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	<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
	<HTML>






	<HEAD>
	<TITLE>Medical Informatics Toolkit</TITLE>
	<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
	<meta name="description" content="">
	<meta name="keywords" content="">
	<style type="text/css">
		@import url(default.css);
	</style>
	<script type="text/javascript">
	//<!--
		// This API is used here and by the Google Module.  No need to render it twice.
		var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); 
		document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E"));

		function loadGoogleTracker()
		{
			try
			{
				var pageTracker = _gat._getTracker("UA-3675414-19");
				pageTracker._trackPageview();
			}
			catch (ex) {}
		}	// loadGoogleTracker
		
		function searchSubmit(f)
		{
			if (sm_ValidateForm(f))
			{
				f.action = f.action + "&action=list&q=" + escape(f.keywords.value);
				return true;
			}
			else return false;
		}	// searchSubmit
	//-->
	</script> 
	
				
<script type="text/javascript">
//<!--
var ns4 = (document.layers);
var ie  = (document.all);
var ie4 = (ie && !document.getElementById);
var ie5 = (ie && document.getElementById);
var ns6 = (!ie && document.getElementById);

var aryMoused = new Array();
var aryLayerMoused = new Array();
var aryMoImages = new Array();
var imageList = new Array();
var runMouseOvers = true;
var TimerID = null;
var iLimit = 25;
var itmp = 0;

var nbTime = 100;
var nbTimes = 2;
var nbThisLoc = 325;
var aryLayerNames = new Array();
var aryNavBarLayerInfo = new Array();
var aryNavBarLayers = new Array();

var registeredObjects = new Array();
var viz = "hide";

function MOImage() {
	var arg = MOImage.arguments;
	this.ptrImage = BillzNavBarMM_findObj(arg[0]);
	this.imageMO = new Image();
	this.imageMO.src = arg[1];
	this.HTMLname = arg[0];
	this.Moused = false;
	this.OriginalSrc = '';
	return true;
}

function BillzImagePreload() {
	// 0) html image name 1) mo image src 2)image Name for rollover key (rollover may have multiple mos for one html Image) 
	var arg = BillzImagePreload.arguments;
	nbImagePreload(arg[0], arg[1], arg[2]);
}

function nbImagePreload(img_name, mo_img_src, rollover_key_img_name) {
	var imageKey = (rollover_key_img_name.length > 0) ? rollover_key_img_name : img_name;
	imageList[imageList.length] = imageKey;
	if (!(aryMoImages[imageKey])) aryMoImages[imageKey] = new MOImage(img_name, mo_img_src);
}

function BillzMouseover() {
	var arg = null;
	if (runMouseOvers) {		
		arg = BillzMouseover.arguments; //args 0)ImageName 1)OriginalSrc 2)array index (caller imagename)		
		nbMouseover(arg[0], arg[1], arg[2]);
	}
	return true;
}
// args 1) ImageName 2) OriginalSrc 3) array index (caller imagename)
function nbMouseover(img_name, orig_src, img_key) {
	var imageKey = null;
	var o = null;
	if (runMouseOvers) 
	{				
		imageKey = (img_key.length > 0) ? img_key : img_name;
		if (!(aryMoImages[imageKey].ptrImage)) aryMoImages[imageKey].ptrImage = BillzNavBarMM_findObj(img_name);		
		if (aryMoImages[imageKey] && (o = aryMoImages[imageKey].ptrImage)) {
			aryMoImages[imageKey].OriginalSrc = orig_src;
			aryMoImages[imageKey].Moused = true;
			o.src = aryMoImages[imageKey].imageMO.src;
		}
	}
	return true;
}

var NavBarTempOnload = null;
if (window.onload && window.onload != null) NavBarTempOnload = window.onload;

function FullyLoaded() {
	if (NavBarTempOnload != null) NavBarTempOnload();
	runMouseOvers = true;
	return true;
}

function BillzMouseOutTimer() {
	return nbMouseOutTimer();
}

function nbMouseOutTimer() {
	if (TimerID) clearTimeout(TimerID);
	TimerID = setTimeout("nbLayerRestore()",5000);
	return true;
}

