Developing a pressure ulcer risk factor minimum data set and risk assessment framework

AIM: To agree a draft pressure ulcer risk factor Minimum Data Set to underpin the development of a new evidenced-based Risk Assessment Framework.BACKGROUND: A recent systematic review identified the need for a pressure ulcer risk factor Minimum Data Set and development and validation of an evidenced-based pressure ulcer Risk Assessment Framework. This was undertaken through the Pressure UlceR Programme Of reSEarch (RP-PG-0407-10056), funded by the National Institute for Health Research and incorporates five phases. This article reports phase two, a consensus study.DESIGN: Consensus study.METHOD: A modified nominal group technique based on the Research and Development/University of California at Los Angeles appropriateness method. This incorporated an expert group, review of the evidence and the views of a Patient and Public Involvement service user group. Data were collected December 2010-December 2011.FINDINGS: The risk factors and assessment items of the Minimum Data Set (including immobility, pressure ulcer and skin status, perfusion, diabetes, skin moisture, sensory perception and nutrition) were agreed. In addition, a draft Risk Assessment Framework incorporating all Minimum Data Set items was developed, comprising a two stage assessment process (screening and detailed full assessment) and decision pathways.CONCLUSION: The draft Risk Assessment Framework will undergo further design and pre-testing with clinical nurses to assess and improve its usability. It will then be evaluated in clinical practice to assess its validity and reliability. The Minimum Data Set could be used in future for large scale risk factor studies informing refinement of the Risk Assessment Framework

Developing a goal-oriented SDI assessment approach using GIDEON - the Dutch SDI implementation strategy - as a case study

In 2008, the Dutch government approved the GIDEON document as a policy aiming at the implementation of the National Spatial Data Infrastructure (NSDI) in the Netherlands. The execution of GIDEON should take place by pursuing seven implementation strategies which lead to the achievement of the GIDEON goals. GIDEON also expresses the need to monitor the progress of implementing its strategies and realization of its goals. Currently, the work has been started on monitoring the GIDEON implementation strategies. However, there is still a lack of knowledge and methods to monitor GIDEON goals realization. The challenge is to come up with an approach to assess to what extent these goals are achieved. As a response to the challenge of assessing the GIDEON goals, this paper explores the possibility of using the Multi-view SDI assessment framework (Grus et al., 2007). This paper presents and discusses the method that applies the Multi-view SDI assessment framework, its indicators and measurement methods to create a GIDEON assessment approach. The method of creating a GIDEON assessment approach consists of several procedural steps: formulating specific GIDEON objectives, organizing a one-day workshop involving focus group of specific stakeholders responsible for creation and execution of NSDI, asking the workshop participants to select from a long list those indicators that best measure the achievement of each GIDEON goals. The key step of GIDEON approach is a one-day workshop. The workshop participants represented all organizations that cooperated and/or created GIDEON. The workshop consisted of two parts: first part explained the context of a challenge of assessing GIDEON, second part included participants activity to select and come to the consensus on the list of indicators that would best measure GIDEON goals realization. Additionally, the participants were asked to evaluate and express feedback on the usefulness of the method of creating GIDEON assessment approach. The results show that several indicators that relate to specific SDI goals could be selected by a significant number of workshop participants. The indicators that have been selected are not the final ones yet, but provide a guideline and form a base of what has to be measured when assessing GIDEON goals. Involving the representatives of all parties committed to GIDEON into the process of GIDEON assessment approach creation will strengthen its robustness and acceptance. The results of the feedback form filled by each participant show that the presented method is useful or very useful to create GIDEON assessment approach. Additionally, some of the participants provided already their own indicators which are very specific for Dutch SDI monitoring.The method presented in this research, assuming that SDI goals are defined and the organizations that participate in SDI creation are known, can be applied in any other country to develop country-specific and practical SDI assessment approach

Registration of brain tumor images using hyper-elastic regularization

In this paper, we present a method to estimate a deformation field between two instances of a brain volume having tumor. The novelties include the assessment of the disease progress by observing the healthy tissue deformation and usage of the Neo-Hookean strain energy density model as a regularizer in deformable registration framework. Implementations on synthetic and patient data provide promising results, which might have relevant use in clinical problems

Sustainability Assessment Methods for the Gulf Region

This paper describes the development of a sustainability assessment framework designed to be used in the Gulf Region, which is an area which has experienced large scale building development and also a region in which sustainability assessment is not yet widely used. The complexity and time resources needed to apply existing methods act as a deterrent to active use. Three well-known methods available at the time of the study were investigated in some detail. These were: BREEAM Gulf; Green Building Council LEED; and Estidama Pearl. Cross comparisons of the factors involved in each method were carried out on several levels including: theoretical comparison; practical development and usability; compliance with regulations and standards; and ability to achieve synchronization. A considerable degree of compatibility was found to exist between the methods, particularly if focused on key criteria. As a result a new and specific framework was developed which grouped 24 indicators under five principal headings: site/location, biodiversity and accessibility; energy; water; occupant well-being; and resources and wastes. This new framework was then evaluated by testing with practitioners resulting in confirmation of 20 out of the 24 indicators, and identification of suitable benchmarks

Methodology for tidal turbine representation in ocean circulation model

The present method proposes the use and adaptation of ocean circulation models as an assessment tool framework for tidal current turbine (TCT) array layout optimization. By adapting both momentum and turbulence transport equations of an existing model, the present TCT representation method is proposed to extend the actuator disc concept to 3-D large-scale ocean circulation models. Through the reproduction of experimental flume tests and grid dependency tests, this method has shown its numerical coherence as well as its ability to simulate accurately both momentum and turbulent turbine-induced perturbations in both near and far wakes in a relatively short period of computation time. Consequently the present TCT representation method is a very promising basis for the development of a TCT array layout optimization tool