1,227 research outputs found

    Developing Health Informatics as a New Scientific Discipline

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    This lecture is predominately about the development of Health Informatics as a discipline and the author’s involvement in this emerging academic subject over the last three decades

    Setting priorities for EU healthcare workforce IT skills competence improvement

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    A major challenge for healthcare quality improvement is the lack of IT skills and knowledge of healthcare workforce as well as their ambivalent attitudes towards IT. This paper identifies and prioritises actions needed to improve the IT skills of healthcare workforce across the EU. 46 experts, representing different fields of expertise in healthcare and geolocations systematically list and scored actions that would improve IT skills among healthcare workforce. The Child Health and Nutrition Research Initiative methodology was used for research priority-setting. The participants evaluated the actions using the following criteria: feasibility, effectiveness, deliverability, and maximum impact on IT skills improvement. The leading priority actions were related to appropriate training, integrating eHealth in curricula, involving healthcare workforce in the eHealth solution development, improving awareness of eHealth and learning arrangement. As the different professionals’ needs are prioritised, healthcare workforce should be actively and continuously included in the development of eHealth solutions

    The Perception of Germany in the Kyivan Press: From Ukrainian People’s Republic to the Hetmanate (November 1917 — December 1918)

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    The 1917 February Revolution led to the reshaping of the war-era image of the German enemy. Focusing on the former imperial borderland province of the Southwestern Krai, this article unveils the national, political, and cultural considerations of the local Ukrainian and Russian-language media that affected their attitude towards the Germans. It argues that the developments of the 1917–1918 Ukrainian Revolution presented a unique case of constructing the image of the Germans due to the ongoing rivalry between the respective Ukrainian and Russian national projects. The study is based on the materials of prominent Kyivan daily newspapers, thus rendering the spectrum of the region’s political thought. Built upon the concept of imagology, the article apprehends the images of “otherness” in conjunction with the actor’s own identity

    Collaborative Efforts for Representing Nursing Concepts in Computer-based Systems: International Perspectives

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    Current nursing terminology efforts have converged toward meeting the demand for a reference terminology for nursing concepts by building on the foundation of existing interface and administrative terminologies and by collaborating with terminology efforts across the spectrum of health care. In this article, the authors illustrate how collaboration is promoting convergence toward a reference terminology for nursing by briefly summarizing a wide range of exemplary activities. These include: 1) the International Classification of Nursing Practice (ICNP) activities of the International Council of Nurses (ICN), 2) work in Brazil and Korea that has contributed to, and been stimulated by, ICNP developments, 3) efforts in the United States to improve understanding of the different types of terminologies needed in nursing and to promote harmonization and linking among them, and 4) current nursing participation in major multi-disciplinary standards initiatives. Although early nursing terminology work occurred primarily in isolation and resulted in some duplicative efforts, the activities summarized in this article demonstrate a tremendous level of collaboration and convergence not only in the discipline of nursing but in multi-disciplinary standards initiatives. These efforts are an important prerequisite for ensuring that nursing concepts are represented in computer-based systems in a manner that facilitates multi-purpose use at local, national, regional, and international level

    Electronic health record standards

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    Objectives: This paper seeks to provide an overview of the initiatives that are proceeding internationally to develop standards for the exchange of electronic health record (EHR) information between EHR systems.Methods: The paper reviews the clinical and ethico-legal requirements and research background on the representation and communication of EHR data, which primarily originates from Europe through a series of EU funded Health Telematics projects over the post thirteen years. The major concept that underpin the information models and knowledge models are summarised. These provide the requirements and the best evidential basis from which HER communications standards should be developed.Results. The main focus of EHR communications standardisation is presently occurring at a European level, through the Committee for European Normalisation (CEN). The major constructs of the CEN 13606 model ate outlined. Complementary activity is taking place in ISO and in HL7, and some of these efforts are also summarised.Conclusior: There is a strong prospect that a generic EHR interoperability standard can be agreed at a European (and hopefully international) level. Parts of the challenge of EHR i interoperability cannot yet he standardised, because good solutions to the preservation of clinical meaning across heterogeneous systems remain to be explored. Further research and empirical projects are therefore also needed

