OWL-based acquisition and editing of computer-interpretable guidelines with the CompGuide editor

Computer-Interpretable Guidelines (CIGs) are the dominant medium for the delivery of clinical decision support, given the evidence-based nature of their source material. Therefore, these machine-readable versions have the ability to improve practitioner performance and conformance to standards, with availability at the point and time of care. The formalisation of Clinical Practice Guideline knowledge in a machine-readable format is a crucial task to make it suitable for the integration in Clinical Decision Support Systems. However, the current tools for this purpose reveal shortcomings with respect to their ease of use and the support offered during CIG acquisition and editing. In this work, we characterise the current landscape of CIG acquisition tools based on the properties of guideline visualisation, organisation, simplicity, automation, manipulation of knowledge elements, and guideline storage and dissemination. Additionally, we describe the CompGuide Editor, a tool for the acquisition of CIGs in the CompGuide model for Clinical Practice Guidelines that also allows the editing of previously encoded guidelines. The Editor guides the users throughout the process of guideline encoding and does not require proficiency in any programming language. The features of the CIG encoding process are revealed through a comparison with already established tools for CIG acquisition.COMPETE, Grant/Award Number: POCI-01-0145-FEDER-007043; FCT - Fundacao para a Ciencia e Tecnologia, Grant/Award Number: UID/CEC/00319/201

Evaluation of critical congenital heart defects screening using pulse oximetry in the neonatal intensive care unit.

ObjectiveTo evaluate the implementation of early screening for critical congenital heart defects (CCHDs) in the neonatal intensive care unit (NICU) and potential exclusion of sub-populations from universal screening.Study designProspective evaluation of CCHD screening at multiple time intervals was conducted in 21 NICUs across five states (n=4556 infants).ResultsOf the 4120 infants with complete screens, 92% did not have prenatal CHD diagnosis or echocardiography before screening, 72% were not receiving oxygen at 24 to 48 h and 56% were born ⩾2500 g. Thirty-seven infants failed screening (0.9%); none with an unsuspected CCHD. False positive rates were low for infants not receiving oxygen (0.5%) and those screened after weaning (0.6%), yet higher among infants born at <28 weeks (3.8%). Unnecessary echocardiograms were minimal (0.2%).ConclusionGiven the majority of NICU infants were ⩾2500 g, not on oxygen and not preidentified for CCHD, systematic screening at 24 to 48 h may be of benefit for early detection of CCHD with minimal burden

Just Energy Transition: Learning from the Past for a More Just and Sustainable Hydrogen Transition in West Africa

The rising demand for energy and the aim of moving away from fossil fuels and to low-carbon power have led many countries to move to alternative sources including solar energy, wind, geothermal energy, biomass, and hydrogen. Hydrogen is often considered a “missing link” in guaranteeing the energy transition, providing storage, and covering the volatility and intermittency of renewable energy generation. However, due to potential injustice with regard to the distribution of risks, benefits, and costs (i.e., in regard to competing for land use), the large-scale deployment of hydrogen is a contested policy issue. This paper draws from a historical analysis of past energy projects to contribute to a more informed policy-making process toward a more just transition to the hydrogen economy. We perform a systematic literature review to identify relevant conflict factors that can influence the outcome of hydrogen energy transition projects in selected Economic Community of West African States countries, namely Nigeria and Mali. To better address potential challenges, policymakers must not only facilitate technology development, access, and market structures for hydrogen energy policies but also focus on energy access to affected communities. Further research should monitor hydrogen implementation with a special focus on societal impacts in producing countries

Ballistic matter waves with angular momentum: Exact solutions and applications

An alternative description of quantum scattering processes rests on inhomogeneous terms amended to the Schroedinger equation. We detail the structure of sources that give rise to multipole scattering waves of definite angular momentum, and introduce pointlike multipole sources as their limiting case. Partial wave theory is recovered for freely propagating particles. We obtain novel results for ballistic scattering in an external uniform force field, where we provide analytical solutions for both the scattering waves and the integrated particle flux. Our theory directly applies to p-wave photodetachment in an electric field. Furthermore, illustrating the effects of extended sources, we predict some properties of vortex-bearing atom laser beams outcoupled from a rotating Bose-Einstein condensate under the influence of gravity.Comment: 42 pages, 8 figures, extended version including photodetachment and semiclassical theor

Adiabatic Theory of Electron Detachment from Negative Ions in Two-Color Laser Field

Negative ion detachment in bichromatic laser field is considered within the adiabatic theory. The latter represents a recent modification of the famous Keldysh model for multiphoton ionization which makes it quantitatively reliable. We calculate angular differential detachment rates, partial rates for particular ATD (Above Threshold Detachment) channels and total detachment rates for the Hydrogen ion in a bichromatic field with 1:3 frequency ratio and various phase differences. Reliability of the present, extremely simple approach is testified by comparison with much more elaborate earlier calculations.Comment: 22 pages, 6 Postscript figure

Measurement of inclusive D*+- and associated dijet cross sections in photoproduction at HERA

Inclusive photoproduction of D*+- mesons has been measured for photon-proton centre-of-mass energies in the range 130 < W < 280 GeV and a photon virtuality Q^2 < 1 GeV^2. The data sample used corresponds to an integrated luminosity of 37 pb^-1. Total and differential cross sections as functions of the D* transverse momentum and pseudorapidity are presented in restricted kinematical regions and the data are compared with next-to-leading order (NLO) perturbative QCD calculations using the "massive charm" and "massless charm" schemes. The measured cross sections are generally above the NLO calculations, in particular in the forward (proton) direction. The large data sample also allows the study of dijet production associated with charm. A significant resolved as well as a direct photon component contribute to the cross section. Leading order QCD Monte Carlo calculations indicate that the resolved contribution arises from a significant charm component in the photon. A massive charm NLO parton level calculation yields lower cross sections compared to the measured results in a kinematic region where the resolved photon contribution is significant.Comment: 32 pages including 6 figure

Inclusive jet cross sections and dijet correlations in D∗±D^{*\pm} photoproduction at HERA

Inclusive jet cross sections in photoproduction for events containing a $D^*$ meson have been measured with the ZEUS detector at HERA using an integrated luminosity of $78.6 {\rm pb}^{-1}$. The events were required to have a virtuality of the incoming photon, $Q^2$, of less than 1 GeV$^2$, and a photon-proton centre-of-mass energy in the range $130<W_{\gamma p}<280 {\rm GeV}$. The measurements are compared with next-to-leading-order (NLO) QCD calculations. Good agreement is found with the NLO calculations over most of the measured kinematic region. Requiring a second jet in the event allowed a more detailed comparison with QCD calculations. The measured dijet cross sections are also compared to Monte Carlo (MC) models which incorporate leading-order matrix elements followed by parton showers and hadronisation. The NLO QCD predictions are in general agreement with the data although differences have been isolated to regions where contributions from higher orders are expected to be significant. The MC models give a better description than the NLO predictions of the shape of the measured cross sections.Comment: 43 pages, 12 figures, charm jets ZEU