Journal articles: 'Clinical medicine Computer programs'

1

Shortliffe, E. H. "Computer programs to support clinical decision making." JAMA: The Journal of the American Medical Association 258, no. 1 (July 3, 1987): 61–66. http://dx.doi.org/10.1001/jama.258.1.61.

Full text

APA, Harvard, Vancouver, ISO, and other styles

2

Michie, David D. "Unique Computer Programs to Assist in Clinical Trials Management." Clinical Research Practices and Drug Regulatory Affairs 3, no. 4 (January 1985): 427. http://dx.doi.org/10.3109/10601338509051068.

Full text

APA, Harvard, Vancouver, ISO, and other styles

3

MILLER, RANDOLPH A. "Ethical and Legal Issues Related to the Use of Computer Programs in Clinical Medicine." Annals of Internal Medicine 102, no. 4 (April 1, 1985): 529. http://dx.doi.org/10.7326/0003-4819-102-4-529.

Full text

APA, Harvard, Vancouver, ISO, and other styles

4

Ezeala, Christian Chinyere. "Integration of computer-simulated practical exercises into undergraduate medical pharmacology education at Mulungushi University, Zambia." Journal of Educational Evaluation for Health Professions 17 (February 24, 2020): 8. http://dx.doi.org/10.3352/jeehp.2020.17.8.

Full text

Abstract:

Purpose: This study was conducted to determine whether a computer simulation of practical exercises in undergraduate medical pharmacology led to the realization of the intended learning outcomes.Methods: The study was a descriptive analysis of laboratory classes carried out using computer simulation programs. Five programs were used to teach practical pharmacology to undergraduate medical students at the Mulungushi University School of Medicine and Health Sciences. The study period was January 2018 to December 2019. The computer programs included a pharmacokinetics simulator (CyberPatient), organ bath simulator (OBSim), AutonomiCAL for simulating autonomic pharmacology, and Virtual Cat and Virtual Rat (RatCVS) for simulating cardiovascular pharmacology. Students utilized these programs during their pharmacology laboratory classes, wrote reports, and answered relevant clinical questions.Results: The 5 programs provided easy and precise platforms for students to explore concepts and demonstrate knowledge of pharmacokinetics, pharmacodynamics, autonomic and cardiovascular pharmacology, and their clinical applications.Conclusion: The programs were effective learning tools. Students’ learning was easily assessed based on their laboratory reports. Although the computer programs met medical students’ learning needs, wet laboratory exercises are also needed to meet the needs of students who require practical laboratory skills.

APA, Harvard, Vancouver, ISO, and other styles

5

Pageler, Natalie M., Peter L. Elkin, Joseph Kannry, Michael G. Leu, Bruce Levy, and Christoph U. Lehmann. "A Clinical Informatics Program Directors' Proposal to the American Board of Preventive Medicine." Applied Clinical Informatics 11, no. 03 (May 2020): 483–86. http://dx.doi.org/10.1055/s-0040-1714348.

Full text

Abstract:

AbstractIn 2013, the American Board of Preventive Medicine (ABPM) and the American Board of Pathology (ABPath) offered the first board certification examination in Clinical Informatics to eligible physicians in the United States. In 2022, the Practice Pathway will expire and in 2023 only candidates eligible through the Fellowship Pathway will be eligible for the board certification. To date, Clinical Informatics as a specialty has not had a regular match process and used a controlled offer-acceptance process that does not meet candidates' or programs' needs. Fellows may not be offered a position with their top choice program initially, and they may accept offers from other programs to avoid risk by ensuring that they have a fellowship position. Programs have to consider losing an applicant in the first round in the ranking of applicants. The process is open to manipulation including early agreements between program directors and candidates. In this open letter to the ABPM, program directors make the case for a third-party match and are calling on the ABPM to leverage its status as the Clinical Informatics certifying body and its existing infrastructure to implement a Clinical Informatics match.

APA, Harvard, Vancouver, ISO, and other styles

6

Haraldsson, Börje. "Optimization of Peritoneal Dialysis Prescription Using Computer Models of Peritoneal Transport." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 21, no. 3_suppl (December 2001): 148–51. http://dx.doi.org/10.1177/089686080102103s25.

Full text

Abstract:

Computer models are valuable clinical tools in the effort to improve quality of life for dialysis patients. At present, two software programs have been validated clinically in adult and pediatric populations. They are the Personal Dialysis Capacity (PDC: Gambro Lundia AB, Lund, Sweden) and PD Adequest (Baxter Healthcare Corporation, Deerfield, IL, U.S.A.). Both programs seem to give accurate predictions of small-solute clearance, but the PDC seems to be superior in predicting ultrafiltration volumes. Indeed, the software programs have several important differences that affect their accuracy and, hence, their clinical value. The PDC software introduces the concepts of capillary physiology to the field of peritoneal dialysis. It gives a functional description of the peritoneal membrane of the individual patient. Recently, its “new” area parameter (A0/Δx) was shown to be superior to the peritoneal equilibration test (PET) in predicting transperitoneal exchange.

APA, Harvard, Vancouver, ISO, and other styles

7

Lavrinenko, N. V., D. A. Gulyaev, and V. A. Manukovskiy. "Decision support technology for clinical data cognitive analysis." Russian journal of neurosurgery 23, no. 4 (January 18, 2022): 121–25. http://dx.doi.org/10.17650/1683-3295-2021-23-4-121-125.

Full text

Abstract:

A practicing physician is faced with decision-making problems in uncertainty terms in his daily activities such as a lot of different information about the patient. Diagnostic issues, identification of patient management leading modalities is associated with the demand for high-quality prognosis of the disease course, calculating the risks of complications and adverse outcomes that especially problematic in emergency situations. The human brain is significantly surrender to modern computers in processing power, but it is able to instantly interpret information and analyze it, and also it is able to learn, form ideas, make conclusions. Attempt of association both the computational power and human brain intuitive analysis was reflected in the construction of computer programs based on the “Neural networks”. Together with the information technology development, the design of new neural networks configurations, and their training principles, its chances turn up in the physician daily activity decision making sphere.

APA, Harvard, Vancouver, ISO, and other styles

8

Balkı, Mustafa, and Mehmet Doğru. "Evaluation of two different imaging software programs in planning orthognathic surgery cases." International Dental Research 12, no. 2 (August 31, 2022): 70–81. http://dx.doi.org/10.5577/intdentres.2022.vol12.no2.5.

Full text

Abstract:

Aim: In this study, we aimed to compare the two-dimensional predictions made by two computer software packages with the postoperative values, and thus to evaluate the clinical reliability of digital orthognathic surgery planning. Methodology: Orthodontic treatment was performed before orthognathic surgery, and the same surgical team performed double-jaw orthognathic surgeries. We included 20 individuals (10 females, 10 males) with skeletal Class III malocclusion. The average age of the individuals was 21.5 years. In our study, the amount of movement was determined using reference lines on lateral cephalometric radiographs obtained from the preoperative and postoperative Cone-Beam Computed Tomography (CBCT) records of 20 individuals. Prediction profiles were formed using Dolphin Imaging (Dolphin Imaging & Management Solutions, Chatsworth, CA, USA) and NemoFAB 2D (Software Nemotec, S.L, Spain) computer softwares. In this way, the reliability and consistency of two-dimensional prediction software were examined. Results: The prediction profiles obtained from the computer software were compared with lateral cephalometric radiographs of the postoperative surgery results for 37 cephalometric parameters. There were no significant differences between software predictions and postoperative results in any cephalometric parameters. Conclusion: The plans and predictions made with the two computer software packages were reliable and can be used clinically. How to cite this article: Balkı M, Doğru M. Evaluation of two different imaging software programs in planning orthognathic surgery cases. Int Dent Res 2022;12(2):70-81. https://doi.org/10.5577/intdentres.2022.vol12.no2.5 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

APA, Harvard, Vancouver, ISO, and other styles

9

Nurse, David R., and Timothy J. James. "An Adaptable Computer Interface for Radioimmunoassay." Annals of Clinical Biochemistry: International Journal of Laboratory Medicine 30, no. 3 (May 1993): 298–303. http://dx.doi.org/10.1177/000456329303000312.

