Automatic Method for Processing Mass Data in Clinical Medicine (FOSDIC)

1963 ◽  
Vol 2 (04) ◽  
pp. 125-129 ◽  
Author(s):  
M. Volk ◽  
M. L. Greenough ◽  
H. V. Pipberger ◽  
J. Cosma
Keyword(s):  
Magnetic Tape ◽  
Large Scale ◽  
Clinical Medicine ◽  
Clinical Information ◽  
National Bureau ◽  
Automatic Data ◽  
Program Unit ◽  
Computer Input ◽  
Investigative Medicine ◽  
Processing Techniques

1. The need for automatic data processing techniques in investigative medicine is briefly-stated and stresse’d.2. Among the more widely used methods for collection, storage and analysis of large scale data, the punch cards, although suitable for direct computer input, leave a limited input speed.3. A new system developed jointly by the Bureau of the Census and the National Bureau of Standards, called FOSDIC is described.4. FOSDIC is basically an analog scanner actuated by a digital computer. It automatically reads, recodes and transcribes the information on magnetic tape in binary language.5. FOSDIC. consists of four parts: a scanning unit, a program unit, a tape unit and a console.6. Printed documents of suitable size and format are used for data collection; they are microfilmed” and the information contained therein is automatically scanned and recorded on digital magnetic tape, suitable for direct input to a digital electronic computer.7. Some of the advantages offered by this system are stressed: they are speed and versatility in the scanning and transcribing process, flexibility in the size and format of the printed document and space saving in the storage of microfilmed documents.8. FOSDIC system is being used in several research projects in progress; in one project reduction of clinical information is the aim, in other ones correlation between analog records such as the electrocardiogram with clinical information is pursued. Since the clinical information is collected from more than one hospital, uniformity in the collected documents is an important factor.

scholarly journals Development and implementation in medical practice of new information technologies and metrics for the analysis of subtle changes in the electromagnetic field of the human heart

2021 ◽  
pp. 33-43
Author(s):  
Illya A. Chaikovsky ◽  
◽  
Mykhailo A. Primin ◽  
Anatolii P. Kazmirchuk ◽  
◽  
...  
Keyword(s):  
Electromagnetic Field ◽  
Sports Medicine ◽  
Information Technologies ◽  
Large Scale ◽  
Clinical Medicine ◽  
Heart Diseases ◽  
Clinical Information ◽  
Current Density Distribution ◽  
Scale Population ◽  
Diagnostic Report

The article details the concept of clinical information technology (IT), i.e. a set of methods and software and hardware combined into a technological chain, the product of which is an automated diagnostic report, prognostic report or recommendation on patient management tactics. There are several examples of innovative information technologies and metrics implemented by the authors in Ukraine and abroad, designed to register and evaluate subtle changes in the electromagnetic field of the heart for early diagnosis of the most common and dangerous heart diseases, especially coronary heart disease. It is shown that new metrics of analysis of spatial structure of 2D and 3D magnetocardiographic maps of current density distribution allow to diagnose with high accuracy various forms of myocardial ischemia. The new method of the electrocardiogram scaling is used in various areas of clinical medicine, sports medicine, occupational medicine, as well as in large-scale population studies.

An Internet-based health gateway device for interactive communication and automatic data uploading: Clinical efficacy for type 2 diabetes in a multi-centre trial

2016 ◽  
Vol 23 (6) ◽  
pp. 595-604 ◽  
Author(s):  
Jae Hyoung Cho ◽  
Hun-Sung Kim ◽  
Seung Hyun Yoo ◽  
Chang Hee Jung ◽  
Woo Je Lee ◽  
...  
Keyword(s):  
Adverse Events ◽  
Healthcare System ◽  
Glucose Control ◽  
Large Scale ◽  
Diabetes Management ◽  
Intervention Group ◽  
Diabetes Control ◽  
Control Group ◽  
Anthropometric Parameters ◽  
Automatic Data

