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PubMedDate not supplied

Bibliographic retrieval: a survey of individual users of MEDLINE.

The National Library of Medicine (NLM) has been providing online access to the MEDLINE database for nearly 20 years. In recent years, there has been a shift in the composition of the user population. Nearly half the online access codes are now held by individuals who conduct their own searches of the database. The NLM has conducted a survey to identify the demographic features of this end-user population, their reasons for searching the database, their methods of access, and their satisfaction with MEDLINE as available on the NLM system.

Attitude to Computers↗
PubMed1990

[Expert systems in oncology: concepts, problems, perspectives].

The architecture and fields of application of the expert systems in oncology are described. These systems allow systematization, developing and realizing the approximate knowledge, heuristics and algorithms of the expert-oncologists by the computer systems for solution of optimization problems of diagnosis and treatment of cancer patients. Principles of the functioning of expert systems are considered through the examples of solutions of concrete problems in oncology. Intellectual possibilities of the man-machine interaction under clinical conditions are discussed. The vistas of technological development of expert systems in oncology are evaluated.

Algorithms↗
PubMed1990

CD-ROM MEDLINE use and users: information transfer in the clinical setting.

Effective delivery of biomedical information to health professionals depends on the availability of systems that are compatible with the information-seeking patterns of health professionals. MEDLINE is a major source of biomedical information, but has been available primarily through libraries via telecommunications networks. The recent availability of MEDLINE on CD-ROM has made it possible to provide MEDLINE directly to clinicians without the associated problems of telecommunications and online use charges. The MEDLINE on CD-ROM Evaluation Forum sponsored by the National Library of Medicine reported on clinicians' use of CD-ROM MEDLINE at seven different clinical settings. This article summarizes the findings from these sites and places them in the context of current understanding of information-seeking behaviors of health professionals. Key issues in the design and development of information technologies in the clinical setting are also articulated.

Ambulatory Care Information Systems↗
PubMedDate not supplied

Input technology.

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Computer Peripherals↗
PubMed1990

A method for the acquisition of formalized knowledge in pathology.

A tool is introduced for the acquisition of pathology knowledge in a formalized form, directly by the expert. Formalization of the knowledge is intended to make descriptive pathology knowledge more suitable for computerized diagnostic support since a formal representation of knowledge allows more extensive indexing, hence more flexible access. The knowledge acquisition (KA) tool also provides a useful research instrument to investigate to what extent pathology knowledge can be made explicit, to what degree ambiguity is present, in what way experts differ when formalizing knowledge, and whether it is feasible to incrementally acquire decision criteria on the basis of the formalized descriptive knowledge. Crucial in the design of the KA tool is the incorporated meta-knowledge, which is reflected by the knowledge-base structure and is used to elicit knowledge from the expert. Knowledge is acquired from the expert via a menu-driven user interface, which follows the general steps of the pathologist when describing a case. The paper discusses the considerations underlying the design, the implementation of the KA tool, and the research goals.

Diagnosis, Computer-Assisted↗
PubMed1990

BRAINDEX: an interactive, knowledge-based system supporting brain death diagnosis.

BRAINDEX (Brain-Death Expert System) is an interactive, knowledge-based expert system offering support to physicians in decision making concerning brain death. The physician is given the possibility of communicating in almost natural language and, therefore, in terms with which he is familiar. This updated version of the system is implemented on an IBM-PC/AT with the expert system shell PC-PLUS and consists of about 430 rules. The determination of brain death is realized with backward chaining and for the optional coma-scaling a forward-chaining mechanism is used.

Brain Death↗
PubMed1990

An evaluation of CD-ROM MEDLINE use in Thailand.

An analysis of requests for CD-ROM MEDLINE* searches from June to December 1987 at the Medical Library, Chulalongkorn University, was performed. Requests were received from eighty-two places, in Bangkok and the provinces; 97.8% were from government organizations. MEDLINE on CD-ROM was available from 1982 to date. Most users requested searches covering the previous five or six years. Users were surveyed regarding the service: just over 87% found the service user-friendly. In addition, users suggested that the library conduct search training programs, and more than half of the users noted that a single work station could not meet the search load.