Full text

Abstract:

To assist data handling of results derived from radioimmunoassay the RIACalc Multigamma counter package was interfaced to a laboratory information system. The interface was bidirectional and allowed transfer of worklists and results. A suite of programs was written for the laboratory information system that enabled flexible data processing to meet a range of laboratory requirements. One utility within the suite contained a simple user definable rule based routine for automatically requesting additional tests. Use of the interface and new software improved laboratory efficiency and illustrated the potential benefits of decision making systems.

APA, Harvard, Vancouver, ISO, and other styles

10

Masic, Izet. "The History and New Trends of Medical Informatics." Donald School Journal of Ultrasound in Obstetrics and Gynecology 7, no. 3 (2013): 301–12. http://dx.doi.org/10.5005/jp-journals-10009-1298.

Full text

Abstract:

ABSTRACT The breakthrough of the computer and information technologies in all the segments of the society, led to the needs for the computer and information technologies. The knowledge of information technology is now part of general literacy. The computer literacy does not require comprehensive and detailed knowledge of the electronics or programming. Although with the electronic computer which is the invention of our age, the attempts of the construction of the first machine for the processing of the information reach far in the history of human civilization. The only and global function of a computer data processing can be naturally separated into the series of the other elementary operations, as for examples are: ‘the followup of the data, their registration, reproduction, selection, sorting, and comparison’ and so on. The computers are being classified according to ‘the purpose, type and computer size’. According to the purpose the computers it can be of the general and specific purposes. The computers for the general purpose serve for the commercial applications or any other application that is necessary. If medical informatics is regarded as a scientific discipline dealing with theory and practice of information processes in medicine, comprising data communication by information and communication technologies (ICT), with computers as an especially important ICT, then it can be stated that the history medical informatics is connected with the beginnings of computer usage in medicine. The medical informatics is the foundation for understanding and practice of the up-to-day medicine. Its basic tool is the computer, subject of studying and the means by which the aspects and achieve the new knowledge in the studying of a man, his health and disease, and functioning of the total health activities. Current network system possesses the limited global performance in the organization of health care, and that is especially expressed in the clinical medicine, where the computer technology has not received the wanted applications yet. In front of us lies the brilliant future of the medical informatics. It should expect that the application of terminal and personal computers with more simple manners of operation will enable routine use of computer technology by all health professionals in the fields of telemedicine, distance learning (DL) (web-based medical education), application of ICT, medical robotics, genomics, etc. The development of nature languages for communication with the computers and the identification of input voice will make the work simpler. Regarding the future of medical informatics education there are numerous controversies. Everybody agrees that the medical informatics is very significant for the whole health care and for the needs for personnel. However, there is not yet the general agreement regarding the teaching programs, because the medical informatics is very involved and propulsive, what makes the performance of the stable education programs more difficult. There are also not general agreement in which year of studding should transfer the knowledge from medical informatics. The majority of the experts still agree that the priority should be given in later study years, since more and more students enroll the faculties with prior informatics illiteracy, and the comprehension of some medical informatics fields is not possible without prior clinical knowledge. How to cite this article Masic I. The History and New Trends of Medical Informatics. Donald School J Ultrasound Obstet Gynecol 2013;7(3):301-312.

APA, Harvard, Vancouver, ISO, and other styles

11

Moore, W. Allen, and Ann Cassidy Noonan. "Using live tissue laboratories to promote clinical reasoning in doctor of physical therapy students." Advances in Physiology Education 34, no. 2 (June 2010): 54–58. http://dx.doi.org/10.1152/advan.00059.2009.

Full text

Abstract:

Recently, the use of animal laboratories has decreased in medical and basic science programs due to lack of trained faculty members, student concerns about animal welfare, and the increased availability of inexpensive alternatives such as computer simulations and videos. Animal laboratories, however, have several advantages over alternative forms of instruction, including an increased sense of learner responsibility, long-term psychomotor competency, and improved ability to examine functional relationships. While the use of animal laboratories has been studied in medical programs, it has not been examined in physical therapy or other allied health programs. The purposes of this study were to examine the attitudes of student physical therapists toward clinically relevant animal laboratories and to determine if student physical therapists felt that the laboratory modules prepared them for future course work and clinical internships. Written surveys completed by the study participants indicated that most students enjoyed the labs and believed that they helped prepare them for course examinations. Additionally, the majority of students believed that the laboratory modules helped them prepare for future course work and clinical internships.

APA, Harvard, Vancouver, ISO, and other styles

12

Kannry, Joseph, Jeff Smith, Vishnu Mohan, Bruce Levy, John Finnell, and Christoph U. Lehmann. "Policy Statement on Clinical Informatics Fellowships and the Future of Informatics-Driven Medicine." Applied Clinical Informatics 11, no. 05 (October 2020): 710–13. http://dx.doi.org/10.1055/s-0040-1717117.

Full text

Abstract:

AbstractBoard certified clinical informaticians provide expertise in leveraging health IT (HIT) and health data for patient care and quality improvement. Clinical Informatics experts possess the requisite skills and competencies to make systems-level improvements in care delivery using HIT, workflow and data analytics, knowledge acquisition, clinical decision support, data visualization, and related informatics tools. However, these physicians lack structured and sustained funding because they have no billing codes. The sustainability and growth of this new and promising medical subspecialty is threatened by outdated and inconsistent funding models that fail to support the education and professional growth of clinical informaticians. The Clinical Informatics Program Directors' Community is calling upon the Centers for Medicare and Medicaid Services to consider novel funding structures and programs through its Innovation Center for Clinical Informatics Fellowship training. Only through structural and sustained funding for Clinical Informatics fellows will be able to fully develop the potential of electronic health records to improve the quality, safety, and cost of clinical care.

APA, Harvard, Vancouver, ISO, and other styles

13

Goans, Ronald E. "Clinical Application of the AFRRI BAT Computer Program." Health Physics 99 (November 2010): S192—S196. http://dx.doi.org/10.1097/hp.0b013e3181ebcef7.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

Yang, Ying Ying, Chia Chang Huang, Chin Chou Huang, Ling Yu Yang, Hui Chi Hsu, Hao Min Cheng, Chiao Lin Chuang, et al. "Using the computer-based feedback (CBF) system to investigate the juniorphysicians’s and clinical-instructors perceptions for the benefits of general medicine clinical-instructors training program." International Journal for Innovation Education and Research 3, no. 1 (January 31, 2015): 33–50. http://dx.doi.org/10.31686/ijier.vol3.iss1.299.

Full text

Abstract:

Background: The purpose of this study is to examine the clinical-instructors and junior-physicians (residents and interns) perceptions for the general-medicine training program by using bi-directional interactive and self-assessments computer-based feedback (CBF) and paper-based multisource feedback assessment (PBMFA) systems for the efficiency and benefit evaluation.Methods: Between 2011 January to 2013 December, junior-physicians and their clinical-instructors in the same medical team were enrolled consecutively for monitoring the CBF scores gave by each other after each clinical course. A total of 321 residents, 298 interns and 110 clinical-instructors who participated in the core competency general-medicine training program in 6-months period were included in the study. The CBF and PBMFA evaluations are undergone paralleled to gather the suggested information in different levels of Kirkpatrick evolutional theory.Results: The results showed that lecturers, being 5-10 years as attending physicians, internal medicine sub-specialty clinical-instructors are most benefit from the general medicine training program. Accordingly, the CBF scores of junior-physicians was positively correlated with the times (> 3-times) of exposure to the medical teams that leaded by qualified clinical-instructors. Both clinical-instructors and junior-physicians have positive attitude to the value of the general-medicine training program. Interestingly, a good consistency was existed between residents CBF scores and PBMFA grades for their core-competency performance. Comparatively, the overall perception of clinical-instructors and junior-physicians for the general-medicine training was very positive.Conclusions: Clinical-instructors and junior-physicians had positive perception of CBF and PBMFA systems which could give us different information to improve and strength the further core-competency general-medicine training program by appropriate utilization.

