Standardization of Health Informatics – Results and Challenges

2002 ◽  
Vol 41 (04) ◽  
pp. 261-270 ◽  
Author(s):  
G. O. Klein
Keyword(s):  
Health Informatics ◽  
Medical Knowledge ◽  
Electronic Record ◽  
Concept Representation ◽  
Global Consensus ◽  
National Implementation ◽  
The World ◽  
Group A ◽  
Implementation Guidelines ◽  
Global Work

Summary Objectives: This review article aims to highlight the importance of standards for effective communication and provides an overview of international standardization activities. Methods: This article is based on the experience of the author of European standardization in CEN, which he leads, and the global work of ISO, where he is leading the security working group, and an overview of the work of DICOM, IEEE and HL7, partly using their web presentations. Results: Health communication is highly dependent of the general development of information technology with standards coming from ISO/IEC JTC1, ITU and several other organizations e.g. IETF, the World Wide Web consortium and Open group. A number of standardization initiatives have been in progress for more than ten years with the aim to facilitate different aspects of the exchange of health information. Electronic record architecture, Message structures, Concept representation, Device communication including imaging and Security are the main areas. Conclusions: Important results have been achieved, and in some fields and parts of the world, standards are widely used today. Unfortunately, we are still facing the fact that most healthcare information systems cannot exchange information with all systems for which this would be desired. Either the existing standards are not sufficiently implemented, or the required standards and necessary national implementation guidelines do not yet exist. This causes unacceptable risks to patients, inefficient use of healthcare resources, and sub-optimal development of medical knowledge. Fortunately, the different bodies are now largely co-operating to achieve global consensus.

scholarly journals Standardization of health informatics - results and challenges

2002 ◽  
Vol 11 (01) ◽  
pp. 103-114 ◽  
Author(s):  
G.O. Klein
Keyword(s):  
Health Informatics ◽  
Medical Knowledge ◽  
Consensus Process ◽  
International Consensus ◽  
Healthcare Resources ◽  
Healthcare Information Systems ◽  
National Implementation ◽  
The World ◽  
Exchange Information ◽  
Implementation Guidelines

Abstract:A number of standardization initiatives have been in progress for more than ten years in several parts of the world with the aim to facilitate different aspects of the exchange of health information. Important results have been achieved, and in some fields and parts of the world, standards are widely used today. Unfortunately, we are still facing the fact that most healthcare information systems cannot exchange information with all systems for which this would be desired. Either the existing standards are not sufficiently implemented, or the required standards and necessary national implementation guidelines do not yet exist. This causes unacceptable risks to patients, inefficient use of healthcare resources, and sub-optimal development of medical knowledge. This article will review some of the difficulties surrounding standards, as well as highlight the achievements and main global actors, while focusing on the challenges facing the international consensus process.

scholarly journals Peer Group: A New Approach of Nursing Intervention

2021 ◽  
Vol 2 (1) ◽  
pp. 12
Author(s):  
Suyanto Suyanto ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Peer Group ◽  
Peer Groups ◽  
Nursing Intervention ◽  
Nursing Interventions ◽  
Group Support ◽  
Group Approach ◽  
New Approach ◽  
The World ◽  
Group A ◽  
The Impact

The development of nursing, especially related to the nursing intervention approach, is running so fast. This can be seen from the use of peer group support in nursing interventions in individual humans. The purpose of this literature is to find the impact of implementing nursing interventions using a peer group support approach. This literature review method uses JBI and Prisma on 120 articles taken from journal databases, namely Scopus, PubMed and ScienceDirect. From the articles analyzed, it was found that the application of peer groups can improve individual abilities both in psychological and behavioral aspects. The application of the peer group approach is able to be one of the approaches in the world of nursing in carrying out nursing actions today.

scholarly journals Prinsip Etika Global untuk Kota Modern Multikultural

2017 ◽  
Vol 2 (1) ◽  
pp. 209
Author(s):  
Togardo Siburian
Keyword(s):  
Fundamental Principle ◽  
Religious Ethics ◽  
Global Ethics ◽  
Global Ethic ◽  
Modern City ◽  
Global Consensus ◽  
World Today ◽  
The World ◽  
The Common ◽  
Religious Factors

