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1.
Conf Proc IEEE Eng Med Biol Soc ; 2006: 5214-7, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17946289

RESUMO

Mobile health care solutions involving patient monitoring are an increasingly accepted element in chronic disease management strategies. When used in healthcare systems with different providers, it is essential that the information gathered from the patient is available at each of these providers information repositories. This paper describes the design of a connectivity interface based on the HL7 standard that allows the MOTOHEALTH mobile health care solution to communicate with external electronic healthcare record systems supporting HL7.


Assuntos
Sistemas Integrados e Avançados de Gestão da Informação , Sistemas Computadorizados de Registros Médicos/instrumentação , Telemedicina/instrumentação , Telefone Celular , Doença Crônica/terapia , Redes de Comunicação de Computadores , Computadores , Computadores de Mão , Desenho de Equipamento , Humanos , Informática Médica , Registro Médico Coordenado , Linguagens de Programação , Integração de Sistemas , Interface Usuário-Computador
2.
CMAJ ; 156(5): 665-7, 1997 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-9068573

RESUMO

Some physicians think the current squeeze facing postgraduate medical education was caused by cuts in the number of residency positions. The authors consulted the Canadian Post-MD Education Registry database to determine the actual state of postgraduate training opportunities and to correct erroneous views that may be affecting the debate over training positions. The danger, they say, is that misinformation may lead to inappropriate strategies for dealing with current challenges.


Assuntos
Bases de Dados Factuais , Educação de Pós-Graduação em Medicina/estatística & dados numéricos , Internato e Residência/estatística & dados numéricos , Sistema de Registros , Canadá , Educação de Pós-Graduação em Medicina/tendências , Humanos , Internato e Residência/tendências
3.
Am J Cardiol ; 72(7): 551-4, 1993 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-8362769

RESUMO

Forty-six patients with documented coronary artery disease were studied to examine the relation of cardiovascular reactivity to mental stress and cardiac vagal activity. Cardiac vagal activity was measured by means of frequency-domain analysis of heart rate variability with 48-hour out-of-hospital Holter monitoring. The amplitude of the high-frequency component (0.16 to 0.40 Hz) of heart rate variability is considered to be an index of cardiac vagal activity. Cardiovascular reactivity was measured in the laboratory during a 3-minute public speaking task. Results revealed that (1) the amplitude of the high-frequency component was significantly higher during sleep (24.6 +/- 11.3 ms) than during waking (18.2 +/- 8.0 ms) (p = 0.002); (2) compared to subjects with low diastolic blood pressure reactivity, those who displayed high diastolic blood pressure reactivity exhibited a significantly lower amplitude of the high-frequency component (19.2 +/- 6.9 vs 23.4 +/- 9.6 ms, p = 0.03). These results indicate that decreased cardiac vagal activity may contribute to the exaggerated diastolic blood pressure reactivity to mental stress in patients with coronary artery disease.


Assuntos
Sistema Cardiovascular/fisiopatologia , Doença das Coronárias/fisiopatologia , Coração/inervação , Estresse Psicológico/fisiopatologia , Nervo Vago/fisiopatologia , Idoso , Análise de Variância , Pressão Sanguínea , Doença das Coronárias/epidemiologia , Doença das Coronárias/psicologia , Feminino , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Psicofisiologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia
5.
Mayo Clin Proc ; 64(3): 335-8, 1989 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-2704255

RESUMO

A 53-year-old woman was examined at our medical center because of progressive dysphagia of 14 days' duration and a severe inability to open her mouth and swallow saliva. A barium esophagogram showed no obstruction, but pooling of barium in the hypopharynx suggested a neuromuscular disorder. The clinical diagnosis of tetanus was confirmed by electromyography. With appropriate therapy, the patient recovered during a period of 6 weeks. This case illustrates both an uncommon cause of dysphagia and an uncommon initial manifestation of tetanus.


Assuntos
Transtornos de Deglutição/etiologia , Tétano/complicações , Fatores Etários , Eletromiografia , Feminino , Humanos , Pessoa de Meia-Idade , Tétano/diagnóstico , Tétano/terapia , Antitoxina Tetânica/uso terapêutico , Trismo/etiologia
6.
Mayo Clin Proc ; 59(6): 429-30, 1984 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-6727433

RESUMO

As illustrated by this case report, tetanus can occur as a complication of anorectal surgical procedures or abscesses just as it can in other wounds. A synergistic infection of the perineum occurred in a 62-year-old man 8 days after drainage of an anorectal abscess. He was treated with vigorous debridement and antibiotics and was given tetanus prophylaxis. The next day, tetanus developed, presumably from the original abscess. The patient recovered after aggressive therapy, including muscle relaxants and ventilatory support.


Assuntos
Abscesso/cirurgia , Doenças do Ânus/cirurgia , Doenças Retais/cirurgia , Tétano/etiologia , Antibacterianos/uso terapêutico , Desbridamento , Drenagem , Humanos , Masculino , Pessoa de Meia-Idade , Períneo/microbiologia , Complicações Pós-Operatórias , Tétano/terapia , Antitoxina Tetânica/uso terapêutico
9.
Science ; 159(3812): 297-300, 1968 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-17799557

RESUMO

Barbados provides a possibly unique opportunity for reconstruction of the times and elevations of late-Pleistocene high stands of the sea. The island appears to be rising from the sea at a uniform rate that is fast enough to separate in elevation coral-reef tracts formed at successive high stands of the sea. Unaltered coral found in the lower terraces enables high-precision Th(230): U(234) and Pa(231): U(235) dating. Three distinct high stands of the sea are found about 122,000, 103,000, and 82,000 years ago. New Pa(231) and Th(230) dates from a deep-sea core also indicate that Ericson's W-X cold-to-warm climatic change occurred close to 126,000 years ago. These data show a parallelism over the last 150,000 years between changes in Earth's climate and changes in the summer insolation predicted from cycles in the tilt and precession of Earth's axis.

12.
Science ; 152(3725): 1091-2, 1966 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-17754819

RESUMO

Mollusks have been collected from Pleistocene marine deposits at Tomales Bay, California, and Cape Blanco, Oregon. Dating by the carbon-14 and thorium-230-uranium-234 methods suggests that the shells are at least 33,000 years old. The more probable age of the Tomales Bay locality is >/= 50,000 years.

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