Developing an efficient clinical information system for a comprehensive psychiatric institute: I. Principles,design, and organization

The principles, design considerations, and components of a clinical information system intended to support and enhance the patient care, educational, and research missions of a comprehensive psychiatric institute are presented. Major characteristics of the system are its emphases on efficiency, simplicity, and intensive user involvement throughout the development of the system.     

Prevention of nonadherence to nonsteroidal anti-inflammatory medications for newly diagnosed patients with juvenile rheumatoid arthritis.

Adherence to medications for chronic pediatric diseases decreases overtime. This randomized controlled trial evaluated a clinic-based, nurse-administered educational and behavioral intervention to prevent the anticipated drop in adherence to nonsteroidal medications among newly diagnosed patients with juvenile rheumatoid arthritis. Thirty-four participants completed the study (mean age = 8.44 years, SD = 3.96), including 19 in the experimental group and 15 in the standard-treatment (education) control group. There were significant group and Group x Time effects for adherence (assessed with an electronic monitor over a 13-month period) favoring the experimental group. In contrast, the groups did not differ significantly in disease activity or functional limitations. Factors that may have prevented detection of differences in these health parameters are dicussed.     

Linking yesterday and tomorrow: Preschoolers' ability to report temporally displaced events

Various lines of research have recently reported links between the ability to recall past and imagine future episodes. Here I report evidence that such links exist in development. Eighty‐two children were asked to report what they did yesterday and what they are going to do tomorrow. Children who could answer one were also more likely to answer the other question. Furthermore, there was an association between the quantity of responses for past and future questions. This correlation continued to be significant even when controlling for children's capacity to answer similar questions that did not have a temporal, episodic component (e.g., ‘tell me all the things that you can think of that are red’). Together, these results are in line with the growing evidence for fundamental links in the neuro‐cognitive resources involved in thinking about past and future events.