发布求助
文献互助 智能选刊 最新文献

Proceedings. Symposium on Computer Applications in Medical Care最新文献

筛选
英文 中文
Supporting ad-hoc queries in an integrated clinical database. 支持在集成临床数据库中进行特别查询。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
S A Steib, R M Reichley, S T McMullin, K A Marrs, T C Bailey, W C Dunagan, M G Kahn
{"title":"Supporting ad-hoc queries in an integrated clinical database.","authors":"S A Steib,&nbsp;R M Reichley,&nbsp;S T McMullin,&nbsp;K A Marrs,&nbsp;T C Bailey,&nbsp;W C Dunagan,&nbsp;M G Kahn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Whether caring for patients or conducting research, medical decision-makers need access to clinical data. To fulfill that need, commercial software developers have produced a wide range of database query tools that differ greatly in functionality and cost. Generally, tools that have a greater ability to conceal database complexity from the user also require more effort for administrative setup. We describe a cost-effective, commercially-available query tool that requires no special setup to perform most simple queries, yet can be customized to satisfy users' more complex querying requirements.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"62-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579056/pdf/procascamc00009-0093.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intelligent monitor for an anesthesia breathing circuit. 用于麻醉呼吸回路的智能监测器。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
S P Narus, K Kück, D R Westenskow
{"title":"Intelligent monitor for an anesthesia breathing circuit.","authors":"S P Narus,&nbsp;K Kück,&nbsp;D R Westenskow","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A competent breathing circuit is mandatory to the safe and effective delivery of oxygen and anesthetic gases to the patient. Studies have shown that failures in the circuit are the most likely causes of anesthetic mishaps. Unfortunately, the complexity of the system renders traditional monitoring methods ineffective. We have developed a hierarchical artificial neural network monitor that is capable of examining ventilator signals. It was trained to identify 23 faults in the breathing circuit during ventilator controlled breathing and 21 faults during spontaneous breathing. The networks correctly identified a fault condition in 92% and 83% of cases for ventilator and spontaneous data, respectively. The correct fault type was found in 76% and 68% of cases for ventilator and spontaneous data, respectively. Results show that the network met our criteria for a holistic, specific, and vigilant monitoring system.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"96-100"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579063/pdf/procascamc00009-0127.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using intermediate states to improve the ability of the Arden Syntax to implement care plans and reuse knowledge. 利用中间状态提高Arden语法实现护理计划和知识重用的能力。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
E H Sherman, G Hripcsak, J Starren, R A Jenders, P Clayton
{"title":"Using intermediate states to improve the ability of the Arden Syntax to implement care plans and reuse knowledge.","authors":"E H Sherman,&nbsp;G Hripcsak,&nbsp;J Starren,&nbsp;R A Jenders,&nbsp;P Clayton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Arden Syntax is one of a few knowledge representation languages currently in use for clinical decision support. While some of these languages are being used in active patient care settings, none have gained widespread acceptance as a clinical tool. Prior attempts to represent temporally complex care plans in the Arden Syntax have revealed difficulties in representing and tracking series of consecutive time-oriented events and recommendations, in sharing and reusing knowledge and in dealing with unobtainable data. In an attempt to improve Arden's ability to deal with these problems and demonstrate the importance of these factors, the clinical event monitor has been adapted to store coded data representing Intermediate States in the Columbia Presbyterian Medical Center (CPMC) central data repository. The Intermediate States define the current state of the patient as laid out in the care plan. Four care plans were constructed. The findings include an improved ability to track complex series of events and recommendations over long periods of time. The knowledge generated by the electronic care plans was able to be reused by the care plan that generated it, by other elements of the knowledge base and by non-decision support applications. Modular development, facilitated by the changes, simplified dealing with data not available to the central data repository by aiding the implementation of those parts of the care plan for which sufficient data is available.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"238-42"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579091/pdf/procascamc00009-0268.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A successful protocol for the use of pulse oximetry to classify arterial oxygenation into four fuzzy categories. 一个成功的协议，使用脉搏血氧仪将动脉氧合分为四个模糊类别。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
R M Sailors, T D East, C J Wallace, A H Morris
{"title":"A successful protocol for the use of pulse oximetry to classify arterial oxygenation into four fuzzy categories.","authors":"R M Sailors,&nbsp;T D East,&nbsp;C J Wallace,&nbsp;A H Morris","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pulse oximetry is widely used in critical care medicine to noninvasively estimate arterial hemoglobin oxygen saturation. Despite the obvious benefits of using pulse oximetry to detect life threatening desaturations, it is unknown how well pulse oximetry is able to predict the finer graduations of arterial oxygenation needed for clinical decision making. A computerized protocol was developed for the use of pulse oximetry to classify arterial oxygenation into four fuzzy categories and tested in a prospective clinical trial which compared the oxygenation category assigned by the protocol to one assigned by a respiratory therapist. In 3,742 classifications from 15 patients over a seven month period, the protocol showed 96% agreement with the therapists in the direction of therapy and 75% agreement with the oxygenation classes assigned by the therapists.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"248-52"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579093/pdf/procascamc00009-0278.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge discovery in clinical databases based on variable precision rough set model. 基于变精度粗糙集模型的临床数据库知识发现。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
S Tsumoto, W Ziarko, N Shan, H Tanaka