APA, Harvard, Vancouver, ISO, and other styles

15

Mishlanov, V. Ju, I. V. Shubin, K. N. Bekker, A. V. Katkova, and E. P. Koshurnikova. "Chronic obstructive pulmonary disease patients electronic register analysis: the effectiveness of patient’s dynamic follow up and evaluation of treatment program." Terapevticheskii arkhiv 91, no. 1 (January 15, 2019): 78–83. http://dx.doi.org/10.26442/00403660.2019.01.000034.

Full text

Abstract:

In the last few years new informatics methods were implemented in medicine and allowed to create big data including individual clinical markers of every patient. It is suggested that clinical electronic patient’s register analysis will present accurate information about different treatment programs effectiveness, including those whose effectiveness is not still proved today. The aim of the study. To estimate the effectiveness of clinical patients register implementation as well as to analyze different treatment and prophylactic programs on chronic obstructive pulmonary disease (COPD) patients’ structure. Materials and methods. The COPD patient’s register consists of 4257 cases. Spirometrical data were evaluated. Dynamic follow was performed on 567 COPD patients. Bronchodilator’s therapy was estimated as well as combined inhaled corticosteroid/ long acting β2-agonist medications and vaccination against pneumococcal infection. Results. Computer program “Electronic polyclinic” proposed by the authors of this article is effective in precision of diagnostic decision making in cohort study, dynamic follow up after clinical symptoms, evaluation of instrumental and laboratory results, prophylactics and treatment effectiveness, “clinical patients registers” automatic formation using syndrome or nosological principle, checking the COPD patients in the group of those with bronchial obstruction. Conclusion. Positive effects of long-acting bronchodilator treatment on COPD exacerbation decreasing and more expressed effect of inhaled corticosteroid/ long acting β2-agonists were confirmed. More interesting result was influence of vaccination against pneumococcal infection PCV13 (polyvalent conjugated vaccine) on exacerbation frequency and dyspnea severity.

APA, Harvard, Vancouver, ISO, and other styles

16

Roland, P. E. "Partition of the Human Cerebellum in Sensory-Motor Activities, Learning and Cognition." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 20, S3 (May 1993): S75—S77. http://dx.doi.org/10.1017/s0317167100048563.

Full text

Abstract:

ABSTRACT:The circuitry of the cerebellum is quite well understood. The computation takes place in the cerebellar cortex, which functions in synchronized strips to provide excellent timing signals to the cerebral cortex and the spinal cord. The cerebellar cortex is also the site where error signals from other parts of the central nervous system are incorporated. For voluntary limb movements the cerebellular cortex is important for the timing of the innervation of the agonist and antagonist anterior horn neurons. It is also important for the temporal order of and precision in the execution of motor programs. As will be apparent, the cerebellum is not only a computer taking care of motor programs.

APA, Harvard, Vancouver, ISO, and other styles

17

Holroyd, B. R., M. S. Beeson, T. Hughes, L. Kurland, J. Sherbino, M. Truesdale, and W. Hersh. "P071: Content of clinical informatics in international training standards for emergency medicine specialists." CJEM 20, S1 (May 2018): S82. http://dx.doi.org/10.1017/cem.2018.269.

Full text

Abstract:

Introduction: The field of Clinical Informatics (CI) and specifically the electronic health record, has been identified as a key facilitator to achieve a sustainable evidence-based healthcare system for the future. International graduate medical education programs have been challenged to ensure their trainees are provided with appropriate skills to deliver effective and efficient healthcare in an evolving environment. This study explored how international Emergency Medicine (EM) specialist training standards address training in relevant areas of CI. Methods: A list of categories of CI competencies relative to EM was developed following a thematic review of published references documenting CI curriculum and competencies. Publically available, published documents outlining core content, curriculum and competencies from international organizations responsible for specialty graduate medical education and/or credentialing in EM for the United States, Canada, Australasia, the United Kingdom and Europe. These EM training standards were reviewed to identify inclusion of topics related to the relevant categories of CI competencies. Results: A total of 23 EM curriculum documents were included in the thematic analysis. Curricula content related to critical appraisal/evidence based medicine, leadership, quality improvement and privacy/security were included in all EM curricula. The CI topics related to fundamental computer skills, computerized provider order entry and patient-centered informatics were only included in the EM curricula documents for the United States and were absent for each other organization. Conclusion: There is variation in the CI related content of the international EM specialty training standards which were reviewed. Given the increasing importance of CI in the future delivery of healthcare, organizations responsible for training and credentialing specialist emergency physicians must ensure their training standards incorporate relevant CI content, thus ensuring their trainees gain competence in essential aspects of CI.

APA, Harvard, Vancouver, ISO, and other styles

18

Davidson, D. F. "The Development of Computer Programs to Predict and Minimise the Effect of Sample Pyruvate on Aspartate Aminotransferase Assays." Annals of Clinical Biochemistry: An international journal of biochemistry and laboratory medicine 27, no. 3 (May 1, 1990): 244–52. http://dx.doi.org/10.1177/000456329002700311.

Full text

APA, Harvard, Vancouver, ISO, and other styles

19

Park, Ben Joonyeon, Taekjin Jang, Jong Woo Choi, and Namkug Kim. "Gesture-Controlled Interface for Contactless Control of Various Computer Programs with a Hooking-Based Keyboard and Mouse-Mapping Technique in the Operating Room." Computational and Mathematical Methods in Medicine 2016 (2016): 1–7. http://dx.doi.org/10.1155/2016/5170379.

Full text

Abstract:

We developed a contactless interface that exploits hand gestures to effectively control medical images in the operating room. We developed an in-house program called GestureHook that exploits message hooking techniques to convert gestures into specific functions. For quantitative evaluation of this program, we used gestures to control images of a dynamic biliary CT study and compared the results with those of a mouse (8.54±1.77 s to5.29±1.00 s;p<0.001) and measured the recognition rates of specific gestures and the success rates of tasks based on clinical scenarios. For clinical applications, this program was set up in the operating room to browse images for plastic surgery. A surgeon browsed images from three different programs: CT images from a PACS program, volume-rendered images from a 3D PACS program, and surgical planning photographs from a basic image viewing program. All programs could be seamlessly controlled by gestures and motions. This approach can control all operating room programs without source code modification and provide surgeons with a new way to safely browse through images and easily switch applications during surgical procedures.

APA, Harvard, Vancouver, ISO, and other styles

20

Norrman, E., M. Gårdestig, J. Persliden, and H. Geijer. "A Clinical Evaluation of the Image Quality Computer Program, CoCIQ." Journal of Digital Imaging 18, no. 2 (April 19, 2005): 138–44. http://dx.doi.org/10.1007/s10278-004-1036-0.