function RestoreAll() {
	nbMouseoverRestore();
	nbLayerRestore();
	return true;
}

function BillzMouseoverRestore() {
	return nbMouseoverRestore();
}

function nbMouseoverRestore() {
	var i = 0;
	var o = null;
	if (runMouseOvers) {
		for (i = 0; i < imageList.length; i++) {
			if (aryMoImages[imageList[i]].Moused && (o = aryMoImages[imageList[i]].ptrImage)) {
				o.src = aryMoImages[imageList[i]].OriginalSrc;
				aryMoImages[imageList[i]].Moused = false;
			}
		}
	}
	return true;
}

function BillzLayerRestore() {
	return nbLayerRestore();
}

function nbLayerRestore() {
	var i = 0;
	for (i = 0; i < aryLayerNames.length; i++) {
		if (!aryNavBarLayerInfo[aryLayerNames[i]].isDefault) BillzNavBarRestoreLayers(aryLayerNames[i]);	
	}
	return true;
}

function BillzArrayPushUnique(aryArray, varNewElement) { //only pushes if unique value
	var pushIt = true;
	var i = 0;
	for (i = 0; i < aryArray.length && pushIt; i++) {
		pushIt = (varNewElement != aryArray[i]);
	}
	if (pushIt) BillzArrayPush(aryArray, varNewElement);
	return pushIt;
}

function BillzArrayPush(aryArray, varNewElement) { //Implement Array Push 'cause IE cant handle it
	aryArray[aryArray.length] = varNewElement;
	return true;
}
function BillzArrayPop(aryArray) { //Implement Array Pop 'cause IE cant handle it before 5.5
	var varItemToPop = null;
	if (aryArray[aryArray.length - 1]) {
		varItemToPop = aryArray[aryArray.length - 1];
		aryArray[aryArray.length] = null;
	}
	return varItemToPop;
}

function getDivRef(id) {
	var divref;
	if(ns4) divref = document.layers[id];
	else if(ie4) divref = document.all[id];
	else if(ie5 || ns6) divref = document.getElementById(id);	
	return divref;
}

//v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
function NavBarSwapRollover(swapimage,defaultimage,imageID) {
	if(imageID.length > 0 && document.getElementById(imageID))
	{
		if(swapimage.length > 0) 
			document.getElementById(imageID).src = "" + swapimage;
		else
			document.getElementById(imageID).src = "" + defaultimage;		
	}
}
function BillzNavBarMM_findObj(n, d) {
	var p,i,x;
	if (ns6) x = document.getElementById(n);
	else {		
		if (registeredObjects[n]) return registeredObjects[n];
		if (!(d)) d = document;
		try {
			p = n.indexOf("?");
		}
		catch(e) {
			p = 0;
		}
		if (p > 0 && parent.frames.length) {
			d = parent.frames[n.substring(p+1)].document;
			n = n.substring(0,p);
		}
		if (!(x = d[n]) && d.all) x = d.all[n];	
		for (i = 0; !x && i < d.forms.length; i++) {
			x = d.forms[i][n];
		}
		for (i=0; !x && d.layers && i < d.layers.length; i++) {
			if (d.layers[i].id.indexOf("external_") == -1) x = BillzNavBarMM_findObj(n, d.layers[i].document);	
		}
		registeredObjects[n] = x;
	}				
	return x;
}

function BillzArrayContains() {
	var arg = BillzArrayContains.arguments;
	var foundit = false;
	var i = 0;
	for (i = 0; i < arg[0].length && !foundit; i++) {
		foundit = (arg[1] == arg[0][i]);
	}
	return foundit;
}

function NavBarRegisterLayer() {
	var arg = NavBarRegisterLayer.arguments;
	var n = arg[0];
	var d = arg[1];
	var mo = false;
	var o = null;
	if (arg[2] && arg[2] == 'MOutLayer') mo = true;
	else mo = false;
	
	if (!(BillzArrayContains(aryLayerNames, n))) {
		if (o = BillzNavBarMM_findObj(n)) {
			aryNavBarLayers[n] = o;
			BillzArrayPushUnique(aryLayerNames, n);
			aryNavBarLayerInfo[n] = new NavBarLayer(n, d, mo);
		}
	}
	return true;
}

