A Software Modeling Perspective of UMLS Semantic Network

Author(s):  
Rishi Kanth Saripalle

The UMLS is a standard medical vocabulary developed by aggregating standard terminologies and sources from diverse healthcare domains, which encapsulates a broad spectrum of medical knowledge. The two primary knowledge sources of the UMLS are semantic network (SN) and metathesaurus (META). In the present state, the impact of the semantic knowledge captured by UMLS-SN on healthcare application is minimal or has no impact, as UMLS confines the UMLS-SN knowledge. Further, healthcare application design and development is achieved primarily by using sound software modeling principles and established object-oriented (OO) frameworks and languages. The goal of this chapter is to translate UMLS-SN knowledge into an OO modeling framework to utilize SN's knowledge in designing healthcare application. The result is the design and development of UMLS-SN, a custom metamodel by leveraging UML profile and metamodel. This specialized metamodel allows developers to design healthcare applications that are coherent with object-oriented modeling and software engineering approaches.

Author(s):  
Rishi Kanth Saripalle

In the domain of biomedical and health informatics, ontologies are widely used to capture knowledge ranging from bioinformatics such as gene, protein, protein interactions, etc. to clinical/healthcare informatics knowledge such as diseases, symptoms, treatment, medication, etc. Currently, one medical knowledge source that encapsulates a broad spectrum of medical knowledge is the Unified Medical Language System (UMLS), which can be defined as a compendium of diverse medical ontological standards. The primary components of the UMLS are: Semantic Network (UMLS-SN) – designed by interconnecting well-defined semantic types with semantic relationships, and Metathesaurus (UMLS-META) – the base of UMLS system that is comprised of millions of medical concepts from diverse medical standards. However, within the biomedical and health informatics community, the concepts of software engineering and domain modeling (using meta-models such as ERD, UML, and XML) are very successful in designing and implementing biomedical/health domain application models. In the current status, the UMLS-SN is primarily employed for classification of medical concepts in UMLS-META, but UMLS-SN knowledge can't be viewed or employed as a modeling framework for designing ontological models and is restricted to the UMLS environment. Thus, the impact of the biomedical semantics captured by UMLS-SN might be minimal in medical facilities, research and healthcare organizations that are highly influenced by software engineering, meta-models and domain model-based practices. In order fill this gap, the authors propose a meta-modeling framework for UMLS-SN based on the UML Profile (built using UML meta-model) that will result in a customized domain specific meta-model. This specialized meta-model that encapsulates the medical knowledge semantics of UMLS-SN can then be employed for designing ontological models or relevant healthcare application models and simultaneously be coherent with software meta-models and domain modeling practices.


2018 ◽  
pp. 553-576
Author(s):  
Rishi Kanth Saripalle

In the domain of biomedical and health informatics, ontologies are widely used to capture knowledge ranging from bioinformatics such as gene, protein, protein interactions, etc. to clinical/healthcare informatics knowledge such as diseases, symptoms, treatment, medication, etc. Currently, one knowledge source that encapsulates a broad spectrum of medical knowledge is the Unified Medical Language System (UMLS), which can be defined as a compendium of diverse medical ontological standards. The primary components of the UMLS are: Semantic Network (UMLS-SN) – designed by interconnecting well-defined semantic types with semantic relationships, and Metathesaurus (UMLS-META) – the base of UMLS system that is comprised of millions of medical concepts from diverse medical standards. However, within the biomedical and health informatics community, the concepts of software engineering and domain modeling (using meta-models such as ERD, UML, and XML) are very successful in designing and implementing biomedical/health domain application models. In the current status, the UMLS-SN is primarily employed for classification of medical concepts in UMLS-META, but UMLS-SN knowledge can't be viewed or employed as a modeling framework for designing ontological//biomedical applicaton models and is restricted to the UMLS environment. Thus, the impact of the biomedical semantics captured by UMLS-SN might be minimal in medical facilities, research and healthcare organizations that are highly influenced by software engineering, meta-models and domain model-based practices. In order fill this gap, the author proposes a meta-modeling framework for UMLS-SN based on the UML Profile (built using UML meta-model) that will result in a customized domain specific meta-model. This specialized meta-model that encapsulates the medical knowledge semantics of UMLS-SN can then be employed for designing ontological models or relevant healthcare application models and simultaneously be coherent with software meta-models and domain modeling practices.


