Providing support in a pandemic: A medical student telehealth service for ambulatory patients with COVID-19

Abstract:Many clinics are interested to use software packages in daily practice, but lack of integration of such packages seriously limits their scope. In practice this often entails switching between programs and interrupting the run of an individual program. A multi-task approach would not solve this problem as it would not eliminate the need to input the same data many times, as often occurs when using separate packages. The construction of a Multi-Service Medical Software package (MSx2) is described, which was also developed as an example of practical integration of some clinically relevant functions. The package runs on a personal computer in an MS-DOS environment and integrates a time-oriented medical record management unit (TOMRU) for data of ambulatory patients, and a drug information management unit (DIMU) concerning posology, content, effects, and possible interactions. Of the possible database configurations allowed by MSx2, the cardiology patient database (MSx2/C) and hypertensive patient database (MSx2/H) were developed and described here. Clinical information to be included in the configurations was obtained after discussion and consensus of clinical practitioners. MSx2/C was distributed to several hundred clinical centers during computerized courses to train future users. MSx2 can easily transfer patient data to statistical processing packages.

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Platelet Anti-Aggregating Activity and Tolerance of Clopidogrel in Atherosclerotic Patients

Thrombosis and Haemostasis ◽

10.1055/s-0038-1650689 ◽

1996 ◽

Vol 76 (06) ◽

pp. 0939-0943 ◽

Cited By ~ 74

Author(s):

B Boneu ◽

G Destelle ◽

Keyword(s):

Platelet Aggregation ◽

Large Scale ◽

Bleeding Time ◽

Antithrombotic Activity ◽

Ambulatory Patients ◽

Patients At Risk ◽

Set Up ◽

Ischemic Events ◽

Large Scale Clinical Trial ◽

Selection Of

SummaryThe anti-aggregating activity of five rising doses of clopidogrel has been compared to that of ticlopidine in atherosclerotic patients. The aim of this study was to determine the dose of clopidogrel which should be tested in a large scale clinical trial of secondary prevention of ischemic events in patients suffering from vascular manifestations of atherosclerosis [CAPRIE (Clopidogrel vs Aspirin in Patients at Risk of Ischemic Events) trial]. A multicenter study involving 9 haematological laboratories and 29 clinical centers was set up. One hundred and fifty ambulatory patients were randomized into one of the seven following groups: clopidogrel at doses of 10, 25, 50,75 or 100 mg OD, ticlopidine 250 mg BID or placebo. ADP and collagen-induced platelet aggregation tests were performed before starting treatment and after 7 and 28 days. Bleeding time was performed on days 0 and 28. Patients were seen on days 0, 7 and 28 to check the clinical and biological tolerability of the treatment. Clopidogrel exerted a dose-related inhibition of ADP-induced platelet aggregation and bleeding time prolongation. In the presence of ADP (5 \lM) this inhibition ranged between 29% and 44% in comparison to pretreatment values. The bleeding times were prolonged by 1.5 to 1.7 times. These effects were non significantly different from those produced by ticlopidine. The clinical tolerability was good or fair in 97.5% of the patients. No haematological adverse events were recorded. These results allowed the selection of 75 mg once a day to evaluate and compare the antithrombotic activity of clopidogrel to that of aspirin in the CAPRIE trial.

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The Virtual Patient Project. Using computer simulations for medical student education

Revista de la Fundación Educación Médica ◽

10.33588/fem.23.329 ◽

1999 ◽

Vol 2 (3) ◽

pp. 111

Author(s):

James B. McGee

Keyword(s):

Medical Student ◽

Computer Simulations ◽

Medical Student Education ◽

Virtual Patient ◽

Student Education

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Bureaucracy, Pedagogy, Surgery: Keats, Guy's, and the ‘Institution’ of Medicine

Romanticism ◽

10.3366/rom.2016.0275 ◽

2016 ◽

Vol 22 (2) ◽

pp. 203-212

Author(s):

James Robert Allard

Keyword(s):

Medical Student ◽

Medical Practice ◽

The State

John Keats's time as a medical student provided much fodder for the imagination of readers of all persuasions. In particular, ‘Z’, in the fourth installment of the ‘Cockney School’ essays, took pains to ensure that readers knew of his time training to be an apothecary, working to frame Keats, first, as connected to the lowest branch of medical practice, and, second, as having failed as badly at that unworthy pursuit as he did at poetry. But what would ‘Z’, or any of his readers, have known about the training of an apothecary, about medical pedagogy, about the internal workings of the profession? As outsiders, what could they have known, beyond perception, conjecture, and opinion? And on what were those opinions based? This essay reads ‘Z’'s comments in the context of first-hand accounts of the state of contemporary medical pedagogy, seeking to account both for ‘Z’'s dismissal of Keats to ‘the shops’ and for the continuing fascination with his connections to medicine in these terms.

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