Biomedical subjects
Publications and source records attributed to A R Colson.
Preparing the nursing staff is essential when implementing bedside computers. Realistically, all staff may not be trained before the clinical information system (CIS) goes "live," but resource personnel and the vendor can alleviate stressors associated with the change. Promoting the system early is vital to gain interest and support.
A multidisciplinary approach was used to select a bedside computer in a tertiary medical center's medical intensive care unit. Three committees were formed both by the medical center and the vendor: selection, configuration and implementation. A similar committee structure also existed with the vendor. The sets of committees formed a strong partnership to ensure a state-of-the-art system which would be easy to use and provide nursing staff with more time at the patient's bedside.
Four outbreaks of hepatogenous photosensitisation occurred in weaned lambs in north eastern Victoria during the summers of 1985 and 1986. Attack rates varied between 7% and 43% and case fatality rates between 60% and 71%. Clinical signs included photosensitisation and jaundice. Serum biochemistry suggested hepatobiliary and hepatoparenchymal damage with impaired renal function. At necropsy livers were an ochre colour and kidneys a mottled brown to khaki. Histopathologically, needle-shaped to lenticular clefts were observed in and around bile ducts and in hepatocytes, hepatic sinusoidal macrophages and renal tubules. Optically active rhomboidal crystals were present in bile sediments. Panicum schinzii was identified as a possible cause in 2 of the 4 outbreaks. The clinical disease was reproduced in 2 of 6 lambs grazed on a toxic paddock. The disease was indistinguishable from geeldikkop except for the fact that Tribulus terrestris was not present on any of the 4 farms.