function BillzNavBarMM_showHideLayers() {
	//v3.0 name changed, this function complements of MM Dreamweaver with customizations by Bill Heller
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarMM_showHideLayers.arguments;
	
	if (args[args.length - 1] != "menu") nbMouseOutTimer();
	for (i = 0; i < (args.length - 2); i += 3) {
		if (!aryNavBarLayers[args[i]]) {
			x = (args[i + 2] == 'show') ? 'hide' : 'show';
			NavBarRegisterLayer(args[i], x);
		}
		if ((obj = aryNavBarLayers[args[i]]) != null) {
			v = args[i + 2];
			aryNavBarLayerInfo[args[i]].isDefault = false;
			if (args[args.length - 1] == "restore") v = (v == 'show') ? 'hide' : 'show';
			
			if (obj.style) obj.style.visibility = (v == 'show') ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			else obj.visibility = v;
		}
	}
	return true;
}

function BillzNavBarRestoreLayers() {
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarRestoreLayers.arguments;
	for (i = 0; i < (args.length); i++) {
		if (obj = aryNavBarLayers[args[i]]) {
			v = aryNavBarLayerInfo[args[i]].defaultVisibility;
			if (obj.style) {
				obj = obj.style;
				v = (v == 'show' ) ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			}
			obj.visibility = v;
			if (!aryNavBarLayerInfo[args[i]].MOutLayer) aryNavBarLayerInfo[args[i]].isDefault = true;			
		}
	}
	return true;
}

function NavBarLayer() {
	var arg = NavBarLayer.arguments;
	this.defaultVisibility = arg[1];
	this.isDefault = true;
	this.MOutLayer = arg[2];
	return true;
}

function BillzNavMove() {
	return nbNavMove();
}

function nbNavMove() {
	var thisl = null;
	var otherl = null;
	if (thisl = BillzNavBarMM_findObj("nbScrollLayer")) {
		if (thisl.style) {
			thisl = thisl.style;
			viz = "hidden";
		} 
		thisl.top = nbThisLoc -= 3;
		if (nbThisLoc < -750) {
			nbThisLoc = 325;
			nbTimes--;
		}
	}
	if (nbTimes <= 0) {
		otherl = BillzNavBarMM_findObj("BillzLayer");
		otherl.visibility = viz;
	} else {
		setTimeout("nbNavMove()", nbTime);
	}	
	return true;
}

function NavBar_openadmin() {
	window.open('admin/','SiteAdmin','height=screen.availheight,width=screen.availwidth,scrollbars=1,toolbar=0,directories=0,status=0,menubar=0,resizable=1');
	return true;
}

window.onload = FullyLoaded;
//-->
</script>
					
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	for (i = 0; i < a_all_cookies.length; i++)
	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
	}	
}
		
//-->
</script>
			
				
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	for (i = 0; i < a_all_cookies.length; i++)
	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
	}	
}
		
//-->
</script>
			
				
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
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	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
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}
		
//-->
</script>
			
				
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
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		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
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		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
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		NavBar_setPLinkIDCookie(linkID,navVersion);	
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function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
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	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
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		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
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}
		
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<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
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{
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{
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	var check_name = "SLIDINGTABLE_NAVBAR";	
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	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
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	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
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<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
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{
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function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
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}
function NavBar_deleteCookie() 
{
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	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
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		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
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}
		
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<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
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function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
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	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	for (i = 0; i < a_all_cookies.length; i++)
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		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
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}
		
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</script>
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										<font style="font-face:verdana; font-weight: bold; font-size: 16px; color: #1C508E;">Medical Informatics Toolkit</font>
									