Full text

APA, Harvard, Vancouver, ISO, and other styles

21

Weinstock, Tanya, Pranav Kidambi, Colleen L. Channick, Gaetane C. Michaud, Courtney Broaddus, Samir S. Makani, Renda Soylemez Wiener, Kevin C. Wilson, and Carey C. Thomson. "Implementation of Lung Cancer Screening Programs with Low-Dose Computed Tomography in Clinical Practice." Annals of the American Thoracic Society 13, no. 3 (March 2016): 425–27. http://dx.doi.org/10.1513/annalsats.201512-804cme.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

Khadjibayev, A. M., R. I. Rakhimov, A. G. Makhamadaminov, and A. B. Yeshmuratov. "Computer program for the choice of therapeutic approaches to the treatment of gastroduodenal ulcer bleeding in patients with coronary heart disease." Сибирский научный медицинский журнал 41, no. 1 (March 4, 2021): 109–16. http://dx.doi.org/10.18699/ssmj20210111.

Full text

Abstract:

The developed computer program for choosing the tactics of treating patients with gastro duodenal ulcerous bleeding (GDUB) combined with various forms of coronary heart disease to the fullest extent meets demands not only practical emergency medicine, but modern evidence-based medicine. The presented case of clinical observation serves the clear illustration of this issue, which convincingly indicates that use of the developed computer program to choose the tactics of treating patients with GDUB combined with various forms of coronary heart disease allows us not only to accurately establish the clinical diagnosis, but also to choose the most appropriate treatment tactic.

APA, Harvard, Vancouver, ISO, and other styles

23

Perepelitsa, S. A., V. V. Moroz, V. T. Dolgikh, E. A. Boeva, D. O. Starostin, M. A. Milovanova, and V. V. Antonova. "Current Aspects of Professional Training of Anesthesiologists and Intensive Care Specialists in Residency Programs." General Reanimatology 17, no. 5 (October 23, 2021): 80–95. http://dx.doi.org/10.15360/1813-9779-2021-5-80-95.

Full text

Abstract:

The aim is to study the current aspects of resident training in anesthesiology and intensive care. The article focuses on the theoretical training of residents, the importance of a thorough knowledge of pathophysiology, and the formation of clinical thinking. Opportunities for the use of innovative educational computer technologies in residency training are shown. A consistent interdisciplinary pedagogical interaction makes it possible to improve the outcomes of residency training by achieving the main goal of developing a physician who has acquired universal, general and specific professional competences and is capable of providing high-quality medical care.

APA, Harvard, Vancouver, ISO, and other styles

24

Westphal, Alia, Jason Bailie, Melissa Caswell, Juan Lopez, Angela Basham, and Ida Babakhanyan. "A-140 Computer Based Cognitive Rehabilitation Interventions for Visual Attention Following Mild Traumatic Brain Injury." Archives of Clinical Neuropsychology 36, no. 6 (August 30, 2021): 1193. http://dx.doi.org/10.1093/arclin/acab062.158.

Full text

Abstract:

Abstract Background Service members with a history of mild traumatic brain injury (mTBI) frequently report problems paying attention. In combat and training settings, visual attention is critical given the demand to warfighter performance. Many computerized cognitive rehabilitation programs exist, however the impact of their effectiveness on improving visual attention is unknown. Methods A randomized controlled trial consisted of 22 active-duty service members with a history of mTBI. Participants were randomized to Lumosity (N = 8) which focused on multiple cognitive domains or UCR which has a specific focus on visual attention (N = 14). Cognitive assessment was completed at baseline and following treatment. The Neuropsychological Assessment Battery (NAB) Driving Scenes subtest was used as the primary assessment of visual attention. All participants passed a validity measure pre and post assessment. Results A one-way ANOVA revealed that performance on NAB Driving Scenes improved for all participants after treatment (F = 4.18, p = 0.046); however, when computer program type was analyzed there was no interaction (F = 0.32, p = 0.860). Participants who completed the UCR intervention improved from M = 41.64, SD = 11.58 to M = 46.79, SD = 14.52, Cohen’s d = 0.43. For the Lumosity condition, there was a medium effect size (Cohen’s d = 0.46) from baseline (M = 38.63, SD = 14.33) to post treatment (M = 44.75, SD = 9.47) Conclusions The results indicated that both programs proved effective at improving visual attention symptoms. These findings provide support for the use of computerized cognitive rehabilitation programs as a form of intervention for mTBI.

APA, Harvard, Vancouver, ISO, and other styles

25

Belyalov, F. I. "APPROACHES TO PERSONALIZED THERAPY." Rational Pharmacotherapy in Cardiology 14, no. 3 (July 5, 2018): 418–24. http://dx.doi.org/10.20996/1819-6446-2018-14-3-418-424.

Full text

Abstract:

Approaches to personalized therapy based on practical work of physicians are discussed. Personalized treatment considers patient’s interests and position, mechanisms of symptoms, somatic and mental comorbidities, chrono medicine, environment, genetics, and prognosis. Personalized treatment may be more effective, safe and inexpensive in compare with of traditional standardized care based on randomized controlled trials and clinical practice guidelines. Limitations and weaknesses of medical guidelines of authoritative professional societies are also discussed. Recommendations of clinical guidelines are based on randomized controlled trials with strict selection of patients without severe comorbid diseases. Accordingly, trials and guidelines conclusions cannot be applied for patients with heavy comorbidity. This justifies the need for organizational solutions and computer programs for support personalized treatment of patients. It is important to develop institute of primary care physicians and to train specialists in field of comorbid somatic diseases and mental disorders.

APA, Harvard, Vancouver, ISO, and other styles

26

Kamath, Sowmya, Karthik Kappaganthu, Stefanie Painter, and Anmol Madan. "Improving Outcomes Through Personalized Recommendations in a Remote Diabetes Monitoring Program: Observational Study." JMIR Formative Research 6, no. 3 (March 21, 2022): e33329. http://dx.doi.org/10.2196/33329.

Full text

Abstract:

Background Diabetes management is complex, and program personalization has been identified to enhance engagement and clinical outcomes in diabetes management programs. However, 50% of individuals living with diabetes are unable to achieve glycemic control, presenting a gap in the delivery of self-management education and behavior change. Machine learning and recommender systems, which have been used within the health care setting, could be a feasible application for diabetes management programs to provide a personalized user experience and improve user engagement and outcomes. Objective This study aims to evaluate machine learning models using member-level engagements to predict improvement in estimated A1c and develop personalized action recommendations within a remote diabetes monitoring program to improve clinical outcomes. Methods A retrospective study of Livongo for Diabetes member engagement data was analyzed within five action categories (interacting with a coach, reading education content, self-monitoring blood glucose level, tracking physical activity, and monitoring nutrition) to build a member-level model to predict if a specific type and level of engagement could lead to improved estimated A1c for members with type 2 diabetes. Engagement and improvement in estimated A1c can be correlated; therefore, the doubly robust learning method was used to model the heterogeneous treatment effect of action engagement on improvements in estimated A1c. Results The treatment effect was successfully computed within the five action categories on estimated A1c reduction for each member. Results show interaction with coaches and self-monitoring blood glucose levels were the actions that resulted in the highest average decrease in estimated A1c (1.7% and 1.4%, respectively) and were the most recommended actions for 54% of the population. However, these were found to not be the optimal interventions for all members; 46% of members were predicted to have better outcomes with one of the other three interventions. Members who engaged with their recommended actions had on average a 0.8% larger reduction in estimated A1c than those who did not engage in recommended actions within the first 3 months of the program. Conclusions Personalized action recommendations using heterogeneous treatment effects to compute the impact of member actions can reduce estimated A1c and be a valuable tool for diabetes management programs in encouraging members toward actions to improve clinical outcomes.

APA, Harvard, Vancouver, ISO, and other styles

27

Tai, Kiyoshi, Jae Hyun Park, Katsuaki Mishima, and Hitoshi Hotokezaka. "Using Superimposition of 3-Dimensional Cone-Beam Computed Tomography Images with Surface-Based Registration in Growing Patients." Journal of Clinical Pediatric Dentistry 34, no. 4 (July 1, 2010): 361–67. http://dx.doi.org/10.17796/jcpd.34.4.w8n6321878105431.

