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A documentation system was set up at the Wiesbaden Public Health Office using a personal computer to monitor individual drinking water supply plant. The data sets of the databank, the relevant recording codes and the possibilities of data recovery are presented. The conditions governing such a system are described.
At our contact dermatitis clinic the computer program ALLDAT (Allergy Data System) was developed with the opportunity of storing and analysing different patients data and various kinds of test reactions with regard to epidemiology and occupational dermatology. Because of the internal construction of the data base, high flexibility and optimization of storage (2000 patient/year----1 MB) is achieved. Persons without both program and computer experience are able to enter data, perform analysis and view results after a short period of instruction.
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Industrial fitness and regular screening examinations as called for by vocational disease regulations in the GDR yield large amounts of data relating to places of work and to those members of the work force whose fitness must be verified prior to employment and at regular intervals thereafter. These data must be available to the work's doctor in the various combinations he needs to ensure the medical well-being of the employees and to act as an adviser on matters of industrial hygiene. Several programs have been developed for implementation on distributed ESER computers to solve this problem. The primary records "Arbeitshygienische Komplexanalyse--Dokumentationsbeleg" (industrial hygiene record) and "Grunduntersuchungsbogen--Datanerfassungsbeleg" (medical data record based on fitness checks) are recorded and checked by desk-top computer and subsequently linked to the wage file record by mainframe for analysis. Examples encountered at a shipyard are used to describe the different programs and some of the ways in which they can be linked. The ability to select any combination of data concerning industrial medical, hygiene and income related matters is a major advantage for the work's doctor.
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Hand-held computer are very useful devices for medico-legal tasks outside the institutes. They can be advantageously used at a scene of death for the estimation of the time since death instead of the temperature nomograms and the integrated chart as well as for the controlled reconstructive test cooling (dummy). They facilitate the calculation of the BAC at the court also.
1985 the systematic use of personal computers in the Viennese institute of forensic medicine began. Due to the big engineering progress there was no more need to connect to a computer center. A gradual installation and a strict determination of requirements are important for computer systems, whereas a personal computer might be useful for word processing only as well.
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Computer techniques as introduced into clinical nuclear-medicine 12 years ago, were first exclusively used for scintigraphic purposes. Through the development of a comprehensive pilot system for nuclear medical data processing on the basis of two Siemens Process control computers it could be demonstrated, that besides of scintigraphy there are also other important fields for computer application, e.g. in function diagnostics and therapy planning.
During the ZAK 1987 in Munich we performed a poll concerning monitoring during anaesthesia. 200 questionnaires could be evaluated. A majority of 2/3 rd monitored regularly blood pressure, ECG, FiO2, minute ventilation and ventilation pressure. These quantities were monitored independent of a presumably increasing anaesthesia risk associated with three clinical cases. Only blood pressure and ECG were considered as mandatory by a majority of 2/3 rd. Monitoring variables related more to the anaesthesia machine lide FiO2, minute ventilation, and ventilation pressure did not reach a 2/3 re majority. 78% detected at least once in their business life time a life threatening complication by monitoring devices earlier than by so called clinical signs. EEG and capnometer were the most frequent quoted monitors. Monitoring of neuromuscular blockade and intraoperative awareness was considered as a relevant problem only by 22%. 20% agreed to additional monitoring on the general ward while 2/3 rd disagreed.
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