WorldWideScience

Sample records for facilitate information exchange

  1. Barriers and facilitators to exchanging health information: a systematic review.

    Science.gov (United States)

    Eden, Karen B; Totten, Annette M; Kassakian, Steven Z; Gorman, Paul N; McDonagh, Marian S; Devine, Beth; Pappas, Miranda; Daeges, Monica; Woods, Susan; Hersh, William R

    2016-04-01

    We conducted a systematic review of studies assessing facilitators and barriers to use of health information exchange (HIE). We searched MEDLINE, PsycINFO, CINAHL, and the Cochrane Library databases between January 1990 and February 2015 using terms related to HIE. English-language studies that identified barriers and facilitators of actual HIE were included. Data on study design, risk of bias, setting, geographic location, characteristics of the HIE, perceived barriers and facilitators to use were extracted and confirmed. Ten cross-sectional, seven multiple-site case studies, and two before-after studies that included data from several sources (surveys, interviews, focus groups, and observations of users) evaluated perceived barriers and facilitators to HIE use. The most commonly cited barriers to HIE use were incomplete information, inefficient workflow, and reports that the exchanged information that did not meet the needs of users. The review identified several facilitators to use. Incomplete patient information was consistently mentioned in the studies conducted in the US but not mentioned in the few studies conducted outside of the US that take a collective approach toward healthcare. Individual patients and practices in the US may exercise the right to participate (or not) in HIE which effects the completeness of patient information available to be exchanged. Workflow structure and user roles are key but understudied. We identified several facilitators in the studies that showed promise in promoting electronic health data exchange: obtaining more complete patient information; thoughtful workflow that folds in HIE; and inclusion of users early in implementation. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  2. Facilitating the Information Exchange Using a Modular Electronic Discharge Summary.

    Science.gov (United States)

    Denecke, Kerstin; Dittli, Pascal A; Kanagarasa, Niveadha; Nüssli, Stephan

    2018-01-01

    Discharge summaries are a standard communication tool delivering important clinical information from inpatient to ambulatory care. To ensure a high quality, correctness and completeness, the generation process is time consuming. It requires also contributions of multiple persons. This is problematic since the primary care provider needs the information from the discharge summary for continuing the intended treatment. To address this challenge, we developed a concept for exchanging a modular electronic discharge summary. Through a literature review and interviews with multiple stakeholders, we analysed existing processes and derived requirements for an improved communication of the discharge summary. In this paper, we suggest a concept of a modular electronic discharge summary that is exchanged through the electronic patient dossier in CDA CH level 2 documents. Until 2020, all Swiss hospitals are obliged to connect to the electronic patient dossier. Our concept allows to access already completed modules of the discharge summary from the primary care side, before the entire report is entirely finalised. The data is automatically merged with the local patient record on the physician side and prepared for data integration into the practice information system. Our concept offers the opportunity not only to improve the information exchange between hospital and primary care, but it also provides a potential use case and demonstrates a benefit of the electronic patient dossier for primary care providers who are so far not obliged to connect to the patient dossier in Switzerland.

  3. Facilitators on networks reveal optimal interplay between information exchange and reciprocity.

    Science.gov (United States)

    Szolnoki, Attila; Perc, Matjaž; Mobilia, Mauro

    2014-04-01

    Reciprocity is firmly established as an important mechanism that promotes cooperation. An efficient information exchange is likewise important, especially on structured populations, where interactions between players are limited. Motivated by these two facts, we explore the role of facilitators in social dilemmas on networks. Facilitators are here mirrors to their neighbors-they cooperate with cooperators and defect with defectors-but they do not participate in the exchange of strategies. As such, in addition to introducing direct reciprocity, they also obstruct information exchange. In well-mixed populations, facilitators favor the replacement and invasion of defection by cooperation as long as their number exceeds a critical value. In structured populations, on the other hand, there exists a delicate balance between the benefits of reciprocity and the deterioration of information exchange. Extensive Monte Carlo simulations of social dilemmas on various interaction networks reveal that there exists an optimal interplay between reciprocity and information exchange, which sets in only when a small number of facilitators occupy the main hubs of the scale-free network. The drawbacks of missing cooperative hubs are more than compensated for by reciprocity and, at the same time, the compromised information exchange is routed via the auxiliary hubs with only marginal losses in effectivity. These results indicate that it is not always optimal for the main hubs to become leaders of the masses, but rather to exploit their highly connected state to promote tit-for-tat-like behavior.

  4. Communication, The Essence of Science Facilitating Information Exchange Among Librarians, Scientists, Engineers and Students

    CERN Document Server

    Garvey, W D

    1979-01-01

    Communication: The Essence of Science provides information pertinent to the fundamental aspects of scientific communication. This book focuses on those information-exchange activities that take place mainly among scientists actively involved on the research front. Organized into five chapters, this book begins with an overview of the psychologists' description of the communication structure of science. This text then examines the relationship among spanning, connecting, and integrating the various streams of activities involved in the production of information. Other chapters consider some of

  5. Exchanging information

    International Nuclear Information System (INIS)

    1971-01-01

    The Agency has a statutory mandate to foster 'the exchange of scientific and technical information on the peaceful uses of atomic energy'. The prime responsibility for this work within the Agency lies with the Division of Scientific and Technical Information, a part of the Department of Technical Operations. The Division accomplishes its task by holding conferences and symposia (Scientific Conferences Section), through the Agency Library, by publishing scientific journals, and through the International Nuclear Information System (INIS). The Computer Section of the Division, which offers services to the Agency as a whole, provides resources for the automation of data storage and retrieval. (author)

  6. Barriers and facilitators to health information exchange in low- and middleincome country settings: a systematic review protocol

    Directory of Open Access Journals (Sweden)

    Ather Akhlaq

    2015-03-01

    Full Text Available IntroductionThe ability to capture, exchange and use accurate information about patients and services is vital for building strong health systems, providing comprehensive and integrated patient care, managing public health risks and informing policies for public health and health financing. However, the organisational and technological systems necessary to achieve effective Health Information Exchange are lacking in many low- and middle-income countries (LMIC. Developing strategies for addressing this depends on understanding the barriers and facilitators to HIE at the individual, provider organisational, community, district, provincial and national levels. This systematic review aims to identify, critically appraise and synthesise the existing published evidence addressing these factors.ObjectiveTo assess what is known, from published / unpublished empirical studies, about barriers and facilitators to HIE in LMIC so as to identify issues that need to be addressed and approaches that can fruitfully be pursued in future improvement strategies.MethodsWe will conduct a systematic review to identify the empirical evidence base on the barriers and facilitators to HIE in LMIC.  Two reviewers will independently search 11 major international and national databases for published, unpublished and in-progress qualitative, quantitative and mixed methods studies published during 1990-July 2014 in any language. These searches of scientific databases will be supplemented by looking for eligible reports available online. The included studies will be independently critically appraised using the Mixed Method Appraisal Tool (MMAT, version 2011. Descriptive, narrative and interpretative synthesis of data will be undertaken.   Results These will be presented in a manuscript that will be published in the peer-reviewed literature. The protocol is registered with the International Prospective Register for Systematic Reviews (PROSPERO CRD 42014009826

  7. Barriers and Facilitators for Information Exchange during Over-The-Counter Consultations in Community Pharmacy: A Focus Group Study

    Science.gov (United States)

    Seubert, Liza J; Boeni, Fabienne; Hattingh, Laetitia; Clifford, Rhonda M

    2017-01-01

    Consumers are confident managing minor ailments through self-care, often self-medicating from a range of over-the-counter (OTC) medicines available from community pharmacies. To minimise risks, pharmacy personnel endeavour to engage in a consultation when consumers present with OTC enquiries however they find consumers resistant. The aim was to determine stakeholder perspectives regarding barriers and facilitators for information exchange during OTC consultations in community pharmacies and to understand the elicited themes in behavioural terms. Focus groups were undertaken with community pharmacist, pharmacy assistant and consumer participants. Independent duplicate analysis of transcription data was conducted using inductive and framework methods. Eight focus groups involving 60 participants were conducted. Themes that emerged indicated consumers did not understand pharmacists’ professional role, they were less likely to exchange information if asking for a specific product than if asking about symptom treatment, and they wanted privacy. Consumers were confident to self-diagnose and did not understand OTC medicine risks. Pharmacy personnel felt a duty of care to ensure consumer safety, and that with experience communication skills developed to better engage consumers in consultations. They also identified the need for privacy. Consumers need education about community pharmacists’ role and responsibilities to motivate them to engage in OTC consultations. They also require privacy when doing so. PMID:29211054

  8. Barriers and Facilitators for Information Exchange during Over-The-Counter Consultations in Community Pharmacy: A Focus Group Study

    Directory of Open Access Journals (Sweden)

    Liza J Seubert

    2017-12-01

    Full Text Available Consumers are confident managing minor ailments through self-care, often self-medicating from a range of over-the-counter (OTC medicines available from community pharmacies. To minimise risks, pharmacy personnel endeavour to engage in a consultation when consumers present with OTC enquiries however they find consumers resistant. The aim was to determine stakeholder perspectives regarding barriers and facilitators for information exchange during OTC consultations in community pharmacies and to understand the elicited themes in behavioural terms. Focus groups were undertaken with community pharmacist, pharmacy assistant and consumer participants. Independent duplicate analysis of transcription data was conducted using inductive and framework methods. Eight focus groups involving 60 participants were conducted. Themes that emerged indicated consumers did not understand pharmacists’ professional role, they were less likely to exchange information if asking for a specific product than if asking about symptom treatment, and they wanted privacy. Consumers were confident to self-diagnose and did not understand OTC medicine risks. Pharmacy personnel felt a duty of care to ensure consumer safety, and that with experience communication skills developed to better engage consumers in consultations. They also identified the need for privacy. Consumers need education about community pharmacists’ role and responsibilities to motivate them to engage in OTC consultations. They also require privacy when doing so.

  9. Indiana Health Information Exchange

    Science.gov (United States)

    The Indiana Health Information Exchange is comprised of various Indiana health care institutions, established to help improve patient safety and is recognized as a best practice for health information exchange.

  10. Facilitating health information exchange in low- and middle-income countries: conceptual considerations, stakeholders perspectives and deployment strategies illustrated through an in-depth case study of Pakistan

    OpenAIRE

    Akhlaq, Ather

    2016-01-01

    Background Health information exchange (HIE) may help healthcare professionals and policymakers make informed decisions to improve patient and population health outcomes. There is, however, limited uptake of HIE in many low- and middle-income countries (LMICs). While resource constraints are an obvious barrier to implementation of HIE, it is important to explore what other political, structural, technical, environmental, legal and cultural factors may be involved. In particu...

  11. Towards automatic exchange of information

    OpenAIRE

    Oberson, Xavier

    2015-01-01

    This article describes the various steps that led towards automatic exchange of information as the global standard and the issues that remain to be solved. First, the various competing models of exchange information, such as Double Tax Treaty (DTT), TIEA's, FATCA or UE Directives are described with a view to show how they interact between themselves. Second, the so-called Rubik Strategy is summarized and compared with an automatic exchange of information (AEOI). The third part then describes ...

  12. Exchange of Information in Tax Matters

    OpenAIRE

    Paweł Szwajdler

    2017-01-01

    The main aim of this paper is to present issues related to exchange of tax information. The author focuses on models of exchange of information and boundaries of obligations in reference to above-mentioned problems. Automatic exchange of information, spontaneous exchange of information and exchange of information on request are analysed in this work on the base of OECD Convention on Mutual Administrative Assistance in Tax Matters, Council Directive 2011/16 and OECD Model Agreement on Exchange...

  13. Bargaining over Tax Information Exchange

    OpenAIRE

    May Elsayyad

    2012-01-01

    This paper empirically studies recent treaty signings between tax havens and OECD countries as the outcome of a bargaining process over treaty form. Havens can decide not to sign an agreement, to sign a tax information exchange agreement or to sign a double taxation convention. We use a highly stylized bargaining model to develop testable hypotheses with regards to the type of agreement signed. We show that the main determinants of treaty signing are a haven's bargaining power and good govern...

  14. Information exchange - DOE oversight programs

    International Nuclear Information System (INIS)

    Tubbs, D.C.; Field, H.C.

    1988-01-01

    Oversight programs are conducted by the U.S. Department of Energy to review activities carried out by field and contractor organizations. Two of these oversight programs focus on safeguards and security and on safety and health activities. These two programs are independent, but share many common objectives and review techniques. The mutual potential benefit was recognized from an exchange of information on review techniques. The first step in this exchange was the participation by an Office of Security Evaluations (OSE) staff member with the Office of Nuclear Safety (ONS) during their planning, conduct and reporting of a Technical Safety Appraisal (TSA). This paper briefly describes the OSE and ONS programs. It also identifies and analyzes the similarities and differences of the two programs. The purpose of this paper is to provide perspectives on the approach taken, the techniques used and the differences between two oversight programs conducted by the Department of Energy

  15. 47 CFR 90.555 - Information exchange.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Information exchange. 90.555 Section 90.555...-805 MHz Bands § 90.555 Information exchange. (a) Prior notification. Public safety licensees... Safety Information Exchange. (1) Upon request by a 746-757, 758-763, 776-787, or 788-793 MHz band...

  16. 47 CFR 90.675 - Information exchange.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Information exchange. 90.675 Section 90.675... exchange. (a) Prior coordination. Public safety/CII licensees may notify an ESMR or part 22 Cellular... cell is activated. (c) Public safety information exchange. (1) Upon request by an ESMR or part 22...

  17. Exchange of Information in Tax Matters

    Directory of Open Access Journals (Sweden)

    Paweł Szwajdler

    2017-01-01

    Full Text Available The main aim of this paper is to present issues related to exchange of tax information. The author focuses on models of exchange of information and boundaries of obligations in reference to above-mentioned problems. Automatic exchange of information, spontaneous exchange of information and exchange of information on request are analysed in this work on the base of OECD Convention on Mutual Administrative Assistance in Tax Matters, Council Directive 2011/16 and OECD Model Agreement on Exchange of Information in Tax Matters. In the summary, it was showed that the most efficient method of exchange of tax information is automatic exchange of information. Furthermore, it was stated that exchange on request can be related to negative phenomenon such as fishing expedition. Spontaneous exchange of information is thought to play only supportive role.  The author also considers that boundaries of exchange of information in tax matters were regulated so as to protect jeopardised raison d’ État.

  18. Exchanging Medical Information with Eastern Europe through the Internet.

    Science.gov (United States)

    Daniels, Julie K.; Cronje, Ruth J.; Sokolowski, Beth C.

    1998-01-01

    Interviews foreign Information Coordinators who facilitate exchange of medical information over the Internet between healthcare providers in America and eastern Europe to learn how Internet technologies are being introduced, disseminated, and adopted in their institutions. Applies diffusion of innovations theory for interpretation. Shows technical…

  19. Facilitating consumer access to health information.

    Science.gov (United States)

    Snowdon, Anne; Schnarr, Karin; Alessi, Charles

    2014-01-01

    The lead paper from Zelmer and Hagens details the substantive evolution occurring in health information technologies that has the potential to transform the relationship between consumers, health practitioners and health systems. In this commentary, the authors suggest that Canada is experiencing a shift in consumer behaviour toward a desire to actively manage one's health and wellness that is being facilitated through the advent of health applications on mobile and online technologies platforms. The result is that Canadians are now able to create personalized health solutions based on their individual health values and goals. However, before Canadians are able to derive a personal health benefit from these rapid changes in information technology, they require and are increasingly demanding greater real-time access to their own health information to better inform decision-making, as well as interoperability between their personal health tracking systems and those of their health practitioner team.

  20. Imperfect information facilitates the evolution of reciprocity.

    Science.gov (United States)

    Kurokawa, Shun

    2016-06-01

    The existence of cooperation demands explanation since cooperation is costly to the actor. Reciprocity has long been regarded as a potential explanatory mechanism for the existence of cooperation. Reciprocity is a mechanism wherein a cooperator responds to an opponent's behavior by switching his/her own behavior. Hence, a possible problematic case relevant to the theory of reciprocity evolution arises when the mechanism is such that the information regarding an opponent's behavior is imperfect. Although it has been confirmed also by previous theoretical studies that imperfect information interferes with the evolution of reciprocity, this argument is based on the assumption that there are no mistakes in behavior. And, a previous study presumed that it might be expected that when such mistakes occur, reciprocity can more readily evolve in the case of imperfect information than in the case of perfect information. The reason why the previous study considers so is that in the former case, reciprocators can miss defections incurred by other reciprocators' mistakes due to imperfect information, allowing cooperation to persist when such reciprocators meet. However, contrary to this expectation, the previous study has shown that even when mistakes occur, imperfect information interferes with the evolution of reciprocity. Nevertheless, the previous study assumed that payoffs are linear (i.e., that the effect of behavior is additive and there are no synergetic effects). In this study, we revisited the same problem but removed the assumption that payoffs are linear. We used evolutionarily stable strategy analysis to compare the condition for reciprocity to evolve when mistakes occur and information is imperfect with the condition for reciprocity to evolve when mistakes occur and information is perfect. Our study revealed that when payoffs are not linear, imperfect information can facilitate the evolution of reciprocity when mistakes occur; while when payoffs are linear

  1. Data Exchange Management Information System (DEMIS)

    Data.gov (United States)

    Social Security Administration — DEMIS combines a database (Operational Data Store - ODS) of data exchange-related Management Information (MI) with the agency's querying and reporting utility, the...

  2. 47 CFR 22.880 - Information exchange.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Information exchange. 22.880 Section 22.880 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PUBLIC MOBILE SERVICES Air-Ground Radiotelephone Service Commercial Aviation Air-Ground Systems § 22.880 Information exchange. (a...

  3. 47 CFR 22.973 - Information exchange.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Information exchange. 22.973 Section 22.973 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.973 Information exchange. (a) Prior notification. Public safety/CII...

  4. INFORMATION EXCHANGE AND SUPPLY CHAIN PERFORMANCE

    OpenAIRE

    T. RAMAYAH; ROAIMAH OMAR

    2010-01-01

    The purpose of this study is to examine the effects of operational and strategic information exchange on supply chain performance and the moderating role of information quality in relation to both operational and strategic information exchange. The study was conducted using manufacturing companies located in the Northern region of Malaysia. Hierarchical multiple regressions were applied to test the hypotheses developed for the study. It was found that operational and strategic information exc...

  5. International information exchange in fusion research

    International Nuclear Information System (INIS)

    Strickler, C.S.

    1979-01-01

    Formal and informal agreements exist between the US and several other countries, assuring the unrestricted exchange of magnetic fusion information. The Fusion Energy Library at Oak Ridge National Laboratory uses the US Department of Energy standard distribution system and exchange agreements to ensure the receipt of current reports. Selective dissemination of information, computer networks, and exchange programs are additional means for information gathering. The importance of these means as they relate to the fusion program in the US and specifically at ORNL is discussed

  6. Construction Operations Building Information Exchange (COBIE)

    Science.gov (United States)

    2007-06-01

    Swalley U.S. Department of State, Overseas Buildings Operations Toby Wilson U.S. Army, Corps of Engineers, Engineer R&D Center Jeff Wix AEC3 The...exchanged in COBIE. To map those information exchanges to the IFC model, the Information Delivery Manual (IDM) process [ Wix 2007] was also used. The...Folksonomy. Wikimedia Foundation. http://en.wikipedia.org/wiki/Folksonomy/, accessed 3 August 2007. Wix , Jeffrey. 2007. Information Delivery Manual

  7. Multiprocessor shared-memory information exchange

    International Nuclear Information System (INIS)

    Santoline, L.L.; Bowers, M.D.; Crew, A.W.; Roslund, C.J.; Ghrist, W.D. III

    1989-01-01

    In distributed microprocessor-based instrumentation and control systems, the inter-and intra-subsystem communication requirements ultimately form the basis for the overall system architecture. This paper describes a software protocol which addresses the intra-subsystem communications problem. Specifically the protocol allows for multiple processors to exchange information via a shared-memory interface. The authors primary goal is to provide a reliable means for information to be exchanged between central application processor boards (masters) and dedicated function processor boards (slaves) in a single computer chassis. The resultant Multiprocessor Shared-Memory Information Exchange (MSMIE) protocol, a standard master-slave shared-memory interface suitable for use in nuclear safety systems, is designed to pass unidirectional buffers of information between the processors while providing a minimum, deterministic cycle time for this data exchange

  8. Facilitating Cross-Cultural Management Education through Global Faculty Exchanges

    Science.gov (United States)

    Clinebell, Sharon K.; Kvedaraviciene, Ieva

    2013-01-01

    According to the AACSB International (Association to Advance Collegiate Schools of Business) (AACSB International, 2011), the next big transformational wave to hit business schools is globalization. Globalizing the faculty is one strategy for enhancing the globalization of business schools and using global faculty exchanges is one method to…

  9. Map Specifications and Exchange of Geographical Information

    DEFF Research Database (Denmark)

    Frederiksen, Poul

    1999-01-01

    Specifications for Technical Maps 1993 – 99 are described giving an overview of the specification structure including the object description of the latest version: TK99.The technical map specifications are related to the standards for topographical maps - especially the TOP10DK standard. Common...... object definitions are essential for the standards. Technical as well as topographical map information is exchangeable through the Danish developed “Standard for Exchange of Digital Map Information”, known as the DSFL-format....

  10. Speeding decisions. Social security's information exchange program.

    Science.gov (United States)

    Winter, Kitt; Hastings, Bob

    2011-05-01

    The Social Security Administration has plenty of reasons to streamline its records request process-more than 15 million reasons each year, in fact. That's why it has been pioneering information exchange projects with the private sector, including use of the Nationwide Health Information Network.

  11. Utilizing Information Technology to Facilitate Rapid Acquisition

    Science.gov (United States)

    2006-06-01

    PAGES 109 14. SUBJECT TERMS Rapid Acquisition, eCommerce , eProcurement, Information Technology, Contracting, Global Information Network...Agency. 5 eCommerce and eProcurement, and possess an adequate knowledge of information technology. D. RESEARCH QUESTIONS 1. Primary Research... eCommerce , Information Technology, and eProcurement knowledge, and government and private industry reports utilizing numerous library and Internet

  12. Health Information Exchange: What do patients want?

    Science.gov (United States)

    Medford-Davis, Laura N; Chang, Lawrence; Rhodes, Karin V

    2017-12-01

    To determine whether emergency department patients want to share their medical records across health systems through Health Information Exchange and if so, whether they prefer to sign consent or share their records automatically, 982 adult patients presenting to an emergency department participated in a questionnaire-based interview. The majority (N = 906; 92.3%) were willing to share their data in a Health Information Exchange. Half (N = 490; 49.9%) reported routinely getting healthcare outside the system and 78.6 percent reported having records in other systems. Of those who were willing to share their data in a Health Information Exchange, 54.3 percent wanted to sign consent but 90 percent of those would waive consent in the case of an emergency. Privacy and security were primary concerns of patients not willing to participate in Health Information Exchange and preferring to sign consent. Improved privacy and security protections could increase participation, and findings support consideration of "break-the-glass" provider access to Health Information Exchange records in an emergent situation.

  13. Information exchange in virtual communities: a typology

    Directory of Open Access Journals (Sweden)

    Gary Burnett

    2000-01-01

    Full Text Available While there is wide agreement that virtual communities - and other phenomena utilizing CMC technologies - have the capability to provide both interpersonal and informational interactions, the degree to which they can be seen as specifically information-oriented social spaces has been open to some question. Drawing upon theoretical and empirical work that emphasizes an environmental model of human information behaviour, a foundation is developed for a model of information exchange in virtual communities, and a typology of the varieties of information behaviour to be found in virtual communities is proposed. This typology will provide a mechanism for assessing the characteristics of virtual communities in terms of their support for information exchange, and has the potential to enhance our understanding of virtual communities as information environments.

  14. International exchange of safety and licensing information

    International Nuclear Information System (INIS)

    Lafleur, J.D. Jr.; Hauber, R.D.; Chenier, D.M.

    1977-01-01

    A network of formal and informal bilateral arrangements for the exchange of nuclear safety information is being established by the US Nuclear Regulatory Commission. For developing countries such arrangements can provide ready access to the extensive, fully documented safety analyses and safety research results that USNRC has accumulated. USNRC has been receiving foreign visitors at a rate of about 500 per year, largely for discussions of safety and licensing questions related to light water reactors. Exchanges also are taking place on the safety of advanced reactors. A special interest of the USNRC is in providing for reciprocal communication, at the earliest possible time, of important problems, decisions and other actions on nuclear safety matters. For example, it is essential that a newly discovered problem in a nuclear reactor be brought immediately to the attention of other governments that are responsible for the safety of similar reactors. Definite progress has been made in the USA in defining categories of information that USNRC can receive in confidence from foreign countries, and can protect from disclosure under the US Freedom of Information Act. Certain exchanges have taken place on this basis. Experience in the establishment and operation of USNRC's bilateral exchange arrangements is summarized. A typical exchange with the regulatory authority of a country building its first power reactor is described. (author)

  15. International exchange of safety and licensing information

    International Nuclear Information System (INIS)

    Lafleur, J.D. Jr.; Hauber, R.D.; Chenier, D.M.

    1977-01-01

    A network of formal and informal bilateral arrangements for the exchange of nuclear safety information is being established by the U.S. Nuclear Regulatory Commission. For developing countries, such arrangements can provide ready access to the extensive, fully documented safety analyses and safety research results that NRC has accumulated. NRC has been receiving foreign visitors at a rate of about 500 per year, largely for discussions of safety and licensing questions related to light water reactors. Exchanges also are taking place on the safety of advanced reactors. A special interest of the NRC is in providing for reciprocal communicaion, at the earliest possible time, of important problems, decisions and other actions on nuclear safety matters. For example, it is essential that a newly-discovered problem in a nuclear reactor be brought immediately to the attention of other governments which are responsible for the safety of similar reactors. Definite progress has been made in the U.S. Freedom of Information Act. Certain exchanges have taken place on this basis. Experience in the establishment and operation of NRC's bilateral exchange arrangements is summarized. A typical exchange with the regulatory authority of country building its first power reactor is described

  16. Facilitating community information service for national development ...

    African Journals Online (AJOL)

    Many rural communities have continued to be underserved; hence, information becomes necessary in integrating the needs of the people for sustainable development. Librarians and libraries are charged with providing the information resources and outreaches to the communities to help build the bridge between the ...

  17. Digital Cadastres Facilitating Land Information Management ...

    African Journals Online (AJOL)

    However, to achieve betterment in managing land, there is need for accurate, reliable and up to date information about land. Such proper land management policies however remain a challenge to most governments in African nations. Problems with land information differ case by case, but among the most common are the ...

  18. Incentives and Information Exchange in International Taxation

    NARCIS (Netherlands)

    Keen, M.; Ligthart, J.E.

    2004-01-01

    The exchange of taxpayer-specific information between national tax authorities has recently emerged as a key and controversial topic in international tax policy discussions, most notably with the OECD s harmful tax practices project and the EU s savings tax initiative.This paper analyses the effects

  19. COG: information exchange. The new initiatives

    International Nuclear Information System (INIS)

    Guiry, C.

    2000-01-01

    The CANDU Owners Group (COG) is dedicated to providing programs for cooperation, mutual assistance and exchange of information for the successful support, development, operation, maintenance and economics of CANDU Technology. This paper summarises the COG Mission, COG Vision and COG Values

  20. Securing the smart grid information exchange

    Energy Technology Data Exchange (ETDEWEB)

    Fries, Steffen; Falk, Rainer [Siemens AG, Corporate Technology, Muenchen (Germany)

    2012-07-01

    The smart grid is based on information exchange between various stakeholders using open communication technologies, to control the physical electric grid through the information grid. Protection against cyber attacks is essential to ensure a reliable operation of the smart grid. This challenge is addressed by various regulatory, standardization, and research activities. After giving an overview of the security demand of a smart grid, existing and appearing standardization activities are described. (orig.)

  1. Health information exchange: national and international approaches.

    Science.gov (United States)

    Vest, Joshua R

    2012-01-01

    Health information exchange (HIE), the process of electronically moving patient-level information between different organizations, is viewed as a solution to the fragmentation of data in health care. This review provides a description of the current state of HIE in seven nations, as well was three international HIE efforts, with a particular focus on the relation of exchange efforts to national health care systems, common challenges, and the implications of cross-border information sharing. National and international efforts highlighted in English language informatics journals, professional associations, and government reports are described. Fully functioning HIE is not yet a common phenomenon worldwide. However, multiple nations see the potential benefits of HIE and that has led to national and international efforts of varying scope, scale, and purview. National efforts continue to work to overcome the challenges of interoperability, record linking, insufficient infrastructures, governance, and interorganizational relationships, but have created architectural strategies, oversight agencies, and incentives to foster exchange. The three international HIE efforts reviewed represent very different approaches to the same problem of ensuring the availability of health information across borders. The potential of HIE to address many cost and quality issues will ensure HIE remains on many national agendas. In many instances, health care executives and leaders have opportunities to work within national programs to help shape local exchange governance and decide technology partners. Furthermore, HIE raises policy questions concerning the role of centralized planning, national identifiers, standards, and types of information exchanged, each of which are vital issues to individual health organizations and worthy of their attention.

  2. Digital Cadastres Facilitating Land Information Management

    African Journals Online (AJOL)

    sekuru

    materials required for the manufacturing industry which drives the economy are ... for land information as a basis for managing and exploiting the land ... The LADM was accepted in 2012 as an international standard for land administration. Most developing nations are embarking on automation projects with a notion to ...

  3. Facilitating Stroke Management using Modern Information Technology.

    Science.gov (United States)

    Nam, Hyo Suk; Park, Eunjeong; Heo, Ji Hoe

    2013-09-01

    Information technology and mobile devices may be beneficial and useful in many aspects of stroke management, including recognition of stroke, transport and triage of patients, emergent stroke evaluation at the hospital, and rehabilitation. In this review, we address the contributions of information technology and mobile health to stroke management. Rapid detection and triage are essential for effective thrombolytic treatment. Awareness of stroke warning signs and responses to stroke could be enhanced by using mobile applications. Furthermore, prehospital assessment and notification could be streamlined for use in telemedicine and teleradiology. A mobile telemedicine system for assessing the National Institutes of Health Stroke Scale scores has shown higher correlation and fast assessment comparing with face-to-face method. Because the benefits of thrombolytic treatment are time-dependent, treatment should be initiated as quickly as possible. In-hospital communication between multidisciplinary team members can be enhanced using information technology. A computerized in-hospital alert system using computerized physician-order entry was shown to be effective in reducing the time intervals from hospital arrival to medical evaluations and thrombolytic treatment. Mobile devices can also be used as supplementary tools for neurologic examination and clinical decision-making. In post-stroke rehabilitation, virtual reality and telerehabilitation are helpful. Mobile applications might be useful for public awareness, lifestyle modification, and education/training of healthcare professionals. Information technology and mobile health are useful tools for management of stroke patients from the acute period to rehabilitation. Further improvement of technology will change and enhance stroke prevention and treatment.

  4. The on-line European Community urgent radiological information exchange (ECURIE) information system

    International Nuclear Information System (INIS)

    De Cort, M.; Breitenbach, L.; De Vries, G.

    1998-01-01

    Immediately after the accident at the Chernobyl NPP, both the International Atomic Energy Agency (IAEA) and the Commission of the European Communities (CEC) set up a system to meet the requirements for early warning and exchange of information. The Environment Institute of the CEC JRC-Ispra provides technical assistance for the European community Urgent Radiological Information Exchange system (ECURIE). By this system, Member State contact points can exchange information in a coded format. In order to facilitate the use and to assure the data quality, a Coding-Decoding Software (CDS) was developed in collaboration with the I.A.E.A. A new version, called CoDecS, is under development. An ECURIE data bank is under construction, which will automatically recognize and store incoming ECURIE messages. Further on, query and reporting software will be developed. The background objectives and the conceptual basis for the structure of the on-line information system is described. (author)

  5. Evolutionary relevance facilitates visual information processing.

    Science.gov (United States)

    Jackson, Russell E; Calvillo, Dusti P

    2013-11-03

    Visual search of the environment is a fundamental human behavior that perceptual load affects powerfully. Previously investigated means for overcoming the inhibitions of high perceptual load, however, generalize poorly to real-world human behavior. We hypothesized that humans would process evolutionarily relevant stimuli more efficiently than evolutionarily novel stimuli, and evolutionary relevance would mitigate the repercussions of high perceptual load during visual search. Animacy is a significant component to evolutionary relevance of visual stimuli because perceiving animate entities is time-sensitive in ways that pose significant evolutionary consequences. Participants completing a visual search task located evolutionarily relevant and animate objects fastest and with the least impact of high perceptual load. Evolutionarily novel and inanimate objects were located slowest and with the highest impact of perceptual load. Evolutionary relevance may importantly affect everyday visual information processing.

  6. Evolutionary Relevance Facilitates Visual Information Processing

    Directory of Open Access Journals (Sweden)

    Russell E. Jackson

    2013-07-01

    Full Text Available Visual search of the environment is a fundamental human behavior that perceptual load affects powerfully. Previously investigated means for overcoming the inhibitions of high perceptual load, however, generalize poorly to real-world human behavior. We hypothesized that humans would process evolutionarily relevant stimuli more efficiently than evolutionarily novel stimuli, and evolutionary relevance would mitigate the repercussions of high perceptual load during visual search. Animacy is a significant component to evolutionary relevance of visual stimuli because perceiving animate entities is time-sensitive in ways that pose significant evolutionary consequences. Participants completing a visual search task located evolutionarily relevant and animate objects fastest and with the least impact of high perceptual load. Evolutionarily novel and inanimate objects were located slowest and with the highest impact of perceptual load. Evolutionary relevance may importantly affect everyday visual information processing.

  7. Information Exchange, Market Transparency and Dynamic Oligopoly

    DEFF Research Database (Denmark)

    Overgaard, Per Baltzer; Møllgaard, Peter

    2005-01-01

    In the economics literature, various views on the likely (efficiency) effects of information exchange,communication between firms and market transparency present themselves. Often these views oninformation flows are highly conflicting. On the one hand, it is argued that increased...... informationdissemination improves firm planning to the benefit of society (including customers) and/or allowspotential customers to make the right decisions given their preferences. On the other hand, theliterature also suggests that increased information dissemination can have significant coordinating orcollusive......, where informational issues have played a significant role....

  8. The IAEA's role in international information exchange

    International Nuclear Information System (INIS)

    Brittinger, M.T.M.; Selling, H.A.

    1993-01-01

    The International Atomic Energy Agency strives to foster the exchange of scientific and technical information in the transport safety area through a dual work programme covering the development and maintenance of the Regulations for the Safe Transport of Radioactive Material, on the one hand, and their implementation, on the other. Under the implementation aspect of its transport safety programme the IAEA takes advantage of the increased availability of mass storage media and the equipment to access them to use databases for information exchange. Information is collected on the identification of national competent authorities, package approval certificates, events in radioactive material transport, research and development, shipments, and exposure data. Data on national competent authorities and the package approval certificates that they issue is updated and disseminated annually to all Member States. Research in progress is described in a document that is published every two years. Databases on events, shipments and radiation exposure are in the development phase. Member States experience difficulty in obtaining the appropriate information and thus, the reporting periods for these subject areas are extended. Information gathered through these activities serve as regulatory aids to the national competent authorities responsible in the Member States for the transport of radioactive material, both internationally and nationally. In addition, it is useful in support of the continuous review and revision process of the transport Regulations and their supporting documents. (J.P.N.)

  9. Applications of health information exchange information to public health practice

    DEFF Research Database (Denmark)

    Kierkegaard, Patrick; Kaushal, Rainu; Vest, Joshua R.

    2014-01-01

    Health information exchange (HIE) can support several aspects of public health practice by increasing the availability, timeliness, and comprehensiveness individual-level patient information. The potential benefits to disease monitoring, disaster response, and other public health activities served...... as an important justification for the US’ investments in HIE. After several years of HIE implementation and funding, we sought to determine if any of the anticipated benefits of exchange participation were accruing to state and local public health practitioners participating in five different exchanges. Using...... qualitative interviews and template analyses, we identified public health efforts and activities that were improved by participation in HIE. We derived the codes for the template analysis through a literature review. HIE supported public health activities consistent with expectations in the literature...

  10. Applications of health information exchange information to public health practice.

    Science.gov (United States)

    Kierkegaard, Patrick; Kaushal, Rainu; Vest, Joshua R

    2014-01-01

    Increased information availability, timeliness, and comprehensiveness through health information exchange (HIE) can support public health practice. The potential benefits to disease monitoring, disaster response, and other public health activities served as an important justification for the US' investments in HIE. After several years of HIE implementation and funding, we sought to determine if any of the anticipated benefits of exchange participation were accruing to state and local public health practitioners participating in five different exchanges. Using qualitative interviews and template analyses, we identified public health efforts and activities that were improved by participation in HIE. HIE supported public health activities consistent with expectations in the literature. However, no single department realized all the potential benefits of HIE identified. These findings suggest ways to improve HIE usage in public health.

  11. 40 CFR 22.52 - Information exchange and discovery.

    Science.gov (United States)

    2010-07-01

    ... Procedure Act § 22.52 Information exchange and discovery. Respondent's information exchange pursuant to § 22.19(a) shall include information on any economic benefit resulting from any activity or failure to act... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Information exchange and discovery. 22...

  12. Information Exchange Automation in Maritime Transport

    Directory of Open Access Journals (Sweden)

    Zbigniew Pietrzykowski

    2014-06-01

    Full Text Available To ensure the safety of maritime transport the access to information must be provided through a commonly used services. However, an equally important task is to determine or agree on interpretation of incoming data and assessment of a current and predicted navigational situation and, in further step, intentions of the participants in the transport process. Thanks to the standardization of information format, automatic information exchange gets increasingly wider. Another step ahead is automatic interpretation of information and automation of negotiation processes - intelligent communication. Rapid development of IT and ICT technologies creates such opportunities. This article presents the results of research on a system of automatic communication and co-operation in maritime transport.

  13. Information Exchange, Market Transparency and Dynamic Oligopoly

    DEFF Research Database (Denmark)

    Møllgaard, H. Peter; Overgaard, Per Baltzer

    Economic literature often offers conflicting views on the likely efficiency effects of information exchanges, communication between firms, and market transparency. On the one hand, it is argued that increased information dissemination improves firm planning to the benefit of society (including...... buyers) and allows potential buyers to make correct decisions given their preferences. On the other hand, economic literature also shows that increased information dissemination can raise prices through tacit or explicit collusion to the benefit of firms but at the expense of society at large....... This chapter provides a general analytical framework to reconcile these views and presents some basic conclusions for antitrust practice. In addition, the chapter reviews cases from both sides of the Atlantic where informational issues have played a significant role....

  14. The Joint Fire Science Program Fire Exchange Network: Facilitating Knowledge Exchange About Wildland Fire Science Across the U.S.

    Science.gov (United States)

    York, A.; Blocksome, C.; Cheng, T.; Creighton, J.; Edwards, G.; Frederick, S.; Giardina, C. P.; Goebel, P. C.; Gucker, C.; Kobziar, L.; Lane, E.; Leis, S.; Long, A.; Maier, C.; Marschall, J.; McGowan-Stinski, J.; Mohr, H.; MontBlanc, E.; Pellant, M.; Pickett, E.; Seesholtz, D.; Skowronski, N.; Stambaugh, M. C.; Stephens, S.; Thode, A.; Trainor, S. F.; Waldrop, T.; Wolfson, B.; Wright, V.; Zedler, P.

    2014-12-01

    The Joint Fire Science Program's (JFSP) Fire Exchange Network is actively working to accelerate the awareness, understanding, and adoption of wildland fire science information by federal, tribal, state, local, and private stakeholders within ecologically similar regions. Our network of 15 regional exchanges provides timely, accurate, and regionally relevant science-based information to assist with fire management challenges. Regional activities, through which we engage fire and resource managers, scientists, and private landowners, include online newsletters and announcements, social media, regionally focused web-based clearinghouses of relevant science, field trips and demonstration sites, workshops and conferences, webinars and online training, and syntheses and fact sheets. Exchanges also help investigators design research that is relevant to regional management needs and assist with technology transfer to management audiences. This poster provides an introduction to and map of the regional exchanges.

  15. Time-resolved SAXS measurements facilitated by online HPLC buffer exchange

    DEFF Research Database (Denmark)

    Jensen, Malene Hillerup; Toft, Katrine Nørgaard; David, Gabriel

    2010-01-01

    continuous or stopped flow. In this paper a method for obtaining TR-SAXS data from systems where the reaction is triggered by removal of a species is presented. This method is based on fast buffer exchange over a short desalting column facilitated by an online HPLC (high-performance liquid chromatography...

  16. Brain Radiation Information Data Exchange (BRIDE)

    DEFF Research Database (Denmark)

    Karapiperis, Christos; Kempf, Stefan J; Quintens, Roel

    2016-01-01

    studies. It deploys a hybrid, distributed solution using both local storage and cloud technology. Conclusions: BRIDE can act as a knowledge broker for LDIR researchers, to facilitate molecular research on the systems biology of LDIR response in mammals. Its flexible design can capture a range...... using omics technologies. Results: We describe a light-weight approach for the storage, analysis and distribution of relevant LDIR omics datasets. The data integration platform, called BRIDE, contains information from the literature as well as experimental information from transcriptomics and proteomics...

  17. HEALTH INFORMATION TECHNOLOGY IN EXCHANGE OF HEALTH INFORMATION

    Directory of Open Access Journals (Sweden)

    Jordan Deliversky

    2016-06-01

    Full Text Available Health information technology involves the exchange of health information in an electronic environment. Data protection is comprised of many elements, including where the data resides, how it is used, and who has access to it. Individually identifiable health information should be protected with reasonable administrative, technical, and physical safeguards to ensure its confidentiality, integrity, and availability and to prevent unauthorized access, use, or disclosure. Health records are among the most sensitive records available containing information concerning an individual. The unauthorized disclosure of a medical condition or diagnosis could negatively impact an individual’s personal and professional life.

  18. Consumer perceptions of electronic health information exchange.

    Science.gov (United States)

    Ancker, Jessica S; Edwards, Alison M; Miller, Melissa C; Kaushal, Rainu

    2012-07-01

    Public support will be critical to the success and long-term sustainability of electronic health information exchange (HIE) initiatives currently promoted by federal policy. The goal of this study was to assess consumer perceptions of HIE in a state (New York) with a 6-year history of successful HIE organizations. The Empire State Poll is a random-digit-dial telephone survey of adult New York State residents conducted annually by the Survey Research Institute at Cornell University. In 2011, it contained 77 items. The survey was conducted and data were analyzed in 2011. Eight hundred respondents participated (71% response rate). Large majorities supported HIE among healthcare providers (69%); thought it would improve quality of care (68%); and supported "break the glass" access to HIE data without need for consent in emergencies (90%). Support was lower among people who rated large corporations as less trustworthy. Privacy and security concerns were expressed by 68%. Respondents were supportive whether the architecture involved a physician sending data to another physician, a physician sending data to a patient who could send it to other physicians, or a physician accessing data from other institutions. In New York, public support for HIE is strong. Policy and outreach pertaining to this type of exchange may be most effective if it clarifies the roles and responsibilities of large businesses involved in different aspects of the exchange, and privacy and security controls. Differing architectures received similar levels of support. Copyright © 2012 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  19. Physicians' opinions of a health information exchange.

    Science.gov (United States)

    Hincapie, Ana Lucia; Warholak, Terri L; Murcko, Anita C; Slack, Marion; Malone, Daniel C

    2011-01-01

    Arizona Medicaid developed a Health Information Exchange (HIE) system called the Arizona Medical Information Exchange (AMIE). To evaluate physicians' perceptions regarding AMIE's impact on health outcomes and healthcare costs. A focus-group guide was developed and included five domains: perceived impact of AMIE on (1) quality of care; (2) workflow and efficiency; (3) healthcare costs; (4) system usability; and (5) AMIE data content. Qualitative data were analyzed using analytical coding. A total of 29 clinicians participated in the study. The attendance rate was 66% (N=19) for the first and last month of focus-group meetings and 52% (N=15) for the focus group meetings conducted during the second month. The benefits most frequently mentioned during the focus groups included: (1) identification of "doctor shopping"; (2) averting duplicative testing; and (3) increased efficiency of clinical information gathering. The most frequent disadvantage mentioned was the limited availability of data in the AMIE system. Respondents reported that AMIE had the potential to improve care, but they felt that AMIE impact was limited due to the data available.

  20. Exchange of Information in Tax Matters

    OpenAIRE

    Szwajdler, Paweł

    2017-01-01

    Szwajdler Paweł. Exchange of Information in Tax Matters. Journal of Education, Health and Sport. 2017;7(1):556-570. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.893161 http://ojs.ukw.edu.pl/index.php/johs/article/view/4828 https://pbn.nauka.gov.pl/sedno-webapp/works/831606 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 754 (09.12.2016). 754 Journal of Education, Health and Sport...

  1. CALINX (California Information Exchange): a multi-stakeholder statewide initiative to improve healthcare information flows.

    Science.gov (United States)

    Hopkins, D S; Oswald, N; McCaffrey, K; Bressler, S; Davidson, N; Vela, L

    2000-01-01

    Given the diffusion of responsibilities for gathering and reporting healthcare information in a managed care environment, California stakeholders are taking concrete steps to break the deadlock on data and information flows that has characterized the industry for some time. The California Information Exchange (CALINX) was established to facilitate the implementation of the Health Insurance Portability and Accountability Act (HIPAA) standards in California and to create trust for data exchange between trading partners, without which data exchange still will not occur. Strategic directions are set by the chief executives of key associations and organizations representing purchasers, plans, providers, and consumers. Multi-stakeholder workgroups have produced detailed data guidelines for the HIPAA standards along with rules for exchange of key data sets between trading partners. These rules address frequency, timeliness, and accuracy of data submission. Both the data guidelines and the rules have been tested in live demonstration projects, and the results of these projects have been reported to substantiate the business case for implementation. Further incentives are being built into contracts between purchasers and plans, and between plans and providers. CALINX is currently promoting widespread adoption of the data guidelines and rules for exchange with all members of the industry.

  2. Does exchange of information between tax authorities influence multinationals' use of tax havens?

    OpenAIRE

    Braun, Julia; Weichenrieder, Alfons

    2015-01-01

    Since the mid-1990s, countries offering tax systems that facilitate international tax avoidance and evasion have been facing growing political pressure to comply with the internationally agreed standards of exchange of tax information. Using data of German investments in tax havens, we find evidence that the conclusion of a bilateral tax information exchange agreement (TIEA) is associated with fewer operations in tax havens and the number of German affiliates has on average ...

  3. 26 CFR 1.7872-16 - Loans to an exchange facilitator under § 1.468B-6.

    Science.gov (United States)

    2010-04-01

    ... TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES General Actuarial Valuations § 1.7872-16 Loans to... of approximate method permitted. The taxpayer and exchange facilitator may use the approximate method to determine the amount of forgone interest on any exchange facilitator loan. (f) Exemption for...

  4. New approach to knowledge and information exchange

    Energy Technology Data Exchange (ETDEWEB)

    Pleslic, S [University of Zagreb, Faculty of Electrical Engineering and Computing, Department of Applied Physics, Zagreb (Croatia); Novosel, N [Ministry of Economy of the Republic of Croatia, Zagreb (Croatia)

    2004-07-01

    The International Atomic Energy Agency (IAEA, Vienna, Austria) founded in 1957 as an autonomous intergovernmental organization. The Agency is authorized for exchange of technical and scientific information on peaceful uses of atomic energy. Also, applications of isotopes and nuclear power expanded rapidly during sixties of the 20th century. The output of the related scientific literature was increased by all achievements and developments. It was necessary to have an instrument for a comprehensive and systematic dissemination of all information and knowledge from these fields of science. With this goal International Nuclear Information System (INIS) was established in 1970 from International Atomic Energy Agency as an international bibliographic database in the nuclear field and in nuclear related areas. INIS becomes a big technological and science information system with 127 Members (108 countries and 19 international organizations). Expert participation from countries spread over a wide range of technological capability and infrastructure availability allowed INIS to assimilate all useful innovations in information technology into the INIS work. Countries at different levels of technological development could derive benefits from the output products but most of members are developing countries, in which the major population and economic growth is expected. A critical problem for future development is need for non-fossil and clean (in ecological sense) energy. Probably nuclear energy is not the best and only solution but it is obvious that nuclear sources of energy as a major energy sources are important for the future energy systems. Also, energy source problems should be solved according to demands for sustainable development. Nuclear energy and all application of it, including nuclear and radiation techniques, are very important for such development. Application of all techniques of interest in different areas such as medicine, agriculture, water resource

  5. New approach to knowledge and information exchange

    International Nuclear Information System (INIS)

    Pleslic, S.; Novosel, N.

    2004-01-01

    The International Atomic Energy Agency (IAEA, Vienna, Austria) founded in 1957 as an autonomous intergovernmental organization. The Agency is authorized for exchange of technical and scientific information on peaceful uses of atomic energy. Also, applications of isotopes and nuclear power expanded rapidly during sixties of the 20th century. The output of the related scientific literature was increased by all achievements and developments. It was necessary to have an instrument for a comprehensive and systematic dissemination of all information and knowledge from these fields of science. With this goal International Nuclear Information System (INIS) was established in 1970 from International Atomic Energy Agency as an international bibliographic database in the nuclear field and in nuclear related areas. INIS becomes a big technological and science information system with 127 Members (108 countries and 19 international organizations). Expert participation from countries spread over a wide range of technological capability and infrastructure availability allowed INIS to assimilate all useful innovations in information technology into the INIS work. Countries at different levels of technological development could derive benefits from the output products but most of members are developing countries, in which the major population and economic growth is expected. A critical problem for future development is need for non-fossil and clean (in ecological sense) energy. Probably nuclear energy is not the best and only solution but it is obvious that nuclear sources of energy as a major energy sources are important for the future energy systems. Also, energy source problems should be solved according to demands for sustainable development. Nuclear energy and all application of it, including nuclear and radiation techniques, are very important for such development. Application of all techniques of interest in different areas such as medicine, agriculture, water resource

  6. An Architecture for Health Information Exchange in Pervasive Healthcare Environment

    NARCIS (Netherlands)

    Cardoso de Moraes, J.L.; Lopes de Souza, Wanderley; Ferreira Pires, Luis; Francisco do Prado, Antonio; Hammoudi, S.; Cordeiro, J.; Maciaszek, L.A.; Filipe, J.

