Tom H. Karson

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Substantial medical data such as pathology reports, operative reports, discharge summaries, and radiology reports are stored in textual form. Databases containing free-text medical narratives often need to be searched to find relevant information for clinical and research purposes. Terms that appear in these documents tend to appear in different contexts.(More)
Approaches to the development of information systems in large health care institutions range from prototyping to conventional development of large scale production systems. This paper discusses the development of the SignOut System at Mount Sinai Medical Center, which was designed in 1997 to capture vital resident information. Local need quickly outstripped(More)
Routine echocardiograms are not handled digitally because of enormous storage needs. Image compression techniques can reduce memory requirements, but the impact on diagnostic content is unknown. We studied the effect of an internationally accepted compression algorithm called Joint Photographic Experts Group (JPEG) on digital echocardiographic images.(More)
The visual assessment of jet area has become the most common method used in daily clinic practice to evaluate valvular regurgitation. Despite the high prevalence of tricuspid regurgitation, however, few studies have systematically compared TR jet areas with a quantitative standard. To evaluate this, 40 patients in sinus rhythm with tricuspid regurgitation(More)
Three of 27 patients treated for pheochromocytoma between 1974 and 1987 presented with pheochromocytoma multisystem crisis (PMC). This unusual presentation consists of multiple organ system failure, temperature often greater than 40 degrees C, encephalopathy, and hypertension and/or hypotension. Although urgent medical therapy achieved blood pressure(More)
A large interobserver and intraobserver variability study was performed comparing both digitally compressed and uncompressed echocardiographic images with the same images recorded onto super-VHS video-cassette tape (the current standard). In a blinded, randomized fashion, 179 observers scored the diagnostic and image quality of 20 pairs of echocardiographic(More)
To test the impact of Joint Photographic Expert Group (JPEG) compression on the quantitative data encoded in color Doppler echocardiographic images, digital images from transesophageal echocardiography and an in vitro model of proximal flow convergence were analyzed before and after JPEG compression with compression ratios (CRs) as high as 65:1. Even at the(More)
A component-based health information resource, delivered on an intranet and the Internet, utilizing World Wide Web (WWW) technology, has been built to meet the needs of a large integrated delivery network (IDN). Called PartnerWeb, this resource is intended to provide a variety of health care and reference information to both practitioners and(More)
In highly integrated and increasingly complex health care systems, the identification and proper utilization of clinical staff expertise are key factors for efficiently delivering high quality patient care. To achieve these capabilities on an enterprise-wide scale, we have embarked on a multi-phased project to develop World Wide Web (WWW)-based physician(More)