ABSTRACT: This article aims to look at the principles of the idea of global ethics at the implementation of the advanced city in the present day or modern city. The concept of global ethics logically can be considered in a certain local as the common foundations of ethical living in this universal city. Using literature method, the author tries to positively see from the idea of a global ethic associated with globalism, pluralism, secularism, postmodernism, ecumenism and humanitarianism that form the concept of global ethics, which are selectively used to add the principle of good livelihood for the civilization of the world today. The author subsequently tries to see a multidimensional pluralistic city today with a conflict on religious factors, which require a more fundamental principle of unity and universal living. Therefore global ethics is not a substitute for existing religious ethics, but additional ethics for people of different religion without discrimination. So the principle can be implemented at a local anywhere, including major cities in Indonesia. KEYWORDS: city, modern, crisis, ethics, global, consensus, religions, for all

CLINICAL INVESTIGATION IN PEDIATRIC PRACTICE

PEDIATRICS ◽  
1956 ◽  
Vol 18 (1) ◽  
pp. 90-94
Author(s):  
John C. Wilcox
Keyword(s):  
Clinical Study ◽  
Teaching Hospital ◽  
Clinical Investigation ◽  
Medical Knowledge ◽  
Academic Standards ◽  
Pediatric Practice ◽  
The World ◽  
Common Purpose ◽  
The Common ◽  
Stimulation Of

WHILE recognizing that the common purpose of all clinical investigation is the benefit of the patient through the advancement of medical knowledge, there are other justifications and sources of inspiration which may be more immediately gained objectives. This is true whether the investigator is a professor of pediatrics or his country cousin. It is the purpose of this paper to compare the natures of those immediate objectives as they apply to clinical investigation carried on in a teaching center with clinical investigation performed in pediatric practice. In making this comparison, I do not intend to imply that the professor of pediatrics or a member of his staff has at his beck and call large crews of laboratory technicians, roomtuis of pretty secretaries and efficient stenographers, tabulators and computers in frightening array, scads of money neatly tagged for research and all the time in the world—and that none of these is possessed by the practitioner. Instead, I will point out that in spite of a seemingly vast gulf of separation in facilities and resources, there are similarities of purpose which serve to give reflected dignity to any reasonable and seriously pursued clinical study even though it be attempted under primitive conditions by academic standards. The professor, gazing from the porticoed façade of a teaching hospital and contemplating his next venture into publication [SEE FIG. 1., FIG. 2. IN SOURCE PDF] (Fig. 1), looks in 1 of 3 possible directions for stimulation. Each of these corresponds with 1 of 3 responsibilities: (1) instruction of students; (2) scientific stimulation of pediatric confreres; (3) the recognition of academic superiors.

TO THE ISSUE OF THE DEVELOPMENT OF INTERNATIONAL LEGAL COOPERATION OF STATES IN THE FIELD OF THE RATIONAL USE AND PROTECTION OF RESOURCES OF THE WORLD OCEAN

2020 ◽  
Vol 16 (1) ◽  
pp. 154-161
Author(s):  
Михаил Елизаров
Keyword(s):  
Climate Change ◽  
World Ocean ◽  
Future Generations ◽  
Global Level ◽  
Legal Basis ◽  
Rational Use ◽  
Global Consensus ◽  
The World ◽  
Acute Challenge

Over the decades, attempts were made to elaborate a legally binding single document on ocean resource management that would be acceptable to all countries. The culmination of this process was the adoption of the 1982 UN Convention on the law of sea. Since its entry into force, the Convention has become an important legal basis for ensuring the rational use of the world's ocean resources and their long-term conservation on behalf of future generations. At the same time, there remains the very acute challenge associated with finding a balance between reaching a global consensus on issues that are common to all and identifying topics that can be addressed and resolved by leaders at the global level. As humankind continues to postpone the adoption of urgent measures to prevent the effects of climate change, the environment deteriorates, while measures to mitigate these effects get more expensive and complex.

