) were returned. Of the responding graduates, 58% (14/24) found the Education for Life requirement useful for their future continued medical learning. Graduates intended to keep up with a mean of 3.4 educational modalities, and they reported keeping up with 4.2. In a multivariable analysis, the number of modalities graduates used was significantly associated with the number they had planned to use before graduation (P  =  .04) but not with their career choice of subspecialization. Conclusion The majority of residents found the Education for Life requirement useful for their future continued medical learning. Graduates, regardless of specialty, reported using more modalities for continuing their medical education than they thought they would as residents. Considering lifelong learning early in training and then requiring residents to identify ways to practice lifelong learning as a requirement for graduation may be dispositive. PMID:22132278

FRR: fair remote retrieval of outsourced private medical records in electronic health networks.

PubMed

Wang, Huaqun; Wu, Qianhong; Qin, Bo; Domingo-Ferrer, Josep

2014-08-01

Cloud computing is emerging as the next-generation IT architecture. However, cloud computing also raises security and privacy concerns since the users have no physical control over the outsourced data. This paper focuses on fairly retrieving encrypted private medical records outsourced to remote untrusted cloud servers in the case of medical accidents and disputes. Our goal is to enable an independent committee to fairly recover the original private medical records so that medical investigation can be carried out in a convincing way. We achieve this goal with a fair remote retrieval (FRR) model in which either t investigation committee members cooperatively retrieve the original medical data or none of them can get any information on the medical records. We realize the first FRR scheme by exploiting fair multi-member key exchange and homomorphic privately verifiable tags. Based on the standard computational Diffie-Hellman (CDH) assumption, our scheme is provably secure in the random oracle model (ROM). A detailed performance analysis and experimental results show that our scheme is efficient in terms of communication and computation. Copyright © 2014 Elsevier Inc. All rights reserved.

An 'electronic' extramural course in epidemiology and medical statistics.

PubMed

Ostbye, T

1989-03-01

This article describes an extramural university course in epidemiology and medical statistics taught using a computer conferencing system, microcomputers and data communications. Computer conferencing was shown to be a powerful, yet quite easily mastered, vehicle for distance education. It allows health personnel unable to attend regular classes due to geographical or time constraints, to take part in an interactive learning environment at low cost. This overcomes part of the intellectual and social isolation associated with traditional correspondence courses. Teaching of epidemiology and medical statistics is well suited to computer conferencing, even if the asynchronicity of the medium makes discussion of the most complex statistical concepts a little cumbersome. Computer conferencing may also prove to be a useful tool for teaching other medical and health related subjects.

Using CamiTK for rapid prototyping of interactive computer assisted medical intervention applications.

PubMed

Promayon, Emmanuel; Fouard, Céline; Bailet, Mathieu; Deram, Aurélien; Fiard, Gaëlle; Hungr, Nikolai; Luboz, Vincent; Payan, Yohan; Sarrazin, Johan; Saubat, Nicolas; Selmi, Sonia Yuki; Voros, Sandrine; Cinquin, Philippe; Troccaz, Jocelyne

2013-01-01

Computer Assisted Medical Intervention (CAMI hereafter) is a complex multi-disciplinary field. CAMI research requires the collaboration of experts in several fields as diverse as medicine, computer science, mathematics, instrumentation, signal processing, mechanics, modeling, automatics, optics, etc. CamiTK is a modular framework that helps researchers and clinicians to collaborate together in order to prototype CAMI applications by regrouping the knowledge and expertise from each discipline. It is an open-source, cross-platform generic and modular tool written in C++ which can handle medical images, surgical navigation, biomedicals simulations and robot control. This paper presents the Computer Assisted Medical Intervention ToolKit (CamiTK) and how it is used in various applications in our research team.