spreadsheet

Sales sheet

Super store sales chart

data

Monday, August 6, 2012


Multimedia in Digital Audio Workstations

            Multimedia is text, graphics, video, animation, audio and other media that can be used to help an organization efficiently and effectively achieve its goals [4]. Today’s DAW software offers many advantages over traditional Analogue recording techniques. The graphics generated by the DAW act as a visual guide to correctly identifying issues in recordings that could only be identified previously by listening. An engineer’s ear is still the most valuable tool, but the graphics allow precise measurement of time down to the millisecond as well as frequency identification (both can be measured by ear, but are subject to human error).  As with DSS, DAW do not take the place of decision maker, but rather offer resources that will enable the user to make the best choices to complete the objective, in this case, a quality recording.
            A common issue with recording is phase coherence. Phase is the relationship of two or more signals coming from microphones on the same sound source [1].  It is common recording practice to use multiple microphones for a single instrument to get the best sound. If the two recordings are out of phase, the result when the two recordings are combined is a bad sound that can cancel each other out.  This occurs when microphone A receives the signal at the +peak of the wave form and microphone B receives the signal at the –peak of the wave form, when combined the two waves cancel each other out and produce an output of zero.  The DAW produces a graphical representation of the two waves that allows the engineer to move one of the signals so that the two waveforms are aligned producing a phase coherent recording. 
            Another extremely useful tool in recording and especially mixing is a frequency analyzer.  Frequency analyzers are usually offered as a plugin for DAWs and take the Audio file and display the frequencies that are being played. An experienced Audio Engineer can accurately identify frequencies, but it can be a very difficult skill to acquire. New engineers are usually able to identify problem frequencies to a degree, but with the help of an analyzer, can pinpoint exactly where the problem lies. Also some frequencies are difficult to hear, but are necessary for the overall mix of sound. 20-40 Hz are felt more than heard, and as we age, the ability to hear high frequency greatly diminishes. It’s fairly common for people who are over 25 years of age to not be able to hear above 15kHz [2].  So the use of frequency analyzers are valuable for the fact that, We can’t always hear what’s down there, but with the right tools, we can see it [3].
            In closing, multimedia in DAW offers a means to measure sound in a visual format, giving the engineer another point of reference while editing and mixing. 


           














4.Textbook, page 334

Wednesday, August 1, 2012

Clinical Decision Support Systems

Clinical Decision Support Systems

 Clinical Decision Support is a process for enhancing health-related decisions and actions with pertinent, organized clinical knowledge and patient information to improve health and healthcare delivery. [1]. Any decision is best made when all the facts are considered. In an effort to increase patient safety, Clinical Decision Support Systems can aid a physician to make the correct diagnosis and treatment plan. CDS systems utilize EMRs (Electronic Medical Records) along with Medical databases to produce medical treatment plans that would best suit the patient. The doctor will take this information and make the final decisions regarding treatment.

 One of the major advantages of CDS systems is the access granted to cliniciansIf you are visiting a family doctor it is likely they will have all of your medical history and can make informed decisions without the use of CDS. But in emergency situations, a patient could be incapacitated and not able to relay pertinent information such as drug allergies. EMR permits more than one user to access your record at the same time[2]. So while in the ambulance, the EMTs can access your information and at the same time the hospital can prepare for your arrival. With CDS, the Doctor can make a more informed decision because he has a greater understanding of the patient’s history.

 As with any DSS, flexibility is key to the successful operation of CDS. Aside from patient history updates… Medical knowledge is expanding, new drugs and diagnoses are continually being discovered, and evidence-based guidelines change as new evidence is accumulated [3]. Database must be continually updated in order for the output to be correct. Frequent inaccurate alerts can lead the clinicians to ignore all of the CDS advice[3].  Knowledge management is vitally important for the DCS to function properly. Just as the Doctor cannot make an informed decision without all the facts, neither can the CDS.

 In closing there are many advantages to CDS systems. Essentially CDS systems act as a second opinion that can aid your Doctor in making the best decision for you. The meta-analyses of studies of alerts and reminders for decision support have been fairly consistent in showing that they can alter clinician decisionmaking and actions, reduce medication errors, and promote preventive screening and use of evidence-based recommendations for medication prescriptions[3].   CDS systems offer information that aid Doctors in diagnosis and treatment of patients to ensure the best care possible.

1. http://www.himss.org/asp/topics_clinicalDecision.asp 
2. http://www.ssmedcenter.com/about/emr.cfm
3. http://healthit.ahrq.gov/images/jun09cdsreview/09_0069_ef.html    

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