scholarly journals A nursing clinical data model for neuromuscular processes: content analysis of the Portuguese nursing customization

2019 ◽  
Vol 24 (5) ◽  
pp. 1609-1616
Author(s):  
Hugo Neves ◽  
Paulo Parente

Abstract This study targets the development of a nursing clinical data model for neuromuscular processes. To achieve this purpose, content analysis based on Bardin’s perspective was performed on the Portuguese nursing local customizations regarding neuromuscular processes, with the International Classification for Nursing Practice concepts and the ISO 18104:2014 used as encoding rules. From analysis of the data, a total of 1766 diagnoses were related to neuromuscular processes. After application of exclusion criteria, a corpus with a total of 900 diagnoses was subjected to content analysis. After application of the encoding rules, a total of 81 context units were obtained, and through an inductive approach, were defined into three categories: clinical findings (e.g. aphasia); negative judgment diagnoses (e.g. impaired communication); transition properties (e.g. preparation and knowledge). These interpretations were validated by experts in the field. This study not only demonstrates the need to standardize data, but also the importance of neuromuscular processes in nursing practice. We hope this study will guide the definition of a nursing clinical data model that will help in increasing complexity in the level of care provided with high impact in the patient’s quality of life.

2020 ◽  
Author(s):  
Hayden G. Freedman ◽  
Heather Williams ◽  
Mark A. Miller ◽  
David Birtwell ◽  
Danielle L. Mowery ◽  
...  

AbstractStandardizing clinical information in a common data model is important for promoting interoperability and facilitating high quality research. Semantic Web technologies such as Resource Description Framework can be utilized to their full potential when a clinical data model accurately reflects the reality of the clinical situation it describes. To this end, the Open Biomedical Ontologies Foundry provides a set of ontologies that conform to the principles of realism and can be used to create a realism-based clinical data model. However, the challenge of programmatically defining such a model and loading data from disparate sources into the model has not been addressed by pre-existing software solutions. The PennTURBO Semantic Engine is a tool developed at the University of Pennsylvania that works in conjunction with data aggregation software to transform source-specific RDF data into a source-independent, realism-based data model. This system sources classes from an application ontology and specifically defines how instances of those classes may relate to each other. Additionally, the system defines and executes RDF data transformations by launching dynamically generated SPARQL update statements. The Semantic Engine was designed as a generalizable RDF data standardization tool, and is able to work with various data models and incoming data sources. Its human-readable configuration files can easily be shared between institutions, providing the basis for collaboration on a standard realism-based clinical data model.


1998 ◽  
Vol 37 (04/05) ◽  
pp. 440-452 ◽  
Author(s):  
R. A. Rocha ◽  
H. R. Solbrig ◽  
M. W. Barnes ◽  
S. P. Schrank ◽  
M. Smith ◽  
...  

AbstractWe have created a clinical data model using Abstract Syntax Notation 1 (ASN.l). The clinical model is constructed from a small number of simple data types that are built into data structures of progressively greater complexity. Important intermediate types include Attributes, Observations, and Events. The highest level elements in the model are messages that are used for inter-process communication within a clinical information system. Vocabulary is incorporated into the model using BaseCoded, a primitive data type that allows vocabulary concepts and semantic relationships to be referenced using standard ASN.l notation. ASN.l subtyping language was useful in preventing unbounded proliferation of object classes in the model, and in general, ASN.l was found to be a flexible and robust notation for representing a model of clinical information.


Author(s):  
Chatschik Bisdikian ◽  
Lance M. Kaplan ◽  
Mani B. Srivastava ◽  
David J. Thornley ◽  
Dinesh Verma ◽  
...  

Coalition operations greatly benefit from the exchange of information collected from a plethora of wirelessly communicating sensors deployed in the theater of operation. However, to make judicious use of this information and then act effectively based on this information, knowledge of its quality, and a common means of expressing and communicating this quality are necessary. This chapter considers quality of information (QoI) for sensor networks starting with building a definition of QoI from first principles and by exploiting industry efforts to define quality in other domains, notably quality of service. The definition touches upon two complementary yet distinct aspects of quality: (a) the inherent quality attributes that characterize information; and (b) the assessment of these attributes within the context of applications utilizing the information, referred as the value of information (VoI). It then discusses information as a service and the various QoI viewpoints that associate sensor-originated information providers with sensor-enabled applications in dynamic coalition environments. Then, information processors and operators are introduced, which are functional modules in end-to-end systems that process information based on the QoI attributes. Finally, a data model for QoI metadata, describing the QoI attributes, is presented. The data model provides a common means to describe and communicate QoI attributes among information processors. It enables the indexing and searching of the most pertinent information, of desired quality, and information sources and the on-demand binding of applications to sources that is necessary to support operations in multiparty coalitions.


