AIM: Acute focal pyelonephritis (AFP) is a variant of pyelonephritis in which single or multiple discrete areas show changes of inflammation. The reported sonographic appearances of AFP are varied but are typically described as being echopoor. The purpose of this study was to review the sonographic appearances of AFP and ...

The ongoing medical record review program at Sioux Valley Hospital USD Medical Center needed reenergizing: the results weren't taken seriously or producing the needed improvements. Using tools from the Joint Commission, an HIM professional and a performance improvement coordinator redesigned the process, making it more efficient and more effective. Here's ...

OBJECTIVE: The purpose of this study was to assess the range of information relevant to bicyclist injury research that is available on routinely completed emergency department medical records. METHODS: A retrospective chart review of emergency department medical records was conducted on children who were injured as bicyclists and treated at ...

BACKGROUND: Many general practitioners have not yet started to use computers for all their clinical records while others have yet to use them even for simple tasks such as prescribing. OBJECTIVE: To examine the issues preventing doctors from taking the 'next step' and to provide useful information and advice about ...

Following a review of records at the Soroka University Medical Center (SUMC) showing a recent increase in the annual incidence of hydatidosis among the Bedouin population of southern Israel, a seroepidemiological survey was conducted. A total of 1439 blood samples were collected from Bedouins and Jews living in the Negev ...

Preserved human remains, artefacts and works of art contain records of the existence and prevalence of arthropathies, even in the absence of medical texts or formal written accounts, although these also exist for some epochs and cultures. Example objects from the Museum of Medical History in Brussels have been used ...

This study determines the circadian variation of transient asymptomatic paroxysmal supraventricular tachycardia (PSVT). A total of 416 asymptomatic PSVT episodes (> or = 10 consecutive supraventricular beats) recorded in 62 patients were obtained from Holter monitoring. The incidence of the onset of PSVT was counted at the 1-hour interval. The ...

OBJECTIVE: To compare selected maternal, obstetric and newborn medical information on live birth certificates to medical record abstracted data. STUDY DESIGN: The Florida Department of Health provided a computer tape containing the Hillsborough County Florida live birth certificate data for July 1, 1992, through December 31, 1996. This information was ...

SETTING: A tuberculosis clinic in Haiti using self-administered medication. OBJECTIVE: To determine if medication monitors could be used along with directly observed therapy in developing countries to help solve the problem of compliance with medication. DESIGN: Patients were randomized into three groups: Group A took medication from medication monitors and ...

The last 500 million years of the strontium-isotope record are shown to correlate significantly with the concurrent record of isotopic fractionation between inorganic and organic carbon after the effects of recycled sediment are removed from the strontium signal. The correlation is shown to result from the common dependence of both ...

BACKGROUND: Over early fetal life, when disturbances in schizophrenia have been posited and craniofacial dysmorphogenesis reported, cerebral morphogenesis proceeds in embryological intimacy with craniofacial morphogenesis. Digitization technologies now allow 3D recording of craniofacial surface landmarks and modeling of craniofacial shape differences using geometric morphometrics. METHODS: Using normal sexual dimorphism as ...

Whether geographic variation in signals actually affects communication between individuals depends on whether discriminable differences in signals occur over distances that individuals move in their lifetimes. We measure the ability of song sparrows (Melospiza melodia) to discriminate foreign from local songs using foreign songs recorded at a series of increasing ...

Rhinitis is defined as an inflammatory disease, but in clinical practice the diagnosis is based on the occurrence of nasal symptoms. As all persons occasionally sneeze and blow the nose, it is necessary to define what is normal. In this study the daily number of sneezes and of nose blowing ...

OBJECTIVES: To (1) describe the rate of glycosylated hemoglobin (HbA1c) testing and control in a primary care clinic at an academic medical center; (2) compare academic medical center and health maintenance organization (HMO) data for a subgroup of the same patients; and (3) discuss the challenges to accurate clinical practice ...

The dynamics of extinction and diversification determine the long-term effects of extinction episodes. If rapid bursts of extinction are offset by equally rapid bursts of diversification, their biodiversity consequences will be transient. But if diversification rates cannot accelerate rapidly enough, pulses of extinction will lead to long-lasting depletion of biodiversity. ...

OBJECTIVE: To calculate the monthly incidence of gastric dilatation-volvulus (GDV) in a population of military working dogs during a 5-year period and determine whether there was an association with synoptic climatologic indices. SAMPLE POPULATION: Medical records of all military working dogs housed at Lackland Air Force Base,Tex, from Jan 1, ...

The objective of this study was to develop a medical language processing (MLP) system, which consisted of MedLEE and a set of inference rules, to identify 19 Charlson comorbidities from discharge summaries and chest x-ray reports. We used 233 cases to learn the patterns that were indicative of comorbidities for ...