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	<p style="text-align: left;"><strong>INFORMATICS JOURNAL CLUB</strong></p><p>
<p style="text-align: left;">Presented by Patricia Williams on June 15, 2009.</p><p>
<ul><p>
<li><p>
<div style="text-align: left;">Amarasingham R, Plantinga L, Diener-West M, Gaskin DJ, Powe NR.&nbsp; Clinical information technologies and inpatient outcomes:&nbsp; A multiple hospital study.&nbsp; Arch Int Med.&nbsp; 2009 Jan 26; 169(2):108-14.&nbsp; The author assessed the impact of various modules of an inpatient electronic medical record on mortality, complications, cost, and length of stay.&nbsp; <strong><a href="http://archinte.ama-assn.org.desoto.hfhs.org:2048/cgi/reprint/169/2/108">PDF Full-Text</a></strong></div><p>
</li><p>
<li><p>
<div style="text-align: left;">Zheng K, Padman R, Johnson MP, Diamond HS.&nbsp; An interface-driven analysis of user interactions with an electronic health records system.&nbsp; J Am Med Inform Assoc.&nbsp; 2009; 16:228-37.&nbsp; The authors look at how physicians interact with an electronic medical record template when documenting an outpatient visit.&nbsp; <strong><a href="http://www.sciencedirect.com.desoto.hfhs.org:2048/science?_ob=ArticleURL&amp;_udi=B7CPS-4VPGC2D-G&amp;_user=850396&amp;_coverDate=04%2F30%2F2009&amp;_rdoc=1&amp;_fmt=&amp;_orig=search&amp;_sort=d&amp;view=c&amp;_acct=C000045779&amp;_version=1&amp;_urlVersion=0&amp;_userid=850396&amp;md5=c56a6a999ebf3dd14d03cdcce1cdd548">PDF Full-Text</a></strong></div><p>
</li><p>
</ul><p>
<p style="text-align: left;"><strong></strong></p><p>
<p style="text-align: left;"><strong>BEST INFORMATICS ARTICLES OF 2008</strong></p><p>
<p class="MsoNormal">Compiled by Daniel R. Masys, MD, Professor and Chair, Department of Biomedical Informatics, Vanderbilt University School of Medicine.</p><p>
<p class="MsoNormal">Presented by Dr. Robert N. Enberg, Director, Clinical Systems Research and Integration, Henry Ford Health System, at the HFHS Medical Informatics Seminar Series, January 26, 2009.</p><p>
<p class="MsoNormal" align="center"><a href="http://henryfordconnect.com/documents/Sladen%20Library/Best%20informatics%20papers%20of%202008.ppt">Click here to view Dr. Enberg's PowerPoint presentation</a>.</p><p>
<p class="MsoNormal"><strong>CLINICAL DECISION SUPPORT FOR PROVIDERS</strong></p><p>
<ol><p>
<li><p>
<div class="MsoNormal">Stevens J, Kelleher KJ, Gardner W, Chisolm D, McGeehan J, Pajer K, Buchanan L. Trial of computerized screening for adolescent behavioral concerns. Pediatrics. 2008 Jun;121(6):1099-105.&nbsp; <a href="http://pediatrics.aappublications.org/cgi/reprint/121/6/1099">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Poller L, Keown M, Ibrahim S, Lowe G, Moia M, Turpie AG, Roberts C, van den Besselaar AM, van der Meer FJ, Tripodi A, Palareti G, Shiach C, Bryan S, Samama M, Burgess-Wilson M, Heagerty A, Maccallum P, Wright D, Jespersen J.&nbsp; An international multicenter randomized study of computer-assisted oral anticoagulant dosage vs. medical staff dosage. J Thromb Haemost. 2008 Jun;6(6):935-43.&nbsp;&nbsp; <a href="http://www3.interscience.wiley.com/cgi-bin/fulltext/120091295/PDFSTART">PDF Full-Text</a> <br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Weber V, White A, McIlvried R. An electronic medical record (EMR)-based intervention to reduce polypharmacy and falls in an ambulatory rural elderly population. J Gen Intern Med. 2008 Apr;23(4):399-404.