Full text

Abstract:

Objective: The purpose of this research was to evaluate a new method of superimposing detailed cone-beam computed tomography (CBCT) images. Materials and Methods: This study used 5 different software programs to transform the digital imaging and communication in medicine (DICOM) data from CBCT image into polygon data. The data conversion errors from different software programs were verified by the polyacetal ball test and the dry skull test. The iterative closest point (ICP) method was used for precise superimposition. To evaluate changes related to growth, three different domains were superimposed in order to investigate appropriate areas for evaluation by the ICP method. Results: The ICP method in the cranial base(excluding the peripheral zone) was indicated as the most reliable surface in this research. There were no measurement errors in converting the image data between software programs. Conclusion: The ICP method in the cranial base (excluding the peripheral zone) is one of the most accurate methods for superimposition when the mandibular rotation or displacement has not occurred during growth or treatment. This 3-dimesional(3D) superimposition technique can be used for a valid and reproducible assessment of treatment outcomes for growing subjects. This method is considered to be of clinical value because of the manageability and 3D accuracy of the data comparison with multi planar reconstruction (MPR) images.

APA, Harvard, Vancouver, ISO, and other styles

28

Lypson, Monica L., Paula T. Ross, Stanley J. Hamstra, Hilary M. Haftel, Larry D. Gruppen, and Lisa M. Colletti. "Evidence for Increasing Diversity in Graduate Medical Education: The Competence of Underrepresented Minority Residents Measured by an Intern Objective Structured Clinical Examination." Journal of Graduate Medical Education 2, no. 3 (September 1, 2010): 354–59. http://dx.doi.org/10.4300/jgme-d-10-00050.1.

Full text

Abstract:

Abstract Objective Some have commented that the limited number of underrepresented minorities (URMs) in United States' residency programs is due to a lack of qualified candidates. At the University of Michigan, an objective structured clinical examination is administered to incoming residents at the beginning of training to determine baseline competence. In this study we wanted to determine if competence differed for underrepresented minorities when compared to non-URM residents. Method The postgraduate orientation assessment, a 10-station examination, was developed that focused specifically on the knowledge and skills needed in the first 6 to 18 weeks of training. Stations assessed competence in informed consent, aseptic technique, evidence-based medicine, diagnostic images, critical laboratory values, cross-cultural communication, and Joint Commission requirements such as surgical fire safety, pain assessment, and management. We used various assessment measures including standardized patients, computer-based testing, and multiple-choice questions. Results Our study found no significant differences in overall mean scores between URM residents and all other residents for the 5 years during which we administered the examination, except for 2002. This stands in contrast to the consistently worse performances of URM students on USMLE Step 1 and Step 2 Clinical Knowledge. Also, URM residents did not perform better or worse than their non-URM colleagues on standardized patient stations during the course of 5 years during which the examination was administered. Conclusions The postgraduate orientation assessment provides residency program directors with a standard format to measure initial clinical skills. When compared to incoming non-URM residents from a variety of medical schools, URM residents perform as well as other trainees. Our results may aid in the recruitment efforts of URM medical students into academic residency programs such as those at the University of Michigan.

APA, Harvard, Vancouver, ISO, and other styles

29

Khalifa, G. E. A. "(A104) Simulation in Disaster and Emergency Medicine." Prehospital and Disaster Medicine 26, S1 (May 2011): s28—s29. http://dx.doi.org/10.1017/s1049023x11001063.

Full text

Abstract:

SimulationAn activity or situation that produces conditions which are not real, but have the appearance of being real, used especially for testing something. Longman Dictionary of Contemporary English. Simulation has evolved over the centuries but has not been applied to medicine until the 20th century with the introduction of virtual reality and computers. Prior to the 20th century simulation took the forms of physical models and cadavers. With the introduction of flight simulation there was an effort to move similar approaches into medicine. This was pushed by the demands of minimally invasive surgery and the introduction of robotics in surgery. In the 21st century in addition to cognitive task analysis tools we are beginning to see the migration of advanced intelligence tools to simulation. We are just at the beginning of how we will use adversarial reasoning in the medical environment and in high risk time constrained situations like Emergency Medicine. The practitioner of emergency medicine is at high risk for errors because of multiple factors including high decision density, high levels of diagnostic uncertainty, high patient acuity, and frequent distractions. Some authors have suggested that instructing physicians in “cognitive forcing strategies” or “metacognition” will help reduce the amount of cognitive error in medical practice. It has been said ‘‘[There is an] ethical obligation to make all efforts to expose health professionals to clinical challenges that can be reasonably well simulated prior to allowing them to encounter and be responsible for similar real-life challenges.’' TYPES OF SIMULATION • Verbal • Tactile • Visual • Situational • Environmental TYPES OF SIMULATION TRAINING • Standardized patients (role play) • Basic models (partial task trainers) • Simple level • Higher level • Mannequins • Low fidelity • High fidelity • Virtual patients • Screen-based; computer-based • COMBINATIONS • Augmented sp encounters with technology • Crises management HUMAN PATIENT SIMULATION • Realistic • Suitable for all levels • Safe • Wide variety of training programs • Expensive ADVANTAGES OF SIMULATION • Patients are never at risk • Serious but infrequent events, in predictable times and places • Errors can be allowed to occur, and play-out • Rehearsal, repetition, mastery • Crisis management simulation, planning • Reduces institutional liability • Increases operational confidence • Produces rapid results • Allows team training • Increases institutional prestige The use of high fidelity simulations to train multidisciplinary teams in critical environments is well established.

APA, Harvard, Vancouver, ISO, and other styles

30

Alnuaimi, A. A. R., M. S. Alsaeid, and H. M. Abolmaali. "Suggestion of a fimH Inhibitor by a Molecular Docking Method for Escherichia coli Isolated from Clinical Samples of Patients with UTI." Mikrobiolohichnyi Zhurnal 84, no. 4 (January 17, 2023): 40–47. http://dx.doi.org/10.15407/microbiolj84.04.040.

Full text

Abstract:

E. coli is one of the most important organisms that cause urinary tract infection (UTI) in more than 95% of patients with UTI. The aim of this study was to search for inhibitors of (fimH) by a docking method using computer programs and websites specialized for this purpose. Methods. This study involved 63 samples with positive E. coli collected from patients with UTI from February 2021 to October 2021 at the Iraqi hospital in Karbala. Full laboratory investigation for E. coli was made to detect FimH and predictsuitable inhibitors. The Fast Identification System VITEK-2, compact DNA extraction system, and PCR Molecular docking were used. Studies of FimH inhibitor for animals were performed as well. Results. FimH was found in most E. coli isolates, namely in 61 (96.82%) of 63 samples. The principle of the experiment is dependent on activated infection on animals with/without feeding with our drug (chamomile), and then the counted E. coli in their urine chamomile appears to be a good FimH inhibitor, with a docking score of -9.4, and to be able to reduce UTI in roughly 50 percent of rats examined. Conclusions. The chamomile was predicted as a suitable inhibitor of (fi mH) and then tested on rats. The results showed its good inhibitory properties.

APA, Harvard, Vancouver, ISO, and other styles

31

Guller, Barbara, Thomas Jones, John McCloskey, and S. Paul Herndon. "The hewlett-packard pediatric ECG computer program (HP-P3) and independent clinical information." Journal of Electrocardiology 23 (January 1990): 204. http://dx.doi.org/10.1016/0022-0736(90)90104-a.