Introduction The aim of this study was to improve the quality of diabetes control and evaluate the efficacy of an Internet-based integrated healthcare system for diabetes management and safety. Methods We conducted a large-scale, multi-centre, randomized clinical trial involving 484 patients. Patients in the intervention group ( n = 244) were treated with the Internet-based system for six months, while the control group ( n = 240) received the usual outpatient management over the same period. HbA1c, blood chemistries, anthropometric parameters, and adverse events were assessed at the beginning of the study, after three months, and the end of the study. Results There were no initial significant differences between the groups with respect to demographics and clinical parameters. Upon six-month follow-up, HbA1c levels were significantly decreased from 7.86 ± 0.69% to 7.55 ± 0.86% within the intervention group ( p < 0.001) compared to 7.81 ± 0.66% to 7.70 ± 0.88% within the control group. Postprandial glucose reduction was predominant. A subgroup with baseline HbA1c higher than 8% and good compliance achieved a reduction of HbA1c by 0.8 ± 1.05%. Glucose control and waist circumference reduction were more effective in females and subjects older than 40 years of age. There were no adverse events associated with the intervention. Discussion This e-healthcare system was effective for glucose control and body composition improvement without associated adverse events in a multi-centre trial. This system may be effective in improving diabetes control in the general population.

scholarly journals Implementing an Integrated Large-Scale Clinical Information System for ISSSTE’s Hospital Network in Mexico

2021 ◽  
Vol 3 (2) ◽  
pp. 444-453
Author(s):  
Arturo Cervantes Trejo ◽  
Sophie Domenge Treuille ◽  
Isaac Castañeda Alcántara
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Care Services ◽  
Large Scale ◽  
Clinical Information System ◽  
Clinical Information ◽  
Public Hospitals ◽  
Care Services ◽  
Cost Reductions

AbstractThe Institute for Security and Social Services for State Workers (ISSSTE) is a large public provider of health care services that serve around 13.2 million Mexican government workers and their families. To attain process efficiencies, cost reductions, and improvement of the quality of diagnostic and imaging services, ISSSTE was set out in 2019 to create a digital filmless medical image and report management system. A large-scale clinical information system (CIS), including radiology information system (RIS), picture archiving and communication system (PACS), and clinical data warehouse (CDW) components, was implemented at ISSSTE’s network of forty secondary- and tertiary-level public hospitals, applying global HL-7 and Digital Imaging and Communications in Medicine (DICOM) standards. In just 5 months, 40 hospitals had their endoscopy, radiology, and pathology services functionally interconnected within a national CIS and RIS/PACS on secure private local area networks (LANs) and a secure national wide area network (WAN). More than 2 million yearly studies and reports are now in digital form in a CDW, securely stored and always available. Benefits include increased productivity, reduced turnaround times, reduced need for duplicate exams, and reduced costs. Functional IT solutions allow ISSSTE hospitals to leave behind the use of radiographic film and printed medical reports with important cost reductions, as well as social and environmental impacts, leading to direct improvement in the quality of health care services rendered.

Progressive alteration of DNA methylation of Alu, MGMT, MINT2, and TFPI2 genes in colonic mucosa during colorectal cancer development

2021 ◽  
pp. 1-6
Author(s):  
Ben Kang ◽  
Hyun Seok Lee ◽  
Seong Woo Jeon ◽  
Soo Yeun Park ◽  
Gyu Seog Choi ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Dna Methylation ◽  
Healthy Subjects ◽  
Large Scale ◽  
Methylation Status ◽  
Clinical Information ◽  
Field Cancerization ◽  
Aberrant Methylation ◽  
Clinical Value ◽  
Mortality And Morbidity

BACKGROUND: Colorectal cancer (CRC) is one of the leading causes of mortality and morbidity in the world. It is characterized by different pathways of carcinogenesis and is a heterogeneous disease with diverse molecular landscapes that reflect histopathological and clinical information. Changes in the DNA methylation status of colon epithelial cells have been identified as critical components in CRC development and appear to be emerging biomarkers for the early detection and prognosis of CRC. OBJECTIVE: To explore the underlying disease mechanisms and identify more effective biomarkers of CRC. METHODS: We compared the levels and frequencies of DNA methylation in 11 genes (Alu, APC, DAPK, MGMT, MLH1, MINT1, MINT2, MINT3, p16, RGS6, and TFPI2) in colorectal cancer and its precursor adenomatous polyp with normal tissue of healthy subjects using pyrosequencing and then evaluated the clinical value of these genes. RESULTS: Aberrant methylation of Alu, MGMT, MINT2, and TFPI2 genes was progressively accumulated during the normal-adenoma-carcinoma progression. Additionally, CGI methylation occurred either as an adenoma-associated event for APC, MLH1, MINT1, MINT31, p16, and RGS6 or a tumor-associated event for DAPK. Moreover, relatively high levels and frequencies of DAPK, MGMT, and TFPI2 methylation were detected in the peritumoral nonmalignant mucosa of cancer patients in a field-cancerization manner, as compared to normal mucosa from healthy subjects. CONCLUSION: This study identified several biomarkers associated with the initiation and progression of CRC. As novel findings, they may have important clinical implications for CRC diagnostic and prognostic applications. Further large-scale studies are needed to confirm these findings.