&nbsp;&nbsp; <a href="http://www.springerlink.com/content/mg55756188m04n86/fulltext.pdf">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">van Wyk JT, van Wijk MA, Sturkenboom MC, Mosseveld M, Moorman PW, van der Lei J. Electronic alerts versus on-demand decision support to improve dyslipidemia treatment: a cluster randomized controlled trial. Circulation. 2008 Jan 22;117(3):371-8. Epub 2008 Jan 2.&nbsp;&nbsp; <a href="http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;NEWS=N&amp;PAGE=fulltext&amp;AN=00003017-200801220-00010&amp;LSLINK=80&amp;D=ovft">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Mulvaney SA, Bickman L, Giuse NB, Lambert EW, Sathe NA, Jerome RN. A randomized effectiveness trial of a clinical informatics consult service: impact on evidence-based decision-making and knowledge implementation. J Am Med Inform Assoc. 2008 Mar-Apr;15(2):203-11. Epub 2007 Dec 20.&nbsp;&nbsp; <a href="http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=2274783&amp;blobtype=pdf">PDF Full-Text</a></div><p>
</li><p>
</ol><p>
<p class="MsoNormal">&nbsp;</p><p>
<p class="MsoNormal"><strong>CLINICAL DECISION SUPPORT FOR PATIENTS</strong></p><p>
<ol><p>
<li><p>
<div class="MsoNormal">Persell SD, Denecke-Dattalo TA, Dunham DP, Baker DW.&nbsp; Patient-directed intervention versus clinician reminders alone to improve aspirin use in diabetes: a cluster randomized trial. Jt Comm J Qual Patient Saf. 2008 Feb;34(2):98-105.&nbsp;&nbsp; <a href="http://docserver.ingentaconnect.com/deliver/connect/jcaho/15537250/v34n2/s4.pdf?expires=1275424859&amp;id=57058936&amp;titleid=11231&amp;accname=Henry+Ford+Hospital&amp;checksum=87D59FD164ED4D975CE6EBCDBC40D2D3">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Ten Wolde GB, Dijkstra A, van Empelen P, van den Hout W, Neven AK, Zitman F. Long-term effectiveness of computer-generated tailored patient education on benzodiazepines: a randomized controlled trial. Addiction. 2008 Apr;103(4):662-70.&nbsp;&nbsp; <a href="http://www3.interscience.wiley.com/cgi-bin/fulltext/119411943/PDFSTART">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Kypri K, Langley JD, Saunders JB, Cashell-Smith ML, Herbison P. Randomized controlled trial of web-based alcohol screening and brief intervention in primary care. Arch Intern Med. 2008 Mar 10;168(5):530-6.&nbsp;&nbsp; <a href="http://archinte.ama-assn.org/cgi/reprint/168/5/530">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Matheny ME, Gandhi TK, Orav EJ, Ladak-Merchant Z, Bates DW, Kuperman GJ, Poon EG. Impact of an automated test results management system on patients' satisfaction about test result communication. Arch Intern Med. 2007 Nov 12;167(20):2233-9.&nbsp;&nbsp; <a href="http://archinte.ama-assn.org/cgi/reprint/167/20/2233">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Priebe S, McCabe R, Bullenkamp J, Hansson L, Lauber C, Martinez-Leal R, R&ouml;ssler W, Salize H, Svensson B, Torres-Gonzales F, van den Brink R, Wiersma D, Wright DJ.&nbsp; Structured patient-clinician communication and 1-year outcome in community mental healthcare: cluster randomised controlled trial. Br J Psychiatry. 2007 Nov;191:420-6.&nbsp;&nbsp; <a href="http://bjp.rcpsych.org.desoto.hfhs.org:2048/cgi/reprint/191/5/420">PDF Full-Text</a></div><p>
</li><p>
</ol><p>
<p class="MsoNormal">&nbsp;</p><p>
<p class="MsoNormal"><strong>NEW CDSS RCTS SHOWING NO DIFFERENCE FOR INTERVENTION VS CONTROL</strong></p><p>
<ol><p>
<li><p>