    2014-01-01

    This paper presents an architecture for health information exchange in pervasive healthcare environments meant to be generally applicable to different applications in the healthcare domain. Our architecture has been designed for message exchange by integrating ubiquitous computing technologies,

  7. Neighbourhood Book Exchanges: Localising Information Practices

    Science.gov (United States)

    Webster, Tenny; Gollner, Kathleen; Nathan, Lisa

    2015-01-01

    Introduction: Through this paper we report on an exploratory study into the design and use of neighbourhood book exchanges in North America. We identify dominant media framings of these book exchanges in North America, along with claims made concerning the influence of the exchanges. We compare the media claims with insights from interviews with…

  8. Consumer-Mediated Health Information Exchanges: The 2012 ACMI Debate

    Science.gov (United States)

    Cimino, James J.; Frisse, Mark; Halamka, John; Sweeney, Latanya; Yasnoff, William

    2017-01-01

    The American College of Medical Informatics (ACMI) sponsors periodic debates during the American Medical Informatics Fall Symposium to highlight important informatics issues of broad interest. In 2012, a panel debated the following topic: “Resolved: Health Information Exchange Organizations Should Shift Their Principal Focus to Consumer-Mediated Exchange in Order to Facilitate the Rapid Development of Effective, Scalable, and Sustainable Health Information Infrastructure.” Those supporting the proposition emphasized the need for consumer-controlled community repositories of electronic health records (health record banks) to address privacy, stakeholder cooperation, scalability, and sustainability. Those opposing the proposition emphasized that the current healthcare environment is so complex that development of consumer control will take time and that even then, consumers may not be able to mediate their information effectively. While privately, each discussant recognizes that there are many sides to this complex issue, each followed the debater’s tradition of taking an extreme position in order emphasize some of the polarizing aspects in the short time allotted them. In preparing this summary, we sought to convey the substance and spirit of the debate in printed form. Transcripts of the actual debate were edited for clarity, and appropriate supporting citations were added for the further edification of the reader. PMID:24561078

  9. Consumer-mediated health information exchanges: the 2012 ACMI debate.

    Science.gov (United States)

    Cimino, James J; Frisse, Mark E; Halamka, John; Sweeney, Latanya; Yasnoff, William

    2014-04-01

    The American College of Medical Informatics (ACMI) sponsors periodic debates during the American Medical Informatics Fall Symposium to highlight important informatics issues of broad interest. In 2012, a panel debated the following topic: "Resolved: Health Information Exchange Organizations Should Shift Their Principal Focus to Consumer-Mediated Exchange in Order to Facilitate the Rapid Development of Effective, Scalable, and Sustainable Health Information Infrastructure." Those supporting the proposition emphasized the need for consumer-controlled community repositories of electronic health records (health record banks) to address privacy, stakeholder cooperation, scalability, and sustainability. Those opposing the proposition emphasized that the current healthcare environment is so complex that development of consumer control will take time and that even then, consumers may not be able to mediate their information effectively. While privately each discussant recognizes that there are many sides to this complex issue, each followed the debater's tradition of taking an extreme position in order emphasize some of the polarizing aspects in the short time allotted them. In preparing this summary, we sought to convey the substance and spirit of the debate in printed form. Transcripts of the actual debate were edited for clarity, and appropriate supporting citations were added for the further edification of the reader. Published by Elsevier Inc.

  10. Double Taxation, Tax Credits and the Information Exchange Puzzle

    OpenAIRE

    Wolfgang Eggert

    2003-01-01

    This paper analyzes the choice of taxes and international information exchange by governments in a capital tax competition model. We explain situations where countries can choose tax rates on tax savings income and exchange information about the domestic savings of foreigners, implying that the decentralized equilibrium is efficient. However, we also identify situations with adverse welfare properties in which information exchange is compatible with zero taxes on capital income. The model hel...

  11. Regional exchange of information and other CBMs

    International Nuclear Information System (INIS)

    Hong, Mark

    1994-01-01

    It is clear that a lot of work needs to be done to increase understanding within the region about Confidence Building Measures (CBMs) and the promotion of regional exchanges of information. A graduated and slow approach would be needed to overcome the existing suspicions and wariness about these new concepts. I have mentioned that the 'two tracks', which are complementary, would probably constitute a practical approach. The CSCAP series is particularly useful and important among the track-two discussions. In addition, I have identified some practical areas where the Kathmandu Centre could concentrate its work, such as organizing workshops to increase awareness and knowledge of such ongoing CBMs as the United Nations Arms Register, CSCAP and the ASEAN Regional Forum. In addition, the Centre could perform the roles of depository of seminar papers, of being the electronic hub of a network connecting the regional think-tanks and-even more ambitious-of becoming a centre for studies in preventive diplomacy and regional security. All these efforts will help to slowly transform the regional security perceptions between Asian countries and provide a positive regional security atmosphere, one conducive to regional economic progress and cooperation

  12. [No exchange of information without technology : modern infrastructure in radiology].

    Science.gov (United States)

    Hupperts, H; Hermann, K-G A

    2014-01-01

    Modern radiology cannot accomplish the daily numbers of examinations without supportive technology. Even though technology seems to be becoming increasingly more indispensable, business continuity should be ensured at any time and if necessary even with a limited technical infrastructure by business continuity management. An efficient information security management system forms the basis. The early radiology information systems were islands of information processing. A modern radiology department must be able to be modularly integrated into an informational network of a bigger organization. The secondary use of stored data for clinical decision-making support poses new challenges for the integrity of the data or systems because medical knowledge is displayed and provided in a context of treatment. In terms of imaging the creation and distribution radiology services work in a fully digital manner which is often different for radiology reports. Legally secure electronic diagnostic reports require a complex technical infrastructure; therefore, diagnostic findings still need to be filed as a paper document. The internal exchange and an improved dose management can be simplified by systems which continuously and automatically record the doses and thus provide the possibility of permanent analysis and reporting. Communication between patient and radiologist will gain ongoing importance. Intelligent use of technology will convey this to the radiologist and it will facilitate the understanding of the information by the patient.

  13. Facilitated transport in hydroxide-exchange membranes for post-combustion CO2 separation.

    Science.gov (United States)

    Xiong, Laj; Gu, Shuang; Jensen, Kurt O; Yan, Yushan S

    2014-01-01

    Hydroxide-exchange membranes are developed for facilitated transport CO2 in post-combustion flue-gas feed. First, a correlation between the basicity of fixed-site functional groups and CO2 -separation performance is discovered. This relationship is used to identify phosphonium as a promising candidate to achieve high CO2 -separation performance. Consequently, quaternary phosphonium-based hydroxide-exchange membranes are demonstrated to have a separation performance that is above the Robeson upper bound. Specifically, a CO2 permeability as high as 1090 Barrer and a CO2 /N2 selectivity as high as 275 is achieved. The high performance observed in the membranes can be attributed to the quaternary phosphonium moiety. Copyright © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  14. Revenue Sharing and Information Exchange under Non-Discriminatory Taxation

    NARCIS (Netherlands)

    Keen, M.; Ligthart, J.E.

    2005-01-01

    The international exchange of tax information, and its merits compared to withholding taxes, is the central topic in current debates in international tax policy.The purpose of this paper is to characterize and compare the tax regimes that emerge with and without information exchange, under the

  15. Process Control Security in the Cybercrime Information Exchange NICC

    NARCIS (Netherlands)

    Luiijf, H.A.M.

    2009-01-01

    Detecting, investigating and prosecuting cybercrime? Extremely important, but not really the solution for the problem. Prevention is better! The sectors that have joined the Cybercrime Information Exchange have accepted the challenge of ensuring the effectiveness of the (information) security of

  16. Information Exchange Architecture for Integrating Unmanned Vehicles into Maritime Missions

    National Research Council Canada - National Science Library

    Woolsey, Aaron

    2004-01-01

    .... The focus of this study is to analyze the structure of information flow for unmanned systems and suggest an exchange architecture to successfully inform and build decision maker understanding based...

  17. SatisFactory Common Information Data Exchange Model

    OpenAIRE

    CERTH

    2016-01-01

    This deliverable defines the Common Information Data Exchange Model (CIDEM). The aim of CIDEM is to provide a model of information elements (e.g. concepts, even, relations, interfaces) used for information exchange between components as well as for modelling work performed by other tasks (e.g. knowledge models to support human resources optimization). The CIDEM definition is considered as a shared vocabulary that enables to address the information needs for the SatisFactory framework components.

  18. Physician capability to electronically exchange clinical information, 2011.

    Science.gov (United States)

    Patel, Vaishali; Swain, Matthew J; King, Jennifer; Furukawa, Michael F

    2013-10-01

    To provide national estimates of physician capability to electronically share clinical information with other providers and to describe variation in exchange capability across states and electronic health record (EHR) vendors using the 2011 National Ambulatory Medical Care Survey Electronic Medical Record Supplement. Survey of a nationally representative sample of nonfederal office-based physicians who provide direct patient care. The survey was administered by mail with telephone follow-up and had a 61% weighted response rate. The overall sample consisted of 4326 respondents. We calculated estimates of electronic exchange capability at the national and state levels, and applied multivariate analyses to examine the association between the capability to exchange different types of clinical information and physician and practice characteristics. In 2011, 55% of physicians had computerized capability to send prescriptions electronically; 67% had the capability to view lab results electronically; 42% were able to incorporate lab results into their EHR; 35% were able to send lab orders electronically; and, 31% exchanged patient clinical summaries with other providers. The strongest predictor of exchange capability is adoption of an EHR. However, substantial variation exists across geography and EHR vendors in exchange capability, especially electronic exchange of clinical summaries. In 2011, a majority of office-based physicians could exchange lab and medication data, and approximately one-third could exchange clinical summaries with patients or other providers. EHRs serve as a key mechanism by which physicians can exchange clinical data, though physicians' capability to exchange varies by vendor and by state.

  19. 77 FR 72813 - Information Collection; Land Exchanges

    Science.gov (United States)

    2012-12-06

    ... discretionary, voluntary real estate transactions between the U.S. Department of Agriculture, Secretary of... exchanges can be initiated by a non-Federal party (or parties), an agent of a landowner, a broker, a third... parties) that can include landowners, agents of landowners, brokers, a third party, or a non-Federal...

  20. Gharibi_FaceCard for Contacts and Easy Personal - Information Exchange

    OpenAIRE

    Gharibi, Wajeb; Gharibi, Gharib

    2014-01-01

    In this paper, we discuss a new contact way for exchanging personal information using mobile phones. The idea of this invention depends on allocating a special code called Gharibi Code (GC) for each personal mobile and creating a personal information file called Gharibi Face Card (GFC), which has all specified personal data of the mobile phone user. When you request someone's GC code, the other party's phone will send you the GFC of that person. We think that this approach will facilitate the...

  1. Kinesthetic information facilitates saccades towards proprioceptive-tactile targets.

    Science.gov (United States)

    Voudouris, Dimitris; Goettker, Alexander; Mueller, Stefanie; Fiehler, Katja

    2016-05-01

    Saccades to somatosensory targets have longer latencies and are less accurate and precise than saccades to visual targets. Here we examined how different somatosensory information influences the planning and control of saccadic eye movements. Participants fixated a central cross and initiated a saccade as fast as possible in response to a tactile stimulus that was presented to either the index or the middle fingertip of their unseen left hand. In a static condition, the hand remained at a target location for the entire block of trials and the stimulus was presented at a fixed time after an auditory tone. Therefore, the target location was derived only from proprioceptive and tactile information. In a moving condition, the hand was first actively moved to the same target location and the stimulus was then presented immediately. Thus, in the moving condition additional kinesthetic information about the target location was available. We found shorter saccade latencies in the moving compared to the static condition, but no differences in accuracy or precision of saccadic endpoints. In a second experiment, we introduced variable delays after the auditory tone (static condition) or after the end of the hand movement (moving condition) in order to reduce the predictability of the moment of the stimulation and to allow more time to process the kinesthetic information. Again, we found shorter latencies in the moving compared to the static condition but no improvement in saccade accuracy or precision. In a third experiment, we showed that the shorter saccade latencies in the moving condition cannot be explained by the temporal proximity between the relevant event (auditory tone or end of hand movement) and the moment of the stimulation. Our findings suggest that kinesthetic information facilitates planning, but not control, of saccadic eye movements to proprioceptive-tactile targets. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Tax Information Exchange with Developing Countries and Tax Havens

    OpenAIRE

    Braun, Julia; Zagler, Martin

    2015-01-01

    The exchange of tax information has received ample attention recently, due to a number of recent headlines on aggressive tax planning and tax evasion. Whilst both participating tax authorities will gain when foreign investments (FDI) are bilateral, we demonstrate that FDI receiving nations will lose in asymmetric situations. We solve a bargaining model that proves that tax information exchange will only happen voluntarily with compensation for this loss. We then present empirical evidence in ...

  3. Business Information Exchange System with Security, Privacy, and Anonymity

    Directory of Open Access Journals (Sweden)

    Sead Muftic

    2016-01-01

    Full Text Available Business Information Exchange is an Internet Secure Portal for secure management, distribution, sharing, and use of business e-mails, documents, and messages. It has three applications supporting three major types of information exchange systems: secure e-mail, secure instant messaging, and secure sharing of business documents. In addition to standard security services for e-mail letters, which are also applied to instant messages and documents, the system provides innovative features of privacy and full anonymity of users and their locations, actions, transactions, and exchanged resources. In this paper we describe design, implementation, and use of the system.

  4. International exchange of radiological information in emergency conditions

    International Nuclear Information System (INIS)

    De Cort, M.; De Vries, G.; Breitenbach, L.; Fraser, G.; Vade, S.

    1998-01-01

    Description of the current system, experience gained, and expected future developments is given for the ECURIE system and, in particular, the EURDEP European-wide radiological information exchange system. It is concluded that the existing situation continues to be inhomogeneous. Although EURDEP foresees a common format for data exchange, which has been successfully implemented in 9 European countries, and regular exercises for data have been performed for a few years, important efforts will still have to be made to come to a more homogeneous and consistent European system for radiological information exchange. (P.A.)

  5. Formal and informal facilitators of learning capability: the moderating effect of learning climate

    OpenAIRE

    ELENA REVILLA

    2006-01-01

    Organizations need to put in practice the most favourable conditions to facilitate learning capability. The different ways of thinking about learning in organizations distinguish two kinds of learning facilitators: formal and informal facilitators. In this paper, we suggest that organizations undertake both types of learning facilitators, but considering that informal facilitators may act as potential moderators of the effects of formal ones. We have focused on one comprehensive informal faci...

  6. Scoring sensor observations to facilitate the exchange of space surveillance data

    Science.gov (United States)

    Weigel, M.; Fiedler, H.; Schildknecht, T.

    2017-08-01

    In this paper, a scoring metric for space surveillance sensor observations is introduced. A scoring metric allows for direct comparison of data quantity and data quality, and makes transparent the effort made by different sensor operators. The concept might be applied to various sensor types like tracking and surveillance radar, active optical laser tracking, or passive optical telescopes as well as combinations of different measurement types. For each measurement type, a polynomial least squares fit is performed on the measurement values contained in the track. The track score is the average sum over the polynomial coefficients uncertainties and scaled by reference measurement accuracy. Based on the newly developed scoring metric, an accounting model and a rating model are introduced. Both models facilitate the exchange of observation data within a network of space surveillance sensors operators. In this paper, optical observations are taken as an example for analysis purposes, but both models can also be utilized for any other type of observations. The rating model has the capability to distinguish between network participants with major and minor data contribution to the network. The level of sanction on data reception is defined by the participants themselves enabling a high flexibility. The more elaborated accounting model translates the track score to credit points earned for data provision and spend for data reception. In this model, data reception is automatically limited for participants with low contribution to the network. The introduced method for observation scoring is first applied for transparent data exchange within the Small Aperture Robotic Telescope Network (SMARTnet). Therefore a detailed mathematical description is presented for line of sight measurements from optical telescopes, as well as numerical simulations for different network setups.

  7. Report: Information Meeting / Awareness of Actors on the Chemical Information Exchange Network (CIEN)

    International Nuclear Information System (INIS)

    Senghor, Cheikh

    2015-01-01

    As part of the implementation of the Stockholm Convention, Senegal has established a Chemical Information Exchange Network. The overall objective of this meeting was to identify the various actors involved in the management of chemicals information and to study the modalities for the implementation of the chemical information exchange network in Senegal.

  8. National Information Exchange Model (NIEM): DoD Adoption and Implications for C2 (Briefing Charts)

    Science.gov (United States)

    2014-06-18

    Application Data Consumers Information Exchange Package ( IEP ) the data exchanged at runtime Data Producers IES defines Information Exchange...Specification (IES) build-time description of the data to be exchanged Developers System / Application System / Application IEP | 9 | Data...Exchange Package ( IEP ) the data exchanged at runtime Data Producers System / Application System / Application IEP Consumer’s Understanding

  9. Quantum secret information equal exchange protocol based on dense coding

    Science.gov (United States)

    Jiang, Ying-Hua; Zhang, Shi-Bin; Dai, Jin-Qiao; Shi, Zhi-Ping

    2018-04-01

    In this paper, we design a novel quantum secret information equal exchange protocol, which implements the equal exchange of secret information between the two parties with the help of semi-trusted third party (TP). In the protocol, EPR pairs prepared by the TP are, respectively, distributed to both the communication parties. Then, the two parties perform Pauli operation on each particle and return the new particles to TP, respectively. TP measures each new pair with Bell basis and announces the measurement results. Both parties deduce the secret information of each other according to the result of announcement by TP. Finally, the security analysis shows that this protocol solves the problem about equal exchange of secret information between two parties and verifies the security of semi-trusted TPs. It proves that the protocol can effectively resist glitch attacks, intercept retransmission attacks and entanglement attack.

  10. Agile Information Exchange in Autonomous Air Systems

    Science.gov (United States)

    2013-06-01

    demonstrated that the effects of entropic drag varied with the specifics of the motion model . Here, we consider a different analysis of entropic...proportional to the information the pilot has on the target. Figure 5: Modified Procerus Unicorn UAV D. Equipment The UAV used in this experiment is...a modified Procerus Unicorn (Figure 5). Unicorns are electrically powered, Styrofoam flying wings with a 72” wingspan. Stock Unicorns are

  11. Information Asymmetry and Financing Decisions: Evidence from Iran Stock Exchange

    OpenAIRE

    Mehdi Elhaei Sahar; Seyed Ali Vaez

    2013-01-01

    This study aims to investigate the relations of information asymmetry and financing decisions in Tehran Stock Exchange (TSE) during 2009 to 2011. Our statistical simple consist 170 firms and stepwise regression method has been used. We found that the relationship between information asymmetry and stock issuing is negative. Other results refer to positive relation between financing deficit and stock issuing.

  12. Post-accident heat removal ''information exchange''

    International Nuclear Information System (INIS)

    Plein, H.G.; Carlson, G.A.

    1975-01-01

    The in-core molten pool experiments are designed to produce a pool of fission heated temperature and flow patterns of such pools, and evaluate the barrier melt-through potential of the molten UO 2 . The first experiments, to be conducted this fiscal year in the Annular Core Pulse Reactor, will be uncomplicated and multiply-contained to prove containment design and to provide initial information on fission heated molten pool characteristics. Concurrent with the in-core experiments, high temperature ultrasonic techniques are being developed to measure UO 2 temperatures up to and above the melting point for use in later more definitive experiments scheduled for FY77

  13. Negotiation of Meaning in Required and Optional Information Exchange Tasks: Discourse Issues

    Directory of Open Access Journals (Sweden)

    Zohre Mohamadi

    2015-01-01

    Full Text Available It is widely argued that different types of tasks facilitate the acquisition of communicative language to different degrees through providing different contexts for the occurrence of negotiation of meaning which is believed to have facilitative role in language acquisition. Although task based instruction provides a medium for acquiring the communicative language, it suffers from a number of oversimplifications.  The potentials of each task type in creating such a medium were not investigated in exhaustive detail, and it is left as a potentially interesting topic for further research.  This paper reports the analysis of the negotiation of meaning produced by eight intermediate EFL students engaged in required and optional information exchange tasks in dyads.  The results show that pushed output has different quality in these different task types meaning whereas required information exchange task provided a medium for more incidence of negotiation work, optional information exchange tasks engaged participants more with discourse work and led to more incidence of the clarification request as an interactional move that has a facilitative role in pushed output. Test constructors and materials developers need to take principled decisions in what to be included in the tests and texts.

  14. Exploring the Affordances of WeChat for Facilitating Teaching, Social and Cognitive Presence in Semi-Synchronous Language Exchange

    Science.gov (United States)

    Wang, Yuping; Fang, Wei-Chieh; Han, Julia; Chen, Nian-Shing

    2016-01-01

    This research is an exploratory study that evaluates the affordances of WeChat for the development of a community of inquiry (CoI) in semi-synchronous language exchange supported by WeChat. WeChat is an instant messenger that facilitates a multimodal environment in which interaction can happen synchronously, semi-synchronously and asynchronously…

  15. American Nuclear Society exchanges of information

    International Nuclear Information System (INIS)

    Du Temple, O.J.

    2000-01-01

    Many are familiar with the technical journals and other publications that American Nuclear Society (ANS) members receive. However, there is a whole series of documents that is helpful to any nuclear society group for a modest fee or no fee. The author is referring to documents such as the ANS Bylaws and Rules, which have been made available to almost every existing nuclear society in the world. He remembers working with groups from Russia, Europe, China, Japan, Brazil, France, Germany, and others when they sought the experience of ANS in establishing a society. Financial planning guides are available for meetings, international conferences, technical expositions, and teacher workshops. Periodically, the ANS publishes position papers on the uses and handling of fuel materials and other publications helpful to public relations and teacher training courses. A few have had distributions in the hundreds of thousands, and one went as high as 750,000. Some of these have been translated in part into Spanish, French, Portuguese, and Japanese. Nuclear Standards are developed by a series of ANS committees consisting of about 1000 experts--the largest technical operation of ANS. Buyers guides and directories are very helpful in promoting the commerce in the nuclear industry. The Utility Directory covers utilities all over the globe. Radwaste Solutions, the new name for the former Radwaste Magazine, covers the efforts made by all sectors--private, government, and utility--to deal with radioactive waste. In the author's opinion, the one area in which all societies are weak is in interfacing with the International Atomic Energy Agency (IAEA). Since his retirement 9 yr ago, he has become much more aware of the IAEA as a news and technical information source. The ANS is trying to be more aware of what the IAEA is doing for everyone

  16. Process Control Security in the Cybercrime Information Exchange NICC

    OpenAIRE

    Luiijf, H.A.M.

    2009-01-01

    Detecting, investigating and prosecuting cybercrime? Extremely important, but not really the solution for the problem. Prevention is better! The sectors that have joined the Cybercrime Information Exchange have accepted the challenge of ensuring the effectiveness of the (information) security of process control systems (PCS), including SCADA. This publication makes it clear why it is vital that organizations establish and maintain control over the security of the information and communication...

  17. Maximizing information exchange between complex networks

    International Nuclear Information System (INIS)

    West, Bruce J.; Geneston, Elvis L.; Grigolini, Paolo

    2008-01-01

    research overarching all of the traditional scientific disciplines. The transportation networks of planes, highways and railroads; the economic networks of global finance and stock markets; the social networks of terrorism, governments, businesses and churches; the physical networks of telephones, the Internet, earthquakes and global warming and the biological networks of gene regulation, the human body, clusters of neurons and food webs, share a number of apparently universal properties as the networks become increasingly complex. Ubiquitous aspects of such complex networks are the appearance of non-stationary and non-ergodic statistical processes and inverse power-law statistical distributions. Herein we review the traditional dynamical and phase-space methods for modeling such networks as their complexity increases and focus on the limitations of these procedures in explaining complex networks. Of course we will not be able to review the entire nascent field of network science, so we limit ourselves to a review of how certain complexity barriers have been surmounted using newly applied theoretical concepts such as aging, renewal, non-ergodic statistics and the fractional calculus. One emphasis of this review is information transport between complex networks, which requires a fundamental change in perception that we express as a transition from the familiar stochastic resonance to the new concept of complexity matching

  18. Maximizing information exchange between complex networks

    Science.gov (United States)

    West, Bruce J.; Geneston, Elvis L.; Grigolini, Paolo

    2008-10-01

    modern research overarching all of the traditional scientific disciplines. The transportation networks of planes, highways and railroads; the economic networks of global finance and stock markets; the social networks of terrorism, governments, businesses and churches; the physical networks of telephones, the Internet, earthquakes and global warming and the biological networks of gene regulation, the human body, clusters of neurons and food webs, share a number of apparently universal properties as the networks become increasingly complex. Ubiquitous aspects of such complex networks are the appearance of non-stationary and non-ergodic statistical processes and inverse power-law statistical distributions. Herein we review the traditional dynamical and phase-space methods for modeling such networks as their complexity increases and focus on the limitations of these procedures in explaining complex networks. Of course we will not be able to review the entire nascent field of network science, so we limit ourselves to a review of how certain complexity barriers have been surmounted using newly applied theoretical concepts such as aging, renewal, non-ergodic statistics and the fractional calculus. One emphasis of this review is information transport between complex networks, which requires a fundamental change in perception that we express as a transition from the familiar stochastic resonance to the new concept of complexity matching.

  19. Maximizing information exchange between complex networks

    Energy Technology Data Exchange (ETDEWEB)

    West, Bruce J. [Mathematical and Information Science, Army Research Office, Research Triangle Park, NC 27708 (United States); Physics Department, Duke University, Durham, NC 27709 (United States)], E-mail: bwest@nc.rr.com; Geneston, Elvis L. [Center for Nonlinear Science, University of North Texas, P.O. Box 311427, Denton, TX 76203-1427 (United States); Physics Department, La Sierra University, 4500 Riverwalk Parkway, Riverside, CA 92515 (United States); Grigolini, Paolo [Center for Nonlinear Science, University of North Texas, P.O. Box 311427, Denton, TX 76203-1427 (United States); Istituto di Processi Chimico Fisici del CNR, Area della Ricerca di Pisa, Via G. Moruzzi, 56124, Pisa (Italy); Dipartimento di Fisica ' E. Fermi' Universita' di Pisa, Largo Pontecorvo 3, 56127 Pisa (Italy)

    2008-10-15

    modern research overarching all of the traditional scientific disciplines. The transportation networks of planes, highways and railroads; the economic networks of global finance and stock markets; the social networks of terrorism, governments, businesses and churches; the physical networks of telephones, the Internet, earthquakes and global warming and the biological networks of gene regulation, the human body, clusters of neurons and food webs, share a number of apparently universal properties as the networks become increasingly complex. Ubiquitous aspects of such complex networks are the appearance of non-stationary and non-ergodic statistical processes and inverse power-law statistical distributions. Herein we review the traditional dynamical and phase-space methods for modeling such networks as their complexity increases and focus on the limitations of these procedures in explaining complex networks. Of course we will not be able to review the entire nascent field of network science, so we limit ourselves to a review of how certain complexity barriers have been surmounted using newly applied theoretical concepts such as aging, renewal, non-ergodic statistics and the fractional calculus. One emphasis of this review is information transport between complex networks, which requires a fundamental change in perception that we express as a transition from the familiar stochastic resonance to the new concept of complexity matching.

  20. Using mobile phone contextual information to facilitate managing image collections

    DEFF Research Database (Denmark)

    Larsen, Jakob Eg; Luniewski, Maciej

    2009-01-01

    In this paper, we describe a prototype application that utilizes the embedded sensors in advanced mobile phones to infer meaningful contextual information, with the potential to support the users in managing their personal information. Contextual information such as time, location, movement...... in personal information management. We hypothesize that information inferred from embedded mobile phone sensors can offer useful contextual information for managing personal information, including the domain of interest here, namely image collections. This has potential for individuals as well as groups...

  1. Standardized structure of electronic records for information exchange

    International Nuclear Information System (INIS)

    Galabova, Sevdalina; Trencheva, Tereza; Trenchev, Ivan

    2009-01-01

    In the paper is presented the structure of the electronic record whose form is standardized in ISO 2709:2008. This International Standard describes a generalized structure, a framework designed specially for communications between data processing systems and not for use as a processing format within systems.Basic terms are defined as follows: character, data field, directory, directory map, field, field separator etc. It’s presented the general structure of a record. The application analysis of this structure shows the effective information exchange in the widest range.The purpose of this research is to find out advantages and structure of the information exchange format standardized in ISO 2709:2008. Key words: Standardized structure, electronic records, exchange formats, data field, directory, directory map, indicators, identifiers

  2. Household of care in electronic health information exchange systems

    CSIR Research Space (South Africa)

    Sibiya, Mhlupheki G

    2017-09-01

    Full Text Available by the organisation have presented the protocols and message profiles that can be used for communication among the systems within Electronic Health Information Exchange (HIE)[17, 6]. HIE “allows doctors, nurses, pharmacists, other healthcare providers and patients...

  3. 78 FR 39644 - Information Reporting for Affordable Insurance Exchanges

    Science.gov (United States)

    2013-07-02

    ... Federal Register. Drafting Information The principal authors of these proposed regulations are Shareen S. Pflanz and Stephen J. Toomey of the Office of Associate Chief Counsel (Income Tax and Accounting... required contribution for self-only coverage and the Exchange's determination of whether the employer...

  4. Information exchange examined : an interpersonal account of achievement goals

    NARCIS (Netherlands)

    Poortvliet, P.M.

    2008-01-01

    In this thesis it is argued and demonstrated, that the achievement goals that individuals pursue in achievement situations may crucially influence how they perceive and act in information exchange situations. Notably, whether people are striving to improve their own performance, as compared with

  5. Patient privacy, consent, and identity management in health information exchange

    CERN Document Server

    Hosek, Susan D

    2013-01-01

    As a step toward improving its health information technology (IT) interoperability, the Military Health System is seeking to develop a research roadmap to better coordinate health IT research efforts, address IT capability gaps, and reduce programmatic risk for its enterprise projects. This report identifies gaps in research, policy, and practice involving patient privacy, consent, and identity management that need to be addressed to improve the quality and efficiency of care through health information exchange.

  6. Digital privacy in the marketplace perspectives on the information exchange

    CERN Document Server

    Milne, George

    2015-01-01

    Digital Privacy in the Marketplace focuses on the data ex-changes between marketers and consumers, with special ttention to the privacy challenges that are brought about by new information technologies. The purpose of this book is to provide a background source to help the reader think more deeply about the impact of privacy issues on both consumers and marketers. It covers topics such as: why privacy is needed, the technological, historical and academic theories of privacy, how market exchange af-fects privacy, what are the privacy harms and protections available, and what is the likely future of privacy.

  7. Smart health community: the hidden value of health information exchange.

    Science.gov (United States)

    Ciriello, James N; Kulatilaka, Nalin

    2010-12-01

    Investments in health information technology are accelerating the digitization of medicine. The value from these investments, however, can grow beyond efficiencies by filling the information gaps between the various stakeholders. New work processes, governance structures, and relationships are needed for the coevolution of healthcare markets and business models. But coevolution is slow, hindered by the scarcity of incentives for legacy delivery systems and constrained by the prevailing patient-healthcare paradigm. The greater opportunity lies in wellness for individuals, families, communities, and society at large: a consumer-community paradigm. Capturing new value from this opportunity can start with investment in health information exchange and the creation of Smart Health Communities. By shifting the focus of exchange from public servant to value-added service provider, these communities can serve as a platform for a wider array of wellness services from consumer care, traditional healthcare, and research.

  8. The Secure Information Exchange (SIX) Project at the OPCW

    International Nuclear Information System (INIS)

    Gulay, M.; Milenkovic, G.

    2015-01-01

    The Chemical Weapons Convention (CWC) entered into force in 1997 and the member states of the Organisation for the Prohibition of Chemical Weapons (OPCW) have obligations for making declarations under various articles of the convention. These declarations could contain confidential information and until recently the only mechanism to submit confidential information to the OPCW Technical Secretariat was through physical delivery by the permanent representatives of the member states which introduced delays in the exchange of information in general. In 2012, the Technical Secretariat initiated a strategic project to establish a secure electronic transmission channel that could be used as an alternative option for the exchange of information between the Technical Secretariat and the member states. The Secure Information Exchange (SIX) Project has been given priority by the Director-General and it received support from the member states. A core project team comprising representatives of the main business unit, the office of legal affairs, IT security and implementation teams were established. Following a feasibility study and with continuous communication with the representatives of the member states, the pilot phase of the project was completed successfully in 2013. In the near future, the project will go live and the member states and the Technical Secretariat will benefit from this key initiative. This paper aims to provide an overview of the project: the solution approach, data gathered in order to assess the delays in communication through traditional means, IT security and implementation issues as well as the legal considerations. (author)

  9. ORGANIZATIONAL, LEGAL AND TECHNOLOGICAL ASPECTS OF HEALTH INFORMATION EXCHANGE

    Directory of Open Access Journals (Sweden)

    N. A. Karasev

    2017-01-01

    Full Text Available The article discusses organizational and legal aspects of electronic health information exchange in developed countries, particularly, introduction of electronic medical records in the United States and Europe, as well as topical issues related to standardization of information technologies in health care. We briefly describe the most popular standards used in e-medicine, such as Digital Imaging and Communications in Medicine (DICOM, openEHR and HL7. The questions of syntactic and semantic interoperability in the exchange of electronic medical records and some aspects of the digital signature use are also considered. We suggest mechanisms for implementation of electronic document management and sharing of digital medical information, as one of the most important directions of information technologies in health care. It is noted that today, the main limiting factor in providing the digital exchange of health information in Russian Federation is unresolved legal issues, i.e. the absence of a legal framework of electronic medical records share. At the same time, the level of IT development in our country is quite sufficient to meet current challenges. It is stated that, despite the unresolved number of problems (for example, completeness of medical data on a patient, given to relatives in critical situations, the adoption of a single electronic card is able to bring medical care to a new level, especially in emergency and urgent medicine.

  10. The impact of leader-member exchange (LMX) on work-family interference and work-family facilitation

    OpenAIRE

    Tummers, Lars; Bronkhorst, Babette

    2014-01-01

    markdownabstract__Abstract__ Purpose – We analyze the effects of leadership on work-family spillovers. Specifically, we analyze the relationships between leadership (leader-member exchange, LMX) with one negative work-family spillover effect (work-family interference) and one positive work-family spillover effect (work-family facilitation). We hypothesize that LMX influences work-family spillover via different mediators, rather than one all-encompassing mediator, such as empowerment. Design/m...

  11. Investigating the Challenges and Opportunities in Home Care to Facilitate Effective Information Technology Adoption.

    Science.gov (United States)

    Koru, Güneş; Alhuwail, Dari; Topaz, Maxim; Norcio, Anthony F; Mills, Mary Etta

    2016-01-01

    As home care utilization increases, information technology (IT) becomes a critical tool for providing quality home care. However, most home health agencies (HHAs) in the United States are in a position to adopt and leverage IT solutions in budget-constrained settings, where it is crucial to address important and pressing challenges and opportunities for achieving effectiveness in IT adoption. (1) Explore HHAs' challenges and opportunities related to delivering home care as well as performing administrative functions and conducting business, (2) learn about current IT implementation levels and activities in home care, and (3) make recommendations to facilitate efforts and initiatives designed for adopting IT in home care effectively. Semistructured interviews were conducted to elicit rich contextual information from the participants recruited from 13 local HHAs in one of the states in the United States. Established systems analysis techniques were used to ask questions during the interviews. Framework, a qualitative research method, was used to analyze the qualitative data obtained from the interviews. Coordinating clinical and administrative workflows was an important challenge. Inadequate access to patients' medical history and difficulties with medication reconciliation detracted from the quality of care. Hiring, training, scheduling, and retaining qualified personnel constituted another important challenge. Training and educating patients, caregivers, and families hold important opportunities for improving the quality of care. All except one HHA adopted electronic health records (EHR) but many continued to struggle considerably in their day-to-day functions. Health information exchange (HIE) seems to be the most needed technology. Telehealth solutions were perceived to be promising but their added value and financial viability in the long run were questioned. The recommendations for effective IT adoption include keeping a quality improvement focus, keeping a

  12. INDC correspondents for the exchange of nuclear data information

    International Nuclear Information System (INIS)

    1980-05-01

    This list serves as a basis for the distribution of documents originated by or for the International Nuclear Data Committee and includes the names of all recipients of INDC documents. The INDC Secretariat tries to maintain this list up-to-date in order to facilitate an efficient interchange of information on nuclear data topics

  13. INDC correspondents for the exchange of nuclear data information

    International Nuclear Information System (INIS)

    1979-05-01

    This list serves as a basis for the distribution of documents originated by or for the International Nuclear Data Committee and includes the names of all recipients of INDC documents. The INDC Secretariat tries to maintain this list up-to-date in order to facilitate an efficient interchange of information on nuclear data topics

  14. Operation of the power information center: Performance of secretariat functions and information exchange activities in the advanced power field of the interagency advanced power group

    Science.gov (United States)

    1983-01-01

    Highlights of activities conducted during the reporting period to facilitate the exchange of technical information among scientists and engineers both within the federal government and within industry are cited. Interagency Advanced Power Group meetings and special efforts, project briefs, and organization development are considered.

  15. Facilitating out-of-home caregiving through health information technology: survey of informal caregivers' current practices, interests, and perceived barriers.

    Science.gov (United States)

    Zulman, Donna M; Piette, John D; Jenchura, Emily C; Asch, Steven M; Rosland, Ann-Marie

    2013-07-10

    Many patients with chronic conditions are supported by out-of-home informal caregivers-family members, friends, and other individuals who provide care and support without pay-who, if armed with effective consumer health information technology, could inexpensively facilitate their care. We sought to understand caregivers' use of, interest in, and perceived barriers to health information technology for out-of-home caregiving. We conducted 2 sequential Web-based surveys with a national sample of individuals who provide out-of-home caregiving to an adult family member or friend with a chronic illness. We queried respondents about their use of health information technology for out-of-home caregiving and used multivariable regression to investigate caregiver and care-recipient characteristics associated with caregivers' technology use for caregiving. Among 316 out-of-home caregiver respondents, 34.5% (109/316) reported using health information technology for caregiving activities. The likelihood of a caregiver using technology increased significantly with intensity of caregiving (as measured by number of out-of-home caregiving activities). Compared with very low intensity caregivers, the adjusted odds ratio (OR) of technology use was 1.88 (95% CI 1.01-3.50) for low intensity caregivers, 2.39 (95% CI 1.11-5.15) for moderate intensity caregivers, and 3.70 (95% CI 1.62-8.45) for high intensity caregivers. Over 70% (149/207) of technology nonusers reported interest in using technology in the future to support caregiving. The most commonly cited barriers to technology use for caregiving were health system privacy rules that restrict access to care-recipients' health information and lack of familiarity with programs or websites that facilitate out-of-home caregiving. Health information technology use for out-of-home caregiving is common, especially among individuals who provide more intense caregiving. Health care systems can address the mismatch between caregivers' interest

  16. Firm handling; the information exchange interaction by parents in paediatric care – An observational study

    Directory of Open Access Journals (Sweden)

    Carina Berterö

    2011-01-01

    Full Text Available Background: Information exchange is fundamental in the paediatric care encounter. Health care professionals need further background knowledge to encounter the parents/guardians from their perspective in their minors’ paediatric care. The parents’/guardians’ ability to manage the situation is dependent on their receiving optimal information, which is why it is important to study how information is exchanged.Aim: The aim of this study was to identify, describe and conceptualize how parents/guardians resolved their main concern ininformation exchange with health care professionals in paediatric care situations involving their minors.Methodology: Glaser’s grounded theory method was used and all data were analysed using constant comparative analysis. The observational study took place at three paediatric outpatient units at a university hospital and 24 parents/guardians participated. Data sources were field notes from 37 observations of paediatric care situations and five adherent excerpts from the minors’ medical records. Grounded theory is a method of conceptualising behaviour, which is why an observational study of parents’/guardians’ information exchange and social interaction in the context of nursing care is relevant as research design.Results: Firm handling was revealed as the way the parents/guardians resolved their main concerns when they were exchanging information about their minors’ paediatric care. Firm handling is built on five inter-related categories: representative advocating, collaborating, aim sharing, supportive resourcing and minor bypassing.Conclusions: This knowledge suggests possible ways for health care professionals to design paediatric care that supports, facilitates, strengthens and improves the parents’/guardians’ firm handling. The key issue is to find ways to support parents/guardians and minors so they can participate in health care encounters according to their preferences. Firm handling gives an

  17. Finite-Time Approach to Microeconomic and Information Exchange Processes

    Directory of Open Access Journals (Sweden)

    Serghey A. Amelkin

    2009-07-01

    Full Text Available Finite-time approach allows one to optimize regimes of processes in macrosystems when duration of the processes is restricted. Driving force of the processes is difference of intensive variables: temperatures in thermodynamics, values in economics, etc. In microeconomic systems two counterflow fluxes appear due to the only driving force. They are goods and money fluxes. Another possible case is two fluxes with the same direction. The processes of information exchange can be described by this formalism.

  18. Leader-Member Exchange Relationships in Health Information Management

    OpenAIRE

    Hunt, T.J.

    2014-01-01

    This article seeks to raise awareness of the leader-member exchange (LMX) theory of leadership and its potential benefit to the health information management (HIM) profession. A literature review that was conducted identified a leadership challenge for HIM practitioners. The review also provides examples of leadership definitions, and potential benefits of LMX to HIM professionals in leading people and influencing leaders in their organizations. The LMX concept may be an avenue to investigate...

  19. Data Leakage Prevention for Secure Cross-Domain Information Exchange

    OpenAIRE

    Nordbotten, Nils Agne; Engelstad, Paal E.; Kongsgård, Kyrre Wahl; Haakseth, Raymond; Mancini, Federico

    2017-01-01

    Cross-domain information exchange is an increasingly important capability for conducting efficient and secure operations, both within coalitions and within single nations. A data guard is a common cross-domain sharing solution that inspects the security labels of exported data objects and validates that they are such that they can be released according to policy. While we see that guard solutions can be implemented with high assurance, we find that obtaining an equivalent level of assurance i...

  20. Information delivery manuals to facilitate it supported energy analysis

    DEFF Research Database (Denmark)

    Mondrup, Thomas Fænø; Karlshøj, Jan; Vestergaard, Flemming

    In response to continuing Building Information Modeling (BIM) progress, building performance simulation tools such as IESVE are being utilized to explore construction projects and influence design decisions with increasing frequency. To maximize the potential of these tools, a specification...

  1. Closed Loop Brain Model of Neocortical Information Based Exchange

    Directory of Open Access Journals (Sweden)

    James eKozloski

    2016-01-01

    Full Text Available Here we describe an information based exchange' model of brain function that ascribes to neocortex, basal ganglia, and thalamus distinct network functions. The model allows us to analyze whole brain system set point measures, such as the rate and heterogeneity of transitions in striatum and neocortex, in the context of neuromodulation and other perturbations. Our closed-loop model is grounded in neuroanatomical observations, proposing a novel Grand Loop through neocortex, and invokes different forms of plasticity at specific tissue interfaces and their principle cell synapses to achieve these transitions. By implementing a system for maximum information based exchange of action potentials between modeled neocortical areas, we observe changes to these measures in simulation. We hypothesize that similar dynamic set points and modulations exist in the brain's resting state activity, and that different modifications to information based exchange may shift the risk profile of different component tissues, resulting in different neurodegenerative diseases. This model is targeted for further development using IBM's Neural Tissue Simulator, which allows scalable elaboration of networks, tissues, and their neural and synaptic components towards ever greater complexity and biological realism.

  2. Acclimation of a terrestrial plant to submergence facilitates gas exchange under water

    NARCIS (Netherlands)

    Mommer, L.; Pedersen, O.; Visser, E.J.W.

    2004-01-01

    Flooding imposes stress upon terrestrial plants since it severely hampers gas exchange rates between the shoot and the environment. The resulting oxygen deficiency is considered to be the major problem for submerged plants. Oxygen microelectrode studies have, however, shown that aquatic plants

  3. Information Exchange among COG Member Stations, Utility/AECL Design and External Nuclear Organizations

    International Nuclear Information System (INIS)

    Turner, Dave

    1998-01-01

    The paper presents the COG Information Exchange Program the mandate of which reads: 'To promote the safety reliability and excellence of CANDU plants worldwide by facilitating the sharing of operating experience amongst the members of COG'. To fulfill its mandate the COG operates Information Exchange Program which: 1. Provides a user-friendly facility, COGNET, for staff of COG member organizations to communicate with each other and with external stations, utilities and organizations on topics applicable to CANDU operation, safety, maintenance, design and performance; 2. Offers one-stop shopping for information applicable to the design, operation, maintenance, safety and performance of CANDU's; 3. Reports and compares the performance of all CANDU stations; 4. Organizes opportunities for individuals involved with the operation of CANDU's to meet with their peers and with CANDU industry experts to share operating experience; 5. Facilitates the identification of generic CANDU problems which leads to the addressing of these problems by others through co-operative projects, designer feedback and R and D programs. The paper has the following content: 1. COGNET; 1.1. COGNET Message Forums; 1.2. COGNET Operations Forums; 1.3. COGNET Private Messages; 2. Report Databases and Library; 2.1. REPEX (Technical Reports); 2.2. PCN (CANDU Plant Modifications); 2.3. SEREX (CANDU Station Events); 2.4. INPO (International Events); 3. CANDU Performance; 3.1. COG NEWSLETTERS; 3.2. Performance Indicators; 4. Workshops; 4.1. COG Workshops

  4. Acclimation of a terrestrial plant to submergence facilitates gas exchange under water

    DEFF Research Database (Denmark)

    Mommer, L.; Pedersen, O.; Visser, E. J. W.

    2004-01-01

    Flooding imposes stress upon terrestrial plants since it severely hampers gas exchange rates between the shoot and the environment. The resulting oxygen deficiency is considered to be the major problem for submerged plants. Oxygen microelectrode studies have, however, shown that aquatic plants...... of this terrestrial plant species to submergence for gas exchange capacity is also shown. Shoot acclimation to submergence involved a reduction of the diffusion resistance to gases, which was not only functional by increasing diffusion of oxygen into the plant, but also by increasing influx of CO2, which enhances...... maintain relatively high internal oxygen pressures under water, and even may release oxygen via the roots into the sediment, also in dark. Based on these results, we challenge the dogma that oxygen pressures in submerged terrestrial plants immediately drop to levels at which aerobic respiration is impaired...

  5. Information Exchange of the Atomic Energy Society of Japan with Nuclear Societies Worldwide

    International Nuclear Information System (INIS)

    Masao Hori; Yasushi Tomita

    2000-01-01

    This paper describes committees of the Atomic Energy Society of Japan (AESJ) related to information exchange, AESJ publications, AESJ Internet applications, and means for future information exchange between nuclear societies

  6. Towards a multi-agent system for regulated information exchange in crime investigations

    NARCIS (Netherlands)

    Dijkstra, Pieter; Prakken, H.; Vey Mestdagh, C.N.J. de

    2005-01-01

    This paper outlines a multi-agent architecture for regulated information exchange of crime investigation data between police forces. Interactions between police officers about information exchange are analysed as negotiation dialogues with embedded persuasion dialogues. An architecture is then

  7. An Exponential Increase in Regional Health Information Exchange With Collaborative Policies and Technologies.

    Science.gov (United States)

    Downing, N Lance; Lane, Steven; Eisenberg, Mathew; Sharp, Christopher; Palma, Jonathan; Longhurst, Christopher

    2015-01-01

    In the United States, the ability to securely exchange health information between organization has been limited by technical interoperability, patient identity matching, and variable institutional policies. Here, we examine the regional experience in a national health information exchange network by examining clinical data sharing between eleven Northern California organizations using the same health information exchange (HIE) platform between 2013-2014. We identify key policies and technologies that have led to a dramatic increase in health information exchange.

  8. Learning from Health Information Exchange Technical Architecture and Implementation in Seven Beacon Communities

    Science.gov (United States)

    McCarthy, Douglas B.; Propp, Karen; Cohen, Alexander; Sabharwal, Raj; Schachter, Abigail A.; Rein, Alison L.

    2014-01-01

    As health care providers adopt and make “meaningful use” of health information technology (health IT), communities and delivery systems must set up the infrastructure to facilitate health information exchange (HIE) between providers and numerous other stakeholders who have a role in supporting health and care. By facilitating better communication and coordination between providers, HIE has the potential to improve clinical decision-making and continuity of care, while reducing unnecessary use of services. When implemented as part of a broader strategy for health care delivery system and payment reform, HIE capability also can enable the use of analytic tools needed for population health management, patient engagement in care, and continuous learning and improvement. The diverse experiences of seven communities that participated in the three-year federal Beacon Community Program offer practical insight into factors influencing the technical architecture of exchange infrastructure and its role in supporting improved care, reduced cost, and a healthier population. The case studies also document challenges faced by the communities, such as significant time and resources required to harmonize variations in the interpretation of data standards. Findings indicate that their progress developing community-based HIE strategies, while driven by local needs and objectives, is also influenced by broader legal, policy, and market conditions. PMID:25848591

  9. Learning from health information exchange technical architecture and implementation in seven beacon communities.

    Science.gov (United States)

    McCarthy, Douglas B; Propp, Karen; Cohen, Alexander; Sabharwal, Raj; Schachter, Abigail A; Rein, Alison L

    2014-01-01

    As health care providers adopt and make "meaningful use" of health information technology (health IT), communities and delivery systems must set up the infrastructure to facilitate health information exchange (HIE) between providers and numerous other stakeholders who have a role in supporting health and care. By facilitating better communication and coordination between providers, HIE has the potential to improve clinical decision-making and continuity of care, while reducing unnecessary use of services. When implemented as part of a broader strategy for health care delivery system and payment reform, HIE capability also can enable the use of analytic tools needed for population health management, patient engagement in care, and continuous learning and improvement. The diverse experiences of seven communities that participated in the three-year federal Beacon Community Program offer practical insight into factors influencing the technical architecture of exchange infrastructure and its role in supporting improved care, reduced cost, and a healthier population. The case studies also document challenges faced by the communities, such as significant time and resources required to harmonize variations in the interpretation of data standards. Findings indicate that their progress developing community-based HIE strategies, while driven by local needs and objectives, is also influenced by broader legal, policy, and market conditions.

  10. A strategic gaming model for health information exchange markets.

    Science.gov (United States)

    Martinez, Diego A; Feijoo, Felipe; Zayas-Castro, Jose L; Levin, Scott; Das, Tapas K

    2018-03-01

    Current market conditions create incentives for some providers to exercise control over patient data in ways that unreasonably limit its availability and use. Here we develop a game theoretic model for estimating the willingness of healthcare organizations to join a health information exchange (HIE) network and demonstrate its use in HIE policy design. We formulated the model as a bi-level integer program. A quasi-Newton method is proposed to obtain a strategy Nash equilibrium. We applied our modeling and solution technique to 1,093,177 encounters for exchanging information over a 7.5-year period in 9 hospitals located within a three-county region in Florida. Under a set of assumptions, we found that a proposed federal penalty of up to $2,000,000 has a higher impact on increasing HIE adoption than current federal monetary incentives. Medium-sized hospitals were more reticent to adopt HIE than large-sized hospitals. In the presence of collusion among multiple hospitals to not adopt HIE, neither federal incentives nor proposed penalties increase hospitals' willingness to adopt. Hospitals' apathy toward HIE adoption may threaten the value of inter-connectivity even with federal incentives in place. Competition among hospitals, coupled with volume-based payment systems, creates no incentives for smaller hospitals to exchange data with competitors. Medium-sized hospitals need targeted actions (e.g., outside technological assistance, group purchasing arrangements) to mitigate market incentives to not adopt HIE. Strategic game theoretic models help to clarify HIE adoption decisions under market conditions at play in an extremely complex technology environment.

  11. Prolegomena to a theory of nuclear information exchange

    International Nuclear Information System (INIS)

    Van Nuffelen, Dominique

    1997-01-01

    From the researcher's point of view, the communications with the agricultural populations in case of radiological emergency can not be anything else but the application of a theory of nuclear information exchange among social groups. Consequently, it is essentially necessary to work out such a theory, the prolegomena of which are exposed in this paper. It describes an experiment conducted at 'Service de protection contre les radiations ionisantes' - Belgium (SPRI), and proposes an investigation within the scientific knowledge in this matter. The available empirical and theoretical data allow formulating pragmatic recommendations, among which the principal one is the necessity of creating in normal radiological situation of a number of scenarios of messages adapted to the agricultural populations. The author points out that in order to be perfectly adapted these scenarios must been negotiated between the emitter and receiver. If this condition is satisfied the information in case of nuclear emergency will really be an exchange of knowledge between experts and the agricultural population i.e. a 'communication'

  12. Health information exchange implementation: lessons learned and critical success factors from a case study.

    Science.gov (United States)

    Feldman, Sue S; Schooley, Benjamin L; Bhavsar, Grishma P

    2014-08-15

    Much attention has been given to the proposition that the exchange of health information as an act, and health information exchange (HIE), as an entity, are critical components of a framework for health care change, yet little has been studied to understand the value proposition of implementing HIE with a statewide HIE. Such an organization facilitates the exchange of health information across disparate systems, thus following patients as they move across different care settings and encounters, whether or not they share an organizational affiliation. A sociotechnical systems approach and an interorganizational systems framework were used to examine implementation of a health system electronic medical record (EMR) system onto a statewide HIE, under a cooperative agreement with the Office of the National Coordinator for Health Information Technology, and its collaborating organizations. The objective of the study was to focus on the implementation of a health system onto a statewide HIE; provide insight into the technical, organizational, and governance aspects of a large private health system and the Virginia statewide HIE (organizations with the shared goal of exchanging health information); and to understand the organizational motivations and value propositions apparent during HIE implementation. We used a formative evaluation methodology to investigate the first implementation of a health system onto the statewide HIE. Qualitative methods (direct observation, 36 hours), informal information gathering, semistructured interviews (N=12), and document analysis were used to gather data between August 12, 2012 and June 24, 2013. Derived from sociotechnical concepts, a Blended Value Collaboration Enactment Framework guided the data gathering and analysis to understand organizational stakeholders' perspectives across technical, organizational, and governance dimensions. Several challenges, successes, and lessons learned during the implementation of a health system to the

  13. [Information exchange via internet--possibilities, limits, future].