Experimental modeling and clinical technology of photodynamic therapy

2020 ◽  
pp. 72-80
Author(s):  
Daria Aleksandrovna Krapivnitskaya ◽  
Kseniya Vyacheslavovna Kuznetsova ◽  
Igor Valentinovich Barskov ◽  
Vladimir Germanovich Taktarov ◽  
Vladimir Yurievich Pereverzev
Keyword(s):  
Central Nervous System ◽  
Photodynamic Therapy ◽  
Large Scale ◽  
Clinical Medicine ◽  
Practical Importance ◽  
Skin Lesions ◽  
Clinical Aspects ◽  
Regenerative Processes ◽  
Ischemic Tissue ◽  
The Central Nervous System

In recent years, the amount of large-scale experimental and clinical studies has increased considerably leading to the development of techniques and their widespread use both in their field and serving as a basis for the combination of even paradoxically incompatible areas of experimental and clinical medicine. The authors consider one of the main objectives of this work to identify a stable correlation between experimental pathomorphological study in ischemic tissue lesion and a therapeutic effect in dermatology in various pathological processes since the fundamental method in both cases is represented by a photochemical effect on the central nervous system and skin. These studies are not only of theoretical value but also of great practical importance both for neurological (search for medicines used to stimulate regenerative processes in ischemic pathology) and dermatological clinical aspects (ablation method of photodynamic therapy for various skin lesions).

F.A.A. Experience Gained in the Use of Digital Computation

1961 ◽  
Vol 65 (606) ◽  
pp. 403-407
Author(s):  
J. L. Anast
Keyword(s):  
Traffic Control ◽  
Air Traffic Control ◽  
Air Traffic ◽  
Special Study Group ◽  
Study Group ◽  
Automatic Data ◽  
Digital Computation ◽  
The World ◽  
Processing Techniques ◽  
High Degree

The application of automatic data processing techniques to air traffic control has been espoused by both operational and research and development groups dealing in air traffic control throughout the world. As far back as 1947, in the U.S.A., the Special Study Group, SC-31 of the Radio Technical Commission for Aeronautics suggested that a high degree of automation be applied—including rigid control of all flights and their times of arrival.

scholarly journals Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems

2018 ◽  
Vol 25 (8) ◽  
pp. 1054-1063 ◽  
Author(s):  
Chad D Meyerhoefer ◽  
Susan A Sherer ◽  
Mary E Deily ◽  
Shin-Yi Chou ◽  
Xiaohui Guo ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
System Integration ◽  
Clinical Information ◽  
Access To Information ◽  
Work Processes ◽  
Automatic Data ◽  
Provider Satisfaction ◽  
Good Communication ◽  
Care Experience ◽  
Healthcare Network

Abstract Objective The installation of EHR systems can disrupt operations at clinical practice sites, but also lead to improvements in information availability. We examined how the installation of an ambulatory EHR at OB/GYN practices and its subsequent interface with an inpatient perinatal EHR affected providers’ satisfaction with the transmission of clinical information and patients’ ratings of their care experience. Methods We collected data on provider satisfaction through 4 survey rounds during the phased implementation of the EHR. Data on patient satisfaction were drawn from Press Ganey surveys issued by the healthcare network through a standard process. Using multivariable models, we determined how provider satisfaction with information transmission and patient satisfaction with their care experience changed as the EHR system allowed greater information flow between OB/GYN practices and the hospital. Results Outpatient OB/GYN providers became more satisfied with their access to information from the inpatient perinatal triage unit once system capabilities included automatic data flow from triage back to the OB/GYN offices. Yet physicians were generally less satisfied with how the EHR affected their work processes than other clinical and non-clinical staff. Patient satisfaction dropped after initial EHR installation, and we find no evidence of increased satisfaction linked to system integration. Conclusions Dissatisfaction of providers with an EHR system and difficulties incorporating EHR technology into patient care may negatively impact patient satisfaction. Care must be taken during EHR implementations to maintain good communication with patients while satisfying documentation requirements.

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