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Biomedical subjects

B G Zallen

Publications and source records attributed to B G Zallen.

3 recordsLinked to original sources

Actual practice with Interpractice Systems: first experiences.

A new health center of Harvard Community Health Plan of Boston, MA, has been the test site for aspects of InterPractice Systems including the automated medical record, test and prescription ordering, results management, and home systems. Some of our staff had no prior computer experience, some had extensive experience. We have found the system to be valuable in accessing information quickly and efficiently. In addition, clinical, medication and test data can be manipulated and organized in new and powerful ways. Patient records are always legible and are accessible at multiple locations at the moment they are completed. Recording of information has not been a burden. Prescription ordering has been a success and ordering of laboratory and radiology tests is becoming more simplified. A pilot test of the home systems has been promising. The use of the system does not appear to interfere with the doctor-patient relationship. The system holds the potential of being used as a tool for clinical research and outcomes studies and as an aid in defining the efficient use of resources while continuously improving the quality of care our patients receive.

Ambulatory Care Information Systems↗

Neurodevelopmental readiness for adolescence: studies of an assessment instrument for 9- to 14-year-old children.

The Pediatric Examination of Educational Readiness at Middle Childhood (PEERAMID) is a neurodevelopmental examination for 9- to 14-year-old children. The examination was designed largely for use by developmental-behavioral pediatricians as a way of assessing certain critical developmental functions, including attention, memory, language, and motor coordination in children with school problems. Preliminary field testing of the PEERAMID was carried out in one community, and subsequently a revised version was standardized on randomly selected subjects from three communities near Boston, Massachusetts, and on groups of children from those towns said to be having significant problems at school. Additionally, the examination was used for the evaluation of 106 consecutive patients referred to the School Function Program at The Children's Hospital in Boston. Statistically significant performance differences discriminated between children with normal academic performance and those with school problems in the community as well as in the referral setting. It was discovered that children with school problems tended to have clusters of dysfunction, whereas normally achieving youngsters more often harbored no developmental dysfunctions or perhaps one or two areas of difficulty. It is believed that the PEERAMID can be a useful instrument in serving as part of a pediatric contribution to a multidisciplinary assessment in children in this age group.

Adolescent↗

The learning disorders of adolescence: organic and nonorganic failure to strive.

As students proceed through late elementary and junior high school, academic demands change drastically. The altered requirements may give rise to seemingly new learning disorders or may aggravate or modify a preexisting recognized dysfunction. This article discusses common areas of disability in this age group, developmental complications, and academic performance delays, and presents guidelines for assessment and management.

Adolescent↗