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At least 127 records · Page 7Linked to original sources
PubMed1993

A measure of intraoperative attention to monitor displays.

Vigilance is an important but difficult to measure attribute in anesthesia practitioners. We present a modified standard method to assess intraoperative vigilance toward electronic data displays. The response time to detect a simulated abnormal value on the physiologic monitor was measured. Eight anesthesia residents were studied during 60 surgical procedures. Responses to 439 abnormal values were analyzed. The average response time was 61 +/- 61 s (mean +/- SD), and 56% of the detections were made within 60 s. However, 16% of the abnormal values were undetected during the 5 min that they were displayed. Response times and the rate of missed events were greater during induction of anesthesia (a time of high workload) than during the maintenance or emergence phases of anesthesia. Response times were shorter during procedures on ASA 1 patients than on ASA 3 patients. The results suggest that anesthesiologists usually quickly detect abnormal values on physiologic monitors and that less attention is devoted to monitors during periods of high workload.

Anesthesiology↗
PubMed1977

FP/MIS: a management information system for a community family planning clinic.

The management information system (FP/MIS) used by the Howard University Center for Family Planning Services, which operates community family planning clinics in Washington, D.C. is described. The system was developed to satisfy program objectives in patient management, program planning and evaluation, resource management, federal reporting systems and clinical, epidemiological and health services research. The data collection forms used in the system and the output from the four data display groups--patient profile, resource management, quality of care and epidemiology-are described along with examples of their use.

Computers↗
PubMedDate not supplied

A generic approach to the management of time-related signals and images in medicine.

A framework concept for design and implementation of medical workstations is described by (a) its underlying principles, (b) the handlers provided by the concept, (c) the available data structures and (d) the graphical user interface (GUI). The design principle takes care of a modular approach both for the framework and for the applications. The GUI provides a coherent look and feel for applications based on toolkits for displaying data objects and application control. The data handler allows management of n-dimensional data matrices in a multi-vendor environment, whereas the parameter handler takes care of the data object description. An implementation of a medical workstation exploiting the framework concept is presented.

Computer Graphics↗
PubMedDate not supplied

EPIX: an interactive computer application program for cross-sectional epidemiological, periodontal investigations from X-ray films.

This article introduces the interactive computer application program EPIX and the associated personal computer/digitizer system. The system is used to measure marginal alveolar bone height and to record angular alveolar bone defects, defective margins of dental restorations and dental calculus from 5 X-magnified periapical radiographs in cross-sectional epidemiological investigations. The 134-kBytes compiled BASIC program provides 17 menu options. A complete recording of interproximal tooth surfaces takes on average 20 minutes per subject. Data from 200 subjects can be stored on one 5.25" floppy disk. EPIX transforms data files into text files to enable transfer to main-frame computer for statistical analyses. Data displays on VDU or paper are available. Routines for data location and processing, file processing and visual display of an operator's manual provide additional facilities. EPIX has been used to process an epidemiological material of 912 subjects and has proved to be useful.

Cross-Sectional Studies↗
PubMed1996

A new DSP-based multichannel EMG acquisition and analysis system.

This paper describes the design of a digital signal processor based system for a personal computer for EMG data acquisition to monitor muscle activity during gait and to estimate the power spectrum of the acquired data under normal and pathological conditions. It also gives the hardware details of the velocity meter which is used to monitor the muscle activity with speed of walking. Software has been developed for system initialization, data acquisition, processing of acquired data, and data display for five channels. The developed equipment will be useful to clinicians for enhancing the understanding of a patient's dynamic performance.

Analog-Digital Conversion↗
PubMed1999

Presenting graphical information.

This article outlines the mistakes that are commonly made when data are presented graphically. Common errors when displaying data are highlighted, and preferred solutions for avoiding these mistakes are described. The preferred approaches form the requirements that authors should meet when submitting papers to the journal of Pediatric Allergy and Immunology.

Computer Graphics↗
PubMed1982

Feto-maternal surveillance in labour: a new approach with an on-line microcomputer.

