Integrated Academic Information Management Systems (IAIMS). Part II. Planning and implementing integrated information services. IAIMS infrastructure: technological base.

The IAIMS concept calls for the logical integration of information derived from databases in the functional areas of administration, clinical care, education, libraries, and research. To accomplish this task a technological base must be established. It is suggested that such an infrastructure will consist of a systems component, the linked databases component, and a management component.

Promoting self-directed hemodialysis: measurement and cognitive-behavioral intervention.

Approximately 98% of hemodialysis patients who are treated in hemodialysis units currently use staff-directed treatment. This may well be the most expensive and most dependent mode of hemodialysis treatment. If an effective strategy were developed to enhance degree of self-directed care, millions of public health dollars might be saved while patients reap potentially substantial psychological benefits.

Ear canal collapse: a case presentation.

The effects of collapse of the external ear canals due to pressure from earphones have been documented and discussed by several authors during the past 2 decades. This report presents a case of ear canal collapse in a child and demonstrates the value of impedance audiometry in cases of collapse of the external ear canal.

A comparison of half- vs full-list speech discrimination scores in a hearing-impaired geriatric population.

Speech discrimination testing using a recorded List A of the CID W-22 test was completed on 76 elderly persons with varying degrees of sensorineural hearing impairment. Half- and full-list scores were compared and the statistical analysis provided support for half-list testing with this population. Variability in scores was discussed relative to expected variation based on previous data by Thornton and Raffin (1978).

Talker effects on word-discrimination scores of adults with sensorineural hearing impairment.

Speech discrimination testing was completed on 30 adults with varying degrees of sensorineural hearing impairment. Tape recordings of four talkers' utterances of CID W-22 word lists served as the stimulus materials. Listeners' responses were scored independently by three experienced judges.