Abstract: A system for populating patient records by use of evidence-based relational database, which compares the medical practitioners diagnoses to predetermined responses, to produce accurate patient chart notes and the integration of stored and generated data into clinical and administrative medical record keeping and billing. Episodic encounters are developed into cases for a specific patient under the care of a practitioner. The subjective symptoms from the patient and the objective observations of the care provider concurrent with the episode are used to form a diagnosis which presents a treatment regimen from an evidence-based relational database and populates medical and administrative templates. Patient history and updated information are retained in the database. “Best practice” treatment plans are continually placed in the relational database from practice guides and experts in the field.

Abstract: A heat exchange cooling system for an internal combustion engine co-generation plant, which allows exhaust recycled gas combustion while maintaining lower head temperatures to reduce thermal NOx emissions while delivering increased process/utility heat to a proximate co-generation client, is provided. The cooling system has two cooling loops with different flow rates: one through the engine and the second through exhaust manifolds, such that higher engine block flow resulting in cooler head temperatures is provided, while allowing higher temperature coolant to flow through exhaust exchangers, such that when the two coolant flows converge at a process/utility heat exchanger for heating co-generation client liquid, the combined flows substantially increase the transferred heat.

Abstract: A multiple pet leash includes an elongated handle portion having a loop at one end and a swivel at another end, which engages at least two pet tethers. Each of the tethers includes a swiveled, snap hook members located at the distal end for attaching the tether to a dog collar. The proximate end of each tether is permanently but slidably attached to a“D” shaped portion of the swivel, which helps avoid tangling of the tethers due to pets crossing paths. The length of the handle portion is adjustable to allow the handler adjustment of the handle portion The lengths of the pet tethers are adjustable, enabling pets of different sizes to walk around, over or under each other without requiring the handler to constantly disconnect, untangle and reconnect the leashes in order to resume orderly walking.