    Commonwealth Indigenous-specific expenditure 1968-2008

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    This paper attempts to identify Commonwealth expenditure in the area of Indigenous affairs over the 40 years from 1968 to 2008 and to plot that expenditure by agency. It analyses trends in both the nominal and real expenditure, in the expenditure as a percentage of total Commonwealth outlays and gross domestic product, and in the per-capita expenditure. In nominal and real terms Commonwealth Indigenous-specific expenditure has trended up, but as a percentage of total outlays or Gross Domestic Product it has plateaued in more recent years. The per capita trend is found to be too problematic to characterise simply

    Greece-Turkey Disaster Diplomacy from Disaster Risk Reduction

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    Disaster diplomacy examines how and why disaster-related activities do or do not reduce conflict and increase cooperation. The 1999 earthquakes in Greece and Turkey became an icon for this field of research, with numerous publications exploring how disasters might influence conflict. Fewer studies examine how disaster risk reduction might influence conflict. This paper presents a case study to explore disaster diplomacy for pre-disaster activities alongside post-disaster activities by discussing disaster risk reduction in Greece and Turkey in the context of Greek-Turkish governmental cooperation. The 1999 earthquakes are placed in context followed by an examination of disaster risk reduction in Greece and Turkey at multilateral, bilateral, and local levels. As with most disaster diplomacy case studies, disaster risk reduction for Greece and Turkey has not had a significant influence on the two countries’ rapprochement

    Artificial Intelligence for Participatory Health: Applications, Impact, and Future Implications

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    Objective: Artificial intelligence (AI) provides people and professionals working in the field of participatory health informatics an opportunity to derive robust insights from a variety of online sources. The objective of this paper is to identify current state of the art and application areas of AI in the context of participatory health. Methods: A search was conducted across seven databases (PubMed, Embase, CINAHL, PsychInfo, ACM Digital Library, IEEExplore, and SCOPUS), covering articles published since 2013. Additionally, clinical trials involving AI in participatory health contexts registered at clinicaltrials.gov were collected and analyzed. Results: Twenty-two articles and 12 trials were selected for review. The most common application of AI in participatory health was the secondary analysis of social media data: self-reported data including patient experiences with healthcare facilities, reports of adverse drug reactions, safety and efficacy concerns about over-the-counter medications, and other perspectives on medications. Other application areas included determining which online forum threads required moderator assistance, identifying users who were likely to drop out from a forum, extracting terms used in an online forum to learn its vocabulary, highlighting contextual information that is missing from online questions and answers, and paraphrasing technical medical terms for consumers. Conclusions: While AI for supporting participatory health is still in its infancy, there are a number of important research priorities that should be considered for the advancement of the field. Further research evaluating the impact of AI in participatory health informatics on the psychosocial wellbeing of individuals would help in facilitating the wider acceptance of AI into the healthcare ecosystem

    How to Draw the Lines in the Aegean: A Multifaceted Conflict Turning Into Casus Belli Between Greece and Turkey

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    This paper aims to analyze the greatest problems of the compound Aegean dispute between Greece and Turkey, namely the delimitation of territorial waters, legal entitlement of some Aegean Islands, and delimitation of their respective continental shelves. This article analyzes the nature of each dispute and potential solutions in light of previous international adjudications on similar disputes. Greece and Turkey both have different approaches for the dispute. Greece regards the dispute as a legal issue while Turkey regards it as a diplomatic issue and insists on diplomatic measures only for the resolution of the dispute. The differences in the Parties’ approaches have made the issue even more complicated. For this reason, referral of the dispute to an arbitral tribunal is the best solution for lasting peace in the area and adherence to equitable principles. Additionally circumstances particular to the dispute can be considered in the context of international treaties. In case Greece and Turkey fail to agree on inter-state arbitration, the best alternative would be mediation by the U.S. and/or NATO. The U.S. and NATO have neutral positions vis-à-vis the Aegean dispute, and they will both benefit from the resolution of this ongoing conflict
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