[Radiotherapeutic documentation and information processing using electronic data processing].
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It is demonstrated an after-treatment model for patients with myocardial infarction as a part of a complex project of electronic data processing within prevention and treatment of selected diseases of the heart and circulatory system (electronic data processing project myocardial infarction). The aim of the after-treatment project is the establishment and ambulatory medical after-treatment of all patients with myocardial infarction of a territory, by means of which without any additional manual expenditure by giving standardized evidences of data and using electronic data processing automatic letters of doctors and working lists may be established and scientific evaluations may be made possible.
The paper deals with the description of the regions of the use of automatized processing of medical informations; i.e. the basic processes of the information processing referred to patients in the hospital, the information and documentation referred to patients, the information relations between the place demading efficiencies and bringing efficiencies in the medical institution including systems organized in the territory as well as the finding of decisions in medicine. With the description of the individual regions of use are connected considerations of the utility, issuing from the project of the electronic data processing realised at the Medical Academy Dresden. The regions of application described make clear that the tasks of the automatized processing of medical informations extend to the following: Taking over of functions of the description of information and the storage of information, taking over of functions of the comparison of informations and the control of information, taking over of functions of the organisational preparation and the planning of diagnostic and therapeutic courses as well as the taking over of functions of the information integration. It is clearly to be established that the electronic data processing shall not restrict the turning of the physician to the patient, but shall improve and enlarge it. The electronic data processing is a modern means of work which with progressing scientific and technical development medicine needs just as much as other technical procedures and methods.
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Electronic data processing is more used also in the analysis, control and surveillance of human nutrition. The present paper deals with a method that permits to evaluate the nutritional structure of all-day canteen feeding by means of a computer program based on the dishes actually delivered by the canteen. Apart from the energy value, the values for animal and vegetable proteins, fats, carbohydrates, calcium, vitamin A and vitamin C have been adopted as criteria. The evaluation was based on a specific scoring system. The results obtained are made available to the respoective institutions in the form of graphs. The qualitative and quantitative effects produced by this method of evaluation have been studied in 10 selected canteens during a period of 3 years.
Experiences in a two years application of electronic data processing in medical routine microbiology are reported. Optical mark reader forms serve as request forms as well as workprotocol. On the left two thirds of these forms (Fig. 1 and 2) the patients data including clinical statements, and the kind of specimen to be investigated (sputum, smear etc.) as well as results not essential for the printout of laboratory reports are filled in. On the right third of the optical mark reader form, in which area the Bell & Howell document reader can read pencil marks, the patients identification number, the tests requested and all results are marked right at the work bench. As shown in the flow diagram (Fig. 3) after completion of the investigation the date on the mark reader forms are read mechanically and the test results are printed (Fig. 5) by means of the computer. In addition, the data processing system, which proved to be very flexible, performs all necessary types of administrative work as filing of laboratory data in a coded form on cards for permanent storage (Fig. 7) statistics and the printout of bills (Fig. 6). The processing of routine microbiology date is achieved by a Siemens DVA 404/3 (64 kbt) connected for magnetic disc device (2993 Mio bytes), and a line printer (60,000 lines per hour) and dialog display monitors, which are used simultaneously for the on line and off line handling of all the data in clinical chemistry-, serology- and hematology-departments of the same institute.
Following administration of 150 muCi of colloidal 198Au numerical scintigrams of the liver and the spleen were obtained in about 200 patients with various forms of chronic hepatitis or with liver cirrhosis as well as in 24 control persons. The data so obtained were electronically processed and the relative activities of the liver, the spleen and both liver lobes compared. Differences of diagnostic value were observed between the various stages of chronic hepatitis.
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Continuing an earlier publication in which the growth of spontaneous mammary carcinomas in female mice of a C3H inbred strain was described, in the present paper the growth rate is expressed by a mathematical function, and is adapted by electronic data processing to the experimental values of 60 tumors classified into seven "growth types". For mathematical description the tumors were conveniently assumed to have a spherical shape, and the main reason for the reduction in volume increase with increasing tumor size was thought to be insufficient supply with oxygen and the essential nutrients S. Including the experimental data of all carcinomas investigated, the minimum concentration of S necessary for mitotic activity of the tumor cells was calculated to be 65% of the normal level. As the average for all the tumors investigated, a time of at least 33 hrs is required for the tumor volume to double.
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