Richard Berlin - Academia.edu (original) (raw)
Papers by Richard Berlin
Leveraging connectivity and interoperability of medical devices promises a great benefit for pati... more Leveraging connectivity and interoperability of medical devices promises a great benefit for patient safety and effectiveness of medical services. However, safety issues arising from coordination failures between networked medical devices pose a significant challenge to achieve such vision. In this paper, we propose an organ-based semi-autonomous hierarchical control structure as an architectural design principle to make integrated medical systems more resilient and effective against communication failures. The proposed design principle also enables the development of tools supporting rapid hierarchical composition of organ-based clusters and the verification of safety assertions. Our simulation study shows that our approach can provide the safety while minimally interrupting ongoing medical services in the face of network failures.
Family Systems Medicine, 1986
The authors provide an introduction to the field of consultationliaison (C-L) psychiatry, the are... more The authors provide an introduction to the field of consultationliaison (C-L) psychiatry, the area of clinical psychiatry that includes all the activities of psychiatrists in nonpsychiatric areas of general hospitals. Topics discussed include conceptual models used in C-L psychiatry, a brief history of C-L psychiatry, a description of the consultation process, and future goals of the field. The authors suggest more active integration of family evaluation and treatment into C-L training programs and clinical practice.
Psychosomatics, 1986
... 755 RICHARD M. BERLIN, MD USMAN QAYYUM, MD ... Elderly pa-tients who wander at night can beco... more ... 755 RICHARD M. BERLIN, MD USMAN QAYYUM, MD ... Elderly pa-tients who wander at night can become so dangerous to themselves and so dis-tressing to their families that hospital-ization or nursing home placement may be required. A crucial factor in diagnosis and ...
General Hospital Psychiatry, 1980
General Hospital Psychiatry, 1983
The authors surveyed 356 family medicine residency training directors to determine the role of ps... more The authors surveyed 356 family medicine residency training directors to determine the role of psychiatrists in family medicine training. Two hundred five responses were received, covering the training experiences of 3696 residents. Psychiatrists were actively involved in the training programs, but their role was circumscribed to areas of traditional, demonstrated expertise. Most of the program directors rated psychiatrists as highly useful. Programs rating psychiatrists highly useful differed from low usefulness raters only in having both general psychiatry and consultation-liaison rotations available. This lends support to the hypothesis that consultation-liaison activities provide the most useful method of integrating psychiatrists into family medicine training programs.
General Hospital Psychiatry, 1987
The growing complexity of medical care and practice has increasingly brought a number of otherwis... more The growing complexity of medical care and practice has increasingly brought a number of otherwise independent disciplines into closer working relationships for purposes of mutual education and problem solving. This process is prominently visable in the ways law, ethics, and psychiatry intersect around patient care in the general hospital setting. This special section will publish informative and provocative articles which address these vital matters.
Comprehensive Psychiatry, 1984
Directors of Family Medicine residency programs were surveyed to ascertain which mental health pr... more Directors of Family Medicine residency programs were surveyed to ascertain which mental health professionals are utilized to deliver psychosocial treatments. Family practitioners themselves are frequent providers for a wide variety of psychosocial treatments. Psychiatrists are referred patients for activities that are traditionally within the realm of psychiatric treatments such as management of chronically psychotic patients, inpatient hospitalization, and utilitization of antidepressant medication. These patterns are important as they may reflect future clinical behavior of Family Medicine residents.
Comprehensive Psychiatry, 1970
British Journal of Health Informatics and Monitoring, Mar 31, 2014
This paper explores a vision that urges Paediatric Critical Care Transport to the next stage of d... more This paper explores a vision that urges Paediatric Critical Care Transport to the next stage of development. Advances in science and engineering have made rapid transport from distant locations to tertiary medical centres the standard. Similarly, communication technology has changed the expectations for consultation or transmission of patient information en route. Nevertheless, a major South East Asia Paediatric tertiary care centre such as KK Women's and Children's Hospital (KKH) in Singapore still receives patients with modest records and minimal physiologic monitoring from 100's of miles away. It is time for engineering to fashion an integrated approach, a system of vast computation and carefully considered technology so that the neonate/child, the transport crew, and the distant KKH critical care experts function within a unique design. Intense transport monitoring, extensive wireless transmission and the creation at KKH of a real-time, dynamic 'Virtual Presentation' of the patient must be implemented so that physiologic description and intensive treatment begin when the transport team arrives and continues during the entire time of transfer.
