Terminological cooperation in the biomedical field

Terminology ◽  
2021 ◽  
Vol 27 (1) ◽  
pp. 10-34
Author(s):  
Maria-Cornelia Wermuth

Abstract This paper deals with collaborative terminological activities in the biomedical field. Efficient communication based on uniform language use is a prerequisite for safe and cost-efficient patient care. Terminological consistency and standardization are therefore central issues in healthcare with high societal relevance. The objectives of this contribution are (1) to show how actors from different disciplines and institutions are involved in the standardization of medical terminology and electronic terminology systems; (2) to describe how translation-oriented terminological principles affect the translation of the Systematic Nomenclature of Medicine – Clinical Terms (SNOMED CT). The challenges of this approach will be discussed and some suggestions for its further development will be made.

Antibiotics ◽  
2019 ◽  
Vol 8 (4) ◽  
pp. 263 ◽  
Author(s):  
Sajal K. Saha ◽  
Chris Barton ◽  
Shukla Promite ◽  
Danielle Mazza

The scope of antimicrobial stewardship (AMS) surveys on community pharmacists (CPs) is uncertain. This study examines the breadth and quality of AMS survey tools measuring the stewardship knowledge, perceptions and practices (KPP) of CPs and analyse survey outcomes. Following PRISMA-ScR checklist and Arksey and O’Malley’s methodological framework seven medical databases were searched. Two reviewers independently screened the literatures, assessed quality of surveys and KPP outcomes were analysed and described. Ten surveys were identified that assessed CPs’ AMS perceptions (n = 7) and practices (n = 8) but none that assessed AMS knowledge. Three survey tools had been formally validated. Most CPs perceived that AMS improved patient care (median 86.0%, IQR, 83.3–93.5%, n = 6), and reduced inappropriate antibiotic use (84.0%, IQR, 83–85%, n = 2). CPs collaborated with prescribers for infection control (54.7%, IQR 34.8–63.2%, n = 4) and for uncertain antibiotic treatment (77.0%, IQR 55.2–77.8%, n = 5). CPs educated patients (53.0%, IQR, 43.2–67.4%, n = 5) and screened guideline-compliance of antimicrobial prescriptions (47.5%, IQR, 25.2–58.3%, n = 3). Guidelines, training, interactions with prescribers, and reimbursement models were major barriers to CP-led AMS implementation. A limited number of validated survey tools are available to assess AMS perceptions and practices of CPs. AMS survey tools require further development to assess stewardship knowledge, stewardship targets, and implementation by CPs.


2019 ◽  
Author(s):  
Ahmad Hidayat ◽  
Arief Hasani

The I-THS-1908, a big data electronic health record platform, is capable of establishing its capability as an electronic health record to tackle the large volume of data with high velocity and complex variety of patient data by providing the value to the patient care management and analytics. The further development of I-THS-1908 opens the opportunity to use the electronic health record for patient care management and analytics for all type of health conditions.


2008 ◽  
Vol 47 (06) ◽  
pp. 499-504
Author(s):  
M.W. Evens ◽  
D. A. Trace ◽  
K. Yang

Summary Objectives: Now that the National Library of Medicine has made SNOMED-CT widely available, we are trying to manage the terminology of a whole suite of medical applications and map our terminology into that in SNOMED. Methods: This paper describes the design and implementation of the Java Dynamic Tree that provides structure to our medical terminology and explains how it functions as the core of our system. Results: The tree was designed to reflect the stages in a patient interview, so it contains components for identifying the patient and the provider, a large set of chief complaints, review of systems, physical examination, several history modules, medications, laboratory tests, imaging, and special procedures. The tree is mirrored in a commercial DBMS, which also stores multi-encounter patient data, disorder patterns for our Bayesian diagnostic system, and the data and rules for other expert systems. The DBMS facilitates the import and export of large terminology files. Conclusions: Our Java Dynamic Tree allows the health care provider to view the entire terminology along with the structure that supports it, as well as the mechanism for the generation of progress notes and other documents, in terms of a single hierarchical structure. Changes in terminology can be propagated through the system under the control of the expert. The import/ export facility has been a major help by replacing our original terminology by the terminology in SNOMED-CT.


2021 ◽  
Vol 27 ◽  
pp. 67-81
Author(s):  
Friederike Sophie Berlekamp

The following article examines museums as meeting points, as open and inviting places for encounters and interactions, shaped by the presence of cultural assets, and thus offering not only physical-geographical but also temporal, emotional and mental spaces for diverse and complex exchange and reflection. These considerations build on the EU project REACH, which provided the opportunity to carry out extensive studies and activities on participatory initiatives in the field of cultural heritage. Cultural heritage institutions were an important pillar of this project and our contribution was focused in particular on museums. A short overview of our work and its guiding intellectual principles will be presented here together with the insights gained through our international workshop and during our survey. Even though the study included only a small sample, it could still highlight a very diverse range of activities and frameworks, and reveal the highly complex character of participatory activities, and of museums and their work. Furthermore, the societal relevance of historico-cultural collections and the multidimensional value of interaction could be underlined. By relating these findings to the current debate on the institution of museum, it has been possible to reflect on the changes that museums are undergoing as a result of the altering attitudes, knowledge, experiences, behaviour and expectations both among the public and within the institutions themselves. In addition, it was of special concern to accentuate the need of modified framework conditions and of multilateral commitments and responsibilities. With this article, I would like to contribute to the ongoing debate on the further development of museums and to promote a rather simple and open form of their understanding and development as meeting points.


2017 ◽  
Vol 55 (5) ◽  
pp. 162-169 ◽  
Author(s):  
Yue Cao ◽  
Shusen Yang ◽  
Geyong Min ◽  
Xing Zhang ◽  
Houbing Song ◽  
...  

