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Biomedical subjects

S Pell

Publications and source records attributed to S Pell.

At least 37 records · Page 2Linked to original sources

Epidemiological requirements for medical-environmental data management.

In establishing a system to provide data for epidemiological research in occupational health, it should be recognized that such studies require more information than what usually becomes available routinely in occupational health programs. Additional types of data that may have to be put into the system include supplementary diagnostic information, level and duration of exposure to potentially hazardous substances, demographic information related to socioeconomic status and fertility, population census statistics for the entire company and various company installations, and follow-up-data on retired employees. The quality of the data is especially important for epidemiologic research. Therefore, data validation procedures need to be established whereby the information that goes into the system is reviewed for precision, completeness, and reliability.

Aged↗

Symposium on Target Organ Toxicity: cardiovascular system. The epidemiologic approach.

Epidemiological studies rarely provide unequivocal data on the effects of toxic substances on human health. Unlike experimental studies, pertinent variables frequently cannot be controlled and some are often unknown. Nevertheless, these limitations can be dealt with by various facets of an epidemiological investigation. These include, the choice of a study design, selection of controls or comparison populations, evaluation of available data, statistical analysis, and the drawing of appropriate inferences from the data. Among the special problems that might be encountered in studies of the effects of cardiotoxic substances are, difficulties in establishing diagnoses, errors in death certificates, observer errors in electrocardiographic interpretations, and taking into account the effects of various risk factors known to be implicated in the etiology of cardiovascular diseases. In spite of various methodological problems and certain inherent limitations of epidemiological studies, they can, when properly conducted, make significant contributions to knowledge of disease etiology and provide the means of reducing the risk of a disease, even when its etiology is not completely known.

Epidemiologic Methods↗

Utilization of medical information systems in American occupational medicine. A committee report.

In an attempt to define the nature of medical programs and the extent of utilization of information systems in occupational medicine, a questionnaire was directed to 230 corporate medical directors of the largest employers in the USA. Responses were received from 163 (nearly 70%) of those contacted. While industrial injury data and sickness absence statistics are the principal areas of present computer analysis, respondents indicated that future plans called for a shift in emphasis to the analysis and correlation of human medical data with work exposure data. Nearly three-quarters of the respondents are planning more extensive medical information systems. It is concluded that there is an apparent need for both trained personnel to develop appropriate systems and enhanced communication between the users and suppliers of the required computer technology.

Computers↗

Development of a medical center rape crisis intervention program.

The Rape Crisis Intervention Program at Beth Israel Hospital utilizes volunteer multidisciplinary counseling teams drawn from psychiatry, social work, psychology, and nursing staffs. The premise of the program is that early crisis intervention can prevent later development of psychological disturbances in later development of psychological disturbances in victims. Counselors accompany victims throughout emergency room procedures: follow-up begins 48 hours after the initial contact and continues at regular intervals for at least a year. The authors discuss the problems of implementation, which include staff resistance, finding questions, and varying levels of counseling sophistication, and describe how these difficulties have been handled in their program. They note that this program is becoming a resource center for the community.

Counseling↗