HELP |
Requirements |
Using
DxR |
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Browser
Requirements Javascript, and Pop-Ups MUST be enabled.
Your browser must also have QuickTime
(version 7 or newer) plug-in installed. The following browsers are compatible
with this program. Using a browser and/or browser version other than one
of the following may cause browser crashes and other unpredictable results
when using this program.
If you have installed Service Pack 2 for Microsoft Windows
XP, a pop-up blocker is installed by default which will prevent normal
operation of the DxR program. To be able to use DxR you must allow
pop-ups from the DrexelMed web site. Follow these steps:
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Click on "Tools" on the menu bar in Internet
Explorer
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Click on "Pop-up Blocker" and then "Pop-up
Blocker Settings..."
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Under "Address of Web site to allow:",
enter "*.drexelmed.edu" (without the quotation marks), and
click "Add"
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Click "Close"
In addition, the Google toolbar and Yahoo toolbar also contains a pop-up blocker and must be set to allow pop-up from drexelmed.edu |
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Screen Size
and Monitor Resolution DxR Clinician requires a minimum
monitor resolution of 800 x 600 pixels. If your monitor is not set for
800 x 600 pixels or higher resolution, portions of your screen may be
cut off, and a warning message will appear when you try to log in to the
case.
Your monitor must also be set display at least 16 bit color (thousands
of colors). If your monitor is not set to display 16 bit or higher color,
images and movies may appear distorted, chunky, or washed out on your
screen.
Setting Color Depth and Resolution on Windows
- Locate the Start Menu icon in the menu bar across the bottom of
your screen.
- Click on the Start Menu icon and mouse up to Settings.
- Open the Control Panel menu item. A Control Panel window should
appear on your screen
Locate the Display icon. Double click to open it. A Display Properties
window should appear on your screen.
- In the Display Properties window, locate and click on the Settings
tab. The Display Properties window should now contain an image of
a small monitor.
- Locate the Colors box in the bottom of the Display Properties window.
Make sure that High Color (16 bit) or True Color (32 bit) is selected.
- Locate the Screen area box to the right of the Colors box.
- Drag the slider until 800 x 600 pixels (or higher) is selected.
- If your settings were already correct, and you did not make any
changes to them, click OK to close the window. If you did change some
or all of your settings, click the Apply button.
- Click OK in the dialog box that appears next regarding changing
your display settings.
- Click Yes in the dialog box that appears regarding keeping your
new display settings. Please note that this is a timed box. If you
do not respond within a few seconds of its appearance, it will revert
your settings to their original state.
- Click the OK button at the bottom of the Display Properties window
to close the window. You can also close the Control Panel window.
Setting Color Depth and Resolution on Macintosh
- Locate the Apple Menu icon in the menu bar across the top of your
screen.
- Click on the Apple Menu icon and pull down to Control Panels.
- Open the Monitors and Sound control panel. On some Macs, the Monitors
and Sound control panel may be split into two separate control panels
(a Monitors control panel and a Sound control panel). In this case,
open the Monitors control panel.
- Click on the Monitor button.
- Locate the box labeled Color Depth. Make sure that the radio button
for Colors is selected and that in the list to the right of that button,
either Thousands or Millions is selected (the higher the better).
- Locate the box labeled Resolution. In the corresponding list, make
sure that 800 x 600 (or higher) is selected.
- Close the control panel.
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View
Movies and Sounds with QuickTime 7.0 or newer Click here
to test whether you have Quicktime installed on your computer and it is
properly configured to play DxR audio and video files.
The web version of DxR Clinician makes extensive use of QuickTime, and
its browser plug-in. If you don't already have QuickTime installed, versions
for both Windows and Macintosh are available to download for free from
Apple Computer's QuickTime site: http://www.apple.com/quicktime
Make certain to select the Full install, rather than the Minimal install.
Note that the free QuickTime Player is adequate for use with DxR Clinician.
It is not necessary to purchase the full QuickTime Pro package for use
with our product. Pop up windows will appear from time to time, asking
if you would like to upgrade to QuickTime Pro. These are merely requests
and can be dismissed.
While most users have no problems either installing or using QuickTime,
from time to time some problems do arise. The following should go a long
way towards solving any problems you may encounter.