{"title":"Knowledge discovery in clinical databases based on variable precision rough set model.","authors":"S Tsumoto,&nbsp;W Ziarko,&nbsp;N Shan,&nbsp;H Tanaka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since a large amount of clinical data are being stored electronically, discovery of knowledge from such clinical databases is one of the important growing research area in medical informatics. For this purpose, we develop KDD-R (a system for Knowledge Discovery in Databases using Rough sets), an experimental system for knowledge discovery and machine learning research using variable precision rough sets (VPRS) model, which is an extension of original rough set model. This system works in the following steps. First, it preprocesses databases and translates continuous data into discretized ones. Second, KDD-R checks dependencies between attributes and reduces spurious data. Third, the system computes rules from reduced databases. Finally, fourth, it evaluates decision making. For evaluation, this system is applied to a clinical database of meningoencephalitis, whose computational results show that several new findings are obtained.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"270-4"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579097/pdf/procascamc00009-0300.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CHIME-Net, the Connecticut Health Information Network: a pilot study. 康涅狄格州健康信息网络CHIME-Net:一项试点研究。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
L L Reed-Fourquet, D Durand, L Johnson, S Beaudin, J Trask, E DiSilvestro, L Smith, P Courtway, J Pappanikou, R Bretaigne
{"title":"CHIME-Net, the Connecticut Health Information Network: a pilot study.","authors":"L L Reed-Fourquet,&nbsp;D Durand,&nbsp;L Johnson,&nbsp;S Beaudin,&nbsp;J Trask,&nbsp;E DiSilvestro,&nbsp;L Smith,&nbsp;P Courtway,&nbsp;J Pappanikou,&nbsp;R Bretaigne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>CHIME-Net is a state-wide community health information network project which uses a frame-relay approach to interfacility and internet connectivity. This is a collaborative effort among competitive institutions, which embraces technologies new to the health care industry. The experiences of implementation of the CHIME-Net pilot project are presented as a first milestone for the state-wide effort.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"561-5"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579156/pdf/procascamc00009-0590.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HealthDesk for Hemophilia: an interactive computer and communications system for chronic illness self-management. 血友病HealthDesk:一个用于慢性疾病自我管理的交互式计算机和通信系统。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
F Carl, T J Gribble
{"title":"HealthDesk for Hemophilia: an interactive computer and communications system for chronic illness self-management.","authors":"F Carl,&nbsp;T J Gribble","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>HealthDesk for Hemophilia is an interactive computer software application designed on the premise that successful chronic illness self-management requires information, self-care skills, on-going communication with health care providers, and user-friendly record keeping. The software was pilot tested for six months in the homes of eight hemophilia patients. The purpose of the pilot was to assess the impact of HealthDesk for Hemophilia on patient satisfaction, patient-provider communication, and user confidence in chronic illness self-management. Results from the pilot show that when HealthDesk for Hemophilia is made available to patients and their families, they use it, value it, and gain confidence in their illness self-management skills. Users also report high satisfaction with their health care providers.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"829-33"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579210/pdf/procascamc00009-0858.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using a pen-based computer to collect health-related quality of life and utilities information. 使用笔式计算机收集与健康有关的生活质量和公用事业信息。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
P P Le, I S Kohane, J C Weeks
{"title":"Using a pen-based computer to collect health-related quality of life and utilities information.","authors":"P P Le,&nbsp;I S Kohane,&nbsp;J C Weeks","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We have developed a system that uses the Newton MessagePad technology as part of a client-client-server paradigm to collect health-related quality of life information from breast cancer patients attending an outpatient clinic at the Dana-Farber Cancer Institute. Patients are asked to fill out an electronic questionnaire on the Newton, which then uploads the information into the institution's Oracle database. The program consists of a separate questionnaire engine and question base, facilitating questionnaire design and allowing us to give different questionnaires to different patients dynamically. The results of a preliminary trial show excellent user-acceptance of the device. Finally, we present a general framework for such systems and discuss issues that developers must consider when implementing a pen-based computer project.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"839-43"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579212/pdf/procascamc00009-0868.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A new formalism for temporal modeling in medical decision-support systems. 医疗决策支持系统中时间建模的一种新形式。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
C F Aliferis, G F Cooper
{"title":"A new formalism for temporal modeling in medical decision-support systems.","authors":"C F Aliferis,&nbsp;G F Cooper","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present a new mathematical formalism, which we call modifiable temporal belief networks (MTBNs) that extends the concept of an ordinary belief network (BN) to incorporate a dynamic causal structure and explicit temporal semantics. An important feature of MTBNs is that they allow portions of the model to be abstract and portions of it to be temporally explicit. We show how this property can lead to substantial knowledge acquisition and computational complexity savings. In addition to temporal modeling, the language of MTBNs can be an important analytical tool, as well as temporal language for causal discovery.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"213-7"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579086/pdf/procascamc00009-0243.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Problems with integrating legacy systems. 集成遗留系统的问题。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
E M van Mulligen, R Cornet, T Timmers
{"title":"Problems with integrating legacy systems.","authors":"E M van Mulligen,&nbsp;R Cornet,&nbsp;T Timmers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The economic and organizational impact of imposing state-of-the-art technology to the large number of proprietary legacy systems operational in most hospitals requires integrated clinical professional workstations to provide flexible encapsulation mechanisms for these systems rather than reengineering these systems to this new technology. In this paper the implications of different input/output and translation models of legacy systems for their integration into a clinical workstation is described. Examples of legacy systems that have been integrated in the HERMES clinical workstation are presented as examples of the range of difficulties one might encounter. The features that an integrated workstation should offer for integrating a broad range of legacy systems are also addressed in this paper.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"747-51"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579193/pdf/procascamc00009-0776.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19544419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信
小红书