    Science.gov (United States)

    Schmiedl, S; Geishauser, M; Klöppel, M; Biemer, E

    1998-01-01

    Today, the exchange of information in the Internet is dominated by the WWW and e-mail. Discussion groups like mailing lists and newsgroups also permit communication in groups. Information retrieval becomes a crucial challenge in using the Internet. In the field of medicine, three more aspects are of special importance: privacy, legal requirements, and the necessity of transferring large amounts of data. For these problems, today's Internet doesn't provide a sufficient solution yet. Future developments will not only improve the existing services, but also lead to fundamental changes in the transfer technologies: Safer data transfer is to be ensured by new encrypting software together with the planned transfer protocol IPv6. Introducing the new transfer mode ATM will lead to better and resource saving transmission. Computer, telephone and TV networks will grow together, resulting in convergence of media.

  14. Possible Strategies for Facilitating the Exchange of Tacit Knowledge in a Team of Creative Professionals

    DEFF Research Database (Denmark)

    Frimodt-Møller, Søren; Borum, Nanna; Petersson, Eva

    2015-01-01

    by the authors, a preference for analog tools over digital has been detected among creative professionals. In a new series of interviews done at the same workplace, it is shown that it is possible for a designer to build up tacit knowledge of the field in which he works, for use in a digital environment. Using......This paper discusses strategies for improving how creative professionals embrace new digital tools into their workflow, in context of the EU-funded international research project IdeaGarden, which aims at developing tools and scenarios that facilitate creative collaboration. In previous research...... making amendments to the physical arrangement of the workplace....

  15. INDC correspondents for the exchange of nuclear data information

    International Nuclear Information System (INIS)

    1983-05-01

    This list serves as a basis for the distribution of documents originated by or for the International Nuclear Data Committee and includes the names of all recipients of INDC documents. The INDC Secretariat tries to maintain this list up-to-date in order to facilitate an efficient interchange of information on nuclear data topics. In this report, the names are listed in alphabetical order within each state or organization. The main list is followed by four shorter lists, indicating the names of individuals in each distribution category, and the total number of individuals in each category

  16. Agents Based e-Commerce and Securing Exchanged Information

    Science.gov (United States)

    Al-Jaljouli, Raja; Abawajy, Jemal

    Mobile agents have been implemented in e-Commerce to search and filter information of interest from electronic markets. When the information is very sensitive and critical, it is important to develop a novel security protocol that can efficiently protect the information from malicious tampering as well as unauthorized disclosure or at least detect any malicious act of intruders. In this chapter, we describe robust security techniques that ensure a sound security of information gathered throughout agent’s itinerary against various security attacks, as well as truncation attacks. A sound security protocol is described, which implements the various security techniques that would jointly prevent or at least detect any malicious act of intruders. We reason about the soundness of the protocol usingSymbolic Trace Analyzer (STA), a formal verification tool that is based on symbolic techniques. We analyze the protocol in key configurations and show that it is free of flaws. We also show that the protocol fulfils the various security requirements of exchanged information in MAS, including data-integrity, data-confidentiality, data-authenticity, origin confidentiality and data non-repudiability.

  17. Use of a simplified consent form to facilitate patient understanding of informed consent for laparoscopic cholecystectomy

    Directory of Open Access Journals (Sweden)

    Borello Alessandro

    2016-01-01

    Full Text Available Surgical informed consent forms can be complicated for patients to read and understand. We created a consent form with key information presented in bulleted texts and diagrams combined in a graphical format to facilitate the understanding of information during the verbal consent discussion.

  18. Exploring Business Strategy in Health Information Exchange Organizations.

    Science.gov (United States)

    Langabeer, James R; Champagne, Tiffany

    2016-01-01

    Unlike consumer goods industries, healthcare has been slow to implement technolo gies that support exchange of data in patients' health records. This results in avoid able medication errors, avoidable hospital readmissions, unnecessary duplicate testing, and other inefficient or wasteful practices. Community-based regional health information exchange (HIE) organizations have evolved in response to federal aims to encourage interoperability, yet little is known about their strategic approach. We use the lens of institutional and strategic management theories to empirically explore the differences in business strategies deployed in HIEs that are, to date, financially sustainable versus those that are not. We developed a 20-question survey targeted to CEOs to assess HIE business strategies. Our sample consisted of 60 community-based exchanges distributed throughout the United States, and we achieved a 58% response rate. Questions centered on competitive strategy and financial sustainability. We relied on logistic regression methods to explore relationships between variables. Our regression identified characteristics common to sustainable organizations. We defined sustainability as revenues exceeding operational costs. Seventeen of the 35 organizations (49%) defined themselves as currently sustainable. Focus and cost leadership strategies were significantly associated with sustainability. Growth strate gies, which were much more common than other strategies, were not associated with sustainability. We saw little evidence of a differentiation strategy (i.e., the basis of competition whereby the attributes of a product or service are unmatched by rivals). Most CEOs had a relatively optimistic outlook, with 60% stating they were confident of surviving over the next 5 years; however, nearly 9% of the organizations were in some phase of divestiture or exit from the market. HIEs are evolving differently based on local leadership decisions, yet their strategic approach is

  19. Barriers to cross--institutional health information exchange: a literature review.

    Science.gov (United States)

    Edwards, Ashley; Hollin, Ilene; Barry, Jeffrey; Kachnowski, Stan

    2010-01-01

    While the development of health information technology, particularly electronic health records (EHR), is a triumph for the advancement of healthcare, non-interoperable clinical data systems lead to fragmented communication and incomplete records. If interoperable HIT systems could be achieved integrated HIT could be leveraged to lessen medical errors, improve patient care and optimize epidemiological research. To understand the barriers to interoperability or health information exchange (HIE), we reviewed the literature on HIT and barriers to HIE. Our search yielded 492 articles, 25 meeting our inclusion criteria. In general, we found that the predominant barriers to HIE are need for standards, security concerns, economic loss to competitors, and federated systems. Research on interoperability is limited because most HIE programs are still in formative stages. More research is needed to fully understand interoperability of HIT, how to overcome the barriers to interoperability, and how to design HIT to better facilitate HIE.

  20. Information retrieval pathways for health information exchange in multiple care settings

    DEFF Research Database (Denmark)

    Kierkegaard, Patrick; Kaushal, Rainu; Vest, Joshua R.

    2014-01-01

    Objectives To determine which health information exchange (HIE) technologies and information retrieval pathways healthcare professionals relied on to meet their information needs in the context of laboratory test results, radiological images and reports, and medication histories. Study Design...... The study reveals that healthcare professionals used a complex combination of information retrieval pathways for HIE to obtain clinical information from external organizations. The choice for each approach was setting- and information-specific, but was also highly dynamic across users and their information...... needs. Conclusions Our findings about the complex nature of information sharing in healthcare provide insights for informatics professionals about the usage of information; indicate the need for managerial support within each organization; and suggest approaches to improve systems for organizations...

  1. Self-Service Banking: Value Creation Models and Information Exchange

    Directory of Open Access Journals (Sweden)

    Ragnvald Sannes

    2001-01-01

    Full Text Available This paper argues that most banks have failed to exploit the potential of self-service banking because they base their service design on an incomplete business model for self-service. A framework for evaluation of self-service banking concepts is developed on the basis of Stabell and Fjeldstad's three value configurations. The value network and the value shop are consistent with self-service banking while the value chain is inappropriate. The impact of the value configurations on information exchange and self-service functionality is discussed, and a framework for design of such services proposed. Current self-service banking practices are compared to the framework, and it is concluded that current practice matches the concept of a value network and not the value shop. However, current practices are only a partial implementation of a value network-based self-service banking concept.

  2. Electronic bulletin board system for image and information exchange

    International Nuclear Information System (INIS)

    Halama, J.R.; Henkin, R.E.; Wagner, R.H.

    1990-01-01

    This paper provides nuclear medicine professionals access to an electronic bulletin board (EBB) for image and information exchange. EBB users access the system remotely via modem and personal computer. A public message board is maintained containing messages posted by users. New messages or replies to existing messages may be posted. A public library board contains documents and images for users to access by transmitting them locally for off-line review. Comments and replies may be posted in the library board. New files may be posted in the library at any time. The EBB programs were developed on a multi-user computer system, allowing simultaneous access of users and on-line conferencing among active users

  3. Trex2 enables spontaneous sister chromatid exchanges without facilitating DNA double-strand break repair.

    Science.gov (United States)

    Dumitrache, Lavinia C; Hu, Lingchuan; Son, Mi Young; Li, Han; Wesevich, Austin; Scully, Ralph; Stark, Jeremy; Hasty, Paul

    2011-08-01

    Trex2 is a 3' → 5' exonuclease that removes 3'-mismatched sequences in a biochemical assay; however, its biological function remains unclear. To address biology we previously generated trex2(null) mouse embryonic stem (ES) cells and expressed in these cells wild-type human TREX2 cDNA (Trex2(hTX2)) or cDNA with a single-amino-acid change in the catalytic domain (Trex2(H188A)) or in the DNA-binding domain (Trex2(R167A)). We found the trex2(null) and Trex2(H188A) cells exhibited spontaneous broken chromosomes and trex2(null) cells exhibited spontaneous chromosomal rearrangements. We also found ectopically expressed human TREX2 was active at the 3' ends of I-SceI-induced chromosomal double-strand breaks (DSBs). Therefore, we hypothesized Trex2 participates in DNA DSB repair by modifying 3' ends. This may be especially important for ends with damaged nucleotides. Here we present data that are unexpected and prompt a new model. We found Trex2-altered cells (null, H188A, and R167A) were not hypersensitive to camptothecin, a type-1 topoisomerase inhibitor that induces DSBs at replication forks. In addition, Trex2-altered cells were not hypersensitive to γ-radiation, an agent that causes DSBs throughout the cell cycle. This observation held true even in cells compromised for one of the two major DSB repair pathways: homology-directed repair (HDR) or nonhomologous end joining (NHEJ). Trex2 deletion also enhanced repair of an I-SceI-induced DSB by both HDR and NHEJ without affecting pathway choice. Interestingly, however, trex2(null) cells exhibited reduced spontaneous sister chromatid exchanges (SCEs) but this was not due to a defect in HDR-mediated crossing over. Therefore, reduced spontaneous SCE could be a manifestation of the same defect that caused spontaneous broken chromosomes and spontaneous chromosomal rearrangements. These unexpected data suggest Trex2 does not enable DSB repair and prompt a new model that posits Trex2 suppresses the formation of broken

  4. The Role of New Information Technologies in Facilitating Professional Reflective Practice across the Supervisory Triad.

    Science.gov (United States)

    Hodder, Jacqueline; Carter, David

    This study investigated the role of new information management technologies in facilitating student teacher supervision across the supervisory triad of student teacher, cooperating teacher, and university supervisor. The study investigated how data routinely generated by teachers and stored within an Instructional Information Management System…

  5. Exchanging environmental information and decision making: developing the local Pilot Environmental Virtual Observatory with stakeholder communities

    Science.gov (United States)

    Mackay, E.; Beven, K.; Brewer, P.; M, Haygarth, P.; Macklin, M.; Marshall, K.; Quinn, P.; Stutter, M.; Thomas, N.; Wilkinson, M.

    2012-04-01

    Public participation in the development of flood risk management and river basin management plans are explicit components of both the Water Framework and Floods Directives. At the local level, involving communities in land and water management has been found to (i) aid better environmental decision making, (ii) enhance social, economic and environmental benefits, and (iii) increase a sense of ownership. Facilitating the access and exchange of information on the local environment is an important part of this new approach to the land and water management process, which also includes local community stakeholders in decisions about the design and content of the information provided. As part of the Natural Environment Research Council's pilot Environment Virtual Observatory (EVO), the Local Level group are engaging with local community stakeholders in three different catchments in the UK (the rivers Eden, Tarland and Dyfi) to start the process of developing prototype visualisation tools to address the specific land and water management issues identified in each area. Through this local collaboration, we will provide novel visualisation tools through which to communicate complex catchment science outcomes and bring together different sources of environmental data in ways that better meet end-user needs as well as facilitate a far broader participatory approach in environmental decision making. The Local Landscape Visualisation Tools are being evolved iteratively during the project to reflect the needs, interests and capabilities of a wide range of stakeholders. The tools will use the latest concepts and technologies to communicate with and provide opportunities for the provision and exchange of information between the public, government agencies and scientists. This local toolkit will reside within a wider EVO platform that will include national datasets, models and state of the art cloud computer systems. As such, local stakeholder groups are assisting the EVO

  6. HEALTH RECORDS AND INFORMATION TECHNOLOGY IN SUPPORT OF EXCHANGE OF HEALTH INFORMATION

    Directory of Open Access Journals (Sweden)

    Jordan Deliversky

    2017-05-01

    Full Text Available The exchange of health information in conditions directly related to electronic environment is referred as health information technology. Usually the protection of personal health related data is comprised of various elements such as ways of information usage and access to sensitive health information. The protection of individually identifiable health information is possible with combination of measures. Protective measures include administrative, technical and physical elements. Through such protective measures is possible to ensure confidentiality, integrity and availability of the information, while at the same time could be guaranteed the prevention of unauthorized access. Sensitive records usually contain personal health information. Personal medical data requires high level of protection, as its content includes medical condition or diagnosis, where unauthorized access could have negative impact on one’s personal and professional life.

  7. Secure Information Exchange Gateway for Electric Grid Operations

    Energy Technology Data Exchange (ETDEWEB)

    Robertson, F. Russell [Grid Protection Alliance, Chattanooga, TN (United States); Carroll, J. Ritchie [Grid Protection Alliance, Chattanooga, TN (United States); Sanders, William [Univ. of Illinois, Urbana-Champaign, IL (United States); Yardley, Timothy [Univ. of Illinois, Urbana-Champaign, IL (United States); Heine, Erich [Univ. of Illinois, Urbana-Champaign, IL (United States); Hadley, Mark [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); McKinnon, David [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Motteler, Barbara [Alstom Grid Inc., Levallois-Perret Cedex (France); Giri, Jay [Grid Protection Alliance, Chattanooga, TN (United States); Walker, William [PJM Interconnection (PJM), Norristown, PA (United States); McCartha, Esrick [PJM Interconnection (PJM), Norristown, PA (United States)

    2014-09-30

    The major objectives of the SIEGate project were to improve the security posture and minimize the cyber-attack surface of electric utility control centers and to reduce the cost of maintaining control-room-to-control-room information exchange. Major project goals included the design, development, testing, and commercialization of a single security-hardened appliance that could meet industry needs for resisting cyber-attacks while protecting the confidentiality and integrity of a growing volume of real-time information needed to ensure the reliability of the bulk electric system and interoperating with existing data formats and networking technologies. The SIEGate project has achieved its goals and objectives. The SIEGate Design Document, issued in March 2012, presented SIEGate use cases, provided SIEGate requirements, established SIEGate design principles, and prescribed design functionality of SIEGate as well as the components that make up SIEGate. SIEGate Release Version 1.0 was posted in January 2014. Release Version 1.0.83, which was posted on March 28, 2014, fixed many issues discovered by early adopters and added several new features. Release Candidate 1.1, which added additional improvements and bug fixes, was posted in June 2014. SIEGate executables have been downloaded more than 300 times. SIEGate has been tested at PJM, Entergy, TVA, and Southern. Security testing and analysis of SIEGate has been conducted at PNNL and PJM. Alstom has provided a summary of recommended steps for commercialization of the SIEGate Appliance and identified two deployment models with immediate commercial application.

  8. e-Government for Development Information Exchange (DIE): Zambia

    Science.gov (United States)

    Joseph, Bwalya Kelvin

    In most parts of the world, political systems which utilize authoritative rule and mostly employ top-down decision-making processes are slowly transcending towards democratic norms. Information Technology Systems have been identified and adopted as one of the most efficient vehicles for appropriate, transparent and inclusive / participatory decision making. Zambia has shown a higher propensity to indigenous knowledge systems which are full of inefficiencies, a lot of red tape in public service delivery, and prone to corrupt practices. Despite that being the case, it is slowly trying to implement e-government. The adoption of e-government promises a sharp paradigm shift where public institutions will be more responsive and transparent, promote efficient PPP (Public Private Partnerships), and empower citizens by making knowledge and other resources more directly accessible. This paper examines three cases from Zambia where ICT in support of e-government has been implemented for Development Information Exchange (DIE) - knowledge-based decision making. The paper also assesses the challenges, opportunities, and issues together with e-government adoption criteria regarding successful encapsulation of e-government into the Zambian contextual environment. I propose a conceptual model which offers balanced e-government adoption criteria involving a combination of electronic and participatory services. This conceptual e-government adoption model can later be replicated to be used at the Southern African Development Community (SADC) level given the similarity in the contextual environment.

  9. Effects of health information exchange adoption on ambulatory testing rates.

    Science.gov (United States)

    Ross, Stephen E; Radcliff, Tiffany A; Leblanc, William G; Dickinson, L Miriam; Libby, Anne M; Nease, Donald E

    2013-01-01

    To determine the effects of the adoption of ambulatory electronic health information exchange (HIE) on rates of laboratory and radiology testing and allowable charges. Claims data from the dominant health plan in Mesa County, Colorado, from 1 April 2005 to 31 December 2010 were matched to HIE adoption data on the provider level. Using mixed effects regression models with the quarter as the unit of analysis, the effect of HIE adoption on testing rates and associated charges was assessed. Claims submitted by 306 providers in 69 practices for 34 818 patients were analyzed. The rate of testing per provider was expressed as tests per 1000 patients per quarter. For primary care providers, the rate of laboratory testing increased over the time span (baseline 1041 tests/1000 patients/quarter, increasing by 13.9 each quarter) and shifted downward with HIE adoption (downward shift of 83, prates or imputed charges in either provider group. Ambulatory HIE adoption is unlikely to produce significant direct savings through reductions in rates of testing. The economic benefits of HIE may reside instead in other downstream outcomes of better informed, higher quality care.

  10. Use of a simplified consent form to facilitate patient understanding of informed consent for laparoscopic cholecystectomy

    OpenAIRE

    Borello Alessandro; Ferrarese Alessia; Passera Roberto; Surace Alessandra; Marola Silvia; Buccelli Claudio; Niola Massimo; Di Lorenzo Pierpaolo; Amato Maurizio; Di Domenico Lorenza; Solej Mario; Martino Valter

    2016-01-01

    Abstract Background Surgical informed consent forms can be complicated for patients to read and understand. We created a consent form with key information presented in bulleted texts and diagrams combined in a graphical format to facilitate the understanding of information during the verbal consent discussion. Methods This prospective, randomized study involved 70 adult patients awaiting cholecystectomy for gallstones. Consent was obtained after standard verbal explanation using either a grap...

  11. Improving performance in the ED through laboratory information exchange systems.

    Science.gov (United States)

    Raymond, Louis; Paré, Guy; Maillet, Éric; Ortiz de Guinea, Ana; Trudel, Marie-Claude; Marsan, Josianne

    2018-03-12

    The accessibility of laboratory test results is crucial to the performance of emergency departments and to the safety of patients. This study aims to develop a better understanding of which laboratory information exchange (LIE) systems emergency care physicians (ECPs) are using to consult their patients' laboratory test results and which benefits they derive from such use. A survey of 163 (36%) ECPs in Quebec was conducted in collaboration with the Quebec's Department of Health and Social Services. Descriptive statistics, chi-square tests, cluster analyses, and ANOVAs were conducted. The great majority of respondents indicated that they use several LIE systems including interoperable electronic health record (iEHR) systems, laboratory results viewers (LRVs), and emergency department information systems (EDIS) to consult their patients' laboratory results. Three distinct profiles of LIE users were observed. The extent of LIE usage was found to be primarily determined by the functional design differences between LIE systems available in the EDs. Our findings also indicate that the more widespread LIE usage, the higher the perceived benefits. More specifically, physicians who make extensive use of iEHR systems and LRVs obtain the widest range of benefits in terms of efficiency, quality, and safety of emergency care. Extensive use of LIE systems allows ECPs to better determine and monitor the health status of their patients, verify their diagnostic assumptions, and apply evidence-based practices in laboratory medicine. But for such benefits to be possible, ECPs must be provided with LIE systems that produce accurate, up-to-date, complete, and easy-to-interpret information.

  12. GrabBlur--a framework to facilitate the secure exchange of whole-exome and -genome SNV data using VCF files.

    Science.gov (United States)

    Stade, Björn; Seelow, Dominik; Thomsen, Ingo; Krawczak, Michael; Franke, Andre

    2014-01-01

    Next Generation Sequencing (NGS) of whole exomes or genomes is increasingly being used in human genetic research and diagnostics. Sharing NGS data with third parties can help physicians and researchers to identify causative or predisposing mutations for a specific sample of interest more efficiently. In many cases, however, the exchange of such data may collide with data privacy regulations. GrabBlur is a newly developed tool to aggregate and share NGS-derived single nucleotide variant (SNV) data in a public database, keeping individual samples unidentifiable. In contrast to other currently existing SNV databases, GrabBlur includes phenotypic information and contact details of the submitter of a given database entry. By means of GrabBlur human geneticists can securely and easily share SNV data from resequencing projects. GrabBlur can ease the interpretation of SNV data by offering basic annotations, genotype frequencies and in particular phenotypic information - given that this information was shared - for the SNV of interest. GrabBlur facilitates the combination of phenotypic and NGS data (VCF files) via a local interface or command line operations. Data submissions may include HPO (Human Phenotype Ontology) terms, other trait descriptions, NGS technology information and the identity of the submitter. Most of this information is optional and its provision at the discretion of the submitter. Upon initial intake, GrabBlur merges and aggregates all sample-specific data. If a certain SNV is rare, the sample-specific information is replaced with the submitter identity. Generally, all data in GrabBlur are highly aggregated so that they can be shared with others while ensuring maximum privacy. Thus, it is impossible to reconstruct complete exomes or genomes from the database or to re-identify single individuals. After the individual information has been sufficiently "blurred", the data can be uploaded into a publicly accessible domain where aggregated genotypes are

  13. Summary of JRC activities related to European-wide exchange of radiological information during nuclear emergencies

    International Nuclear Information System (INIS)

    De Court, M.; Vries de, G.; Galmarini, S.

    2003-01-01

    Full text: The large transboundary effects of the radioactive release during the Chernobyl accident evidenced the need for international provisions for data and Information exchange. The JRC, in its EC support activity to DG TREN H.4, called REM (Radioactivity Environmental Monitoring), has more than 10 years experience in developing systems to make early notification and reliable radiological information exchange available to the EU member states in case of nuclear accidents. The aim and status of these systems are described: 1.)ECURIE: The legal basis for the EC systems is the Council Decision 87/600 of 14 December 1987. It resulted in the ECURIE network which allows the EU Member States and Switzerland to notify an accident and to subsequently exchange the radiological information as required by this Council decision. The underlying information exchange code (C.1. structure) does not only provide radiological measurements, but also predicted values, site meteorological data and decisions taken. Software was developed to facilitate coding and decoding of the messages. Initially the messages were transmitted by telex. The latest software (CoDecS, in use since the beginning of 2001) uses ISDN and Internet for the Information exchange. lt runs an the Windows NT and 2000 platforms. Regular exercises test the communication system and the software. In view of improving the efficiency of data and Information transfer for their common Member States, the IAEA and the EC are harmonizing ECURIE and the ENATOM early notification system. A first result has been the definition of an enhanced CIS format. Modifications will be made to the CoDecs software and to the IAEA - ENAC website so that information can be exchanged between the two systems in an automated manner. The EC wishes to extend the ECURIE network to the EU candidate countries. The official agreements are in an advanced state and participation of many candidate countries is foreseen by the end of 2003. It is

  14. Imperatives in informal organizational resource exchange in Central Europe

    Directory of Open Access Journals (Sweden)

    David Jancsics

    2015-01-01

    Full Text Available This paper challenges the mainstream social scientific approach that emphasizes “moral inferiority” in corruption and bribery in Central and Eastern Europe. We argue that in many cases, people participate in informal organizational resource exchanges not because of immorality or greed but rather because of powerful external forces. By using the case of contemporary Hungary to support this argument, this paper provides a systematic analysis of such imperatives. The findings of 50 in-depth qualitative interviews suggest that two main imperatives can be distinguished; macro-level social and meso-level organizational forces. Macro-level forces may be linked to historical paths, Hungary's socialist and pre-socialist social conditions, and its post-socialist welfare state development. Meso-level organizational forces are more general phenomena and can be found in many other countries in the world. Moreover, there are numerous categories within each theme. Some of them represent normative imperatives, while others are more material structural forces.

  15. Public attitudes toward health information exchange: perceived benefits and concerns.

    Science.gov (United States)

    Dimitropoulos, Linda; Patel, Vaishali; Scheffler, Scott A; Posnack, Steve

    2011-12-01

    To characterize consumers' attitudes regarding the perceived benefits of electronic health information exchange (HIE), potential HIE privacy and security concerns, and to analyze the intersection of these concerns with perceived benefits. A cross-sectional study. A random-digit-dial telephone survey of English-speaking adults was conducted in 2010. Multivariate logistic regression models examined the association between consumer characteristics and concerns related to the security of electronic health records (EHRs) and HIE. A majority of the 1847 respondents reported they were either "very" or "somewhat" concerned about privacy of HIE (70%), security of HIE (75%), or security of EHRs (82%). Concerns were significantly higher (P security, and 60% would permit HIE for treatment purposes even if the physician might not be able to protect their privacy all of the time. Over half (52%) wanted to choose which providers access and share their data. Greater participation by consumers in determining how HIE takes place could engender a higher degree of trust among all demographic groups, regardless of their varying levels of privacy and security concerns. Addressing the specific privacy and security concerns of minorities, individuals 40 to 64 years old, and employed individuals will be critical to ensuring widespread consumer participation in HIE.

  16. How could health information exchange better meet the needs of care practitioners?

    Science.gov (United States)

    Kierkegaard, P; Kaushal, R; Vest, J R

    2014-01-01

    Health information exchange (HIE) has the potential to improve the quality of healthcare by enabling providers with better access to patient information from multiple sources at the point of care. However, HIE efforts have historically been difficult to establish in the US and the failure rates of organizations created to foster HIE have been high. We sought to better understand how RHIO-based HIE systems were used in practice and the challenges care practitioners face using them. The objective of our study were to so investigate how HIE can better meet the needs of care practitioners. We performed a multiple-case study using qualitative methods in three communities in New York State. We conducted interviews onsite and by telephone with HIE users and non-users and observed the workflows of healthcare professionals at multiple healthcare organizations participating in a local HIE effort in New York State. The empirical data analysis suggests that challenges still remain in increasing provider usage, optimizing HIE implementations and connecting HIE systems across geographic regions. Important determinants of system usage and perceived value includes users experienced level of available information and the fit of use for physician workflows. Challenges still remain in increasing provider adoption, optimizing HIE implementations, and demonstrating value. The inability to find information reduced usage of HIE. Healthcare organizations, HIE facilitating organizations, and states can help support HIE adoption by ensuring patient information is accessible to providers through increasing patient consents, fostering broader participation, and by ensuring systems are usable.

  17. Investing in International Information Exchange Activities to Improve the Safety, Cost Effectiveness and Schedule of Cleanup - 13281

    International Nuclear Information System (INIS)

    Seed, Ian; James, Paula; Mathieson, John; Judd, Laurie; Elmetti-Ramirez, Rosa; Han, Ana

    2013-01-01

    With decreasing budgets and increasing pressure on completing cleanup missions as quickly, safely and cost-effectively as possible, there is significant benefit to be gained from collaboration and joint efforts between organizations facing similar issues. With this in mind, the US Department of Energy (DOE) and the UK Nuclear Decommissioning Authority (NDA) have formally agreed to share information on lessons learned on the development and application of new technologies and approaches to improve the safety, cost effectiveness and schedule of the cleanup legacy wastes. To facilitate information exchange a range of tools and methodologies were established. These included tacit knowledge exchange through facilitated meetings, conference calls and Site visits as well as explicit knowledge exchange through document sharing and newsletters. A DOE web-based portal has been established to capture these exchanges and add to them via discussion boards. The information exchange is operating at the Government-to-Government strategic level as well as at the Site Contractor level to address both technical and managerial topic areas. This effort has resulted in opening a dialogue and building working relationships. In some areas joint programs of work have been initiated thus saving resource and enabling the parties to leverage off one another activities. The potential benefits of high quality information exchange are significant, ranging from cost avoidance through identification of an approach to a problem that has been proven elsewhere to cost sharing and joint development of a new technology to address a common problem. The benefits in outcomes significantly outweigh the costs of the process. The applicability of the tools and methods along with the lessons learned regarding some key issues is of use to any organization that wants to improve value for money. In the waste management marketplace, there are a multitude of challenges being addressed by multiple organizations and

  18. Investing in International Information Exchange Activities to Improve the Safety, Cost Effectiveness and Schedule of Cleanup - 13281

    Energy Technology Data Exchange (ETDEWEB)

    Seed, Ian; James, Paula [Cogentus Consulting (United States); Mathieson, John [NDA United Kingdom (United Kingdom); Judd, Laurie [NuVision Engineering, Inc. (United States); Elmetti-Ramirez, Rosa; Han, Ana [US DOE (United States)

    2013-07-01

    With decreasing budgets and increasing pressure on completing cleanup missions as quickly, safely and cost-effectively as possible, there is significant benefit to be gained from collaboration and joint efforts between organizations facing similar issues. With this in mind, the US Department of Energy (DOE) and the UK Nuclear Decommissioning Authority (NDA) have formally agreed to share information on lessons learned on the development and application of new technologies and approaches to improve the safety, cost effectiveness and schedule of the cleanup legacy wastes. To facilitate information exchange a range of tools and methodologies were established. These included tacit knowledge exchange through facilitated meetings, conference calls and Site visits as well as explicit knowledge exchange through document sharing and newsletters. A DOE web-based portal has been established to capture these exchanges and add to them via discussion boards. The information exchange is operating at the Government-to-Government strategic level as well as at the Site Contractor level to address both technical and managerial topic areas. This effort has resulted in opening a dialogue and building working relationships. In some areas joint programs of work have been initiated thus saving resource and enabling the parties to leverage off one another activities. The potential benefits of high quality information exchange are significant, ranging from cost avoidance through identification of an approach to a problem that has been proven elsewhere to cost sharing and joint development of a new technology to address a common problem. The benefits in outcomes significantly outweigh the costs of the process. The applicability of the tools and methods along with the lessons learned regarding some key issues is of use to any organization that wants to improve value for money. In the waste management marketplace, there are a multitude of challenges being addressed by multiple organizations and

  19. Observability and Estimation of Distributed Space Systems via Local Information-Exchange Networks

    Science.gov (United States)

    Fathpour, Nanaz; Hadaegh, Fred Y.; Mesbahi, Mehran; Rahmani, Amirreza

    2011-01-01

    Spacecraft formation flying involves the coordination of states among multiple spacecraft through relative sensing, inter-spacecraft communication, and control. Most existing formation-flying estimation algorithms can only be supported via highly centralized, all-to-all, static relative sensing. New algorithms are proposed that are scalable, modular, and robust to variations in the topology and link characteristics of the formation exchange network. These distributed algorithms rely on a local information exchange network, relaxing the assumptions on existing algorithms. Distributed space systems rely on a signal transmission network among multiple spacecraft for their operation. Control and coordination among multiple spacecraft in a formation is facilitated via a network of relative sensing and interspacecraft communications. Guidance, navigation, and control rely on the sensing network. This network becomes more complex the more spacecraft are added, or as mission requirements become more complex. The observability of a formation state was observed by a set of local observations from a particular node in the formation. Formation observability can be parameterized in terms of the matrices appearing in the formation dynamics and observation matrices. An agreement protocol was used as a mechanism for observing formation states from local measurements. An agreement protocol is essentially an unforced dynamic system whose trajectory is governed by the interconnection geometry and initial condition of each node, with a goal of reaching a common value of interest. The observability of the interconnected system depends on the geometry of the network, as well as the position of the observer relative to the topology. For the first time, critical GN&C (guidance, navigation, and control estimation) subsystems are synthesized by bringing the contribution of the spacecraft information-exchange network to the forefront of algorithmic analysis and design. The result is a

  20. How can knowledge exchange portals assist in knowledge management for evidence-informed decision making in public health?

    Science.gov (United States)

    Quinn, Emma; Huckel-Schneider, Carmen; Campbell, Danielle; Seale, Holly; Milat, Andrew J

    2014-05-12

    Knowledge exchange portals are emerging as web tools that can help facilitate knowledge management in public health. We conducted a review to better understand the nature of these portals and their contribution to knowledge management in public health, with the aim of informing future development of portals in this field. A systematic literature search was conducted of the peer-reviewed and grey literature to identify articles that described the design, development or evaluation of Knowledge Exchange Portals KEPs in the public health field. The content of the articles was analysed, interpreted and synthesised in light of the objectives of the review. The systematic search yielded 2223 articles, of which fifteen were deemed eligible for review, including eight case studies, six evaluation studies and one commentary article. Knowledge exchange portals mainly included design features to support knowledge access and creation, but formative evaluation studies examining user needs suggested collaborative features supporting knowledge exchange would also be useful. Overall web usage statistics revealed increasing use of some of these portals over time; however difficulties remain in retaining users. There is some evidence to suggest that the use of a knowledge exchange portal in combination with tailored and targeted messaging can increase the use of evidence in policy and program decision making at the organisational level. Knowledge exchange portals can be a platform for providing integrated access to relevant content and resources in one location, for sharing and distributing information and for bringing people together for knowledge exchange. However more performance evaluation studies are needed to determine how they can best support evidence-informed decision making in public health.

  1. Using Interactive "Shiny" Applications to Facilitate Research-Informed Learning and Teaching

    Science.gov (United States)

    Fawcett, Lee

    2018-01-01

    In this article we discuss our attempt to incorporate research-informed learning and teaching activities into a final year undergraduate Statistics course. We make use of the Shiny web-based application framework for R to develop "Shiny apps" designed to help facilitate student interaction with methods from recently published papers in…

  2. Attention and Facilitation: Converging Information Versus Inadvertent Reading in Stroop Task Performance

    NARCIS (Netherlands)

    Roelofs, A.P.A.

    2010-01-01

    Disagreement exists about whether color-word Stroop facilitation is caused by converging information (e.g.. Cohen et al.. 1990: Roelofs, 2003) or inadvertent reading (MacLeod & MacDonald, 2000). Four experiments tested between these hypotheses by examining Stroop effects oil response time (RT) both

  3. Attention and Facilitation: Converging Information versus Inadvertent Reading in Stroop Task Performance

    Science.gov (United States)

    Roelofs, Ardi

    2010-01-01

    Disagreement exists about whether color-word Stroop facilitation is caused by converging information (e.g., Cohen et al., 1990; Roelofs, 2003) or inadvertent reading (MacLeod & MacDonald, 2000). Four experiments tested between these hypotheses by examining Stroop effects on response time (RT) both within and between languages. Words cannot be…

  4. Data exchange facilitated

    NARCIS (Netherlands)

    Ma, X.; Asch, K.; Laxton, J.L.; Richard, S.M.; Asato, C.G.; Carranza, E.J.M.; Meer, F.D. van der; Wu, C.; Duclaux, G.; Wakita, K.

    2011-01-01

    A recent Commentary in Nature Geoscience points out a gap between the principles and actions of data sharing in geoscience, and urges professional support for the archiving of data during its creation. We agree with these points, but we would like to add that attention should also be paid to the

  5. Open exchange of scientific knowledge and European copyright: The case of biodiversity information

    Directory of Open Access Journals (Sweden)

    Willi Egloff

    2014-06-01

    Full Text Available Background. The 7th Framework Programme for Research and Technological Development is helping the European to prepare for an integrative system for intelligent management of biodiversity knowledge. The infrastructure that is envisaged and that will be further developed within the Programme “Horizon 2020” aims to provide open and free access to taxonomic information to anyone with a requirement for biodiversity data, without the need for individual consent of other persons or institutions. Open and free access to information will foster the re-use and improve the quality of data, will accelerate research, and will promote new types of research. Progress towards the goal of free and open access to content is hampered by numerous technical, economic, sociological, legal, and other factors. The present article addresses barriers to the open exchange of biodiversity knowledge that arise from European laws, in particular European legislation on copyright and database protection rights.We present a legal point of view as to what will be needed to bring distributed information together and facilitate its re-use by data mining, integration into semantic knowledge systems, and similar techniques. We address exceptions and limitations of copyright or database protection within Europe, and we point to the importance of data use agreements. We illustrate how exceptions and limitations have been transformed into national legislations within some European states to create inconsistencies that impede access to biodiversity information.Conclusions. The legal situation within the EU is unsatisfactory because there are inconsistencies among states that hamper the deployment of an open biodiversity knowledge management system. Scientists within the EU who work with copyright protected works or with protected databases have to be aware of regulations that vary from country to country. This is a major stumbling block to international collaboration and is an

  6. Information retrieval pathways for health information exchange in multiple care settings.

    Science.gov (United States)

    Kierkegaard, Patrick; Kaushal, Rainu; Vest, Joshua R

    2014-11-01

    To determine which health information exchange (HIE) technologies and information retrieval pathways healthcare professionals relied on to meet their information needs in the context of laboratory test results, radiological images and reports, and medication histories. Primary data was collected over a 2-month period across 3 emergency departments, 7 primary care practices, and 2 public health clinics in New York state. Qualitative research methods were used to collect and analyze data from semi-structured interviews and participant observation. The study reveals that healthcare professionals used a complex combination of information retrieval pathways for HIE to obtain clinical information from external organizations. The choice for each approach was setting- and information-specific, but was also highly dynamic across users and their information needs. Our findings about the complex nature of information sharing in healthcare provide insights for informatics professionals about the usage of information; indicate the need for managerial support within each organization; and suggest approaches to improve systems for organizations and agencies working to expand HIE adoption.

  7. Privacy and Confidentiality in Exchange of Information Procedures : Some Uncertainties, Many Issues, but Few Solutions

    NARCIS (Netherlands)

    Debelva, F.; Mosquera, Valderrama I.J.

    2017-01-01

    The overall aim of this article is to analyse the taxpayers’ rights to confidentiality and privacy in exchange of information including the new global standard of automatic exchange of information. Section 2 will analyse the state of the art regarding the right to privacy and confidentiality in

  8. Group Awareness and Self-Presentation in Computer-Supported Information Exchange

    Science.gov (United States)

    Kimmerle, Joachim; Cress, Ulrike

    2008-01-01

    A common challenge in many situations of computer-supported collaborative learning is increasing the willingness of those involved to share their knowledge with other group members. As a prototypical situation of computer-supported information exchange, a shared-database setting was chosen for the current study. This information-exchange situation…

  9. Exchange of information in the EU and counteraction of tax avoiding

    Directory of Open Access Journals (Sweden)

    Robert Draba

    2014-12-01

    Full Text Available This paper presents an assessment of selected European Union legislation of the exchange of information between EU countries in context of preventing tax avoiding. The primary tool to prevent tax avoidance within the EU is information exchanging between EU countries and between EU countires and other countries.

  10. The unfolding of discursive struggles in the context of Health Information Exchange

    NARCIS (Netherlands)

    Pluut, B.

    2017-01-01

    Projects that aim to improve Health Information Exchange (HIE) are often hampered by long, drawn-out discussions. Among other things, there is considerable debate on the role patients should have in the process of exchanging health information. The argument of this doctoral thesis is that it is

  11. Achievement goals and interpersonal behaviour: How mastery and performance goals shape information exchange

    NARCIS (Netherlands)

    Poortvliet, P.M.; Janssen, O.; Van Yperen, N.W.; Van de Vliert, E.

    2007-01-01

    The present research examines the impact of achievement goals on task-related information exchange. Studies 1 and 2 reveal that relative to those with mastery goals or no goal, individuals pursuing performance goals were less open in their information giving to exchange partners. Study 2 further

  12. The Usage of Informational Gateways for Data Exchange between Personal Data Systems of Different Classes

    Directory of Open Access Journals (Sweden)

    E. I. Goncharov

    2010-03-01

    Full Text Available When personal data exchange between informational systems takes place, one must guarantee the systems are not integrating but just interacting. This task can not be accomplished by using traditional tools such as firewalls, cryptography and so on. To solve the problem we suggest deploying of informational gateway in personal data exchange process.

  13. Models of information exchange between radio interfaces of Wi-Fi group of standards

    Science.gov (United States)

    Litvinskaya, O. S.

    2018-05-01

    This paper offers models of information exchange between radio interfaces of the Wi-Fi group of standards by the example of a real facility management system for the oil and gas industry. Interaction between the MU-MIMO and MIMO technologies is analyzed. An optimal variant of information exchange is proposed.

  14. 26 CFR 1.6045-1T - Returns of information of brokers and barter exchanges (temporary).

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 13 2010-04-01 2010-04-01 false Returns of information of brokers and barter exchanges (temporary). 1.6045-1T Section 1.6045-1T Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF... of information of brokers and barter exchanges (temporary). (a)-(k) [Reserved] For further guidance...

  15. International exchange of radiological information in the event of a nuclear accident - future perspectives

    International Nuclear Information System (INIS)

    De-Cort, M.; De-Vries, G.; Breitenbach, L.; Leeb, H.; Weiss, W.

    1996-01-01

    Immediately after the Chernobyl accident most European countries established or enhanced their national radioactivity monitoring and information systems. The large transboundary effect of the radioactive release also triggered the need for bilateral and international agreements on the exchange of radiological information in case of a nuclear accident. Based on the experiences gained from existing bi- and multilateral data exchange the Commission of the European Communities has made provision for and is developing technical systems to exchange information of common interest. Firstly the existing national systems and systems based on bilateral agreements are summarized. The objectives and technical realizations of the EC international information exchange systems ECURIE and EURDEP, are described. The experiences gained over the past few years and the concepts for the future, in which central and eastern European countries will be included, are discussed. The benefits that would result from improving the international exchange of radiological information in the event of a future nuclear accident are further being described

  16. Low earth orbit satellite (LEOsat) for information exchange and ...

    African Journals Online (AJOL)

    Upper West Region) and Manga (Upper East Region) was setup for integrated rural development in Ghana. The functions of the communication networks were to facilitate disaster management, humanitarian relief, distance education and training, ...

  17. Willingness to Exchange Health Information via Mobile Devices: Findings From a Population-Based Survey.

    Science.gov (United States)

    Serrano, Katrina J; Yu, Mandi; Riley, William T; Patel, Vaishali; Hughes, Penelope; Marchesini, Kathryn; Atienza, Audie A

    2016-01-01

    The rapid proliferation of mobile devices offers unprecedented opportunities for patients and health care professionals to exchange health information electronically, but little is known about patients' willingness to exchange various types of health information using these devices. We examined willingness to exchange different types of health information via mobile devices, and assessed whether sociodemographic characteristics and trust in clinicians were associated with willingness in a nationally representative sample. We analyzed data for 3,165 patients captured in the 2013 Health Information National Trends Survey. Multinomial logistic regression analysis was conducted to test differences in willingness. Ordinal logistic regression analysis assessed correlates of willingness to exchange 9 types of information separately. Participants were very willing to exchange appointment reminders (odds ratio [OR] = 6.66; 95% CI, 5.68-7.81), general health tips (OR = 2.03; 95% CI, 1.74-2.38), medication reminders (OR = 2.73; 95% CI, 2.35-3.19), laboratory/test results (OR = 1.76; 95% CI, 1.62-1.92), vital signs (OR = 1.63; 95% CI, 1.48-1.80), lifestyle behaviors (OR = 1.40; 95% CI, 1.24-1.58), and symptoms (OR = 1.62; 95% CI, 1.46-1.79) as compared with diagnostic information. Older adults had lower odds of being more willing to exchange any type of information. Education, income, and trust in health care professional information correlated with willingness to exchange certain types of information. Respondents were less willing to exchange via mobile devices information that may be considered sensitive or complex. Age, socioeconomic factors, and trust in professional information were associated with willingness to engage in mobile health information exchange. Both information type and demographic group should be considered when developing and tailoring mobile technologies for patient-clinician communication. © 2016 Annals of Family Medicine, Inc.

  18. Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems.

    Science.gov (United States)

    Ji, Hyerim; Yoo, Sooyoung; Heo, Eun-Young; Hwang, Hee; Kim, Jeong-Whun

    2017-10-01

    This study aimed to identify problems and issues that arise with the implementation of online health information exchange (HIE) systems in a medical environment and to identify solutions to facilitate the successful operation of future HIE systems in primary care clinics and hospitals. In this study, the issues that arose during the establishment and operation of an HIE system in a hospital were identified so that they could be addressed to enable the successful establishment and operation of a standard-based HIE system. After the issues were identified, they were reviewed and categorized by a group of experts that included medical information system experts, doctors, medical information standard experts, and HIE researchers. Then, solutions for the identified problems were derived based on the system development, operation, and improvement carried out during this work. Twenty-one issues were identified during the implementation and operation of an online HIE system. These issues were then divided into four categories: system architecture and standards, documents and data items, consent of HIE, and usability. We offer technical and policy recommendations for various stakeholders based on the experiences of operating and improving the online HIE system in the medical field. The issues and solutions identified in this study regarding the implementation and operate of an online HIE system can provide valuable insight for planners to enable them to successfully design and operate such systems at a national level in the future. In addition, policy support from governments is needed.

  19. Information Sharing Framework (ISF) for Facilitating Development of Fast Reactors and Fuel Cycles

    International Nuclear Information System (INIS)

    Kawakubo, Y.; Hoffheins, B.; Inoue, N.; Mongiello, R.; Baldwin, G.; Lee, N.Y.; Chung, Jinho; Kwon, Eun-ha

    2013-01-01

    Conclusion: • Requirements for ISF is currently under development by JAEA, SNL, KINAC and KAERI. • Requirements seek to help implement information sharing following PDCA cycle. • Requirements development is still underway, but expected to be finalized in near future. • Demonstration of ISF will be implemented as the next step. • ISF is expected to facilitate FR avoiding regional NP/NS concerns in a sustainable manner

  20. Use of a simplified consent form to facilitate patient understanding of informed consent for laparoscopic cholecystectomy.

    Science.gov (United States)

    Borello, Alessandro; Ferrarese, Alessia; Passera, Roberto; Surace, Alessandra; Marola, Silvia; Buccelli, Claudio; Niola, Massimo; Di Lorenzo, Pierpaolo; Amato, Maurizio; Di Domenico, Lorenza; Solej, Mario; Martino, Valter

    2016-01-01

    Surgical informed consent forms can be complicated for patients to read and understand. We created a consent form with key information presented in bulleted texts and diagrams combined in a graphical format to facilitate the understanding of information during the verbal consent discussion. This prospective, randomized study involved 70 adult patients awaiting cholecystectomy for gallstones. Consent was obtained after standard verbal explanation using either a graphically formatted (study group, n=33) or a standard text document (control group, n=37). Comprehension was evaluated with a 9-item multiple-choice questionnaire administered before surgery and factors affecting comprehension were analyzed. Comparison of questionnaire scores showed no effect of age, sex, time between consent and surgery, or document format on understanding of informed consent. Educational level was the only predictor of comprehension. Simplified surgical consent documents meet the goals of health literacy and informed consent. Educational level appears to be a strong predictor of understanding.

  1. Integrating Human Factors Engineering and Information Processing Approaches to Facilitate Evaluations in Criminal Justice Technology Research.

    Science.gov (United States)

    Salvemini, Anthony V; Piza, Eric L; Carter, Jeremy G; Grommon, Eric L; Merritt, Nancy

    2015-06-01

    Evaluations are routinely conducted by government agencies and research organizations to assess the effectiveness of technology in criminal justice. Interdisciplinary research methods are salient to this effort. Technology evaluations are faced with a number of challenges including (1) the need to facilitate effective communication between social science researchers, technology specialists, and practitioners, (2) the need to better understand procedural and contextual aspects of a given technology, and (3) the need to generate findings that can be readily used for decision making and policy recommendations. Process and outcome evaluations of technology can be enhanced by integrating concepts from human factors engineering and information processing. This systemic approach, which focuses on the interaction between humans, technology, and information, enables researchers to better assess how a given technology is used in practice. Examples are drawn from complex technologies currently deployed within the criminal justice system where traditional evaluations have primarily focused on outcome metrics. Although this evidence-based approach has significant value, it is vulnerable to fully account for human and structural complexities that compose technology operations. Guiding principles for technology evaluations are described for identifying and defining key study metrics, facilitating communication within an interdisciplinary research team, and for understanding the interaction between users, technology, and information. The approach posited here can also enable researchers to better assess factors that may facilitate or degrade the operational impact of the technology and answer fundamental questions concerning whether the technology works as intended, at what level, and cost. © The Author(s) 2015.

  2. A user needs assessment to inform health information exchange design and implementation.

    Science.gov (United States)

    Strauss, Alexandra T; Martinez, Diego A; Garcia-Arce, Andres; Taylor, Stephanie; Mateja, Candice; Fabri, Peter J; Zayas-Castro, Jose L

    2015-10-12

    Important barriers for widespread use of health information exchange (HIE) are usability and interface issues. However, most HIEs are implemented without performing a needs assessment with the end users, healthcare providers. We performed a user needs assessment for the process of obtaining clinical information from other health care organizations about a hospitalized patient and identified the types of information most valued for medical decision-making. Quantitative and qualitative analysis were used to evaluate the process to obtain and use outside clinical information (OI) using semi-structured interviews (16 internists), direct observation (750 h), and operational data from the electronic medical records (30,461 hospitalizations) of an internal medicine department in a public, teaching hospital in Tampa, Florida. 13.7 % of hospitalizations generate at least one request for OI. On average, the process comprised 13 steps, 6 decisions points, and 4 different participants. Physicians estimate that the average time to receive OI is 18 h. Physicians perceived that OI received is not useful 33-66 % of the time because information received is irrelevant or not timely. Technical barriers to OI use included poor accessibility and ineffective information visualization. Common problems with the process were receiving extraneous notes and the need to re-request the information. Drivers for OI use were to trend lab or imaging abnormalities, understand medical history of critically ill or hospital-to-hospital transferred patients, and assess previous echocardiograms and bacterial cultures. About 85 % of the physicians believe HIE would have a positive effect on improving healthcare delivery. Although hospitalists are challenged by a complex process to obtain OI, they recognize the value of specific information for enhancing medical decision-making. HIE systems are likely to have increased utilization and effectiveness if specific patient-level clinical information is

  3. Construction Operations Building Information Exchange (COBIE): Requirements Definition and Pilot Implementation Standard

    Science.gov (United States)

    2007-06-01

    Swalley U.S. Department of State, Overseas Buildings Operations Toby Wilson U.S. Army, Corps of Engineers, Engineer R&D Center Jeff Wix AEC3 The...exchanged in COBIE. To map those information exchanges to the IFC model, the Information Delivery Manual (IDM) process [ Wix 2007] was also used. The...Folksonomy. Wikimedia Foundation. http://en.wikipedia.org/wiki/Folksonomy/, accessed 3 August 2007. Wix , Jeffrey. 2007. Information Delivery Manual

  4. 76 FR 24956 - 30-Day Notice of Proposed Information Collection: Certificate of Eligibility for Exchange Visitor...

