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Encyclopedia of Computer Science and Technology

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medical applications <strong>of</strong> computers 299DeviceTypical Data Transfer Speeds inBits Per Second (BPS)approximate SpeedEthernet(10 base) 10 MbpsFast Ethernet100 MbpsGigabit Ethernet1 GbpsV.90 dial-up modem 56 KbpsISDN phone line64 KbpsDSL (ADSL)1–24 MbpsCable modem (DOCSIS)10–160 MbpsBluetooth 2.0 (see bluetooth) 3 Mbps802.11b wireless (see wireless 11 Mbpscomputing)802.11g wireless (see wireless 54 Mbpscomputing)802.11n wireless 540 MbpsFurther ReadingHow Many? A Dictionary <strong>of</strong> Units <strong>of</strong> Measurement. Available online.URL: http://www.unc.edu/~rowlett/units/. Accessed August 14,2007.Online [unit] Conversion. Available online. URL: http://www.onlineconversion.com/. Accessed August 14, 2007.SG Bits/Bytes Conversion Calculator. Available online. URL:http://www.speedguide.net/conversion.php. Accessed August14, 2007.media center, homeIn recent years many families have acquired a plethora <strong>of</strong>media <strong>and</strong> devices to play it—CD <strong>and</strong> DVD players, radios,<strong>and</strong> <strong>of</strong> course TVs. Meanwhile, the family has likely alsoacquired one or more PCs, which are also capable <strong>of</strong> playingdigital audio <strong>and</strong> video from various sources. The mediacenter is a way <strong>of</strong> integrating all <strong>of</strong> these media into onecentrally located device, the PC, <strong>and</strong> ideally being able toserve it on dem<strong>and</strong> anywhere in the home.Modern PCs already have optical drives (see cd-rom<strong>and</strong> dvd-rom). TV signals can be received using a TV tunercard or, for digital cable signals, a “cable card.” (High-definitionTV or HDTV is becoming increasingly popular.)There are also tuners for AM/FM radio. Of course audio<strong>and</strong> video files can also be received directly over the Internet(see Internet radio; music <strong>and</strong> video distribution,online; <strong>and</strong> streaming).Media Storage <strong>and</strong> DistributionOnce media is received, it can be stored on one or more harddrives (see also DVR). The media can also be distributed toremote speaker units via the wired (or more <strong>of</strong>ten wireless)network. Remote controls are usually provided to allow thesystem to be controlled from anywhere in the building.Of course s<strong>of</strong>tware is needed to integrate these devices<strong>and</strong> functions. Micros<strong>of</strong>t provides the Windows Media Centerfor Vista <strong>and</strong> the Windows XP Media Center Edition.(There is also third-party s<strong>of</strong>tware for Windows.) Linuxsystems can run programs such as MythTV (free) or thecommercial SageTV. For the Macintosh, a project calledCenterStage was under development as <strong>of</strong> 2008.Prebuilt media centers with the PC <strong>and</strong> all the necessaryinputs <strong>and</strong> outputs are also available. They are <strong>of</strong>ten sold aspart <strong>of</strong> home theater systems.Further ReadingBallew, Joli. How to Do Everything with Windows Vista Media Center.Emeryville, Calif.: McGraw-Hill/Osborne, 2007.Knoppmyth (Knoppix <strong>and</strong> MythTV Linux media center). Availableonline. URL: http://www.knoppmythwiki.org/?id=KnoppmythWiki. Accessed October 1, 2007.Layton, Julia. “How Media-Center PCs Work.” Available online.URL: http://computer.howstuffworks.com/media-center-pc.htm. Accessed October 1, 2007.Smith, Stewart, <strong>and</strong> Michael Still. Practical MythTV: Building a PVR<strong>and</strong> Media Center PC. Berkeley, Calif.: Apress, 2007.Windows Media Center (Vista). Available online. URL: http://www.micros<strong>of</strong>t.com/windows/products/windowsvista/features/details/mediacenter.mspx. Accessed October 1, 2007.medical applications <strong>of</strong> computersSince health care delivery is a business (indeed, one <strong>of</strong> thelargest sectors <strong>of</strong> the economy), any hospital, health plan, orindependent medical practice involves much the same s<strong>of</strong>twareas any other large business. This includes accountsreceivable <strong>and</strong> payable, payroll, <strong>and</strong> supplies inventory.Both general <strong>and</strong> customized industry s<strong>of</strong>tware can be usedfor these functions; however, this article focuses on applicationsspecific to medicine.Medical Information SystemsThe management <strong>of</strong> information specifically related to medicalcare is sometimes called medical informatics. The type<strong>of</strong> information gathered depends on many factors includingthe type <strong>of</strong> institution, ranging from a small doctor’s <strong>of</strong>ficeto a large clinic to a full hospital <strong>and</strong> the nature <strong>and</strong> scope<strong>of</strong> the treatment provided. However, one can make somegeneralizations.For outpatients, the required information includesan extensive medical record for each patient, includingrecords <strong>of</strong> medical tests <strong>and</strong> their results, prescriptions <strong>and</strong>their status, <strong>and</strong> so on. For hospital patients, there are alsoadmissions records, an extensive list <strong>of</strong> itemized charges,<strong>and</strong> records that must be maintained for public health orother governmental purposes. Hospitals increasingly usecustomized, integrated hospital information systems (HIS)that integrate billing, medical records, <strong>and</strong> pharmacy.Additional record keeping needs arise from the mechanismsused to pay for health care. Each health paymentsystem, whether government-run (such as Medicare or theVeterans’ Administration) or a private health maintenanceorganization (HMO), has extensive rules <strong>and</strong> proceduresabout how each surgery, treatment, test, or medication canbe submitted for payment. The s<strong>of</strong>tware must be able touse recognized classifications systems such as the DSM-IV(Diagnostic <strong>and</strong> Statistical Manual <strong>of</strong> Mental Disorders).

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