History of Medical Informatics: Fifty Years in Medical Informatics

2006 ◽  
Vol 15 (01) ◽  
pp. 174-179 ◽  
Author(s):  
Morris Collen

SummaryAn overview of personal experiences in medical informatics based on Dr. Morris Collen’s 50 years of research in the field.A personal reminiscence and historical overview, focusing on the first two decades of medical informatics, when Dr. Collen began working with Dr. Sidney Garfield, the founder of Kaiser Permanente, leading to his involvement in computer-based medical care, through the development of the pioneering Automated Multiphasic Health Testing (AMHT) system, which they introduced into Kaiser clinics in Oakland and San Francisco.Statistical models for medical decision-making based on consultations with Jerzy Neyman and George Dantzig were incorporated into the AMHT, and tested on a large database of cases. Meetings with other pioneers in medical informatics at the Karolinska Institute led to the formation of the early society Salutas Unitas, and the many national and international collaborations which followed during the first two decades helped coalesce the field as clinicians and researchers investigated problems of medical data, decision support, and laboratory, hospital, and library information systems.Dr. Collen’s research and his many medical informatics activities significantly contributed to the growth of the field. The U.S. contributions are covered extensively in his book, A History of Medical Informatics in the United States, 1950-1990. Washington, DC: Am Med Informatics Association 1995.

Author(s):  
Suleiman Osman

Gentrification is one of the most controversial issues in American cities today. But it also remains one of the least understood. Few agree on how to define it or whether it is boon or curse for cities. Gentrification has changed over time and has a history dating back to the early 20th century. Historically, gentrification has had a smaller demographic impact on American cities than suburbanization or immigration. But since the late 1970s, gentrification has dramatically reshaped cities like Seattle, San Francisco, and Boston. Furthermore, districts such as the French Quarter in New Orleans, New York City’s Greenwich Village, and Georgetown in Washington DC have had an outsized influence on the political, cultural, and architectural history of cities. Gentrification thus must be examined alongside suburbanization as one of the major historical trends shaping the 20th-century American metropolis.


2012 ◽  
Vol 31 (2) ◽  
pp. 229-246 ◽  
Author(s):  
Howard Plotkin ◽  
Roy Clarke

The Goose Lake meteorite, a 2,573 lb (1,167 kg) iron, was found by three deer hunters on lava beds in the Modoc National Forest in northeast California in October, 1938. Although several California persons wanted possession of the meteorite for various California institutions, under the powers of the 1906 Antiquities Act meteorites found on US federal lands were typically transferred to the US National Museum at the Smithsonian Institution and accessioned into the National Collection of Meteorites. With authorization from the US Department of Agriculture, the Smithsonian began a correspondence with one of the meteorite's finders to arrange for its retrieval. But the situation became complicated and controversial when meteorite collector/dealer Harvey H. Nininger (1887-1986), who harboured hopes that the meteorite might be on a parcel of private land in the National Forest, falsely presented himself to the finder as a Smithsonian agent, and was taken to the site of the meteorite. A survey showed the meteorite was on federal land, however, and the Smithsonian reluctantly allowed Nininger to oversee its recovery. During the time that the meteorite was on loan from the Smithsonian and on exhibit at the San Francisco World's Fair, considerable pressure from various California individuals and institutions was put on the Smithsonian to keep the meteorite in California, but it was accessioned into the Smithsonian's National Collection of Meteorites and shipped to Washington, DC. The controversial history of the Goose Lake meteorite affirmed the applicability of the Antiquities Act with regard to the disposition of meteorites found on US federal lands, and set the stage for the later court rulings involving the Old Woman meteorite, a large (2,753 kg) iron found on government land in California in 1976. Problematic ownership issues like those involving the Goose Lake meteorite exist in other countries besides the United States, and in other branches of natural history, especially paleontology. The Goose Lake meteorite is famous for its numerous and enigmatic large holes and cavities, and is a popular attraction at the Smithsonian's National Museum of Natural History in Washington, DC.


2019 ◽  
Vol 19 (4) ◽  
pp. 78-90
Author(s):  
Theresa McCulla

In 1965, Frederick (Fritz) Maytag III began a decades-long revitalization of Anchor Brewing Company in San Francisco, California. This was an unexpected venture from an unlikely brewer; for generations, Maytag's family had run the Maytag Washing Machine Company in Iowa and he had no training in brewing. Yet Maytag's career at Anchor initiated a phenomenal wave of growth in the American brewing industry that came to be known as the microbrewing—now “craft beer”—revolution. To understand Maytag's path, this article draws on original oral histories and artifacts that Maytag donated to the Smithsonian Institution's National Museum of American History via the American Brewing History Initiative, a project to document the history of brewing in the United States. The objects and reflections that Maytag shared with the museum revealed a surprising link between the birth of microbrewing and the strategies and culture of mass manufacturing. Even if the hallmarks of microbrewing—a small-scale, artisan approach to making beer—began as a backlash against the mass-produced system of large breweries, they relied on Maytag's early, intimate connections to the assembly-line world of the Maytag Company and the alchemy of intellectual curiosity, socioeconomic privilege, and risk tolerance with which his history equipped him.


BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Milagro Escobar ◽  
Andrea DeCastro Mendez ◽  
Maria Romero Encinas ◽  
Sofia Villagomez ◽  
Janet M. Wojcicki

Abstract Background Food insecurity impacts nearly one-in-four Latinx households in the United States and has been exacerbated by the novel coronavirus or COVID-19 pandemic. Methods We examined the impact of COVID-19 on household and child food security in three preexisting, longitudinal, Latinx urban cohorts in the San Francisco Bay Area (N = 375 households, 1875 individuals). Households were initially recruited during pregnancy and postpartum at Zuckerberg San Francisco General Hospital (ZSFG) and UCSF Benioff prior to the COVID-19 pandemic. For this COVID-19 sub-study, participants responded to a 15-min telephonic interview. Participants answered 18 questions from the US Food Security Food Module (US HFSSM) and questions on types of food consumption, housing and employment status, and history of COVID-19 infection as per community or hospital-based testing. Food security and insecurity levels were compared with prior year metrics. Results We found low levels of household food security in Latinx families (by cohort: 29.2%; 34.2%; 60.0%) and child food security (56.9%, 54.1%, 78.0%) with differences between cohorts explained by self-reported levels of education and employment status. Food security levels were much lower than those reported previously in two cohorts where data had been recorded from prior years. Reported history of COVID-19 infection in households was 4.8% (95% Confidence Interval (CI); 1.5–14.3%); 7.2% (95%CI, 3.6–13.9%) and 3.5% (95%CI, 1.7–7.2%) by cohort and was associated with food insecurity in the two larger cohorts (p = 0.03; p = 0.01 respectively). Conclusions Latinx families in the Bay Area with children are experiencing a sharp rise in food insecurity levels during the COVID-19 epidemic. Food insecurity, similar to other indices of poverty, is associated with increased risk for COVID-19 infection. Comprehensive interventions are needed to address food insecurity in Latinx populations and further studies are needed to better assess independent associations between household food insecurity, poor nutritional health and risk of COVID-19 infection.


2009 ◽  
Vol 10 (1) ◽  
pp. 8 ◽  
Author(s):  
Alison E. Robertson ◽  
Silvia R. Cianzio ◽  
Sarah M. Cerra ◽  
Richard O. Pope

Phytophthora root and stem rot (PRR), caused by the oomycete Phytophthora sojae, is an economically important soybean disease in the north central region of the United States, including Iowa. Previous surveys of the pathogenic diversity of P. sojae in Iowa did not investigate whether multiple pathotypes of the pathogen existed in individual fields. Considering the many pathotypes of P. sojae that have been reported in Iowa, we hypothesized multiple pathotypes could exist within single fields. In the research reported herein, several soil samples were collected systematically from each of two commercial fields with a history of PRR in Iowa, and each soil sample was baited separately for isolates of P. sojae. Numerous pathotypes of P. sojae were detected from both fields. As many as four pathotypes were detected in some soil samples (each consisting of six to eight soil cores), which suggests that a single soybean plant could be subjected to infection by more than one pathotype. This possibility presents important implications in breeding resistant cultivars and in the management of PRR. Accepted for publication 14 July 2009. Published 8 September 2009.


2010 ◽  
Vol 8 (4) ◽  
pp. 1169-1170 ◽  
Author(s):  
Robert Jervis

Among the many issues raised by James Lebovic's perceptive review are two that strike me as crucial: the relationships between intelligence and social science and those between intelligence and policymaking. The first itself has two parts, one being how scholars can study intelligence. Both access and methods are difficult. For years, diplomatic historians referred to intelligence as the “hidden dimension” of their subject. Now it is much more open, and Great Britain, generally more secretive than the United States, has just issued the authorized history of MI5 (see Christopher Andrew, Defend the Realm: The Authorized History of MI5, 2009). Since the end of the Cold War, the CIA has released extensive, if incomplete, records, and the bright side (for us) of intelligence failures is that they lead to the release of treasure troves of documents, which can often be supplemented by memoirs and interviews. But even more than in other aspects of foreign policy analysis, we are stuck with evidence that is fragmentary. In this way, we resemble scholars of ancient societies, who forever lament the loss of most of the material they want to study.


