Focus More on Care and Less on Coding: Technology Enabled Approach to Improving Coding Accuracy

Learn how you can use Clinical Decision Support (CDS) to offer Hierarchical Condition Category (HCC) Coding alerts to suggest clinically appropriate codes not previously documented. Alerts are only offered when needed to help the provider improve coding accuracy and facilitate appropriate documentation decisions, all with minimal disruption in the EHR workflow. Join us to learn more about how inferred HCC Alerts can help your organization. Presentation: 52:2

Review: Secondary Metabolites of Aquilaria, a Thymelaeaceae Genus

Abstract: Background: Aquilaria, a genus belonging to the Thymelaeaceae, produces fragrant resinous agarwood, also known as eaglewood, which has been used as incense since old times. The intense fragrance is the result of the presence of a wide variety of secondary metabolites. Objective: This genus was reported contained sesquiterpenes, chromones, flavonoids, benzophenones, diterpenoids, triterpenoids, and lignans. Conclusion: Here, we review the different secondary metabolites that have been identified in Aquilaria to show their diversity and to allow comparison with other Thymelaeaceae genera

Using Web services choreography to support an extensible and flexible system development process

Systems Engineering (SE) controls a complex environment consisting of various collaborative subsystems. Each subsystem demands different kind of requirements and follows a specific strategy for its development process. Unifying and harmonizing the development process of all collaborative subsystems towards achieving the ultimate integrated system is one of the main challenges of SE. This work introduces a new approach towards having a generic SE unified process applicable to various environments. We suggest a service-oriented framework for SE process implemented using Web Services, and describe the process scenario in a machine-friendly abstract layer over the Development Process. This description layer choreographs collaborative subsystems and is implemented by a Web Services Choreography Description Language (WSCDL). It also covers Interface Management concerns of SE. In such an environment, as long as all services follow a unique framework for the SE process such as the one specified by the International Council on Systems Engineering (INCOSE), each phase of the process would then be an anonymous service implemented by a different vendor. As the result, an organization could easily customize its own specific development environment by editing this choreography layer according to its specific development policies, and then tailor its own desired development environment by choosing and integrating various services available on the Web. Source: Masters Abstracts International, Volume: 45-01, page: 0351. Thesis (M.Sc.)--University of Windsor (Canada), 2006

Using Web services choreography to model business process in e-commerce

Web modeling languages like WebML (Web modeling Language), OOHDM (Object Oriented Hypermedia design) are evolved from hypermedia models. And they pay attention only to hypermedia modeling and model business rules as a form of navigation, this is called business process emulation. Our approach is to use web service peer-peer language, such as WS-CDL to model business process in an e-commerce application. In this way we introduce a new layer that models all the business rules using WS-CDL In this approach the hypermedia model models only navigation using WebML and once business process is initiated from simple navigation the process layer defined using WS-CDL will execute the business rules. By constructing a case study to test this hybrid-modeling framework, we hypothesise that this newly released peer-peer collaborative language for web-services can be used to model the concepts of business process. Thus we get a unique approach to model business process along with navigation. This approach is a proposed solution to the issues of business process emulation. Paper copy at Leddy Library: Theses & Major Papers - Basement, West Bldg. / Call Number: Thesis2006 .S86. Source: Masters Abstracts International, Volume: 45-01, page: 0366. Thesis (M.Sc.)--University of Windsor (Canada), 2006

Join-Me: um framework para integração entre provedores de serviços e operadores de redes móveis

