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Results: 131 to 136 of 136

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Clinical data bases. Accomplishments and unrealized potential.
Pryor DB, Califf RM, Harrell FE, Hlatky MA, Lee KL, Mark DB, Rosati RA
(1985) Med Care 23: 623-47
MeSH Terms: Epidemiologic Methods, Hospital Administration, Information Systems, Management Information Systems, Medical Record Linkage, Medical Records, Research Design, Software, Technology Assessment, Biomedical, United States
Added February 28, 2014
0 Communities
1 Members
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10 MeSH Terms
Lymphocyte-depleted Hodgkin's disease. Clinicopathologic review of 25 patients.
Greer JP, Kinney MC, Cousar JB, Flexner JM, Dupont WD, Graber SE, Greco FA, Collins RD, Stein RS
(1986) Am J Med 81: 208-14
MeSH Terms: Adult, Aged, Antineoplastic Combined Chemotherapy Protocols, Female, Hodgkin Disease, Humans, Lymphocyte Depletion, Male, Medical Records, Middle Aged, Neoplasm Staging, Prognosis
Show Abstract · Added March 21, 2014
Clinicopathologic material from 25 patients with lymphocyte-depleted Hodgkin's disease was reviewed. The median age of the patients was 57 years. The patients had no prior diagnosis of Hodgkin's disease and were divided according to pathologic subtype of lymphocyte-depleted Hodgkin's disease: 11 diffuse fibrosis, 10 reticular, and four not otherwise specified. The clinical presentation included B symptoms of fever, weight loss, or night sweats (92 percent), subdiaphragmatic disease (88 percent), frequent marrow involvement (56 percent), and advanced-stage disease (100 percent). Four of 11 patients with diffuse fibrosis had peripheral adenopathy as compared with seven of 10 patients with the reticular subtype (p = 0.3); 10 of 11 patients with diffuse fibrosis had marrow involvement compared with two of nine patients with the reticular subtype (p = 0.006). Among patients who received chemotherapy, median survival was longer in the diffuse fibrosis subtype (nine patients, 39 months) than in the reticular subtype (10 patients, 10 months), p = 0.005. Of the 17 patients who received more than one cycle of combination chemotherapy with mechlorethiamine, vincristine, procarbazine, and prednisone, the median survival was 36 months with 11 (65 percent) complete remissions. In eight patients, disease remains in remission (12 to 127 months) with five patients surviving beyond five years. These results indicate that lymphocyte-depleted Hodgkin's disease has at least two clinicopathologic subtypes and is curable if adequate therapy can be given.
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12 MeSH Terms
Monitoring the safety of childhood immunizations: methods of linking and augmenting computerized data bases for epidemiologic studies.
Griffin MR, Ray WA, Fought RL, Foster MA, Hays A, Schaffner W
(1988) Am J Prev Med 4: 5-13
MeSH Terms: Central Nervous System Diseases, Cohort Studies, Computer Communication Networks, Computer Systems, Diphtheria-Tetanus-Pertussis Vaccine, Humans, Infant, Infant, Newborn, Medicaid, Medical Record Linkage, Medical Records, Sudden Infant Death, Tennessee, Time Factors, United States, Vaccination, Vital Statistics
Added March 5, 2014
0 Communities
1 Members
0 Resources
17 MeSH Terms
Incidence of hip fracture in Saskatchewan, Canada, 1976-1985.
Ray WA, Griffin MR, West R, Strand L, Melton LJ
(1990) Am J Epidemiol 131: 502-9
MeSH Terms: Aged, Aged, 80 and over, Epidemiologic Methods, Europe, Female, Hip Fractures, Humans, Male, Medical Records, Saskatchewan, Sex Factors, United States, Urban Health
Show Abstract · Added March 5, 2014
The authors ascertained the incidence of hip fracture in Saskatchewan, Canada, residents aged 65 years or older for the 10 years 1976-1985 from computerized hospital discharge records and compared it with rates for several other populations in Northern Europe and the United States. In Saskatchewan, the average annual incidence was 5.5 per 1,000 person-years. The incidence in women was twice that in men, the incidence in urban areas was 27% greater than that in nonurban areas, and there was no secular trend of increasing rates. The incidence of hip fracture in Saskatchewan was lower than that for populations in Scandinavia and the United States but was comparable to rates in English populations. Further study is needed to elucidate the genetic, environmental, and behavioral factors responsible for this variation.
0 Communities
1 Members
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13 MeSH Terms
A graphical ICU workstation.
Higgins SB, Jiang K, Swindell BB, Bernard GR
(1991) Proc Annu Symp Comput Appl Med Care : 783-7
MeSH Terms: Attitude of Health Personnel, Attitude to Computers, Computer Graphics, Hospitals, University, Humans, Intensive Care Units, Medical Records Systems, Computerized, Microcomputers, Nursing Staff, Hospital, Tennessee, User-Computer Interface
Show Abstract · Added March 5, 2014
A workstation designed to facilitate electronic charting in the intensive care unit is described. The system design incorporates a graphical, windows-based user interface. The system captures all data formerly recorded on the paper flowsheet including direct patient measurements, nursing assessment, patient care procedures, and nursing notes. It has the ability to represent charted data in a variety of graphical formats, thereby providing additional insights to facilitate the management of the critically ill patient. Initial nursing evaluation is described.
0 Communities
1 Members
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11 MeSH Terms
Identification of fractures from computerized Medicare files.
Ray WA, Griffin MR, Fought RL, Adams ML
(1992) J Clin Epidemiol 45: 703-14
MeSH Terms: Aged, Aged, 80 and over, Data Collection, Female, Fractures, Bone, Humans, Information Storage and Retrieval, Male, Medical Records, Medicare, Probability, Sensitivity and Specificity, Tennessee, United States
Show Abstract · Added March 5, 2014
Study of non-hip fractures, which are a serious public health problem for persons greater than or equal to 65 years of age, has been hindered by the absence of an economical method for case identification. We assessed the utility of computerized Medicare inpatient, emergency room, hospital outpatient department and physician claims for identifying fractures in an elderly Tennessee Medicaid population. We used these files for 1987 to identify 3086 possible fractures and reviewed medical records for a sample of 1440. Using this sample, we developed a definition of probable fractures that excluded claims unlikely to represent newly diagnosed fractures. For all fractures, this definition had a positive predictive value of 94%, which for individual fracture sites, ranged from 79% (tibia/fibula) to 98% (hip). Of fractures in the reviewed sample, 91% were identified as probable fractures; this upper bound for sensitivity varied between 75% (femoral shaft) and 100% (patella). These data suggest that computerized Medicare files can be used for rapid and economical fracture ascertainment among persons greater than or equal to 65 years of age. However, further work is needed to obtain better estimates of sensitivity.
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14 MeSH Terms