This study concerned the effect of the first subglottal formant (F1') on the modal-falsetto register transition in males and females. Phonations using air and a helium-oxygen mixture (helox) were used in a comparative study to tease apart possible acoustic and myoelastic contributions to involuntary register transitions. Recordings of the first ...

BACKGROUND: The American Heart Association recommends that patients with certain abnormal and prosthetic heart valves receive antibiotic prophylaxis before undergoing invasive dental treatment, owing to the risk of bacterial endocarditis, or BE. However, it is not known how many patients are aware that they have such conditions and understand such ...

We propose a framework for a problem-oriented patient record for general practice 1 and defend that the problem-oriented medical record represents an intuitive way to organize the patient record. By adding a layer of knowledge to the electronic patient record the record system is able to better utilize the information ...

In 1993, the discovery of several pairs of lyre-shaped horns with corrugations was recorded in Vietnam and regarded as evidence for a new, large bovid, later referred to as Pseudonovibos spiralis Peter & Feiler, 1994. Despite numerous field investigations made since 1994 in Vietnam and Cambodia, no new anatomical evidence ...

Perceived poor communication and poor documentation are the primary culprits in litigation against dentists. Better communication can be attained by making strong efforts to involve the patient in the decision-making process when proposing treatment, and recording those discussions in the patient's record. Records should be meticulously kept, for legibility, accuracy, ...

Irving S. Cooper was a pioneer in the field of functional neurosurgery. During his very productive and controversial career, he proposed the surgical treatment of Parkinson disease (PD) by ligating the anterior choroidal artery to control tremor and rigidity. Subsequently, he developed seminal techniques for chemopallidectomy and cryothalamectomy for PD. ...

The utility of medical records and clinician reports for assessing substance abuse among inpatients with schizophrenia or schizoaffective disorder was assessed in a sample of 296 patients recruited from four general hospitals in New York City. Measures derived from the medical record, the discharge summary, and primary clinician reports are ...

Fiorinia fioriniae (Targioni) was observed attacking Callistemon lanceolatus at the Experimental Farm of the Agricultural Research Station and Ruscus hypoglossum at Antoniades park in Alexandria Governorate; Egypt. The infestation rate on Ruscus hypoglossum, reached its maximum (98.0%) during autumn months, while the minimum rate 68.3%, was recorded during summer months. ...

This study describes diseases encountered, medications used and veterinary involvement in all in--all out finishing herds belonging to one pork production system. The finishing herds had a particular management and housing regime. The pigs originated from health classified farrowing units. Information on 207,442 pigs was collected from 595 log books. ...

An increasing number of clinical databases are being adapted to allow access through Internet protocols, particularly Hypertext Transfer Protocol (HTTP). The World Wide Web (WWW) provides a user-friendly, standardized, broadly distributed database interface; at the same time, it may also present a threat to the security and confidentiality of patient ...

INTRODUCTION: There is growing interest in more efficiently matching emergency medical services (EMS) resources to patient need. Emergency medical services dispatchers may be asked to distinguish between callers with an immediate need for EMS and those who may safely use alternative services. New dispatcher protocols are required or existing protocols ...

We attempted to assess the accuracy of the International Classification of Diseases (ICD) codes for myocardial infarction (MI) in medical insurance claims, and to investigate the reasons for any inaccuracy. This study was designed as a preliminary study to establish a surveillance system for cardiovascular diseases in Korea. A sample ...

Hematoma formation following rhytidectomy procedure is unfortunately common and one of the more devastating complications that can occur. Various reports have cited the incidence of hematoma formation using the superficial musculoaponeurotic system-platysma technique; but, to our knowledge, no report has specifically addressed the incidence of hematoma formation following deep plane ...

PURPOSE: In this study the authors reviewed the medical records of a random sample of patients undergoing coronary artery bypass grafting (CABG) during the preceding ten years at University Medical Center. The purpose of this study was to evaluate the impact of exposure to calcium channel blockers (CCB's) on blood ...

The most common prescription medications encountered and recorded in the normal course of a death investigation by a medical examiner's office in a moderate-sized jurisdiction in an urban city are tallied, based on data collected from 2233 deaths reported in 1998. Medication history was available for 775 of these deaths ...

The discrepancy between the impact records on the Earth and Moon in the time period, 4.0-3.5 Ga calls for a re-evaluation of the cause and localization of the late lunar bombardment. As one possible explanation, we propose that the time coverage in the ancient rock record is sufficiently fragmentary, so ...

To limit high pseudarthrosis rates encountered after cervical procedures for adjacent two-level disease, one-level anterior corpectomy with fusion was performed using the newly available Atlantis hybrid plates (fixed screws placed superiorly and variable screws placed inferiorly). Eight one-level anterior corpectomies with fusion were performed using iliac autografts and Atlantis hybrid ...

