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Biomedical subjects

M B First

Publications and source records attributed to M B First.

23 records · Page 2Linked to original sources
PubMed1991

An A to Z guide to DSM-IV conundrums.

The work on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) poses many puzzling conundrums that touch on complicated and important theoretical and practical issues. None of these can be resolved in the DSM-IV, but we hope that the Task Force's decisions will be informed by thorough reviews of the currently available evidence and extensive input from all sectors of the mental health field. In this article we provide an alphabetical guide to DSM-IV conundrums that we hope will stimulate comments, suggestions, and criticisms about the work of the Task Force.

Diagnosis, Differential↗
PubMed1990

DSM-IV: work in progress.

The authors present an overview of the work in progress on DSM-IV. After a brief historical review, they discuss the principles and multiple purposes of the DSM-IV effort and outline the three stages of its empirical documentation: systematic literature reviews, analysis of unpublished data, and field trials. Next, they discuss several of the basic conceptual issues that are implicit in revising a nomenclature. These include the definition of mental disorder, the balance between multiple diagnosis and differential diagnosis, the use of categorical and dimensional models of classification, and issues involved in the construction of criteria. Finally, they summarize the most important specific questions being reviewed by each of the DSM-IV work groups.

Humans↗
PubMed1985

QUICK (QUick Index to Caduceus Knowledge): using the INTERNIST-1/CADUCEUS knowledge base as an electronic textbook of medicine.

QUICK (QUick Index to Caduceus Knowledge), is a prototypical user-friendly access system which adapts the INTERNIST-1/CADUCEUS knowledge base for use as an electronic textbook of medicine. The QUICK program can be used both as a diagnostic aid and a teaching tool in the field of internal medicine. A preliminary evaluation of a prototypical version of QUICK was conducted in order to identify its strengths and weaknesses. QUICK was made available to the medical housestaff at three Pittsburgh area teaching hospitals for a period of 2 months. Most users felt QUICK was educational and wanted future access to the system. An examination of log files revealed the users' most frequently encountered difficulties. Using the INTERNIST-I knowledge base as an electronic textbook expands the project's intended audience by providing clinical support for a broad group of diagnostic problems.

Computer-Assisted Instruction↗
PubMedDate not supplied

Evaluation in an inpatient setting of DTREE, a computer-assisted diagnostic assessment procedure.

This study examined the procedural validity of DTREE, a microcomputer-based expert system that guides the user through the diagnostic logic of DSM-III-R. A DTREE-guided DSM-III-R diagnosis of 20 inpatients (made by the treating clinician) was compared with a "standard" diagnosis made simultaneously during a weekly 2-hour case conference consisting of a presentation by the treating clinician and other staff, a chart summary, and the administration of the Structured Clinical Interview for DSM-III-R (SCID), and culminating in a group consensus diagnosis. The kappa agreements were .80 for schizophrenia (N = 10), .83 for major depression (N = 3), and -.08 to 1.00 for other disorders. These results suggest that DTREE can produce valid assessments, at least in an acute setting of primarily patients with schizophrenia.

Adolescent↗