scholarly journals A Structured Approach to Understanding Recovery and Relapse in AA

2018 ◽  
Author(s):  
Yue Zhang ◽  
Arti Ramesh ◽  
Jennifer Golbeck ◽  
Dhanya Sridhar ◽  
Lise Getoor
Keyword(s):  
Structured Approach

Structured Reporting of Medical Findings: Evaluation of a System in Gastroenterology

1992 ◽  
Vol 31 (04) ◽  
pp. 268-274 ◽  
Author(s):  
W. Gaus ◽  
J. G. Wechsler ◽  
P. Janowitz ◽  
J. Tudyka ◽  
W. Kratzer ◽  
...  
Keyword(s):  
Structured Data ◽  
Structured Reporting ◽  
Free Text ◽  
Clinical Documentation ◽  
Abdominal Sonography ◽  
Technical Examination ◽  
Medical Reports ◽  
Time Required ◽  
Upper Abdominal ◽  
Structured Approach

Abstract:A system using structured reporting of findings was developed for the preparation of medical reports and for clinical documentation purposes in upper abdominal sonography, and evaluated in the course of routine use. The evaluation focussed on the following parameters: completeness and correctness of the entered data, the proportion of free text, the validity and objectivity of the documentation, user acceptance, and time required. The completeness in the case of two clinically relevant parameters could be compared with an already existing database containing freely dictated reports. The results confirmed the hypothesis that, for the description of results of a technical examination, structured data reporting is a viable alternative to free-text dictation. For the application evaluated, there is even evidence of the superiority of a structured approach. The system can be put to use in related areas of application.

Scientific methodological approaches to the developmentof strategy of sustainable development of territorial communities

2019 ◽  
pp. 71-80
Author(s):  
Olexander Martynyuk ◽  
Inna Studennikova ◽  
Volodymyr Hromozdov ◽  
Victor Maliarevsky
Keyword(s):  
Sustainable Development ◽  
Comparative Analysis ◽  
Empirical Research ◽  
Working Group ◽  
Swot Analysis ◽  
Expert Evaluation ◽  
Analysis Methods ◽  
Methodological Approaches ◽  
Structured Approach ◽  
Developing Strategies

The purpose of the article is to propose methodological assistance to the selfgovernment system in developing strategies for sustainable development of territorialcommunities. Methodology. The research used the works of foreign and domesticspecialists involved in the development of sustainable development strategies.Authors applied methods of scientific comparative analysis, general scientificmethods of theoretical, empirical research and a method of expert evaluation. Scientificnovelty includes clear well-structured approach to identification of what is neededto develop a strategy of territorial communities’ development, important tasks fora working group, SWOT analysis methods, what should be analysed to achievestrategic goals and consistency of organizational details. Conclusions. Complianceto the proposed scientific methodological approaches to the development of thestrategies of territorial communities’ sustainable development enables the communityto obtain a strategic algorithm for its sustainable development.

Applying personalized medicine to adult severe asthma

2021 ◽  
Vol 42 (1) ◽  
pp. e8-e16 ◽  
Author(s):  
Angelica Tiotiu
Keyword(s):  
Personalized Medicine ◽  
Severe Asthma ◽  
Negative Impact ◽  
Target Therapy ◽  
Asthma Management ◽  
Future Research ◽  
Biologic Therapies ◽  
Eosinophilic Asthma ◽  
Definition Of ◽  
Structured Approach

Background: Severe asthma is a heterogeneous disease that consists of various phenotypes driven by different pathways. Associated with significant morbidity, an important negative impact on the quality of life of patients, and increased health care costs, severe asthma represents a challenge for the clinician. With the introduction of various antibodies that target type 2 inflammation (T2) pathways, severe asthma therapy is gradually moving to a personalized medicine approach. Objective: The purpose of this review was to emphasize the important role of personalized medicine in adult severe asthma management. Methods: An extensive research was conducted in medical literature data bases by applying terms such as “severe asthma” associated with “structured approach,” “comorbidities,” “biomarkers,” “phenotypes/endotypes,” and “biologic therapies.” Results: The management of severe asthma starts with a structured approach to confirm the diagnosis, assess the adherence to medications and identify confounding factors and comorbidities. The definition of phenotypes or endotypes (phenotypes defined by mechanisms and identified through biomarkers) is an important step toward the use of personalized medicine in asthma. Severe allergic and nonallergic eosinophilic asthma are two defined T2 phenotypes for which there are efficacious targeted biologic therapies currently available. Non-T2 phenotype remains to be characterized, and less efficient target therapy exists. Conclusion: Despite important progress in applying personalized medicine to severe asthma, especially in T2 inflammatory phenotypes, future research is needed to find valid biomarkers predictive for the response to available biologic therapies to develop more effective therapies in non-T2 phenotype.

