Engineering Data:
            Elements of Infrared Technology
            . Generation, transmission, and detection. Paul W. Kruse, Laurence D. McGlauchlin, and Richmond B. McQuistan. Wiley, New York, 1962. xxi + 448 pp. Illus. $10.75.

Abstract Background Despite recent advances in the field of medical sciences, children's developmental motor disorders (DMDs) are considered as one of the challenges in this area. Establishment of electronic systems for recording and monitoring children's DMDs can play an effective role in identifying patients and reducing the costs and consequences of the disease management. The aim of this study was to identify and validate the requirements for a registry system of children's DMDs in Iran. Methods The present descriptive–analytical study was performed in three main stages. In the first step, the literature was reviewed to identify the requirements. In the second stage, the information obtained from the literature review was used to develop a questionnaire for validating and selecting the requirements for an electronic system of recording DMDs in infants. In the final stage, the requirements were validated by selected experts (22 specialists). Data were analyzed using SPSS 20 software (IBM Corporation, New York, United States). Results According to findings, the requirements of a registry system for children's DMDs were identified in three areas of demographic (24 data elements), clinical data (87 data elements), and technical (28 capabilities). In the demographic section, data elements of “family history of motor disorders” (mean = 1.18) and “drug allergy” (mean = 2.9) gained an average score of < 2.5 and therefore were not selected as data elements necessary for the registry system of data recording and monitoring children's DMDs. Conclusion In such developing countries as Iran, standard information recording and management is not properly done due to a large amount of information and the lack of comprehensive information registry systems. The findings of this study can help to design and establish information registry systems in the field of children's DMDs. Based on the findings of this research, it is recommended that future research be done to explore infrastructures necessary for providing a suitable platform to design and implement information registry systems in the field of children's DMDs.

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Elements of infrared technology: Generation, transmission and detection

Solid-State Electronics ◽

10.1016/0038-1101(62)90120-x ◽

1962 ◽

Vol 5 (5) ◽

pp. 361 ◽

Cited By ~ 1

Author(s):

R.W. Redington

Keyword(s):

Technology Generation ◽

Infrared Technology

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Adoption of Health Information Exchange by Emergency Physicians at Three Urban Academic Medical Centers

Applied Clinical Informatics ◽

10.4338/aci-2011-02-cr-0010 ◽

2011 ◽

Vol 02 (03) ◽

pp. 263-269 ◽

Cited By ~ 8

Author(s):

J. Shapiro ◽

S. Vaidya ◽

G. Kuperman ◽

N. Genes

Keyword(s):

New York ◽

Health Information ◽

Information Exchange ◽

Health Information Exchange ◽

Clinical Information ◽

Data Availability ◽

Emergency Physicians ◽

Structured Interviews ◽

Successful Retrieval ◽

Data Elements

Summary Objectives: Emergency physicians are trained to make decisions quickly and with limited patient information. Health Information Exchange (HIE) has the potential to improve emergency care by bringing relevant patient data from non-affiliated organizations to the bedside. NYCLIX (New York CLinical Information eXchange) offers HIE functionality among multiple New York metropolitan area provider organizations and has pilot users in several member emergency departments (EDs). Methods: We conducted semi-structured interviews at three participating EDs with emergency physicians trained to use NYCLIX. Among “users” with > 1 login, responses to questions regarding typical usage scenarios, successful retrieval of data, and areas for improving the interface were recorded. Among “non-users” with ≤1 login, questions about NYCLIX accessibility and utility were asked. Both groups were asked to recall items from prior training regarding data sources and availability. Results: Eighteen NYCLIX pilot users, all board certified emergency physicians, were interviewed. Of the 14 physicians with more than one login, half estimated successful retrieval of HIE data affecting patient care. Four non-users (one login or less) cited forgotten login information as a major reason for non-use. Though both groups made errors, users were more likely to recall true NYCLIX member sites and data elements than non-users. Improvements suggested as likely to facilitate usage included a single automated login to both the ED information system (EDIS) and HIE, and automatic notification of HIE data availability in the EDIS All respondents reported satisfaction with their training. Conclusions: Integrating HIE into existing ED workflows remains a challenge, though a substantial fraction of users report changes in management based on HIE data. Though interviewees believed their training was adequate, significant errors in their understanding of available NYCLIX data elements and participating sites persist.

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Does Fever at the Time of Discharge Have Any Impact on the Incidence of Readmission?

The American Surgeon ◽

10.1177/000313480807401204 ◽

2008 ◽

Vol 74 (12) ◽

pp. 1151-1153

Author(s):

James E. Barone

Keyword(s):

New York ◽

Patient Discharge ◽

Hospital Length ◽

Hospital Length Of Stay ◽

Discharge Diagnosis ◽

Surgical Service ◽

The Mean ◽

Data Elements ◽

Recorded Temperature

Most physicians believe that patients who have fever within 24 hours of the planned date of discharge should be kept in the hospital until the fever resolves. A search of the literature revealed very few articles addressing this topic. The object of this study was to review a number of patient discharges from the surgical service and to document the presence or absence of fever within 24 hours of the time of discharge. The primary end point of the study was to determine the rate of readmission for both patients discharged with fever and those discharged without fever. Secondary end points were to determine whether the readmission was related to the original discharge diagnosis or the presence of fever at the time of discharge. The records of all adult patients with a hospital length of stay of ≥5 days discharged from the surgical and gynecology services from April through July of 2007 were reviewed. Deaths were excluded. The following data elements were recorded: primary discharge diagnosis; age; highest recorded temperature within 24 hours of discharge; date time and cause of readmission within 30 days; and outcome. Fever was defined as a temperature of ≥100° F. Data were entered into an Excel (Microsoft, Redmond, WA) spreadsheet, and statistical analysis was performed using χ2 and Fisher's exact tests using Primer of Biostatistics© (McGraw-Hill, New York, NY). The records of 300 consecutive patients were reviewed. Follow-up was available for 86.7 per cent of the patients, 84.4 per cent of the febrile patients, and 87.1 per cent of the nonfebrile patients. A fever of ≥100° within 24 hours of discharge was noted in 45 (15.0%) patients. The mean fever was 100.5°, with a range of 100° to 102.1°. There were 38 readmissions. Of the 45 patients with fever, seven (15.6%) were readmitted. Of those seven, four readmissions were related to the previous admitting diagnosis. Of the patients who were discharged without fever, 31 (12.2%) were readmitted with 24 of those read-missions for diagnoses related to the first admission. The rate of readmission for fever and nonfever patients was not statistically significantly different (P = 0.697). Similarly, the rate of related versus nonrelated diagnoses in both the fever and nonfever groups was not statistically significantly different (P = 0.351). The presence or absence of fever within 24 hours of patient discharge seems to have no impact on the rate of readmission within 30 days.

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