BACKGROUND: Misuse of medications is a major cause of morbidity and mortality. Few studies have examined the frequency of, and factors associated with, discrepancies between what doctors prescribe and what patients take in actual practice. PATIENTS AND METHODS: Patients' medication bottles and their reported use of medications were compared with ...

OBJECTIVE: To develop a computerized medical record for a private neurotology practice using a relational database with templates. BACKGROUND: Computers have been used in the medicine many years for billing, scheduling appointments, and word processing. Neurotology represents a relatively narrow field of medicine, which is particularly suited to a computerized ...

This paper highlights the benefits of combining the World Wide Web and smart card technologies to support a highly mobile health management framework. In particular, we describe an approach using the SmartCard-Web Gateway Interface (SGI) as a common interface to communicate and access the medical records residing in a smart ...

OBJECTIVE: To describe an alternative method of dislocated shoulder reduction and to investigate its success rate when used at a ski resort setting. DESIGN: A prospective observational study. SETTING: Medical center at Australia's largest ski resort during the ski seasons of 1994, 1995, and 1996 (June through early October). The ...

Fasing the impending introduction of patient access to medical charts, we have attempted to include a more substantial description of medical activity in specific areas. Using the guidelines published jointly by the Ministry of Health and Welfare and the Tokyo Metropolitan Office in October 1998, the staff of the medical ...

Medical records confidentiality has blossomed into one of the bigger state and federal topics of the 2000 legislative session. The issue has evolved to encompass regulation of the access to records aspect of health privacy, rather than 1999's stressing the importance of records privacy altogether. This shift is placing more ...

. The work presents the results of inconsistency detection experiments on the data records of an atherosclerotic coronary heart disease database collected in the regular medical practice. Medical expert evaluation of some preliminary inductive learning results have demonstrated that explicit detection of outliers can be useful for maintaining the data ...

This article evaluates an intervention based on P. M. Gollwitzer's (1993) concept of implementation intentions. Women registered at a medical practice in rural England (N = 114) completed measures of the theory of planned behavior variables before a manipulation that induced one half of the sample to form implementation intentions ...

We apply a recently developed multivariate statistical data analysis technique--so called blind source separation (BSS) by independent component analysis--to process magnetoencephalogram recordings of near-dc fields. The extraction of near-dc fields from MEG recordings has great relevance for medical applications since slowly varying dc-phenomena have been found, e.g., in cerebral anoxia ...

This report describes the performance of a surveillance system and computerized algorithm for the assignment of definite or probable hospitalized cardiac events for large epidemiologic studies. The algorithm, developed by the Coordinating Committee for Community Demonstration Studies (CCCDS), evolved from the Gillum criteria, and included selected ICD-9-CM codes including codes ...

Possible precursors of serious aggression were identified in toddlers' use of force against peers. Instances of grabbing objects and hitting peers were recorded in a sample of 66 British 18- to 30-month-olds, observed at home with familiar peers and seen again 6 months later. Mothers rated aggressiveness in the context ...

Analysis of case records of 46 patients with peripheral odontogenic fibroma (1967-95) diagnosed in the Division of Stomatology, Institute for Medical Research, Kuala Lumpur, disclosed a relatively young age of onset (mean, 32.2 years; range 5 months-64 years; peak incidence second decade of life), a slight female preponderance (M:F ratio ...

OBJECTIVE: To compare the proportion of Hispanics among recipients of hip replacements for primary articular disorders, recipients of knee replacements for the same reason, and persons hospitalized for other reasons. METHODS: Twelve of the 17 accredited hospitals in Bexar County, Texas, in which hip or knee replacement surgery is performed ...

(Macaca nemestrina) and baboon (Papio cynocephalus, Papio anubis, and hybrids) breeding colonies from the Primate Field Station (PFS) (Medical Lake, WA) to the Tulane Regional Primate Research Center (Covington, LA). Colony records on all 598 pigtailed macaques (Macaca nemestrina) and 157 baboons (P. c. anubis) shipped to the Tulane Primate ...

The study assessed catatonic signs in neuroleptic malignant syndrome (NMS). Records of inpatients meeting both stringent research criteria and DSM-IV criteria (n = 11) or only DSM-IV criteria (n = 5) for NMS were identified. The records were systematically rated on a 23-item rating scale for the presence of catatonic ...

OBJECTIVE: To compare the sensitivity and specificity of two retrospective active surveillance methods based on review of the medical record and review of the discharge form in identfying nosocomial infection, taking the prospective surveillance method as the reference standard. DESIGN: Blind comparison of three active nosocomial infection surveillance methods. SETTING: ...