A new method of real-time computer surveillance during labour is described with a commercially available "low-cost' microcomputer and integral video display unit (VDU). The fetal monitoring program gives accurate and reliable information on eight parameters of fetal and maternal wellbeing, four of which may be displayed simultaneously, with the facility of instant data recall. Emphasis is on simplicity of operation, and clarity of data display in the form of horizontal bar graphs updated at 5-min intervals, with most recent information in numerical form. Flexibility of the system enables program modification with relative ease, and adaptation to two unmodified commercial electronic fetal monitors.

Cervix Uteri↗
PubMed1989

A comparison of fifteen pulse oximeters. Part I: A clinical comparison; Part II: A test of performance under conditions of poor perfusion.

Fifteen pulse oximeters were compared. Their physical characteristics, price, warranty, information handling and displays were catalogued. Times for changes in data display and susceptibility to interference were assessed. A model for comparison of oximeters under conditions of poor perfusion was developed using a tourniquet to progressively diminish limb perfusion pressure (systolic minus tourniquet pressure). The oximeters evidenced a wide variety of features and performance in poor perfusion states. Instruments lacking a beep varying in pitch with saturation or a waveform/pulse bar display of plethysmograph signal were considered less satisfactory. The majority of instruments, with some notable exceptions, performed remarkably well in a state of diminished perfusion. The study demonstrates that purchasers of pulse oximeters need to exercise care in assessing the suitability of particular instruments to their specific requirements.

Adult↗
PubMed1997

Use of the virtual instrumentation laboratory for the assessment of human factors in surgery and anesthesia.

There is a growing consensus that human factors issues for anesthesiologists, surgeons, and other operating room personnel require serious attention. We have established a program of collaboration between the University of California Davis Medical Center Departments of Anesthesiology and Surgery and the California State University Sacramento Biomedical Engineering Program to address ergonomic problems in anesthesiology and surgery using a Virtual Instrumentation Laboratory. A 17-workstation Virtual Instrument Laboratory using LabVIEW software on Power Macintosh platforms permits rapid prototyping of medical monitor displays as well as rapid development of data acquisition and processing circuits for physiologic data collection. The Virtual Instrument Lab has been used for three Master's thesis projects and a BME course titled Human Factors in the Design of Medical and Assistive Technology. Course projects have included: 1) The design of novel physiologic data displays for potential use in anesthesia workstations, and 2) The measurement of surface electromyographic signals and heart rate variability to investigate the physical and mental workload of performing laparoscopic surgery. The Virtual Instrument Lab allows BME students to investigate relatively complex human factors issues in anesthesiology and surgery in a short time span.

Anesthesiology↗
PubMed1999

Measurements of organ volume by ultrasonography.

In a clinical context, measurements of organ volume are often performed in the diagnosis and follow-up of patients with a variety of diseases. Ultrasonography is a cheap, widely available and non-hazardous imaging modality to use for estimation of volumes, and a range of two- and three-dimensional methods have emerged to accomplish this task. This paper reviews some of the ultrasound methods available in cardiology, gastroenterology, nephrology/urology and gynaecology/obstetrics. Using two-dimensional (2D) ultrasound, the simplest method of calculating the volume of an organ is based on the multiplication of three diameters perpendicular to each other. These 2D methods are often based on geometrical assumptions which may introduce significant errors in volume estimation. Therefore, volume estimation based on three-dimensional (3D) ultrasound has been developed to increase accuracy and precision. At present, the process of making 3D images based on ultrasonography is divided into five steps: data acquisition, data digitization, data storage, data processing and data display. In conclusion, ultrasonography is a useful and reliable tool to calculate volumes of organs. In particular, 3D ultrasonography seems promising in this respect and appears to be superior to 2D ultrasonography in accuracy and precision in volume measurements.

Cardiac Volume↗
PubMed1978

Readers' forum: experiences with a system. The implementation of a completely operational computer system in a cardio-thoracic department.

