7 research outputs found
Towards a system of concepts for Family Medicine. Multilingual indexing in General Practice/ Family Medicine in the era of Semantic Web
UNIVERSITY OF LIÈGE, BELGIUM
Executive Summary
Faculty of Medicine
Département Universitaire de Médecine Générale.
Unité de recherche Soins Primaires et Santé
Doctor in biomedical sciences
Towards a system of concepts for Family Medicine.
Multilingual indexing in General Practice/ Family Medicine in the era
of SemanticWeb
by Dr. Marc JAMOULLE
Introduction
This thesis is about giving visibility to the often overlooked work of family
physicians and consequently, is about grey literature in General Practice
and Family Medicine (GP/FM). It often seems that conference organizers
do not think of GP/FM as a knowledge-producing discipline that deserves
active dissemination. A conference is organized, but not much is done with
the knowledge shared at these meetings. In turn, the knowledge cannot be
reused or reapplied. This these is also about indexing. To find knowledge
back, indexing is mandatory. We must prepare tools that will automatically
index the thousands of abstracts that family doctors produce each year in
various languages. And finally this work is about semantics1. It is an introduction
to health terminologies, ontologies, semantic data, and linked
open data. All are expressions of the next step: Semantic Web for health
care data. Concepts, units of thought expressed by terms, will be our target
and must have the ability to be expressed in multiple languages. In turn,
three areas of knowledge are at stake in this study: (i) Family Medicine as a
pillar of primary health care, (ii) computational linguistics, and (iii) health
information systems.
Aim
• To identify knowledge produced by General practitioners (GPs) by
improving annotation of grey literature in Primary Health Care
• To propose an experimental indexing system, acting as draft for a
standardized table of content of GP/GM
• To improve the searchability of repositories for grey literature in GP/GM.
1For specific terms, see the Glossary page 257
x
Methods
The first step aimed to design the taxonomy by identifying relevant concepts
in a compiled corpus of GP/FM texts. We have studied the concepts
identified in nearly two thousand communications of GPs during
conferences. The relevant concepts belong to the fields that are focusing
on GP/FM activities (e.g. teaching, ethics, management or environmental
hazard issues).
The second step was the development of an on-line, multilingual, terminological
resource for each category of the resulting taxonomy, named
Q-Codes. We have designed this terminology in the form of a lightweight
ontology, accessible on-line for readers and ready for use by computers of
the semantic web. It is also fit for the Linked Open Data universe.
Results
We propose 182 Q-Codes in an on-line multilingual database (10 languages)
(www.hetop.eu/Q) acting each as a filter for Medline. Q-Codes are also available
under the form of Unique Resource Identifiers (URIs) and are exportable
in Web Ontology Language (OWL). The International Classification of Primary
Care (ICPC) is linked to Q-Codes in order to form the Core Content
Classification in General Practice/Family Medicine (3CGP). So far, 3CGP is
in use by humans in pedagogy, in bibliographic studies, in indexing congresses,
master theses and other forms of grey literature in GP/FM. Use by
computers is experimented in automatic classifiers, annotators and natural
language processing.
Discussion
To the best of our knowledge, this is the first attempt to expand the ICPC
coding system with an extension for family physician contextual issues,
thus covering non-clinical content of practice. It remains to be proven that
our proposed terminology will help in dealing with more complex systems,
such as MeSH, to support information storage and retrieval activities.
However, this exercise is proposed as a first step in the creation of an ontology
of GP/FM and as an opening to the complex world of Semantic Web
technologies.
Conclusion
We expect that the creation of this terminological resource for indexing abstracts
and for facilitating Medline searches for general practitioners, researchers
and students in medicine will reduce loss of knowledge in the
domain of GP/FM. In addition, through better indexing of the grey literature
(congress abstracts, master’s and doctoral theses), we hope to enhance
the accessibility of research results and give visibility to the invisible work
of family physicians
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Putting Chinese natural knowledge to work in an eighteenth-century Swiss canton: the case of Dr Laurent Garcin
Symposium: S048 - Putting Chinese natural knowledge to work in the long eighteenth centuryThis paper takes as a case study the experience of the eighteenth-century Swiss physician, Laurent Garcin (1683-1752), with Chinese medical and pharmacological knowledge. A Neuchâtel bourgeois of Huguenot origin, who studied in Leiden with Hermann Boerhaave, Garcin spent nine years (1720-1729) in South and Southeast Asia as a surgeon in the service of the Dutch East India Company. Upon his return to Neuchâtel in 1739 he became primus inter pares in the small local community of physician-botanists, introducing them to the artificial sexual system of classification. He practiced medicine, incorporating treatments acquired during his travels. taught botany, collected rare plants for major botanical gardens, and contributed to the Journal Helvetique on a range of topics; he was elected a Fellow of the Royal Society of London, where two of his papers were read in translation and published in the Philosophical Transactions; one of these concerned the mangosteen (Garcinia mangostana), leading Linnaeus to name the genus Garcinia after Garcin. He was likewise consulted as an expert on the East Indies, exotic flora, and medicines, and contributed to important publications on these topics.
During his time with the Dutch East India Company Garcin encountered Chinese medical practitioners whose work he evaluated favourably as being on a par with that of the Brahmin physicians, whom he particularly esteemed. Yet Garcin never went to China, basing his entire experience of Chinese medical practice on what he witnessed in the Chinese diaspora in Southeast Asia (the ‘East Indies’). This case demonstrates that there were myriad routes to Europeans developing an understanding of Chinese natural knowledge; the Chinese diaspora also afforded a valuable opportunity for comparisons of its knowledge and practice with other non-European bodies of medical and natural (e.g. pharmacological) knowledge.postprin