Pub Date : 1999-06-01DOI: 10.1177/183335839902900214
Jeri A. Logemann
Jeri A. Logemann, PhD, and Peter J. Kahrilas, MD Article abstract-A patient with medullary infarct recovered swallowing at 45 months after stroke by using a series of pharyngeal swallow maneuvers. Each maneuver effected quantifiable changes in specific elements of the pharyngeal swallow. The success of these maneuvers is the basis for the conceptualization of the pharyngeal swallow as a cluster of closely coordinated neuromuscular actions which are independently modifiable, rather than a single event.
Jeri a . Logemann博士和Peter J. Kahrilas医学博士文章摘要:一名髓质梗死患者在中风后45个月通过一系列咽部吞咽动作恢复吞咽。每次操作对咽咽的特定成分都产生了可量化的变化。这些动作的成功是咽吞咽作为一组密切协调的神经肌肉动作的概念的基础,这些动作是独立可修改的,而不是一个单一的事件。
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Pub Date : 1999-06-01DOI: 10.1177/183335839902900203
{"title":"On Your Behalf","authors":"","doi":"10.1177/183335839902900203","DOIUrl":"https://doi.org/10.1177/183335839902900203","url":null,"abstract":"","PeriodicalId":55068,"journal":{"name":"Health Information Management Journal","volume":"29 1","pages":"65 - 65"},"PeriodicalIF":3.2,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/183335839902900203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65653945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-06-01DOI: 10.1177/183335839902900206
Kerin Robinson
{"title":"An Invitation to Discuss and Debate","authors":"Kerin Robinson","doi":"10.1177/183335839902900206","DOIUrl":"https://doi.org/10.1177/183335839902900206","url":null,"abstract":"","PeriodicalId":55068,"journal":{"name":"Health Information Management Journal","volume":"29 1","pages":"69 - 69"},"PeriodicalIF":3.2,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/183335839902900206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65654456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-06-01DOI: 10.1177/183335839902900213
{"title":"W3 and Me","authors":"","doi":"10.1177/183335839902900213","DOIUrl":"https://doi.org/10.1177/183335839902900213","url":null,"abstract":"","PeriodicalId":55068,"journal":{"name":"Health Information Management Journal","volume":"29 1","pages":"96 - 96"},"PeriodicalIF":3.2,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/183335839902900213","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65654629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-06-01DOI: 10.1177/183335839902900209
M. Hardy
The 15th annual Towards an Electronic Patient Record (TEPR) conference was organised by the Medical Records Institute (USA) and held 1-6 May at the Orlando Conference Center, Florida. The Center is enormous approximately 1.6km (l mile) long. The conference had up to 14 concurrent streams. The topics were wide-ranging and included: • re-engineering • transcription • security • medical terminology • identifying requirements • patient cards • selecting systems • legal issues • mental health • consumer access • speech technology • documentation • data warehousing • imaging • nursing issues • electronic signatures • IT trends • disaster recovery • cost / benefit analysis • user acceptance • telehealth • confidentiality and • implementation of electronic patient records. There were approximately 125 vendors' exhibits. Computer vendors showing their versions of the electronic patient record or associated hardware were in the majority. It was difficult to choose which sessions to attend. The breaks were the only common times in the program. Sometimes it was a matter of attending a session for a few minutes and trying to work out if it was going to be worthwhile. If it didn't look like the session would be informative, then it was a matter of sorting out if there was another to attend without walking in half way through the presentation. The Visionary Players entertained at the opening session. The Players did not actually meet each other before the conference. They developed the performance using email and telephone. The performance's Fiddler on the Roof theme featured songs that told the story of a clinician and his staff going through the stages required to successfully implement an electronic medical record (EMR). The session was very well done and informative as well as amusing. The performance was recorded and can be viewed at http://www.tepr.com/webcast The Clinical Documentation Challenge was a session where eight vendors of various EMR systems were invited to participate. The aim of the challenge was to show the audience how each system might handle the same information. Participants were given a limited amount of information before the Challenge. At the session a 'patient' presented her symptoms. Each vendor was given 10 minutes (which was strictly monitored) to show how their system could capture and display the information. The demonstration was interesting and enlightening. Free text versus structured data,
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Pub Date : 1999-03-01DOI: 10.1177/183335839902900108
Developments and policy direction at a national level may seem far removed from the day-to-day practice of health information management. But there are lots of examples of a national approach to many of the initiatives which we now accept as part of our daily work (e.g., casemix funding, ICD-10-AM, the National Health Information Model and the National Health Data Dictionary). Many of these can be attributed to Commonwealth and State and Territory Governments working collaboratively with expert committees to achieve change or establish a program of innovation. More recently, Australian Health Ministers have established the National Health Information Management Advisory Council (NHIMAC) to bring together private and public sector expertise to progress the health information management and information technology agenda nationally.
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