Note that it is better to slightly underestimate your connection speed
rather than overestimate it.
Adjusting
your display's screen size/monitor resolution:
A screen size/monitor resolution of at least 800X600 is necessary to view
the program. To find out what your monitor is set at, and adjust it if
necessary, choose the appropriate link below:
Adjusting
monitor resolution in Windows
Adjusting
monitor resolution in Macintosh
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Setting the Volume
for Sounds and Movies
QuickTime
Volume Controller
If QuickTime is installed, the sound file has downloaded, the progress
bar is moving, and you still can't hear anything, you may need to adjust
your volume on your QuickTime controller. In the left corner of the
controller you will find the volume control. Click and slide it up to
increase the volume. If your controller volume is all of the way up,
you may need to increase the volume of your system.
Adjusting
the System Volume
Macintosh |
Windows |
- Locate the Control Strip (usually found in the lower left hand
corner of your screen).
- If only the tab is showing, maximize it by clicking on the tab.
- Locate the blue speaker icon in the Control Strip.
- Click and hold on the speaker icon until a slider appears.
- Drag the slider up to the desired listening level.
If you do not have the Control Strip utility installed, you can
adjust your system volume by doing the following:
- Locate the Apple Menu icon in the menu bar across the top of
your screen.
- Click on the Apple Menu icon and pull down to Control Panels.
- Depending on your system, locate and open either the Sound control
panel, or the Monitors and Sound control panel.
- If your system uses the Monitors and Sound control panel, click
on the sound icon. Otherwise skip to step 5.
- Locate and select the Output item in the list on the left hand
side of the window.
- In the top right hand box, select the appropriate sound output
device. If your system does not have external speakers, select
the Built-in option.
- In the lower right hand box, drag the slider to the right to
increase the system volume to the desired level.
- Close the control panel.
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- Locate the yellow speaker icon in the right hand corner of the
menu bar across the bottom of your screen.
- Click and hold on the speaker icon until a slider bar appears
above it.
- Drag the slider up to increase the volume to the desired listening
level.
If your menu bar does not have a yellow speaker icon, you can change
your systems volume settings by doing the following:
- Locate and click on the Start menu icon in the menu bar across
the bottom of your screen. A menu should pop up.
- Mouse up to the Programs menu item. Once it is selected, a menu
should pop out to the side.
- Mouse over to the Accessories menu item. Another menu should
appear.
- Mouse over to the Entertainment menu item
- In the corresponding menu that appears, locate the Volume Control
menu item.
- Adjust the Volume (not the Balance) sliders of the first two
items (Volume Control and Wave) up to the desired listening level.
- Close the Volume Control window.
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DxR Clinician Uses Style Sheets
This program makes extensive use of style sheets, along with
page-specified fonts , which helps us control how the program looks regardless
of which browser or operating system is being used. Ordinarily this is
not a problem, as the default setting for web browsers is to allow this.
If the pages you are looking at appear bizarre, with large blocks of white
or gray space instead of tan, your browser preferences need to be reset
to allow the use of style sheets and page-specified fonts.
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Logging
In If you experience any difficulty in logging
in, please contact TIME@DREXEL.EDU.
When logging in, please be aware of the following:
- Start message. If you are entering a case for the
first time, a "Start" link should appear at the bottom of
your screen. Clicking this link will take you into the case. Unless
you receive a "login error" message, the other information
that appears with the link is for administrator use, and does not effect
the performance of the program.
- Continue message. If you have previously logged
into a case but didn't make a final diagnosis, and are logging in to
the same case again, you should see a "Continue" link at the
bottom of your screen. Click the "Continue" link to re-enter
your case. If this is your first time entering the case and receive
a "Continue" link someone may already be using your login
name and password. In this event, please notify your instructor/administrator
immediately.
- Review Results message. If you have completed your
case, and entered a final diagnosis, you should see a "Review Results"
link. Clicking on this link will allow you to see how you did on your
case. Once you have completed a case you cannot reenter the case with
the same login name and password. If you wish to redo the case, please
contact your instructor/administrator about setting up a new login name
and password for you.
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Using
DxR Clinician: An Overview Moving through the
Program:
It is recommended, but not required, that you proceed from Interview,
to Exam, to Lab, before entering your final Diagnosis and reviewing your
performance in the Evaluation section.
