scholarly journals Hands on the Medical Informatics Initiative Core Data Set — Lessons Learned from Converting the MIMIC-IV

2021 ◽  
Author(s):  
Hannes Ulrich ◽  
Paul Behrend ◽  
Joshua Wiedekopf ◽  
Cora Drenkhahn ◽  
Ann-Kristin Kock-Schoppenhauer ◽  
...  
Keyword(s):  
Medical Informatics ◽  
Test Data ◽  
Medical Information ◽  
Data Transfer ◽  
National Level ◽  
Lessons Learned ◽  
Steady Increase ◽  
Data Sets ◽  
Core Data ◽  
Legacy Data

With the steady increase in the connectivity of the healthcare system, new requirements and challenges are emerging. In addition to the seamless exchange of data between service providers on a national level, the local legacy data must also meet the new requirements. For this purpose, the applications used must be tested securely and sufficiently. However, the availability of suitable and realistic test data is not always given. Therefore, this study deals with the creation of test data based on real electronic health record data provided by the Medical Information Mart for Intensive Care (MIMIC-IV) database. In addition to converting the data to the current FHIR R4, conversion to the core data sets of the German Medical Informatics Initiative was also presented and made available. The test data was generated to simulate a legacy data transfer. Moreover, four different FHIR servers were tested for performance. This study is the first step toward comparable test scenarios around shared datasets and promotes comparability among providers on a national level.

Benchmark Study Between CFD and Model Tests on a Semi-Submersible Crane Vessel

2009 ◽  
Author(s):  
Harald Ottens ◽  
Radboud van Dijk ◽  
Geert Meskers
Keyword(s):  
Test Data ◽  
Model Test ◽  
Offshore Structures ◽  
Model Tests ◽  
Lessons Learned ◽  
Data Sets ◽  
General Acceptance ◽  
Heavy Lift ◽  
Semi Empirical ◽  
Proven Method

Accurate assessment of current loads on offshore vessels is required to determine operability of heavy lift and pipe lay operations. Whereas in the past only semi-empirical methods or model tests were suitable to obtain these data, CFD has recently become available as engineering tool to assess current loads on offshore structures. CFD has the potential to assess current loads more flexible in a numerical manner. Although the application of CFD has proven its value in assessment of ships resistance and VIV calculations, CFD is still not yet a fully proven method to calculate the current loads on offshore structures. Therefore validation of the results is further required to reach general acceptance of this method for offshore applications. HMC took the initiative to compare and validate CFD results with its model test data of current loads on one of its semi-submersible crane vessels. In this paper a comparison of CFD results with model test data of the current loads of a semi-submersible crane vessel is presented. The CFD calculations are performed as blind computations, so the model tests results were unknown. Afterwards the CFD results are compared with the results of the model tests. Based on both data sets lessons learned are addressed to improve the CFD computations as well as practical aspects and limitations of current load model testing. Furthermore, the possibilities to use CFD to scale the results of the model tests to full scale are explored. Based on this comparison CFD appears to be a complementary, flexible and reliable tool in assessing the current loads on mission critical vessel operations.

scholarly journals Private Forests in Nepal: Status and Policy Analysis

2017 ◽  
Vol 15 (1) ◽  
pp. 120-130 ◽  
Author(s):  
Swoyambhu M. Amatya ◽  
Prakash Lamsal
Keyword(s):  
Present Status ◽  
National Level ◽  
Timber Harvesting ◽  
Lessons Learned ◽  
Private Land ◽  
Private Forest ◽  
Community Forest ◽  
Private Forest Owners ◽  
Forest Owners ◽  
Private Forests

 This paper reviews and analyses the present status of private forests and tenure administration in light of existing legal, policy, and regulatory frameworks in Nepal. Additionally, the present status of private forests, as well as the scenarios of timber harvesting, transportation, marketing, and their administration are thoroughly revised. Provisions regarding forests and trees on private land and their basis are examined and implications are articulated for potential policy improvements for enhanced tenure security. It is shown that robust national-level policies and legal frameworks exist, and that there is an increasing trend of timber flows to markets from private forests over the past five years. However, there is still skepticism, mistrust and fear amongst private forest owners, saw millers, and forest administration that prevents the full use of the bundle of rights that legal and policy provisions have promised. An unusually slow pace of private forest registration, lengthy and multi stage processes for obtaining harvesting and transportation permits, and official bans on important commercial species, among others, are found to be the factors that most hinder the private forest owners’ and tree growers’ interests, and their rights and obligations with respect to the management and use of their private forest resources. It is concluded that a simplified permitting process along with programmatic support would promote and help to grow private forestry and that Nepal’s experience and lessons learned from community forest implementation would be a great asset to move towards this end. Connecting community forest user groups for organised and cooperative action, and mobilising their institutional strength and accumulated funds for pro-farmer technical and regulatory support would allow farmers to intensify tree plantations and forest management. Further steps are required to convince policymakers and secure necessary budgetary support to this end..