Accuracy and speed are imperative when it comes to coding medical records. Completely automated approaches to coding are faster than human coders, but are they as accurate? To measure accuracy, a "gold standard" is required; however, establishing a standard for medical records coding is problematic given the inherent ambiguity in ...

The wallet-sized medical smart card, embedded with a programmable computer chip, stores and transmits a cardholder's clinical, insurance coverage and biographical information. When fully deployed, smart cards will conduct many functions at the point of care, from claims submission to medical records updates in real time. Ultimately, the smart card ...

We describe the development of a prototype application that would allow patients with little or no medical background to understand their Pap smear reports. This information button, or "infobutton", is attached to on-line text reports describing Pap smear results present in a medical record system intended for patient access (PatCIS). ...

This paper discusses the representation and caching of medical data structured and stored as XML documents. Caching of XML medical data is proposed towards improving the medical data accessibility and availability. The representation of XML medical data is a tree like structure and the caching process is guided by frequency ...

The term "nosological classification" is often used in connection with medical classification systems, and the tendency is to equate it with "diagnosis" and "validity." However, particularly in the case of psychiatry this is far from always being the case. From a scientific point of view, the two most up-to-date classification ...

Greater use of computer technology has permitted rapid access to many forms of data. Hospitals have traditionally been slower to accept this technology for patient medical records. With the rapid approach of the new millennium, hospitals are being forced into re-evaluating many processes, including the volumes of data collected on ...

A routine chart review over 23 months in a 256-bed community hospital revealed 246 medical records contaminated with apparent blood. Sixty percent of the records were nursing and anesthesiology records. Analysis of systematically selected records confirmed blood as the visible contaminant in 27% of the cases (8/30). Total quality improvement ...

BACKGROUND: Since 1987 the Monitoring Project on Cardiovascular Risk Factors has been carried out in The Netherlands. The purpose of the present study was to assess the agreement between the self-reported questionnaire information that was collected in this survey on cardiovascular diseases and risk factors and information from medical records. ...

BACKGROUND AND OBJECTIVES: This study describes key features of the privatized model of sexually transmitted disease (STD) service provision in Tacoma, Washington. GOALS: To assess the operational characteristics and the quality of care provided in the privatized STD clinics. STUDY DESIGN: Key informant interviews and surveys were conducted. Medical records ...

Appropriateness of medical admissions from a Malaysian public primary care clinic (Outpatient Department, Hospital Ipoh) was assessed by two physicians using a modified appropriateness evaluation protocol. Of 122 admissions between 16/6/96 and 15/7/96, 107 records (88%) could be traced from the records office. Eighty percent (86/107) were found to be ...

Although several studies have reported on valve abnormalities among users of fenfluramine or dexfenfluramine, detailed information on these subjects has not been provided, limiting the ability to understand who may be at risk for valve abnormalities and to generate hypotheses about the etiology and pathogenesis of these abnormalities. This study ...

PURPOSE: Self-reported medication histories obtained in pharmacoepidemiologic case-control studies are subject to non-differential misclassification and to recall bias. The accuracy of self-reported antidepressant medication use has never been evaluated, but it is important in light of the hypothesis that antidepressant medications may be associated with cancer risk. METHODS: Within a ...

The present computer system is the first of its kind based on problem-oriented medical record (POMR) design developed and operated in a hospital in Hong Kong. It went live in May 1996 with two workstations installed in the medical record office (MRO). Doctors have no direct access to it. They ...

The first generation of computerized medical records stored the data as text, but these records did not bring any improvement in information manipulation. The use of a relational database management system (DBMS) has largely solved this problem as it allows for data requests by using SQL. However, this requires data ...

BACKGROUND: Self-report and review of medical records are the most common methods for the assessment of past exposures. However, information obtained from self-reports and medical records may not be consistent. This study compared information provided in a self-administered questionnaire with medical records data. METHODS: Self-report and medical records data came ...

OBJECTIVE: To examine the precision and completeness of information in medical records for evaluating the appropriateness of operative indications for lumbar disc surgery. DESIGN: Retrospective review of records. SETTING: University department of neurosurgery, Switzerland. SUBJECT: 100 patients. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Proportion of pre-defined, detailed appropriateness criteria present in ...

We identified patients whose records in the Sistema Informativo Sanitario Regionale database in the Italian region of Friuli-Venezia Giulia showed a code of upper gastrointestinal bleeding (UGIB) and perforation according to codes of the International Classification of Diseases (ICD)-9th revision. The validity of site- and lesion-specific codes (531 to 534) ...