2015 ◽  
Vol 7 (4) ◽  
pp. 485-498 ◽  
Author(s):  
ELISABETH ZIMA ◽  
GEERT BRÔNE

abstractUsage-based theories hold that the sole resource for language users’ linguistic systems is language use (Barlow & Kemmer, 2000; Langacker, 1988; Tomasello, 1999, 2003). Researchers working in the usage-based paradigm, which is often equated with cognitive-functional linguistics (e.g., Ibbotson, 2013, Tomasello, 2003), seem to widely agree that the primary setting for language use is interaction, with spontaneous face-to-face interaction playing a primordial role (e.g., Bybee, 2010; Clark, 1996; Geeraerts & Cuyckens, 2007; Langacker, 2008; Oakley & Hougaard, 2008; Zlatev, 2014). It should, then, follow that usage-based models of language are not only compatible with evidence from communication research but also that they are intrinsically grounded in authentic, multi-party language use in all its diversity and complexities. This should be a logical consequence, as a usage-based understanding of language processing and human sense-making cannot be separated from the study of interaction. However, the overwhelming majority of the literature in Cognitive Linguistics (CL) does not deal with the analysis of dialogic data or with issues of interactional conceptualization. It is our firm belief that this is at odds with the interactional foundation of the usage-based hypothesis. Furthermore, we are convinced that an ‘interactional turn’ is not only essential to the credibility and further development of Cognitive Linguistics as a theory of language and cognition as such. Rather, CL-inspired perspectives on interactional language use may provide insights that other, non-cognitive approaches to discourse and interaction are bound to overlook. To that aim, this special issue brings together four contributions that involve the analysis of interactional discourse phenomena by drawing on tools and methods from the broad field of Cognitive Linguistics.


VUZF Review ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 4-10
Author(s):  
Stanislav Dimitrov

Customers expect certain characteristics from long-term savings products. Providers are not able to supply all of these characteristics in one product at the same time. In addition, there are changing attitudes of the savers and the requirements to the financial institutions are evolving. The paper is analyzing the customers’ expectations from the long-term savings products. The manuscript is searching answer which are the most important characteristics of the savings products from the point of view of the client. The research is focused on three main areas: which are the customers’ expectations; what is the current environment in the market of savings products and what developments can we expect in the coming years. One of the conclusions is that the providers have to adapt their products to the customers’ expectations in order to succeed and to reach further development of the markets. Another conclusion is that customer centric products will gain greater trust among potential savers. We believe that the successful saving product has to be simple, transparent and cost-efficient. This reflects the surrounding environment of low interest rates, ageing population, increased informational flow, digitalization and alternative products development. To support the savers and the providers it is needed public help, targeting good coverage and constant efforts for active role of the stakeholders in the savings process.


Author(s):  
Marek Fialek

Stanislaw Przybyszewski (1868–1927), highly controversial author of German tongue and Polish provenance, catalyst of German-Scandinavian modernity, and satanist, was widely read in Europe at the turn of the twentieth century. He began his writing career with Zur Psychologie des Individuums, a treatise with the subtitle Chopin und Nietzsche. By means of a highly selective presentation of Nitzschean doctrine, he tried to determine his own aesthetic-philosophical position. He propagated a new type of art that is, essentially, created in an outburst of emotion, placing sexuality and the opposition of the sexes at the very beginning of any artistic creativity. Art is, in Przybyszewski’s interpretation, the constant struggle between the sex and the brain, or the sublimation of erotic desire. Diegesis is often replaced by memories, dreams, visions, images from the subconscious of the narrator, and situations of pure madness and ecstatic excruciation. His language use was novel in being filled with medical terminology, colourful imagery, and scientific analogies, combining terms adapted from the exact sciences to the field of intuitive psychology with a vigorous ambition to coin new terms. Przybyszewski’s psychic naturalism and his understanding of the soul as a ‘perpetually introversive view’ embodied an animadversion on the limits of language itself, which is why, to him, Munch’s Fieber und Vision represents a felicitous depiction of the most difficult-to-grasp operations of the human soul.


2019 ◽  
Author(s):  
Franziska Van Wüllen ◽  
Teja Falk Radke ◽  
Elisabeth Pantazoglou ◽  
Gunter Haroske ◽  
Sylvia Thun

Abstract Objective With almost 30,000 new cases per year, urothelial carcinomas account for a significant proportion of cancer cases in Germany. Respective guidelines serve to help pathologists evaluate tumor material according to international classification standards, but to ensure interoperability, further regulations are required. Therefore, the study presented in this work aimed at improving the informational situation by evaluating the applicability of the international terminologies in the scope of urothelial carcinoma in Germany. Methods Based on the S1-guideline "Urothelkarzinom", a collection of terms recommended for a pathology vocabulary was compiled and mapped to SNOMED CT (Systematic Nomenclature of Medical Terms), LOINC (Logical Observation Identifiers Names and Codes) and ICD-11 (International Classification of Diseases 11th Revision), respectively. Results Of the 168 terms required, 163 (97.02%) could be mapped to SNOMED CT, 66 (39.29%) to LOINC and 70 (41.67%) to ICD-11. However, considering the equivalence of each coding and restricting the mapping accordingly resulted in significantly lower coverage. When aiming at absolute equivalence, even combining all three terminologies resulted in only 138 (82.14%) terms being mappable adequately. Discussion Results prove that currently even combining established terminologies does not cover the terms required for a standardized documentation of urothelial findings completely. They also highlight the importance of SNOMED CT, as within this study it provided the largest proportion of mappable terms. Results also clearly demonstrated that especially SNOMED CT and LOINC require extensive knowledge on the respective terminology itself as well as on the respective medical field to ensure reliable mappings.


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