Medical Informatics and the Quality of Health: New Approaches to Support Patient Care

2003 ◽  
Vol 42 (02) ◽  
pp. 185-189 ◽  
Author(s):  
R. Haux ◽  
C. Kulikowski ◽  
A. Bohne ◽  
R. Brandner ◽  
B. Brigl ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Informatics ◽  
Health Care Providers ◽  
Medical Knowledge ◽  
Lessons Learned ◽  
Care Providers ◽  
Access To Health Services ◽  
Leading Role ◽  
Future Challenges

Summary Objectives: The Yearbook of Medical Informatics is published annually by the International Medical Informatics Association (IMIA) and contains a selection of excellent papers on medical informatics research which have been recently published (www.yearbook.uni-hd.de). The 2003 Yearbook of Medical Informatics took as its theme the role of medical informatics for the quality of health care. In this paper, we will discuss challenges for health care, and the lessons learned from editing IMIA Yearbook 2003. Results and Conclusions: Modern information processing methodology and information and communication technology have strongly influenced our societies and health care. As a consequence of this, medical informatics as a discipline has taken a leading role in the further development of health care. This involves developing information systems that enhance opportunities for global access to health services and medical knowledge. Informatics methodology and technology will facilitate high quality of care in aging societies, and will decrease the possibilities of health care errors. It will also enable the dissemination of the latest medical and health information on the web to consumers and health care providers alike. The selected papers of the IMIA Yearbook 2003 present clear examples and future challenges, and they highlight how various sub-disciplines of medical informatics can contribute to this.

scholarly journals Safer primary healthcare facilities are needed to protect healthcare workers and maintain essential services: lessons learned from a multicountry COVID-19 emergency response initiative

2021 ◽  
Vol 6 (6) ◽  
pp. e005833
Author(s):  
Leena N Patel ◽  
Samantha Kozikott ◽  
Rodrigue Ilboudo ◽  
Moreen Kamateeka ◽  
Mohammed Lamorde ◽  
...  
Keyword(s):  
Health Facility ◽  
Healthcare Workers ◽  
National Level ◽  
Lessons Learned ◽  
Health Facilities ◽  
Infection Prevention And Control ◽  
Health Facility Level ◽  
Ensure Patient Safety ◽  
Increased Risk ◽  
Facility Level

Healthcare workers (HCWs) are at increased risk of infection from SARS-CoV-2 and other disease pathogens, which take a disproportionate toll on HCWs, with substantial cost to health systems. Improved infection prevention and control (IPC) programmes can protect HCWs, especially in resource-limited settings where the health workforce is scarcest, and ensure patient safety and continuity of essential health services. In response to the COVID-19 pandemic, we collaborated with ministries of health and development partners to implement an emergency initiative for HCWs at the primary health facility level in 22 African countries. Between April 2020 and January 2021, the initiative trained 42 058 front-line HCWs from 8444 health facilities, supported longitudinal supervision and monitoring visits guided by a standardised monitoring tool, and provided resources including personal protective equipment (PPE). We documented significant short-term improvements in IPC performance, but gaps remain. Suspected HCW infections peaked at 41.5% among HCWs screened at monitored facilities in July 2020 during the first wave of the pandemic in Africa. Disease-specific emergency responses are not the optimal approach. Comprehensive, sustainable IPC programmes are needed. IPC needs to be incorporated into all HCW training programmes and combined with supportive supervision and mentorship. Strengthened data systems on IPC are needed to guide improvements at the health facility level and to inform policy development at the national level, along with investments in infrastructure and sustainable supplies of PPE. Multimodal strategies to improve IPC are critical to make health facilities safer and to protect HCWs and the communities they serve.

CONSTRUCTING THE ‘URBAN PROFILE’ OF AN ANCIENT GREEK CITY: EVIDENCE FROM THE OLYNTHOS PROJECT

2020 ◽  
Vol 115 ◽  
pp. 329-378
Author(s):  
Lisa C. Nevett ◽  
E. Bettina Tsigarida ◽  
Zosia H. Archibald ◽  
David L. Stone ◽  
Bradley A. Ault ◽  
...  
Keyword(s):  
Urban Infrastructure ◽  
Holistic Approach ◽  
Data Sets ◽  
Ancient Greek ◽  
Greek City ◽  
Classical Greece ◽  
Relevant Evidence ◽  
Classical Studies ◽  
Legacy Data ◽  
Greek World

This article argues that a holistic approach to documenting and understanding the physical evidence for individual cities would enhance our ability to address major questions about urbanisation, urbanism, cultural identities and economic processes. At the same time we suggest that providing more comprehensive data-sets concerning Greek cities would represent an important contribution to cross-cultural studies of urban development and urbanism, which have often overlooked relevant evidence from Classical Greece. As an example of the approach we are advocating, we offer detailed discussion of data from the Archaic and Classical city of Olynthos, in the Halkidiki. Six seasons of fieldwork here by the Olynthos Project, together with legacy data from earlier projects by the American School of Classical Studies at Athens and by the Greek Archaeological Service, combine to make this one of the best-documented urban centres surviving from the Greek world. We suggest that the material from the site offers the potential to build up a detailed ‘urban profile’, consisting of an overview of the early development of the community as well as an in-depth picture of the organisation of the Classical settlement. Some aspects of the urban infrastructure can also be quantified, allowing a new assessment of (for example) its demography. This article offers a sample of the kinds of data available and the sorts of questions that can be addressed in constructing such a profile, based on a brief summary of the interim results of fieldwork and data analysis carried out by the Olynthos Project, with a focus on research undertaken during the 2017, 2018 and 2019 seasons.