    Science.gov (United States)

    2011-05-03

    ...: Certificate of Eligibility for Exchange Visitor (J-1) Status; Form DS-2019, OMB No. 1405-0119. ACTION: Notice... Management and Budget (OMB) for approval in accordance with the Paperwork Reduction Act of 1995. Title of Information Collection: Certificate of Eligibility for Exchange Visitor (J-1) Status OMB Control Number: 1405...

  5. The Advantage of Hiding Both Hands : Foreign Exchange Intervention, Ambiguity and Private Information

    NARCIS (Netherlands)

    Eijffinger, S.C.W.; Verhagen, W.H.

    1997-01-01

    This paper analyzes a dynamic exchange rate policy game in which the central bank has private information about its short-term exchange rate target, on the one hand, and in which the market is faced with a certain degree of ambiguity concerning the actual intervention volume, on the other.

  6. Scalable and Resilient Middleware to Handle Information Exchange during Environment Crisis

    Science.gov (United States)

    Tao, R.; Poslad, S.; Moßgraber, J.; Middleton, S.; Hammitzsch, M.

    2012-04-01

    The EU FP7 TRIDEC project focuses on enabling real-time, intelligent, information management of collaborative, complex, critical decision processes for earth management. A key challenge is to promote a communication infrastructure to facilitate interoperable environment information services during environment events and crises such as tsunamis and drilling, during which increasing volumes and dimensionality of disparate information sources, including sensor-based and human-based ones, can result, and need to be managed. Such a system needs to support: scalable, distributed messaging; asynchronous messaging; open messaging to handling changing clients such as new and retired automated system and human information sources becoming online or offline; flexible data filtering, and heterogeneous access networks (e.g., GSM, WLAN and LAN). In addition, the system needs to be resilient to handle the ICT system failures, e.g. failure, degradation and overloads, during environment events. There are several system middleware choices for TRIDEC based upon a Service-oriented-architecture (SOA), Event-driven-Architecture (EDA), Cloud Computing, and Enterprise Service Bus (ESB). In an SOA, everything is a service (e.g. data access, processing and exchange); clients can request on demand or subscribe to services registered by providers; more often interaction is synchronous. In an EDA system, events that represent significant changes in state can be processed simply, or as streams or more complexly. Cloud computing is a virtualization, interoperable and elastic resource allocation model. An ESB, a fundamental component for enterprise messaging, supports synchronous and asynchronous message exchange models and has inbuilt resilience against ICT failure. Our middleware proposal is an ESB based hybrid architecture model: an SOA extension supports more synchronous workflows; EDA assists the ESB to handle more complex event processing; Cloud computing can be used to increase and

  7. The Role of Private Information in Short-term Fluctuations of Won/Dollar Exchange Rates

    Directory of Open Access Journals (Sweden)

    Haesik Park

    1999-12-01

    Full Text Available In this paper, we have examined the short-run movement of the won/dollar exchange rate using information obtained from the inter-bank market in Korea. First, we constructed the hourly measure of excess demand for dollar and used it as a proxy for the trading pattern of market participants. To construct this time series, we relied on the bid and ask won/dollar exchange rates collected on the two-minute interval. We then estimated the structural VAR model consisting of the actually observed won/dollar exchange rate and the proxied trading pattern of market participants to see if private information, as opposed to public information, is relevant for explaining the hourly movement of the won/dollar exchange rate. Private information is found to account for more 30% of hourly variations of the won/dollar exchange rate. Next, we constructed the trading pattern of market participants on a daily basis using the same data set employed to build the hourly measure. We then examined whether private information is useful for predicting the daily won/dollar exchange rate movement. We found that the forecast model using both private and public information reduces out-of-sample forecast errors of an alternative model relying only on public information by 20~25%. Also, the out-of-sample forecast of the model using both private and public information is found to be more accurate than the random walk model.

  8. An Assessment of Information Exchange Practices, Challenges, and Opportunities to Support US Disease Surveillance in 3 States.

    Science.gov (United States)

    Garcia, Macarena C; Garrett, Nedra Y; Singletary, Vivian; Brown, Sheereen; Hennessy-Burt, Tamara; Haney, Gillian; Link, Kimberly; Tripp, Jennifer; Mac Kenzie, William R; Yoon, Paula

    2017-12-07

    State and local public health agencies collect and use surveillance data to identify outbreaks, track cases, investigate causes, and implement measures to protect the public-s health through various surveillance systems and data exchange practices. The purpose of this assessment was to better understand current practices at state and local public health agencies for collecting, managing, processing, reporting, and exchanging notifiable disease surveillance information. Over an 18-month period (January 2014-June 2015), we evaluated the process of data exchange between surveillance systems, reporting burdens, and challenges within 3 states (California, Idaho, and Massachusetts) that were using 3 different reporting systems. All 3 states use a combination of paper-based and electronic information systems for managing and exchanging data on reportable conditions within the state. The flow of data from local jurisdictions to the state health departments varies considerably. When state and local information systems are not interoperable, manual duplicative data entry and other work-arounds are often required. The results of the assessment show the complexity of disease reporting at the state and local levels and the multiple systems, processes, and resources engaged in preparing, processing, and transmitting data that limit interoperability and decrease efficiency. Through this structured assessment, the Centers for Disease Control and Prevention (CDC) has a better understanding of the complexities for surveillance of using commercial off-the-shelf data systems (California and Massachusetts), and CDC-developed National Electronic Disease Surveillance System Base System. More efficient data exchange and use of data will help facilitate interoperability between National Notifiable Diseases Surveillance Systems.

  9. The Veteran-Initiated Electronic Care Coordination: A Multisite Initiative to Promote and Evaluate Consumer-Mediated Health Information Exchange.

    Science.gov (United States)

    Klein, Dawn M; Pham, Kassi; Samy, Leila; Bluth, Adam; Nazi, Kim M; Witry, Matthew; Klutts, J Stacey; Grant, Kathleen M; Gundlapalli, Adi V; Kochersberger, Gary; Pfeiffer, Laurie; Romero, Sergio; Vetter, Brian; Turvey, Carolyn L

    2017-04-01

    Information continuity is critical to person-centered care when patients receive care from multiple healthcare systems. Patients can access their electronic health record data through patient portals to facilitate information exchange. This pilot was developed to improve care continuity for rural Veterans by (1) promoting the use of the Department of Veterans Affairs (VA) patient portal to share health information with non-VA providers, and (2) evaluating the impact of health information sharing at a community appointment. Veterans from nine VA healthcare systems were trained to access and share their VA Continuity of Care Document (CCD) with their non-VA providers. Patients and non-VA providers completed surveys on their experiences. Participants (n = 620) were primarily older, white, and Vietnam era Veterans. After training, 78% reported the CCD would help them be more involved in their healthcare and 86% planned to share it regularly with non-VA providers. Veterans (n = 256) then attended 277 community appointments. Provider responses from these appointments (n = 133) indicated they were confident in the accuracy of the information (97%) and wanted to continue to receive the CCD (96%). Ninety percent of providers reported the CCD improved their ability to have an accurate medication list and helped them make medication treatment decisions. Fifty percent reported they did not order a laboratory test or another procedure because of information available in the CCD. This pilot demonstrates feasibility and value of patient access to a CCD to facilitate information sharing between VA and non-VA providers. Outreach and targeted education are needed to promote consumer-mediated health information exchange.

  10. An Early Model for Value and Sustainability in Health Information Exchanges: Qualitative Study

    Science.gov (United States)

    2018-01-01

    Background The primary value relative to health information exchange has been seen in terms of cost savings relative to laboratory and radiology testing, emergency department expenditures, and admissions. However, models are needed to statistically quantify value and sustainability and better understand the dependent and mediating factors that contribute to value and sustainability. Objective The purpose of this study was to provide a basis for early model development for health information exchange value and sustainability. Methods A qualitative study was conducted with 21 interviews of eHealth Exchange participants across 10 organizations. Using a grounded theory approach and 3.0 as a relative frequency threshold, 5 main categories and 16 subcategories emerged. Results This study identifies 3 core current perceived value factors and 5 potential perceived value factors—how interviewees predict health information exchanges may evolve as there are more participants. These value factors were used as the foundation for early model development for sustainability of health information exchange. Conclusions Using the value factors from the interviews, the study provides the basis for early model development for health information exchange value and sustainability. This basis includes factors from the research: fostering consumer engagement; establishing a provider directory; quantifying use, cost, and clinical outcomes; ensuring data integrity through patient matching; and increasing awareness, usefulness, interoperability, and sustainability of eHealth Exchange. PMID:29712623

  11. An Early Model for Value and Sustainability in Health Information Exchanges: Qualitative Study.

    Science.gov (United States)

    Feldman, Sue S

    2018-04-30

    The primary value relative to health information exchange has been seen in terms of cost savings relative to laboratory and radiology testing, emergency department expenditures, and admissions. However, models are needed to statistically quantify value and sustainability and better understand the dependent and mediating factors that contribute to value and sustainability. The purpose of this study was to provide a basis for early model development for health information exchange value and sustainability. A qualitative study was conducted with 21 interviews of eHealth Exchange participants across 10 organizations. Using a grounded theory approach and 3.0 as a relative frequency threshold, 5 main categories and 16 subcategories emerged. This study identifies 3 core current perceived value factors and 5 potential perceived value factors-how interviewees predict health information exchanges may evolve as there are more participants. These value factors were used as the foundation for early model development for sustainability of health information exchange. Using the value factors from the interviews, the study provides the basis for early model development for health information exchange value and sustainability. This basis includes factors from the research: fostering consumer engagement; establishing a provider directory; quantifying use, cost, and clinical outcomes; ensuring data integrity through patient matching; and increasing awareness, usefulness, interoperability, and sustainability of eHealth Exchange. ©Sue S Feldman. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 30.04.2018.

  12. Information exchange of the Atomic Energy Society of Japan with nuclear societies worldwide

    International Nuclear Information System (INIS)

    Hori, Masao; Tomita, Yasushi

    2000-01-01

    The Atomic Energy Society of Japan (AESJ) exchanges information with nuclear societies worldwide by intersocietal communication through international councils of nuclear societies and through bilateral agreements between foreign societies and by such media as international meetings, publications, and Internet applications

  13. Automatic exchange of information: towards a new global standard of tax transparency

    OpenAIRE

    Miguel Eduardo Pecho Trigueros

    2014-01-01

    Tax authorities are increasingly relying on mutual cooperation with their foreign peers to enforce more effectively their internal tax laws. After the banking scandals of 2008 and the subsequent global financial crisis, the Global Forum on Transparency and Exchange of Information for TaxPurposes has proposed the exchange of information upon request as the fiscal transparency standard. However, some measures adopted by the European Union, previous initiatives from the Organization for Economic...

  14. A common basis for facilitated legitimate exchange of biological materials proposed by the European Culture Collections' Organisation

    Directory of Open Access Journals (Sweden)

    Dagmar Fritze

    2009-12-01

    Full Text Available Being charged with the task of accessioning and supplying of living microbiological material, microbial culture collections are institutions that play a central role between the interests of a variety of user communities. On the one side are the providers of living microbiological material, such as individual scientists, institutions and countries of origin and on the other side are the various kinds of recipients/users of cultures of microorganisms from academia and industry. Thus, providing access to high quality biological material and scientific services while at the same time observing donor countries' rights, intellectual property rights, biosafety and biosecurity aspects poses demanding challenges. E.g. donor countries rights relate to Article 15 of the Convention on Biological Diversity: "Contracting parties …. recognize the sovereign rights of states over their natural resources …. shall facilitate access to resources … and not impose restrictions that run counter to the aims of the Convention. Access to natural resources shall be by mutually agreed terms and subject to prior informed consent ..." The use of a proposed standard contract by culture collections is discussed as a way of contractually safeguarding the existing research commons, while observing the new rights established in the Convention on Biological Diversity as well as other existing and new legislation impacting on the accessibility of living microbial material.

  15. Simulation Suggests that medical group mergers won't undermine the potential utility of health information exchanges.

    Science.gov (United States)

    Rudin, Robert S; Schneider, Eric C; Volk, Lynn A; Szolovits, Peter; Salzberg, Claudia A; Simon, Steven R; Bates, David W

    2012-03-01

    Federal and state agencies are investing substantial resources in the creation of community health information exchanges, which are consortia that enable independent health care organizations to exchange clinical data. However, under pressure to form accountable care organizations, medical groups may merge and support private health information exchanges. Such activity could reduce the potential utility of community exchanges-that is, the exchanges' capacity to share patient data across hospitals and physician practices that are independent. Simulations of care transitions based on data from ten Massachusetts communities suggest that there would have to be many such mergers to undermine the potential utility of health information exchanges. At the same time, because hospitals and the largest medical groups account for only 10-20 percent of care transitions in a community, information exchanges will still need to recruit a large proportion of the medical groups in a given community for the exchanges to maintain their usefulness in fostering information exchange across independent providers.

  16. Associations between perceived crisis mode work climate and poor information exchange within hospitals.

    Science.gov (United States)

    Patterson, Mark E; Bogart, Miller S; Starr, Kathleen R

    2015-03-01

    Because hospital units operating in crisis mode could create unsafe transitions of care due to miscommunication, our objective was to estimate associations between perceived crisis mode work climate and patient information exchange problems within hospitals. Self-reported data from 247,140 hospital staff members across 884 hospitals were obtained from the 2010 Hospital Survey on Patient Safety Culture. Presence of a crisis mode work climate was defined as respondents agreeing that the hospital unit in which they work tries to do too much too quickly. Presence of patient information exchange problems was defined as respondents agreeing that problems often occur in exchanging patient information across hospital units. Multivariable ordinal regressions estimated the likelihood of perceived problems in exchanging patient information across hospital units, controlling for perceived levels of crisis mode work climate, skill levels, work climate, and hospital infrastructure. Compared to those disagreeing, hospital staff members agreeing that the hospital unit in which they work tries to do too much too quickly were 1.6 times more likely to perceive problems in exchanging patient information across hospital units (odds ratio: 1.6, 95% confidence interval: 1.58-1.65). Hospital staff members perceiving crisis mode work climates within their hospital unit are more likely to perceive problems in exchanging patient information across units, underscoring the need to improve communication during transitions of care. © 2014 Society of Hospital Medicine.

  17. Modeling Multi-commodity Trade Information Exchange Methods

    CERN Document Server

    Traczyk, Tomasz

    2012-01-01

    Market mechanisms are entering into new fields of economy, in which some constraints of physical world, e.g. Kirchoffs Law in power grid, must be taken into account during trading. On such markets, some of commodities, like telecommunication bandwidth or electrical energy, appear to be non-storable, and must be exchanged in real-time. On the other hand, the markets tend to react at shortest possible time, so an idea to delegate some competency to autonomous software agents is very attractive. Multi-commodity mechanism addresses the aforementioned requirements. Modeling the relationships between the commodities allows to formulate new, more sophisticated models and mechanisms, which reflect decision situations in a better manner. Application of multi-commodity approach requires solving several issues related to data modeling, communication, semantics aspects of communication, reliability, etc. This book answers some of the questions and points out promising paths for implementation and development. Presented s...

  18. Affording to exchange: social capital and online information sharing.

    Science.gov (United States)

    Maksl, Adam; Young, Rachel

    2013-08-01

    The potential harm and benefit associated with sharing personal information online is a topic of debate and discussion. Using survey methods (n=872), we explore whether attainment of social capital online relates to greater comfort with sharing personal information. We found that perceptions of bridging and bonding social capital earned from using Facebook are significant predictors of overall comfort levels with sharing personal information. This research raises timely questions about how the perceived benefits of social networking sites influence how personal information is shared online.

  19. Data governance and data sharing agreements for community-wide health information exchange: lessons from the beacon communities.

    Science.gov (United States)

    Allen, Claudia; Des Jardins, Terrisca R; Heider, Arvela; Lyman, Kristin A; McWilliams, Lee; Rein, Alison L; Schachter, Abigail A; Singh, Ranjit; Sorondo, Barbara; Topper, Joan; Turske, Scott A

    2014-01-01

    Unprecedented efforts are underway across the United States to electronically capture and exchange health information to improve health care and population health, and reduce costs. This increased collection and sharing of electronic patient data raises several governance issues, including privacy, security, liability, and market competition. Those engaged in such efforts have had to develop data sharing agreements (DSAs) among entities involved in information exchange, many of whom are "nontraditional" health care entities and/or new partners. This paper shares lessons learned based on the experiences of six federally funded communities participating in the Beacon Community Cooperative Agreement Program, and offers guidance for navigating data governance issues and developing DSAs to facilitate community-wide health information exchange. While all entities involved in electronic data sharing must address governance issues and create DSAs accordingly, until recently little formal guidance existed for doing so - particularly for community-based initiatives. Despite this lack of guidance, together the Beacon Communities' experiences highlight promising strategies for navigating complex governance issues, which may be useful to other entities or communities initiating information exchange efforts to support delivery system transformation. For the past three years, AcademyHealth has provided technical assistance to most of the 17 Beacon Communities, 6 of whom contributed to this collaborative writing effort. Though these communities varied widely in terms of their demographics, resources, and Beacon-driven priorities, common themes emerged as they described their approaches to data governance and DSA development. The 6 Beacon Communities confirmed that DSAs are necessary to satisfy legal and market-based concerns, and they identified several specific issues, many of which have been noted by others involved in network data sharing initiatives. More importantly, these

  20. Smart Questions : Context-dependent mobile information exchange for military operations

    NARCIS (Netherlands)

    Streefkerk, J.W.; Heuvelink, A.

    2014-01-01

    During military mISSIOns, mobile devices allow information exchange between distributed groups of soldiers. As the context of use changes frequently and more (unstructured) information becomes available during missions, the challenge is to ensure that the right information reaches the right

  1. Balancing Formality and Informality in Business Exchanges as a Duality

    DEFF Research Database (Denmark)

    Lin, Daomi; Lu, Jiangyong; Li, Peter Ping

    2015-01-01

    emphasized formality more than informality, while local entrepreneurs stressed informality more than formality. However, the formality-informality balance among both returnee and local entrepreneurs converged over time in line with the institutional transition in China. Returnee entrepreneurs increased...... for firms, especially those facing institutional differences in transnational contexts and institutional transitions. In this research, we conducted a comparative multicase study on returnee entrepreneurs and local entrepreneurs in China. We found that at the early stage of venturing, returnee entrepreneurs...... the emphasis on informality (but kept the dominant position of formality), whereas local entrepreneurs gradually shifted from informality to formality. The spatial pattern of asymmetrical balancing and the temporal pattern of transitional balancing are both rooted in the Chinese philosophy of Yin...

  2. Software Prototyping: A Case Report of Refining User Requirements for a Health Information Exchange Dashboard.

    Science.gov (United States)

    Nelson, Scott D; Del Fiol, Guilherme; Hanseler, Haley; Crouch, Barbara Insley; Cummins, Mollie R

    2016-01-01

    Health information exchange (HIE) between Poison Control Centers (PCCs) and Emergency Departments (EDs) could improve care of poisoned patients. However, PCC information systems are not designed to facilitate HIE with EDs; therefore, we are developing specialized software to support HIE within the normal workflow of the PCC using user-centered design and rapid prototyping. To describe the design of an HIE dashboard and the refinement of user requirements through rapid prototyping. Using previously elicited user requirements, we designed low-fidelity sketches of designs on paper with iterative refinement. Next, we designed an interactive high-fidelity prototype and conducted scenario-based usability tests with end users. Users were asked to think aloud while accomplishing tasks related to a case vignette. After testing, the users provided feedback and evaluated the prototype using the System Usability Scale (SUS). Survey results from three users provided useful feedback that was then incorporated into the design. After achieving a stable design, we used the prototype itself as the specification for development of the actual software. Benefits of prototyping included having 1) subject-matter experts heavily involved with the design; 2) flexibility to make rapid changes, 3) the ability to minimize software development efforts early in the design stage; 4) rapid finalization of requirements; 5) early visualization of designs; 6) and a powerful vehicle for communication of the design to the programmers. Challenges included 1) time and effort to develop the prototypes and case scenarios; 2) no simulation of system performance; 3) not having all proposed functionality available in the final product; and 4) missing needed data elements in the PCC information system.

  3. Novel Developments of the MetaCrop Information System for Facilitating Systems Biological Approaches

    Directory of Open Access Journals (Sweden)

    Hippe Klaus

    2010-12-01

    Full Text Available Crop plants play a major role in human and animal nutrition and increasingly contribute to chemical or pharmaceutical industry and renewable resources. In order to achieve important goals, such as the improvement of growth or yield, it is indispensable to understand biological processes on a detailed level. Therefore, the well-structured management of fine-grained information about metabolic pathways is of high interest. Thus, we developed the MetaCrop information system, a manually curated repository of high quality information concerning the metabolism of crop plants. However, the data access to and flexible export of information of MetaCrop in standard exchange formats had to be improved. To automate and accelerate the data access we designed a set of web services to be integrated into external software. These web services have already been used by an add-on for the visualisation toolkit VANTED. Furthermore, we developed an export feature for the MetaCrop web interface, thus enabling the user to compose individual metabolic models using SBML.

  4. 28 CFR 37.3 - Exchange of information.

    Science.gov (United States)

    2010-07-01

    ....3 Judicial Administration DEPARTMENT OF JUSTICE PROCEDURES FOR COORDINATING THE INVESTIGATION OF... the extent permissible by law. Such information shall include, but is not limited to, complaints, charges, investigative files, compliance review reports and files, affirmative action programs, and annual...

  5. Interactional Features of Repair Negotiation in NS-NNS Interaction on Two Task Types: Information Gap and Personal Information Exchange

    Science.gov (United States)

    Kitajima, Ryu

    2013-01-01

    The studies in task-based approaches in second language acquisition claim that controlled and goal convergent tasks such as information gap tasks surpass open-ended conversations such as personal information exchange tasks for the development of the learner's interlanguage, in that the formers promote more repair negotiation. And yet, few studies…

  6. Integrating a health information exchange into a community pharmacy transitions of care service.

    Science.gov (United States)

    Fanizza, Frank A; Ruisinger, Janelle F; Prohaska, Emily S; Melton, Brittany L

    2018-04-03

    To describe the incorporation of a state health information exchange (HIE) into a community pharmacy transitions of care (TOC) service and to assess its impact on 30-day readmission rates. Three suburban community pharmacies in Olathe, Kansas. Balls Food Stores is a grocery store chain which operates 21 supermarket community pharmacies in the Kansas City metropolitan area. Balls Food Stores launched a pharmacist-led self-referral TOC study in which a state HIE was utilized to collect discharge information from patients' electronic medical records (EMRs) to facilitate TOC comprehensive medication reviews (CMRs). Descriptive statistics were used to assess types and outcomes of identified drug therapy problems and the ability to access Kansas Health Information Network EMRs. A chi-square test was used to assess 30-day readmissions between patients who accepted and declined the service. Forty patients were identified for inclusion and 18 elected to participate in the service. The majority of participants were white females with a median age of 64.5 years. Out of 40 study patients, 85% had an EMR available; 12.5% of patients had a medication list included in their EMR hospitalization documentation. Participants who underwent the service had a statistically significantly lower rate of overall 30-day hospital readmission than those who declined (11.1% vs 36.4%, P = 0.032). Among the 18 TOC CMRs performed, 90 drug therapy problems were identified and 77 were resolved in collaboration with a patient, caregiver, or physician. Incorporation of a state HIE into a community pharmacist-led TOC service is a novel strategy for collecting patient data. During the study, no TOC participants were readmitted within 30 days. However, pharmacists found HIE data alone was insufficient to perform TOC CMRs for the majority of participants. In order to expand state HIE utilization, more health systems will need to upload a minimum standard data set to help facilitate care. Copyright © 2018

  7. Progress in counterfeit deterrence: the contribution of information exchange

    Science.gov (United States)

    Lancaster, Ian M.; Kontnik, Lewis T.

    1996-03-01

    In this paper we establish the need for communication between organizations involved in the fight against counterfeiting crime. We also examine the paradox in providing information that could serve the criminal as well as those attempting to protect themselves from criminal activity. Counterfeiting is estimated to account for over 5% of world trade. It is a global operation with no respect for international borders. It is increasingly sophisticated and increasingly the province of organized crime, which applies the techniques developed for drug distribution to the production and distribution of counterfeit articles. To fight this crime there is an increasing plethora of authenticating features and technologies available. Many companies do not recognize the problem and the number of anticounterfeit technologies can be confusing for potential users. There is therefore a need for information about them, their comparative characteristics, to be easily available. At present there is inadequate communication between those who develop and produce anti-counterfeiting devices and those who use them, notwithstanding the marketing efforts of the former. Communication which stimulates and encourages the spread of information between those engaged in the fight against counterfeit crime can only help in that fight. But what we term 'the communication paradox' requires circumspection and care in the content and the distribution of such information. The communication paradox is that the better the channels of communication, the easier it is for criminals to get hold of that information. The challenge is to institute communications which are effective but restrictive. More communication of information between those engaged in counterfeit deterrence will enhance individual companies' and organizations' anticounterfeit efforts and thus contribute to an overall improvement in the fight against counterfeit crime.

  8. Patient information, education and self-management in bronchiectasis: facilitating improvements to optimise health outcomes.

    Science.gov (United States)

    Hester, Katy L M; Newton, Julia; Rapley, Tim; De Soyza, Anthony

    2018-05-22

    Bronchiectasis is an incurable lung disease characterised by irreversible airway dilatation. It causes symptoms including chronic productive cough, dyspnoea, and recurrent respiratory infections often requiring hospital admission. Fatigue and reductions in quality of life are also reported in bronchiectasis. Patients often require multi-modal treatments that can be burdensome, leading to issues with adherence. In this article we review the provision of, and requirement for, education and information in bronchiectasis. To date, little research has been undertaken to improve self-management in bronchiectasis in comparison to other chronic conditions, such as COPD, for which there has been a wealth of recent developments. Qualitative work has begun to establish that information deficit is one of the potential barriers to self-management, and that patients feel having credible information is fundamental when learning to live with and manage bronchiectasis. Emerging research offers some insights into ways of improving treatment adherence and approaches to self-management education; highlighting ways of addressing the specific unmet information needs of patients and their families who are living with bronchiectasis. We propose non-pharmacological recommendations to optimise patient self-management and symptom recognition; with the aim of facilitating measurable improvements in health outcomes for patients with bronchiectasis.

  9. An interoperability architecture for the health information exchange in Rwanda

    CSIR Research Space (South Africa)

    Crichton, R

    2012-08-01

    Full Text Available Rwanda, one of the smallest and most densely populated countries in Africa, has made rapid and substantial progress towards designing and deploying a national health information system. One of the challenging aspects of the system is the design...

  10. Information sought, information shared: exploring performance and image enhancing drug user-facilitated harm reduction information in online forums.

    Science.gov (United States)

    Tighe, Boden; Dunn, Matthew; McKay, Fiona H; Piatkowski, Timothy

    2017-07-21

    There is good evidence to suggest that performance and image enhancing drug (PIED) use is increasing in Australia and that there is an increase in those using PIEDs who have never used another illicit substance. Peers have always been an important source of information in this group, though the rise of the Internet, and the increased use of Internet forums amongst substance consumers to share harm reduction information, means that PIED users may have access to a large array of views and opinions. The aim of this study was to explore the type of information that PIED users seek and share on these forums. An online search was conducted to identify online forums that discussed PIED use. Three discussion forums were included in this study: aussiegymjunkies.com, bodybuildingforums.com.au, and brotherhoodofpain.com. The primary source of data for this study was the 'threads' from the online forums. Threads were thematically analysed for overall content, leading to the identification of themes. One hundred thirty-four threads and 1716 individual posts from 450 unique avatars were included in this analysis. Two themes were identified: (1) personal experiences and advice and (2) referral to services and referral to the scientific literature. Internet forums are an accessible way for members of the PIED community to seek and share information to reduce the harms associated with PIED use. Forum members show concern for both their own and others' use and, where they lack information, will recommend seeking information from medical professionals. Anecdotal evidence is given high credence though the findings from the scientific literature are used to support opinions. The engagement of health professionals within forums could prove a useful strategy for engaging with this population to provide harm reduction interventions, particularly as forum members are clearly seeking further reliable information, and peers may act as a conduit between users and the health and medical

  11. The local exchange network in the information age - The need for new policy

    Energy Technology Data Exchange (ETDEWEB)

    Fons, J.P. (Ausley, McMullen, McGehee, Carothers and Proctor, Tallahassee, FL (USA))

    1990-01-18

    This article is an analysis of a conventional belief that the local exchange telephone networks are bottleneck monopolies. It also examines the alleged bases for excluding the local exchange telephone companies from participating directly in existing and developing technologies and markets other than those of a telephone service, or dial-tone. The author concludes that adherence to the current policy in the face of a demand for information age technology and services, and the availability of competing systems, will condemn the local exchange networks to the technological junk heap - and at the same time deprive the public of some of its best opportunities for new and enhanced services.

  12. The Need for Systematic Naming Software Tools for Exchange of Chemical Information

    Directory of Open Access Journals (Sweden)

    Andrey Yerin

    1999-09-01

    Full Text Available The availability of systematic names can enable the simple textual exchange of chemical structure information. The exchange of molecular structures in graphical format or connection tables has become well established in the field of cheminformatics and many structure drawing tools exist to enable this exchange. However, even with the availability of systematic naming rules, software tools to allow the generation of names from structures, and hopefully the reversal of these systematic names back to the original chemical structure, have been sorely lacking in capability and quality. Here we review the need for systematic naming as well as some of the tools and approaches being taken today in this area.

  13. Effective transfer entropy approach to information flow between exchange rates and stock markets

    International Nuclear Information System (INIS)

    Sensoy, Ahmet; Sobaci, Cihat; Sensoy, Sadri; Alali, Fatih

    2014-01-01

    We investigate the strength and direction of information flow between exchange rates and stock prices in several emerging countries by the novel concept of effective transfer entropy (an alternative non-linear causality measure) with symbolic encoding methodology. Analysis shows that before the 2008 crisis, only low level interaction exists between these two variables and exchange rates dominate stock prices in general. During crisis, strong bidirectional interaction arises. In the post-crisis period, the strong interaction continues to exist and in general stock prices dominate exchange rates

  14. Agreement on exchange of information on nuclear installations

    International Nuclear Information System (INIS)

    1989-01-01

    This Agreement was concluded in furtherance of the IAEA 1986 Convention on early notification of nuclear incidents and reflects its provisions to a large extent. In accordance with this Agreement, the Parties will notify each other immediately through predetermined contact points of all emergency situations which could have radiological consequences and will communicate the type of information required in order to allow the evaluation of associated risks. (NEA) [fr

  15. The impact of leader-member exchange (LMX) on work-family interference and work-family facilitation

    NARCIS (Netherlands)

    L.G. Tummers (Lars); B.A.C. Bronkhorst (Babette)

    2014-01-01

    markdownabstract__Abstract__ __Purpose__ – We analyze the effects of leadership on work-family spillovers. Specifically, we analyze the relationships between leadership (leader-member exchange, LMX) with one negative work-family spillover effect (work-family interference) and one positive

  16. The impact of leader-member exchange (LMX) on work-family interference and work-family facilitation

    NARCIS (Netherlands)

    L.G. Tummers (Lars); B.A.C. Bronkhorst (Babette)

    2014-01-01

    markdownabstract__Abstract__ Purpose – We analyze the effects of leadership on work-family spillovers. Specifically, we analyze the relationships between leadership (leader-member exchange, LMX) with one negative work-family spillover effect (work-family interference) and one positive work-family

  17. Factors Influencing Electronic Clinical Information Exchange in Small Medical Group Practices

    Science.gov (United States)

    Kralewski, John E.; Zink, Therese; Boyle, Raymond

    2012-01-01

    Purpose: The purpose of this study was to identify the organizational factors that influence electronic health information exchange (HIE) by medical group practices in rural areas. Methods: A purposive sample of 8 small medical group practices in 3 experimental HIE regions were interviewed to determine the extent of clinical information exchange…

  18. Understanding information exchange during disaster response: Methodological insights from infocentric analysis

    Science.gov (United States)

    Toddi A. Steelman; Branda Nowell; Deena. Bayoumi; Sarah. McCaffrey

    2014-01-01

    We leverage economic theory, network theory, and social network analytical techniques to bring greater conceptual and methodological rigor to understand how information is exchanged during disasters. We ask, "How can information relationships be evaluated more systematically during a disaster response?" "Infocentric analysis"—a term and...

  19. Medication errors in residential aged care facilities: a distributed cognition analysis of the information exchange process.

    Science.gov (United States)

    Tariq, Amina; Georgiou, Andrew; Westbrook, Johanna

    2013-05-01

    Medication safety is a pressing concern for residential aged care facilities (RACFs). Retrospective studies in RACF settings identify inadequate communication between RACFs, doctors, hospitals and community pharmacies as the major cause of medication errors. Existing literature offers limited insight about the gaps in the existing information exchange process that may lead to medication errors. The aim of this research was to explicate the cognitive distribution that underlies RACF medication ordering and delivery to identify gaps in medication-related information exchange which lead to medication errors in RACFs. The study was undertaken in three RACFs in Sydney, Australia. Data were generated through ethnographic field work over a period of five months (May-September 2011). Triangulated analysis of data primarily focused on examining the transformation and exchange of information between different media across the process. The findings of this study highlight the extensive scope and intense nature of information exchange in RACF medication ordering and delivery. Rather than attributing error to individual care providers, the explication of distributed cognition processes enabled the identification of gaps in three information exchange dimensions which potentially contribute to the occurrence of medication errors namely: (1) design of medication charts which complicates order processing and record keeping (2) lack of coordination mechanisms between participants which results in misalignment of local practices (3) reliance on restricted communication bandwidth channels mainly telephone and fax which complicates the information processing requirements. The study demonstrates how the identification of these gaps enhances understanding of medication errors in RACFs. Application of the theoretical lens of distributed cognition can assist in enhancing our understanding of medication errors in RACFs through identification of gaps in information exchange. Understanding

  20. Automatic exchange of information: towards a new global standard of tax transparency

    Directory of Open Access Journals (Sweden)

    Miguel Eduardo Pecho Trigueros

    2014-07-01

    Full Text Available Tax authorities are increasingly relying on mutual cooperation with their foreign peers to enforce more effectively their internal tax laws. After the banking scandals of 2008 and the subsequent global financial crisis, the Global Forum on Transparency and Exchange of Information for TaxPurposes has proposed the exchange of information upon request as the fiscal transparency standard. However, some measures adopted by the European Union, previous initiatives from the Organization for Economic Cooperation and Development (OECD and, above all, the introduction of the Foreign Account Tax Compliance Act (Fatca by the United States in 2010 have promoted the need to adopt the automatic exchange of information as the new fiscal transparency standard. Automatic exchange of information allows home countries to verify whether their taxpayers have correctly included foreign income, allowing tax authorities to have early warning of possible noncompliance cases. In February 2014, the OECD published its proposal for a new global model of automatic exchange of financial account information. The new global model contains the necessary legal instruments and due diligence and reporting procedures, mainly for financial institutions.

  1. Geography of community health information organization activity in the United States: Implications for the effectiveness of health information exchange.

    Science.gov (United States)

    Vest, Joshua R

    The United States has invested nearly a billion dollars in creating community health information organizations (HIOs) to foster health information exchange. Community HIOs provide exchange services to health care organizations within a distinct geographic area. While geography is a key organizing principle for community HIOs, it is unclear if geography is an effective method for organization or what challenges are created by a geography-based approach to health information exchange. This study describes the extent of reported community HIO coverage in the United States and explores the practical and policy implications of overlaps and gaps in HIO service areas. Furthermore, because self-reported service areas may not accurately reflect the true extent of HIOs activities, this study maps the actual markets for health services included in each HIO. An inventory of operational community HIOs that included self-reported geographic markets and participating organizations was face-validated using a crowd-sourcing approach. Aggregation of the participating hospitals' individual health care markets provided the total geographic market served by each community HIO. Mapping and overlay analyses using geographic information system methods described the extent of community HIO activity in the United States. Evidence suggests that community HIOs may be inefficiently distributed. Parts of the United States have multiple, overlapping HIOs, while others do not have any providing health information exchange services. In markets served by multiple community HIOs, 45% of hospitals were participants of only one HIO. The current geography of community HIO activity does not provide comprehensive patient information to providers, nor community-wide information for public health agencies. The discord between the self-reported and market geography of community HIOs raises concerns about the potential effectiveness of health information exchange, illustrates the limitations of geography as

  2. Workshop on DAE vision of information exchange, 1999

    International Nuclear Information System (INIS)

    Athinarayanan, S.; Dhekne, P.S.; Guruvayurappan, K.

    1999-12-01

    This book comprises of a collection of articles specially written in the field of information technology. These articles have been classified into six sections: general databases, applications, network security, technology and protocols. The general section contains articles on Y2K, e-commerce, software reliability etc., which are of wider interest to a general reader. The remaining sections contain interesting articles which will throw deep insight into the intricate and mysterious world of current IT scenario. An article focusses on different databases closely related to nuclear science and technology. Papers relevant to INIS are indexed separately

  3. Recent initiative in information exchange throughout the international nuclear community

    International Nuclear Information System (INIS)

    Simard, R.L.

    1983-01-01

    Two key systems essential to the gathering and dissemination of operating experience, the Nuclear Plant Reliability Data System (NPRDS) and NUCLEAR NOTEPAD are described. The NPRDS is a collection of detailed engineering data on systems and components important to nuclear plant safety and productivity. NUCLEAR NOTEPAD is an international telecommunications network which provides a mechanism for the rapid, widespread dissemination of information pertinent to the design, licensing, safe and reliable operation of nuclear plants. Both systems have been managed by the Institute of Nuclear Power Operations since 1982 and are used extensively by 84 organizations in 14 countries. (U.K.)

  4. Using hub technology to facilitate information system integration in a health-care enterprise.

    Science.gov (United States)

    Gendler, S M; Friedman, B A; Henricks, W H

    1996-04-01

    The deployment and maintenance of multiple point-to-point interfaces between a clinical information system, such as a laboratory information system, and other systems within a healthcare enterprise is expensive and time consuming. Moreover, the demand for such interfaces is increasing as hospitals consolidate and clinical laboratories participate in the development of regional laboratory networks and create host-to-host links with laboratory outreach clients. An interface engine, also called a hub, is an evolving technology that could replace multiple point-to-point interfaces from a laboratory information system with a single interface to the hub, preferably HL7 based. The hub then routes and translates laboratory information to other systems within the enterprise. Changes in application systems in an enterprise where a centralized interface engine has been implemented then amount to thorough analysis, an update of the enterprise's data dictionary, purchase of a single new vendor-supported interface, and table-based parameter changes on the hub. Two other features of an interface engine, support for structured query language and information store-and-forward, will facilitate the development of clinical data repositories and provide flexibility when interacting with other host systems. This article describes the advantages and disadvantages of an interface engine and lists some problems not solved by the technology. Finally, early developmental experience with an interface engine at the University of Michigan Medical Center and the benefits of the project on system integration efforts are described, not the least of which has been the enthusiastic adoption of the HL7 standard for all future interface projects.

  5. Online patient information on Vagus Nerve Stimulation: How reliable is it for facilitating shared decision making?

    Science.gov (United States)

    Ved, Ronak; Cobbold, Naomi; Igbagiri, Kueni; Willis, Mark; Leach, Paul; Zaben, Malik

    2017-08-01

    This study evaluates the quality of information available on the internet for carers of children with epilepsy considering treatment with Vagus Nerve Stimulation (VNS). Selected key phrases were entered into two popular search engines (Google™, Yahoo™). These phrases were: "Vagus nerve stimulator", alone and in combination with "childhood epilepsy", "paediatric epilepsy" and "epilepsy in childhood"; "VNS", and "VNS epilepsy". The first 50 hits per search were then screened. Of 600 identified sites, duplicated (262), irrelevant (230) and inaccessible (15) results were excluded. 93 websites were identified for evaluation using the DISCERN instrument, an online validation tool for patient information websites. The mean DISCERN score of all analysed websites was 39/80 (49%; SD 13.5). This equates to Fair to borderline Poor global quality, (Excellent=80-63; Good=62-51; Fair=50-39; Poor=38-27; Very poor=26-15). None of the analysed sites obtained an Excellent quality rating. 13% (12) obtained a Good score, 40% (37) obtained an Average score, 35% (33) obtained a Poor score, and 12% (11) obtained a Very poor score. The cohort of websites scored particularly poorly on assessment of whether reliable, holistic information was presented, for instance provision of reliable sources, (28%, SD 18) and discussion of alternative treatments, (30%, SD 14). To facilitate patient-centred shared decision-making, high quality information needs to be available for patients and families considering VNS. This study identifies that such information is difficult to locate on the internet. There is a need to develop focussed and reliable online patient resources for VNS. Copyright © 2017 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

  6. A platform independent prototype for data and information exchange between decision support systems

    International Nuclear Information System (INIS)

    Carle, B.; Baig, S.

    2003-01-01

    Full text: A survey amongst participants in the Decision Support System network (DSSNET) community showed that the organization dealing with the Information exchange between participants and stakeholders in nuclear emergency is too disparate to be defined in one well defined procedure or analysis. Looking at the organization of the national emergency response organizations, and especially when modelling the information flow, diversity is the most striking finding: originators of the information are different, decision making organisation can be different, the approval and publishing of information to press and wider public is dealt with in different ways and the responsibilities for the information flow to other authorities differ as well. Moreover, the place of decision support systems (DSS) in the emergency response organization varies for the different countries. This variation can be found in the way one of the 'big three' (RODOS, ARGOS and RECASS) systems is implemented, and even more in the way other, often country-specific systems, are in use and function more integrated with the particular emergency response organization of the country. Hence we can conclude that there is a need to structure the information exchange system, but this has to be flexible enough to work with the above described variety of existing organizations and procedures. Though it may not be feasible to agree on all specifications of information to be exchanged, we can define at least a minimal set. A prototype for data and information exchange is being developed under the EC project MODEM (Monitoring data and Information exchange among decision support systems). It establishes links between the decision support systems RODOS, ARGOS and RECASS. For setting up this data exchange, the use of xml-based data specifications allows a flexible integration with existing applications. The power to include metadata in a structured way allows the use of automated transformation tools and limits the

  7. Emergency exercises and information exchange. Does practice make perfect? Final report

    Energy Technology Data Exchange (ETDEWEB)

    Naadland Holo, E

    1999-09-01

    This project has covered a series of exercises and exercise like activities, in addition to a survey of scenario development tools and development of a suggestion for a Nordic system for data and information exchange. The results from the activities are presented in this report in a methodical perspective. The results reveal three similar components in almost all exercise activities: tools and methods to be used in an emergency situation need further development, systems for communication and information exchange should be developed and implemented, and the format and content of the information to be exchanged in an emergency situation should be agreed upon. Recommendations for future tasks regarding Nordic exercises are given according to this methodical approach. A major aspect here is to develop strategies for the over-all emergency planning. Such strategies should include the use of systematically chosen exercise types to improve the emergency response in a systematic way. (au)

  8. Falling short: how state laws can address health information exchange barriers and enablers.

    Science.gov (United States)

    Schmit, Cason D; Wetter, Sarah A; Kash, Bita A

    2018-06-01

    Research on the implementation of health information exchange (HIE) organizations has identified both positive and negative effects of laws relating to governance, incentives, mandates, sustainability, stakeholder participation, patient engagement, privacy, confidentiality, and security. We fill a substantial research gap by describing whether comprehensive state and territorial HIE legal frameworks address identified legal facilitators and barriers. We used the Westlaw database to identify state and territorial laws relating to HIEs in effect on June 7, 2016 (53 jurisdictions). We blind-coded all laws and addressed coding discrepancies in peer-review meetings. We recorded a consensus code for each law in a master database. We compared 20 HIE legal attributes with identified barriers to and enablers of HIE activity in the literature. Forty-two states, the District of Columbia, and 2 territories have laws relating to HIEs. On average, jurisdictions address 8.32 of the 20 criteria selected in statutes and regulations. Twenty jurisdictions unambiguously address ≤5 criteria in statutes and regulations. None of the significant legal criteria are unambiguously addressed in >60% of the 53 jurisdictions. Laws can be barriers to or enablers of HIEs. However, jurisdictions are not addressing many significant issues identified by researchers. Consequently, there is a substantial risk that existing legal frameworks are not adequately supporting HIEs. The current evidence base is insufficient for comparative assessments or impact rankings of the various factors. However, the detailed Centers for Disease Control and Prevention dataset of HIE laws could enable investigations into the types of laws that promote or impede HIEs.

  9. Taxpayers' confidentiality and privacy rights in the international exchange of tax information

    Directory of Open Access Journals (Sweden)

    Anđelković Mileva

    2014-01-01

    Full Text Available The exchange of tax information is a distinctive feature of international tax cooperation processes. The trend of intensive communication between the national tax administrations has been a political priority in economically developed countries. This area of international tax law has been subject to significant changes in the past few years. Countries are prompted to pursue the automatic exchange of tax information by entering into multilateral treaties on the exchange of tax information rather than engage in international exchange of tax information upon request by entering into bilateral agreements. These processes are promptly expedited owing to the incredible development of information and communication technologies. These developments are basically aimed at preventing different forms of international tax fraud which generate significant financial losses in the circumstances of current economic crisis. Such efforts may be justifiable regarding the interests of the countries of residence; but, what about the legal status of ordinary taxpayers who are now subject to a comprehensive and far-reaching control? The new concept may be appropriate for tracking tax fraud or embezzlement but what are its implications for law-abiding taxpayers? The national legislatures are obliged to provide for the protection of confidentiality of exchanged tax information but many states have not fully recognized the importance of providing adequate legal protection of sensitive personal and financial data. There are only a few countries whose legislations explicitly prescribe the taxpayers' right to be informed, the right to consult tax administration and the right to seek tax administration intervention as a form of legal protection in international exchange of tax information. The Serbian tax legislation does not envisage the obligation of tax authorities to notify the taxpayers about the request submitted by foreign tax authorities to provide some tax

  10. Proceedings of information and opinion exchange conference on geoscientific study, 2007

    International Nuclear Information System (INIS)

    Nishio, Kazuhisa; Iyatomi, Yosuke; Ogata, Nobuhisa

    2008-05-01

    The Tono Geoscience Center (TGC) of Japan Atomic Energy Agency (JAEA) has been conducting a geoscientific studies in order to establish a scientific and technological basis for the geological disposal of HLW. Information and Opinion Exchange Conference on Geoscientific Study has been held by TGC annually. The conference provides technical information and an opportunity for peer review and exchange of opinions on the geoscientific studies conducted at TGC. Research specialists and engineers from Japanese universities, research organizations and private companies usually participate the conference. This document compiles research presentations, posters of the conference on October 19th, 2007 at Mizunami. (author)

  11. Proceedings of information and opinion exchange conference on geoscientific study, 2006

    International Nuclear Information System (INIS)

    Nishio, Kazuhisa; Iyatomi, Yosuke; Ogata, Nobuhisa

    2008-03-01

    The Tono Geoscience Center (TGC) of Japan Atomic Energy Agency (JAEA) has been conducting a geoscientific studies in order to establish a scientific and technological basis for the geological disposal of HLW. Information and Opinion Exchange Conference on Geoscientific Study has been held by TGC annually. The conference provides technical information and an opportunity for peer review and exchange of opinions on the geoscientific studies conducted at TGC. Research specialists and engineers from Japanese universities, research organizations and private companies usually participate the conference. This document collects research presentations, posters of the conference on October 19th to 20th, 2006 at Mizunami. (author)

  12. Proceedings of information and opinion exchange conference on geoscientific study, 2009

    International Nuclear Information System (INIS)

    Nishio, Kazuhisa; Iyatomi, Yosuke; Shimada, Akiomi

    2010-02-01

    The Tono Geoscience Center (TGC) of Japan Atomic Energy Agency (JAEA) has been conducting a geoscientific studies in order to establish a scientific and technological basis for the geological disposal of HLW. Information and Opinion Exchange Conference on Geoscientific Study has been held by TGC annually. The conference provides technical information and an opportunity for peer review and exchange of opinions on the geoscientific studies conducted at TGC. Research specialists and engineers from Japanese universities, research organizations and private companies usually participate the conference. This document compiles research presentations, posters of the conference on October 27th, 2009 at Mizunami. (author)

  13. Health Information Technology: Meaningful Use and Next Steps to Improving Electronic Facilitation of Medication Adherence.

    Science.gov (United States)

    Bosworth, Hayden B; Zullig, Leah L; Mendys, Phil; Ho, Michael; Trygstad, Troy; Granger, Christopher; Oakes, Megan M; Granger, Bradi B

    2016-03-15

    The use of health information technology (HIT) may improve medication adherence, but challenges for implementation remain. The aim of this paper is to review the current state of HIT as it relates to medication adherence programs, acknowledge the potential barriers in light of current legislation, and provide recommendations to improve ongoing medication adherence strategies through the use of HIT. We describe four potential HIT barriers that may impact interoperability and subsequent medication adherence. Legislation in the United States has incentivized the use of HIT to facilitate and enhance medication adherence. The Health Information Technology for Economic and Clinical Health (HITECH) was recently adopted and establishes federal standards for the so-called "meaningful use" of certified electronic health record (EHR) technology that can directly impact medication adherence. The four persistent HIT barriers to medication adherence include (1) underdevelopment of data reciprocity across clinical, community, and home settings, limiting the capture of data necessary for clinical care; (2) inconsistent data definitions and lack of harmonization of patient-focused data standards, making existing data difficult to use for patient-centered outcomes research; (3) inability to effectively use the national drug code information from the various electronic health record and claims datasets for adherence purposes; and (4) lack of data capture for medication management interventions, such as medication management therapy (MTM) in the EHR. Potential recommendations to address these issues are discussed. To make meaningful, high quality data accessible, and subsequently improve medication adherence, these challenges will need to be addressed to fully reach the potential of HIT in impacting one of our largest public health issues.

  14. Does the mind map learning strategy facilitate information retrieval and critical thinking in medical students?

    Science.gov (United States)

    D'Antoni, Anthony V; Zipp, Genevieve Pinto; Olson, Valerie G; Cahill, Terrence F

    2010-09-16

    A learning strategy underutilized in medical education is mind mapping. Mind maps are multi-sensory tools that may help medical students organize, integrate, and retain information. Recent work suggests that using mind mapping as a note-taking strategy facilitates critical thinking. The purpose of this study was to investigate whether a relationship existed between mind mapping and critical thinking, as measured by the Health Sciences Reasoning Test (HSRT), and whether a relationship existed between mind mapping and recall of domain-based information. In this quasi-experimental study, 131 first-year medical students were randomly assigned to a standard note-taking (SNT) group or mind map (MM) group during orientation. Subjects were given a demographic survey and pre-HSRT. They were then given an unfamiliar text passage, a pre-quiz based upon the passage, and a 30-minute break, during which time subjects in the MM group were given a presentation on mind mapping. After the break, subjects were given the same passage and wrote notes based on their group (SNT or MM) assignment. A post-quiz based upon the passage was administered, followed by a post-HSRT. Differences in mean pre- and post-quiz scores between groups were analyzed using independent samples t-tests, whereas differences in mean pre- and post-HSRT total scores and subscores between groups were analyzed using ANOVA. Mind map depth was assessed using the Mind Map Assessment Rubric (MMAR). There were no significant differences in mean scores on both the pre- and post-quizzes between note-taking groups. And, no significant differences were found between pre- and post-HSRT mean total scores and subscores. Although mind mapping was not found to increase short-term recall of domain-based information or critical thinking compared to SNT, a brief introduction to mind mapping allowed novice MM subjects to perform similarly to SNT subjects. This demonstrates that medical students using mind maps can successfully

  15. Proceedings of the 1st JAEA/KAERI information exchange meeting on HTGR and nuclear hydrogen technology

    International Nuclear Information System (INIS)

    Sato, Hiroyuki; Sakaba, Nariaki; Nishihara, Tetsuo; Yan, Xing L.; Hino, Ryutaro

    2007-03-01

    Japan Atomic Energy Agency (JAEA) has completed an implementation with Korea Atomic Energy Research Institute (KAERI) on HTGR and nuclear hydrogen technology, 'The Implementation of Cooperative Program in the Field of Peaceful Uses of Nuclear Energy between KAERI and JAEA. 'To facilitate efficient technology development on HTGR and nuclear hydrogen by the IS process, an information exchange meeting was held at the Oarai Research and Development Center of JAEA on August 28-30, 2006 under Program 13th of the JAEA/KAERI Implementation, 'Development of HTGR and Nuclear Hydrogen Technology'. JAEA and KAERI mutually showed the status and future plan of the HTTR (High-Temperature Engineering Test Reactor) project in Japan and of the NHDD (Nuclear Hydrogen Development and Demonstration) project in Korea, respectively, and discussed collaboration items. This proceedings summarizes all materials of presented technical discussions on HTGR and hydrogen production technology as well as the meeting briefing including collaboration items. (author)

  16. Increments to chiral recognition facilitating enantiomer separations of chiral acids, bases, and ampholytes using Cinchona-based zwitterion exchanger chiral stationary phases.