With the popularization of smartphones and mobile access to the Internet, Service Providers and Mobile Network Operators have employed significant efforts to increase users’ quality of experience (QoE). It is observed, however, that in such efforts there is no integration between both parties, which would allow for an enhanced and on-demand use of resources to positively impact users’ QoE. To fill this gap, this work presents Join-Me, a framework that allows Service Providers to transfer modules of their services into the infrastructure of Mobile Network Operators. With the management of such modules being done internally in the network, services may be delivered as close to the user as needed, relying on a dynamic resource management and respecting user’s privacy. Besides the needed functional components, Join-Me defines an interface that allows Service Providers to specify, for each module of a service, its resource usage demand, which they will be properly billed for. An interactive telemedicine service with ultra high definition video is used as a proof of concept, being evaluated with the Video Multimethod Assessment Fusion method, in order to concretely demonstrate QoE improvement as intended by Join-Me.Com a popularização dos smartphones e do acesso móvel à Internet, Provedores de Serviços e Operadores de Redes Móveis têm empregado significativos esforços para elevar a qualidade de experiência (QoE) dos usuários. Observa-se, no entanto, que em tais esforços não há uma integração entre ambas as partes, que permitiria o uso avançado e sob demanda de recursos para impactar positivamente na QoE dos usuários. Para suprir esta lacuna, este trabalho apresenta Join-Me, um framework que possibilita que Provedores de Serviços transfiram módulos de seus serviços para a infraestrutura dos Operadores de Redes Móveis. Com a gestão de tais módulos feita internamente pela rede, os serviços podem ser entregues tão próximos do usuário quanto necessário, contando com uma gerência dinâmica de recursos e respeitando a privacidade do usuário. Join-Me define, além dos componentes funcionais necessários, uma interface que permite aos Provedores de Serviços especificarem, para cada um dos módulos de um serviço, a demanda por uso de recursos, pela qual serão tarifados adequadamente. Um serviço de telemedicina interativa com vídeo de ultra alta definição é utilizado como prova de conceito, sendo avaliada com o método de Video Multimethod Assessment Fusion, de forma a demonstrar concretamente o ganho de QoE como intencionado por Join-Me

Diet, Microbiota and Metabolic Health

Diabetes is one of the largest global health crises, affecting some 415 million adults worldwide, with type 2 diabetes mellitus (T2DM) accounting for at least 90% of all cases of diabetes. In line with international statistics, New Zealand has a high prevalence of diabetes with around 240,000 New Zealanders living with diabetes. However, therapeutic options for T2DM have limited success in restoring normal physiology. The human colon is colonised by some 20 trillion bacterial cells, collectively referred to as the gut microbiota. Recent research implicates the gut microbiota in energy balance and metabolism, and differences in the gut microbiota have been demonstrated between healthy individuals and those with T2DM. However, studies to date have not reported consistent changes in the gut microbiota composition across the glycaemic spectrum. The aim of this thesis was to further investigate the relationship between the gut microbiota, diet and glucose tolerance across the glycaemic spectrum. As part of the dietary analysis, associations between dietary vitamin C intakes, plasma vitamin C status and glycaemic control were also investigated. Findings from baseline data of the Canterbury Health, Ageing and Lifecourse (CHALICE) study were used to characterise the metabolic profile and self-reported dietary intake of 49-51 year-olds from Canterbury, New Zealand. Results from this study showed the mean plasma vitamin C concentration to decrease with deterioration in blood glucose, despite no significant differences in self-reported dietary vitamin C intake. A cross-sectional observational pilot study involving well characterised participants was undertaken to investigate associations between the gut microbiota, glycaemic control, self-reported dietary intake, and other indicators of metabolic health. Multiple regression analysis showed the class Actinobacteria was independently positively associated with fasting glucose and negatively associated with plasma vitamin C concentrations. Congruent with the CHALICE results, this study also showed plasma vitamin C concentrations to be significantly lower in individuals with T2DM compared to those with normal glucose tolerance (NGT). In the search for a novel therapy for T2DM, a logical extension from the observational study was to investigate if the gut microbiota could be manipulated by dietary change in people with prediabetes. SunGold kiwifruit is both high in vitamin C and is known to alter microbial ecology and metabolism in vitro, and therefore, could potentially impact human health. A pilot exploratory study was carried out where participants were asked to consume two SunGold kiwifruit daily as part of their usual diet for 12 weeks. Results showed a significant increase in the relative abundance (RA) of the class Coriobacteriia with no deterioration in HbA1c. It is hypothesised that the polyphenols in the SunGold kiwifruit act as an energy source for this class of bacteria. Supplementation with two SunGold kiwifruit per day also significantly increased participants’ plasma vitamin C concentrations. This thesis posits that the class Actinobacteria is associated with glycaemic control and the class Coriobacteriia can be manipulated by SunGold kiwifruit. However, as the study cohorts in this thesis were small, findings need to be replicated in larger populations. Furthermore, the implications of these results need to be investigated