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Twelve tips for the development of electronic study guides.

With recent advances in technology, electronic study guides are becoming extraordinary management, learning and assessment tools in the teaching-learning process, replacing printed study guides. The educational advantages they offer are listed here. During the elaboration of an electronic study guide, there are important issues to consider, such as the student's capabilities in the use of electronic media, the type of software to be used, proper authorizations and accessibility, the inclusion of all information and links needed, as well as a clear explanation on the use of the software. This paper offers twelve useful tips for the development of electronic study guides.

Adult↗

Digital tools for clinical dentistry. An Internet tutorial.

Computer technology has expanded the scope of digital tools that play a significant role in the practice of dentistry. In the search for current information and references about these devices, the Internet has become an essential resource. This paper will discuss some of the available digital adjuncts and their useful application in the clinical practice of dentistry, and will point the reader to web sites that are pertinent and informative.

Computer Security↗

Preserve your work in PDFs.

Conveying architectural documents electronically can cause problems with graphic appearance. With Portable Document Files (PDFs), you can combine graphics, text, and even sound and video without losing your looks.

Architecture↗

Cardiac auscultatory recording database: delivering heart sounds through the Internet.

The clinical skill of cardiac auscultation, while known to be sensitive, specific, and inexpensive in screening for cardiac disease among children, has recently been shown to be deficient among residents in training. This decline in clinical skill is partly due to the difficulty in teaching auscultation. Standardization, depth, and breadth of experience has been difficult to reproduce for students due to time constraints and the impracticality of examining large numbers of patients with cardiac pathology. We have developed a web-based multimedia platform that delivers complete heart sound recordings from over 800 different patients seen at the Johns Hopkins Outpatient Pediatric Cardiology Clinic. The database represents more than twenty significant cardiac lesions as well as normal and innocent murmurs. Each patient record is complete with a gold standard echo for diagnostic confirmation and a gold standard auscultatory assessment provided by a pediatric cardiology attending.

Adult↗

An ethics framework for nursing education on the Internet.

An ethics framework for the use of the Internet for nursing education, consultation, research, and practice is proposed. The proposed framework, discussed in terms of structure, process, and outcome, would guide policy for confidentiality, privacy issues, professionalism, ownership of intellectual property, accountability, and control of access. A goal would be to encourage creative problem solving without constant reference to authority.

Codes of Ethics↗

Creating care plans via modems: using a hospital information system in nursing education.

Preparing nursing students for the demands of high technology in health professions is a challenge for everyone involved in nursing education today. Advancements in technology have changed the health care delivery system resulting in computerization that affects all areas of patient care. Nursing education programs must assure that all graduates can effectively use computer technology. To address this need, the Wright State University-Miami Valley School of Nursing was one of the first schools in the nation to provide connectivity via computers in the school's student computer lab to a real hospital information system. This connectivity allows the nursing students to create care plans for their assigned patients, plans which after discussion with the instructor and the patients' nurse, are entered into the patients' records. This real-life application allows the students to see not only the results of their decision-making, but the overall process of patient care. The benefits of having students use a nursing information management system include enhanced student motivation, professional socialization, the ability to understand the "whole clinical picture," and decreased fear of computer technology. The computers in the student computer lab play an invaluable role in the education of the nursing students. They give the students the opportunity to experience a real-life application in the nursing profession and prepare them for the world of technology they will encounter after graduation.

Computer Security↗

A national treasure goes online: the Armed Forces Institute of Pathology.

With the advent of the 21st century, the Armed Forces Institute of Pathology is delivering online medical consultation to the global health care community. By incorporating widely available open system technology into the paradigm of telepathology, the AFIP is providing world class expertise in pathology and access to a wealth of information for physicians and the general public. The national treasure known as the Armed Forces Institute of Pathology has more than a glorious history; it has a pretty bright future, too.

Computer Communication Networks↗

Resolving the dilemma of educating and training professionals in security.

This article is excerpted from a Pinkerton Lecture Series paper, sponsored by Pinkerton Security and Investigation Services, that was presented at the 1997 Plenary Session of ASIS in June. The author presents his views on how best to educate and train the security professional in today's hightech environment. Among his suggestions: a more diverse curriculum broken into smaller packages, use of the Internet or other electronic media, and having security professionals teach courses and integrate security into the curriculum.

Computer Security↗

Practical approaches to creating a security culture.

Security of information in the health care environment depends not so much on technical controls as on compliance with policy by all those who use the information. Awareness of policy and observance of a code of conduct, whilst important, do not itself ensure that staff respect confidentiality, let alone follow other measures to secure records. A culture of security must be developed throughout the health care community. This demands clear policy with practical procedures that are relevant in the workplace, a long-term programme in which changes can be introduced in a managed way that is sensitive to the tensions between security and other working practises, commitment from senior management to achieve change, and strong leadership from within the health care professions. The UK National Health Service has begun such a process with the endorsement of the 'Caldicott Committee Report on the review of patient-identifiable information' and its recommendation that all health organisations appoint a senior health care professional to be responsible for confidentiality of patient information. Raising the political profile of patient confidentiality has served to change the rate of change up a gear. The response of one health care community to this initiative will be discussed and lessons drawn regarding cultural change and information security.

Computer Security↗

The legal and ethical aspects of telemedicine. 2: Data protection, security and European law.

The electronic record may be subject to abuses that can be carried out on a large scale and cause great damage. A wide range of data protection and information security measures will need to be taken to ensure the quality and integrity of such records. A European Union directive was formally adopted in 1995 which sets the obligations of those responsible for data processing as well as a number of important rights for individuals. The responsible teleconsultant or medical officer, as the data controller, must make sure these measures are enforced. In the case of the transmission of medical records to another location, the original data controller may remain liable for abuses. But as different elements of the records are spread throughout the different departments of a hospital or across different geographical locations, it may become difficult to ascertain who is responsible for protecting and controlling what. To this end, the designation of liability by contractual means, between the hospital and remote users of a telemedicine network, would be the clearest and most straightforward way of achieving uniformity and predictability in terms of the distribution of responsibility for data protection and security.

Computer Security↗

Hospital looks for data security, also gets improved productivity.

What started as a way to protect computerized patient information from unauthorized users turned into a major cost-cutting initiative for Houston's Memorial Hermann Hospital. Administrators describe why they're expanding the security initiative systemwide.

Computer Security↗

Information management systems for intensive care.

On-going work relating to the development of advanced information management systems for intensive care is described. The objective of this paper is to outline the complex issues that need to be addressed when developing such systems. This work is in part sponsored by the Commission of the European Communities under the AIM TANIT project, and an overview of its approach is given. Data protection, security and confidentiality aspects are emphasised, together with the need to balance data availability with the need for security.

Computer Security↗