    Science.gov (United States)

    Wernisch, Stefanie; Pell, Reinhard; Lindner, Wolfgang

    2012-07-01

    The intramolecular distances of anion and cation exchanger sites of zwitterionic chiral stationary phases represent potential tuning sites for enantiomer selectivity. In this contribution, we investigate the influence of alkanesulfonic acid chain length and flexibility on enantiomer separations of chiral acids, bases, and amphoteric molecules for six Cinchona alkaloid-based chiral stationary phases in comparison with structurally related anion and cation exchangers. Employing polar-organic elution conditions, we observed an intramolecular counterion effect for acidic analytes which led to reduced retention times but did not impair enantiomer selectivities. Retention of amphoteric analytes is based on simultaneous double ion pairing of their charged functional groups with the acidic and basic sites of the zwitterionic selectors. A chiral center in the vicinity of the strong cation exchanger site is vital for chiral separations of bases. Sterically demanding side chains are beneficial for separations of free amino acids. Enantioseparations of free (un-derivatized) peptides were particularly successful in stationary phases with straight-chain alkanesulfonic acid sites, pointing to a beneficial influence of more flexible moieties. In addition, we observed pseudo-enantiomeric behavior of quinine and quinidine-derived chiral stationary phases facilitating reversal of elution orders for all analytes. © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  17. Exchanging information

    CERN Document Server

    Johnson, Christine

    1991-01-01

    This is part of a series of books, which gives training in key business communication skills. Emphasis is placed on building awareness of language appropriateness and fluency in typical business interactions. This new edition is in full colour.

  18. Sharing Service Resource Information for Application Integration in a Virtual Enterprise - Modeling the Communication Protocol for Exchanging Service Resource Information

    Science.gov (United States)

    Yamada, Hiroshi; Kawaguchi, Akira

    Grid computing and web service technologies enable us to use networked resources in a coordinated manner. An integrated service is made of individual services running on coordinated resources. In order to achieve such coordinated services autonomously, the initiator of a coordinated service needs to know detailed service resource information. This information ranges from static attributes like the IP address of the application server to highly dynamic ones like the CPU load. The most famous wide-area service discovery mechanism based on names is DNS. Its hierarchical tree organization and caching methods take advantage of the static information managed. However, in order to integrate business applications in a virtual enterprise, we need a discovery mechanism to search for the optimal resources based on the given a set of criteria (search keys). In this paper, we propose a communication protocol for exchanging service resource information among wide-area systems. We introduce the concept of the service domain that consists of service providers managed under the same management policy. This concept of the service domain is similar to that for autonomous systems (ASs). In each service domain, the service information provider manages the service resource information of service providers that exist in this service domain. The service resource information provider exchanges this information with other service resource information providers that belong to the different service domains. We also verified the protocol's behavior and effectiveness using a simulation model developed for proposed protocol.

  19. Joint efforts and shared responsibilities - Health information exchange in primary care for people with intellectual disabilities

    NARCIS (Netherlands)

    Mastebroek, M.

    2017-01-01

    People with intellectual disabilities (ID) have a considerably worse health than people without ID, for a great part related to the quality of healthcare provision and health communication. This research studied health information exchange (HIE) between people with ID, their support network, and

  20. Error Made in Conversation by Indonesian Learners Learning English Based on Syntax and Exchanging Information

    Directory of Open Access Journals (Sweden)

    Melania Wiannastiti

    2014-10-01

    Full Text Available In learning a second language or foreign language (L2, learners should master the competences. Normally, L2 learners first should master the linguistic competence which includes the mastery of vocabularies, pronunciation, and grammar. The study is to find out the syntax error made by L2 learners in conversation as well as to find out the exchanging information. The data were the recording conversation of Visual Communication Design students first semester of Binus University joining English Entrant. Error analysis was used to analyze the data. There are two points of view to analyze the data: syntax from taxonomy and exchanging information. Taxonomy employs the error in omission, addition, misinformation, and mis-ordering. Exchanging information point of view employs the error in finite element and mood. The result shows that L2 learners made some errors in grammar and exchanging information because they are influenced by the L1. They tend to transfer from L1 to L2 rather than thinking to create the utterances in L2. 

  1. Configuration of inter-organizational information exchange and the differences between buyers and sellers

    NARCIS (Netherlands)

    Peng, G.; Trienekens, J.H.; Omta, S.W.F.; Wang, W.

    2014-01-01

    Purpose – The aim of this paper is to extend the understanding of the configuration of inter-organizational information exchange (IOIE) and the role of each aspect of IOIE in realizing potential communication benefits. Design/methodology/approach – A conceptual framework on the configuration of IOIE

  2. Challenging the Chain : Governing the Automated Exchange and Processing of Business Information

    NARCIS (Netherlands)

    Bharosa, N.; Van Wijk, R.; De Winne, N.; Janssen, M.F.W.H.A.

    2015-01-01

    What is digital business reporting? Why do we need it? And how can we improve it? This book aims to address these questions by illustrating the rise of system-to-system information exchange and the opportunities for improving transparency and accountability. Governments around the world are looking

  3. Interactions through the network - understanding the myths to create new ways of information exchange

    International Nuclear Information System (INIS)

    Zakharov, I.V.

    1996-01-01

    The introduction of open data networks in the former Soviet Union, even concerning nuclear matters, collided with Soviet myths of, for example, nuclear secrets, information prohibition and dangers of international communication. Moreover, it was considered very complicated. These myths share many of the features with perception of radiation risk, such as dread, fear and misunderstanding. The new opportunities for information exchange, created by modern telecommunications and computer networks, can dispel these myths and perceptions concerning radiation risk, provided proper consideration of the myths' origins is taken. New ways of information exchange, such as creating extensive, international information infrastructures, based on Internet, can create new conditions for presenting the social conditions related to radiation risk. (author)

  4. Investigation of the Impact of Extracting and Exchanging Health Information by Using Internet and Social Networks.

    Science.gov (United States)

    Pistolis, John; Zimeras, Stelios; Chardalias, Kostas; Roupa, Zoe; Fildisis, George; Diomidous, Marianna

    2016-06-01

    Social networks (1) have been embedded in our daily life for a long time. They constitute a powerful tool used nowadays for both searching and exchanging information on different issues by using Internet searching engines (Google, Bing, etc.) and Social Networks (Facebook, Twitter etc.). In this paper, are presented the results of a research based on the frequency and the type of the usage of the Internet and the Social Networks by the general public and the health professionals. The objectives of the research were focused on the investigation of the frequency of seeking and meticulously searching for health information in the social media by both individuals and health practitioners. The exchanging of information is a procedure that involves the issues of reliability and quality of information. In this research, by using advanced statistical techniques an effort is made to investigate the participant's profile in using social networks for searching and exchanging information on health issues. Based on the answers 93 % of the people, use the Internet to find information on health-subjects. Considering principal component analysis, the most important health subjects were nutrition (0.719 %), respiratory issues (0.79 %), cardiological issues (0.777%), psychological issues (0.667%) and total (73.8%). The research results, based on different statistical techniques revealed that the 61.2% of the males and 56.4% of the females intended to use the social networks for searching medical information. Based on the principal components analysis, the most important sources that the participants mentioned, were the use of the Internet and social networks for exchanging information on health issues. These sources proved to be of paramount importance to the participants of the study. The same holds for nursing, medical and administrative staff in hospitals.

  5. National Survey Report of PV Power Applications in The Netherlands 2009. Task 1. Exchange and dissemination of information on PV power systems

    International Nuclear Information System (INIS)

    2010-12-01

    The objective of Task 1 of the IEA Photovoltaic Power Systems Programme is to facilitate the exchange and dissemination of information on the technical, economic, environmental and social aspects of photovoltaic power systems. An important deliverable of Task 1 is the annual Trends in photovoltaic applications report. In parallel, National Survey Reports are produced annually by each Task 1 participant. This document is the Dutch National Survey Report for the year 2009. Information from this document will be used as input to the annual Trends in photovoltaic applications report.

  6. Breeding-season sympatry facilitates genetic exchange among allopatric wintering populations of Northern Pintails in Japan and California

    Science.gov (United States)

    Flint, Paul L.; Ozaki, Kiyoaki; Pearce, John M.; Guzzetti, Brian; Higuchi, Hiroyoshi; Fleskes, Joseph P.; Shimada, Tetsuo; Derksen, Dirk V.

    2009-01-01

    The global redistribution of pathogens, such as highly pathogenic avian influenza, has renewed interest in the connectivity of continental populations of birds. Populations of the Northern Pintail (Anas acuta) wintering in Japan and California are considered separate from a management perspective. We used data from band recoveries and population genetics to assess the degree of biological independence of these wintering populations. Distributions of recoveries in Russia of Northern Pintails originally banded during winter in North America overlapped with distributions of Northern Pintails banded during winter in Japan. Thus these allopatric wintering populations are partially sympatric during the breeding season. The primary areas of overlap were along the Chukotka and Kamchatka peninsulas in Russia. Furthermore, band recoveries demonstrated dispersal of individuals between wintering populations both from North America to Japan and vice versa. Genetic analyses of samples from both wintering populations showed little evidence of population differentiation. The combination of banding and genetic markers demonstrates that these two continental populations are linked by low levels of dispersal as well as likely interbreeding in eastern Russia. Although the levels of dispersal are inconsequential for population dynamics, the combination of dispersal and interbreeding represents a viable pathway for exchange of genes, diseases, and/or parasites.

  7. [Problems encountered by hospital pharmacists with information systems: Analysis of exchanges within social networks].

    Science.gov (United States)

    Charpiat, B; Mille, F; Fombeur, P; Machon, J; Zawadzki, E; Bobay-Madic, A

    2018-05-21

    The development of information systems in French hospitals is mandatory. The aim of this work was to analyze the content of exchanges carried out within social networks, dealing with problems encountered with hospital pharmacies information systems. Messages exchanged via the mailing list of the Association pour le Digital et l'Information en Pharmacie and abstracts of communications presented at hospital pharmacists trade union congresses were analyzed. Those referring to information systems used in hospital pharmacies were selected. From March 2015 to June 2016, 122 e-mails sent by 80 pharmacists concerned information systems. From 2002 to 2016, 45 abstracts dealt with this topic. Problems most often addressed in these 167 documents were "parameterization and/or functionalities" (n=116), interfaces and complexity of the hospital information systems (n=52), relationship with health information technologies vendors and poor reactivity (n=32), additional workload (n=32), ergonomics (n=30), insufficient user training (n=22). These problems are interdependent, lead to errors and in order to mitigate their consequences, they compel pharmacy professionals to divert a significant amount of working hours to the detriment of pharmaceutical care and dispensing and preparing drugs. Hospital pharmacists are faced with many problems of insecurity and inefficiency generated by information systems. Researches are warranted to determine their cost, specify their deleterious effects on care and identify the safest information systems. Copyright © 2018 Académie Nationale de Pharmacie. Published by Elsevier Masson SAS. All rights reserved.

  8. Impact of Health Information Exchange on Emergency Medicine Clinical Decision Making.

    Science.gov (United States)

    Gordon, Bradley D; Bernard, Kyle; Salzman, Josh; Whitebird, Robin R

    2015-12-01

    The objective of the study was to understand the immediate utility of health information exchange (HIE) on emergency department (ED) providers by interviewing them shortly after the information was retrieved. Prior studies of physician perceptions regarding HIE have only been performed outside of the care environment. Trained research assistants interviewed resident physicians, physician assistants and attending physicians using a semi-structured questionnaire within two hours of making a HIE request. The responses were recorded, then transcribed for qualitative analysis. The transcribed interviews were analyzed for emerging qualitative themes. We analyzed 40 interviews obtained from 29 providers. Primary qualitative themes discovered included the following: drivers for requests for outside information; the importance of unexpected information; historical lab values as reference points; providing context when determining whether to admit or discharge a patient; the importance of information in refining disposition; improved confidence of provider; and changes in decisions for diagnostic imaging. ED providers are driven to use HIE when they're missing a known piece of information. This study finds two additional impacts not previously reported. First, providers sometimes find additional unanticipated useful information, supporting a workflow that lowers the threshold to request external information. Second, providers sometimes report utility when no changes to their existing plan are made as their confidence is increased based on external records. Our findings are concordant with previous studies in finding exchanged information is useful to provide context for interpreting lab results, making admission decisions, and prevents repeat diagnostic imaging.

  9. Uncovering Hospitalists' Information Needs from Outside Healthcare Facilities in the Context of Health Information Exchange Using Association Rule Learning.

    Science.gov (United States)

    Martinez, D A; Mora, E; Gemmani, M; Zayas-Castro, J

    2015-01-01

    Important barriers to health information exchange (HIE) adoption are clinical workflow disruptions and troubles with the system interface. Prior research suggests that HIE interfaces providing faster access to useful information may stimulate use and reduce barriers for adoption; however, little is known about informational needs of hospitalists. To study the association between patient health problems and the type of information requested from outside healthcare providers by hospitalists of a tertiary care hospital. We searched operational data associated with fax-based exchange of patient information (previous HIE implementation) between hospitalists of an internal medicine department in a large urban tertiary care hospital in Florida, and any other affiliated and unaffiliated healthcare provider. All hospitalizations from October 2011 to March 2014 were included in the search. Strong association rules between health problems and types of information requested during each hospitalization were discovered using Apriori algorithm, which were then validated by a team of hospitalists of the same department. Only 13.7% (2 089 out of 15 230) of the hospitalizations generated at least one request of patient information to other providers. The transactional data showed 20 strong association rules between specific health problems and types of information exist. Among the 20 rules, for example, abdominal pain, chest pain, and anaemia patients are highly likely to have medical records and outside imaging results requested. Other health conditions, prone to have records requested, were lower urinary tract infection and back pain patients. The presented list of strong co-occurrence of health problems and types of information requested by hospitalists from outside healthcare providers not only informs the implementation and design of HIE, but also helps to target future research on the impact of having access to outside information for specific patient cohorts. Our data

  10. 76 FR 8804 - 30-Day Notice of Proposed Information Collection: Form DS-3097, Exchange Visitor Program Annual...

    Science.gov (United States)

    2011-02-15

    ... DS-3097, Exchange Visitor Program Annual Report, OMB Control Number 1405-0151 ACTION: Notice of... Department of State has submitted the following information collection request to the Office of Management... Information Collection: Exchange Visitor Program Annual Report. OMB Control Number: 1405-0151. Type of Request...

  11. 77 FR 20687 - 30-Day Notice of Proposed Information Collection: Form DS-3097, Exchange Visitor Program Annual...

    Science.gov (United States)

    2012-04-05

    ...-3097, Exchange Visitor Program Annual Report, OMB Control Number 1405-0151 ACTION: Notice of request... Department of State has submitted the following information collection request to the Office of Management... Information Collection: Exchange Visitor Program Annual Report. OMB Control Number: 1405-0151. Type of Request...

  12. The information exchange between moduluses in the system of module programming of the computation complexes

    International Nuclear Information System (INIS)

    Zinin, A.I.; Kolesov, V.E.; Nevinitsa, A.I.

    1975-01-01

    The report contains description of the method of construction of computer programs complexes for computation purposes for M-220 computers using the ALGOL-60 code for programming. The complex is organised on the modulus system principle and can include substantial number of modulus programs. The information exchange between separate moduli is done by means of special interpreting program and the information unit exchanged is a specially arranged file of data. For addressing to the interpreting program in the ALGOL-60 frameworks small number of specially created procedure-codes is used. The method proposed gives possibilities to program separate moduli of the complex independently and to expand the complex if necessary. In this case separate moduli or groups of moduli depending on the method of segmentation of the general problem solved by the complex will be of the independent interest and could be used out of the complex as traditional programs. (author)

  13. Automatic Exchange of Information as the new global standard: the end of (offshore tax evasion) history?

    OpenAIRE

    Meinzer, Markus

    2017-01-01

    Automatic exchange of information (AEoI) for tax purposes has become the global standard for international tax cooperation in 2013. As a tool for containing offshore tax evasion, it has encountered opposition in the past and continues to be fraught with challenges. This paper recapitulates the rationale for AEoI, including estimates on the magnitudes of assets held offshore, with a specific focus on Turkish assets held in Germany (chapter 1). Subsequently, chapter 2 summarises the recent hist...

  14. Facilitated IEP Meetings. PACER Center ACTion Information Sheets: PHP-c90

    Science.gov (United States)

    PACER Center, 2014

    2014-01-01

    To help special education planning teams reach agreements, the Minnesota Department of Education, Compliance and Assistance, Alternative Dispute Resolution Services provide the option of facilitated IEP (Individualized Education Program) meetings. This option is available for IEP, IIIP (Individual Interagency Intervention Plan), and IFSP…

  15. Organizational Uses of Health Information Exchange to Change Cost and Utilization Outcomes: A Typology from a Multi-Site Qualitative Analysis.

    Science.gov (United States)

    Vest, Joshua R; Abramson, Erika

    2015-01-01

    Health information exchange (HIE) systems facilitate access to patient information for a variety of health care organizations, end users, and clinical and organizational goals. While a complex intervention, organizations' usage of HIE is often conceptualized and measured narrowly. We sought to provide greater specificity to the concept of HIE as an intervention by formulating a typology of organizational HIE usage. We interviewed representatives of a regional health information organization and health care organizations actively using HIE information to change patient utilization and costs. The resultant typology includes three dimensions: user role, usage initiation, and patient set. This approach to categorizing how health care organizations are actually applying HIE information to clinical and business tasks provides greater clarity about HIE as an intervention and helps elucidate the conceptual linkage between HIE an organizational and patient outcomes.

  16. The development of a health information exchange to enhance care and improve patient outcomes among HIV+ individuals in rural North Carolina.

    Science.gov (United States)

    Messer, Lynne C; Parnell, Heather; Huffaker, Renee; Wooldredge, Rich; Wilkin, Aimee

    2012-10-01

    The Regional Health Information Integration Project (RHIIP) has developed the Carolina HIV Information Cooperative regional health information organization (CHIC RHIO). The CHIC RHIO was implemented to improve patient care and health outcomes by enhancing communication among geographically disconnected networks of HIV care providers in rural North Carolina. CHIC RHIO comprises one medical clinic and five AIDS Service Organizations (ASOs) serving clients in eight rural counties. Communication among the CHIC RHIO members is facilitated by CAREWare software. The RHIIP team assessed organizational readiness to change, facilitated relationship-building for CHIC RHIO, created the CHIC RHIO and used both qualitative and quantitative approaches to evaluate the process-related effects of implementing a data-sharing intervention. We found the CHIC RHIO member organizations were ready to engage in the IT intervention prior to its implementation, which most likely contributed to its successful adoption. The qualitative findings indicate that CHIC RHIO members personally benefited - and perceived their clients benefited - from participation in the information exchange. The quantitative results echoed the qualitative findings; following the CHIC RHIO intervention, quality improvements were noted in the ASO and medical clinic relationships, information exchange, and perceived level of patient care. Furthermore, hopes for what data sharing would accomplish were overly high at the beginning of the project, thus requiring a recalibration of expectations as the project came to a close. Innovative strategies for health information exchange can be implemented in rural communities to increase communication among providers. With this increased communication comes the potential for improved health outcomes and, in turn, healthier communities. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  17. WaterML, an Information Standard for the Exchange of in-situ hydrological observations

    Science.gov (United States)

    Valentine, D.; Taylor, P.; Zaslavsky, I.

    2012-04-01

    The WaterML 2.0 Standards Working Group (SWG), working within the Open Geospatial Consortium (OGC) and in cooperation with the joint OGC-World Meteorological Organization (WMO) Hydrology Domain Working Group (HDWG), has developed an open standard for the exchange of water observation data; WaterML 2.0. The focus of the standard is time-series data, commonly generated from in-situ style monitoring. This is high value data for hydrological applications such as flood forecasting, environmental reporting and supporting hydrological infrastructure (e.g. dams, supply systems), which is commonly exchanged, but a lack of standards inhibits efficient reuse and automation. The process of developing WaterML required doing a harmonization analysis of existing standards to identify overlapping concepts and come to agreement on a harmonized definition. Generally the formats captured similar requirements, all with subtle differences, such as how time-series point metadata was handled. The in-progress standard WaterML 2.0 incorporates the semantics of the hydrologic information: location, procedure, and observations, and is implemented as an application schema of the Geography Markup Language version 3.2.1, making use of the OGC Observations & Measurements standards. WaterML2.0 is designed as an extensible schema to allow encoding of data to be used in a variety of exchange scenarios. Example areas of usage are: exchange of data for operational hydrological monitoring programs; supporting operation of infrastructure (e.g. dams, supply systems); cross-border exchange of observational data; release of data for public dissemination; enhancing disaster management through data exchange; and exchange in support of national reporting The first phase of WaterML2.0 focused on structural definitions allowing for the transfer of time-series, with less work on harmonization of vocabulary items such as quality codes. Vocabularies from various organizations tend to be specific and take time to

  18. The DELPHI distributed information system for exchanging LEP machine related information

    International Nuclear Information System (INIS)

    Doenszelmann, M.; Gaspar, C.

    1994-01-01

    An information management system was designed and implemented to interchange information between the DELPHI experiment at CERN and the monitoring/control system for the LEP (Large Electron Positron Collider) accelerator. This system is distributed and communicates with many different sources and destinations (LEP) using different types of communication. The system itself communicates internally via a communication system based on a publish-and-subscribe mechanism, DIM (Distributed Information Manager). The information gathered by this system is used for on-line as well as off-line data analysis. Therefore it logs the information to a database and makes it available to operators and users via DUI (DELPHI User Interface). The latter was extended to be capable of displaying ''time-evolution'' plots. It also handles a protocol, implemented using a finite state machine, SMI (State Management Interface), for (semi-)automatic running of the Data Acquisition System and the Slow Controls System. ((orig.))

  19. [A study on facilitators and inhibitors to the introduction of outsourcing in the hospital information systems in Korea].

    Science.gov (United States)

    Choy, Soon; Shin, Hyeong-Sik; Choi, Inyoung; Kim, Sukil

    2007-01-01

    This study was conducted to investigate the current status of outsourcing in Korean hospital information systems and the factors influencing its introduction. The authors surveyed 136 hospitals located in Seoul and its surrounding vicinities from June 7 to June 23, 2006. The facilitators and inhibitors to outsourcing in hospital information systems were derived from literature and expert reviews. Multiple logistic regression analysis was applied to identify the major influencing factors on outsourcing in hospital information systems. Eighty-six (63.2%) of the 136 hospitals surveyed, which were mainly tertiary hospitals, responded to using outsourcing for their hospital information systems. "Hardware and software maintenance and support," "application development," and "management of service and staff" were the major areas of outsourcing. Outsourcing had been employed for 4-7 years by 45.5% of the hospitals and the proportion of the budget used for outsourcing was less than 20%. A need for an extension in outsourcing was agreed on by 76.5% of the hospitals. The multiple logistic regression analysis showed that both consumer satisfaction and security risk have an influence on hospital information system outsourcing. Outsourcing in hospital information systems is expected to increase just as in other industries. One primary facilitator to outsourcing in other industries is consumer satisfaction. We found that this was also a facilitator to outsourcing in hospital information systems. Security risk, which is usually considered an inhibitor to information technology outsourcing, was proven to be an inhibitor here as well. The results of this study may help hospital information systems establish a strategy and management plan for outsourcing.

  20. Management of laboratory data and information exchange in the electronic health record.

    Science.gov (United States)

    Wilkerson, Myra L; Henricks, Walter H; Castellani, William J; Whitsitt, Mark S; Sinard, John H

    2015-03-01

    In the era of the electronic health record, the success of laboratories and pathologists will depend on effective presentation and management of laboratory information, including test orders and results, and effective exchange of data between the laboratory information system and the electronic health record. In this third paper of a series that explores empowerment of pathology in the era of the electronic health record, we review key elements of managing laboratory information within the electronic health record and examine functional issues pertinent to pathologists and laboratories in the exchange of laboratory information between electronic health records and both anatomic and clinical pathology laboratory information systems. Issues with electronic order-entry and results-reporting interfaces are described, and considerations for setting up these interfaces are detailed in tables. The role of the laboratory medical director as mandated by the Clinical Laboratory Improvement Amendments of 1988 and the impacts of discordance between laboratory results and their display in the electronic health record are also discussed.

  1. The strategic use of standardized information exchange technology in a university health system.

    Science.gov (United States)

    Cheng, Po-Hsun; Chen, Heng-Shuen; Lai, Feipei; Lai, Jin-Shin

    2010-04-01

    This article illustrates a Web-based health information system that is comprised of specific information exchange standards related to health information for healthcare services in National Taiwan University Health System. Through multidisciplinary teamwork, medical and informatics experts collaborated and studied on system scope definition, standard selection challenges, system implementation barriers, system management outcomes, and further expandability of other systems. After user requirement analysis and prototyping, from 2005 to 2008, an online clinical decision support system with multiple functions of reminding and information push was implemented. It was to replace its original legacy systems and serve among the main hospital and three branches of 180-200 clinics and 7,500-8,000 patient visits per day. To evaluate the effectiveness of this system, user surveys were performed, which revealed that the average score of user satisfaction increased from 2.80 to 3.18 on a 4-point scale. Among the items, especially e-learning for training service, courtesy communications for system requests, and courtesy communications for system operations showed statistically significant improvement. From this study, the authors concluded that standardized information exchange technologies can be used to create a brand new enterprise value and steadily obtain more competitive advantages for a prestige healthcare system.

  2. Real time alert system: a disease management system leveraging health information exchange.

    Science.gov (United States)

    Anand, Vibha; Sheley, Meena E; Xu, Shawn; Downs, Stephen M

    2012-01-01

    Rates of preventive and disease management services can be improved by providing automated alerts and reminders to primary care providers (PCPs) using of health information technology (HIT) tools. Using Adaptive Turnaround Documents (ATAD), an existing Health Information Exchange (HIE) infrastructure and office fax machines, we developed a Real Time Alert (RTA) system. RTA is a computerized decision support system (CDSS) that is able to deliver alerts to PCPs statewide for recommended services around the time of the patient visit. RTA is also able to capture structured clinical data from providers using existing fax technology. In this study, we evaluate RTA's performance for alerting PCPs when their patients with asthma have an emergency room visit anywhere in the state. Our results show that RTA was successfully able to deliver "just in time" patient-relevant alerts to PCPs across the state. Furthermore, of those ATADs faxed back and automatically interpreted by the RTA system, 35% reported finding the provided information helpful. The PCPs who reported finding information helpful also reported making a phone call, sending a letter or seeing the patient for follow up care. We have successfully demonstrated the feasibility of electronically exchanging important patient related information with the PCPs statewide. This is despite a lack of a link with their electronic health records. We have shown that using our ATAD technology, a PCP can be notified quickly of an important event such as a patient's asthma related emergency room admission so further follow up can happen in near real time.

  3. Hospital to Post-Acute Care Facility Transfers: Identifying Targets for Information Exchange Quality Improvement.

    Science.gov (United States)

    Jones, Christine D; Cumbler, Ethan; Honigman, Benjamin; Burke, Robert E; Boxer, Rebecca S; Levy, Cari; Coleman, Eric A; Wald, Heidi L

    2017-01-01

    Information exchange is critical to high-quality care transitions from hospitals to post-acute care (PAC) facilities. We conducted a survey to evaluate the completeness and timeliness of information transfer and communication between a tertiary-care academic hospital and its related PAC facilities. This was a cross-sectional Web-based 36-question survey of 110 PAC clinicians and staff representing 31 PAC facilities conducted between October and December 2013. We received responses from 71 of 110 individuals representing 29 of 31 facilities (65% and 94% response rates). We collapsed 4-point Likert responses into dichotomous variables to reflect completeness (sufficient vs insufficient) and timeliness (timely vs not timely) for information transfer and communication. Among respondents, 32% reported insufficient information about discharge medical conditions and management plan, and 83% reported at least occasionally encountering problems directly related to inadequate information from the hospital. Hospital clinician contact information was the most common insufficient domain. With respect to timeliness, 86% of respondents desired receipt of a discharge summary on or before the day of discharge, but only 58% reported receiving the summary within this time frame. Through free-text responses, several participants expressed the need for paper prescriptions for controlled pain medications to be sent with patients at the time of transfer. Staff and clinicians at PAC facilities perceive substantial deficits in content and timeliness of information exchange between the hospital and facilities. Such deficits are particularly relevant in the context of the increasing prevalence of bundled payments for care across settings as well as forthcoming readmissions penalties for PAC facilities. Targets identified for quality improvement include structuring discharge summary information to include information identified as deficient by respondents, completion of discharge summaries

  4. Barriers, facilitators, and potential strategies for increasing HPV vaccination: A statewide assessment to inform action

    Directory of Open Access Journals (Sweden)

    Kathleen B. Cartmell

    2018-06-01

    Full Text Available Objective: The objective was to investigate how state level strategies in South Carolina could maximize HPV vaccine uptake. Design: An environmental scan identified barriers, facilitators, and strategies for improving HPV vaccination in South Carolina. Interviews were conducted with state leaders from relevant organizations such as public health agencies, medical associations, K-12 schools, universities, insurers, and cancer advocacy organizations. A thematic content analysis design was used. Digital interview files were transcribed, a data dictionary was created and data were coded using the data dictionary. Results: Thirty four interviews were conducted with state leaders. Barriers to HPV vaccination included lack of HPV awareness, lack of provider recommendation, HPV vaccine concerns, lack of access and practice-level barriers. Facilitators included momentum for improving HPV vaccination, school-entry Tdap requirement, pharmacy-based HPV vaccination, state immunization registry, HEDIS measures and HPV vaccine funding. Strategies for improving HPV vaccination fell into three categories: 1 addressing lack of awareness about the importance of HPV vaccination among the public and providers; 2 advocating for policy changes around HPV vaccine coverage, vaccine education, and pharmacy-based vaccination; and 3 coordination of efforts. Discussion: A statewide environmental scan generated a blueprint for action to be used to improve HPV vaccination in the state. Keywords: HPV, HPV vaccines, Cervical cancer, Prevention, Health systems, Barriers, Facilitators, Strategies, South Carolina

  5. Linking attentional processes and conceptual problem solving: visual cues facilitate the automaticity of extracting relevant information from diagrams.

    Science.gov (United States)

    Rouinfar, Amy; Agra, Elise; Larson, Adam M; Rebello, N Sanjay; Loschky, Lester C

    2014-01-01

    This study investigated links between visual attention processes and conceptual problem solving. This was done by overlaying visual cues on conceptual physics problem diagrams to direct participants' attention to relevant areas to facilitate problem solving. Participants (N = 80) individually worked through four problem sets, each containing a diagram, while their eye movements were recorded. Each diagram contained regions that were relevant to solving the problem correctly and separate regions related to common incorrect responses. Problem sets contained an initial problem, six isomorphic training problems, and a transfer problem. The cued condition saw visual cues overlaid on the training problems. Participants' verbal responses were used to determine their accuracy. This study produced two major findings. First, short duration visual cues which draw attention to solution-relevant information and aid in the organizing and integrating of it, facilitate both immediate problem solving and generalization of that ability to new problems. Thus, visual cues can facilitate re-representing a problem and overcoming impasse, enabling a correct solution. Importantly, these cueing effects on problem solving did not involve the solvers' attention necessarily embodying the solution to the problem, but were instead caused by solvers attending to and integrating relevant information in the problems into a solution path. Second, this study demonstrates that when such cues are used across multiple problems, solvers can automatize the extraction of problem-relevant information extraction. These results suggest that low-level attentional selection processes provide a necessary gateway for relevant information to be used in problem solving, but are generally not sufficient for correct problem solving. Instead, factors that lead a solver to an impasse and to organize and integrate problem information also greatly facilitate arriving at correct solutions.

  6. U.S. Department of Energy national technology information exchange workshops

    International Nuclear Information System (INIS)

    Daub, G.J.; Earle, S.D.; Smibert, A.M.; Wight, E.H.

    1994-01-01

    The U.S. Department of Energy National Technology Information Exchange (TIE) Workshops bring together environmental restoration and technology development personnel to exchange and share problems, needs, technological solutions, ideas, and successes and failures from lessons learned at DOE sites. The success of this forum is measured by the knowledge gained, contacts made, and program dollars saved by the people who actually do the work in the field. TIE is a unique opportunity to unite the DOE community and allow individuals to listen and to learn about each others' problems and solutions. By using today's technologies better, the National TIE Workshops help identify and implement cost-effective and appropriate technologies to meet the needs of the DOE environmental restoration program

  7. Improving Information Exchange in the Chicken Processing Sector Using Standardised Data Lists

    Science.gov (United States)

    Donnelly, Kathryn Anne-Marie; van der Roest, Joop; Höskuldsson, Stefán Torfi; Olsen, Petter; Karlsen, Kine Mari

    Research has shown that to improve electronic communication between companies, universal standardised data lists are necessary. In food supply chains in particular there is an increased need to exchange data in the wake of food safety incidents. Food supply chain companies already record numerous measurements, properties and parameters. These records are necessary for legal reasons, labelling, traceability, profiling desirable characteristics, showing compliance and for meeting customer requirements. Universal standards for name and content of each of these data elements would improve information exchange between buyers, sellers, authorities, consumers and other interested parties. A case study, carried out for the chicken sector, attempted to identify the most relevant parameters including which of these were already communicated to external bodies.

  8. A security framework for nationwide health information exchange based on telehealth strategy.

    Science.gov (United States)

    Zaidan, B B; Haiqi, Ahmed; Zaidan, A A; Abdulnabi, Mohamed; Kiah, M L Mat; Muzamel, Hussaen

    2015-05-01

    This study focuses on the situation of health information exchange (HIE) in the context of a nationwide network. It aims to create a security framework that can be implemented to ensure the safe transmission of health information across the boundaries of care providers in Malaysia and other countries. First, a critique of the major elements of nationwide health information networks is presented from the perspective of security, along with such topics as the importance of HIE, issues, and main approaches. Second, a systematic evaluation is conducted on the security solutions that can be utilized in the proposed nationwide network. Finally, a secure framework for health information transmission is proposed within a central cloud-based model, which is compatible with the Malaysian telehealth strategy. The outcome of this analysis indicates that a complete security framework for a global structure of HIE is yet to be defined and implemented. Our proposed framework represents such an endeavor and suggests specific techniques to achieve this goal.

  9. How could health information exchange better meet the needs of care practitioners?

    DEFF Research Database (Denmark)

    Kierkegaard, Patrick; Kaushal, Rainu; Vest, Joshua R.

    2014-01-01

    of care practitioners. Methods: We performed a multiple-case study using qualitative methods in three com-munities in New York State. We conducted interviews onsite and by telephone with HIE users and non-users and observed the workflows of healthcare professionals at multi-ple healthcare organizations......, HIE facilitating organizations, and states can help support HIE adoption by ensuring patient information is accessible to providers through increasing patient consents, fostering broader participation, and by ensuring systems are usable....

  10. The Effects of Public Concern for Information Privacy on the Adoption of Health Information Exchanges (HIEs) by Healthcare Entities.

    Science.gov (United States)

    Esmaeilzadeh, Pouyan

    2018-05-08

    The implementation of Health Information Exchanges (HIEs) by healthcare organizations may not achieve the desired outcomes as consumers may request that their health information remains unshared because of information privacy concerns. Drawing on the insights of concern for information privacy (CFIP) literature, this work extends the application of CFIP to the HIE domain. This study attempts to develop and test a model centered on the four dimensions of CFIP construct (collection, errors, unauthorized access, and secondary use) and their antecedents to predict consumers' opt-in behavioral intention toward HIE in the presence of the perceived health status' effects. We conducted an online survey in the United States using 826 samples. The results demonstrate that the perceived health information sensitivity and computer anxiety meaningfully contribute to information privacy concerns and CFIP construct significantly impedes consumers' opt-in decision to HIEs. Interestingly, contrary to our expectation, perceived poor health status considerably attenuates the negative effects exerted by CFIP on opt-in intention. The model proposed by this study can be used as a useful conceptual tool by both further studies and practitioners to examine the complex nature of patients' reactions to information privacy threats associated with the use of HIE technology in the healthcare industry.

  11. PIME '89 (Public Information Materials Exchange): International workshop on public information problems of nuclear energy

    International Nuclear Information System (INIS)

    1989-01-01

    Presentations included in this proceedings are describing the following; Mass media and public information on nuclear energy and radiation: striving for two-way confidence and understanding; case studies of different countries having developed nuclear programs, problems of communication between nuclear promoters and/or operators and its adversaries; public attitude concerning nuclear power; different attitudes of men and women

  12. PIME '89 (Public Information Materials Exchange): International workshop on public information problems of nuclear energy

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1989-07-01

    Presentations included in this proceedings are describing the following; Mass media and public information on nuclear energy and radiation: striving for two-way confidence and understanding; case studies of different countries having developed nuclear programs, problems of communication between nuclear promoters and/or operators and its adversaries; public attitude concerning nuclear power; different attitudes of men and women.

  13. The Influence of Organizational Systems on Information Exchange in Long-Term Care Facilities: An Institutional Ethnography.

    Science.gov (United States)

    Caspar, Sienna; Ratner, Pamela A; Phinney, Alison; MacKinnon, Karen

    2016-06-01

    Person-centered care is heavily dependent on effective information exchange among health care team members. We explored the organizational systems that influence resident care attendants' (RCAs) access to care information in long-term care (LTC) settings. We conducted an institutional ethnography in three LTC facilities. Investigative methods included naturalistic observations, in-depth interviews, and textual analysis. Practical access to texts containing individualized care-related information (e.g., care plans) was dependent on job classification. Regulated health care professionals accessed these texts daily. RCAs lacked practical access to these texts and primarily received and shared information orally. Microsystems of care, based on information exchange formats, emerged. Organizational systems mandated written exchange of information and did not formally support an oral exchange. Thus, oral information exchanges were largely dependent on the quality of workplace relationships. Formal systems are needed to support structured oral information exchange within and between the microsystems of care found in LTC. © The Author(s) 2016.

  14. Professional Development on a Budget: Facilitating Learning Opportunities for Information Literacy Instructors

    Directory of Open Access Journals (Sweden)

    Lisa Shamchuk

    2015-06-01

    Full Text Available How do you stay on top of evolving trends and changes to information literacy delivery, especially while coping with shrinking professional development allocations? This article details various in-house, professional development opportunities created for MacEwan University’s library staff. Low-cost, practical ideas are given to help jump-start a library's information literacy professional development offerings. Included are details about organizing an Information Literacy Community, internal Library Professional Development Days and an information literacy event open to local library professionals.

  15. Identifying climate risk perceptions, information needs, and barriers to information exchange among public land managers.

    Science.gov (United States)

    Peters, Casey B; Schwartz, Mark W; Lubell, Mark N

    2018-03-01

    Meeting ecosystem management challenges posed by climate change requires building effective communication channels among researchers, planners and practitioners to focus research on management issues requiring new knowledge. We surveyed resource managers within two regions of the western United States regions to better understand perceived risks and vulnerabilities associated with climate change and barriers to obtaining and using relevant climate science information in making ecosystem management decisions. We sought to understand what types of climate science information resource managers find most valuable, and the formats in which they prefer to receive climate science information. We found broad concern among natural resource managers in federal agencies that climate change will make it more difficult for them to achieve their management goals. Primary barriers to incorporating climate science into planning are distributed among challenges identifying, receiving, and interpreting appropriate science and a lack of direction provided by agency leadership needed to meaningfully use this emerging science in resource planning. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. Factors influencing the alignment of accounting information systems of accepted manufacturing firms in Tehran Stock Exchange

    Directory of Open Access Journals (Sweden)

    Fazel Tamoradi

    2014-03-01

    Full Text Available The primary objective of this paper is to detect factors influencing the alignment of accounting information systems for firms in manufacturing sector listed on Tehran Stock Exchange. The concept of alignment has been investigated for many years, and strategic alignment plays essential role in increasing company performance. This paper investigates different levels of alignment and studies the factors, which influence alignment. More specifically, the work concentrates on the alignment between the requirements for accounting information (AIS requirements and the capacity of accounting systems (AIS capacity to build the information, in the specific context of manufacturing in Iran. The research sample consists of 216 companies over the period 2011-2007. The fit between these two sets was explored based on the moderation method and evidences indicate that AIS alignment in some firms was high. In addition, the relationship between the dependent variable and independent variables through multiple regressions yields a positive relationship between these variables.

  17. Wikis to facilitate patient participation in developing information leaflets: first experiences

    NARCIS (Netherlands)

    Belt, T.H. van de; Faber, M.J.; Knijnenburg, J.M.; Duijnhoven, N.T.L. van; Nelen, W.L.D.M.; Kremer, J.A.M.

    2014-01-01

    OBJECTIVE: Although patients have gained a wealth of experienced based knowledge they are usually not involved in the development of patient information. We sought to determine the technical feasibility of wikis in generating dynamic patient information leaflets with participation from patients and

  18. Review of successful hospital readmission reduction strategies and the role of health information exchange.

    Science.gov (United States)

    Kash, Bita A; Baek, Juha; Davis, Elise; Champagne-Langabeer, Tiffany; Langabeer, James R

    2017-08-01

    The United States has invested substantially in technologies that enable health information exchange (HIE), which in turn can be deployed to reduce avoidable hospital readmission rates in many communities. With avoidable hospital readmissions as the primary focus, this study profiles successful hospital readmission rate reduction initiatives that integrate HIE as a strategy. We hypothesized that the use of HIE is associated with decreased hospital readmissions beyond other observed population health benefits. Results of this systematic review are used to describe and profile successful readmission reduction programs that integrate HIE as a tool. A systematic review of literature provided an understanding of the use of HIE as a strategy to reduce hospital readmission rates. We conducted a review of 4,862 citations written in English about readmission reduction strategies from January 2006 to September 2016 in the MEDLINE-PubMed database. Of these, 106 studies reported 30-day readmission rates as an outcome and only 13 articles reported using HIE. Only a very small number (12%) of hospitals incorporated HIE as a primary tool for evidence-based readmission reduction initiatives. Information exchange between providers has been suggested to play a key role in reducing avoidable readmission rates, yet there is not currently evidence supporting current HIE-enabled readmission initiatives. Most successful readmission reduction programs demonstrate collaboration with primary care providers to augment transitions of care to existing care management functions without additional staff while using effective information exchange capabilities. This research confirms there is very little integration of HIE into health systems readmissions initiatives. There is a great opportunity to achieve population health targets using the HIE infrastructure. Hospitals should consider partnering with primary care clinics to implement multifaceted transitions of care programs to significantly

  19. Announced document collection of the 3rd information exchange meeting on radioactive waste disposal research network

    International Nuclear Information System (INIS)

    2008-03-01

    The 3rd meeting on 'Radioactive Waste Disposal Research Network' was held at the Ricotti techno community square of JAEA on September 3 and 4, 2007. The 'Radioactive Waste Disposal Research Network' was established in Interorganization Atomic Energy Research Program under academic collaborative agreement between Japan Atomic Energy Agency and the University of Tokyo. The objective is to bring both research infrastructures and human expertise in Japan to an adequate performance level, thereby contributing to the development of the fundamental research area in the field of radioactive waste disposal. This lecture material is a collection of presentations and discussions during the information exchange meeting. (author)

  20. The Role of Cooperation and Information Exchange in Transnational River Basins: the Zambezi River case

    Science.gov (United States)

    Castelletti, A.; Giuliani, M.; Soncini-Sessa, R.

    2012-12-01

    The presence of multiple, institutionally independent but physically interconnected decision-makers is a distinctive features of many water resources systems, especially of transnational river basins. The adoption of a centralized approach to study the optimal operation of these systems, as mostly done in the water resources literature, is conceptually interesting to quantify the best achievable performance, but of little practical impact given the real political and institutional setting. Centralized management indeed assumes a cooperative attitude and full information exchange by the involved parties. However, when decision-makers belong to different countries or institutions, it is very likely that they act considering only their local objectives, producing global externalities that negatively impact on other objectives. In this work we adopt a Multi-Agent Systems framework, which naturally allows to represent a set of self-interested agents (decision-makers and/or stakeholders) acting in a distributed decision-making process. According to this agent-based approach, each agent represents a decision-maker, whose decisions are defined by an explicit optimization problem considering only the agent's local interests. In particular, this work assesses the role of information exchange and increasing level of cooperation among originally non-cooperative agents. The Zambezi River basin is used to illustrate the methodology: the four largest reservoirs in the basin (Ithezhithezhi, Kafue-Gorge, Kariba and Cahora Bassa) are mainly operated for maximizing the economic revenue from hydropower energy production with considerably negative effects on the aquatic ecosystem in the Zambezi delta due to the alteration of the natural flow regime. We comparatively analyse the ideal centralized solution and the current situation where all the decision-makers act independently and non-cooperatively. Indeed, although a new basin-level institution called Zambezi Watercourse Commission

  1. Identity Orientation, Social Exchange, and Information Technology Use in Interorganizational Collaborations

    DEFF Research Database (Denmark)

    Gal, Uri; Jensen, Tina Blegind; Lyytinen, Kalle

    2014-01-01

    Advances in information technologies (IT) are creating unprecedented opportunities for interorganizational collaboration, particularly in large-scale distributed projects. The use of advanced IT in such projects can foster new forms of social exchange among organizations and change the way...... identity orientations. To address this gap, we conduct multiple case studies that describe the changing use of two-dimensional computer-aided design technology and new three-dimensional modeling technologies by a leading metal fabrication company in the architecture, engineering, and construction industry...

  2. Proceedings of the Eleventh Information Exchange Meeting on Actinide and Fission Product Partitioning and Transmutation

    International Nuclear Information System (INIS)

    2012-01-01

    Partitioning and transmutation (P and T) is one of the key technologies for reducing the radiotoxicity and volume of radioactive waste arisings. Recent developments indicate the need for embedding P and T strategies in advanced fuel cycles considering both waste management and economic issues. In order to provide experts a forum to present and discuss state-of-the-art developments in the P and T field, the OECD/NEA has been organising biennial information exchange meetings on actinide and fission product partitioning and transmutation since 1990. The previous meetings were held in Mito (Japan) in 1990, at Argonne (United States) in 1992, in Cadarache (France) in 1994, in Mito (Japan) in 1996, in Mol (Belgium) in 1998, in Madrid (Spain) in 2000, in Jeju (Korea) in 2002, in Las Vegas (United States) in 2004, in Nimes (France) in 2006 and in Mito (Japan) in 2008. They have often been co-sponsored by the European Commission (EC) and the International Atomic Energy Agency (IAEA). The 11. Information Exchange Meeting was held in San Francisco, California, United States on 1-4 November 2010, comprising a plenary session on national P and T programmes and six technical sessions covering various fields of P and T. The meeting was hosted by the Idaho National Laboratory (INL), United States. The information exchange meetings on P and T form an integral part of NEA activities on advanced nuclear fuel cycles. The meeting covered scientific as well as strategic/policy developments in the field of P and T, such as: fuel cycle strategies and transition scenarios; radioactive waste forms; the impact of P and T on geological disposal; radioactive waste management strategies (including secondary wastes); transmutation fuels and targets; pyro and aqueous separation processes; materials, spallation targets and coolants; transmutation physics, experiments and nuclear data; transmutation systems (design, performance and safety); handling and transportation of transmutation fuels; and

  3. Are there differences in health information exchange by health system type?

    Science.gov (United States)

    Opoku-Agyeman, William; Menachemi, Nir

    2016-01-01

    Despite the potential of health information exchange (HIE) to improve safety and reduce cost, hospitals have been slow to adopt HIE with only 30% of U.S. hospitals doing so in 2012. The aim of this study was to explore the relationship between different health system types and how they engage in HIE. Data on health system types and engagement in HIE activity were combined with secondary hospital characteristics. Ordinal logistic regression analyses were used to examine the relationship between a scale measuring the level of HIE engagement and health system type controlling for hospital and market characteristics. Data from 1552 hospitals were available for analyses. Overall, hospital in a health system of any kind exchanged more patient data elements (e.g., patient demographics, clinical summaries, laboratory results, medication history, and radiology report) compared with stand-alone hospitals (3.82 vs. 1.80, p centralized health systems, 75 (4.8%) were in centralized physician/insurance health system, 284 (18.3%) were in moderately centralized health system, 391 (25.2%) were in decentralized health system, and 91 (5.9%) were in independent health system. In regression analyses, hospitals belonging to a health system were more likely to exchange patient health data with other hospitals in the same system (OR = 3.94, p < .001) but not with hospitals outside their system (OR = 1.89, p = .445). Across health system types, there was no significant difference in the exchange of patient health data. Hospital engagement in HIE is associated with health system membership. These findings will assist hospital leaders and managers to better understand how the structure and nature of their system may influence what their individual hospital can and cannot do in their decision to engage in HIE and other decisions that support the overall system objectives.

  4. The Evolution of the Exchange of Information in Direct Tax Matters: The Taxpayer’s Rights under Pressure

    OpenAIRE

    DIEPVENS, Niels; Debelva, Filip

    2015-01-01

    EU Member States are confronted with a plethora of rules regarding the international exchange of information, mostly due to the adoption of automatic exchange of information as the new standard. The authors provide an overview of the recent developments and examine the recent instruments issued by the EU, OECD and the US. Afterwards, the application and interaction between these instruments is discussed. The authors conclude by stating that the above-mentioned developments have resulted in an...

  5. Informal care, employment and quality of life: Barriers and facilitators to combining informal care and work participation for healthcare professionals.

    Science.gov (United States)

    Heitink, Eveline; Heerkens, Yvonne; Engels, Josephine

    2017-01-01

    In The Netherlands, one out of six Dutch employees has informal care tasks; in the hospital and healthcare sector, this ratio is one out of four workers. Informal carers experience problems with the combination of work and informal care. In particular, they have problems with the burden of responsibility, a lack of independence and their health. These problems can reveal themselves in a variety of mental and physical symptoms that can result in absenteeism, reduction or loss of (work) participation, reduction of income, and even social isolation. The aim of the study was to describe the factors that informal carers who are employed in healthcare organizations identify as affecting their quality of life, labour participation and health. We conducted an exploratory study in 2013-2014 that included desk research and a qualitative study. Sixteen semi-structured interviews were conducted with healthcare employees who combine work and informal care. Data were analyzed with Atlas-TI. We identified five themes: 1. Fear and responsibility; 2. Sense that one's own needs are not being met; 3. Work as an escape from home; 4. Health: a lack of balance; and 5. The role of colleagues and managers: giving support and understanding. Respondents combine work and informal care because they have no other solution. The top three reasons for working are: income, escape from home and satisfaction. The biggest problems informal carers experience are a lack of time and energy. They are all tired and are often or always exhausted at the end of the day. They give up activities for themselves, their social networks become smaller and they have less interest in social activities. Their managers are usually aware of the situation, but informal care is not a topic of informal conversation or in performance appraisals. Respondents solve their problems with colleagues and expect little from the organization.

