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J L Foy

Publications and source records attributed to J L Foy.

8 recordsLinked to original sources
PubMed1994

Integrating non-proprietary workstations into proprietary systems.

'Clinical workstations', increasingly described as pivotal components of information systems for patient care, can be characterized as providing several major functions: access to data, presentation of data, computation (including medical decision logic), entry of data, and combinations of the above, integrated appropriately for various clinical situations. Because workstation technology is developing rapidly on many fronts and the demands on health-care organizations are growing, it is increasingly unlikely that any single total-system solution can effectively meet the needs. This paper discusses some of the issues pertinent to the integration of non-proprietary workstations with proprietary hospital systems. The approach of a particular vendor, the role of a meta-database, user interface design standards, and some problems consequent to the new technologies are discussed.

Computer Security↗
PubMed1992

Automated therapeutic drug monitoring in an ambulatory care endocrine clinic.

OBJECTIVE: To develop and implement an automated therapeutic drug monitoring system for accessing data from endocrine clinic patients who had been prescribed insulin, oral hypoglycemic agents (OHA), or levothyroxine. DATA SOURCES: We designed a computer system to retrieve clinical data from the Medical Information System (MIS), a centralized hospital computer system, and import this information directly into a Macintosh personal computer. Physician entry of prescriptions for insulin, OHA, or levothyroxine into MIS formed the basis for a computer program to retrieve daily diagnostic and prescription information, demographics, and laboratory analyses, including blood glucose and glycosylated hemoglobin for insulin and OHA orders and free and total thyroxine, total triiodothyronine, and thyroid stimulating hormone for levothyroxine orders. The information was imported into a database program (4th Dimension). RESULTS: The system identifies laboratory values outside of predetermined therapeutic ranges, maintains an up-to-date patient profile, and edits and generates reports. Preliminary experience suggests that automation eliminates 75-90 percent of the time required to manually collect the same information, and improves the accuracy, comprehensiveness, and utility of reports. CONCLUSIONS: Automated therapeutic drug monitoring minimizes the time required to collect clinical data, alerts clinicians to potential problems, and provides a means to assess overall therapeutic management. Our methodology can be used to evaluate other medications in a variety of general or specialty clinics.

Ambulatory Care↗
PubMed1984

Shy-Drager syndrome presenting as depression: case report.

A case of Shy-Drager syndrome (proven at autopsy) initially presented as a depressive disorder. Shy-Drager syndrome should be added to the list of subcortical neurologic disorders which may initially present with an affective disturbance.

Autonomic Nervous System Diseases↗
PubMed1979

Dostoevsky and suicide.

Fyodor Dostoevsky has continued to grow in stature and influence among modern writers. His modernity is based, among other things, upon his psychological penetration of character and motive. Suicide received considerable attention and analysis in his novels and stories. Although dynamic psychiatry has always held Dostoevsky in high regard, practically all psychiatrists have tended to ignore Dostoevsky's valuable insights into the subject of suicide. This paper offers a total view of the author's contributions to suicidology, through a study of suicidal behavior in his fiction, journalism and in his own life experiences. Dostoevsky's writings are testimony to the continuous and brilliant interrelations between his fictional and journalistic narratives, his understanding of individual, family and group dynamics, his intellectual search for the roots of ideology, and the authentic experience and spiritual quest of his life.

Humans↗