Using the Cultural Challenges of Virtual Team Projects to Prepare Students for Global Citizenship

2012 ◽  
pp. 328-343 ◽  
Author(s):  
Madelyn Flammia
Keyword(s):  
Local Level ◽  
Virtual Team ◽  
Faculty Members ◽  
Global Competency ◽  
Global Citizens ◽  
Cultural Challenges ◽  
Global Issues ◽  
Team Projects ◽  
The World ◽  
Global Work

Global citizens are those individuals who understand the complex and interdependent nature of the world and who take action to address global issues at a local level. Many faculty members recognize the need to prepare students for the demands of global work and citizenship. In this chapter, the author demonstrates how virtual team projects are an ideal means to help students develop global competency and offers suggestions for faculty seeking to structure projects geared to civic engagement.

Diagnostics, Therapeutics, and Health Informatics in Osteoporosis

2008 ◽  
pp. 446-451
Author(s):  
Sarah H. Gueldner ◽  
Guruprasad Madhavan ◽  
Eric D. Newman ◽  
Carolyn S. Pierce
Keyword(s):  
Health Informatics ◽  
Bone Fragility ◽  
World Health ◽  
Global Context ◽  
Preventative Measures ◽  
Skeletal Disease ◽  
The World ◽  
Treatment Measures ◽  
Technological Developments ◽  
Health Organization

Osteoporosis, usually silent until a fracture occurs, is among the most common health problems facing elders worldwide. By definition, osteoporosis is a “systemic” skeletal disease characterized by a low bone mass and a micro architectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture (“The Burden of Musculoskeletal Conditions,” 2003). The incidence of osteoporotic hip fracture increases exponentially with age, and the increase in older persons globally could dramatically increase the number of hip fractures, posing a devastating increase in disability and cost for elders worldwide. Therefore, it is imperative that diagnostic and treatment measures be developed and instituted worldwide to support preventative measures for osteoporosis and consequential fractures. Toward that purpose, the World Health Organization (WHO) has declared 2002–2011as the Decade of the Bone and Joint, uniting nations throughout the world in the commitment of energy and resources to accelerate progress in bone health and prevention of fractures. Keeping in mind this global context, this discussion includes information about the prevalence and impact of osteoporosis, its signature pathology (including bone remodeling), factors which place individuals at risk for developing osteoporosis, and the role of diagnostics, therapeutics, and informatics in the realm of osteoporosis. Encouraging information is also provided about recent innovative technological developments that may enhance our ability to detect and treat osteoporosis earlier, in time to reduce and better manage its unwelcome sequelae.

Pathophysiology of Marshallagia marshalli in experimentally infected lambs

Parasitology ◽  
2013 ◽  
Vol 140 (14) ◽  
pp. 1762-1767 ◽  
Author(s):  
NONA MORADPOUR ◽  
HASSAN BORJI ◽  
GHOLAMREZA RAZMI ◽  
MOHSEN MALEKI ◽  
HOSSEIN KAZEMI
Keyword(s):  
Morphological Changes ◽  
Parietal Cells ◽  
Mucosal Cell ◽  
Cell Hyperplasia ◽  
Third Stage ◽  
The World ◽  
Undifferentiated Cells ◽  
Group A ◽  
Group B ◽  
Free Ranging

SUMMARYSpecies of Marshallagia are abomasal parasites in free-ranging and domesticated ungulates in temperate climatic zones throughout the world. Pervasiveness of these nematodes is significant in various parts of the world. There has been limited research in the area of Marshallagi amarshalli pathogenesis. The aim of this study was to investigate the effects of M. marshalli on the acid secretory capacity of the abomasal mucosa and the morphological changes due to parasitic migration to different parts of abomasal tissue in sheep. Ten lambs, approximately around 6 months old, were allotted to two groups of five (A and B). The sheep from group A were infected orally with a dose of 5000 third-stage larvae (L3) of M. marshalli whereas the sheep of group B were not infected. The results indicated that the development of M. marshalli in the abomasal glands of ruminants causes pathophysiological changes, which include a reduced acidity of the abomasal contents, increased abomasal pH and increased serum pepsinogen concentrations. The reduced acid secretion is explained by a replacement of functional parietal cells by undifferentiated cells. Histology changes include mucosal cell hyperplasia, loss of parietal cells and inflammatory cell infiltration, which includes numerous granulocytes and lymphocytes.

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