A new version of craniocorpography (CCG), called computerized ultrasonographic CCG (Comp-USCCG), has been clinically applied for objective recording, documentation, and quantitative evaluation of abnormal psychomotor activity in psychiatric patients. Implications of this completely new approach to psychopathology are discussed. An original representation of Comp-USCCG data (introducing the time dimension as ...

The Veterinary Medical Database (VMDB) is a repository containing abstracts of over six million case records from 24 veterinary colleges throughout the U.S. and Canada. These case record abstracts, spanning almost 40 years, represent a valuable resource for outcomes analysis and hypothesis generation. Database records are currently encoded using the ...

The prognostic factors related to envenoming are not very well known. This study aims to identify prognostic factors for necrosis in envenoming by Bothrops jararaca. We analysed 779 medical records of patients bitten by B. jararaca and treated at the Hospital Vital Brazil, Butantan Institute, São Paulo, Brazil, between 1982 ...

The displacement pattern of the serra, Scomberomorus brasiliensis, in North-eastern Brazil was analyzed from landing data recorded form the fleet fishing serra. Serra fishery has two seasons: from Septemer to February (demersal species plus serra), and from March to August (almost only large amounts of serra). S. brasilienisis relative abundance ...

OBJECTIVE: Functional status measures are potent independent predictors of hospital outcomes and mortality. The study objective was to compare medical record with interview data for functional status. SUBJECTS AND METHODS: Subjects were 525 medical patients, aged 70 years or older, hospitalized at an academic medical center. Patient interviews determined status ...

Medical records are generally accepted as the most accurate source of information documenting cancer treatments. However, as the health care system becomes more decentralized and more cancer care is delivered in outpatient settings, it is increasingly difficult and expensive to review records from the many surgeons and medical/radiation oncologists who ...

BACKGROUND: Denplan is a private capitation-based system of providing primary dental care in the UK. An additional programme called Denplan Excel has been developed which requires General Dental Practitioners to instigate various quality processes within their practices in order to become accredited. Clinical record keeping is one area where standards ...

PURPOSE: Previous studies have suggested the importance of communicating with patients about prognosis at the end of life, yet the prevalence, content, and consequences of such communication have not been fully investigated. The purposes of this study were to estimate the proportion of terminally ill inpatients with documented discussions about ...

Computerized medical databases are increasingly used for research. The influence of different definitions of the accuracy of matching on the estimated accuracy of diagnosis data was assessed in a database of visits to a public pediatric clinic. Differences between definitions involved 1) unit of analysis, 2) number of diagnoses required ...

OBJECTIVE: To ascertain the impact of the introduction of a unitary patient record (UPR) on clerking documentation of emergency medical admissions. DESIGN: Retrospective casenote audit. SUBJECTS AND SETTING: Random sample of 100 unselected admissions to the medical assessment unit of a major teaching hospital, comprising two groups pre- and post-introduction ...

As human will stay for long duration in isolated sites like ISS there will be a need to perform quick and reliable diagnosis to evaluate the gravity of the pathology in presence of clinical symptoms. Many pathological situations (abnormal heart rate, pericardic collection, mitral prolaps, cholecystis, renal lithiasis, normal and ...

Contents. 115.33. Entries. 115.34. Medical records review. Cross References This chapter cited in 28 Pa. Code 127.35 (relating to patient care records); 28 Pa. Code 129.37 (relating to patient records); 28 Pa. Code 131.24 (relating to patients' medical records); 28 Pa. Code 139.28 (relating to patient medical records); and 28 ...

The current study sought to extend the knowledge about factors associated with NGRI acquittees' maintenance of a conditional release after hospital discharge. The medical and forensic records of 125 NGRI acquittees were reviewed to collect a variety of demographic, clinical, criminal, and aftercare factors. A hierarchical survival analysis approach to ...

A template based computerized medical record system known as the Emergency Medicine Department System (EMDS) was installed in the emergency department of the National University Hospital, Singapore, replacing handwritten records. A study was carried out to show how the implementation of the EMDS improved the quality of medical records. A ...

AIMS: To measure the accuracy of recording of previous adverse drug reaction (ADR) history in patients admitted to a teaching hospital before and after an education programme. METHODS: One month survey of patients on one medical and one surgical ward, repeated after a 1 month education programme. Patients answered a ...

BACKGROUND AND PURPOSE: In outcome analyses of clinical trials and mortality follow-up studies, the underlying cause of death (UCOD) is commonly assigned either by official coders or by a panel of physicians. We evaluated the validity of UCOD assigned by official coders by comparison with the assignments of a panel ...