2018 ◽  
Vol 17 (2) ◽  
pp. 55-62 ◽  
Author(s):  
Nimaljeet Tarango ◽  
Andrea Gergay Baird

Pulmonary arterial hypertension (PAH) is a serious, chronic, progressive cardiopulmonary disease. PAH is associated with several concomitant conditions, as well as drugs and toxins.12 Methamphetamine abuse is likely associated with the development of PAH.3 Methamphetamine abuse is epidemic in the United States and abroad, with rates of new users escalating since 2012. There are over 100,000 new users annually as young as 12 years old. Treating a patient with a history of methamphetamine abuse poses many challenges for a clinician, including nonadherence, therapeutic treatment selection, complex psychosocial issues, and relapse or continued drug abuse. Patients with methamphetamine-associated PAH (Meth-APAH) have higher mortality rates when compared to idiopathic PAH.3 Having a better understanding of the complexities of addiction and working with a multidisciplinary team that includes a social worker to provide care and counseling to these patients can improve their trajectory. In this article, we will offer insight and background into methamphetamine abuse and addiction, as well as discuss a practical approach for clinicians in treating a patient with Meth-APAH, based on the literature, as well as our personal experiences at University of California, San Francisco Medical Center.


Author(s):  
David Vogel

This chapter, which begins by exploring California's early history, demonstrates the critical role played by both geography and public policy in shaping the state's early economic development, the environmental impacts of that development, and the state's efforts to address those impacts. The discovery of gold in the Sierra foothills in 1848 literally created the state of California. However, the geography of those foothills and the valley into which their rivers flowed also made gold mining one of the most environmentally destructive natural resource activities in nineteenth-century America. It sharply divided the business interests of northern California, leading to a prolonged and bitter battle between mining companies and farmers in the Sacramento Valley. This conflict was finally resolved by a federal court decision in 1884 that banned hydraulic mining—the first important environmental ruling issued by a federal court. This decision was issued in San Francisco by a California judge, illustrating the important role played by the state in the history of pollution control in the United States.


Author(s):  
John Wang ◽  
James Yao ◽  
Jeffrey Hsu

Over the four decades of its history, decision support systems (DSSs) have moved from a radical movement that changed the way information systems were perceived in business, to a mainstream commercial information technology movement that all organizations engage. This interactive, flexible, and adaptable computer-based information system derives from two main areas of research: the theoretical studies of organizational decision making done at the Carnegie Institute in the 1950s and early 1960s as well as the technical work on interactive computer systems which was mainly performed by the Massachusetts Institute of Technology (Keen & Morton, 1978). DSSs began due to the importance of formalizing a record of ideas, people, systems, and technologies implicated in this sector of applied information technology. But the history of this system is not precise due to the many individuals involved in different stages of DSSs and various industries while claiming to be pioneers of the system (Arnott & Pervan, 2005; Power, 2003). DSSs have become very sophisticated and stylish since these pioneers began their research. Many new systems have expanded the frontiers established by these pioneers yet the core and basis of the system remains the same. Today, DSSs are used in the finance, accounting, marketing, medical, as well as many other fields.


1932 ◽  
Vol 1 (1) ◽  
pp. 18-25

Albert Abraham Michelson was born on December 19, 1852, at Strelno in Posen, now restored to Poland. When he was two years old, he was taken by his parents, Samuel Michelson and Rosalie (Przlubska), to the United States, and, after some fifteen years spent in Virgina City, Nevada, where his brother Charles was born, San Francisco became their home. There his sister Miriam, the author, was born, and the boy attended the high school. He was given, in unusual circumstances, an appointment in the U.S. Naval Academy at Annapolis, and after graduating in 1873 he became a midshipman in the U.S. Navy for two years and was afterwards appointed instructor in physics and chemistry in the Naval Academy in 1875, holding the appointment until 1879. His next year was spent in the Nautical Almanac Office in Washington, and then he studied for two years at the College of France, and at Heidelberg and Berlin. In 1882 he became Professor of Physics in the Case School of Applied Science at Cleveland, Ohio. After seven years he went as Professor of Physics to Clark University, Worcester, Mass., and remained there until 1892. He was then appointed Professor at the head of the Ryerson Physical Laboratory, Chicago ; this appointment he held until shortly before his death, which occurred on May 9, 1931. He married Miss Edna Stanton of Lake Forest, Illinois, in 1899, and they had a son and two daughters. This in brief contains the history of his official appointments : how he filled the various posts is another matter.


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