Clinical decision support systems in state hospitals.

Computerized data management technology for clinical decision making is a key to optimizing the performance of programs serving the most severely disabled and treatment-resistant patients.

False positive malignant peritoneal cytology and psammoma bodies in benign gynecologic disease.

Objective: To determine the incidence of false positive malignant peritoneal cytology and psammoma bodies associated with benign gynecologic disorders.

Study Design: Pelvic peritoneal fluid was prospectively collected for cytologic examination from 119 women undergoing laparoscopy for benign conditions (infertility, 67; pelvic pain, 35; elective sterilization, 17). The median age was 30.

False-positive malignant peritoneal cytology associated with pelvic endometriosis.

The peritoneal washings obtained at diagnostic laparoscopy of two women with suspected endometriosis contained cells with cytologic features of adenocarcinoma. Exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and pelvic washings confirmed endometriosis with no evidence of cancer. At 1.

Low vision rehabilitation. Finding capable people behind damaged eyeballs.

Loss of vision is a common physical impairment in America today. Comprehensive low vision rehabilitation programs can have dramatic results in increasing the independence and productivity of affected persons. Rehabilitation efforts must be tailored to the type of vision loss and to specific functional implications.