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Biomedical subjects

R J Pellicore

Publications and source records attributed to R J Pellicore.

2 recordsLinked to original sources

A computer-assisted, goal-oriented psychiatric progress note system.

The authors describe a computer system that develops a structured progress note for inclusion in the medical record. The progress note system reflects a goal-oriented patient treatment process and also provides for retrospective analysis of progress note information to accommodate research and review objectives. The system, which has met with a high degree of clinician acceptance, has resulted in improved case documentation, more timely and comprehensive notes, a higher level of objectivity, and a considerable reduction in the time required to organize and record progress note data.

Computers

Stump overgrowth in juvenile amputees.

Stump overgrowth requiring surgical revisions occurred in 58 of 1,015 (5.7%) skeletally immature patients with congenital and acquired amputations. Acquired below-knee amputation was the most common type needing revision (18.5%), and the congenital group not requiring a conversion had the least overgrowth problem (1.7%). When the primary amputation occurred after the age of 12 years or when disarticulation was carried out, revisions were unnecessary. The younger the patient, the greater the incidence of repeated revisions. Study of the histological changes in eight juvenile congenital and acquired amputees revealed two patterns: reactive connective tissue stratification and a bursa.

Adolescent