Full text

APA, Harvard, Vancouver, ISO, and other styles

32

Evans, Lowri, and Mark Taubert. "State of the science: the doll is dead: simulation in palliative care education." BMJ Supportive & Palliative Care 9, no. 2 (September 25, 2018): 117–19. http://dx.doi.org/10.1136/bmjspcare-2018-001595.

Full text

Abstract:

ObjectivesBoth simulation and high-fidelity simulation involving manikins, clinical training suites, wards, computer programs and theatres have established themselves in medical undergraduate and postgraduate education. Popular among students, they have been shown to be effective learning tools. Contrasted with this is the potential risk to patients and their proxy associated with learning ‘at the bedside’, which can pose a real challenge in medical and palliative settings. The need for education and training methods that do not expose the patient to preventable communication blunders from less experienced practitioners is a priority.MethodsHere, we provide a summary review on the current literature and evidence for simulation and high-fidelity simulation in palliative and end-of-life care settings, and discuss potential uses of technologies including virtual and augmented reality in future training.ResultsThe most common form of simulation in palliative medicine is often an actor-based role-play scenario with particular emphasis on communication skills. This is expensive and time-consuming to set up. Less evidence was found on the use of high-fidelity simulation in end-of-life care teaching.ConclusionPalliative medicine has been slow to adapt to an educational method and environment that now is widely used across other areas of healthcare. There has been less emphasis on training with manikins and even less on using computer simulation and virtual reality environments to recreate challenging end-of-life care scenarios. We provide some examples of where this could benefit the curriculum.

APA, Harvard, Vancouver, ISO, and other styles

33

Fung, K., RP Ellen, and CA McCulloch. "Development of a computer program for teaching periodontal diagnosis based on clinical epidemiological principles." Journal of Dental Education 59, no. 3 (March 1995): 433–41. http://dx.doi.org/10.1002/j.0022-0337.1995.59.3.tb02929.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

34

Haag, M., F. J. Leven, H. Dickhaus, and P. Knaup. "Challenges in the Evolution of the Medical Informatics Program at Heidelberg/Heilbronn (Germany)." Methods of Information in Medicine 48, no. 01 (2009): 66–75. http://dx.doi.org/10.3414/me9134.

Full text

Abstract:

Summary Objective: Health and medical informatics (HMI) is an evolving discipline. Therefore, evolving educational programs in HMI have to take a variety of requirements into account. The aim of this paper is to analyze these requirements and to compare them with the medical informatics program Heidelberg/Heilbronn, Germany. Methods: Systematic analysis of the IMIA recommendations on educating HMI, the Bologna declaration, current technological and health care developments and the results of graduates surveys. Results: The latest revision of the Heidelberg/ Heilbronn medical informatics program not only takes current developments into account but also realizes the IMIA recommendations, the Bologna declaration and graduates’ data and feedback obtained in structured surveys. The topics bioinformatics, IT security and tele-medicine were strengthened, taking major research and application trends into account. The program has been transformed into a consecutive bachelor/master program. It qualifies its graduates to work in the field of medical informatics as well as in informatics. Conclusions: Medical informatics is a very broad field. Programs have to make concessions to scope: It is not possible to provide profound knowledge and skills in computer science and also teach a variety of application areas like bioinformatics, public health informatics and clinical informatics in depth within one medical informatics program. Many graduate programs in various nations concentrate on providing HMI skills to health care professionals.

APA, Harvard, Vancouver, ISO, and other styles

35

Panchanathan, S., V. Patel, H. Silverman, E. H. Shortliffe, and R. A. Greenes. "Biomedical Informatics in the Desert - A New and Unique Program at Arizona State University." Yearbook of Medical Informatics 17, no. 01 (August 2008): 150–56. http://dx.doi.org/10.1055/s-0038-1638594.

Full text

Abstract:

Summary Objectives A new academic Biomedical Informatics (BMI) Program in Phoenix, Arizona, embodies a unique organizational structure to draw on the strengths of a computer science and informatics school and the biomedical and clinical strengths of a college of medicine, in an effort to infuse informatics approaches broadly. MethodsThe program reflects a partnership of two state universities that situates the Arizona State University (ASU) Department of BMI on a new downtown Phoenix Biomedical Campus with the University of Arizona (UA) College of Medicine in partnership with ASU (COMPHX). Plans call for development of faculty and expertise in the four major subdomains of BMI, as well as in various cross-cutting capabilities. Results Coming into existence in a state that is investing significantly in biomedical science and technology, BMI has already developed Masters and PhD degree programs, is working with COMPHX to integrate informatics intensively into the education of the medical students, and has been authorized to plan for an undergraduate program in BMI. Reflecting the statewide emphasis on the biomedical and health sector, the growing faculty are engaged in a number of research partnerships and collaborative centers. Conclusions As one of the newest academic BMI programs is taking shape in Arizona, it is embarking on a wide-ranging educational program and a broad research agenda that are now in their earliest stages.

APA, Harvard, Vancouver, ISO, and other styles

36

Kuryazova, Z. K., and N. R. Yangieva. "A computer program of patient examination for myopia follow-up." Reflection, no. 1 (June 7, 2022): 63–65. http://dx.doi.org/10.25276/2686-6986-2022-1-63-65.

Full text

Abstract:

Considering high prevalence of myopia, confirmed by the WHO report, and the level of disability, an electronic program for examining the patient and evaluation criteria were developed. An electronic program connected to a cellular communication system allows the user of the program to determine the degree of risk of myopia and its complications, as well as to receive recommendations for their prevention. Key words: myopia; clinical examination; electronic examination program.

APA, Harvard, Vancouver, ISO, and other styles

37

Friede, R. L. "Computer editing of morphometric data on nerve fibers. An improved computer program." Acta Neuropathologica 72, no. 1 (1986): 74–81. http://dx.doi.org/10.1007/bf00687950.

Full text

APA, Harvard, Vancouver, ISO, and other styles

38

Al-Senan, Rani, and Jeffrey H. Newhouse. "CT Volumetry of Convoluted Objects—A Simple Method Using Volume Averaging." Tomography 7, no. 2 (April 13, 2021): 120–29. http://dx.doi.org/10.3390/tomography7020011.

Full text

Abstract:

Accurate measurement of object volumes using computed tomography is often important but can be challenging, especially for finely convoluted objects with severe marginal blurring from volume averaging. We aimed to test the accuracy of a simple method for volumetry by constructing, scanning and analyzing a phantom object with these characteristics which consisted of a cluster of small lucite beads embedded in petroleum jelly. Our method involves drawing simple regions of interest containing the entirety of the object and a portion of the surrounding material and using its density, along with the densities of pure lucite and petroleum jelly and the slice thickness to calculate the volume of the object in each slice. Comparison of our results with the object’s true volume showed the technique to be highly accurate, irrespective of slice thickness, image noise, reconstruction planes, spatial resolution and variations in regions of interest. We conclude that the method can be easily used for accurate volumetry in clinical and research scans without the need for specialized volumetry computer programs.

APA, Harvard, Vancouver, ISO, and other styles

39

Manuel, Vladimir G., Eran Halperin, Jeffrey Chiang, Kodi Taraszka, Laura Kim, Naveen Raja, Christopher Saigal, Lily Roh, and Eleazer Eskin. "4375 Developing team science for practical applications of artificial intelligence in health systems to improve value and outcomes: A case study in reducing avoidable emergency department use." Journal of Clinical and Translational Science 4, s1 (June 2020): 117. http://dx.doi.org/10.1017/cts.2020.355.