Romanticism ◽  
2016 ◽  
Vol 22 (2) ◽  
pp. 157-166
Author(s):  
Nikki Hessell

John Keats's medical studies at Guy's Hospital coincided with a boom in interest in both the traditional medicines of the sub-continent and the experiences of British doctors and patients in India. Despite extensive scholarship on the impact of Keats's medical knowledge on his poetry, little consideration has been given to Keats's exposure to Indian medicine. The poetry that followed his time at Guy's contains numerous references to the contemporary state of knowledge about India and its medical practices, both past and present. This essay focuses on Isabella and considers the major sources of information about Indian medicine in the Regency. It proposes that some of Keats's medical imagery might be read as a specific response to the debates about medicine in the sub-continent.


Author(s):  
Tran Thanh Luong ◽  
Le My Canh

JavaScript has become more and more popular in recent years because its wealthy features as being dynamic, interpreted and object-oriented with first-class functions. Furthermore, JavaScript is designed with event-driven and I/O non-blocking model that boosts the performance of overall application especially in the case of Node.js. To take advantage of these characteristics, many design patterns that implement asynchronous programming for JavaScript were proposed. However, choosing a right pattern and implementing a good asynchronous source code is a challenge and thus easily lead into less robust application and low quality source code. Extended from our previous works on exception handling code smells in JavaScript and exception handling code smells in JavaScript asynchronous programming with promise, this research aims at studying the impact of three JavaScript asynchronous programming patterns on quality of source code and application.


Author(s):  
Lamya Alkhariji ◽  
Nada Alhirabi ◽  
Mansour Naser Alraja ◽  
Mahmoud Barhamgi ◽  
Omer Rana ◽  
...  

Privacy by Design (PbD) is the most common approach followed by software developers who aim to reduce risks within their application designs, yet it remains commonplace for developers to retain little conceptual understanding of what is meant by privacy. A vision is to develop an intelligent privacy assistant to whom developers can easily ask questions to learn how to incorporate different privacy-preserving ideas into their IoT application designs. This article lays the foundations toward developing such a privacy assistant by synthesising existing PbD knowledge to elicit requirements. It is believed that such a privacy assistant should not just prescribe a list of privacy-preserving ideas that developers should incorporate into their design. Instead, it should explain how each prescribed idea helps to protect privacy in a given application design context—this approach is defined as “Explainable Privacy.” A total of 74 privacy patterns were analysed and reviewed using ten different PbD schemes to understand how each privacy pattern is built and how each helps to ensure privacy. Due to page limitations, we have presented a detailed analysis in Reference [3]. In addition, different real-world Internet of Things (IoT) use-cases, including a healthcare application, were used to demonstrate how each privacy pattern could be applied to a given application design. By doing so, several knowledge engineering requirements were identified that need to be considered when developing a privacy assistant. It was also found that, when compared to other IoT application domains, privacy patterns can significantly benefit healthcare applications. In conclusion, this article identifies the research challenges that must be addressed if one wishes to construct an intelligent privacy assistant that can truly augment software developers’ capabilities at the design phase.


JAMIA Open ◽  
2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Jana L Anderson ◽  
e Silva Lucas Oliveira J ◽  
Juan P Brito ◽  
Ian G Hargraves ◽  
Erik P Hess

Abstract Objective The overuse of antibiotics for acute otitis media (AOM) in children is a healthcare quality issue in part arising from conflicting parent and physician understanding of the risks and benefits of antibiotics for AOM. Our objective was to develop a conversation aid that supports shared decision making (SDM) with parents of children who are diagnosed with non-severe AOM in the acute care setting. Materials and Methods We developed a web-based encounter tool following a human-centered design approach that includes active collaboration with parents, clinicians, and designers using literature review, observations of clinical encounters, parental and clinician surveys, and interviews. Insights from these processes informed the iterative creation of prototypes that were reviewed and field-tested in patient encounters. Results The ear pain conversation aid includes five sections: (1) A home page that opens the discussion on the etiologies of AOM; (2) the various options available for AOM management; (3) a pictograph of the impact of antibiotic therapy on pain control; (4) a pictograph of complication rates with and without antibiotics; and (5) a summary page on management choices. This open-access, web-based tool is located at www.earpaindecisionaid.org. Conclusions We collaboratively developed an evidence-based conversation aid to facilitate SDM for AOM. This decision aid has the potential to improve parental medical knowledge of AOM, physician/parent communication, and possibly decrease the overuse of antibiotics for this condition.