scholarly journals Complex System Governance as a Framework for Asset Management

2021 ◽  
Vol 13 (15) ◽  
pp. 8502
Author(s):  
Polinpapilinho F. Katina ◽  
James C. Pyne ◽  
Charles B. Keating ◽  
Dragan Komljenovic
Keyword(s):  
Complex System ◽  
Performance Improvement ◽  
Asset Management ◽  
System Performance ◽  
Future Research ◽  
Complex Organizations ◽  
Potential Relationship ◽  
Structured Approach

Complex system governance (CSG) is an emerging field encompassing a framework for system performance improvement through the purposeful design, execution, and evolution of essential metasystem functions. The goal of this study was to understand how the domain of asset management (AsM) can leverage the capabilities of CSG. AsM emerged from engineering as a structured approach to organizing complex organizations to realize the value of assets while balancing performance, risks, costs, and other opportunities. However, there remains a scarcity of literature discussing the potential relationship between AsM and CSG. To initiate the closure of this gap, this research reviews the basics of AsM and the methods associated with realizing the value of assets. Then, the basics of CSG are provided along with how CSG might be leveraged to support AsM. We conclude the research with the implications for AsM and suggested future research.

scholarly journals A STRUCTURED APPROACH TO REDUCE DESIGN ITERATIONS IN ADDITIVE MANUFACTURING

2021 ◽  
Vol 1 ◽  
pp. 231-240
Author(s):  
Laura Wirths ◽  
Matthias Bleckmann ◽  
Kristin Paetzold
Keyword(s):  
Additive Manufacturing ◽  
Spare Parts ◽  
Design Guidelines ◽  
Final Part ◽  
Layer By Layer ◽  
Powder Bed ◽  
Batch Sizes ◽  
Manufacturing Technologies ◽  
Structured Approach ◽  
Design Freedom

AbstractAdditive Manufacturing technologies are based on a layer-by-layer build-up. This offers the possibility to design complex geometries or to integrate functionalities in the part. Nevertheless, limitations given by the manufacturing process apply to the geometric design freedom. These limitations are often unknown due to a lack of knowledge of the cause-effect relationships of the process. Currently, this leads to many iterations until the final part fulfils its functionality. Particularly for small batch sizes, producing the part at the first attempt is very important. In this study, a structured approach to reduce the design iterations is presented. Therefore, the cause-effect relationships are systematically established and analysed in detail. Based on this knowledge, design guidelines can be derived. These guidelines consider process limitations and help to reduce the iterations for the final part production. In order to illustrate the approach, the spare parts production via laser powder bed fusion is used as an example.

scholarly journals Development of a posterior sagittal anorectal surgical teaching model

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
J. A. van Ling ◽  
G. M. J. Bökkerink ◽  
I. de Blaauw ◽  
S. M. B. I. Botden
Keyword(s):  
Low Cost ◽  
Target Group ◽  
Teaching Model ◽  
Perineal Body ◽  
Perineal Fistula ◽  
Training Tool ◽  
Surgical Teaching ◽  
Long Term Prognosis ◽  
Structured Approach

Abstract Background An Anorectal Malformation (ARM) is a rare congenital malformation, which requires proper correction to ensure the best long-term prognosis. These procedures are relatively infrequent and complex, in which a structured approach is important. Therefore, training on an affordable model could be beneficial. Methods A low-cost ARM model was developed. The base was reusable and the perineal body disposable. Both expert pediatric surgeons (Experts) and residents/fellows (Target group) were recruited for this study. After testing the model, they completed a questionnaire regarding the realism and didactic value of the model, using a 5-point Likert scale. Results Forty-four participants were recruited (Target group n = 20, Experts n = 24). The model has high mean scores of 3.8–4.4 for the total group and even higher on several aspects by the Target group. The experts regarded the haptics and manipulation of the fistula less realistic than the Target group (3.7 versus 4.3, p = 0.021 and 4.2 versus 4.6, p = 0.047). It was considered to be a very good training tool (mean 4.3), without significant differences between the groups. Conclusions These results show general consensus that this model is a potent training tool for the component steps of the repair of an ARM with recto-perineal fistula by sagittal approach.

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