Aplicação do mapeamento conceitual na regulação do acesso aos serviços públicos de saúde, Distrito Federal, Brasil

Resumo A regulação em saúde na busca da equidade subsidia a gestão e necessita de métodos avaliativos que incrementem os processos de trabalho. O objetivo deste artigo é analisar a aplicação do mapeamento conceitual na regulação do acesso aos serviços públicos de saúde. Estudo exploratório e descritivo, sob abordagem mista, realizado no Complexo Regulador em Saúde do Distrito Federal. Os dados foram coletados entre agosto e outubro de 2019 e analisados com o auxílio dos softwares IRaMuTeQ e Concept Systems®. Há uma convergência de 25 declarações geradas pelos 71 participantes, agrupadas em 04 Clusters sobre a regulação rumo ao princípio da equidade. O nível de prioridade assistencial apresentou-se como o foco da regulação e a gestão, a força motriz para a integração dos processos. O mapeamento conceitual é uma ferramenta que pode apoiar o planejamento e avaliação da regulação, pois possibilita identificar pontos prioritários a serem trabalhados pela gestão na melhoria dos processos regulatórios evidenciados neste estudo como a capacitação dos profissionais, a transparência da informação e o nível de prioridade assistencial para um acesso efetivo, equânime, racional e oportuno aos usuários do sistema de saúde.

Classism and Everyday Racism as Experienced by Racialized Health Care Users: A Concept Mapping Study

In Toronto, Canada, 51.5 % of the population are members of racialized groups. Systemic labor market racism has resulted in an overrepresentation of racialized groups in low-income and precarious jobs, a racialization of poverty, and poor health. Yet, the health care system is structured around a model of service delivery and policies that fail to consider unequal power social relations or racism. This study examines how racialized health care users experience classism and everyday racism in the health care setting and whether these experiences differ within stratifications such as social class, gender, and immigration status. A concept mapping design was used to identify mechanisms of classism and everyday racism. For the rating activity, 41 participants identified as racialized health care users. The data analysis was completed using concept systems software. Racialized health care users reported “race”/ethnic-based discrimination as moderate to high and socioeconomic position-/social class-based discrimination as moderate in importance for the challenges experienced when receiving health care; differences within stratifications were also identified. To improve access to services and quality of care, antiracist policies that focus on unequal power social relations and a broader systems thinking are needed to address institutional racism within the health care system.

Development of a Comprehensive Driving Cycle for Construction Machinery Used for Energy Recovery System Evaluation: A Case Study of Medium Hydraulic Excavators

Energy recovery and hybrid power technology are new directions in construction machinery energy-saving research. Thus far, however, no uniform standard method exists to evaluate the efficiency of novel energy-saving concept systems in early stages of development. Efficiency assessment is valuable and credible only by relying on driving cycles that are consistent with actual data. As representative products of construction machinery, hydraulic excavators are multifunctional, object-uncertain, and heavily influenced by operator habits. It is therefore challenging to develop standard excavator driving cycles. Aiming at the energy efficiency evaluation of new energy-saving products characterized by energy recovery and power system optimization, taking medium-sized hydraulic excavator as an example, this paper proposes an evaluation method of energy-saving efficiency and a classification construction method of comprehensive driving cycle of hydraulic excavator based on actual operating data with load demand power and boom recoverable power as combined variables. First, based on the analysis of general driving cycle variables for excavators with different energy-saving schemes, a load demand power model and boom recoverable power model based on machine sensing data are established. Second, 10 excavators were selected at different locations in southern China, and 30 days of real-world working data were recorded. Third, according to the periodic characteristics of working data, a method for dividing microcycle operation structure is proposed. The microcycle sample space based on the data conversion of working data is constructed and classified via the clustering algorithm. Finally, a comprehensive excavator driving cycle based on the classification results is constructed through the Markov method. Results show that the energy-saving efficiency of the three classification driving cycles was 17.45%, 13.60%, and 11.88%, respectively; the comprehensive energy-saving efficiency was 15.76%. The deviations in maximum load demand power and maximum boom recoverable power between the constructed comprehensive cycle and the sample space were 7.81% and 8.61%; the average deviation of characteristic parameters was 4.26%. The comprehensive driving cycles can fairly reflect the general characteristics of real-world working conditions. The proposed construction method of comprehensive driving cycles based on sample space is therefore reliable and holds great promise for evaluating the energy-saving efficiency of new energy-saving concept systems.