Information Services↗
PubMedDate not supplied

Evaluation of plasma sodium concentration during hemodialysis by computerization of dialysate conductivity.

Kinetics modeling based on sodium mass balance and changes in conductivity at the dialysate outlet compared to that at the dialysate inlet, led to predicting the plasma water conductivity of the blood inlet. Conductivity transducers, with temperature compensation, located at the dialysate inlet and outlet ports of the dialyzer and connected to a conductimeter, were interfaced with a portable computer for data acquisition. In 38 dialysis sessions, a close relationship was found between estimated plasma water conductivity (CdBi) and measured plasma sodium concentration [Na]Bi, according to the formula: CdBi = 0.101[Na]Bi + 0.37 (n = 38; r = 0.922). The study shows that plasma sodium concentration at the dialyzer inlet could be evaluated, with a standard error of +/- 1.5 mEq/L, by continuous measurement of conductivity gradient between dialysate inlet and outlet.

Adult↗
PubMed1990

Computer-aided intelligence: application of an expert system to brachial plexus injuries.

When confronted with a patient with a brachial plexus injury, how often as neurosurgeons do we consult an atlas to confirm the anatomy of the brachial plexus and then attempt to establish the location of the lesion? Similar difficulties are encountered with lumbar and sacral plexus lesions. In a project organized to assist the neurosurgeon in this time-consuming task, a computer program that can rapidly determine the site of a lesion in a brachial, lumbar, or sacral plexus injury was created. Using known anatomical pathways (37 clinically relevant upper and 20 lower extremity muscle innervations), and relying solely upon the neurological motor examination, rapid computer-assisted diagnosis is possible. When more than one final common pathway lesion occurs (for example, multiple root avulsions of the brachial plexus), possible lesion sites can be obtained. An interactive dialogue between the user and the program helps to determine the location of the lesion. The program can be run on any IBM-compatible personal computer and is presented as an instrument that provides assistance in cases of complex peripheral nerve injuries, when expert consultants are unavailable. In addition, it can be used as an aid to learning and as a review of basic neuroanatomy.

Artificial Intelligence↗
PubMedDate not supplied

[Informational operator-computer interactions under the effects of unfavorable environmental factors].

This paper discusses changes in the psychic functions of an operator working in the interactive mode under the influence of adverse environmental effects that cannot be modified. It is postulated that in this situation the strategy of solving operational problems may transform due to changes in the structure of decision taking. The paper describes simulation of operator's activities involved in controlling information flows in a stressful environment of two degrees of complexity.The investigations demonstrated a trend for a decline of operator's work capacity, helped develop mathematical models to predict performance variations in an extreme environment, as well as formulate recommendations as to how computer-interaction efficiency can be increased.

Decision Making↗
PubMedDate not supplied

The DOS vs. Unix wars.

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Computer Systems↗
PubMed1990

Computer polygraphic system for infants at risk for sudden infant death syndrome (SIDS).

We have designed and developed a suite of equipment for polygraphic assessment of infants thought to be at risk for Sudden Infant Death Syndrome. A range of commercially available and custom made instrumentation is used to monitor cardio-respiratory function and thermal activity. The PC based system records continuous overnight trends and is able to detect apnoea, bradycardia, tachycardia, oxygen desaturation and other significant clinical events, producing summary data and graphs at the conclusion of the monitoring. The system is fully interactive and adaptable to various clinical and research requirements.

Computer Graphics↗
PubMed1990

Development of an instrument for the management of computer user attitudes in hospitals.

Measuring and managing user attitudes toward various aspects of computer systems is an important part of making those systems effective. In this paper, results of an effort to adapt and test a technique for measuring user satisfaction in hospitals are presented. These results include extensive empirical tests of the technique. Comparison norms for hospital computer user satisfaction are also presented and interpreted. Analysis software for using the technique as a management tool is presented. Finally, experiences using the concept are presented.

Attitude to Computers↗