<div class="MsoNormal">Matheny ME, Sequist TD, Seger AC, Fiskio JM, Sperling M, Bugbee D, Bates DW, Gandhi TK.&nbsp; A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. J Am Med Inform Assoc. 2008 Jul-Aug;15(4):424-9. Epub 2008 Apr 24.&nbsp;&nbsp; <a href="http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=2442256&amp;blobtype=pdf">PDF Full-Text<br /></a></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Hicks LS, Sequist TD, Ayanian JZ, Shaykevich S, Fairchild DG, Orav EJ, Bates DW.&nbsp; Impact of computerized decision support on blood pressure management and control: a randomized controlled trial. J Gen Intern Med. 2008 Apr;23(4):429-41.&nbsp; <a href="http://www.springerlink.com/content/xv15464658l736gr/fulltext.pdf">PDF Full-Text</a>&nbsp; <br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Tamblyn R, Huang A, Taylor L, Kawasumi Y, Bartlett G, Grad R, Jacques A, Dawes M, Abrahamowicz M, Perreault R, Winslade N, Poissant L, Pinsonneault A.&nbsp; A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. J Am Med Inform Assoc. 2008 Jul-Aug;15(4):430-8. Epub 2008 Apr 24.&nbsp;&nbsp; <a href="http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=2442270&amp;blobtype=pdf">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Thomas KG, Thomas MR, Stroebel RJ, McDonald FS, Hanson GJ, Naessens JM, Huschka TR, Kolars JC. Use of a registry-generated audit, feedback, and patient reminder intervention in an internal medicine resident clinic--a randomized trial. J Gen Intern Med. 2007 Dec;22(12):1740-4. Epub 2007 Nov 1.&nbsp;&nbsp; <a href="http://www.springerlink.com/content/b223ph254391219v/fulltext.pdf">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Harari D, Iliffe S, Kharicha K, Egger M, Gillmann G, von Renteln-Kruse W, Beck J, Swift C, Stuck A. Promotion of health in older people: a randomised controlled trial of health risk appraisal in British general practice. Age Ageing. 2008 Sep;37(5):565-71.&nbsp;&nbsp; <a href="http://ageing.oxfordjournals.org/cgi/reprint/37/5/565">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Hansagi H, Olsson M, Hussain A, Ohl&eacute;n G. &nbsp;Is information sharing between the emergency department and primary care useful to the care of frequent emergency department users? Eur J Emerg Med. 2008 Feb;15(1):34-9.&nbsp;&nbsp; <a href="http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;NEWS=N&amp;PAGE=fulltext&amp;AN=00063110-200802000-00007&amp;LSLINK=80&amp;D=ovft">PDF Full-Text</a></div><p>
</li><p>
</ol><p>
<p class="MsoNormal">&nbsp;</p><p>
<p class="MsoNormal"><strong>PERSONAL HEALTH RECORDS</strong></p><p>
<ol><p>
<li><p>
<div class="MsoNormal">Grant RW, Wald JS, Schnipper JL, Gandhi TK, Poon EG, Orav EJ, Williams DH, Volk LA, Middleton B. Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trial. Arch Intern Med. 2008 Sep 8;168(16):1776-82.&nbsp;&nbsp; <a href="http://archinte.ama-assn.org/cgi/reprint/168/16/1776">PDF Full-Text</a></div><p>
</li><p>
</ol><p>
<p class="MsoNormal">&nbsp;</p><p>
<p class="MsoNormal"><strong>TELEMEDICINE</strong></p><p>
<ol><p>
<li><p>
<div class="MsoNormal">Green BB, Cook AJ, Ralston JD, Fishman PA, Catz SL, Carlson J, Carrell D, Tyll L, Larson EB, Thompson RS.&nbsp; Effectiveness of home blood pressure monitoring, Web communication, and pharmacist care on hypertension control: a randomized controlled trial. JAMA. 2008 Jun 25;299(24):2857-67.&nbsp;&nbsp; <a href="http://jama.ama-assn.org/cgi/reprint/299/24/2857">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Santamore WP, Homko CJ, Kashem A, McConnell TR, Menapace FJ, Bove AA.&nbsp; Accuracy of blood pressure measurements transmitted through a telemedicine system in underserved populations. Telemed J E Health. 2008 May;14(4):333-8.&nbsp;&nbsp; <a href="http://find.galegroup.com/itx/infomark.do?contentSet=IAC-Documents&amp;type=retrieve&amp;tabID=T002&amp;prodId=AONE&amp;docId=A179736471&amp;retrieveFormat=PDF&amp;userGroupName=lom_sladenhfh&amp;version=1.0&amp;isMultiPage=false&amp;noOfPages=6&amp;source=gale">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Madsen LB, Kirkegaard P, Pedersen EB.