The healthcare system has traditionally focused on treating disease at point of failure, such as ... more The healthcare system has traditionally focused on treating disease at point of failure, such as life-saving surgery or intensive medical therapy. As demographics,shifts more to an aging population, management of health-relate d quality of life and life-restricting disease becomes,more necessary. Prominent,among,such diseases is congestive heart failure (CHF), which must be addressed as a major chronic health condition with its
2014 40th Euromicro Conference on Software Engineering and Advanced Applications, Aug 1, 2014
Leveraging connectivity and interoperability of medical devices promises a great benefit for pati... more Leveraging connectivity and interoperability of medical devices promises a great benefit for patient safety and effectiveness of medical services. However, safety issues arising from coordination failures between networked medical devices pose a significant challenge to achieve such vision. In this paper, we propose an organ-based semi-autonomous hierarchical control structure as an architectural design principle to make integrated medical systems more resilient and effective against communication failures. The proposed design principle also enables the development of tools supporting rapid hierarchical composition of organ-based clusters and the verification of safety assertions. Our simulation study shows that our approach can provide the safety while minimally interrupting ongoing medical services in the face of network failures.
Family Systems Medicine, 1986
The authors provide an introduction to the field of consultationliaison (C-L) psychiatry, the are... more The authors provide an introduction to the field of consultationliaison (C-L) psychiatry, the area of clinical psychiatry that includes all the activities of psychiatrists in nonpsychiatric areas of general hospitals. Topics discussed include conceptual models used in C-L psychiatry, a brief history of C-L psychiatry, a description of the consultation process, and future goals of the field. The authors suggest more active integration of family evaluation and treatment into C-L training programs and clinical practice.
Psychosomatics, 1986
... 755 RICHARD M. BERLIN, MD USMAN QAYYUM, MD ... Elderly pa-tients who wander at night can beco... more ... 755 RICHARD M. BERLIN, MD USMAN QAYYUM, MD ... Elderly pa-tients who wander at night can become so dangerous to themselves and so dis-tressing to their families that hospital-ization or nursing home placement may be required. A crucial factor in diagnosis and ...
General Hospital Psychiatry, 1980
General Hospital Psychiatry, 1983
The authors surveyed 356 family medicine residency training directors to determine the role of ps... more The authors surveyed 356 family medicine residency training directors to determine the role of psychiatrists in family medicine training. Two hundred five responses were received, covering the training experiences of 3696 residents. Psychiatrists were actively involved in the training programs, but their role was circumscribed to areas of traditional, demonstrated expertise. Most of the program directors rated psychiatrists as highly useful. Programs rating psychiatrists highly useful differed from low usefulness raters only in having both general psychiatry and consultation-liaison rotations available. This lends support to the hypothesis that consultation-liaison activities provide the most useful method of integrating psychiatrists into family medicine training programs.
General Hospital Psychiatry, 1987
The growing complexity of medical care and practice has increasingly brought a number of otherwis... more The growing complexity of medical care and practice has increasingly brought a number of otherwise independent disciplines into closer working relationships for purposes of mutual education and problem solving. This process is prominently visable in the ways law, ethics, and psychiatry intersect around patient care in the general hospital setting. This special section will publish informative and provocative articles which address these vital matters.
Comprehensive Psychiatry, 1984
Directors of Family Medicine residency programs were surveyed to ascertain which mental health pr... more Directors of Family Medicine residency programs were surveyed to ascertain which mental health professionals are utilized to deliver psychosocial treatments. Family practitioners themselves are frequent providers for a wide variety of psychosocial treatments. Psychiatrists are referred patients for activities that are traditionally within the realm of psychiatric treatments such as management of chronically psychotic patients, inpatient hospitalization, and utilitization of antidepressant medication. These patterns are important as they may reflect future clinical behavior of Family Medicine residents.
Comprehensive Psychiatry, 1970
British Journal of Health Informatics and Monitoring, Mar 31, 2014
This paper explores a vision that urges Paediatric Critical Care Transport to the next stage of d... more This paper explores a vision that urges Paediatric Critical Care Transport to the next stage of development. Advances in science and engineering have made rapid transport from distant locations to tertiary medical centres the standard. Similarly, communication technology has changed the expectations for consultation or transmission of patient information en route. Nevertheless, a major South East Asia Paediatric tertiary care centre such as KK Women's and Children's Hospital (KKH) in Singapore still receives patients with modest records and minimal physiologic monitoring from 100's of miles away. It is time for engineering to fashion an integrated approach, a system of vast computation and carefully considered technology so that the neonate/child, the transport crew, and the distant KKH critical care experts function within a unique design. Intense transport monitoring, extensive wireless transmission and the creation at KKH of a real-time, dynamic 'Virtual Presentation' of the patient must be implemented so that physiologic description and intensive treatment begin when the transport team arrives and continues during the entire time of transfer.
The healthcare system has traditionally focused on treating disease at point of failure, such as ... more The healthcare system has traditionally focused on treating disease at point of failure, such as life-saving surgery or intensive medical therapy. As demographics,shifts more to an aging population, management of health-relate d quality of life and life-restricting disease becomes,more necessary. Prominent,among,such diseases is congestive heart failure (CHF), which must be addressed as a major chronic health condition with its
2014 40th Euromicro Conference on Software Engineering and Advanced Applications, Aug 1, 2014