Abstract：
:The paper provides the description of a data-base developed to include in a quite structured format most clinical data used for patient management in a hospital setting. The system was aimed at achieving a reasonable compromise between the significant but complex solutions the research offers and the real needs of medical practice. First of all, the paper defines the requirements for designing a computerized clinical database according to a patient-centered clinical approach. Then, it describes the structure of a prototype aimed at classifying clinical data as a hierachy and describing them according to a structural approach. Next, problems related to the management and upgrading of the system are identified and possible solutions described, with a particular emphasis or knowledge acquisition, refinement and specialization, and on problems related to the functional aspects required for clinical applications. Finally, some meaningful clinical applications are outlined, which use the computerized clinical database as the standard for knowledge organization and data sharing.
journal_name
Minerva Medjournal_title
Minerva medicaauthors
Torchio M,Molino F,Seidenari C,Molino Gkeywords:
subject
Has Abstractpub_date
2003-04-01 00:00:00pages
111-22issue
2eissn
0026-4806issn
1827-1669journal_volume
94pub_type
杂志文章相关文献
MINERVA MEDICA文献大全abstract：:Progressive systemic sclerosis (PSS), a disease still of unknown origin, is a generalized autoimmune disorder characterized by immunological abnormalities, microvascular dysfunction, and tissue fibrosis. The mechanism leading to selective microvascular injury in PSS is not completely known, however it is now clear tha...
journal_title：Minerva medica
pub_type： 杂志文章,评审
doi：
更新日期：1998-05-01 00:00:00
abstract：:HCV positive hepatitis possesses a relevant social impact as regards national health costs. On the other hand, interferon (IFN) therapy represents to date the best therapeutic approach to this problem. However, several clinical questions have arisen regarding the efficacy and safety of long-term treatments, and above ...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
abstract：:The nutritional and immunological status have been evaluated in 28 consecutive patients with esophageal cancer. Patients (21 male and 7 female), had a mean age of 61 years, ranging from 34 to 84 years. The tumor histological type was squamous in 25 patients. A melanoma, an oat cell carcinoma and a adenocarcinoma were ...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1991-09-01 00:00:00
abstract：:40 hyperlipidaemic patients (26 type II a and b, 14 type IV) and 50 healthy controls were studied. The patients were not suffering from any other pathology of note and were under no drug treatment. Blood viscosity at natural Ht and at Ht 45% and plasma viscosity were measured. Red blood cell viscosity and deformabilit...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1987-06-30 00:00:00
abstract：:The elderly population is rapidly increasing in Western countries. Old age indirectly represents one of the most important risk factors for the development of neoplasias. In Italy in 1991 a total of 14,572 deaths from tumours were recorded, equivalent to 27% of all deaths; of these over 66% affected individuals aged o...
journal_title：Minerva medica
pub_type： 杂志文章,评审
doi：
更新日期：1997-03-01 00:00:00
abstract：METHODS:The peripheral blood lymphocytes and lung function have been studied in 25 patients: 12 affected by atopic asthma and 13 affected by non atopic asthma. RESULTS:The results obtained indicate that peripheral blood CD3 and CD4 cell as well as HLA-DR marker are higher in the extrinsic asthma group. CONCLUSIONS:Th...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1998-03-01 00:00:00
abstract：:The case of a sixteen year old girl with hereditary spherocytosis, submitted to splenectomy, is presented. After operation the patient had four serious infections; for this reason she is now treated by antibiotic prophylaxis. ...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1990-09-01 00:00:00
abstract：:Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and its prevalence is increasing with age. With aging of the population treatment of atrial fibrillation especially in elderly population is a growing task for all medical staff working with elderly patients. Treatment of atrial fibrillation espe...
journal_title：Minerva medica
pub_type： 杂志文章,评审
doi：
更新日期：2009-04-01 00:00:00
abstract：: ...
journal_title：Minerva medica
pub_type： 杂志文章
doi：10.23736/S0026-4806.19.06251-7
更新日期：2019-09-27 00:00:00
abstract：:The Authors shortly present some statistical and epidemiological data on RTI and stress that these infections are nowadays the main infectious diseases. After an excursus of the most frequent infectious aetiologies, they show their experience in RTI treatment, mainly acute LRTI, with a new fluorquinolone, ciprofloxaci...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1991-05-01 00:00:00
abstract：:Forty patients with various neoplasias and radiological and scintigraphic evidence of multiple osteolytic lesions were studied between March 1979 and December 1981 at the Savona Oncology Service. All of them were treated with chemo and/or hormone therapy, plus 100 UMRC salmon calcitonin a day for 20 days a month until...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1983-03-31 00:00:00
abstract：:Following the observation of a high percentage of bacterial resistance to antibiotics, the mechanisms of the establishment and transmission of such resistances on an extra-chromosomal basis (R factors) are examined in detail. After noting that the increased incidence and spread of bacterial strains resistant to chemot...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1975-04-28 00:00:00
abstract：:A codified approach to the collection of data obtained from an ergometric test is proposed and the need for such a codification, arising from the necessity to check and organise data collected during clinical examinations, is discussed. Practical questions regarding the chosen model are also discussed. The essential f...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1980-11-14 00:00:00
abstract：AIM:The aim of this supplement registry was to evaluate the efficacy of the Pycnogenol® in improving cochlear flow and symptoms in a 6-month follow-up for patients with Meniere's disease (MD), tinnitus and cochlear hypoperfusion. METHODS:Main signs/symptoms were considered: Spontaneous vertigo, positional vertigo, hea...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：2014-06-01 00:00:00
abstract：:Results obtained with immunotherapy in 318 cases of lung cancer showed that an initial Tine test is useful prognostically (initial negativity is equivalent to poor survival), and survival increases and decreases in function of positivity and negativity respectively. The soundness of immunotherapy is borne out by the s...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1976-12-29 00:00:00
abstract：:The Authors, after having examined the factors responsible for the hyperprolactinemia in the cirrhotic, confirm the lack of a relationship between the increase in the prolactinic reserve and gynecomastia and between the amount of the prolactinic reserve and the degree of liver disorder. While hyperestrinism and the fa...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1985-01-14 00:00:00
abstract：:After a short survey of the main tubercolinic cutaneous tests the Author dwells particularly upon Tine test and intradermoreaction. Then it's produced a casuistics about two groups of it's people with different stories as for B. Kock infection. The results obtained checking up the two groups with Tine test or with int...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1981-06-23 00:00:00
abstract：:The clinical polymorphism of brucellosis is well known fact. It is thought personally that respiratory system localizations are more frequent than have so far been reported in the literature and serious differential diagnosis problems arise with tuberculosis, neoplasia and pneumoconiosis. After discussing such problem...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1977-05-09 00:00:00
abstract：:Cystic fibrosis (CF) is the most common genetic disorders in the Caucasian population, with estimated between 70,000 and 100,000 patients worldwide. Even if improved diagnostics and clinical management have led to an increased life expectancy, CF still remains a disease that significantly impacts patients' life in ter...
