Impact of voice- and knowledge-enabled clinical reporting--US example.

This study shows qualitative and quantitative estimates of the national and the clinic level impact of utilizing voice and knowledge enabled clinical reporting systems. Using common sense estimation methodology, we show that the delivery of health care can experience a dramatic improvement in four areas as a result of the broad use of voice and knowledge enabled clinical reporting: (1) Process Quality as measured by cost savings, (2) Organizational Quality as measured by compliance, (3) Clinical Quality as measured by clinical outcomes and (4) Service Quality as measured by patient satisfaction. If only 15 percent of US physicians replaced transcription with modem clinical reporting voice-based methodology, about one half billion dollars could be saved.

Case report: intermittent sciatic herniation of the ureter.

Sciatic herniation is the rarest form of pelvic hernia. Herniation of the ureter into the sciatic foramen is extremely uncommon with only 11 cases reported in the literature. We describe an unusual case of intermittent herniation of the ureter during an intravenous urogram.

Bleomycin: effects upon mammalian epidermal DNA synthesis.

The effects of bleomycin upon epithelial DNA synthesis have been evaluated in a keratinizing tissue culture line and following topical application on intact mouse epidermis. In both models, bleomycin inhibited epithelial DNA synthesis after prolonged exposure of the tissue to large doses of the polypeptide antibiotic. The effect is probably limited by the penetration of bleomycin through epithelial cell membranes.