scholarly journals What I have learnt from helping thousands of people taper off antidepressants and other psychotropic medications

2021 ◽  
Vol 11 ◽  
pp. 204512532199127
Author(s):  
Adele Framer
Keyword(s):  
Withdrawal Syndrome ◽  
Online Community ◽  
Medical Information ◽  
Scientific Literature ◽  
Drug Withdrawal ◽  
Psychotropic Medications ◽  
Lessons Learned ◽  
Medical Providers ◽  
Drug Reactions ◽  
Withdrawal Syndromes

Although psychiatric drug withdrawal syndromes have been recognized since the 1950s – recent studies confirm antidepressant withdrawal syndrome incidence upwards of 40% – medical information about how to safely go off the drugs has been lacking. To fill this gap, over the last 25 years, patients have developed a robust Internet-based subculture of peer support for tapering off psychiatric drugs and recovering from withdrawal syndrome. This account from the founder of such an online community covers lessons learned from thousands of patients regarding common experiences with medical providers, identification of adverse drug reactions, risk factors for withdrawal, tapering techniques, withdrawal symptoms, protracted withdrawal syndrome, and strategies to cope with symptoms, in the context of the existing scientific literature.

scholarly journals Anthropological analysis on recent covid-19 infection in Italy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V A Sironi ◽  
M A Riva
Keyword(s):  
Medical Information ◽  
National Level ◽  
The Elderly ◽  
Point Of View ◽  
Cognitive Distortion ◽  
Psychological Reactions ◽  
Foreign Countries ◽  
The Social ◽  
Informative Role ◽  
Globalized World

Abstract The recent epidemic caused by the Covid-19 virus, which originated in China and then spread rapidly, can rightly be defined as the real 'first' epidemic in the social era. In an increasingly globalized world other recent epidemics (but more circumscribed, even if severely more lethal, such as Ebola and Sars) have been experienced with less media and emotional involvement, while the recent epidemic due to the new coronavirus has generated deserving reactions of analysis from an anthropological and social point of view, rather than on a health aspect. In Italy the epidemic event provoked sometimes excessive and irrational psychological reactions (from an unjustified panic to an irresponsible underestimation) and a cognitive distortion on anthropological level (wrong perspective perception of the pathological event). It has also generated disproportionate social repercussions at national level (refusal of stay for subjects coming from the lands in which diseased people are present) and at international level (foreclosure of landing of Italian tourists in some foreign countries). There was also incorrect medical information (confusion between infected - asymptomatic and/or non-hospitalized paucisymptomatic -, real patients with important symptoms - hospitalized - and sometimes in need of intensive care, subjects - the elderly and carriers of other serious diseases - died not for but with the Covid-19 infection) generated and amplified also by the pounding informative role of the mass media and by the news (often inaccurate and generating fake-news) spread in real time through social media. Key messages Irrational reactions must be avoided. Correct medical information are indispensable.

New Evidence on Eastern Europe's Pollution Progress

2003 ◽  
Vol 3 (1) ◽  
Author(s):  
Matthew E Kahn
Keyword(s):  
Sulfur Dioxide ◽  
Carbon Dioxide Emissions ◽  
National Level ◽  
Data Sets ◽  
Local Public Good ◽  
Data Set ◽  
The Czech Republic ◽  
Level Data ◽  
Good Improvement ◽  
New Evidence

Abstract Under communism, Eastern Europe's cities were significantly more polluted than their Western European counterparts. An unintended consequence of communism's decline is to improve urban environmental quality. This paper uses several new data sets to measure these gains. National level data are used to document the extent of convergence across nations in sulfur dioxide and carbon dioxide emissions. Based on a panel data set from the Czech Republic, Hungary and Poland, ambient sulfur dioxide levels have fallen both because of composition and technique effects. The incidence of this local public good improvement is analyzed.

Analytical stress-strain relation for soils

2021 ◽  
Author(s):  
Kristian Krabbenhoft ◽  
J. Wang
Keyword(s):  
Test Data ◽  
Narrow Range ◽  
Strain Range ◽  
Data Sets ◽  
Soil Tests ◽  
Stress Strain ◽  
Strain Relation ◽  
Stress Strain Relation ◽  
Typical Test ◽  
Typical Soil

A new stress-strain relation capable of reproducing the entire stress-strain range of typical soil tests is presented. The new relation involves a total of five parameters, four of which can be inferred directly from typical test data. The fifth parameter is a fitting parameter with a relatively narrow range. The capabilities of the new relation is demonstrated by the application to various clay and sand data sets.

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