The Global Expeditionary Medical System (GEMS), formerly known as Desert Care II, provides clinical data on every medical encounter that occurs at U.S. Air Force medical treatment facilities in theater. After 22 months of surveillance from March 1997 to January 1999, 59,026 records were generated from 27,305 active duty members. ...

OBJECTIVE: To try out a collection of a standard set of data from computerised medical records. DESIGN: Retrospective extraction of ordinary patient record information put into the computer by general practitioners. SETTING: Encounters in office hours in strategically selected practices or health centres in Denmark, Finland, Iceland, Norway and Sweden. ...

Converging theoretical, psychopharmacological, neurodevelopmental advances have led to increasing interest in preventive intervention in schizophrenia. In particular, evidence suggests that early treatment is associated with a better prognosis. Furthermore, based on the reported reduction in severe side effects, the new novel antipsychotics potentially provide the tools for early intervention. Nevertheless, ...

AIMS: To assess the feasibility of research into the occurrence, causation and prevention of adverse events (AEs) in New Zealand public hospitals. METHODS: A two-stage retrospective review was carried out on 1,575 medical records selected by systematic list sample from admissions for 1995 in three public hospitals in the Auckland ...

This study investigates STD knowledge, awareness and perception among antenatal patients at a Nigerian teaching hospital. There was general awareness of the common STDs, such as gonorrhoea, 95.5% (n=127) and syphilis 66.92% (n=89), while the least awareness was recorded in chlamydial diseases, 6% (n=8). HIV/AIDS recorded the highest awareness, 96.2% ...

Off Kaikoura, New Zealand, we recorded individually identified male sperm whales (Physeter macrocephalus) for entire dive cycles in order to investigate vocal behavior of individual whales and to examine possible functions of sperm whale clicks. In our study, sperm whales were almost always silent at the surface. They consistently started ...

PURPOSE: Historically, complication rates after colorectal surgery have been stratified by disease process, type of operation, or anesthesia risk derived after an intensive review of the medical record. Newer computer applications purport to shorten this process and predict the probability of postoperative complications by distinguishing them from comorbidities that are ...

OBJECTIVE: To describe the use of etomidate for rapid-sequence intubation (RSI) in the air medical environment. METHODS: This was a retrospective review of a consecutive series of patients receiving etomidate for RSI by a university hospital-based air medical program. Records of all patients more than 10 years of age requiring ...

Ambulatory recording of antroduodenal manometry is a novel technique with several advantages over standard stationary manometry recording. Although the feasibility of this technique in clinical practice has been demonstrated, reproducibility of antroduodenal motility recorded by means of ambulatory manometry has not been investigated. To test whether antroduodenal motility recorded by ...

PURPOSE: This study examines the concordance between symptom onset obtained during an interview in the emergency department (ED) compared to that recorded in the medical record among patients with stroke-like symptoms and characterizes the frequency of missing symptom onset information in the medical record. METHODS: Interviews with patients presenting with ...

AIM: To determine whether the apparently longer length of stay (LOS) reported for patients with cellulitis managed in Hospital in the Home (HITH) compared with those managed as inpatients was correct. METHODS: Data, including LOS, from the Victorian In-patient Minimum Database (VIMD) of all patients with cellulitis managed between July ...

OBJECTIVE: To determine proportions of cats in which feline infectious peritonitis (FIP) was diagnosed on an annual, monthly, and regional basis and identify unique characteristics of cats with FIP. DESIGN: Case-control study. SAMPLE POPULATION: Records of all feline accessions to veterinary medical teaching hospitals (VMTH) recorded in the Veterinary Medical ...

Although the world of medicine seems to be changing and progressing with each day, one thing that has not changed is the need for good documentation. The medical record of today does not only reflect your care of the patient, but has become a communication tool to a wide variety ...

To explore the use of an observational, cognitive-based approach for differentiating between successful, suboptimal, and failed entry of coded data by clinicians in actual practice, and to detect whether causes for unsuccessful attempts to capture true intended meaning were due to terminology content, terminology representation, or user interface problems. Observational ...

Observational studies with preparations of St. John's wort have recorded an incidence of adverse events (AE) among those treated of between 1 and 3%. This is some ten times less than with synthetic antidepressants. The most common adverse events (1 per 300000 treated cases) among the spontaneous reports in the ...

Uniform patient photographs that create permanent records are essential for any visually oriented medical specialty. These images are valuable for any plastic surgeon's practice for various reasons; thus, standards and recommendations for clinical photography should be well-known. There are several articles published on this issue, but it is still not ...

Traditional measures of socioeconomic status may not be reliable for older people and income may be a useful measure for research into inequalities in health. At the same time, researchers increasingly wish to link survey findings to individual data taken from medical records. For this, consent must be sought. To ...