journal_title：Minerva medica
pub_type： 杂志文章,多中心研究,评审
doi：
更新日期：2015-10-01 00:00:00
abstract：:The authors describe one case of infections sacro-iliitis caused by Borrelia, where the diagnostic procedures by conventional radiology, computerized tomography and nuclear magnetic resonance imaging have not permitted the localization and the assessment of joint inflammatory disease. The bone "theree phases" scintisc...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
abstract：:The diagnostic possibilities of Doppler velocimetry with spectral analysis have been assessed in the diagnosis of benign and malignant breast cancers. The study considers 18 patients with mammary nodules. The data obtained with Doppler velocimetry are compared with those of mammographic, cytological and histopathologi...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：:The difficulty of clinical and biochemical diagnosis of insulinoma lies in the extreme variability of both clinical symptoms and glycaemia/insulinaemia levels, so that neither parameter is a totally reliable diagnostic indicator. The possibility of introducing a third parameter, the non-esterified fatty acid (FFA) lev...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1985-09-29 00:00:00
abstract：:Lung transplant is a therapeutic option for end stage lung diseases, but only a limited number of lung grafts is considered suitable for transplantation. It has been recently suggested an approach to improve and maximize donor lung suitability, namely ventilation strategies to prevent lung damage and preserve function...
journal_title：Minerva medica
pub_type： 杂志文章,评审
doi：
更新日期：2016-06-01 00:00:00
abstract：:The Authors report their experience on a series of 125 patients that underwent stereotactic biopsy. The procedure has proved reliable and almost risk -free. The diagnosis obtained from the bioptic specimen by smear technique-cytological examination and by paraffin embedding-histological examination are compared. Neuro...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1984-05-19 00:00:00
abstract：:Radiotherapy of brain metastases is almost always palliative, as histologically documented cures are exceptional. Radiotherapy alone improves neurological symptoms in two-thirds of cases, but median survivals do not generally exceed 6 months. Whole brain radiation is mandatory as the lesions are often multiple, even w...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1984-05-31 00:00:00
abstract：:The vascular mechanism of migraine attacks--intracranial vasoconstriction during the prodromal stage and passive vasodilatation of extracranial arteries during the painful phase--has been confirmed by modern methods. In addition, number of humoral factors--plasmakinin, serotonin, histamine--intervene in the chain of e...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1976-06-23 00:00:00
abstract：:The relationship between initial percentage of bone marrow plasma cells and survival was studied in a group of 70 patients affected with multiple myeloma. All patients had a complete follow-up. The initial percentage of plasma cells shows a highly significant correlation with survival. Moreover, the percentage of bone...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
abstract：:Variation in strain virulence helps to account for the wide spectrum of group A streptococcal diseases and for their striking epidemiological variation. Recent studies of the genetic control of the expression of the virulence factors of group A streptococci (GAS) are beginning to illuminate such variation. Although st...
journal_title：Minerva medica
pub_type： 杂志文章,评审
doi：
更新日期：2002-10-01 00:00:00
abstract：:Conventional conservative treatment of chronic uremia is aimed at reducing protein intake to a minimum level compatible with nitrogen balance. A great progress in this field is represented by a low protein diet associated with some essential aminoacids and ketoanalogues. A group of 20 patients with chronic renal failu...
journal_title：Minerva medica
pub_type： 杂志文章
doi：
更新日期：1980-09-19 00:00:00
abstract：BACKGROUND:This is the first time that a bronchoalveolar lavage (BAL) neutrophil-to-lymphocyte ratio (NL-ratio) has been demonstrated in sarcoidosis and chronic Hypersensitivity Pneumonitis (cHP) than in idiopathic pulmonary fibrosis (IPF) patients. SUBJECTS AND METHODS:Consecutive BAL samples from the 167 interstitia...
journal_title：Minerva medica
pub_type： 杂志文章
doi：10.23736/S0026-4806.20.06614-8
更新日期：2020-05-14 00:00:00