Full text

Abstract:

OBJECTIVES/GOALS: Health care systems are complex, dynamic, and varied. Advances in artificial intelligence (AI) are enabling healthcare systems to use their own data to elicit patterns and design suitable interventions. To realize this potential, computer scientists and clinicians need an effective, practical, and replicable approach to collaboration METHODS/STUDY POPULATION: In this study, computer scientists partnered with clinicians to investigate predictors of avoidable emergency department use. The team sought an approach to computational medicine that could increase the relevance and impact of prediction to solve pressing problems in the health system. The team adopted an emergent architecture that engaged system leaders, computer scientists, data scientists, health services researchers, and practicing clinicians with deep ambulatory and inpatient knowledge to form the initial questions that shaped the prediction model; to understand nuances of coding and recording in source data and the implications for models; and to generate insights for promising points of intervention. The team recorded decisions and challenges as it progressed to analyze its function. RESULTS/ANTICIPATED RESULTS: Most avoidance models focus on a narrow time period around target events, or on high cost patients and events. This interdisciplinary team used their insights into the health system’s workflows and patient population to adopt a longitudinal approach to their prediction models. They used AI to build models of behavior in the system and consider prevention points across clinical units, time, and place. The holistic, systemwide focus enabled the team to generate insights that the system leaders and subsequently specific clinical units could apply to improve value and outcomes. A facilitated team process using learning system and cooperative network principles allowed a large and modular interdisciplinary team to build a transparent AI modeling process that yielded actionable insights into hypercomplex workflows. DISCUSSION/SIGNIFICANCE OF IMPACT: An architecture for involving diverse stakeholders in computational medicine projects can increase the relevance and impact of AI for solving care delivery problems in complex health systems. Translational science and computational medicine programs can foster this type of engagement and encourage a whole system perspective.

APA, Harvard, Vancouver, ISO, and other styles

40

Kutscher, Eric C., and Bruce Alexander. "A Review of Drug Interactions With Psychiatric Medicines for the Pharmacy Practitioner." Journal of Pharmacy Practice 20, no. 4 (August 2007): 327–33. http://dx.doi.org/10.1177/0897190007304979.

Full text

Abstract:

With thousands of potential drug interactions, it is next to impossible to remember them all, especially with many people on multiple prescriptions and over-the-counter medications. With the increasing use of psychiatric medicines in the general population, drug interactions may occur without recognition or warning. Pharmacy computer software programs provide help with identifying the majority of potential drug interactions, but these systems are only as good as the user who develops them. Some drug interactions are negligible, whereas others are quite significant. It is most important to remember drug interactions that may have a significant clinical effect. Approximately half of all medications prescribed today are affected by cytochrome P450 enzymes, but other interactions that involve various mechanisms can also be problematic. This review identifies drug interactions that may occur with the most frequently prescribed psychiatric medications and provides a review of selected interactions that may be clinically relevant for the pharmacist to review.

APA, Harvard, Vancouver, ISO, and other styles

41

Puppe, B., and F. Puppe. "MED1: An intelligent computer program for thoracic pain diagnosis." Klinische Wochenschrift 63, no. 11 (June 1985): 511–17. http://dx.doi.org/10.1007/bf01747981.

Full text

APA, Harvard, Vancouver, ISO, and other styles

42

Panunzio R, Amelia P. "EVALUACION EXTERNA DE LA CALIDAD DEL LABORATORIO CLÍNICO." Enfermería Investiga 7, no. 2 (April 3, 2022): 56. http://dx.doi.org/10.31243/ei.uta.v7i2.1614.2022.

Full text

Abstract:

En la actualidad el laboratorio clínico evoluciona adaptándose a cambios científicos tecnológicos, organizativos y de gestión, inducidos por los avances en el campo de la medicina, nuevas pruebas y metodologías analíticas, así como la creciente sensibilización y expectativas de los usuarios por disponer de servicios y productos de mayor calidad; en toda esta perspectiva el éxito ante los nuevos desafíos para mejorar su eficacia, dependerá de su desempeño a la vanguardia de la gestión de la calidad, asegurando el logro de los mayores beneficios posibles para la salud del paciente y procurando el óptimo uso de los recursos disponibles en todo su proceso. Sobre esta base, resulta indispensable un sistema de gestión de calidad eficaz, que incluya evaluación interna y programas de evaluación externa de la calidad, lo que proporciona información sobre el nivel de rendimiento del laboratorio en comparación con otros, para promover la armonización de criterios, procedimientos, evaluación de intervenciones, además de ser una estrategia para proporcionar educación y capacitación del recurso humano. Dichos fines requieren que los programas de evaluación externa de la calidad incluyan el proceso total de análisis, no solo enfoque en la fase analítica, sino también la preanalítica y postanalítica, para la obtención de las mejores evidencias que llevan a identificar fuentes de variación, errores en el proceso y oportunidades de mejora de la gestión de la calidad de estos servicios de atención del sector salud en el contexto demandante de los tiempos de hoy. Palabras clave: aseguramiento de la calidad, fase preanalítica, indicadores, seguridad del paciente, laboratorios Abstract Currently, the clinical laboratory get moving adapting to technological, organizational and management changes, induced by advances in the field of medicine, new tests and analytical methodologies, technological innovation, as well as the growing sensitivity and expectations of users to have higher quality services and products; in all this perspective, success in the face of new challenges to improve its effectiveness resulted from its performance at the forefront of quality management, ensuring the achievement of the greatest possible benefits for the patient's health and seeking the optimal use of resources, available throughout your process. On this basis, an effective quality management system, including an internal assessment system and external quality assessment programs, providing information on the level of performance of the laboratory compared to others, is essential to promote harmonization criteria, procedures, exposure assessment, in addition to being a strategy to provide education and training of human resources. These purposes require that external quality assessment programs include the total analysis process, not only focusing on the analytical phase, but also the pre-analytical and post-analytical phases, in order to obtain the best evidence that leads to identifying sources of variation, errors in the process and opportunities to improve the quality management of these health care services in the demanding context of today's times. Key words: Clinical laboratory, quality assurance, extra-analytical phase, indicators, Patient Safety

APA, Harvard, Vancouver, ISO, and other styles

43

Meoli, Frederick G. "The Comprehensive Osteopathic Medical Licensure Examination: A Paradigm For Assessing the Skill and Knowledge of Osteopathic Physicians." Journal of Medical Regulation 93, no. 1 (March 1, 2007): 25–35. http://dx.doi.org/10.30770/2572-1852-93.1.25.

Full text

Abstract:

ABSTRACT Osteopathic Medicine was founded on the principles that the body possesses the inherent ability to heal itself, and that the musculoskeletal system has a significant impact on the homeostatic mechanisms that keep the body in health or in a state of wellness. Over the years, 23 schools of osteopathic medicine have been established to promote these principles. They have developed medical educational programs that produce well-trained osteopathic physicians to practice full, unrestricted medicine, including osteopathic manipulative therapy. In the early 1930s, the osteopathic profession recognized the need for a uniform licensure examination for osteopathic candidates who graduated from colleges of osteopathic medicine. This resulted in the establishment of the National Board of Examiners for Osteopathic Physicians in 1934. Since introducing its licensing examination in 1935, which utilized an essay type format, the National Board of Osteopathic Medical Examiners (NBOME) examination has evolved into the current three-level examination sequence in computer-based format, including a clinical skills examination (PE) administered to augment Level 2. This article is written to familiarize the licensing authorities and the public with the history and organizational structure of the NBOME, the content of the COMLEXUSA licensing examination, methods of design, standard setting, test construction, score reporting and administration, and the international recognition of the COMLEX-USA examination series.

APA, Harvard, Vancouver, ISO, and other styles

44

Snyder, Sara, and Heartley Huber. "Computer Assisted Instruction to Teach Academic Content to Students With Intellectual Disability: A Review of the Literature." American Journal on Intellectual and Developmental Disabilities 124, no. 4 (July 1, 2019): 374–90. http://dx.doi.org/10.1352/1944-7558-124.4.374.