2021 ◽  
Vol 12 (1) ◽  
Author(s):  
G. Cencetti ◽  
G. Santin ◽  
A. Longa ◽  
E. Pigani ◽  
A. Barrat ◽  
...  

AbstractDigital contact tracing is a relevant tool to control infectious disease outbreaks, including the COVID-19 epidemic. Early work evaluating digital contact tracing omitted important features and heterogeneities of real-world contact patterns influencing contagion dynamics. We fill this gap with a modeling framework informed by empirical high-resolution contact data to analyze the impact of digital contact tracing in the COVID-19 pandemic. We investigate how well contact tracing apps, coupled with the quarantine of identified contacts, can mitigate the spread in real environments. We find that restrictive policies are more effective in containing the epidemic but come at the cost of unnecessary large-scale quarantines. Policy evaluation through their efficiency and cost results in optimized solutions which only consider contacts longer than 15–20 minutes and closer than 2–3 meters to be at risk. Our results show that isolation and tracing can help control re-emerging outbreaks when some conditions are met: (i) a reduction of the reproductive number through masks and physical distance; (ii) a low-delay isolation of infected individuals; (iii) a high compliance. Finally, we observe the inefficacy of a less privacy-preserving tracing involving second order contacts. Our results may inform digital contact tracing efforts currently being implemented across several countries worldwide.


2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Anna Åkesson ◽  
Alva Curtsdotter ◽  
Anna Eklöf ◽  
Bo Ebenman ◽  
Jon Norberg ◽  
...  

AbstractEco-evolutionary dynamics are essential in shaping the biological response of communities to ongoing climate change. Here we develop a spatially explicit eco-evolutionary framework which features more detailed species interactions, integrating evolution and dispersal. We include species interactions within and between trophic levels, and additionally, we incorporate the feature that species’ interspecific competition might change due to increasing temperatures and affect the impact of climate change on ecological communities. Our modeling framework captures previously reported ecological responses to climate change, and also reveals two key results. First, interactions between trophic levels as well as temperature-dependent competition within a trophic level mitigate the negative impact of climate change on biodiversity, emphasizing the importance of understanding biotic interactions in shaping climate change impact. Second, our trait-based perspective reveals a strong positive relationship between the within-community variation in preferred temperatures and the capacity to respond to climate change. Temperature-dependent competition consistently results both in higher trait variation and more responsive communities to altered climatic conditions. Our study demonstrates the importance of species interactions in an eco-evolutionary setting, further expanding our knowledge of the interplay between ecological and evolutionary processes.


2019 ◽  
Vol 47 (12) ◽  
pp. 1-10
Author(s):  
Yuanrong Hu ◽  
Shengkang Lu ◽  
Zhongming Tang

We explored how donation relates to patient satisfaction with the quality of process and outcome in an online healthcare service. Using a dataset of 496,723 patient consultation records collected from ChunyuDoctor, which is among the largest of the Chinese mobile healthcare applications, we conducted a multiple regression and found that patient satisfaction with both process and outcome jointly influenced their donation. We also found that higher quality satisfaction levels meant paying patients were more likely to donate than were free patients. Our results also showed satisfaction with the quality of the process and the outcome had an equal impact on patient donation for the free patients, but the impact of process quality was greater than that of outcome quality for the paying patients, suggesting the importance of enhancing the quality of the process in an online healthcare service. Implications of the findings are discussed.


Author(s):  
Stella Doukianou ◽  
Damon Daylamani-Zad ◽  
Kathy O’Loingsigh

AbstractPresentations are the most successful and popular form of communication in business. However, the formats of presentations in business have not changed much for past few decades. The emergent and disruptive technologies such as Augmented Reality and Animated Infographics have provided potential for enhancing communications in businesses to increase engagement and therefore increasing the effectiveness of such communications. This paper focuses on the impact and effectiveness of using interactive AR in business presentations. The paper presents the design and development of our AR presentation application. Followed by a presentation of an empirical study into the usability and effectiveness of using Augmented Reality and Animated Infographics in business presentation and compares the results against the traditional slideware slides presentation approach. The results of the experiment with 94 participants are presented and analysed. The results demonstrate that the AR approach out performs the traditional methods in terms of usability, audience engagement and effectiveness of communication.


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