2019 ◽  
Vol 1 (2) ◽  
pp. 129-143
Author(s):  
Akhmad Saifudin ◽  
Yuyu Yohana Risagarniwa ◽  
Elvi Citraresmana ◽  
Inu Isnaeni Sidiq

The main objective of this study is to develop a theoretical tool to analyze humorelements in Japanese comic (manga). The authors narrow the definition of “tool” as atheoretical framework that can be used in an inductive research. Developing this tool isof importance since evaluating the quality of humor in comic is difficult and subjective,due to the inclusion of humor as a cognitive and cultural product (Hurley et al, 2011).The authors strongly emphasize that this study was a theoretical review one. Weaimed to develop a theoretical foundation pertaining to semiotic analysis in humorousmanga products. To achieve the aim, we applied qualitative content analysis to buildthe foundation inductively. The authors identify that in order to analyze humor inmanga, Berger’s theory of humor techniques (1976, 1993) can be utilized to explorecomical effect in manga. Furthermore, Wilson and Sperber’s framework (2004) canalso be used to evaluate the context of situation pictured in manga. The former theoryis imperative since it highlights the function of drawing representation to buildhumorous atmosphere, while the latter functions to decode the meaning and purposeof humor created by manga creators. To conclude, a theoretical contribution can bewithdrawn from the discussion in this study. However, to really measure Japanese’scognitive and cultural values of humor expression, further application of this analysistool needs to be established in a wider and more comprehensive set of data.


2019 ◽  
pp. 105477381987753
Author(s):  
Patrícia Daniela Barata Gonçalves ◽  
Francisco Miguel Correia Sampaio ◽  
Carlos Alberto da Cruz Sequeira ◽  
Maria Antónia Taveira da Cruz Paiva e Silva

Although hallucinations are prevalent in psychiatric disorders, such as psychosis or dementia, no studies were to be found in literature about the nursing process addressing the focus “Hallucination”. This literature review, which is integrated with a scoping study framework, was performed to determine a clinical data model addressing the focus “Hallucination”. PRISMA checklist for scoping reviews was followed. From the total of 328 papers found, 32 were selected. The findings of this review were summarized according to the nursing process addressing the focus “Hallucination”. These findings led to determine a clinical data model addressing the focus “Hallucination”, comprising the elements of the nursing process. This clinical data model may contribute toward improving nursing decision-making and nursing care quality in relation to a client suffering from hallucination, as well as contribute toward producing more reliable nursing-sensitive indicators.


1992 ◽  
Vol 31 (02) ◽  
pp. 136-146 ◽  
Author(s):  
R. Haux ◽  
C. A. Müller’ ◽  
F. Gerneth

Abstract:In this study it was investigated whether and to what extent semantic data models and their methods for data modeling are useful for adequate representation and integration of immunological and clinical data. To that end the special research program in leukemia research and immunogenetics (SFB 120) of the University of Tübingen was taken as an example. Based on the semantic data model RIWT we propose the design of a database system, report on its realization, and discuss this approach. Using a semantic data model, the quality of data increased considerably. This means, for instance, that the integration of the molecular-biological knowledge allows a better control of the person-related results. Hence, the decisions based of these data may have greater validity and the treatment on leukemia patients can be improved. Furthermore, the elucidation of immune mechanisms concerning auto-immune diseases could be improved.


Author(s):  
K. T. Tokuyasu

During the past investigations of immunoferritin localization of intracellular antigens in ultrathin frozen sections, we found that the degree of negative staining required to delineate u1trastructural details was often too dense for the recognition of ferritin particles. The quality of positive staining of ultrathin frozen sections, on the other hand, has generally been far inferior to that attainable in conventional plastic embedded sections, particularly in the definition of membranes. As we discussed before, a main cause of this difficulty seemed to be the vulnerability of frozen sections to the damaging effects of air-water surface tension at the time of drying of the sections.Indeed, we found that the quality of positive staining is greatly improved when positively stained frozen sections are protected against the effects of surface tension by embedding them in thin layers of mechanically stable materials at the time of drying (unpublished).


2020 ◽  
pp. 89-96
Author(s):  
Sergei S. Kapitonov ◽  
Alexei S. Vinokurov ◽  
Sergei V. Prytkov ◽  
Sergei Yu. Grigorovich ◽  
Anastasia V. Kapitonova ◽  
...  

The article describes the results of comprehensive study aiming at increase of quality of LED luminaires and definition of the nature of changes in their correlated colour temperature (CCT) in the course of operation. Dependences of CCT of LED luminaires with remote and close location of phosphor for 10 thousand hours of operation in different electric modes were obtained; the results of comparison between the initial and final radiation spectra of the luminaires are presented; using mathematical statistics methods, variation of luminaire CCT over the service period claimed by the manufacturer is forecast; the least favourable electric operation modes with the highest CCT variation observed are defined. The obtained results have confirmed availability of the problem of variation of CCT of LED luminaires during their operation. Possible way of its resolution is application of more qualitative and therefore expensive LEDs with close proximity of phosphor or LEDs with remote phosphor. The article may be interesting both for manufacturers and consumers of LED light sources and lighting devices using them.


Author(s):  
Mark Oprenko

The definition of the multimorbidity concept reveals insufficient specificity of the comorbidity and multimorbidity definitions and, as a result, confusion in the use of these terms. Most authors are unanimous that the “core” of multimorbidity is presence of more than one disease in a patient. These coexisting diseases can be pathogenetically interconnected and non-interconnected. Regardless, the degree of multimorbidity always affects prognosis and quality of life.


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