Structural Competency Meets Structural Racism: Race, Politics, and the Structure of Medical Knowledge

2018 ◽  
Vol 199 ◽  
pp. 189-201 ◽  
Author(s):  
Jonathan M. Metzl ◽  
JuLeigh Petty ◽  
Oluwatunmise V. Olowojoba

2010 ◽  
Author(s):  
Sunil Khanna ◽  
Suzanne Morrissey ◽  
Amarah Niazi ◽  
Mirabelle Fernandes-Paul ◽  
Michele Gamburd ◽  
...  

1995 ◽  
Vol 34 (01/02) ◽  
pp. 131-139 ◽  
Author(s):  
M. A. Musen ◽  
J. van der Lei

Abstract:The developers of reviewing systems that rely on computer-based patient-record systems as a source of data need to model reviewing knowledge and medical knowledge. We simulate how the same medical knowledge could be entered in four different systems: CARE, the Arden syntax, Essential-attending and HyperCritic. We subsequently analyze how the original knowledge is represented in the symbols or syntax used by these systems. We conclude that these systems provide different alternatives in dealing with the vocabulary provided by the computer-based patient records. In addition, the use of computer-based patient records for review poses new challenges for the content of that record: to facilitate review, the reasoning of the physician needs to be captured in addition to the actions of the physician.


1990 ◽  
Vol 29 (04) ◽  
pp. 386-392 ◽  
Author(s):  
R. Degani ◽  
G. Bortolan

AbstractThe main lines ofthe program designed for the interpretation of ECGs, developed in Padova by LADSEB-CNR with the cooperation of the Medical School of the University of Padova are described. In particular, the strategies used for (i) morphology recognition, (ii) measurement evaluation, and (iii) linguistic decision making are illustrated. The main aspect which discerns this program in comparison with other approaches to computerized electrocardiography is its ability of managing the imprecision in both the measurements and the medical knowledge through the use of fuzzy-set methodologies. So-called possibility distributions are used to represent ill-defined parameters as well as threshold limits for diagnostic criteria. In this way, smooth conclusions are derived when the evidence does not support a crisp decision. The influence of the CSE project on the evolution of the Padova program is illustrated.


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