  6. Libraries as facilitators in access to information by visually impaired users

    Directory of Open Access Journals (Sweden)

    Tania Milca Malheiros

    2017-10-01

    Full Text Available This article deals with the role of libraries as collaborators in the process of information acquisition by visually impaired users. It aims to show the importance of this role in the process of social inclusion of these users and the need to discuss this issue. As a fundamental point for its inclusion are the production and supply of alternative materials. The barriers faced in the process of information acquisition are cited, such as the lack of adapted materials and the cost of production. It also presents a history of the acquisition of information from these users and their inclusion in Brazilian and foreign libraries. The research method used was the literature review having been consulted the databaseLibrary and Information Science Abstracts (LISA, Library & Information Science and TechnologyAbstracts (LISTA, Information Science and Technology Abstracts (ISTA, Base de dados de Periódicos em Ciência da Informação (BRAPCI, Google and Google Scholar.As a conclusion, we point out the cooperation between library services as a solution to this issue.

  7. Determining Barriers and Facilitators Associated With Willingness to Use a Personal Health Information Management System to Support Worksite Wellness Programs.

    Science.gov (United States)

    Neyens, David M; Childers, Ashley Kay

    2017-07-01

    To determine the barriers and facilitators associated with willingness to use personal health information management (PHIM) systems to support an existing worksite wellness program (WWP). The study design involved a Web-based survey. The study setting was a regional hospital. Hospital employees comprised the study subjects. Willingness, barriers, and facilitators associated with PHIM were measured. Bivariate logit models were used to model two binary dependent variables. One model predicted the likelihood of believing PHIM systems would positively affect overall health and willingness to use. Another predicted the likelihood of worrying about online security and not believing PHIM systems would benefit health goals. Based on 333 responses, believing PHIM systems would positively affect health was highly associated with willingness to use PHIM systems (p < .01). Those comfortable online were 7.22 times more willing to use PHIM systems. Participants in exercise-based components of WWPs were 3.03 times more likely to be willing to use PHIM systems. Those who worried about online security were 5.03 times more likely to believe PHIM systems would not help obtain health goals. Comfort with personal health information online and exercise-based WWP experience was associated with willingness to use PHIM systems. However, nutrition-based WWPs did not have similar effects. Implementation barriers relate to technology anxiety and trust in security, as well as experience with specific WWP activities. Identifying differences between WWP components and addressing technology concerns before implementation of PHIM systems into WWPs may facilitate improved adoption and usage.

  8. Facilitating Breast Cancer Genetic Counseling Through Information, Preparation and Referral: A Pilot Program Using the Cancer Information Service

    National Research Council Canada - National Science Library

    Miller, Suzanne

    2001-01-01

    Previous research has shown that women often lack knowledge regarding the kinds of information that are required to determine inherited risk as well as on the process and content of risk assessment/genetic testing...

  9. Facilitating Breast Cancer Genetic Couseling through Information, Preparation and Referral: A Pilot Program Using the Cancer Information Service

    National Research Council Canada - National Science Library

    Miller, Suzanne

    2000-01-01

    Previous research has shown that women often lack knowledge regarding the kinds of information that are required to determine inherited risk as well as on the process and content of risk assessment/genetic testing...

  10. Facilitating Breast Cancer Genetic Counseling Through Information, Preparation and Referral: A Pilot Study Using the Cancer Information Service

    National Research Council Canada - National Science Library

    Miller, Suzanne

    2002-01-01

    Previous research shows that women often lack knowledge regarding the kinds of information required to determine inherited risk as well as on the process and content of risk assessment/genetic testing...

  11. Facilitating Knowledge Sharing

    DEFF Research Database (Denmark)

    Holdt Christensen, Peter

    knowledge sharing is to ensure that the exchange is seen as equitable for the parties involved, and by viewing the problems of knowledge sharing as motivational problems situated in different organizational settings, the paper explores how knowledge exchange can be conceptualized as going on in four...... distinct situations of exchange denominated organizational exchange yielding extrinsic rewards, organizational exchange yielding intrinsic rewards, financial exchange, and social exchange. The paper argues that each situation of exchange has distinct assumptions about individual behaviour...... and the intermediaries regulating the exchange, and facilitating knowledge sharing should therefore be viewed as a continuum of practices under the influence of opportunistic behaviour, obedience or organizational citizenship behaviour. Keywords: Knowledge sharing, motivation, organizational settings, situations...

  12. The Earth Information Exchange: A Portal for Earth Science From the ESIP Federation

    Science.gov (United States)

    Wertz, R.; Hutchinson, C.; Hardin, D.

    2006-12-01

    The Federation of Earth Science Information Partners is a unique consortium of more than 90 organizations that collect, interpret and develop applications for remotely sensed Earth Observation Information. Included in the ESIP network are NASA, NOAA and USGS data centers, research universities, government research laboratories, supercomputer facilities, education resource providers, information technology innovators, nonprofit organizations and commercial enterprises. The consortium's work is dedicated to providing the most up-to-date, science-based information to researchers and decision-makers who are working to understand and address the environmental, economic and social challenges facing our planet. By increasing the use and usability of Earth observation data and linking it with decision-making tools, the Federation partners leverage the value of these important data resources for the betterment of society and our planet. To further the dissemination of Earth Science data, the Federation is developing the Earth Information Exchange (EIE). The EIE is a portal that will provide access to the vast information holdings of the members' organizations in one web-based location and will provides a robust marketplace in which the products and services needed to use and understand this information can be readily acquired. Since the Federation membership includes the federal government's Earth observing data centers, we believe that the impact of the EIE on Earth science research and education and environmental policy making will be profound. In the EIE, Earth observation data, products and services, are organized by the societal benefits categories defined by the international working group developing the Global Earth Observation System of Systems (GEOSS). The quality of the information is ensured in each of the Exchange's issue areas by maintaining working groups of issue area researchers and practitioners who serve as stewards for their respective communities. The

  13. Combining personal with social information facilitates host defences and explains why cuckoos should be secretive

    Science.gov (United States)

    Thorogood, Rose; Davies, Nicholas B.

    2016-01-01

    Individuals often vary defences in response to local predation or parasitism risk. But how should they assess threat levels when it pays their enemies to hide? For common cuckoo hosts, assessing parasitism risk is challenging: cuckoo eggs are mimetic and adult cuckoos are secretive and resemble hawks. Here, we show that egg rejection by reed warblers depends on combining personal and social information of local risk. We presented model cuckoos or controls at a pair’s own nest (personal information of an intruder) and/or on a neighbouring territory, to which they were attracted by broadcasts of alarm calls (social information). Rejection of an experimental egg was stimulated only when hosts were alerted by both social and personal information of cuckoos. However, pairs that rejected eggs were not more likely to mob a cuckoo. Therefore, while hosts can assess risk from the sight of a cuckoo, a cuckoo cannot gauge if her egg will be accepted from host mobbing. Our results reveal how hosts respond rapidly to local variation in parasitism, and why it pays cuckoos to be secretive, both to avoid alerting their targets and to limit the spread of social information in the local host neighbourhood. PMID:26794435

  14. Toward a formalization of a two traders market with information exchange

    International Nuclear Information System (INIS)

    Bagarello, F; Haven, E

    2015-01-01

    This paper shows that Hamiltonians and operators can also be put to good use even in contexts which are not purely physics based. Consider the world of finance. The work presented here models a two traders system with information exchange with the help of four fundamental operators: cash and share operators, a portfolio operator, and an operator reflecting the loss of information. An information Hamiltonian is considered and an additional Hamiltonian is presented which reflects the dynamics of selling/buying shares between traders. An important result of the paper is that when the information Hamiltonian is zero, portfolio operators commute with the Hamiltonian and this suggests that the dynamics are really due to the information. Under the assumption that the interaction and information terms in the Hamiltonian have similar strength, a perturbation scheme is considered on the interaction parameter. Contrary to intuition, the paper shows that up to a second order in the interaction parameter, a key factor in the computation of the portfolios of traders will be the initial values of the loss of information (rather than the initial conditions on the cash and shares). Finally, the paper shows that a natural outcome from the inequality of the variation of the portfolio of trader one versus the variation of the portfolio of trader two, begs for the introduction of ‘good’ and ‘bad’ information. It is shown that ‘good’ information is related to the reservoirs (where an infinite set of bosonic operators are used) which model rumors/news and external facts, whilst ‘bad’ information is associated with a set of two modes bosonic operators. (paper)

  15. What supports do health system organizations have in place to facilitate evidence-informed decision-making? A qualitative study.

    Science.gov (United States)

    Ellen, Moriah E; Léon, Gregory; Bouchard, Gisèle; Lavis, John N; Ouimet, Mathieu; Grimshaw, Jeremy M

    2013-08-06

    Decisions regarding health systems are sometimes made without the input of timely and reliable evidence, leading to less than optimal health outcomes. Healthcare organizations can implement tools and infrastructures to support the use of research evidence to inform decision-making. The purpose of this study was to profile the supports and instruments (i.e., programs, interventions, instruments or tools) that healthcare organizations currently have in place and which ones were perceived to facilitate evidence-informed decision-making. In-depth semi-structured telephone interviews were conducted with individuals in three different types of positions (i.e., a senior management team member, a library manager, and a 'knowledge broker') in three types of healthcare organizations (i.e., regional health authorities, hospitals and primary care practices) in two Canadian provinces (i.e., Ontario and Quebec). The interviews were taped, transcribed, and then analyzed thematically using NVivo 9 qualitative data analysis software. A total of 57 interviews were conducted in 25 organizations in Ontario and Quebec. The main findings suggest that, for the healthcare organizations that participated in this study, the following supports facilitate evidence-informed decision-making: facilitating roles that actively promote research use within the organization; establishing ties to researchers and opinion leaders outside the organization; a technical infrastructure that provides access to research evidence, such as databases; and provision and participation in training programs to enhance staff's capacity building. This study identified the need for having a receptive climate, which laid the foundation for the implementation of other tangible initiatives and supported the use of research in decision-making. This study adds to the literature on organizational efforts that can increase the use of research evidence in decision-making. Some of the identified supports may increase the use of

  16. Barriers and facilitators to preventing pressure ulcers in nursing home residents: A qualitative analysis informed by the Theoretical Domains Framework.

    Science.gov (United States)

    Lavallée, Jacqueline F; Gray, Trish A; Dumville, Jo; Cullum, Nicky

    2018-06-01

    Pressure ulcers are areas of localised damage to the skin and underlying tissue; and can cause pain, immobility, and delay recovery, impacting on health-related quality of life. The individuals who are most at risk of developing a pressure ulcer are those who are seriously ill, elderly, have impaired mobility and/or poor nutrition; thus, many nursing home residents are at risk. To understand the context of pressure ulcer prevention in nursing homes and to explore the potential barriers and facilitators to evidence-informed practices. Semi-structured interviews were conducted with nursing home nurses, healthcare assistants and managers, National Health Service community-based wound specialist nurses (known in the UK as tissue viability nurses) and a nurse manager in the North West of England. The interview guide was developed using the Theoretical Domains Framework to explore the barriers and facilitators to pressure ulcer prevention in nursing home residents. Data were analysed using a framework analysis and domains were identified as salient based on their frequency and the potential strength of their impact. 25 participants (nursing home: 2 managers, 7 healthcare assistants, 11 qualified nurses; National Health Service community services: 4 tissue viability nurses, 1 manager) were interviewed. Depending upon the behaviours reported and the context, the same domain could be classified as both a barrier and a facilitator. We identified seven domains as relevant in the prevention of pressure ulcers in nursing home residents mapping to four "barrier" domains and six "facilitator" domains. The four "barrier" domains were knowledge, physical skills, social influences and environmental context and resources and the six "facilitator" domains were interpersonal skills, environmental context and resources, social influences, beliefs about capabilities, beliefs about consequences and social/professional role and identity). Knowledge and insight into these barriers and

  17. VHA mental health information system: applying health information technology to monitor and facilitate implementation of VHA Uniform Mental Health Services Handbook requirements.

    Science.gov (United States)

    Trafton, Jodie A; Greenberg, Greg; Harris, Alex H S; Tavakoli, Sara; Kearney, Lisa; McCarthy, John; Blow, Fredric; Hoff, Rani; Schohn, Mary

    2013-03-01

    To describe the design and deployment of health information technology to support implementation of mental health services policy requirements in the Veterans Health Administration (VHA). Using administrative and self-report survey data, we developed and fielded metrics regarding implementation of the requirements delineated in the VHA Uniform Mental Health Services Handbook. Finalized metrics were incorporated into 2 external facilitation-based quality improvement programs led by the VHA Mental Health Operations. To support these programs, tailored site-specific reports were generated. Metric development required close collaboration between program evaluators, policy makers and clinical leadership, and consideration of policy language and intent. Electronic reports supporting different purposes required distinct formatting and presentation features, despite their having similar general goals and using the same metrics. Health information technology can facilitate mental health policy implementation but must be integrated into a process of consensus building and close collaboration with policy makers, evaluators, and practitioners.

  18. Westinghouse Savannah River Site Supplier Environmental Restoration and Waste Management Information Exchange Forum

    International Nuclear Information System (INIS)

    Sturm, H.F. Jr.; Hottel, R.E.; Christoper, N.

    1994-01-01

    The Savannah River Site conducted its first Supplier Information Exchange in September 1993. The intent of the conference was to inform potential suppliers of the Savannah River Sites mission and research and development program objectives in the areas of environmental restoration and waste management, and to solicit proposals for innovative research in those areas. Major areas addressed were Solid Waste, Environmental Restoration, Environmental Monitoring, Transition/Decontamination and Decommissioning, and the Savannah River Technology Center. A total of 1062 proposals were received addressing the 89 abstracts presented. This paper will describe the forum the process for solicitation, the process for proposal review and selection, and review the overall results and benefits to Savannah River

  19. International data- and information exchange for off-site emergency management - Where to go?

    International Nuclear Information System (INIS)

    Hoebler, C.; Hable, K.; Baig, S.; Zaehringer, M.

    2004-01-01

    The Communication and exchange of views and opinions between decision makers and their advisers is crucial for coherent crisis management. As a vision, the concept of a 'Virtual Round Table' is proposed. It stands for the dedication of all accountable authorities to cross border cooperation and should provide a comprehensive technical infrastructure enabling decision makers and experts to communicate with their colleagues in neighbouring countries as if they were sitting at the same table. Organisational arrangements must be in place for coordinating decisions. The technical infrastructure should comprise modern communication technologies such as video conferencing and a 'Common Information Board', which presents all relevant information and documents in a structured way, manages alerting, decision journaling, data distribution and access control. In order to achieve this goal in an evolutionary approach, existing procedures of good practice are analysed and helpful features are identified. (authors)

  20. Integration of IEEE 1451 and HL7 exchanging information for patients' sensor data.

    Science.gov (United States)

    Kim, Wooshik; Lim, Suyoung; Ahn, Jinsoo; Nah, Jiyoung; Kim, Namhyun

    2010-12-01

    HL7 (Health Level 7) is a standard developed for exchanging incompatible healthcare information generated from programs or devices among heterogenous medical information systems. At present, HL7 is growing as a global standard. However, the HL7 standard does not support effective methods for treating data from various medical sensors, especially from mobile sensors. As ubiquitous systems are growing, HL7 must communicate with various medical transducers. In the area of sensor fields, IEEE 1451 is a group of standards for controlling transducers and for communicating data from/to various transducers. In this paper, we present the possibility of interoperability between the two standards, i.e., HL7 and IEEE 1451. After we present a method to integrate them and show the preliminary results of this approach.

  1. Information arrival and volatility: Evidence from the Saudi Stock Exchange (Tadawul

    Directory of Open Access Journals (Sweden)

    Ezzat Hassan

    2017-01-01

    Full Text Available This paper investigates the validation of the Mixture of Distributions Hypothesis (MDH using trading volume and number of trades as contemporaneous proxies for information arrival in 15 sector indices of the Saudi Stock Exchange (Tadawul using the TGARCH model. Findings provide strong evidence for the validity of the MDH for the Saudi market. Volatility persistence decreases when the trading volume and the number of trades are included in the conditional variance equation. The most striking finding is that contemporaneous number of trades is a better proxy for information arrival than trading volume, interacting with volatility in a manner anticipated under the MDH. This can be attributed to the unique characteristic of the Saudi equity market where only domestic investors are allowed to execute trade transactions. Further, the results reveal that the leverage effect was amplified, indicating a more pronounced asymmetric effect of bad news on volatility.

  2. Facilitating the Collection and Dissemination of Information to Parents of Children in a Child Care Program.

    Science.gov (United States)

    de Armas, Maria P.

    To improve conditions at a nonprofit day care center serving low-income, mainly non-English-speaking families, this practicum addressed the need of recently immigrated parents to increase their knowledge of child development and available community resources. A total of 52 Hispanic parents were given materials at an information distribution area…

  3. Reusing Information Management Services for Recommended Decadal Study Missions to Facilitate Aerosol and Cloud Studies

    Science.gov (United States)

    Kempler, Steve; Alcott, Gary; Lynnes, Chris; Leptoukh, Greg; Vollmer, Bruce; Berrick, Steve

    2008-01-01

    NASA Earth Sciences Division (ESD) has made great investments in the development and maintenance of data management systems and information technologies, to maximize the use of NASA generated Earth science data. With information management system infrastructure in place, mature and operational, very small delta costs are required to fully support data archival, processing, and data support services required by the recommended Decadal Study missions. This presentation describes the services and capabilities of the Goddard Space Flight Center (GSFC) Earth Sciences Data and Information Services Center (GES DISC) and the reusability for these future missions. The GES DISC has developed a series of modular, reusable data management components currently in use. They include data archive and distribution (Simple, Scalable, Script-based, Science [S4] Product Archive aka S4PA), data processing (S4 Processor for Measurements aka S4PM), data search (Mirador), data browse, visualization, and analysis (Giovanni), and data mining services. Information management system components are based on atmospheric scientist inputs. Large development and maintenance cost savings can be realized through their reuse in future missions.

  4. Notifications of hospital events to outpatient clinicians using health information exchange: a post-implementation survey

    Directory of Open Access Journals (Sweden)

    Richard Altman

    2013-09-01

    Full Text Available Background The trend towards hospitalist medicine can lead to disjointed patient care. Outpatient clinicians may be unaware of patients’ encounters with a disparate healthcare system. Electronic notifications to outpatient clinicians of patients’ emergency department (ED visits and inpatient admissions and discharges using health information exchange can inform outpatient clinicians of patients’ hospital-based events.Objective Assess outpatient clinicians’ impressions of a new, secure messaging-based, patient event notification system.Methods Twenty outpatient clinicians receiving notifications of hospital-based events were recruited and 14 agreed to participate. Using a semi-structured interview, clinicians were asked about their use of notifications and the impact on their practices.Results Nine of 14 interviewed clinicians (64% thought that without notifications, they would have heard about fewer than 10% of ED visits before the patient’s next visit. Nine clinicians (64% thought that without notifications, they would have heard about fewer than 25% of inpatient admissions and discharges before the patient’s next visit. Six clinicians (43% reported that they call the inpatient team more often because of notifications. Eight users (57% thought that notifications improved patient safety by increasing their awareness of the patients’ clinical events and their medication changes. Key themes identified were the importance of workflow integration and a desire for more clinical information in notifications.Conclusions The notification system is perceived by clinicians to be of value. These findings should instigate further message-oriented use of health information exchange and point to refinements that can lead to even greater benefits.

  5. Health information exchange technology on the front lines of healthcare: workflow factors and patterns of use

    Science.gov (United States)

    Johnson, Kevin B; Lorenzi, Nancy M

    2011-01-01

    Objective The goal of this study was to develop an in-depth understanding of how a health information exchange (HIE) fits into clinical workflow at multiple clinical sites. Materials and Methods The ethnographic qualitative study was conducted over a 9-month period in six emergency departments (ED) and eight ambulatory clinics in Memphis, Tennessee, USA. Data were collected using direct observation, informal interviews during observation, and formal semi-structured interviews. The authors observed for over 180 h, during which providers used the exchange 130 times. Results HIE-related workflow was modeled for each ED site and ambulatory clinic group and substantial site-to-site workflow differences were identified. Common patterns in HIE-related workflow were also identified across all sites, leading to the development of two role-based workflow models: nurse based and physician based. The workflow elements framework was applied to the two role-based patterns. An in-depth description was developed of how providers integrated HIE into existing clinical workflow, including prompts for HIE use. Discussion Workflow differed substantially among sites, but two general role-based HIE usage models were identified. Although providers used HIE to improve continuity of patient care, patient–provider trust played a significant role. Types of information retrieved related to roles, with nurses seeking to retrieve recent hospitalization data and more open-ended usage by nurse practitioners and physicians. User and role-specific customization to accommodate differences in workflow and information needs may increase the adoption and use of HIE. Conclusion Understanding end users' perspectives towards HIE technology is crucial to the long-term success of HIE. By applying qualitative methods, an in-depth understanding of HIE usage was developed. PMID:22003156

  6. Semi-strong informational efficiency in the Polish foreign exchange market

    OpenAIRE

    Luksz Goczek

    2015-01-01

    During the financial crisis a notion that the Polish exchange rate is not determined effectively was very dominant, because of a contagion effect of the global financial crisis on the Polish economy. In addition, many foreign exchange market analysts explained developments in the Polish exchange market trough a hypothesis that the Polish zloty exchange rate follows other exchange rates. This contradicts market efficiency as this would lead to profitable arbitrage possibility based on past inf...

  7. Implementing stakeholder-informed research in the substance abuse treatment sector: strategies used by Connections, a Canadian knowledge translation and exchange project.

    Science.gov (United States)

    Henderson, Joanna; Sword, Wendy; Niccols, Alison; Dobbins, Maureen

    2014-05-29

    Researcher-stakeholder collaboration has been identified as critical to bridging research and health system change. While collaboration models vary, meaningful stakeholder involvement over time ("integrated knowledge translation") is advocated to improve the relevance of research to knowledge users. This short report describes the integrated knowledge translation efforts of Connections, a knowledge translation and exchange project to improve services for women with substance abuse problems and their children, and implementation barriers and facilitators. Strategies of varying intensities were used to engage diverse stakeholders, including policy makers and people with lived experience, and executive directors, program managers, and service providers from Canadian addiction agencies serving women. Barriers to participation included individual (e.g., interest), organizational (e.g., funding), and system level (e.g., lack of centralized stakeholder database) barriers. Similarly, facilitators included individual (e.g., perceived relevance) and organizational (e.g., support) facilitators, as well as initiative characteristics (e.g., multiple involvement opportunities). Despite barriers, Connections' stakeholder-informed research efforts proved essential for developing clinically relevant and feasible processes, measures, and implementation strategies. Stakeholder-researcher collaboration is possible and robust integrated knowledge translation efforts can be productive. Future work should emphasize developing and evaluating a range of strategies to address stakeholders' knowledge translation needs and to facilitate sustained and meaningful involvement in research.

  8. A system dynamics evaluation model: implementation of health information exchange for public health reporting.

    Science.gov (United States)

    Merrill, Jacqueline A; Deegan, Michael; Wilson, Rosalind V; Kaushal, Rainu; Fredericks, Kimberly

    2013-06-01

    To evaluate the complex dynamics involved in implementing electronic health information exchange (HIE) for public health reporting at a state health department, and to identify policy implications to inform similar implementations. Qualitative data were collected over 8 months from seven experts at New York State Department of Health who implemented web services and protocols for querying, receipt, and validation of electronic data supplied by regional health information organizations. Extensive project documentation was also collected. During group meetings experts described the implementation process and created reference modes and causal diagrams that the evaluation team used to build a preliminary model. System dynamics modeling techniques were applied iteratively to build causal loop diagrams representing the implementation. The diagrams were validated iteratively by individual experts followed by group review online, and through confirmatory review of documents and artifacts. Three casual loop diagrams captured well-recognized system dynamics: Sliding Goals, Project Rework, and Maturity of Resources. The findings were associated with specific policies that address funding, leadership, ensuring expertise, planning for rework, communication, and timeline management. This evaluation illustrates the value of a qualitative approach to system dynamics modeling. As a tool for strategic thinking on complicated and intense processes, qualitative models can be produced with fewer resources than a full simulation, yet still provide insights that are timely and relevant. System dynamics techniques clarified endogenous and exogenous factors at play in a highly complex technology implementation, which may inform other states engaged in implementing HIE supported by federal Health Information Technology for Economic and Clinical Health (HITECH) legislation.

  9. BNL ALARA Center experience with an information exchange system on dose control at nuclear power plants

    International Nuclear Information System (INIS)

    Baum, J.W.; Khan, T.A.

    1992-01-01

    The essential elements of an international information exchange system on dose control at nuclear power plants are summarized. Information was collected from literature abstracting services, by attending technical meetings, by circulating data collection forms, and through personal contacts. Data are assembled in various databases and periodically disseminated to several hundred interested participants through a variety of publications and at technical meetings. Immediate on-line access to the data is available to participants with modems, commercially available communications software, and a password that is provided by the Brookhaven National Laboratory (BNL) ALARA Center to authorized users of the system. Since January 1992, rapid access also has been provided to persons with fax machines. Some information is available for ''polling'' the BNL system at any time, and other data can be installed for polling on request. Most information disseminated to data has been through publications; however, new protocols, simplified by the ALARA Center staff, and the convenience of fax machines are likely to make the earlier availability of information through these mechanisms increasingly important

  10. Scoliosis and the Social Media: Facebook as a Means of Information Exchange.

    Science.gov (United States)

    Ng, Jonathan P; Tarazi, Nadim; Byrne, Damien P; Baker, Joseph F; McCabe, John P

    2017-03-01

    Over the last decade, the emergence of social networking websites such as Facebook have revolutionized information dissemination and broadened opportunities to engage in discussions. In particular, having been widely adopted in the younger generation, the use of this medium has become more prevalent in health disorders such as scoliosis in the adolescent population. However, the quality of information on Facebook is unregulated and variable, which may mislead patients in their decision making. To document the various types of information available and assess the quality of information on Facebook discussion boards using recognized scoring systems. To evaluate the quality of information on the social network. A search for the keyword "scoliosis" on Facebook was performed and the first 100 pages generated were reviewed. SCSS and DISCERN score. Content analysis was performed on discussion boards and personal blogs. Two independent examiners evaluated each site according to scoliosis-specific content score (SCSS) and the DISCERN criteria, both previously used instruments to judge the quality of information on the Internet pertaining to scoliosis. The SCSS range from 0 to 32 (higher score better) and the DISCERN 16 to 80 (higher score better). Of the 100 sites reviewed, 33 were discussion boards and personal blogs. Of these, the overall average SCSS was 5.7 (SD 5.8, range 0-20) and the DISCERN was 22.5 (SD 7.6, range 16-45), indicating that using general scoring systems the quality of information provided was overall poor. Using recognized scoring systems to analyze Facebook pages used as discussion forums or blogs, we showed that the quality in general was poor. For modern practices to adapt to an era of information exchange via the social network, the orthopedic community should develop ways to incorporate the social media in future patient education. Copyright © 2016 Scoliosis Research Society. All rights reserved.

  11. Consumer Opinions of Health Information Exchange, e-Prescribing, and Personal Health Records.

    Science.gov (United States)

    Cochran, Gary L; Lander, Lina; Morien, Marsha; Lomelin, Daniel E; Brittin, Jeri; Reker, Celeste; Klepser, Donald G

    2015-01-01

    Consumer satisfaction is a crucial component of health information technology (HIT) utilization, as high satisfaction is expected to increase HIT utilization among providers and to allow consumers to become full participants in their own healthcare management. The primary objective of this pilot study was to identify consumer perspectives on health information technologies including health information exchange (HIE), e-prescribing (e-Rx), and personal health records (PHRs). Eight focus groups were conducted in seven towns and cities across Nebraska in 2013. Each group consisted of 10-12 participants. Discussions were organized topically in the following categories: HIE, e-Rx, and PHR. The qualitative analysis consisted of immersion and crystallization to develop a coding scheme that included both preconceived and emergent themes. Common themes across focus groups were identified and compiled for each discussion category. The study had 67 participants, of which 18 (27 percent) were male. Focus group findings revealed both perceived barriers and benefits to the adoption of HIT. Common HIT concerns expressed across focus groups included privacy and security of medical information, decreases in quality of care, inconsistent provider participation, and the potential cost of implementation. Positive expectations regarding HIT included better accuracy and completeness of information, and improved communication and coordination between healthcare providers. Improvements in patient care were expected as a result of easy physician access to consolidated information across providers as well as the speed of sharing and availability of information in an emergency. In addition, participants were optimistic about patient empowerment and convenient access to and control of personal health data. Consumer concerns focused on privacy and security of the health information, as well as the cost of implementing the technologies and the possibility of an unintended negative impact on the

  12. Electronic tools for health information exchange: an evidence-based analysis.

    Science.gov (United States)

    2013-01-01

    As patients experience transitions in care, there is a need to share information between care providers in an accurate and timely manner. With the push towards electronic medical records and other electronic tools (eTools) (and away from paper-based health records) for health information exchange, there remains uncertainty around the impact of eTools as a form of communication. To examine the impact of eTools for health information exchange in the context of care coordination for individuals with chronic disease in the community. A literature search was performed on April 26, 2012, using OVID MEDLINE, OVID MEDLINE In-Process and Other Non-Indexed Citations, OVID EMBASE, EBSCO Cumulative Index to Nursing & Allied Health Literature (CINAHL), the Wiley Cochrane Library, and the Centre for Reviews and Dissemination database, for studies published until April 26, 2012 (no start date limit was applied). A systematic literature search was conducted, and meta-analysis conducted where appropriate. Outcomes of interest fell into 4 categories: health services utilization, disease-specific clinical outcomes, process-of-care indicators, and measures of efficiency. The quality of the evidence was assessed individually for each outcome. Expert panels were assembled for stakeholder engagement and contextualization. Eleven articles were identified (4 randomized controlled trials and 7 observational studies). There was moderate quality evidence of a reduction in hospitalizations, hospital length of stay, and emergency department visits following the implementation of an electronically generated laboratory report with recommendations based on clinical guidelines. The evidence showed no difference in disease-specific outcomes; there was no evidence of a positive impact on process-of-care indicators or measures of efficiency. A limited body of research specifically examined eTools for health information exchange in the population and setting of interest. This evidence included a

  13. A product lifecycle management framework to support the exchange of prototyping and testing information

    Science.gov (United States)

    Toche Fumchum, Luc Boris

    2011-12-01

    The modern perspective on product life cycle and the rapid evolution of Information and Communication Technologies in general have opened a new era in product representation and product information sharing between participants, both inside and outside the enterprise and throughout the product life. In particular, the Product Development Process relies on cross-functional activities involving different domains of expertise that each have their own dedicated tools. This has generated new challenges in terms of collaboration and dissemination of information at large between companies or even within the same organization. Within this context, the work reported herein focuses on a specific stakeholder within product development activities - the prototyping and testing department. Its business is typically related to the planning and building of prototypes in order to perform specific tests on the future product or one of its sub-assemblies. The research project aims at investigating an appropriate framework that leverages configured engineering product information, based on complementary information structures, to share and exchange prototyping and testing information in a Product Lifecycle Management (PLM) perspective. As a first step, a case study based on the retrofit of an aircraft engine is deployed to implement a scenario demonstrating the functionalities to be available within the intended framework. For this purpose, complementary and configurable structures are simulated within the project's PLM system. In a second step are considered the software interoperability issues that don't only affect Design -- Testing interactions, but many other interfaces within either the company -- due to the silo-arrangement -- or the consortiums with partners, in which case the whole PLM platforms could simply be incompatible. A study based on an open source initiative and relying on an improved model of communication is described to show how two natively disparate PLM tools can

  14. An integrative health information systems approach for facilitating strategic planning in hospitals.

    Science.gov (United States)

    Killingsworth, Brenda; Newkirk, Henry E; Seeman, Elaine

    2006-01-01

    This article presents a framework for developing strategic information systems (SISs) for hospitals. It proposes a SIS formulation process which incorporates complexity theory, strategic/organizational analysis theory, and conventional MIS development concepts. Within the formulation process, four dimensions of SIS are proposed as well as an implementation plan. A major contribution of this article is the development of a hospital SIS framework which permits an organization to fluidly respond to external, interorganizational, and intraorganizational influences. In addition, this article offers a checklist which managers can utilize in developing an SIS in health care.

  15. [Neural Mechanisms That Facilitate Adaptive Behavior Based on Acquired Stimulus-Outcome Information].

    Science.gov (United States)

    Ogawa, Masaaki

    2017-11-01

    In response to changing internal and external situations, we always need to adapt our behavior based on previous experiences, particularly, acquired stimulus-outcome information. The orbitofrontal cortex (OFC), a prefrontal cortical region, is critical for this type of decision-making. The current understanding of the fundamental functions of the OFC has been reviewed by introducing, as an example, how the OFC contributes to the processing of uncertain rewards. Furthermore, the importance of revealing context and temporally specific causal roles of neural circuits including the OFC in decision-making, as well as the techniques to achieve the goal, have been discussed.

  16. Newly available technologies present expanding opportunities for scientific and technical information exchange

    Science.gov (United States)

    Tolzman, Jean M.

    1993-01-01

    The potential for expanded communication among researchers, scholars, and students is supported by growth in the capabilities for electronic communication as well as expanding access to various forms of electronic interchange and computing capabilities. Increased possibilities for information exchange, collegial dialogue, collaboration, and access to remote resources exist as high-speed networks, increasingly powerful workstations, and large, multi-user computational facilities are more frequently linked and more commonly available. Numerous writers speak of the telecommunications revolution and its impact on the development and dissemination of knowledge and learning. One author offers the phrase 'Scholarly skywriting' to represent a new form of scientific communication that he envisions using electronic networks. In the United States (U.S.), researchers associated with the National Science Foundation (NSF) are exploring 'nationwide collaboratories' and 'digital collaboration.' Research supported by the U.S. National Aeronautics and Space Administration (NASA) points to a future where workstations with built-in audio, video monitors, and screen sharing protocols are used to support collaborations with colleagues located throughout the world. Instruments and sensors located worldwide will produce data streams that will be brought together, analyzed, and distributed as new findings. Researchers will have access to machines that can supply domain-specific information in addition to locator and directory assistance. New forms of electronic journals will emerge and provide opportunities for researchers and scientists to exchange information electronically and interactively in a range of structures and formats. Ultimately, the wide-scale use of these technologies in the dissemination of research results and the stimulation of collegial dialogue will change the way we represent and express our knowledge of the world. A new paradigm will evolve--perhaps a truly worldwide

  17. When interference helps: Increasing executive load to facilitate deception detection in the Concealed Information Test

    Directory of Open Access Journals (Sweden)

    George eVisu-Petra

    2013-03-01

    Full Text Available The possibility to enhance the detection efficiency of the Concealed Information Test (CIT by increasing executive load was investigated, using an interference design. After learning and executing a mock crime scenario, subjects underwent three deception detection tests: an RT-based CIT, an RT-based CIT plus a concurrent memory task (CITMem, and an RT-based CIT plus a concurrent set-shifting task (CITShift. The concealed information effect, consisting in increased RT and lower response accuracy for probe items compared to irrelevant items, was evidenced across all three conditions. The group analyses indicated a larger difference between RTs to probe and irrelevant items in the dual-task conditions, but this difference was not translated in a significantly increased detection efficiency at an individual level. Signal detection parameters based on the comparison with a simulated innocent group showed accurate discrimination for all conditions. Overall response accuracy on the CITMem was highest and the difference between response accuracy to probes and irrelevants was smallest in this condition. Accuracy on the concurrent tasks (Mem and Shift was high, and responses on these tasks were significantly influenced by CIT stimulus type (probes vs. irrelevants. The findings are interpreted in relation to the cognitive load/dual-task interference literature, generating important insights for research on the involvement of executive functions in deceptive behavior.

  18. Exchange of information between nuclear safety authorities: Policy of the French regulator

    International Nuclear Information System (INIS)

    Asty, Michel

    2000-01-01

    Full text: The decree setting up the Nuclear Safety Authority in 1973 entrusted it with international assignments whose objectives are still valid: - develop exchanges of information with foreign counterparts on regulatory systems and practices, on problems encountered in the nuclear safety field and on provisions made, with a view to enhancing its approach, and - becoming better acquainted with the actual operating practice of these Safety Authorities from which lessons could be learned for its own working procedures; - improving its position in the technical discussions with the French operators, since its arguments would be strengthened by practical knowledge of conditions abroad; - make known and explain the French approach and practices in the nuclear safety field and provide information on measures taken to deal with the problems encountered. This approach has several objectives: - promote the circulation of information on French positions on certain issues, such as very low level waste, for instance; - assist some countries wishing to create or modify their Nuclear Safety Authority, such as countries of the former USSR, the Central and Eastern European countries, and emerging countries on other continents; - help, when requested, foreign Safety Authorities required to issue permits for nuclear equipment of French origin; - provide the countries concerned with all relevant information on French nuclear installations located near their frontiers. Examples are given on the way the French Nuclear Safety Authority implements these objectives. (author)

  19. Dissociable parietal regions facilitate successful retrieval of recently learned and personally familiar information.

    Science.gov (United States)

    Elman, Jeremy A; Cohn-Sheehy, Brendan I; Shimamura, Arthur P

    2013-03-01

    In fMRI analyses, the posterior parietal cortex (PPC) is particularly active during the successful retrieval of episodic memory. To delineate the neural correlates of episodic retrieval more succinctly, we compared retrieval of recently learned spatial locations (photographs of buildings) with retrieval of previously familiar locations (photographs of familiar campus buildings). Episodic retrieval of recently learned locations activated a circumscribed region within the ventral PPC (anterior angular gyrus and adjacent regions in the supramarginal gyrus) as well as medial PPC regions (posterior cingulated gyrus and posterior precuneus). Retrieval of familiar locations activated more posterior regions in the ventral PPC (posterior angular gyrus, LOC) and more anterior regions in the medial PPC (anterior precuneus and retrosplenial cortex). These dissociable effects define more precisely PPC regions involved in the retrieval of recent, contextually bound information as opposed to regions involved in other processes, such as visual imagery, scene reconstruction, and self-referential processing. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. An Information Framework for Facilitating Cost Saving of Environmental Impacts in the Coal Mining Industry in South Africa

    Directory of Open Access Journals (Sweden)

    Mashudu D. Mbedzi

    2018-05-01

    Full Text Available Coal-mining contributes much to the economic welfare of a country. Yet it brings along a number of challenges, notably environmental impacts which include water pollution in a water scarce country such as South Africa. This research is conducted in two phases. The first phase intends to establish environmental and other challenges brought about by the coal-mining industry through a comprehensive analysis of available literature. Combatting these challenges is costly; consequently, our work investigates how established management accounting tools and techniques such as Environmental Management Accounting (EMA, Material Flow Cost Accounting (MFCA and Life Cycle Costing (LCC may facilitate cost savings for the companies involved. These techniques promote increased transparency of material usage by tracing and quantifying the flows and inventories of materials within the coal-mining industry in physical and monetary terms, hence hidden costs are elicited. The researchers postulate that an Information Framework integrating these aspects may be the way forward. To this end existing frameworks in the literature are identified. A number of research questions embodying the above aspects are defined and the objective is to define a conceptual framework to facilitate cost savings for coal-mining companies. The main contribution of this work is an information framework presented towards the end of this article. The second phase of the research will involve fieldwork in the form of a survey among stakeholders in industry to validate the conceptual framework.

  1. Critical properties of unlimited gliding: Unexpected flocking behavior driven by the exchange of information

    Science.gov (United States)

    Bigus-Kwiatkowska, Marta; Fronczak, Agata; Fronczak, Piotr

    2018-03-01

    Inspired by albatrosses that use thermal lifts to fly across oceans we develop a simple model of gliders that serves us to study theoretical limitations of unlimited exploration of the Earth. Our studies, grounded in physical theory of continuous percolation and biased random walks, allow us to identify a variety of percolation transitions, which are understood as providing potentially unlimited movement through a space in a specified direction. We discover an unexpected phenomenon of self-organization of gliders in clusters, which resembles the flock organization of birds. This self-organization is intriguing, as it occurs thanks to exchange of information only and without any particular rules that could favor the clustering of the gliders (in contrast to the causes well known in literature, like, for example, attractive forces used in the Vicsek-type models or fitness functions used in evolutionary computation).

  2. Qualitative study of patient consent for health information exchange in an HIV clinic.

    Science.gov (United States)

    Ramos, S Raquel; Bakken, Suzanne

    2014-01-01

    Health information exchange (HIE) is the secure, electronic transfer and/or accessibility of clinical data among healthcare providers. In the United States (US), the consent process for participation varies state to state. New York State (NYS) mandates written patient consent. The purpose of this study was to examine workflow and perceptions related to obtaining HIE consent in an HIV clinic. We used contextual inquiry to observe the HIE consent-related workflow of four registration clerks for a total of 4 hours on two weekdays and subsequently created a flow chart and sequence model diagram. Clerks were also interviewed and the resulting narrative data were coded into themes. Observational and interview data suggested that patient privacy/confidentiality/trust, high volume workflow, and multiple competing demands affect the patient HIE consent process. Additional qualitative data needs to be gathered from the perspectives of patients and clinicians about the HIE consent process.

  3. Health and Environment Linked for Information Exchange in Atlanta (HELIX-Atlanta): A Pilot Tracking System

    Science.gov (United States)

    Rickman, Doug; Shire, J.; Qualters, J.; Mitchell, K.; Pollard, S.; Rao, R.; Kajumba, N.; Quattrochi, D.; Estes, M., Jr.; Meyer, P.; hide

    2009-01-01

    Objectives. To provide an overview of four environmental public health surveillance projects developed by CDC and its partners for the Health and Environment Linked for Information Exchange, Atlanta (HELIX-Atlanta) and to illustrate common issues and challenges encountered in developing an environmental public health tracking system. Methods. HELIX-Atlanta, initiated in October 2003 to develop data linkage and analysis methods that can be used by the National Environmental Public Health Tracking Network (Tracking Network), conducted four projects. We highlight the projects' work, assess attainment of the HELIX-Atlanta goals and discuss three surveillance attributes. Results. Among the major challenges was the complexity of analytic issues which required multidiscipline teams with technical expertise. This expertise and the data resided across multiple organizations. Conclusions:Establishing formal procedures for sharing data, defining data analysis standards and automating analyses, and committing staff with appropriate expertise is needed to support wide implementation of environmental public health tracking.

  4. 2009 public meetings: To inform and exchange ideas on the issues at stake

    CERN Multimedia

    Association du personnel

    2009-01-01

    The summer holidays are over. And like every year around this time the Staff Association comes to meet you in your Departments to inform you about the topics currently being discussed at CERN. We count very much on the exchange of views and opinions between you and us that takes place during these meetings. Once again in 2009 there are a wide range of topics to be discussed. If the stakes are generally high, this year and the next ones they are huge. This is an additional reason for the need to see a maximum number of motivated candidates stand at the forthcoming elections for the Staff Council in November 2009. For all these reasons and to help us prepare optimally for these critical deadlines, we invite all of you to attend our public meetings.

  5. Use patterns of health information exchange through a multidimensional lens: conceptual framework and empirical validation.

    Science.gov (United States)

    Politi, Liran; Codish, Shlomi; Sagy, Iftach; Fink, Lior

    2014-12-01

    Insights about patterns of system use are often gained through the analysis of system log files, which record the actual behavior of users. In a clinical context, however, few attempts have been made to typify system use through log file analysis. The present study offers a framework for identifying, describing, and discerning among patterns of use of a clinical information retrieval system. We use the session attributes of volume, diversity, granularity, duration, and content to define a multidimensional space in which each specific session can be positioned. We also describe an analytical method for identifying the common archetypes of system use in this multidimensional space. We demonstrate the value of the proposed framework with a log file of the use of a health information exchange (HIE) system by physicians in an emergency department (ED) of a large Israeli hospital. The analysis reveals five distinct patterns of system use, which have yet to be described in the relevant literature. The results of this study have the potential to inform the design of HIE systems for efficient and effective use, thus increasing their contribution to the clinical decision-making process. Copyright © 2014 Elsevier Inc. All rights reserved.

  6. Technology, Incentives, or Both? Factors Related to Level of Hospital Health Information Exchange.

    Science.gov (United States)

    Lin, Sunny C; Everson, Jordan; Adler-Milstein, Julia

    2018-02-28

    To assess whether the level of health information exchange (HIE) in U.S. hospitals is related to technology capabilities, incentives to exchange, or both. A total of 1,812 hospitals attesting to stage 2 of Medicare's Meaningful Use Incentive Program through April 2016. Hospital-level, multivariate OLS regression with state fixed effects was used to analyze the relationship between technology capability and incentives measures, and percent of care transitions with summary of care records (SCRs) sent electronically to subsequent providers. Stage 2 hospitals reported sending SCRs electronically for an average of 41 percent (median = 33 percent) of transitions. HIE level is related to four capability measures, one incentive measure, and one measure that is related to both capability and incentive. Percent of transitions with SCRs sent electronically was 3 percentage points higher (95 percent CI: 0.1-5.1) for hospitals with a third-party HIE vendor, 3 percentage points higher (95 percent CI: 0.5-5.4) for hospitals with an EHR vendor as their HIE vendor, and 3 percentage points higher (95 percent CI: 0.4-5.4) for hospitals that automatically alert primary care providers. The direction and statistical significance of the relationships between specific EHR vendor and electronic SCR transmission level varied by vendor. Nonprofits and government hospitals performed 5 percentage points higher (95 percent CI: 1.5-9.1) and 8 percentage points higher (95 percent CI: 3.4-12.3) than for-profits. Hospitals in systems performed 3 percentage points higher (95 percent CI: 0.8-6.1). The overall level of HIE is low, with hospitals sending an SCR electronically for less than half of patient transitions. Specific hospital characteristics related to both technology capabilities and incentives were associated with higher levels of HIE. © Health Research and Educational Trust.

  7. Short-Term Medical Costs of a VHA Health Information Exchange: A CHEERS-Compliant Article

    Science.gov (United States)

    French, Dustin D.; Dixon, Brian E.; Perkins, Susan M.; Myers, Laura J.; Weiner, Michael; Zillich, Allan J.; Haggstrom, David A.

    2016-01-01

    Abstract The Virtual Lifetime Electronic Record (VLER) Health program provides the Veterans Health Administration (VHA) a framework whereby VHA providers can access the veterans’ electronic health record information to coordinate healthcare across multiple sites of care. As an early adopter of VLER, the Indianapolis VHA and Regenstrief Institute implemented a regional demonstration program involving bi-directional health information exchange (HIE) between VHA and non-VHA providers. The aim of the study is to determine whether implementation of VLER HIE reduces 1 year VHA medical costs. A cohort evaluation with a concurrent control group compared VHA healthcare costs using propensity score adjustment. A CHEERs compliant checklist was used to conduct the cost evaluation. Patients were enrolled in the VLER program onsite at the Indianapolis VHA in outpatient clinics or through the release-of-information office. VHA cost data (in 2014 dollars) were obtained for both enrolled and nonenrolled (control) patients for 1 year prior to, and 1 year after, the index date of patient enrollment. There were 6104 patients enrolled in VLER and 45,700 patients in the control group. The annual adjusted total cost difference per patient was associated with a higher cost for VLER enrollees $1152 (95% CI: $807–1433) (P < 0.01) (in 2014 dollars) than VLER nonenrollees. Short-term evaluation of this demonstration project did not show immediate reductions in healthcare cost as might be expected if HIE decreased redundant medical tests and treatments. Cost reductions from shared health information may be realized with longer time horizons. PMID:26765453

  8. Tax Information Exchange Influence on Czech Based Companies’ Behavior in Relation to Tax Havens

    Directory of Open Access Journals (Sweden)

    Jan Rohan

    2017-01-01

    Full Text Available In recent years, borders between countries have been opened gradually thanks to globalization, which is reflected in minimal barriers to the movement of persons and capital. This situation could be potentially abused by taxpayers willing to shift the capital to preferential tax jurisdictions. Due to facts aforementioned, several instruments for tax administrators have been introduced. Bilateral and multilateral instruments are concluded with particular countries for the purpose of obtaining information about foreign residents staying abroad but also to avoid double taxation or double non‑taxation. In recent years there has been an increased number of companies in the Czech Republic whose owners come from preferential tax jurisdiction from 12,676 up to 13,167. This paper is focused on the Czech taxpayers’ reaction on concluding agreements concerning exchange of information in tax matters with preferential tax jurisdictions, the so‑called “Tax havens”. The Difference‑in‑Differences Method was carried out to predict the taxpayers’ behavior. The model shows that the agreements work well as a preventive tool. If the Czech Republic concludes the agreement with the tax haven, the taxpayers lose their anonymity. This results in their relocation into tax havens that are not covered by the agreement in order to keep their anonymity.

  9. Information security in data exchange between mobile devices with Android system using RSA encryption

    Directory of Open Access Journals (Sweden)

    Fernando Solís

    2017-02-01

    Full Text Available The new styles and ways of life lead to greater use of wireless networks, the mobile device being a tool for data transmission, which are susceptible to threats in the transmission channels in the network. IT security plays a very important role in guaranteeing the availability, privacy and integrity of information, one of the techniques that helps in this task is cryptography, whose foundation is to transform a message so that it is unintelligible except for those who have the Key to decipher it. The research focuses on the use of the RSA algorithm between mobile devices, the encrypted data is sent through communication channels called threads that through formulas and processes executed on the server, will help to execute the encryption and decryption of the data. To carry it out, a prototype for the exchange of data between mobile devices wirelessly was designed and implemented, conducting performance tests with three nodes to improve the security. The results show the efficiency of the algorithm and additionally its functionality, the times of encryption and decryption are fast against the sending of information without any method or algorithm used.

  10. EEI/UWASTE oversight of the DOE Repository Program by the Repository Information Exchange Team

    International Nuclear Information System (INIS)

    Henkel, C.J.; Supko, E.M.; Schwartz, M.H.

    1993-01-01

    The Utility Nuclear Waste and Transportation Program of the Edison Electric Institute (EEI/UWASTE) has conducted reviews of the US DOE's repository program through its Repository Information Exchange Team (RIET or Team). Eight such reviews have been conducted since 1985 covering topics that include repository program management and control; repository schedule; repository budget; quality assurance; site characterization; repository licensing; environmental issues; and institutional and public information activities. The utility industry has used these repository program reviews as a forum for providing DOE's Office of Civilian Radioactive Waste Management (OCRWM) with comments on the direction of the repository program, advice for future actions regarding quality assurance activities and repository licensing, and suggestions for management and control of the Repository Program. The most significant recommendations made by the utility industry through the RIET are discussed along with any subsequent action by OCRWM in response to or subsequent to utility industry recommendations. The process used by the RIET to develop its recommendations to OCRWM regarding the repository program is also discussed

  11. Developing a Cloud-Based Online Geospatial Information Sharing and Geoprocessing Platform to Facilitate Collaborative Education and Research

    Science.gov (United States)

    Yang, Z. L.; Cao, J.; Hu, K.; Gui, Z. P.; Wu, H. Y.; You, L.

    2016-06-01

    Efficient online discovering and applying geospatial information resources (GIRs) is critical in Earth Science domain as while for cross-disciplinary applications. However, to achieve it is challenging due to the heterogeneity, complexity and privacy of online GIRs. In this article, GeoSquare, a collaborative online geospatial information sharing and geoprocessing platform, was developed to tackle this problem. Specifically, (1) GIRs registration and multi-view query functions allow users to publish and discover GIRs more effectively. (2) Online geoprocessing and real-time execution status checking help users process data and conduct analysis without pre-installation of cumbersome professional tools on their own machines. (3) A service chain orchestration function enables domain experts to contribute and share their domain knowledge with community members through workflow modeling. (4) User inventory management allows registered users to collect and manage their own GIRs, monitor their execution status, and track their own geoprocessing histories. Besides, to enhance the flexibility and capacity of GeoSquare, distributed storage and cloud computing technologies are employed. To support interactive teaching and training, GeoSquare adopts the rich internet application (RIA) technology to create user-friendly graphical user interface (GUI). Results show that GeoSquare can integrate and foster collaboration between dispersed GIRs, computing resources and people. Subsequently, educators and researchers can share and exchange resources in an efficient and harmonious way.

  12. International exchange of emergency phase information and assessments: an aid to inter/national decision makers

    International Nuclear Information System (INIS)

    Sullivan, T.J.

    2003-01-01

    plots via Internet web sites and interactively dialogue via web-based two-way televideo conferencing technology [LLNL/JAERI report]. While, in principle, the results were functional, the linkups proved to be rudimentary and somewhat unstable for combined video, voice and whiteboard interaction. JAERI (WSPEEDI) and LLNL (NARAC) did successfully exploit this project during two separate radiological accidents in Tokai, Japan. In 1999 the EU/RODOS project expressed an interest to join in this effort. In 2002 the USA renewed interest in this project and subsequently Russia/FEERC joined. Since 1999 there has been substantial improvement in Internet bandwidth, efficient and versatile data exchange protocols (e.g., XML) and televideo conferencing technology. Implementation of data exchange protocols (user ID and password protected) at those four major centers/projects in combination with a multi-party televideo conferencing capability provides the mechanism for the exchange of key information in near realtime, and examination and comparison of calculated assessments in a quasi-peer review mode. This capability provides the opportunity to detect missed input data as well as deficiencies in meteorology, resolution, topography, etc., thus leading to refinement, consensus and 'harmonization' in real time prior to the release of assessments to decision makers. Such a system should be a benefit to all the inter/national agencies involved in advising and protecting impacted citizens by reducing some of the information challenges they (the decision makers) face and, hopefully, resulting in consistent and presumably the best advice. We expect that with successful demonstration and experience with this system, in the future it could provide a tool to non-nuclear countries and international agencies such as the IAEA and WHO. (author)

  13. An Anesthesia Preinduction Checklist to Improve Information Exchange, Knowledge of Critical Information, Perception of Safety, and Possibly Perception of Teamwork in Anesthesia Teams.

    Science.gov (United States)

    Tscholl, David W; Weiss, Mona; Kolbe, Michaela; Staender, Sven; Seifert, Burkhardt; Landert, Daniel; Grande, Bastian; Spahn, Donat R; Noethiger, Christoph B

    2015-10-01

    An anesthesia preinduction checklist (APIC) to be performed before anesthesia induction was introduced and evaluated with respect to 5 team-level outcomes, each being a surrogate end point for patient safety: information exchange (the percentage of checklist items exchanged by a team, out of 12 total items); knowledge of critical information (the percentage of critical information items out of 5 total items such as allergies, reported as known by the members of a team); team members' perceptions of safety (the median scores given by the members of a team on a continuous rating scale); their perception of teamwork (the median scores given by the members of a team on a continuous rating scale); and clinical performance (the percentage of completed items out of 14 required tasks, e.g., suction device checked). A prospective interventional study comparing anesthesia teams using the APIC with a control group not using the APIC was performed using a multimethod design. Trained observers rated information exchange and clinical performance during on-site observations of anesthesia inductions. After the observations, each team member indicated the critical information items they knew and their perceptions of safety and teamwork. One hundred five teams using the APIC were compared with 100 teams not doing so. The medians of the team-level outcome scores in the APIC group versus the control group were as follows: information exchange: 100% vs 33% (P safety: 91% vs 84% (P improves information exchange, knowledge of critical information, and perception of safety in anesthesia teams-all parameters contributing to patient safety. There was a trend indicating improved perception of teamwork.

  14. User experiences with different regional health information exchange systems in Finland.

    Science.gov (United States)

    Hyppönen, Hannele; Reponen, Jarmo; Lääveri, Tinja; Kaipio, Johanna

    2014-01-01

    The interest in cross-organizational Health Information Exchange (HIE) is increasing at regional, national and cross-European levels. The purpose of our study was to compare user experiences (usability) of different regional health information exchange system (RHIE) types as well as the factors related to the experienced level of success of different RHIE system types. A web-based questionnaire was sent to 95% of Finnish physicians aged between 25 and 65 years of age. RHIE systems were mainly available in the public sector and only in certain regions. Those 1693 physicians were selected from the 3929 respondents of the original study, who met these criteria. The preferred means (paper/fax vs. electronic) of cross-organizational HIE, and replies to the 11 questions measuring RHIE success were used as the main dependent variables. Two thirds (73%) of the primary care physicians and one third (33%) of the specialized care physicians replied using an electronic RHIE system rather than paper or fax as a primary means of cross-organizational HIE. Respondents from regions where a regional virtual EHR (type 3) RHIE system was employed had used electronic means rather than paper HIE to a larger extend compared to their colleagues in regions where a master patient index-type (type 1) or web distribution model (type 2) RHIE system was used. Users of three local EHR systems preferred electronic HIE to paper to a larger extend than users of other EHR systems. Experiences with an integrated RHIE system (type 3) were more positive than those with other types or RHIE systems. The study revealed User preferences for the integrated virtual RHIE-system (type 3) over the master index model (type 1) or web distribution model (type 2). Success of individual HIE tasks of writing, sending and reading were impacted by the way these functionalities were realized in the EHR systems. To meet the expectations of increased efficiency, continuity, safety and quality of care, designers of HIE

  15. Health information technology to facilitate communication involving health care providers, caregivers, and pediatric patients: a scoping review.

    Science.gov (United States)

    Gentles, Stephen James; Lokker, Cynthia; McKibbon, K Ann

    2010-06-18

    Pediatric patients with health conditions requiring follow-up typically depend on a caregiver to mediate at least part of the necessary two-way communication with health care providers on their behalf. Health information technology (HIT) and its subset, information communication technology (ICT), are increasingly being applied to facilitate communication between health care provider and caregiver in these situations. Awareness of the extent and nature of published research involving HIT interventions used in this way is currently lacking. This scoping review was designed to map the health literature about HIT used to facilitate communication involving health care providers and caregivers (who are usually family members) of pediatric patients with health conditions requiring follow-up. Terms relating to care delivery, information technology, and pediatrics were combined to search MEDLINE, EMBASE, and CINAHL for the years 1996 to 2008. Eligible studies were selected after three rounds of duplicate screening in which all authors participated. Data regarding patient, caregiver, health care provider, HIT intervention, outcomes studied, and study design were extracted and maintained in a Microsoft Access database. Stage of research was categorized using the UK's Medical Research Council (MRC) framework for developing and evaluating complex interventions. Quantitative and qualitative descriptive summaries are presented. We included 104 eligible studies (112 articles) conducted in 17 different countries and representing 30 different health conditions. The most common conditions were asthma, type 1 diabetes, special needs, and psychiatric disorder. Most studies (88, 85%) included children 2 to 12 years of age, and 73 (71%) involved home care settings. Health care providers operated in hospital settings in 96 (92%) of the studies. Interventions featured 12 modes of communication (eg, Internet, intranets, telephone, video conferencing, email, short message service [SMS], and

  16. Nuclear Data Unit correspondents for the exchange of nuclear data information

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1968-04-15

    This list serves as a basis for the distribution of documents originated by or for the International Nuclear Data Committee, and includes the names of all INDC members, liaison officers and correspondents of the Nuclear Data Unit. The IAEA Nuclear Data Unit tries to maintain this list up-to-date in order to facilitate an efficient interchange of information on nuclear data topics. The recipients of this list are encouraged to inform the Nuclear Data Unit of any corrections, additions and deletions deemed necessary. Because of the variety of document origins and functions, and the number of countries served by this list, each addressee is assigned a seven-letter distribution code, shown to the left of each name, which indicates the categories of documents he receives. The names appear under three categories, member states, international organizations and non-member states, and are listed in alphabetical order within each state or organization. The main list is followed by seven shorter lists, indicating the names of individuals in each distribution category, and the total number of individuals in each category.

  17. Nuclear Data Unit correspondents for the exchange of nuclear data information

    International Nuclear Information System (INIS)

    1968-04-01

    This list serves as a basis for the distribution of documents originated by or for the International Nuclear Data Committee, and includes the names of all INDC members, liaison officers and correspondents of the Nuclear Data Unit. The IAEA Nuclear Data Unit tries to maintain this list up-to-date in order to facilitate an efficient interchange of information on nuclear data topics. The recipients of this list are encouraged to inform the Nuclear Data Unit of any corrections, additions and deletions deemed necessary. Because of the variety of document origins and functions, and the number of countries served by this list, each addressee is assigned a seven-letter distribution code, shown to the left of each name, which indicates the categories of documents he receives. The names appear under three categories, member states, international organizations and non-member states, and are listed in alphabetical order within each state or organization. The main list is followed by seven shorter lists, indicating the names of individuals in each distribution category, and the total number of individuals in each category

  18. Adding Trauma-Informed Care at a Bereavement Camp to Facilitate Posttraumatic Growth: A Controlled Outcome Study

    Directory of Open Access Journals (Sweden)

    Irene Searles McClatchey

    2017-09-01

    Full Text Available Background: Studies on posttraumatic growth (PTG among bereaved youth are rare; outcome studies on how to facilitate PTG among this population are even more scarce. Objectives: This study examined the addition of trauma-informed care to bereavement interventions to foster PTG in youth attending a weekend-long bereavement camp. Method: A total of 105 participants completed standardized measures of posttraumatic growth and posttraumatic stress disorder after which 52 of the participants took part in a camp session. Ninety-five of the participants from both groups were post-tested four weeks after the camp session. Results: Multiple Regression showed that PTG scores were significantly greater at posttest for the treatment group. No significant changes in PTSD were found in either group, although the presence of dissociative symptoms decreased significantly among campers in the treatment group. Conclusions: Findings suggest trauma-informed care may increase posttraumatic growth among youth coping with loss. Implications for future studies and clinical practice are discussed

  19. Price dscovery in the foreign exchange markets with dfferentially informed traders

    NARCIS (Netherlands)

    de Jong, F.C.J.M.; Mahieu, R.; Schotman, P.; Leeuwen, I.

    1999-01-01

    This paper uses Reuters exchange rate data to investigate thecontributions to the price discovery process by individual banks in theforeign exchange market. We propose multivariate time series models aswell as models in tick time to study the dynamic relations between thequotes of individual banks.

  20. Tandem anchoring: informational and politeness effects of range offers in social exchange.

    Science.gov (United States)

    Ames, Daniel R; Mason, Malia F

    2015-02-01

    We examined whether and why range offers (e.g., "I want $7,200 to $7,600 for my car") matter in negotiations. A selective-attention account predicts that motivated and skeptical offer-recipients focus overwhelmingly on the attractive endpoint (i.e., a buyer would hear, in effect, "I want $7,200"). In contrast, we propose a tandem anchoring account, arguing that offer-recipients are often influenced by both endpoints as they judge the offer-maker's reservation price (i.e., bottom line) as well as how polite they believe an extreme (nonaccommodating) counteroffer would be. In 5 studies, featuring scripted negotiation scenarios and live dyadic negotiations, we find that certain range offers yield improved settlement terms for offer-makers without relational costs, whereas others may yield relationship benefits without deal costs. We clarify the types of range offers that evoke these benefits and identify boundaries to their impact, including range width and extremity. In addition, our studies reveal evidence consistent with 2 proposed mechanisms, one involving an informational effect (both endpoints of range offers can be taken as signals of an offer-maker's reservation price) and another involving a politeness effect (range offers can make extreme counteroffers seem less polite). Our results have implications for models of negotiation behavior and outcomes and, more broadly, for the nature of social exchange. (PsycINFO Database Record (c) 2015 APA, all rights reserved). PsycINFO Database Record (c) 2015 APA, all rights reserved.

  1. Chairman's report. Report on the IEA round table on information exchange and co-operation in R and D

    International Nuclear Information System (INIS)

    Doucet, G.

    1997-01-01

    In contrast to the parallel Workshops, the Round Table was designed to stimulate simultaneous discussion among panelists and interaction with the audience. The task of the Round Table and Information Exchange and Co-operation in R and D was to answer six key questions: what are then more recent prospects or opportunities for natural gas utilisation which justify major commitments to information exchange and R and D? How have government social or economic goals affected funding for R and D in North America, Europe and Asia? Is the move to energy service and, in some key markets, deregulation forcing natural gas companies to reassess private commitments to R and D? How well do natural gas companies or centres of excellence around the world exchange information and promote technology transfer compared with coal and electricity interests? What is the future role of governments, universities, laboratories and international agencies like IEA to eliminate duplication and to foster funding partnerships? Are there useful models of information exchange using state-of-the-art electronic data which optimise linkages among key production and consumption markets? (R.P.)

  2. 8 CFR 214.12 - Preliminary enrollment of schools in the Student and Exchange Visitor Information System (SEVIS).

    Science.gov (United States)

    2010-01-01

    ... of schools in the Student and Exchange Visitor Information System (SEVIS). (a) Private elementary and private secondary schools, public high schools, post-secondary schools, language schools, and vocational... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Preliminary enrollment of schools in the...

  3. The Relationship between Information Exchange Benefits and Performance: the Mediating Effect of Supply Chain Compliance in the Chinese Poultry Chain

    NARCIS (Netherlands)

    Peng, G.; Trienekens, J.H.; Omta, S.W.F.; Wang, W.

    2012-01-01

    This paper aims to examine the relationships between information exchange benefits and company performance, and the mediating effect of supply chain compliance on this relationship. A sample of 165 buying companies and of 96 suppliers were analyzed by partial least square (PLS) path modeling. Five

  4. Bilateral communication and information exchange, an attempt relating to mandate 8 of the Dutch-German commission (NDKK)

    International Nuclear Information System (INIS)

    Salfeld, H.Ch.; Hable, K.; Kok, Y.S.; Reinen, H.A.J.M.

    2003-01-01

    Full text: According to a memorandum of understanding between Germany and the Netherlands, the NDKK has to review the existing communication methods. Proceeding from this review proposals have to be developed to improve the bilateral communication and data exchange in case of events near the German-Dutch border and more generally for every event involving nuclear facilities. The NDKK has established a working group for reviewing and working out the proposals. Members of the working group are federal institutions resp. state institutions. Within their scope of duties are emergency management and communication, data collection and communication and expert advice to stakeholders. On the Dutch side the National Institute for Public Health and the Environment (RIVM) takes part, on the German side, the Federal Office for Radiation Protection (BfS) and the Lower Saxony State Agency for Ecology (NLOE) are involved. At international level, the ECURIE (European Community Urgent Radiological Information Exchange, system of the EU) and EMERCON (Emergency Convention, system of the IAEA) are used for early notification and subsequent messaging. The designated contact points and competent authorities are VROM (Ministry of Housing, Spatial Planning and the Environment) and BMU (German Federal Ministry for the Environment, Nature Conservation and Nuclear Safety). According to a bilateral agreement, there is an additional direct communication for emergency notification between BMU and VROM. For the exchange of radiological measurement data the EURDEP standard (European Radiological Data Exchange Platform) is applied. In addition to the multinational procedure, it has been decided to exchange data directly in order to make the exchange faster and redundant. Presently, data are exchanged on a weekly basis by ftp, using EURDEP 2.0 format. The only NPP located near the Dutch-German border is the German NPP Emsland (KKE) close to the town of Lingen. Other nuclear facilities in this area

  5. Supporting multi-state collaboration on privacy and security to foster health IT and health information exchange.

    Science.gov (United States)

    Banger, Alison K; Alakoye, Amoke O; Rizk, Stephanie C

    2008-11-06

    As part of the HHS funded contract, Health Information Security and Privacy Collaboration, 41 states and territories have proposed collaborative projects to address cross-state privacy and security challenges related to health IT and health information exchange. Multi-state collaboration on privacy and security issues remains complicated, and resources to support collaboration around these topics are essential to the success of such collaboration. The resources outlined here offer an example of how to support multi-stakeholder, multi-state projects.

  6. Project to promote exchange of international information on environmental technologies; Kankyo gijutsu kokusai joho koryu sokushin jigyo

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    Mutual information exchange at international levels is important for practical application of global environment preservation technologies, whereas the APEC Virtual Center was established in fiscal 1997. Fiscal 1998 has discussed the future functions of the Virtual Center, and carried out the following matters to improve the functions and achieve its stable operation. Discussions were given on common use with the centers of other countries and regions of the specifications of classification systems for information areas and provided information that are provided by the Virtual Center. Visits were made to sub-managing countries and regions for smooth operation of the study groups, and opinions were exchanged. Visits were made to coordinators and contact points established in each country and region when the Center was founded in fiscal 1997. A visit was made to the U.S. Environmental Protection Agency to exchange opinions on coordination measures with the Cleaner Production Strategy of the U.S.A. being a project similar to the subject project. In order to strengthen the Japan's Center, attempts were made to expand the linking information to wider scope. Special pages publishing concentratedly the items of information that the users are interested were prepared as part of the information provision. (NEDO)

  7. Exchange Network

    Science.gov (United States)

    The Environmental Information Exchange Network (EN) is an Internet-based system used by state, tribal and territorial partners to securely share environmental and health information with one another and EPA.

  8. Facilitating participation

    DEFF Research Database (Denmark)

    Skøtt, Bo

    2018-01-01

    the resulting need for a redefinition of library competence. In doing this, I primarily address the first two questions from Chapter 1 and how they relate to the public’s informal, leisure-time activities in a networked society. In particular, I focus on the skills of reflexive self-perception and informed...... opinion formation. Further, I point out the significance which these informal leisure-time activities have for public library staff’s cultural dissemination skills. In this way, I take on the question of the skills required for facilitating the learning of a participatory public (cf. Chapter 1......), exemplifying with the competence required of library staff. My discussion will proceed by way of a literature review. In the next section, I shall explain how and what sources were chosen and section three and four present the theoretical framework and how the applied theories are related. In the fifth section...

  9. Proceedings of the fourth information exchange meeting on nuclear production of hydrogen

    International Nuclear Information System (INIS)

    2010-01-01

    The use of hydrogen, both as feedstock for the industry (oil and chemical) and as an energy carrier, is expected to grow substantially during the coming decades. The current predominant method of producing hydrogen by steam-reforming methane (from natural gas) is not sustainable and has environmental drawbacks, including the emission of greenhouse gasses (GHGs). Nuclear energy offers a way to produce hydrogen from water without depleting natural gas, a valuable natural resource, and without the emission of GHGs. The OECD Nuclear Energy Agency (NEA) has conducted a number of information exchange meetings with the objective of stimulating progress in the development of nuclear production of hydrogen. These meetings, held in 2000 in Paris, France, in 2003 in Argonne, Illinois, USA, and in 2005 in Oarai, Japan, were well-attended and very successful. It is hoped that the information presented at fourth meeting and contained in these proceedings may be useful in advancing the objective of achieving economically viable, sustainable and emission-free production of hydrogen. The need for a sustainable supply of clean energy is one of the main problems facing the world. Among the various energy technologies which may be considered (including hydro, wind, solar, geo-thermal, wave and tidal), only nuclear - through the use of fast-neutron fission reactors - is capable of delivering the copious quantities of sustainable energy that will be required. In view of this, one of the means under consideration for achieving the objective of nuclear-produced hydrogen is enhanced international cooperation, including the establishment of one or more OECD/NEA joint projects. In this respect, it is worth noting that similar joint projects undertaken in the past (for example, the Dragon Project and the Halden Reactor Project) have been highly beneficial and have provided significant amounts of useful information to the sponsoring countries at shared costs. This report describes the

  10. Standards for Exchange and Storage of 3D Information : Challenges and Opportunities for Emergency Response

    NARCIS (Netherlands)

    Zlatanova, S.; Stoter, J.; Isikdag, U.

    2012-01-01

    3D standards have been developed throughout the years for many different purposes: visualisation (fast and realistic), data management (efficient storage), modelling (validity and topology) or data exchange (platform independence). The developers also vary from companies to international

  11. Hospital readiness for health information exchange: development of metrics associated with successful collaboration for quality improvement.

    Science.gov (United States)

    Korst, Lisa M; Aydin, Carolyn E; Signer, Jordana M K; Fink, Arlene

    2011-08-01

    The development of readiness metrics for organizational participation in health information exchange is critical for monitoring progress toward, and achievement of, successful inter-organizational collaboration. In preparation for the development of a tool to measure readiness for data-sharing, we tested whether organizational capacities known to be related to readiness were associated with successful participation in an American data-sharing collaborative for quality improvement. Cross-sectional design, using an on-line survey of hospitals in a large, mature data-sharing collaborative organized for benchmarking and improvement in nursing care quality. Factor analysis was used to identify salient constructs, and identified factors were analyzed with respect to "successful" participation. "Success" was defined as the incorporation of comparative performance data into the hospital dashboard. The most important factor in predicting success included survey items measuring the strength of organizational leadership in fostering a culture of quality improvement (QI Leadership): (1) presence of a supportive hospital executive; (2) the extent to which a hospital values data; (3) the presence of leaders' vision for how the collaborative advances the hospital's strategic goals; (4) hospital use of the collaborative data to track quality outcomes; and (5) staff recognition of a strong mandate for collaborative participation (α=0.84, correlation with Success 0.68 [P<0.0001]). The data emphasize the importance of hospital QI Leadership in collaboratives that aim to share data for QI or safety purposes. Such metrics should prove useful in the planning and development of this complex form of inter-organizational collaboration. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  12. Structural analysis of health-relevant policy-making information exchange networks in Canada.

    Science.gov (United States)

    Contandriopoulos, Damien; Benoît, François; Bryant-Lukosius, Denise; Carrier, Annie; Carter, Nancy; Deber, Raisa; Duhoux, Arnaud; Greenhalgh, Trisha; Larouche, Catherine; Leclerc, Bernard-Simon; Levy, Adrian; Martin-Misener, Ruth; Maximova, Katerina; McGrail, Kimberlyn; Nykiforuk, Candace; Roos, Noralou; Schwartz, Robert; Valente, Thomas W; Wong, Sabrina; Lindquist, Evert; Pullen, Carolyn; Lardeux, Anne; Perroux, Melanie

    2017-09-20

    Health systems worldwide struggle to identify, adopt, and implement in a timely and system-wide manner the best-evidence-informed-policy-level practices. Yet, there is still only limited evidence about individual and institutional best practices for fostering the use of scientific evidence in policy-making processes The present project is the first national-level attempt to (1) map and structurally analyze-quantitatively-health-relevant policy-making networks that connect evidence production, synthesis, interpretation, and use; (2) qualitatively investigate the interaction patterns of a subsample of actors with high centrality metrics within these networks to develop an in-depth understanding of evidence circulation processes; and (3) combine these findings in order to assess a policy network's "absorptive capacity" regarding scientific evidence and integrate them into a conceptually sound and empirically grounded framework. The project is divided into two research components. The first component is based on quantitative analysis of ties (relationships) that link nodes (participants) in a network. Network data will be collected through a multi-step snowball sampling strategy. Data will be analyzed structurally using social network mapping and analysis methods. The second component is based on qualitative interviews with a subsample of the Web survey participants having central, bridging, or atypical positions in the network. Interviews will focus on the process through which evidence circulates and enters practice. Results from both components will then be integrated through an assessment of the network's and subnetwork's effectiveness in identifying, capturing, interpreting, sharing, reframing, and recodifying scientific evidence in policy-making processes. Knowledge developed from this project has the potential both to strengthen the scientific understanding of how policy-level knowledge transfer and exchange functions and to provide significantly improved advice

  13. Cryptographic Combinatorial Securities Exchanges

    Science.gov (United States)

    Thorpe, Christopher; Parkes, David C.

    We present a useful new mechanism that facilitates the atomic exchange of many large baskets of securities in a combinatorial exchange. Cryptography prevents information about the securities in the baskets from being exploited, enhancing trust. Our exchange offers institutions who wish to trade large positions a new alternative to existing methods of block trading: they can reduce transaction costs by taking advantage of other institutions’ available liquidity, while third party liquidity providers guarantee execution—preserving their desired portfolio composition at all times. In our exchange, institutions submit encrypted orders which are crossed, leaving a “remainder”. The exchange proves facts about the portfolio risk of this remainder to third party liquidity providers without revealing the securities in the remainder, the knowledge of which could also be exploited. The third parties learn either (depending on the setting) the portfolio risk parameters of the remainder itself, or how their own portfolio risk would change if they were to incorporate the remainder into a portfolio they submit. In one setting, these third parties submit bids on the commission, and the winner supplies necessary liquidity for the entire exchange to clear. This guaranteed clearing, coupled with external price discovery from the primary markets for the securities, sidesteps difficult combinatorial optimization problems. This latter method of proving how taking on the remainder would change risk parameters of one’s own portfolio, without revealing the remainder’s contents or its own risk parameters, is a useful protocol of independent interest.

  14. Nordic system for data and information exchange. Report from meetings with the authorities, and proposal for further work

    International Nuclear Information System (INIS)

    Walderhaug, T.; Rikisins, G.

    1996-11-01

    The EKO-4.2 project involves investigating approaches to setting up a new reliable system based on computer internet technology for exchange of information between the Nordic countries. According to the project plans this information exchange is to be based on bulletin board systems in the different countries. It was required that the system should not set any restriction of type of data or information to be exchanged, nor should it involve any standardization of data, and above all, it was not intended as an alert system. A bulletin board system is passive in the sense that no information is actually sent, instead it is the receiver who is responsible for approaching the information and transferring it to own system. This feature makes the system unsuitable for alert purposes. Since a potential system will have to be implemented by the authorities in the respective countries, the first part of the project was to survey their interest and emphasis. This was done in meetings in the different countries. The conclusion from those meetings was an overall interest in establishing a system as described, and several requirements concerning security and reliability of the system were proposed. The implication of the requirements by the authorities is discussed and a practical solution of an information exchange system based on the World Wide Web (WWW), the File Transfer Protocol (FTP), and the Internet is outlined. The continuation of the project must be based on operable servers in the different countries, whose configuration and connection with the local network are the responsibility of the institution owning the server. The selected system will depend on hardware and on the overall security policy of the institution involved. It is proposed that further work concentrates on a general testing of the system, standardizing of server user interfaces and testing of encryption software for transfer of passwords. (au)

  15. The Political Economy of Information Exchange : Politics and Property Rights in the Development and Use of Interorganizational Information Systems

    NARCIS (Netherlands)

    V.M.F. Homburg (Vincent)

    2000-01-01

    textabstractInterorganizational information systems are information systems that cross organizational boundaries. Information managers and system developers often assume that the more integrated these information systems are, the more successful the system will be. Such an assumption is indeed

  16. Health information exchanges--Unfulfilled promise as a data source for clinical research.

    Science.gov (United States)

    Parker, Carol; Weiner, Michael; Reeves, Mathew

    2016-03-01

    To determine the use of health information exchange organizations (HIEs) to support and conduct clinical research. This scoping review included US-based studies published between January 2003 and March 2014 that used data from an HIE to address at least one of three categories of research: clinical or epidemiological research, financial evaluation, or utilization of health services. Eligibility was not restricted to research on HIEs. Studies with research questions outside of the evaluation of HIEs themselves were sought. Eighteen articles met final study inclusion criteria from an initial list of 847 hits. Fifteen studies addressed a clinical or epidemiological research question, 6 addressed a financial consideration, and 8 addressed a utilization issue. Considerable overlap was found among the research categories: 13 articles addressed more than one category. Of the eighteen included studies, only two used HIE data to answer a research objective that was NOT specific to HIE use. Research designs were varied and ranged from observational studies, such as cohort and cross-sectional studies, to randomized trials. The 18 articles represent the involvement of a small number of HIEs; 7 of the studies were from a single HIE. This review demonstrates that HIE-provided information is available and used to answer clinical or epidemiological, financial, or utilization-based research questions; however, the majority of the studies using HIE data are done with the primary goal of evaluating the use and impact of HIEs on health care delivery and outcomes. As HIEs mature and become integrated parts of the health care industry, the authors anticipate that fewer studies will be published that describe or validate the role of HIEs, and more will use HIEs as multi-institutional data sources for conducting clinical research and improving health services and clinical outcomes. Articles identified in this review indicate the limited extent that HIE data are being used for clinical

  17. Corporate Characteristics and Internal Control Information Disclosure- Evidence from Annual Reports in 2009 of Listed Companies in Shenzhen Stock Exchange

    Science.gov (United States)

    Xiaowen, Song

    Under the research framework of internal control disclosure and combined the current economic situation, the paper empirically analyzes the relationship between corporate characteristics and internal control information disclosure. The paper selects 647 A share companies listed in Shenzhen Stock Exchanges in 2009 as a sample. The results show: (1) the companies with excellent performance and high liquidity tend to disclose more internal control information; (2) the companies with the high leverage and also issued B shares are not willing to disclosure internal control information; (3) the companies sizes and companies which have hired Four-big accounting firms have no significant effects on internal control disclosure.

  18. Affinity capture of biotinylated proteins at acidic conditions to facilitate hydrogen/deuterium exchange mass spectrometry analysis of multimeric protein complexes

    DEFF Research Database (Denmark)

    Jensen, Pernille Foged; Jørgensen, Thomas J. D.; Koefoed, Klaus

    2013-01-01

    Characterization of conformational and dynamic changes associated with protein interactions can be done by hydrogen/deuterium exchange mass spectrometry (HDX-MS) by comparing the deuterium uptake in the bound and unbound state of the proteins. Investigation of local hydrogen/deuterium exchange...... in heteromultimeric protein complexes poses a challenge for the method due to the increased complexity of the mixture of peptides originating from all interaction partners in the complex. Previously, interference of peptides from one interaction partner has been removed by immobilizing the intact protein on beads...... complexes without interference of peptides originating from other interaction partners in the complex. The biotin-streptavidin strategy has been successfully implemented in a model system with two recombinant monoclonal antibodies that target nonoverlapping epitopes on the human epidermal growth factor...

  19. An electronic specimen collection protocol schema (eSCPS). Document architecture for specimen management and the exchange of specimen collection protocols between biobanking information systems.

    Science.gov (United States)

    Eminaga, O; Semjonow, A; Oezguer, E; Herden, J; Akbarov, I; Tok, A; Engelmann, U; Wille, S

    2014-01-01

    The integrity of collection protocols in biobanking is essential for a high-quality sample preparation process. However, there is not currently a well-defined universal method for integrating collection protocols in the biobanking information system (BIMS). Therefore, an electronic schema of the collection protocol that is based on Extensible Markup Language (XML) is required to maintain the integrity and enable the exchange of collection protocols. The development and implementation of an electronic specimen collection protocol schema (eSCPS) was performed at two institutions (Muenster and Cologne) in three stages. First, we analyzed the infrastructure that was already established at both the biorepository and the hospital information systems of these institutions and determined the requirements for the sufficient preparation of specimens and documentation. Second, we designed an eSCPS according to these requirements. Finally, a prospective study was conducted to implement and evaluate the novel schema in the current BIMS. We designed an eSCPS that provides all of the relevant information about collection protocols. Ten electronic collection protocols were generated using the supplementary Protocol Editor tool, and these protocols were successfully implemented in the existing BIMS. Moreover, an electronic list of collection protocols for the current studies being performed at each institution was included, new collection protocols were added, and the existing protocols were redesigned to be modifiable. The documentation time was significantly reduced after implementing the eSCPS (5 ± 2 min vs. 7 ± 3 min; p = 0.0002). The eSCPS improves the integrity and facilitates the exchange of specimen collection protocols in the existing open-source BIMS.

  20. Assessments of the Veteran Medication Allergy Knowledge Gap and Potential Safety Improvements with the Veteran Health Information Exchange (VHIE).

    Science.gov (United States)

    Pan, Eric; Botts, Nathan; Jordan, Harmon; Olinger, Lois; Donahue, Margaret; Hsing, Nelson

    2016-01-01

    The U.S. Department of Veterans Affairs (VA) Veteran Health Information Exchange (VHIE, formerly Virtual Lifetime Electronic Record, or VLER) had been deployed at all VA sites and used to exchange clinical information with private sector healthcare partners nationally. This paper examined VHIE's effect on allergy documentation. Review of all inbound VHIE transactions in FY14 showed that VHIE use was associated with a nearly eight-fold increase in allergy documentation rate. Preliminary manual document review further showed that VA and partners had shared knowledge of only 38% ofpatient allergies, while VA had exclusive knowledge of another 58% ofpatient allergies, and partners had exclusive knowledge of the last 5% of patient allergies. To our knowledge, this is the first study that examined the effect of HIE on allergy documentation.

  1. Diluted connectivity in pattern association networks facilitates the recall of information from the hippocampus to the neocortex.

    Science.gov (United States)

    Rolls, Edmund T

    2015-01-01

    The recall of information stored in the hippocampus involves a series of corticocortical backprojections via the entorhinal cortex, parahippocampal gyrus, and one or more neocortical stages. Each stage is considered to be a pattern association network, with the retrieval cue at each stage the firing of neurons in the previous stage. The leading factor that determines the capacity of this multistage pattern association backprojection pathway is the number of connections onto any one neuron, which provides a quantitative basis for why there are as many backprojections between adjacent stages in the hierarchy as forward projections. The issue arises of why this multistage backprojection system uses diluted connectivity. One reason is that a multistage backprojection system with expansion of neuron numbers at each stage enables the hippocampus to address during recall the very large numbers of neocortical neurons, which would otherwise require hippocampal neurons to make very large numbers of synapses if they were directly onto neocortical neurons. The second reason is that as shown here, diluted connectivity in the backprojection pathways reduces the probability of more than one connection onto a receiving neuron in the backprojecting pathways, which otherwise reduces the capacity of the system, that is the number of memories that can be recalled from the hippocampus to the neocortex. For similar reasons, diluted connectivity is advantageous in pattern association networks in other brain systems such as the orbitofrontal cortex and amygdala; for related reasons, in autoassociation networks in, for example, the hippocampal CA3 and the neocortex; and for the different reason that diluted connectivity facilitates the operation of competitive networks in forward-connected cortical systems. © 2015 Elsevier B.V. All rights reserved.

  2. Facilitating medical information search using Google Glass connected to a content-based medical image retrieval system.

    Science.gov (United States)

    Widmer, Antoine; Schaer, Roger; Markonis, Dimitrios; Muller, Henning

    2014-01-01

    Wearable computing devices are starting to change the way users interact with computers and the Internet. Among them, Google Glass includes a small screen located in front of the right eye, a camera filming in front of the user and a small computing unit. Google Glass has the advantage to provide online services while allowing the user to perform tasks with his/her hands. These augmented glasses uncover many useful applications, also in the medical domain. For example, Google Glass can easily provide video conference between medical doctors to discuss a live case. Using these glasses can also facilitate medical information search by allowing the access of a large amount of annotated medical cases during a consultation in a non-disruptive fashion for medical staff. In this paper, we developed a Google Glass application able to take a photo and send it to a medical image retrieval system along with keywords in order to retrieve similar cases. As a preliminary assessment of the usability of the application, we tested the application under three conditions (images of the skin; printed CT scans and MRI images; and CT and MRI images acquired directly from an LCD screen) to explore whether using Google Glass affects the accuracy of the results returned by the medical image retrieval system. The preliminary results show that despite minor problems due to the relative stability of the Google Glass, images can be sent to and processed by the medical image retrieval system and similar images are returned to the user, potentially helping in the decision making process.

  3. An analysis of Vigimed, a global e-mail system for the exchange of pharmacovigilance information.

    Science.gov (United States)

    Johansson, Kristina; Olsson, Sten; Hellman, Björn; Meyboom, Ronald H B

    2007-01-01

    The Internet provides novel ways for communication and data exchange between national regulators. One innovation was the introduction of Vigimed, an e-mail discussion forum for national pharmacovigilance centres (NPCs). We reviewed a sample of Vigimed messages to learn more about this new tool and about the problems encountered in everyday pharmacovigilance and how these are handled. We analysed the contents of 100 subsequent questions and the corresponding responses as stored in the Vigimed datafile. To the 100 questions circulated through Vigimed, 575 answers were received; mean number of answers per question 6, range 0-20. Fifty-five (77%) of the 71 collaborating countries and 88 (43%) of the 204 individuals who had access in the study period had submitted at least one question or answer. These countries were in all parts of the world and in various phases of development. A total of 38% of the questions concerned the regulatory status of a drug; 30% safety issues; 13% regulatory actions under consideration; and 10% drug use-related problems (more than one category possible). Of the questions, 89% concerned established drugs; 11% were classified as new. A total of 90% of the questions concerned specific active substances or drug groups. Of the drugs, 73% were classified as 'orthodox' and 9% as herbal; 4% were vaccines and 4% excipients. Emerging drug groups (anatomical therapeutic chemical codes) were NSAIDs and analgesics (M01, N02), antibacterials (J01), antiobesity drugs (A08), psychotropic drugs (N05) and antihistamines (R06). NPCs operate in a restricted environment and there is little published information about the daily practices and experiences at NPCs. Our study concerned a sample in a limited period in time. In the meantime, the use of Vigimed has greatly expanded. The data in the Vigimed records are subjected to confidentiality in regard to the identities of countries, staff members, drug products and pharmaceutical companies, which limits the

  4. Digital technology use among disadvantaged Australians: implications for equitable consumer participation in digitally-mediated communication and information exchange with health services.

    Science.gov (United States)

    Newman, Lareen; Biedrzycki, Kate; Baum, Fran

    2012-05-01

    To present research findings on access to, and use of, digital information and communication technologies (ICTs) by Australians from lower income and disadvantaged backgrounds to determine implications for equitable consumer access to digitally-mediated health services and information. Focus groups were held in 2008-09 with 80 residents from lower income and disadvantaged backgrounds in South Australia, predominantly of working- and family-formation age (25 to 55 years). Qualitative analysis was conducted on a-priori and emergent themes to describe dominant categories. Access to, and use of, computers, the Internet and mobile phones varied considerably in extent, frequency and quality within and across groups due to differences in abilities, resources and life experience. Barriers and facilitators included English literacy (including for native speakers), technological literacy, education, income, housing situation, social connection, health status, employment status, and trust. Many people gained ICT skills by trial and error or help from friends, and only a few from formal programs, resulting in varied skills. The considerable variation in ICT access and use within lower income and disadvantaged groups must be acknowledged and accommodated by health initiatives and services when delivering digitally-mediated consumer-provider interaction, online health information, or online self-management of health conditions. If services require consumers to participate in a digitally-mediated communication exchange, then we suggest they might support skills and technology acquisition, or provide non-ICT alternatives, in order to avoid exacerbating health inequities.

  5. The Differences in the Automatic Exchange of Financial Account Information in Tax Matters between FATCA and CRS

    OpenAIRE

    Arkiomaa, Minea

    2016-01-01

    In my pro gradu thesis, I introduce the applicable principles of automatic exchange of account information in international tax matters in the context of the United States’ Foreign Account Tax Compliance Act, or FATCA, regulation and contrast this with the OECD's Global Forum drafted Common Reporting Standard, or CRS. The recently implemented policies require that certain actors in the financial sector, such as banks and investment entities report their foreign clients and their account infor...

  6. Andorra: exchange of information and new tax system in the context of the OECD's and EU's initiatives

    OpenAIRE

    Vega García, Alberto

    2015-01-01

    Andorra, a microstate located in the Pyrenees, between France and Spain, used to be characterized by strict bank secrecy and the absence of direct taxes on income. However, given the pressure exerted by the European Union and, especially, by the OECD, Andorra finally committed in 2009 to exchanging tax information upon request according to the OECD standards. Since then, Andorra has introduced important legal reforms following these standards, in a process which is still evolving and which ma...

  7. Predicting adolescents' disclosure of personal information in exchange for commercial incentives: an application of an extended theory of planned behavior.

    Science.gov (United States)

    Heirman, Wannes; Walrave, Michel; Ponnet, Koen

    2013-02-01

    This study adopts a global theoretical framework to predict adolescents' disclosure of personal information in exchange for incentives offered by commercial Websites. The study postulates and tests the validity of a model based on the theory of planned behavior (TPB), including antecedent factors of attitude and perceived behavioral control (PBC). A survey was conducted among 1,042 respondents. Results from SEM analyses show that the hypothesized model fits the empirical data well. The model accounts for 61.9 percent of the variance in adolescents' intention to disclose and 43.7 percent of the variance in self-reported disclosure. Perceived social pressure exerted by significant others (subjective norm) is the most important TPB factor in predicting intention to disclose personal information in exchange for incentives. This finding suggests that in discussions of adolescents' information privacy, the importance of social factors outweighs the individually oriented TPB factors of attitude and PBC. Moreover, privacy concern and trust propensity are significant predictors of respondents' attitudes toward online disclosure in exchange for commercial incentives, whereas the frequency of Internet use significantly affects their level of PBC.

  8. Verifier-based three-party authentication schemes using extended chaotic maps for data exchange in telecare medicine information systems.

    Science.gov (United States)

    Lee, Tian-Fu

    2014-12-01

    Telecare medicine information systems provide a communicating platform for accessing remote medical resources through public networks, and help health care workers and medical personnel to rapidly making correct clinical decisions and treatments. An authentication scheme for data exchange in telecare medicine information systems enables legal users in hospitals and medical institutes to establish a secure channel and exchange electronic medical records or electronic health records securely and efficiently. This investigation develops an efficient and secure verified-based three-party authentication scheme by using extended chaotic maps for data exchange in telecare medicine information systems. The proposed scheme does not require server's public keys and avoids time-consuming modular exponential computations and scalar multiplications on elliptic curve used in previous related approaches. Additionally, the proposed scheme is proven secure in the random oracle model, and realizes the lower bounds of messages and rounds in communications. Compared to related verified-based approaches, the proposed scheme not only possesses higher security, but also has lower computational cost and fewer transmissions. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  9. A snapshot of health information exchange across five nations: an investigation of frontline clinician experiences in emergency care.

    Science.gov (United States)

    Klapman, Seth; Sher, Emily; Adler-Milstein, Julia

    2018-06-01

    Ensuring the ability to exchange patient information among disparate electronic health records systems is a top priority and a domain of substantial public investment across countries. However, we know little about the extent to which current capabilities meet the needs of frontline clinicians. We conducted in-person, semistructured interviews with emergency care physicians and nurses in select hospitals in Canada, Denmark, Finland, Germany, and the USA. We characterized the state of health information exchange (HIE) by country and used thematic analysis to identify the perceived benefits of access to complete past medical history (PMH), the conditions under which PMH is sought, and the challenges to accessing and using HIE capabilities. HIE approaches, and the information electronically accessible to clinicians, differed by country. Benefits of access to PMH included safer care, reduced patient length of stay, and fewer lab and imaging orders. Conditions under which PMH was sought included moderate-acuity patients, patients with chronic conditions, and instances where accessing PMH was convenient. Challenges to HIE access and use included difficulty knowing where information is located, delay in receiving information, and difficulty finding information within documents. Even with different HIE approaches across countries, all clinicians reported shortcomings in their country's approach. Notably, challenges were similar and shaped the conditions under which PMH was sought. As countries continue to pursue broad-based HIE, they appear to be facing similar challenges in realizing HIE value and therefore have an opportunity to learn from one another.

  10. Gaps, disconnections, and discontinuities--the role of information exchange in the delivery of quality long-term care.

    Science.gov (United States)

    Georgiou, Andrew; Marks, Anne; Braithwaite, Jeffrey; Westbrook, Johanna Irene

    2013-10-01

    The smart use of information and communication technologies (ICT) is widely seen as a means of enhancing the quality of aged care services. One of the barriers to ICT diffusion in aged care is the failure to cater for the complex and interdisciplinary requirements of the aged care environment. The aim of this qualitative study was to identify the layers of information exchange and communication and produce a conceptual model that can help to inform decisions related to the design, implementation, and sustainability of ICT. A qualitative study conducted in 2010 within seven Australian residential aged care facilities. It included 11 focus groups involving 47 staff and 54 individual interviews and observation sessions. The analysis of work processes identified key information exchange components related to the type of information (residential, clinical, and administrative) that is collected, stored, and communicated. This information relies on a diverse number of internal and external communication channels that are important for the organization of care. The findings highlight potential areas of communication dysfunction as a consequence of structural holes, fragmentation, or disconnections that can adversely affect the continuity and coordination of care, its safety, and quality.

  11. 77 FR 70786 - Request for Information Regarding Health Care Quality for Exchanges

    Science.gov (United States)

    2012-11-27

    ... satisfaction survey system, the results of which will be available to Exchange consumers shopping for insurance... quality measure sets and quality improvement initiatives in conjunction with other factors, such as... specific preventive services, health plan performance and customer service)? Should these be similar to or...

  12. Traveling Uncharted Waters: The Exchange of Government Information between the United States and China.

    Science.gov (United States)

    Wang, Rui

    1998-01-01

    Describes a program established between the United States and China for exchange of government publications through their national libraries, the Library of Congress and the National Library of China. Challenges to the program, including the shift to electronic formats in the United States and government Internet censorship in China, are…

  13. Automatic Generation of Object Models for Process Planning and Control Purposes using an International standard for Information Exchange

    Directory of Open Access Journals (Sweden)

    Petter Falkman

    2003-10-01

    Full Text Available In this paper a formal mapping between static information models and dynamic models is presented. The static information models are given according to an international standard for product, process and resource information exchange, (ISO 10303-214. The dynamic models are described as Discrete Event Systems. The product, process and resource information is automatically converted into product routes and used for simulation, controller synthesis and verification. A high level language, combining Petri nets and process algebra, is presented and used for speci- fication of desired routes. A main implication of the presented method is that it enables the reuse of process information when creating dynamic models for process control. This method also enables simulation and verification to be conducted early in the development chain.

  14. Beyond emission targets: how to strengthen the ambition of NDCs? Results of the MILES project informing the 2018 Facilitative Dialogue

    International Nuclear Information System (INIS)

    2017-09-01

    The Paris Agreement creates a process based on cycles to promote the revision by Parties of their Nationally Determined Contributions (NDCs). This process is primarily aimed at supporting an increase of national emission reduction targets in successive NDC submissions to progressively align them with the goal to limit global average temperature increase to 'well below 2 deg. C'. The UNFCCC 2018 Facilitative Dialogue (FD) is the first milestone of this process, in which Parties will collectively take stock of climate action and identify options to update their NDCs by 2020. This report contributes to the preparation of the 2018 FD by presenting insights from the Modelling and Informing Low Emission Strategies (MILES) project (see box 1, page 4). This research builds on analyses of climate action from a simultaneously national and global perspective, articulating the 2030 time frame of the NDCs with mid-century strategies, and capturing the link between low-emission pathways and national socio-economic circumstances, policy priorities and development objectives. The country-specific analyses supporting these insights do not aim at assessing the ambition of individual countries' commitments. Rather, they illustrate potentially common issues across different countries in how they define and implement their own commitments and, therefore, what useful and universally applicable messages can be derived from these analyses as a whole. Key messages: - A credible transition towards the Paris long-term goal requires deeper emission reductions before 2030. - Countries should identify the sectoral transformations required to implement the emission targets. - A smooth transition towards 2 deg. C requires an acceleration of investment shifts in the energy sector before 2030. - The diffusion of key emerging low-carbon technologies should strongly accelerate. This requires an early scale-up of international collaboration on innovation and targeted policy incentives

  15. Investigating onychophoran gas exchange and water balance as a means to inform current controversies in arthropod physiology.

    Science.gov (United States)

    Clusella-Trullas, Susana; Chown, Steven L

    2008-10-01

    Several controversies currently dominate the fields of arthropod metabolic rate, gas exchange and water balance, including the extent to which modulation of gas exchange reduces water loss, the origins of discontinuous gas exchange, the relationship between metabolic rate and life-history strategies, and the causes of Palaeozoic gigantism. In all of these areas, repeated calls have been made for the investigation of groups that might most inform the debates, especially of taxa in key phylogenetic positions. Here we respond to this call by investigating metabolic rate, respiratory water loss and critical oxygen partial pressure (Pc) in the onychophoran Peripatopsis capensis, a member of a group basal to the arthropods, and by synthesizing the available data on the Onychophora. The rate of carbon dioxide release (VCO2) at 20 degrees C in P. capensis is 0.043 ml CO2 h(-1), in keeping with other onychophoran species; suggesting that low metabolic rates in some arthropod groups are derived. Continuous gas exchange suggests that more complex gas exchange patterns are also derived. Total water loss in P. capensis is 57 mg H2O h(-1) at 20 degrees C, similar to modern estimates for another onychophoran species. High relative respiratory water loss rates ( approximately 34%; estimated using a regression technique) suggest that the basal condition in arthropods may be a high respiratory water loss rate. Relatively high Pc values (5-10% O2) suggest that substantial safety margins in insects are also a derived condition. Curling behaviour in P. capensis appears to be a strategy to lower energetic costs when resting, and the concomitant depression of water loss is a proximate consequence of this behaviour.

  16. Interoperability and models for exchange of data between information systems in public administration

    Science.gov (United States)

    Glavev, Victor

    2016-12-01

    The types of software applications used by public administrations can be divided in three main groups: document management systems, record management systems and business process systems. Each one of them generates outputs that can be used as input data to the others. This is the main reason that requires exchange of data between these three groups and well defined models that should be followed. There are also many other reasons that will be discussed in the paper. Interoperability is a key aspect when those models are implemented, especially when there are different manufactures of systems in the area of software applications used by public authorities. The report includes examples of implementation of models for exchange of data between software systems deployed in one of the biggest administration in Bulgaria.

  17. The visit-data warehouse: enabling novel secondary use of health information exchange data.

    Science.gov (United States)

    Fleischman, William; Lowry, Tina; Shapiro, Jason

    2014-01-01

    Health Information Exchange (HIE) efforts face challenges with data quality and performance, and this becomes especially problematic when data is leveraged for uses beyond primary clinical use. We describe a secondary data infrastructure focusing on patient-encounter, nonclinical data that was built on top of a functioning HIE platform to support novel secondary data uses and prevent potentially negative impacts these uses might have otherwise had on HIE system performance. HIE efforts have generally formed for the primary clinical use of individual clinical providers searching for data on individual patients under their care, but many secondary uses have been proposed and are being piloted to support care management, quality improvement, and public health. This infrastructure review describes a module built into the Healthix HIE. Healthix, based in the New York metropolitan region, comprises 107 participating organizations with 29,946 acute-care beds in 383 facilities, and includes more than 9.2 million unique patients. The primary infrastructure is based on the InterSystems proprietary Caché data model distributed across servers in multiple locations, and uses a master patient index to link individual patients' records across multiple sites. We built a parallel platform, the "visit data warehouse," of patient encounter data (demographics, date, time, and type of visit) using a relational database model to allow accessibility using standard database tools and flexibility for developing secondary data use cases. These four secondary use cases include the following: (1) tracking encounter-based metrics in a newly established geriatric emergency department (ED), (2) creating a dashboard to provide a visual display as well as a tabular output of near-real-time de-identified encounter data from the data warehouse, (3) tracking frequent ED users as part of a regional-approach to case management intervention, and (4) improving an existing quality improvement program

  18. Market Performance and Accounting Information as the Reference of Stocks Portfolio Formation in Indonesia Stock Exchange

    OpenAIRE

    Pasaribu, Rowland Bismark Fernando

    2009-01-01

    This study aimed to a stock portfolio formed with composite of companies market (PER, PBV, ROE, EPS, PSR, and B/M, VaR) and accounting performance (ROE, and EPS) also their market capitalization in Indonesia Stock Exchange period 2003-2006. Some clarification need to achieved, such as: real difference among variabel refer to their market capitalization and influence of predictor to stock return. Hereinafter, the performance of selected portfolio were evaluated. The evaluation result conclude ...

  19. Scientific information exchange in the field of humanities between academic institutions of Ukraine and Poland (1955-1960

    Directory of Open Access Journals (Sweden)

    Indychenko H.

