Learning to Establish a Therapeutic Doctor-Patient Communication: German and Israeli Medical Students Experiencing Integrative Medicine’s Skills

The doctors’ clinical time collides with the increasing of the use of telecare technologies in our digital era, reducing the actual doctor-patient interaction and the potential to engage with therapeutic doctor-patient communication. In our qualitative study, we followed a collaborative German-Israeli project that trained medical students to use complementary and integrative medicine (CIM) methods in order to improve doctor-patient communication. Interviews with the participants and participatory observation revealed the ways the mentors taught CIM methods, the meaning of therapuitic doctor-patient communication and how the students learned and implemented these skills in different ways. Our findings show that students expand their communication channels and skills, notice their own somatic-sensory states, and engage with somatic knowledge in different interactions. Our findings correspond with, and signify the intercorporeal space of doctor-patient interaction in the way in which doctors’ and patients’ soma-sensual aspects are interact, influence each another, and enable therapeutic communication

European (energy) data exchange reference architecture 3.0

This is the third version of Data Exchange Reference Architecture – DERA 3.0. BRIDGE report on energy data exchange reference architecture aims at contributing to the discussion and practical steps towards truly interoperable and business process agnostic data exchange arrangements on European scale both inside energy domain and across different domains.DERA 3.0Recommendations related to the implementation of DERA:A. Leverage Smart Grid Architecture Model (SGAM) usage by completing it with data governance requirements, specifically from end-customer perspective, and map it to the reference architectures of other sectors (similar to the RAMI4.0 for industry – Reference Architecture Model Industrie 4.0; and CREATE-IoT 3D RAM for health – Reference Architecture Model of CREATE-IoT project), incl. for basic interoperability vocabulary with non-energy sectors.B. Facilitate European strategy, regulation (harmonisation of national regulations) and practical tools for cross-sector exchange of any type of both private data and public data, e.g. through reference models for data space, common data governance and data interoperability implementing acts.C. Ensure cooperation between appropriate associations, countries and sector representatives to work on cross-sector and cross-border data management by establishing European data cooperation agency. This involves ongoing empowering/restructuring of the Data Management WG of the BRIDGE Initiative to engage other sectors and extend cooperation with projects that are not EU-funded and with European Standardisation Organisations (CEN-CENELEC-ETSI).D. Harmonise the development, content and accessibility of data exchange business use cases for cross-sector domain through BRIDGE use case repository. Track tools that identify common features on use cases, e.g. interfaces between sectors, and enable the alignment with any potential peer repositories for other domains. Also, the use case repository must rely on the HEMRM with additional roles created by some projects or roles coming from other associations (related to another sector than the electricity/energy sector).E. Use BRIDGE use case repository for aligning the role selection. Harmonise data roles across electricity and other energy domains by developing HERM – Harmonised Energy Role Model and ensure access to model files. Look for consistency with other domains outside energy based on this HERM – cross-sectoral roles. Harmonised EnergyData EndpointsData SpaceConnectorData ProcessingStandard CommunicationProtocols& FormatsData HarmonizationData PersistanceVocabularyProviderCredentialManagerIdentityManagerMonitoring& OrchestrationData DiscoveryData IndexerLocal AI/ML ServicesDigital TwinsMarketplace BackendStandard CommunicationProtocols& FormatsMarketplace FrontendFederatedUse Cases and Business needsLocal Use Cases and Business needsEnergy RegulationEU Re-gulationActorsBusinessFunctionInformationComp.CommsNon-personal dataSecurity/ResilienceUserAcceptanceSovereigntyOpen SourceInteroperabilityLocalFederatedInteroperabilityTrustData valueGovernance9DATA MANAGEMENT WORKING GROUPEuropean (energy) data exchange reference architecture 3.0Role Model shall have clear implications and connections with data (space) roles such as data provider/consumer, service provider etc.F. Define and harmonise functional data processes for cross-sector domain, using common vocabulary, template and repository for respective use cases’ descriptions. Harmonisation of functional data processes for cross-sector data ecosystems including Vocabulary provider, Federated catalogue, Data quality, Data accounting processes, Clearing process (audit, logging, etc.) and Data tracking and provenance.G. Define and maintain a common reference semantic data model, and ensure access to its model files facilitating cross-sector data exchange, by leveraging existing data models like Common Information Model (CIM) of International Electrotechnical Commission (IEC) and ontologies like Smart Appliances Reference Ontology (SAREF).H. Develop cross-sector data models and profiles, with specific focus on private data exchange. Enable open access to model files whenever possible.I. Ensure protocol agnostic approach to cross-sector data exchange by selecting standardised and open ones.J. Ensure data format agnostic approach to cross-sector data exchange. The work done by projects like TDX-ASSIST and EU-SysFlex (using IEC CIM), and PLATOON (using SAREF) must be shared and made known to consolidate the approach in order to reach semantic interoperability. Metadata must also be taken into account.K. Promote business process agnostic DEPs (Data Exchange Platforms) and make these interoperable by developing APIs (Application Programming Interfaces) which enable for data providers and data users easy connection to any European DEP but also create the possibility whereby connecting to one DEP ensures data exchange with any other stakeholder in Europe. DEPs shall explore the integration of data space connectors towards their connectivity with other DEPs including cross-sector ones.L. Develop universal data applications which can serve any domain. Develop open data driven services that promote also cross-sector integration collectively available in application repositories.Possible next steps (“sub-actions”) for 2023/2024:➢ Release BRIDGE Federated Service Catalogue tool and associated process.➢ Release DERA interactive visualisation tool.➢ Follow up the implementation of DERA 3.0 in BRIDGE projects (mapping to DERA)➢ Update recommendations to comply with DERA 3.0.➢ Develop / enhance the “data role model”

THE ANALYTICS QUOTIENT: RETOOLING CIVIL AFFAIRS FOR THE FUTURE OPERATING ENVIRONMENT

Historically, military intelligence analysts and U.S. forces, frozen in their preferred strategy of attrition warfare, have undervalued civil information in conflicts against irregular threats. As operating environments grow more complex, uncertain, and population-centric, the roles of Civil Affairs Forces and civil information will become increasingly relevant. Unfortunately, the current analytical methods prescribed in Civil Affairs doctrine are inadequate for evaluating complex environments. They fail to provide supported commanders with the information required to make informed decisions. The purpose of this research is to determine how Civil Affairs Forces must retool their analytical capabilities to meet the demands of future operating environments. The answer lies in developing an organic Civil Affairs analytic capability suitable for employing data-driven approaches to gain actionable insights into uncertain operational environments, and subsequently, integrating those insights into sophisticated operational targeting frameworks and strategies designed to disrupt irregular threats. This research uses case studies of organizations, across a range of industries, that leveraged innovative data-driven approaches into disruptive competitive advantages. These organizations highlight the broad utility of the prescribed approaches and potential pathways for Civil Affairs Forces to pursue in creating an analytic capability that supports effective civil knowledge integration.http://archive.org/details/theanalyticsquot1094564891Major, United States ArmyApproved for public release; distribution is unlimited