&nbsp; Blood pressure control during telemonitoring of home blood pressure. A randomized controlled trial during 6 months. Blood Press. 2008;17(2):78-86.&nbsp;&nbsp; PDF Full-Text Not Available<br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Meyer BC, Raman R, Hemmen T, Obler R, Zivin JA, Rao R, Thomas RG, Lyden PD.&nbsp; Efficacy of site-independent telemedicine in the STRokE DOC trial: a randomised, blinded, prospective study.Lancet Neurol. 2008 Sep;7(9):787-95.&nbsp;<a href="http://www.mdconsult.com/das/article/body/119051207-2/jorg=journal&amp;source=&amp;sp=20919173&amp;sid=0/N/655195/s1474442208701716.pdf?issn=1474-4422">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Shea S; IDEATel Consortium.&nbsp; The Informatics for Diabetes and Education Telemedicine (IDEATel) project. Trans Am Clin Climatol Assoc. 2007;118:289-304.&nbsp;&nbsp; <a href="http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=1863578&amp;blobtype=pdf">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Ellison LM, Nguyen M, Fabrizio MD, Soh A, Permpongkosol S, Kavoussi LR. Postoperative robotic telerounding: a multicenter randomized assessment of patient outcomes and satisfaction. Arch Surg. 2007 Dec;142(12):1177-81; discussion 1181.&nbsp;&nbsp; <a href="http://archsurg.ama-assn.org/cgi/reprint/142/12/1177">PDF Full-Text</a></div><p>
</li><p>
</ol><p>
<p class="MsoNormal">&nbsp;</p><p>
<p class="MsoNormal"><strong>TELEMEDICINE RCTS SHOWING NO DIFFERENCE BETWEEN INTERVENTION AND CONTROL </strong></p><p>
<ol><p>
<li><p>
<div class="MsoNormal">Dansky KH, Vasey J, Bowles K.&nbsp; Impact of telehealth on clinical outcomes in patients with heart failure. Clin Nurs Res. 2008 Aug;17(3):182-99.&nbsp;&nbsp; <a href="http://ovidsp.ovid.com.desoto.hfhs.org:2048/ovidweb.cgi?T=JS&amp;NEWS=N&amp;PAGE=fulltext&amp;AN=00008491-200808000-00005&amp;LSLINK=80&amp;D=ovft ">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Leimig R, Gower G, Thompson DA, Winsett RP. Infection, rejection, and hospitalizations in transplant recipients using telehealth. Prog Transplant. 2008 Jun;18(2):97-102.&nbsp;&nbsp; PDF Full-Text Not Available</div><p>
</li><p>
</ol><p>
<p class="MsoNormal">&nbsp;</p><p>
<p class="MsoNormal"><strong>PRACTICE OF INFORMATICS</strong></p><p>
<ol><p>
<li><p>
<div class="MsoNormal">Love TE, Cebul RD, Einstadter D, Jain AK, Miller H, Harris CM, Greco PJ, Husak SS, Dawson NV; DIG-IT Investigators.&nbsp; Electronic medical record-assisted design of a cluster-randomized trial to improve diabetes care and outcomes. J Gen Intern Med. 2008 Apr;23(4):383-91.&nbsp;&nbsp; <a href="http://www.springerlink.com/content/409376767m828654/fulltext.pdf">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Bereznicki BJ, Peterson GM, Jackson SL, Walters EH, Fitzmaurice KD, Gee PR.&nbsp; Data-mining of medication records to improve asthma management.Med J Aust. 2008 Jul 7;189(1):21-5.&nbsp;&nbsp; <a href="http://www.mja.com.au/public/issues/189_01_070708/ber11059_fm.pdf">PDF Full-Text</a><br /></div><p>
</li><p>
<li><p>
<div class="MsoNormal">Meystre SM, Haug PJ.&nbsp; Randomized controlled trial of an automated problem list with improved sensitivity. Int J Med Inform. 2008 Sep;77(9):602-12. Epub 2008 Feb 15.&nbsp;&nbsp; PDF Full-Text Not Available</div><p>
</li><p>
</ol><p>
<p class="MsoNormal"><em>Created February 2009<br />Links Checked June 2010</em></p>
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