Entering Hypotheses:
Prior to asking questions from an Interview Category other than Present
Illness, and before you enter either the Exam or Lab section for the first
time, you may be presented with the Hypothesis window. Enter a concise
statement of the patient's major problem in the first text box. Then type
a hypothesis in the second box, and click the "Add" button.
You may enter multiple hypotheses, either when you first encounter the
Hypothesis window, or at any time prior to selecting a final Diagnosis
and proceeding to the Evaluation.
About your Diagnosis:
Important Note: When you go to enter a Diagnosis, you will be required
to choose from among the hypotheses you've previously entered. Also, when
you complete your entry of a Diagnosis by clicking on the "Enter
Final Diagnosis" button, you will not be able to re-enter the Interview,
Exam, or Lab sections, nor will you be able to change your choice of Diagnosis.
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The Interview
In
the Interview section you will first be presented with a list of Present
Illness questions. Click on a question to select it, then click the Ask
button to get the response. To have access to the other questions, click
on the link to them below Present Illness in the Categories table. The
first time you do this you may be presented with the Hypothesis window.
If you have not already done so, enter a hypothesis now. If you have one
entered and you're happy with it, click on the Done button to proceed.
To view the questions available in other Categories, click the link in
the Categories table. From here on out, you may be required to select
both a question and a Hypothesis, from the window at the top of your screen.
Click Ask to get the response.
To avoid having to constantly reselect the Hypothesis, you can alt+click
on Ask. Note: if you alt+click on a Category it will be downloaded to
your hard drive. This can be annoying, but it will not affect the program
or the work you've done in it.
To exit the Interview, click on the Exam or Lab button. You may use Notes,
Learning, or SOAP to record your thoughts on the subject as appropriate.
You may also click on the Management button to enter an Interim Patient
Management item.
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The Exam
When you enter Exam
for the first time, you may be presented with the Hypothesis window. If
you've already entered one, and don't want to add to that, you can click
Done to proceed.
In this section, you select a Hypothesis and an examination tool, then
click on the part of the body you want to examine. Use the Head, Body,
Chest and Abdomen buttons to move from one view of the body to another.
The list of Other Exams may also prove illuminating.
Alt+click to avoid having to reselect your hypothesis from exam to exam.
You can listen to the breath sounds by clicking on the upper or middle
back in the Body view, and to the heart sounds from the Chest view. If
you have trouble doing this please review the information in our QuickTime
and Volume Settings help pages.
If you try to select and/or use an exam tool before the page has finished
loading, you may get an error message saying something about javascript.
This is especially true on older computers and in locations with slower
internet connection speeds. Simply click OK or Continue to get rid of
the warning box, give the page a moment to finish loading, and then continue
with your work.
When you are done with the Exam, you can proceed to Lab or return to
Interview as needed.
You may use Notes, Learning, or SOAP to record your thoughts on the subject
as appropriate. You may also click on the Management button to enter an
Interim Patient Management item.
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The Lab
The first time you
enter the Lab section you may be presented with the Hypothesis window.
If you have already entered one, you may click Done to proceed.
You will be presented with a table of Common Tests. You can select a
Hypothesis and then click on the test to order it. You may also click
on one of the more specific sets of Lab tests, such as Microbiology. This
will reveal a list of tests. Select a Hypothesis and a Lab, and click
Order. To find out more about the test, click Test Info. You may use the
Search Feature, located in both the Common Tests table and the Lab table,
to search for a test by name.
To avoid having to constantly reselect the Hypothesis, you can alt+click
on Ask. Note: if you alt+click on a Category it will be downloaded to
your hard drive. This can be annoying, but it will not effect the program
or the work you've done in it.
To exit the Lab, click on the Exam or Lab button. You may use Notes,
Learning, or SOAP to record your thoughts on the subject as appropriate.
You may also click on the Management button to enter an Interim Patient
Management item.
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How do you Interpret
Interpret?
Many of the Labs and Exams ask you to interpret information. In the event
you fail to do so, you will be asked to return to the case and provide
the required interpretation(s) before you can proceed to enter a Final
Diagnosis. The Interpret button is above Consult on the left side of your
screen. To interpret an item after the fact, select the Item to Interpret
and click the Select button.
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