ABSTRACT
Capturing clinical data is a multi-faceted problem. This paper discusses clinical data entry problems encountered during the development of an intelligent clinical data entry system. Based on a review of the problems, recommendations are made for an approach to the design of clinical data entry programs. These recommendations include a discussion of key components in the design process as illustrated by the development of MedIO, a C++ computer program for the entry of history and physical exam information.
Subject(s)
Medical Records Systems, Computerized , User-Computer Interface , Data Collection/methods , Electronic Data Processing , HumansABSTRACT
Pulsed low current transcranial electrostimulation (TE) has been shown to induce analgesia in rats as measured by the wet tail flick test. This study investigates the effect of varying stimulus frequency, pulse width, charge balance and polarity, as well as the influence of electrode placement and time of day at which stimulus occurred. A biphasic, charge balanced waveform with a first phase duration of 2 msec, current 10 microA and repetition rate 10 Hz was found to induce maximum tail flick latency changes. The effects of morning or nighttime stimulation were statistically indistinguishable, as were the differences between monophasic and biphasic stimulation. Analgesia was maximized when a positive first phase was delivered into the right ears of the rats, but monolateral stimulation with both electrodes on either the left or the right ear produced no measurable effect. Examination of TE responses in sham and stimulated populations reveals normal response distributions with the stimulated group skewed toward a positive effect.