Full text

Abstract:

Abstract Special educators are relying more heavily on computer assisted instruction (CAI) programs to teach academic content to students with intellectual disability (ID) than ever before. Research in this area is growing; however, no formal review of the literature has been conducted to examine the efficacy of using CAI to teach academic content to students with ID. This review explores the nature of academic content taught to students with ID using CAI, the CAI programs used to provide instruction, research methodology, and student learning outcomes associated with CAI. We also address gaps in the research while making suggestions for focusing future efforts to keep pace with changes in technology and the increasing implementation of CAI in special education classrooms.

APA, Harvard, Vancouver, ISO, and other styles

45

Hamoen, Esther C., Peter G. M. De Jong, Floris M. Van Blankenstein, and Marlies E. J. Reinders. "Design and First Impressions of a Small Private Online Course in Clinical Workplace Learning: Questionnaire and Interview Study." JMIR Medical Education 8, no. 2 (April 7, 2022): e29624. http://dx.doi.org/10.2196/29624.

Full text

Abstract:

Background Clinical workplace learning takes place in a dynamic and complex learning environment that is designated as a site for patient care and education. Challenges in clinical training can be overcome by implementing blended learning, as it offers flexible learning programs suitable for student-centered learning, web-based collaboration, and peer learning. Objective The aim of this study is to evaluate the Small Private Online Course (SPOC) by interns’ first impressions and satisfaction measures (N=20) on using the SPOC. This study describes the design process of a SPOC from a theoretical and practical perspective and how it has been integrated into a clinical internship in internal medicine. Methods The design of the SPOC was based on general theoretical principles that learning should be constructive, contextual, collaborative, and self-regulated, and the self-determination theory to stimulate intrinsic motivation. Interns’ impressions and level of satisfaction were evaluated with a web-based questionnaire and group interview. Results Interns thought the web-based learning environment to be a useful and accessible alternative to improve knowledge and skills. Peer learning and web-based collaboration through peer interaction was perceived as less effective, as student feedback was felt inferior to teacher feedback. The interns would prefer more flexibility within the course, which could improve self-regulated learning and autonomy. Conclusions The evaluation shows that the SPOC is a useful and accessible addition to the clinical learning environment, providing an alternative opportunity to improve knowledge and skills. Further research is needed to improve web-based collaboration and interaction in our course.

APA, Harvard, Vancouver, ISO, and other styles

46

Eggert, Arthur A., James O. Westgard, Patricia L. Barry, and Kenneth A. Emmerich. "Implementation of a multirule, multistage quality control program in a clinical laboratory computer system." Journal of Medical Systems 11, no. 6 (December 1987): 391–411. http://dx.doi.org/10.1007/bf00993007.

Full text

APA, Harvard, Vancouver, ISO, and other styles

47

Leach, Chris. "GRAN: A computer program for the cluster analysis of a repertory grid." British Journal of Clinical Psychology 27, no. 2 (May 1988): 173–74. http://dx.doi.org/10.1111/j.2044-8260.1988.tb00766.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

48

Flegge, Lindsay G., Eric Lake, Carnigee Truesdale, and Julia R. Craner. "Sex differences in interdisciplinary pain rehabilitation outcomes: a systematic review." Scandinavian Journal of Pain 22, no. 2 (February 14, 2022): 218–31. http://dx.doi.org/10.1515/sjpain-2021-0188.

Full text

Abstract:

Abstract Objectives Interdisciplinary pain rehabilitation programs (IPRPs) are evidence-based treatments for chronic pain. Previous research has demonstrated that initial presentations of adult men and women admitted to IPRPs differ, but less is known about sex differences in IPRP treatment outcomes. To summarize and synthesize the current literature base on this topic, a systematic literature review was conducted that asked: are sex differences present in participant outcomes upon completion of interdisciplinary pain rehabilitation programs for cisgender patients? Four core domains of outcome measures were assessed: depression, pain catastrophizing, pain interference, and pain intensity/severity. Methods Relevant studies meeting inclusion criteria were identified using a computer-aided search of the following electronic bibliographic databases: PubMed (MEDLINE), EMBASE, PsycINFO, CENTRAL (via Wiley Online Library), and CINAHL (via EBSCOhost). The reference list of relevant studies identified in the electronic searches was also screened to identify further studies. Results This review concluded that most studies did not find any differences related to sex using the four outcome measures included in this review. This implies that specific considerations based on sex may not be needed when providing interdisciplinary pain rehabilitation. Conclusions Future research directions include comparison of additional outcome measures and exploring sex and gender issues in IPRP treatment in other formats than as a simple dichotomous variable.

APA, Harvard, Vancouver, ISO, and other styles

49

Aversano, MSN, RN, OCN, BMTCN, Jennifer, Leigh M. Boehmer, PharmD, BCOP, and Alexander Spira, MD, PhD, FACP. "Improving Cancer Care Delivery: Learnings for Oncology Nurses and Patient Navigation From a National Quality Survey." Journal of the Advanced Practitioner in Oncology 13, no. 5 (July 1, 2022): 484–93. http://dx.doi.org/10.6004/jadpro.2022.13.5.2.

Full text

Abstract:

Background: Although implementation of patient navigation programs in clinical practice is widespread, heterogeneity exists in the design and delivery of these services. Greater clarity is required on competencies of personnel, delineation of their roles in multidisciplinary cancer care teams, navigation service components that positively impact patient outcomes, and associated metrics. Methods: A national, double-blind, online survey was implemented between January 24, 2019, and April 25, 2019, to investigate care coordination for advanced (stage III/IV) non–small cell lung cancer (NSCLC). Respondents included multidisciplinary team (MDT) members, such as oncologists, pathologists, oncology nurses, advanced practice nurses, and patient navigators, from US cancer programs. Customized questions covered NSCLC screening, diagnosis, treatment, and care coordination, with a focus on oncology nurses, advanced practice nurses, and patient navigation. Descriptive statistics were computed. Subanalyses examined relationships between care delivery and outcomes such as shared decision-making (SDM) through statistical testing. Results: Across programs, there was a lack of patient (nurse or lay) navigators (22.3%, 101/452) to assist patients with NSCLC. Most respondents (90.1%, 100/111) worked in programs with no formal health literacy assessments. Significantly higher mean SDM scores (p < .05) were observed in programs with patient navigators compared with programs without these specialists. Conclusion: Patient navigation is pivotal to enhancing the patient experience along the lung cancer care continuum and should be strategically integrated within lung cancer MDTs. These findings, along with survey inputs from other MDT disciplines, can help support process improvement plans for patient-centered advanced NSCLC care delivery.

APA, Harvard, Vancouver, ISO, and other styles

50

Polozov, A. A. "Method of correction of muscle balance of highly qualified volleyball players with posture disorders." Scientific and educational basics in physical culture and sports, no. 3 (October 31, 2022): 27–35. http://dx.doi.org/10.57006/2782-3245-2022-7-3-27-35.

Full text

Abstract:

Relevance. Nowadays, in sports medicine, the problem of diagnosing and correcting disorders of the musculoskeletal system is acute. Asymmetric sports, such as volleyball, clay shooting, football and a number of others, in which one of the body parts is predominantly used, provoke a change in muscle balance and, as a result, the development of posture disorders. The combination of these factors leads to pain syndromes, accelerated wear of the joints, decreased performance and sports longevity. The method of correction of muscle balance written by us, based on the collected knowledge of existing rehabilitation programs N.G. Melnikov in 2015, for highly qualified volleyball players with existing right-sided and leftsided scoliotic arches, allows for the prevention of diseases associated with decompensation of the mechanisms of posture regulation and maintains a high level of performance. Clinical examination methods and computer stabilometry were used to diagnose existing disorders for the purpose of the subsequent necessary selection of exercises.

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Clinical medicine Computer programs'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles