9 research outputs found

    A Semantic Framework for Enabling Radio Spectrum Policy Management and Evaluation

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    Because radio spectrum is a finite resource, its usage and sharing is regulated by government agencies. These agencies define policies to manage spectrum allocation and assignment across multiple organizations, systems, and devices. With more portions of the radio spectrum being licensed for commercial use, the importance of providing an increased level of automation when evaluating such policies becomes crucial for the efficiency and efficacy of spectrum management. We introduce our Dynamic Spectrum Access Policy Framework for supporting the United States government's mission to enable both federal and non-federal entities to compatibly utilize available spectrum. The DSA Policy Framework acts as a machine-readable policy repository providing policy management features and spectrum access request evaluation. The framework utilizes a novel policy representation using OWL and PROV-O along with a domain-specific reasoning implementation that mixes GeoSPARQL, OWL reasoning, and knowledge graph traversal to evaluate incoming spectrum access requests and explain how applicable policies were used. The framework is currently being used to support live, over-the-air field exercises involving a diverse set of federal and commercial radios, as a component of a prototype spectrum management system

    Emergency department documentation templates: variability in template selection and association with physical examination and test ordering in dizziness presentations

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    Abstract Background Clinical documentation systems, such as templates, have been associated with process utilization. The T-System emergency department (ED) templates are widely used but lacking are analyses of the templates association with processes. This system is also unique because of the many different template options available, and thus the selection of the template may also be important. We aimed to describe the selection of templates in ED dizziness presentations and to investigate the association between items on templates and process utilization. Methods Dizziness visits were captured from a population-based study of EDs that use documentation templates. Two relevant process outcomes were assessed: head computerized tomography (CT) scan and nystagmus examination. Multivariable logistic regression was used to estimate the probability of each outcome for patients who did or did not receive a relevant-item template. Propensity scores were also used to adjust for selection effects. Results The final cohort was 1,485 visits. Thirty-one different templates were used. Use of a template with a head CT item was associated with an increase in the adjusted probability of head CT utilization from 12.2% (95% CI, 8.9%-16.6%) to 29.3% (95% CI, 26.0%-32.9%). The adjusted probability of documentation of a nystagmus assessment increased from 12.0% (95%CI, 8.8%-16.2%) when a nystagmus-item template was not used to 95.0% (95% CI, 92.8%-96.6%) when a nystagmus-item template was used. The associations remained significant after propensity score adjustments. Conclusions Providers use many different templates in dizziness presentations. Important differences exist in the various templates and the template that is used likely impacts process utilization, even though selection may be arbitrary. The optimal design and selection of templates may offer a feasible and effective opportunity to improve care delivery.http://deepblue.lib.umich.edu/bitstream/2027.42/112490/1/12913_2010_Article_1586.pd

    Control of abnormal reproductive functions — diagnosis, therapy, prophylaxis, management

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