Wythenshawe Hospital is a large general district hospital with more than 1000 beds, situated approximately 9 miles south of Manchester. The Cardio-Thoracic department, housed in the new section of the hospital which was completed in 1973, is the major centre for cardiothoracic surgery in the greater Manchester area. It also receives any major accident cases which require treatment within the Intensive Therapy Unit. This paper describes a Patient Data Display System and the methods used to introduce the concept of such a system, to doctors, nurses, laboratory and paramedical staff, and the manner in which these staff were trained in the use of computer terminals. Principles underlying the need for and requirements of such a system are also discussed. Six months after hardware commissioning the system was fully operational throughout the whole department.

Computers↗
PubMed1991

Novel method for the display of multivariate data using neural networks.

A neural network has been used to reduce the dimensionality of multivariate data sets to produce two-dimensional (2D) displays of these sets. The data consisted of physicochemical properties for sets of biologically active molecules calculated by computational chemistry methods. Previous work has demonstrated that these data contain sufficient relevant information to classify the compounds according to their biological activity. The plots produced by the neural network are compared with results from two other techniques for linear and nonlinear dimension reduction, and are shown to give comparable and, in one case, superior results. Advantages of this technique are discussed.

Antimycin A↗
PubMed1976

System-structured management of acutely ill surgical patients.

The management of surgical patients requiring intensive care is complicated by abnormalities in multiple body systems. An effective method of organizing data collection and treatment is essential. The widely applied "problem-oriented" approach is not entirely satisfactory in the context of surgical intensive care. An alternative method is presented in which management is structured by body systems. The function of each system is analyzed and a plan for each is defined. Data display is arranged by systems rather than problems and is compatible with modern computer technology. A surgical patient under treatment for pancreatitis is presented to illustrate this approach. Experience with 220 patients on a residency teaching service supports the impression that system-structured management is an effective method of managing the course of an acutely ill patient and should be widely applicable to such patients in any general surgical environment.

Acute Disease↗
PubMed1989

Efficiency of graphical perception.

The term graphical perception refers to the part played by visual perception in analyzing graphs. Computer graphics have stimulated interest in the perceptual pros and cons of different formats for displaying data. One way of evaluating the effectiveness of a display is to measure the efficiency (as defined by signal-detection theory) with which an observer extracts information from the graph. We measured observers' efficiencies in detecting differences in the means or variances of pairs of data sets sampled from Gaussian distributions. Sample size ranged from 1 to 20 for viewing times of 0.3 or 1 sec. The samples were displayed in three formats: numerical tables, scatterplots, and luminance-coded displays. Efficiency was highest for the scatterplots (approximately equal to 60% for both means and variances) and was only weakly dependent on sample size and exposure time. The pattern of results suggests parallel perceptual computation in which a constant proportion of the available information is used. Efficiency was lowest for the numerical tables and depended more strongly on sample size and viewing time. The results suggest serial processing in which a fixed amount of the available information is processed in a given time.

Attention↗
PubMed1996

A multimedia perioperative record keeper for clinical research.

OBJECTIVE: To develop a multimedia perioperative recordkeeper that provides: 1. synchronous, real-time acquisition of multimedia data, 2. on-line access to the patient's chart data, and 3. advanced data analysis capabilities through integrated, multimedia database and analysis applications. DESIGN: To minimize cost and development time, the system design utilized industry standard hardware components and graphical. software development tools. The system was configured to use a Pentium PC complemented with a variety of hardware interfaces to external data sources. These sources included physiologic monitors with data in digital, analog, video, and audio as well as paper-based formats. DEVELOPMENT: The development process was guided by trials in over 80 clinical cases and by the critiques from numerous users. As a result of this process, a suite of custom software applications were created to meet the design goals. The Perioperative Data Acquisition application manages data collection from a variety of physiological monitors. The Charter application provides for rapid creation of an electronic medical record from the patient's paper-based chart and investigator's notes. The Multimedia Medical Database application provides a relational database for the organization and management of multimedia data. The Triscreen application provides an integrated data analysis environment with simultaneous, full-motion data display. CONCLUSION: With recent technological advances in PC power, data acquisition hardware, and software development tools, the clinical researcher now has the ability to collect and examine a more complete perioperative record. It is hoped that the description of the MPR and its development process will assist and encourage others to advance these tools for perioperative research.

Database Management Systems↗