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Wednesday, November 3, 2010

RADAR TUTORIALS PART-17

Using the Herscu Module the Free Way

You may make mistakes or change your mind when using the Herscu Module to analyze a case. For example, you may put a rubric in the wrong segment, or change your mind about a rubric, deciding that it doesn’t really describe your patient after all.
Once you have closed the loop, that is you have pressed Ctrl + End or click on the End button, you are now in the Free Way of using the Herscu Module.
When you are in the Herscu Module there are a number of buttons which appear on the bottom of the screen which are useful shortcuts for navigating through the various screens. Not all the buttons appear in each window. The following table indicates the function of each of these buttons.

NOTES

NOTES
2.
To move the rubric to a different segment, click on the desired rubric. When it is highlighted, click again and drag it to the desired segment.
3.
To delete a rubric (symptom) click the desired rubric. Press the Del button or choose Edit, Delete. You will be prompted to confirm your deletion.
4.
Click Yes or press Enter.
You may find you wish to add rubrics to a segment, especially if you don’t have very many rubrics in a particular segment.
To add a rubric to a segment:
1.
Click the View Fundamental Segments button if necessary. The Segments Circle window appears.
2.
Click the edge of the segment to which you wish to add a rubric. -or- Tab to the segment to which you wish to add a rubric. The segment will be highlighted.
3.
Begin typing using the Quick Command Method to add rubrics to the current segment.
Another common modification users make is changing the name of the segment. This can be done from the Segments Circle window.

NOTES
To change the name of a segment:
1.
Click the View Fundamental Segments button if necessary. The Segments Circle window appears.
2.
Position the mouse over the name of the segment you wish to rename. The mouse pointer changes to a plus sign with an “ab” on it. Click the mouse.
3.
The Detail Window appears.
NOTES
4.
Enter the new name of the segment in the name box at the top of the window.
5.
Press Enter and the new name appears at the bottom of the window.
Once you have created a Herscu model and studied the potential remedies, you may wish to add more segments to the model to generate more remedies.
To add more segments to the Herscu Module:
1.
Click the View Fundamental Segments button if necessary. The Segments Circle Window (Free Way) appears.
2.
Use the Tab key to highlight the segment after which you would like the new segment to appear. -or- Click the edge of the segment after which you would like the new segment to appear.
3.
Click the Add a New Fundamental Segment button. -or- Press Insert. A new segment appears in the Segments Circle window.
4.
Add additional rubrics, as indicated above.
5.
Click on the Validate Case button to name the segment after the largest rubric. -or- Click the mouse on the middle of the segment and the Segments Detail window appears, allowing you to enter a different name for the segment. You can also add rubrics from the Segments Detail window.
6.
Click the View Analysis button -or- Press Ctrl + Shift + F9 to view the analysis with the new segment.

NOTES
You may also decide after analyzing the case that you wish to remove a segment.
To remove segments from the Herscu Module:
1.
Click the View Fundamental Segments button if necessary. The Segments Circle Window (Free Way) appears.
2.
Use the Tab key to highlight the segment you wish to delete. -or- Click the edge of the segment you wish to delete.
3.
Press the Delete key. You will be prompted to confirm the deletion.
4.
Click Yes or press Enter. The segment has been removed.
When analyzing a case, you may wonder how a particular rubric affects the result. You can temporarily remove a rubric from repertorization easily in the Herscu Module.
To temporarily remove a rubric:
1.
From the Herscu Circle Window, click the View Multi Clipboards button, if necessary. The Multi Clipboards Window appears.
2.
Click into the box to remove the “X” from the box next to the rubric you wish to temporarily remove from consideration in the analysis.
3.
Click the Analysis button and view the results.
4.
To replace the “X”, click the box again.
Using the Herscu Module with the Vithoulkas Expert System

You can also use the Vithoulkas Expert System with the clipboards that have been set up using the Herscu Module. However, the VES requires that you add intensity to the symptoms and Herscu does not. If we try to use the VES without making some modifications, we would be instructed to add intensities and try again.

NOTES
You can add the intensities using the + sign while adding rubrics in the Free Way to the Herscu Module. You may also go back to each clipboard and modify the intensity of rubrics by double clicking on the intensity column in each rubric row. Both of these procedures were covered in the adding rubrics to the clipboard section of this document.
Apollo the Cat

The following are the symptoms of the case of Apollo the Cat who has a urinary tract infection. You may enter these symptoms in for practice if you wish.

Enter the following symptoms first into Herscu. Go back and add the intensity to the rubrics so you can also analyze the case in VES.

Male, Genitalia/Sex, Inflammation (2) Urethra, Inflammation (2)

Name this segment the same as the rubric.

Bladder, Retention of urine (3)

Name this segment the same as the rubric

Bladder, urging to urinate, constant (2)

Name this segment the same as the rubric.

Generals, Restlessness (2)

Name this segment the same as the rubric.

Bladder, urination, frequent, daytime and night (1)

Name this segment Frequent Urination
Urine, Bloody (2) Urethra, Discharge, bloody (2)

Name this segment Bloody Discharge.

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