THE MENTAL RESOURCE OF MODERN ENGLISH GASTRONOMIC ADVERTISING DISCOURSE

The article presents the results of the study and comparison of the mental resource of two types of modern English gastronomic discourse – modern gastronomic advertising discourse and modern gastronomic advertising aesthetic discourse. The basic constituents of the conceptual systems of modern English gastronomic advertising and aesthetic discourses – discourse concepts-autochthons, as well as system connections between them, are statistically verified with the help of quantitative methods in linguistics. The reproduction of the established features of the concept systems in cognitive maps has allowed to reveal common and distinctive features in understanding gastronomic advertising discourse by various representatives of the English community – statistically average consumers and aesthete-gourmets. In particular, it was found that the frame of the conceptual systems is 49 autochthons for the MEGAD and 48 for the MEGAAD, which captures the main mental dominant for the cognitive-communicative activity of the modern English average consumer and aesthete-gourmet in the gastronomic segment of life. Thus, water and drinks, pastries, sweets and dairy products, fast food, preservation (freezing and preserving) of products, food for animals, healthy eating, taste and sensation, nutrition, brand and price of a product are significant for the average English-speaking consumer. Instead, MEGAAD has an actualized knowledge of the dish as an aesthetic creature with special ingredients, consumed in special time and temporal conditions, is prepared in a special way, creates special sensations, is useful, has a special nutritional value, dietary properties and is presented in the blog – a special section with a theme, describing the author's experiences, his feelings and emotions, first of all aesthetic pleasure.

Principles for the Development of Domain Conceptual Models for Knowledge Organization Systems: An Analysis of Methodologies for Developing Learning Paths in the Field of Corporate Education

This article presents a set of principles for knowledge modeling in knowledge organization systems in specific domains. It discusses the representational problem, comparing the abstraction mechanisms present in the theories related to representation in concept systems, taken from foundational authors of information science, computer science, and terminology approaches. Parallel to this context, several representational possibilities arise to assist the modeler in the activity of elaborating models of representation. It describes the application of theoretical and methodological principles when organizing, representing, and managing navigation on learning paths in the corporate education field. As a concept proof, it exposes a conceptual model of learning paths and discusses a literature review on this subject to verify to what extent these principles are being applied. It concludes that we can consider the principles discussed in this study as relevant, since they expand the modelers’ freedom, not making him hostage to a specific model.

Knowledge-based terminological e‑dictionaries

The advent of the Semantic Web and of the Linked Data initiative have contributed to new perspectives and opportunities regarding terminology work. Among them are the double dimension approach and the theoretical perspective of ontoterminology anchored therein, which explore the synergies resulting from the systematic organisation of both term systems and concept systems. By doing so, they provide a theoretical and methodological foundation underlying the creation of knowledge-based terminological products that can support the conception and development of different types of e‑dictionaries. Within that scope, and based on examples pertaining to two different subject fields, namely endometriosis and Islamic archaeology, this article aims to propose a framework for the creation of a terminological e-dictionary, defined as a reference resource in a specific domain that gathers, structures and describes linguistic data in a systematic way in one, two or more languages, in order to define concepts that are denoted by terms.

Picturing ELSI+: a visual representation of ethical, legal, and social issues, and patient experiences in Health Technology Assessment in Canada

ObjectivesConsideration of ethical, legal, and social issues plus patient values (ELSI+) in health technology assessment (HTA) is challenging because of a lack of conceptual clarity and the multi-disciplinary nature of ELSI+. We used concept mapping to identify key concepts and inter-relationships in the ELSI+ domain and provide a conceptual framework for consideration of ELSI+ in HTA.MethodsWe conducted a scoping review (Medline and EMBASE, 2000–2016) to identify ELSI+ issues in the HTA literature. Items from the scoping review and an expert brainstorming session were consolidated into eighty ELSI+-related statements, which were entered into Concept Systems® Global MAX™ software. Participants (N = 38; 36 percent worked as researchers, 21 percent as academics; 42 percent self-identified as HTA experts) sorted the statements into thematic groups, and rated them on importance in making decisions about adopting technologies in Canada, from 1 (not at all important) to 5 (extremely important). We used Concept Systems® Global MAX™ software to create and analyze concept maps with four to sixteen clusters.ResultsOur final ELSI+ map consisted of five clusters, with each cluster representing a different concept and the statements within each cluster representing the same concept. Based on the concepts, we named these clusters: patient preferences/experiences, patient quality of life/function, patient burden/harm, fairness, and organizational. The highest mean importance ratings were for the statements in the patient burden/harm (3.82) and organizational (3.92) clusters.ConclusionsThis study suggests an alternative approach to ELSI+, based on conceptual coherence rather than academic disciplines. This will provide a foundation for incorporating ELSI+ into HTA.