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PubMed · 5823503

The biomedical communications network.

D B McCarn
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Abstract

The Biomedical Communications Network (BCN) is the embodiment of the plans of the National Library of Medicine to provide improved information, document, and education services to the health community. The BCN also will be the "core" public service network to ensure the most expeditious delivery of health information and education products to a selected public. As such, utilization of communications satellites as well as other more common forms of telecommunications are planned. The library component of the Network will provide decentralized library services to medical libraries, medical schools, hospitals, MEDLARS Centers, local medical centers and individual medical practitioners. These decentralized services will be provided through an information network with its hub at the Bethesda, Maryland site of the NLM. The NLM intends that the library services network be a controlled rather than a permissive system. This simply implies that participation and access to the services of the system will be determined by the NLM. Planning has already progressed to the point where services to be provided can be enumerated.

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CommunicationComputersInformation ServicesNational Library of Medicine (U.S.)United StatesJournal Article

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D B McCarn. 1969. The biomedical communications network.. https://pubmed.ncbi.nlm.nih.gov/5823503/

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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