The problem of release from institutionalization of those not guilty by reason of insanity is a most troublesome one. Psychiatric criteria for release are to be balanced by what judges see as the needs and protection of society. In 1972, New Jersey in the Maik decision adopted an extremely stringent ...

The problem-oriented approach to the medical record has aroused a long overdue interest in the structuring of the medical case file. Clinical information in the traditional record is source-structured and time-sequenced, whereas the problem-oriented system differs by being a problem-structured record retaining still a chronologic sequence. We have found that ...

Chemical cyanosis is an oxygen transport deficiency produced by exposure to aromatic nitro- or animo-compounds. Evaluation of its severity by methemoglobin determinations defines the problem incompletely and is time consuming. Twenty-nine patients were studied over a five-year period by both methemoglobin level using classical laboratory methods and oxygen saturation level, ...

With patients demanding a greater role in the clinical decision-making process, many researchers are developing and disseminating decision aids for various medical conditions. In this article, we outline the essential elements in the development and evaluation of a decision aid to help patients with atrial fibrillation choose, in consultation with ...

Often physicians use an intuitive approach to treatment, based on years of clinical experience and discussion with colleagues. However, some complex clinical problems in family practice require a formal, structured, rational apprach to decision making. This article describes how clinical decision analysis was used in a family practice unit, for ...

Patient-oriented decision support aids have a promising role in the delivery of health care. Most aids targeted at patients are designed to increase a patient's knowledge about the decision domain or reduce anxiety or confusion about the decision. We describe a novel approach to addressing this problem that involves an ...

Patient-oriented decision support aids have a promising role in the delivery of health care. Most aids targeted at patients are designed to increase a patient's knowledge about the decision domain or reduce anxiety or confusion about the decision. We describe lessons learned while implementing a novel approach to addressing this ...

Despite a great proliferation of new media and technologies, the traditional live lecture is still highly regarded among scientists as an effective means of teaching and communication--and the 'lantern slide' remains the most popular lecturer's aid. Here are a few thoughts on how to create good slides and how to ...

A tremendous range of physical science problems and techniques, from all branches of engineering, are involved in bioengineering instrumentation. The examples I have cited typify the problems that arise, but the techniques we have used represent only an infinitesimal fraction of the resources that we must exploit. The main challenge ...