ISSN:1784-3286    

DOI:10.1080/17843286.1975.11717020

出版商:Taylor&Francis    

年代:1975

数据来源: Taylor

摘要:

SummaryIn order to evaluate the feasibility and usefulness of the list of problems, as a first approach to the P.O.M.R., 400 forms were completed for new patients, by assistants of an outpatient ward of the Department of Internal Medicine, University Hospital in Gent.The experiment showed that the elaboration of the list of problems requires special training of the physicians (definition and formulation of problems) and is time-consuming. A new type of problem had to be defined : questions from one consulting physician concerning specific aspects of the patient to another consultant. The anticipated communicability of the lists was seldom achieved.

ISSN:1784-3286    

DOI:10.1080/17843286.1975.11717021

出版商:Taylor&Francis    

年代:1975

数据来源: Taylor

摘要:

SummaryThe results of an experiment in a Department of Internal Medicine (UCL) with the logical structure proposed by Dr. Weed are reported, as well as some difficulties and opinions from the permanent staff.The problem oriented medical record appears mainly justified by its advantages in medical education, in providing easier access to relevant information from medical records, and in enabling better team work. The question of improving the quality of health care remains to be demonstrated.Subjective and interpretative aspects of the problem lists are underlined. It is proposed to include this list in the Belgian inter-university automated discharge summaries in order to facilitate evaluations in clinical work, and to add the problem structured logic to the traditional input of the data base.

ISSN:1784-3286    

DOI:10.1080/17843286.1975.11717022

出版商:Taylor&Francis    

年代:1975

数据来源: Taylor

摘要:

SummaryThis paper discusses some of the many problems involved in the implementation of the Problem Oriented Medical Record (POMR). The medical profession is reluctant to accept any new system without good solid evidence in its favour, and unfortunately the merits of POMR are difficult to prove on a short term basis. However, emotional reasoning must be avoided and doubting colleagues encouraged to use POMR without prejudice until, hopefully, its advantages become apparent to them.The best way of introducing POMR into the regular routine of a hospital is discussed, together with some practical problems such as the conversion of old, non-problem oriented records.

ISSN:1784-3286    

DOI:10.1080/17843286.1975.11735718

出版商:Taylor&Francis    

年代:1975

数据来源: Taylor

摘要:

SummaryTwo types of computerized record for the cancer patient are described. Both types are routinely used in the department of Radiotherapy of the Liège University.In the simplest record, patient identification and tumour description are registered; some information about social insurances and general practitioner are also registered.In the more elaborate record, the different treatments and the follow-up are described.Our experience extends to more than 5 000 patients.

ISSN:1784-3286    

DOI:10.1080/17843286.1975.11717024

出版商:Taylor&Francis    

年代:1975

数据来源: Taylor

摘要:

SummaryThe intention of this paper is to show a trial of a computeroriented orthopaedic record, on which the first work was started in 1967. The main purpose of our work is storage and retrieval of information, with the help of structured charts which partly replace the old handwritten record.The first information is gathered in the out-patient clinic where mostly diagnosis and treatment information is collected. The largest part of the record, however, concerns the in-patient, and consists of a questionnaire about general health and orthopaedic problems together with specific charts for different conditions.

ISSN:1784-3286    

DOI:10.1080/17843286.1975.11717025

出版商:Taylor&Francis    

年代:1975

数据来源: Taylor

摘要:

SummaryIn an effort to prepare a programme for ordinator assisted diagnosis in thyrotoxicosis, subjective symptoms and clinical signs were registered in 160 Belgian patients with thyrotoxicosis due to Graves’disease (n= 130) or toxic adenoma (n= 30) as well as in 36 selected“non-hyperthyroid”cases.The computer handling of the large amount of data appeared feasible and statistical analysis allowed determination of the diagnostic value of the items under study. Considering subjective symptoms, only little discrimination is possible between the thyrotoxic and non-thyrotoxic groups; however, clinical signs differed clearly between the two groups. Careful clinical examination thus proved to be of greater importance in directing the clinician to the correct diagnosis.

ISSN:1784-3286    

DOI:10.1080/17843286.1975.11717026

出版商:Taylor&Francis    

年代:1975

数据来源: Taylor

摘要:

SummaryA systematic survey of epidemiological data concerning 160 patients suffering from thyrotoxicosis, indicates a ratio of 4.3 cases of Graves’disease (GD) against 1 case of toxic adenoma (TA). The sex ratio is not different for GD and TA cases, and clearly in favour of women (5/1), whereas age distribution is not different in men and women. GD occurs preferentially in the age group of 25 to 45 years and in the sixth decade, TA is exclusively found in patients over 35 years with an equal distribution over the fourth, fifth and sixth decade. Thyrotoxic antecedents are present in about 40% of the patients under investigation, pointing to a high recurrence rate of the disease. The incidence of thyroid disorders in the relatives of patients with TA seems not to be different from that in patients with GD.

ISSN:1784-3286    

DOI:10.1080/17843286.1975.11717027

出版商:Taylor&Francis    

年代:1975

数据来源: Taylor

摘要:

SummaryWhereas routine blood biochemistry can give some indication towards the diagnosis of hyperthyroidism, non of these data can establish this diagnosis. If the basal metabolic rate is low or normal the diagnosis of hyperthyroidism can be rejected; the finding of a high value, however, does not prove the existence of thyroid hyperfunction. A decreased Achilles reflex time strongly supports the diagnosis of thyrotoxicosis, since such a decrease is never found in non-hyperthyroidism. However, more than half of thyrotoxic patients have a normal reflex time. The basal metabolic rate and Achilles reflex time have lost much of their importance since the direct measurement of blood hormone levels is now readily available.

ISSN:1784-3286    

DOI:10.1080/17843286.1975.11717028

出版商:Taylor&Francis    

年代:1975

数据来源: Taylor

摘要:

SummaryA double blind clinical trial of one year duration was performed to compare the activity of halofenate (1 000 mg once a day) and of clofibrate (1 000 mg twice a day) on plasma levels of cholesterol, triglycerides and uric acid in 20 hyperlipidaemic patients.Statistical analysis showed that clofibrate provokes a significant decrease of cholesterol and triglycerides, a slight (p>0.05) increase of uric acid. Halofenate did not influence significantly any of three levels. Noteworthy is the decrease in uric acid,.caused by halofenate (18 % after 24 weeks -p<0.05), although the basal uric acid values were normal.Clinically both drugs were well tolerated. Alkaline phosphatase levels significantly decreased during treatment with clofibrate.

ISSN:1784-3286    

DOI:10.1080/17843286.1975.11717029

出版商:Taylor&Francis    

年代:1975

数据来源: Taylor