OBJECTIVE Computerised therapies play an integral role in efforts to improve access to psychological treatment for patients with depression and anxiety. However, despite recognised problems with uptake, there has been a lack of investigation into the barriers and facilitators of engagement. We aimed to systematically review and synthesise findings from qualitative studies of computerised therap...

FACES ARE FASCINATING. THE COMBINATION OF FIVE BASIC FACIAL FEATURES can create millions of variations. From the time when mankind began to draw on cave walls, artists have endeavoured to produce what the eye perceives in hard-copy. Along with the infinite naturally-occurring facial variations, human error in the form of individual perceptiveness widens the degree of inaccuracy in portraying th...

This report describes a method for conversion of visual fields from Goldmann perimeter charts to computer use, including area calculation, graphic display, and storage in the patient's data base. The computer program enables one to calculate and display several isoptres of each chart, as well as visual fields with scotomas or composed of islands. This method makes it possible to follow in an ac...

The variability of pulmonary arterial pressure, the relation of pulmonary pressure to systemic pressure, pulmonary pressure responses to stimuli (exercise, hypoxia, smoking, free ambulation), and plasma catecholamine responses were assessed in five patients with primary pulmonary hypertension. Ambulatory monitoring techniques provided data for the computerised analysis of continuous, beat-to-be...

Current systolic time interval techniques have limited clinical applicability since patient co-operation and attention to the carotid pulse and phonocardiogram transducers are required. Therefore only surface electrodes were used to monitor the electrocardiogram and electrical impedance cardiogram first derivative (dZ/dt) in the acquisition of the timing signals. dZ/dt motion artefacts were eli...

The head and neck imaging plays a central role at all stages of the management of cancer. Indeed, the image allows the oncology planning, surgery and radiotherapy. It is a multimodal imaging and the advantages and limitations of each technique must be known. Good knowledge of cervical anatomy is a necessary prerequisite for communication with the multidisciplinary committee. The computerised to...

Intelligent systems have appeared in many technical areas, such as consumer electronics, robotics and industrial control systems. Many of these intelligent systems are based on fuzzy control strategies which describe complex systems mathematical models in terms of linguistic rules. Since the 1980s new techniques have appeared from which fuzzy logic has been applied extensively in medical system...

The meticulous clinico-pathological studies undertaken by the Glasgow School of Neuropathology have indicated that various processes may prove lethal or be associated with severe disability and yet it has been difficult to define those processes in life. Examples include cerebral ischaemia, cholinergic dysfunction and the different patterns of neuropathological damage associated with the vegeta...

BACKGROUND The ideal method to encourage uptake of clinical guidelines in hospitals is not known. Several strategies have been suggested. This study evaluates the impact of academic detailing and a computerised decision support system (CDSS) on clinicians' prescribing behaviour for patients with community acquired pneumonia (CAP). METHODS The management of all patients presenting to the emerg...

OBJECTIVE To assess the effects of a computerised protocol management system on the number, cost, and appropriateness of laboratory investigations requested. DESIGN A before and after intervention. SETTING A supraregional liver unit in a teaching hospital. PATIENTS 1487 consecutive patients admitted during 1990 and 1991 (one year before and one year after introduction of the system). IN...