    2015-01-01

    Full Text Available The article presents a historical reconstruction of Ukrainian-Polish scientific relations in the field of humanities in 1955-1960, conducted on the basis of archival sources study. Scientific information exchange of humanitarian institutions of the AS of the Ukrainian SSR with Polish research institutions was quite diversified. It included mutual visits of the scientists from research institutes as delegations members, individual scientific missions to research institutions in order to acquaint with scientific developments, participation in international workshops, congresses and conferences, international book exchange, joint publishing, mutual reviewing of scientific publications. From the second half of the 50s of the 20th century there was an intensification of joint research projects conducted for the development of certain scientific issues, which were of interest for both Ukrainian and Polish scientists, who endeavored to solve them

  20. Simulation Suggests That Medical Group Mergers Won’t Undermine The Potential Utility Of Health Information Exchanges

    Science.gov (United States)

    Schneider, Eric C.; Volk, Lynn A.; Szolovits, Peter; Salzberg, Claudia A.; Simon, Steven R.; Bates, David W.

    2013-01-01

    Substantial resources are being invested in health information exchanges (HIE), community-based consortia that enable independent health-care organizations to exchange clinical data. However, under pressure to form accountable care organizations, medical groups may merge and support private HIE, reducing the potential utility of community HIEs. Simulations of “care transitions” based on data from 10 Massachusetts communities suggest that mergers would have to be considerable to substantially reduce the potential utility of an HIE. Nonetheless, simulations also suggest that HIEs will need to recruit a large proportion of the medical groups in a community, as hospitals and the largest groups account for only 10 to 20% of care transitions in communities. PMID:22392665

  1. INFX GUIDE: DEPARTMENT OF ENERGY BILATERAL AGREEMENTS FOR COOPERATION IN THE FIELD OF RADIOACTIVE WASTE MANAGEMENT (INFX: INTERNATIONAL INFORMATION EXCHANGE)

    Energy Technology Data Exchange (ETDEWEB)

    Harman, K. M.; Lakey, L. T.; Leigh, I. W.; Jeffs, A. G.

    1985-07-01

    As the U. S. Department of Energy (DOE) and DOE contractors have increased the magnitude and scope of their cooperative activities with other nations in the nuclear fuel cycle and waste management field, a need has developed for ready sources of information concerning foreign waste management programs, DOE technology exchange policies, bilateral fuel cycle and waste management agreements and plans and activities to implement those agreements. The INFX (International InLormation E~change) Guide is one of a series of documents that have been prepared to provide that information. The INFX Guide has been compiled under the charter of PNL's International Support Office (IPSO) to maintain for DOE a center to collect, organize, evaluate and disseminate information on foreign and international radioactive waste management programs. Because the information in this document is constantly subject to change, the document is assembled in loose-leaf form to accommodate frequent updates.

  2. User-Centered Design, Experience, and Usability of an Electronic Consent User Interface to Facilitate Informed Decision-Making in an HIV Clinic.

    Science.gov (United States)

    Ramos, S Raquel

    2017-11-01

    Health information exchange is the electronic accessibility and transferability of patient medical records across various healthcare settings and providers. In some states, patients have to formally give consent to allow their medical records to be electronically shared. The purpose of this study was to apply a novel user-centered, multistep, multiframework approach to design and test an electronic consent user interface, so patients with HIV can make more informed decisions about electronically sharing their health information. This study consisted of two steps. Step 1 was a cross-sectional, descriptive, qualitative study that used user-centric design interviews to create the user interface. This informed Step 2. Step 2 consisted of a one group posttest to examine perceptions of usefulness, ease of use, preference, and comprehension of a health information exchange electronic consent user interface. More than half of the study population had college experience, but challenges remained with overall comprehension regarding consent. The user interface was not independently successful, suggesting that in addition to an electronic consent user interface, human interaction may also be necessary to address the complexities associated with consenting to electronically share health information. Comprehension is key factor in the ability to make informed decisions.

  3. Roles of Course Facilitators, Learners, and Technology in the Flow of Information of a cMOOC

    Science.gov (United States)

    Skrypnyk, Oleksandra; Joksimovic, Srec´ko; Kovanovic, Vitomir; Gas?evic, Dragan; Dawson, Shane

    2015-01-01

    Distributed Massive Open Online Courses (MOOCs) are based on the premise that online learning occurs through a network of interconnected learners. The teachers' role in distributed courses extends to forming such a network by facilitating communication that connects learners and their separate personal learning environments scattered around the…

  4. Supporting Accomplished Facilitation: Examining the Use of Sppreciative Inquiry to Inform the Development of Learning Resources for Medical Educators

    Science.gov (United States)

    McIntosh, Paul; Freeth, Della; Berridge, Emma Jane

    2013-01-01

    This paper examines the use of appreciative inquiry (AI) to guide development of web-based learning resources for medical educators who facilitate simulation-based learning experiences for doctors-in-training. AI can be viewed as a positive form of action research, which seeks to avoid deficit-based analyses and solutions, and commonly associated…

  5. A CRIS in the Desert: The Implementation of Pure at KAUST: A Case Study in Information Exchange

    KAUST Repository

    Grenz, Daryl M.; Lery, Thibaut L.; Ward, Manus; Mastoraki, Eirini; Baessa, Mohamed A.

    2016-01-01

    The integration of research information systems with existing university processes has tended towards information exchange models in which the CRIS ingests information from existing systems and takes on functions that were previously distributed across several independent solutions. This paper draws upon the experience of the implementation of a CRIS at the King Abdullah University of Science and Technology (KAUST) to posit a model in which functions remain distributed so as to take advantage of the strengths of each system. The functions discussed include institutional reporting, publications tracking, preservation of research outputs, provision of public access, researcher identity and profiling, and metrics analysis. The systems reviewed include a CRIS (Pure), a locally developed publications tracking system, a hosted DSpace repository, a locally developed ORCID integration, and a metrics dashboard (PlumX). The interactions between these systems forms a network of services to our research community, with each node connected to several others, and we discuss how we arrived at the current arrangement, as well as its drawbacks and advantages. The still limited use of standard data exchange formats like CERIF XML is discussed as a constraint that increases the costs of adding to and maintaining the network of services. At the same time we look at how increased standardization should make this distributed approach sustainable, allowing institutions like ours to mix and match complementary systems to achieve an optimal set of research information services for our needs.

  6. A CRIS in the Desert: The Implementation of Pure at KAUST: A Case Study in Information Exchange

    KAUST Repository

    Grenz, Daryl M.

    2016-06-10

    The integration of research information systems with existing university processes has tended towards information exchange models in which the CRIS ingests information from existing systems and takes on functions that were previously distributed across several independent solutions. This paper draws upon the experience of the implementation of a CRIS at the King Abdullah University of Science and Technology (KAUST) to posit a model in which functions remain distributed so as to take advantage of the strengths of each system. The functions discussed include institutional reporting, publications tracking, preservation of research outputs, provision of public access, researcher identity and profiling, and metrics analysis. The systems reviewed include a CRIS (Pure), a locally developed publications tracking system, a hosted DSpace repository, a locally developed ORCID integration, and a metrics dashboard (PlumX). The interactions between these systems forms a network of services to our research community, with each node connected to several others, and we discuss how we arrived at the current arrangement, as well as its drawbacks and advantages. The still limited use of standard data exchange formats like CERIF XML is discussed as a constraint that increases the costs of adding to and maintaining the network of services. At the same time we look at how increased standardization should make this distributed approach sustainable, allowing institutions like ours to mix and match complementary systems to achieve an optimal set of research information services for our needs.

  7. Hollow fibre liquid phase micro-extraction by facilitated anionic exchange for the determination of flavonoids in faba beans (Vicia faba L.).

    Science.gov (United States)

    Chaieb, Nadia; López-Mesas, Montserrat; Luis González, Johannes; Mars, Messaoud; Valiente, Manuel

    2015-01-01

    Flavonoids are polyphenolic compounds found ubiquitously in foods of plant origin. They are commonly extracted from plant materials with ethanol, methanol, water, their combination or even with acidified extracting solutions. The disadvantages of these methods are the use of high quantity of organic solvent, the possible loss of analytes in the different steps and the laborious process of the techniques. In addition, the complexity of the phenolic mixtures present in plant materials requires a preliminary clean-up and fractionation of the crude extracts. To develop a hollow fibre liquid phase micro-extraction (HF-LPME) method for a one step clean-up and pre-concentration of flavonoids. Two flavonoids (catechin and rutin) has been extracted by HF-LPME and analysed by HPLC. The related driving force for the liquid membrane has been studied by means of facilitated and non-facilitated transport. Different ionic and non-ionic water insoluble compounds [trioctylamine (TOA), tributyl phosphate (TBP), trioctylphosphine oxide (TOPO) and methyltrioctylammonium chloride (aliquat 336)] were used as carriers. The liquid membrane was constituted by a solution of n-decanol in the presence or absence of carriers. Maximum enrichment factors were obtained with n-decanol/aliquat 336 (20%) as organic liquid membrane, sodium hydroxide (NaOH) (0.1 M) as donor solution, sodium chloride (NaCl) (2 M) as acceptor solution and 3 h as extraction time. Under these conditions, good results for validation parameters were obtained [for linearity, limit of detection (LOD), limit of quantitation (LOQ) and repeatability]. The developed method is simple, effective and has been successfully applied to determine catechin and rutin in ethanolic extracts of faba beans. Copyright © 2015 John Wiley & Sons, Ltd.

  8. A study on relationship between asymmetric information on dividend polices of companies listed in Tehran Stock Exchange

    Directory of Open Access Journals (Sweden)

    Adineh Hayatbakhsh

    2013-07-01

    Full Text Available Explaining and the determinants of dividend policy is one of the biggest challenges that have long been the center of attention of accounting and financial researcher and theoreticians. There are many evidences that confirm the effects of dividend and there are a lot of other potential factors whose effects on the dividend policy have not been studied yet. In this study, the effects of four variables including asymmetric information, growth opportunities, cash holding and firm size in payout dividend policy are investigated, simultaneously. The study uses the information of 140 companies listed on Tehran Stock Exchange over the period 2005-2010. In this study, 4 hypotheses are proposed and investigated. There are positive and significant relationships between asymmetric information, growth opportunities, cash holding and company size on one side and payout dividend policy on the other side.

  9. Secure Communication and Information Exchange using Authenticated Ciphertext Policy Attribute-Based Encryption in Mobile Ad-hoc Network

    Directory of Open Access Journals (Sweden)

    Samsul Huda

    2016-08-01

    Full Text Available MANETs are considered as suitable for commercial applications such as law enforcement, conference meeting, and sharing information in a student classroom and critical services such as military operations, disaster relief, and rescue operations. Meanwhile, in military operation especially in the battlefield in freely medium which naturally needs high mobility and flexibility. Thus, applying MANETs make these networks vulnerable to various types of attacks such aspacket eavesdropping, data disseminating, message replay, message modification, and especially privacy issue. In this paper, we propose a secure communication and information exchange in MANET with considering secure adhoc routing and secure information exchange. Regarding privacy issue or anonymity, we use a reliable asymmetric encryption which protecting user privacy by utilizing insensitive user attributes as user identity, CP-ABE (Ciphertext-Policy Attribute-Based Encryption cryptographic scheme. We also design protocols to implement the proposed scheme for various battlefied scenarios in real evironment using embedded devices. Our experimental results showed that the additional of HMAC (Keyed-Hash Message Authentication Code and AES (Advanced Encryption standard schemes using processor 1.2GHz only take processing time about 4.452 ms,  we can confirm that our approach by using CP-ABE with added HMAC and AES schemes make low overhead.

  10. Facilitators and Barriers to Health-Seeking Behaviours among Filipino Migrants: Inductive Analysis to Inform Health Promotion

    Directory of Open Access Journals (Sweden)

    D. Maneze

    2015-01-01

    Full Text Available Understanding factors that influence health-seeking behaviour of migrants is necessary to intervene for behaviour change. This paper explores Filipino migrants’ perceptions of facilitators and barriers to maintaining health in Australia. Open-ended survey item responses reflecting factors that assisted and hindered health following migration to Australia were inductively analysed. Three hundred and thirty-seven of the 552 survey respondents (61% provided open-ended responses. Responses were grouped into two major categories: individual factors, including personal resources and cultural influences, and environmental factors encompassing both the physical conditions in the host country and health service access. Awareness of practices that enhance health was a major personal facilitator of health-seeking behaviour; however, competing priorities of daily living were perceived as barriers. Cultural beliefs and practices influenced health-seeking behaviour. Despite high self-rated English language skills in this population, new migrants and the elderly cited communication difficulties as barriers to accessing health services. Insight into facilitators and barriers to health-seeking behaviour in this less researched migrant population revealed tools for enhancing engagement in health promotion programs addressing healthy lifestyle.

  11. Facilitators and Barriers to Health-Seeking Behaviours among Filipino Migrants: Inductive Analysis to Inform Health Promotion.

    Science.gov (United States)

    Maneze, D; DiGiacomo, M; Salamonson, Y; Descallar, J; Davidson, P M

    2015-01-01

    Understanding factors that influence health-seeking behaviour of migrants is necessary to intervene for behaviour change. This paper explores Filipino migrants' perceptions of facilitators and barriers to maintaining health in Australia. Open-ended survey item responses reflecting factors that assisted and hindered health following migration to Australia were inductively analysed. Three hundred and thirty-seven of the 552 survey respondents (61%) provided open-ended responses. Responses were grouped into two major categories: individual factors, including personal resources and cultural influences, and environmental factors encompassing both the physical conditions in the host country and health service access. Awareness of practices that enhance health was a major personal facilitator of health-seeking behaviour; however, competing priorities of daily living were perceived as barriers. Cultural beliefs and practices influenced health-seeking behaviour. Despite high self-rated English language skills in this population, new migrants and the elderly cited communication difficulties as barriers to accessing health services. Insight into facilitators and barriers to health-seeking behaviour in this less researched migrant population revealed tools for enhancing engagement in health promotion programs addressing healthy lifestyle.

  12. Facilitators and Barriers to Health-Seeking Behaviours among Filipino Migrants: Inductive Analysis to Inform Health Promotion

    Science.gov (United States)

    Salamonson, Y.; Descallar, J.; Davidson, P. M.

    2015-01-01

    Understanding factors that influence health-seeking behaviour of migrants is necessary to intervene for behaviour change. This paper explores Filipino migrants' perceptions of facilitators and barriers to maintaining health in Australia. Open-ended survey item responses reflecting factors that assisted and hindered health following migration to Australia were inductively analysed. Three hundred and thirty-seven of the 552 survey respondents (61%) provided open-ended responses. Responses were grouped into two major categories: individual factors, including personal resources and cultural influences, and environmental factors encompassing both the physical conditions in the host country and health service access. Awareness of practices that enhance health was a major personal facilitator of health-seeking behaviour; however, competing priorities of daily living were perceived as barriers. Cultural beliefs and practices influenced health-seeking behaviour. Despite high self-rated English language skills in this population, new migrants and the elderly cited communication difficulties as barriers to accessing health services. Insight into facilitators and barriers to health-seeking behaviour in this less researched migrant population revealed tools for enhancing engagement in health promotion programs addressing healthy lifestyle. PMID:26380277

  13. Efficient construction of an inverted minimal H1 promoter driven siRNA expression cassette: facilitation of promoter and siRNA sequence exchange.

    Directory of Open Access Journals (Sweden)

    Hoorig Nassanian

    2007-08-01

    Full Text Available RNA interference (RNAi, mediated by small interfering RNA (siRNA, is an effective method used to silence gene expression at the post-transcriptional level. Upon introduction into target cells, siRNAs incorporate into the RNA-induced silencing complex (RISC. The antisense strand of the siRNA duplex then "guides" the RISC to the homologous mRNA, leading to target degradation and gene silencing. In recent years, various vector-based siRNA expression systems have been developed which utilize opposing polymerase III promoters to independently drive expression of the sense and antisense strands of the siRNA duplex from the same template.We show here the use of a ligase chain reaction (LCR to develop a new vector system called pInv-H1 in which a DNA sequence encoding a specific siRNA is placed between two inverted minimal human H1 promoters (approximately 100 bp each. Expression of functional siRNAs from this construct has led to efficient silencing of both reporter and endogenous genes. Furthermore, the inverted H1 promoter-siRNA expression cassette was used to generate a retrovirus vector capable of transducing and silencing expression of the targeted protein by>80% in target cells.The unique design of this construct allows for the efficient exchange of siRNA sequences by the directional cloning of short oligonucleotides via asymmetric restriction sites. This provides a convenient way to test the functionality of different siRNA sequences. Delivery of the siRNA cassette by retroviral transduction suggests that a single copy of the siRNA expression cassette efficiently knocks down gene expression at the protein level. We note that this vector system can potentially be used to generate a random siRNA library. The flexibility of the ligase chain reaction suggests that additional control elements can easily be introduced into this siRNA expression cassette.

  14. Impacts of Firms’ Internal Information Environment on Tax Avoidance (Case Study: Companies Listed in Tehran’s Stock Exchange

    Directory of Open Access Journals (Sweden)

    Jahanbakhsh Ghafoori

    2017-02-01

    Full Text Available The main purpose of this study is to investigate the impacts of firms’ internal information environment on tax avoidance. The research method includes a data panel and is generally of semi-experimental fashion. The population of research is consisted of the entire companies and firms listed in Tehran’s stock exchange as 496 firms from the beginning of 2007 until the end of financial year of 2014. Among the population, a number of 86 firms were selected as the sample through systematic omitting method. For the purpose of data analysis, the tests of T and multivariate linear regression were incorporated into the study. Results indicate that impact of quality of internal information on tax avoidance is higher in those companies in which information play a more important role. Firms which operate under geographic dispersion make more use of the quality of their internal information, because this information helps them towards reduced tax avoidance. High quality of internal information and commercial dispersion force these firms towards avoiding larger taxes. In addition, quality of internal information is not effective on firms which are under reconstruction status.

  15. Impacts of Firms’ Internal Information Environment on Tax Avoidance (Case Study: Companies Listed In Tehran’s Stock Exchange

    Directory of Open Access Journals (Sweden)

    Jahanbakhsh Ghafoori

    2017-04-01

    Full Text Available The main purpose of this study is to investigate the impacts of firms’ internal information environment on tax avoidance. The research method includes a data panel and is generally of semi-experimental fashion. The population of research is consisted of the entire companies and firms listed in Tehran’s stock exchange as 496 firms from the beginning of 2007 until the end of financial year of 2014. Among the population, a number of 86 firms were selected as the sample through systematic omitting method. For the purpose of data analysis, the tests of T and multivariate linear regression were incorporated into the study. Results indicate that impact of quality of internal information on tax avoidance is higher in those companies in which information play a more important role. Firms which operate under geographic dispersion make more use of the quality of their internal information, because this information helps them towards reduced tax avoidance. High quality of internal information and commercial dispersion force these firms towards avoiding larger taxes. In addition, quality of internal information is not effective on firms which are under reconstruction status.

  16. The OECD agreement on exchange of information on tax matters : an analysis of its adequateness as a tool to combat tax havens

    OpenAIRE

    Fossland, Tine

    2011-01-01

    The aim with this thesis is to investigate whether Tax Information Exchange Agreements (TIEA) serve as adequate tools to combat the existence of tax havens and its harmful consequences. More specifically, this thesis pursues to establish what features of tax havens that the OECD Agreement on Exchange of Information on Tax Matters helps putting a stop to, and what characteristics of a tax haven that the respective agreement is unable to stop. The thesis is organized as follows. ...

  17. Exchange of information in the field of direct taxation in the European Union Law and in the practice of the European Court of Justice

    Directory of Open Access Journals (Sweden)

    Cvjetković Cvjetana

    2014-01-01

    Full Text Available This paper is dedicated to one form of mutual assistance in tax matters in the field of direct taxation - the exchange of information which in terms of the functioning of the single market of the European Union is gaining more importance. This paper also presents new solutions of Directive 2011/16/EU. Special attention in this paper is focused on the practice of the European Court of Justice in the area of the exchange of information.

  18. The utilization rate of the regional health information exchange: how it impacts on health care delivery outcomes.

    Science.gov (United States)

    Mäenpää, Tiina; Asikainen, Paula; Gissler, Mika; Siponen, Kimmo; Maass, Marianne; Saranto, Kaija; Suominen, Tarja

    2012-01-01

    Interest in improving quality and effectiveness is the primary driver for health information exchange efforts across a health care system to improve the provision of public health care services. The aim here was to describe and identify the impact of a regional health information exchange (HIE) using quantitative statistics for 2004-2008 in one hospital district in Finland. We conducted a comparative, longitudinal 5-year follow-up study to evaluate the utilization rates of HIE, and the impact on health care delivery outcomes. The selected outcomes were total laboratory tests, radiology examinations, appointments, emergency visits, and referrals. The HIE utilization rates increased annually in all 10 federations of municipalities, and the viewing of reference information increased steadily in each professional group over the 5-year study period. In these federations, a significant connection was found to the number of laboratory tests and radiology examinations, with a statistically significant increase in the number of viewed references and use of HIE. The higher the numbers of emergency visits and appointments, the higher the numbers of emergency referrals to specialized care, viewed references, and HIE usage among the groups of different health care professionals. There is increasing interest in HIE usage through regional health information system among health professionals to improve health care delivery regionally and bring information on the patient directly to care delivery. It will be important to study which changes in working methods in the service system are explained by RHIS. Also, the experiences of the change that has taken place should be studied among the different stakeholders, administrative representatives, and patients.

  19. Institutional and Actor-Oriented Factors Constraining Expert-Based Forest Information Exchange in Europe: A Policy Analysis from an Actor-Centred Institutionalist Approach

    Directory of Open Access Journals (Sweden)

    Tanya Baycheva-Merger

    2018-03-01

    Full Text Available Adequate and accessible expert-based forest information has become increasingly in demand for effective decisions and informed policies in the forest and forest-related sectors in Europe. Such accessibility requires a collaborative environment and constant information exchange between various actors at different levels and across sectors. However, information exchange in complex policy environments is challenging, and is often constrained by various institutional, actor-oriented, and technical factors. In forest policy research, no study has yet attempted to simultaneously account for these multiple factors influencing expert-based forest information exchange. By employing a policy analysis from an actor-centred institutionalist perspective, this paper aims to provide an overview of the most salient institutional and actor-oriented factors that are perceived as constraining forest information exchange at the national level across European countries. We employ an exploratory research approach, and utilise both qualitative and quantitative methods to analyse our data. The data was collected through a semi-structured survey targeted at forest and forest-related composite actors in 21 European countries. The results revealed that expert-based forest information exchange is constrained by a number of compound and closely interlinked institutional and actor-oriented factors, reflecting the complex interplay of institutions and actors at the national level. The most salient institutional factors that stand out include restrictive or ambiguous data protection policies, inter-organisational information arrangements, different organisational cultures, and a lack of incentives. Forest information exchange becomes even more complex when actors are confronted with actor-oriented factors such as issues of distrust, diverging preferences and perceptions, intellectual property rights, and technical capabilities. We conclude that expert-based forest information

  20. A critical reflection on how information communication technology can facilitate high quality teaching and learning for dyslexic children and their spelling

    OpenAIRE

    Green, Stacey

    2017-01-01

    This paper discusses how information communication technology (ICT) can facilitate high quality teaching and learning for dyslexic children and their spelling. Previous research has suggested that ICT can have a positive effect on dyslexic children’s spelling ability and confidence (Lange et al, 2006, Tuner and Pughe, 2003). The use of an IPad therefore was utilised in small group spelling sessions to assess the effect ICT, specifically IPads, can have on pupils who have a diagnosis of dyslex...

  1. Using Information-Sharing Exchange Techniques from the Private Sector to Enhance Information Sharing Between Domestic Intelligence Organizations

    Science.gov (United States)

    2013-12-01

    Travel Alliance —Fast Res System Flow (From Open Travel, 2009a...Intelligence Center THN Tourism Harmonisation Network VCC Virtual Command Center xiii ACKNOWLEDGMENTS I would like to open with thanking my wife...HSIN) The HSIN brand is divided into two parts, HSIN and HSIN-Intel. The larger HSIN is devoted to information sharing amongst the public safety

  2. How Does Electronic Health Information Exchange Affect Hospital Performance Efficiency? The Effects of Breadth and Depth of Information Sharing.

    Science.gov (United States)

    Cho, Na-Eun; Ke, Weiling; Atems, Bebonchu; Chang, Jongwha

    2018-01-01

    This research was motivated by the large investment in health information technology (IT) by hospitals and the inconsistent findings related to the effects of health IT adoption on hospital performance. Building on resource orchestration theory and the information systems literature, the authors developed a research model to investigate how the configuration strategies for sharing information under health IT systems affect hospital efficiency. The hypotheses were tested using data from the 2010 annual and IT surveys of the American Hospital Association, Centers for Medicare & Medicaid Services case mix index, and U.S. Census Bureau's small-area income and poverty estimates. The study revealed that in health IT systems, the breadth (extent) and depth (level of detail) of digital information sharing among stakeholders each has a curvilinear relationship with hospital efficiency. In addition, breadth and depth reinforce each other's positive effects and attenuate each other's negative effects, and their balance has a positive effect on hospital efficiency. The results of this research have the potential to enrich the literature on the value of adopting health IT systems as well as in providing practitioner guidelines for meaningful use.

  3. Economia Informal em Rede: trocas económicas e complexidade social Informal economy network: economic exchanges and social complexity

    Directory of Open Access Journals (Sweden)

    Marzia Grassi

    2012-03-01

    Full Text Available Partindo das realidades empíricas de Cabo Verde e diásporas, este texto explora, até certo ponto, as limitações heurísticas de certas noções sugeridas pela mainstream do modelo neoliberal da economia sobre o «informal» em África. O texto debruça-se sobre diferentes dimensões, espaços e protagonistas de práticas de economia informal em rede. As repercussões identitárias das dinâmicas destas redes entre os cabo-verdianos, apreendidas através da observação de certas formas de sociabilidade dos actores sociais considerados, são igualmente exploradas.Based on the empirical realities of Cape Verde and some of its Diasporas, this article explores, to a certain extent, the heuristic limitations of certain notions suggested by the mainstream of the neoliberal economy model concerning the so called «informal economy» in Africa. The text deals with different dimensions, spaces and protagonists of practices of the informal economic networks. The identitarian repercussions of the dynamics of these networks among Capeverdians, apprehended through the observation of certain forms of socialibility of these social actors are also explored.

  4. An architecture and reference implementation of an open health information mediator: enabling interoperability in the Rwandan health information exchange

    CSIR Research Space (South Africa)

    Crichton, R

    2013-06-01

    Full Text Available Rwanda, one of the smallest and most densely populated countries in Africa, has made rapid and substantial progress towards designing and deploying a national health information system. One of the more challenging aspects of the system is the design...

  5. High construal level can help negotiators to reach integrative agreements: The role of information exchange and judgement accuracy.

    Science.gov (United States)

    Wening, Stefanie; Keith, Nina; Abele, Andrea E

    2016-06-01

    In negotiations, a focus on interests (why negotiators want something) is key to integrative agreements. Yet, many negotiators spontaneously focus on positions (what they want), with suboptimal outcomes. Our research applies construal-level theory to negotiations and proposes that a high construal level instigates a focus on interests during negotiations which, in turn, positively affects outcomes. In particular, we tested the notion that the effect of construal level on outcomes was mediated by information exchange and judgement accuracy. Finally, we expected the mere mode of presentation of task material to affect construal levels and manipulated construal levels using concrete versus abstract negotiation tasks. In two experiments, participants negotiated in dyads in either a high- or low-construal-level condition. In Study 1, high-construal-level dyads outperformed dyads in the low-construal-level condition; this main effect was mediated by information exchange. Study 2 replicated both the main and mediation effects using judgement accuracy as mediator and additionally yielded a positive effect of a high construal level on a second, more complex negotiation task. These results not only provide empirical evidence for the theoretically proposed link between construal levels and negotiation outcomes but also shed light on the processes underlying this effect. © 2015 The British Psychological Society.

  6. Investigation of signal models and methods for evaluating structures of processing telecommunication information exchange systems under acoustic noise conditions

    Science.gov (United States)

    Kropotov, Y. A.; Belov, A. A.; Proskuryakov, A. Y.; Kolpakov, A. A.

    2018-05-01

    The paper considers models and methods for estimating signals during the transmission of information messages in telecommunication systems of audio exchange. One-dimensional probability distribution functions that can be used to isolate useful signals, and acoustic noise interference are presented. An approach to the estimation of the correlation and spectral functions of the parameters of acoustic signals is proposed, based on the parametric representation of acoustic signals and the components of the noise components. The paper suggests an approach to improving the efficiency of interference cancellation and highlighting the necessary information when processing signals from telecommunications systems. In this case, the suppression of acoustic noise is based on the methods of adaptive filtering and adaptive compensation. The work also describes the models of echo signals and the structure of subscriber devices in operational command telecommunications systems.

  7. Lessons Learned in Using and Adapting an Information Exchange Data Model

    National Research Council Canada - National Science Library

    Chamberlain, Sam; Keltz, Ilean

    2008-01-01

    ...) that provide default organizational and forces structure data for the Department of Defense (DOD). The data in the OSs are produced and maintained by the agencies across the DOD who are responsible for this information...

  8. Health Information Exchange as a Complex and Adaptive Construct: Scoping Review

    Directory of Open Access Journals (Sweden)

    Ather Akhlaq

    2017-01-01

    The concept of HIE is an evolving and adaptive one, reflecting the ongoing quest for integrated and interoperable information to improve the efficiency and effectiveness of health systems, in a changing technological and policy environment.

  9. 77 FR 28543 - Nationwide Health Information Network: Conditions for Trusted Exchange

    Science.gov (United States)

    2012-05-15

    ... This request for information (RFI) reflects ONC's current thinking regarding the approach ONC should... the States or covered entities (as a matter of organizational policy) are free to expand.\\6\\ \\6\\ (2000...

  10. Secure and QoS-Managed Information Exchange Between Enterprise and Constrained Environments

    Science.gov (United States)

    2014-01-01

    reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching...existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this...August 2008, RFC 5246, http://tools.ietf.org/html/rfc5246. [6] Fossi, M., Egan, G., Haley, K., Johnson, E., Mack, T., Adams, T., Blackbird , J., Low, M.K

  11. Implementing health information exchange for public health reporting: a comparison of decision and risk management of three regional health information organizations in New York state

    Science.gov (United States)

    Phillips, Andrew B; Wilson, Rosalind V; Kaushal, Rainu; Merrill, Jacqueline A

    2014-01-01

    Health information exchange (HIE) is a significant component of healthcare transformation strategies at both the state and national levels. HIE is expected to improve care coordination, and advance public health, but implementation is massively complex and involves significant risk. In New York, three regional health information organizations (RHIOs) implemented an HIE use case for public health reporting by demonstrating capability to deliver accurate responses to electronic queries via a set of services called the Universal Public Health Node. We investigated process and outcomes of the implementation with a comparative case study. Qualitative analysis was structured around a decision and risk matrix. Although each RHIO had a unique operational model, two common factors influenced risk management and implementation success: leadership capable of agile decision-making and commitment to a strong organizational vision. While all three RHIOs achieved certification for the public health reporting, only one has elected to deploy a production version. PMID:23975626

  12. Technical architecture of ONC-approved plans for statewide health information exchange.

    Science.gov (United States)

    Barrows, Randolph C; Ezzard, John

    2011-01-01

    ONC-approved state plans for HIE were reviewed for descriptions and depictions of statewide HIE technical architecture. Review was complicated by non-standard organizational elements and technical terminology across state plans. Findings were mapped to industry standard, referenced, and defined HIE architecture descriptions and characteristics. Results are preliminary due to the initial subset of ONC-approved plans available, the rapid pace of new ONC-plan approvals, and continuing advancements in standards and technology of HIE, etc. Review of 28 state plans shows virtually all include a direct messaging component, but for participating entities at state-specific levels of granularity (RHIO, enterprise, organization/provider). About ½ of reviewed plans describe a federated architecture, and ¼ of plans utilize a single-vendor "hybrid-federated" architecture. About 1/3 of states plan to leverage new federal and open exchange technologies (DIRECT, CONNECT, etc.). Only one plan describes a centralized architecture for statewide HIE, but others combine central and federated architectural approaches.

  13. Standardizing information exchange towards the end user. Present data models with two way communication over the Internet

    International Nuclear Information System (INIS)

    Saele, Hanne; Graabak, Ingeborg; Tangen, Grethe

    2000-01-01

    The two-way communication towards the end consumer is in little use so far. There are probably several reasons for this but one important reason may be the lack of standardized interfaces for the information exchange towards the end user. The lack of such standards results in substantial system investment risks for the network companies because the systems may not be developed further and maintained should the deliverer leave the market. The communication channel Internet has expanded quickly and in Norway of today (1999) 25 to 30 % of the households have an Internet connection. The use of existing infrastructure and already tried out technology for information transferrals may contribute to making two-way communication more reasonable and functional. In the report various alternatives of standardized information exchange towards the end users are evaluated. Various formats are discussed with the following demands in mind: 1) Shall be suited for all types of communication media. 2) An international standard followed by everyone. 3) Reliable information transferral and flexible. The focus is on what kind of information is being transferred and how this is organized, and not on how the information is transferred. The discussed alternatives are evaluated both regarding traditional solutions for two- way communication and the use of the Internet. The following format alternatives are discussed: EDIEL/EDIFACT, ODEL(GS2), LonWorks/Echelon, UCA, DLMS/COSEM, COBRA and DCOM. The formats represent communication at various levels but they are mentioned in the report because they are often mentioned as possible standard formats towards the end user: ODEL, DLSM/COSEM and UCA. EDIEL is not suited for this interface. The market for two-way communication systems is international and it does not seem to be practical to establish a joint Norwegian/Swedish standard. The work with establishing one standard should therefore be continued through international standardization

  14. Information technology as a facilitator of suppliers’ collaborative communication, network governance and relationship longevity in supply chains

    Directory of Open Access Journals (Sweden)

    Richard Chinomona

    2013-08-01

    Full Text Available There is an increasing awareness about the paramount importance of information technology within business in the context of large businesses. However, research about the investigation of the role of information technology resources in fostering collaborative communication, network governance and relationship longevity in the small and medium enterprise sector has remained scant. The primary objective of this study was to investigate the influence of information technology on collaborative communication, network governance and relationship longevity in Zimbabwe’s SME sector. Five research hypotheses were posited and sample data from 162 small and medium enterprise suppliers were collected and used to empirically test the hypotheses. The results of this study showed that information technology resources positively influenced small and medium enterprise suppliers’ collaborative communication, network governance and consequential relationship longevity with their buyers in a significant way. Overall, the current study findings provided tentative support to the proposition that information technology resources, collaborative communication and network governance should be recognised as significant antecedents for improved relationship longevity between suppliers and their buyers in the SME setting. Therefore, managers in the small and medium enterprise sector and small and medium enterprise owners need to pay attention to both collaborative communication and network governance in order to optimise information technology resource impact on their relationship longevity with their business counterparts. Limitations and future research directions were also indicated.

  15. Mapserver – Information Flow Management Software for The Border Guard Distributed Data Exchange System

    Directory of Open Access Journals (Sweden)

    Blok Marek

    2016-09-01

    Full Text Available In this paper the architecture of the software designed for management of position and identification data of floating and flying objects in Maritime areas controlled by Polish Border Guard is presented. The software was designed for managing information stored in a distributed system with two variants of the software, one for a mobile device installed on a vessel, an airplane or a car and second for a central server. The details of implementation of all functionalities of the MapServer in both, mobile and central, versions are briefly presented on the basis of information flow diagrams.

  16. Perceived barriers and facilitators to increasing physical activity among people with musculoskeletal disorders: a qualitative investigation to inform intervention development

    Directory of Open Access Journals (Sweden)

    McPhail SM

    2014-12-01

    Full Text Available Steven M McPhail,1,2 Mandy Schippers,1,2 Alison L Marshall,1 Monique Waite,1,2 Pim Kuipers2,3 1Institute of Health and Biomedical Innovation and School of Public Health and Social Work, Queensland University of Technology, 2Centre for Functioning and Health Research, Metro South Health, 3Griffith Health Institute and School of Human Services and Social Work, Griffith University, Brisbane, QLD, Australia Purpose: Musculoskeletal conditions can impair people’s ability to undertake physical activity as they age. The purpose of this qualitative study was to investigate perceived barriers and facilitators to undertaking physical activity reported by patients accessing ambulatory hospital clinics for musculoskeletal disorders.Patients and methods: A questionnaire with open-ended items was administered to patients (n=217, 73.3% of 296 eligible from three clinics providing ambulatory services for nonsurgical treatment of musculoskeletal disorders. The survey included questions to capture the clinical and demographic characteristics of the sample. It also comprised two open-ended questions requiring qualitative responses. The first asked the participant to describe factors that made physical activity more difficult, and the second asked which factors made it easier for them to be physically active. Participants’ responses to the two open-ended questions were read, coded, and thematically analyzed independently by two researchers, with a third researcher available to arbitrate any unresolved disagreement. Results: The mean (standard deviation age of participants was 53 (15 years; n=113 (52.1% were male. A total of 112 (51.6% participants reported having three or more health conditions; n=140 (64.5% were classified as overweight or obese. Five overarching themes describing perceived barriers for undertaking physical activity were “health conditions”, “time restrictions”, “poor physical condition”, “emotional, social, and psychological

  17. 25 CFR 16.4 - Exchange of information within the Department.

    Science.gov (United States)

    2010-04-01

    ... Section 16.4 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR PROBATE ESTATES OF INDIANS OF... information may be useful in discharging the duties covered by the regulations in this part, the Bureau shall..., concerning the estate and status of an Indian of the Five Civilized Tribes for whom legal assistance should...

  18. Field Note: Standard Web Application for Information Exchange on Agroforestry in India

    Science.gov (United States)

    Ajit; Nighat Jabeen; Handa, A. K.; Uma

    2008-01-01

    Agroforestry (AF)/forestry is no longer an isolated field, with so many developmental activities having links with this sector, and thus the information required to be handled by the researchers all over the world has increased exponentially. This article discusses a website that was developed by the National Research Centre for Agroforestry…

  19. Setting up and Running a School Library. Information Collection and Exchange Publication No. ED204

    Science.gov (United States)

    Baird, Nicola

    2012-01-01

    This book explains how teachers can set up and run a successful school library. In it you will find advice and information on how to: (1) set up a small library and build bookshelves; (2) select books for your library; (3) make a written record of your school's books, pamphlets and other library stock such as newspapers, magazines, audio tapes and…

  20. A Comparison of Two Major Scientific Information Exchange Processes in Psychology: 1962 and 1976.

    Science.gov (United States)

    Garvey, William D.; And Others

    1984-01-01

    Despite growing numbers of psychologists and of research reports presented at APA conventions and in core psychology journals, relatively few changes have occurred in the type of information presented. The stability of these media relates to quality control and the discouragement of rapid change in the discipline. (Author/GC)

  1. Source of information-driven trading on the Prague Stock Exchange

    Czech Academy of Sciences Publication Activity Database

    Kopřiva, František

    -, č. 365 (2008), s. 1-39 ISSN 1211-3298 R&D Projects: GA MŠk LC542 Institutional research plan: CEZ:AV0Z70850503 Keywords : trading systems * informed trading * emerging markets Subject RIV: AH - Economics http://www.cerge-ei.cz/pdf/wp/Wp365.pdf

  2. Source of information-driven trading on the Prague Stock Exchange

    Czech Academy of Sciences Publication Activity Database

    Kopřiva, František

    -, č. 365 (2008), s. 1-39 ISSN 1211-3298 R&D Projects: GA ČR(CZ) GA402/08/1376; GA MŠk LC542 Institutional research plan: CEZ:MSM0021620846 Keywords : trading systems * informed trading * emerging markets Subject RIV: AH - Economics http://www.cerge-ei.cz/pdf/wp/Wp365.pdf

  3. Towards a reference ontology of complex economic exchanges for Accounting Information Systems

    NARCIS (Netherlands)

    Blums, Ivar; Weigand, Hans; Matthes, Flores; Mendling, Jan; Rinderle-Ma, Stefanie

    Although the field of Accounting Information Systems (AIS) has a long tradition, there is still a lack of a widely adopted conceptualization. The Unified Foundational Ontology (UFO) and its Services sub- ontology (UFO-S) are regarded as grounding the engineering of a reference ontology for AIS. The

  4. Cyber security information exchange to gain insight into the effects of cyber threats and incidents

    NARCIS (Netherlands)

    Fransen, F.; Smulders, A.C.M.; Kerkdijk, H.

    2015-01-01

    The last couple of years we have seen an increase in interests and initiatives in establishing threat intelligence sharing communities, and on the development of standards and platforms for automated cyber security information sharing. These initiatives are focused on helping organisations to

  5. Epidemic model for information diffusion in web forums: experiments in marketing exchange and political dialog.

    Science.gov (United States)

    Woo, Jiyoung; Chen, Hsinchun

    2016-01-01

    As social media has become more prevalent, its influence on business, politics, and society has become significant. Due to easy access and interaction between large numbers of users, information diffuses in an epidemic style on the web. Understanding the mechanisms of information diffusion through these new publication methods is important for political and marketing purposes. Among social media, web forums, where people in online communities disseminate and receive information, provide a good environment for examining information diffusion. In this paper, we model topic diffusion in web forums using the epidemiology model, the susceptible-infected-recovered (SIR) model, frequently used in previous research to analyze both disease outbreaks and knowledge diffusion. The model was evaluated on a large longitudinal dataset from the web forum of a major retail company and from a general political discussion forum. The fitting results showed that the SIR model is a plausible model to describe the diffusion process of a topic. This research shows that epidemic models can expand their application areas to topic discussion on the web, particularly social media such as web forums.

  6. Developing and pre-testing a decision board to facilitate informed choice about delivery approach in uncomplicated pregnancy

    Directory of Open Access Journals (Sweden)

    Wood Stephen

    2009-10-01

    Full Text Available Abstract Background The rate of caesarean sections is increasing worldwide, yet medical literature informing women with uncomplicated pregnancies about relative risks and benefits of elective caesarean section (CS compared with vaginal delivery (VD remains scarce. A decision board may address this gap, providing systematic evidence-based information so that patients can more fully understand their treatment options. The objective of our study was to design and pre-test a decision board to guide clinical discussions and enhance informed decision-making related to delivery approach (CS or VD in uncomplicated pregnancy. Methods Development of the decision board involved two preliminary studies to determine women's preferred mode of risk presentation and a systematic literature review for the most comprehensive presentation of medical risks at the time (VD and CS. Forty women were recruited to pre-test the tool. Eligible subjects were of childbearing age (18-40 years but were not pregnant in order to avoid raising the expectation among pregnant women that CS was a universally available birth option. Women selected their preferred delivery approach and completed the Decisional Conflict Scale to measure decisional uncertainty before and after reviewing the decision board. They also answered open-ended questions reflecting what they had learned, whether or not the information had helped them to choose between birth methods, and additional information that should be included. Descriptive statistics were used to analyse sample characteristics and women's choice of delivery approach pre/post decision board. Change in decisional conflict was measured using Wilcoxon's sign rank test for each of the three subscales. Results The majority of women reported that they had learned something new (n = 37, 92% and that the tool had helped them make a hypothetical choice between delivery approaches (n = 34, 85%. Women wanted more information about neonatal risks and

  7. Understanding Barriers and Facilitators to Breast and Cervical Cancer Screening among Muslim Women in New York City: Perspectives from Key Informants.

    Science.gov (United States)

    Islam, Nadia; Patel, Shilpa; Brooks-Griffin, Quanza; Kemp, Patrice; Raveis, Victoria; Riley, Lindsey; Gummi, Sindhura; Nur, Potrirankamanis Queano; Ravenell, Joseph; Cole, Helen; Kwon, Simona

    2017-01-01

    Muslims are one of the fastest growing religious groups in the US. However, little is known about their health disparities, and how their unique cultural, religious, and social beliefs and practices affect health behaviors and outcomes. Studies demonstrate Muslim women may have lower rates of breast and cervical cancer screening compared to the overall population. The purpose of this study was to: 1) conduct key-informant interviews with Muslim community leaders in New York City (NYC), to understand contextual factors that impact Muslim women's beliefs and practices regarding breast and cervical cancer screening; and 2) inform the development and implementation of a research study on breast and cervical cancer screening among Muslims. Twelve key-informant interviews were conducted. The sample included imams, female religious leaders, physicians, community-based organization leaders, and social service representatives. The interview guide assessed: 1) unique healthcare barriers faced by Muslim women; 2) cultural and social considerations in conducting research; 3) potential strategies for increasing screening in this population; and 4) content and venues for culturally tailored programming and messaging. Key informants noted structure and culture as barriers and religion as a facilitator to breast and cervical cancer screening. Themes regarding the development of targeted health campaigns to increase screening included the importance of educational and in-language materials and messaging, and engaging mosques and religious leaders for dissemination. Although Muslim women face a number of barriers to screening, religious beliefs and support structures can be leveraged to facilitate screening and enhance the dissemination and promotion of screening.

  8. The Cybersemiotic Model of Communication: An Evolutionary View on the Threshold between Semiosis and Informational Exchange

    Directory of Open Access Journals (Sweden)

    Søren Brier

    2008-07-01

    Full Text Available This paper discusses various suggestions for a philosophical framework for a trans-disciplinary information science or a semiotic doctrine. These are: the mechanical materialistic, the pan-informational, the Luhmanian second order cybernetic approach, Peircian biosemiotics and finally the pan-semiotic approach. The limitations of each are analysed. The conclusion is that we will not have to choose between either a cybernetic-informational or a semiotic approach. A combination of a Peircian-based biosemiotics with autopoiesis theory, second order cybernetics and information science is suggested in a five-levelled cybersemiotic framework. The five levels are 1 a level of Firstness, 2 a level of mechanical matter, energy and force as Secondness, 3 a cybernetic and thermodynamic level of information, 4 a level of sign games and 5 a level of conscious language games. These levels are then used to differentiate levels of information systems, sign and language games in human communication. In our model Maturana and Varela’s description of the logic of the living as autopoietic is accepted and expanded with Luhmann’s generalization of the concept of autopoiesis, to cover also to psychological and socio-communicative systems. Adding a Peircian concept of semiosis to Luhmann’s theory in the framework of biosemiotics enables us to view the interplay of mind and body as a sign play. I have in a previous publication (see list of references suggested the term “sign play” pertaining to exosemiotics processes between animals in the same species by stretching Wittgenstein's language concept into the animal world of signs. The new concept of intrasemiotics designates the semiosis of the interpenetration between biological and psychological autopoietic systems as Luhmann defines them in his theory. One could therefore view intrasemiotics as the interplay between Lorenz' biological defined motivations and Freud's Id, understood as the psychological aspect

  9. The Power of STEP for the Exchange of Engineering Information between CA(X) Systems

    DEFF Research Database (Denmark)

    Sørensen, Torben; Conrad, Finn

    1999-01-01

    ISO10303 STEP, is the only standard that provides information resources and methodologies needed for the definition and management of engineering product information for efficient Integrated Product Development (IPD).This paper describes the most important concepts related to these powerful STEP...... resources and methodologies, and the paper further addresses how to use STEP for IPD of hydraulic components and systems based upon the concurrent engineering of different computer aided CA(X) systems.International standardization based on ISO10303, STEP, is playing a key role in promoting a modern approach...... to the neutral Product Data Technology by use of the open systems' architecture. The initial release of STEP, consisting of twelve essential parts, has been approved and published (in 1994) as an International Standard. The introduction of STEP based software and its application in industry is thus on the verge...

  10. Mallik data and information system : development of a scientific data exchange platform

    Energy Technology Data Exchange (ETDEWEB)

    Lowner, R.; Conze, R. [GeoForschungsZentrum Potsdam, Potsdam (Germany)

    2005-07-01

    The Mallik Data and Information System (Mallik DIS) includes 3 main components which make it possible to acquire, integrate and disseminate interdisciplinary data from the Mallik 2002 Gas Hydrate Production Research Well Program. The system provides a secure and accessible archive of quality controlled scientific results of the project. The 3 main components are: (1) a digital scanner which produces a catalogue of digital core images, (2) the data warehouse which is a vital database and archive that provides members of the Mallik team with access to project data sets via Internet, and (3) the web portal of the International Continental Scientific Drilling Program information network which allows the separate data sets to be retrieved, viewed and integrated with other project data sets.

  11. Patient Privacy, Consent, and Identity Management in Health Information Exchange: Issues for the Military Health System

    Science.gov (United States)

    2013-01-01

    JPC-1b Joint Program Committee-1b on Health Information Technology and Medical Informatics MAeHC Massachusetts eHealth Collaborative MHS Military...efficiency of care. The second study, by the eHealth Initiative (2011), surveyed communities across the United States with initiatives to share health...Simon et al. (2009) conducted focus groups involving 64 participants in several rural towns participating in the Massachusetts eHealth Collaborative

  12. Mapserver – Information Flow Management Software for The Border Guard Distributed Data Exchange System

    OpenAIRE

    Blok Marek; Kaczmarek Sylwester; Młynarczuk Magdalena; Narloch Marcin

    2016-01-01

    In this paper the architecture of the software designed for management of position and identification data of floating and flying objects in Maritime areas controlled by Polish Border Guard is presented. The software was designed for managing information stored in a distributed system with two variants of the software, one for a mobile device installed on a vessel, an airplane or a car and second for a central server. The details of implementation of all functionalities of the MapServer in bo...

  13. Medical Information Exchange: Pattern of Global Mobile Messenger Usage among Otolaryngologists.

    Science.gov (United States)

    Siegal, Gil; Dagan, Elad; Wolf, Michael; Duvdevani, Shay; Alon, Eran E

    2016-11-01

    Information technology has revolutionized health care. However, the development of dedicated mobile health software has been lagging, leading to the use of general mobile applications to fill in the void. The use of such applications has several legal, ethical, and regulatory implications. We examined the experience and practices governing the usage of a global mobile messenger application (WhatsApp) for mobile health purposes in a national cohort of practicing otolaryngologists in Israel, a known early adaptor information technology society. Cross-sectional data were collected from practicing otolaryngologists and otolaryngology residents via self-administered questionnaire. The questionnaire was composed of a demographic section, a section surveying the practices of mobile application use, mobile health application use, and knowledge regarding institutional policies governing the transmission of medical data. The sample included 22 otolaryngology residents and 47 practicing otolaryngologists. Of the physicians, 83% worked in academic centers, and 88% and 40% of the physicians who worked in a hospital setting or a community clinic used WhatsApp for medical use, respectively. Working with residents increased the medical usage of WhatsApp from 50% to 91% (P = .006). Finally, 72% were unfamiliar with any institutional policy regarding the transfer of medical information by personal smartphones. Mobile health is becoming an integral part of modern medical systems, improving accessibility, efficiency, and possibly quality of medical care. The need to incorporate personal mobile devices in the overall information technology standards, guidelines, and regulation is becoming more acute. Nonetheless, practices must be properly instituted to prevent unwanted consequences. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2016.

  14. Worldwide exchange of nuclear news and information: Nucnet as a receiver and provider

    International Nuclear Information System (INIS)

    Shepherd, J.

    2006-01-01

    NucNet is an independent NGO recognised as reliable and authoritative service for news and emergency information by the nuclear community, the media and the general public. The network, which has member organisations in more than 4 countries who contribute to our information flow, has a duty to report all nuclear-related issues objectively and accurately. Perceptions of the media and the general public on nuclear power are largely positive at present as nuclear is increasingly talked of as a climate-friendly source of energy. But the same cannot yet be said of issues concerning radioactive waste, it is always talked of the 'problem' of radioactive wastes. The choice of the words is very important, it is more positive to speak of 'final disposal' than of 'dump'. The internet is one of the best media to propagate right information. We organise workshops/seminar regularly. We have also created a special, monthly electronic publication: 'Nuclear Waste Review' that summarises developments worldwide in the field of waste management.We also created a special, monthly electronic publication. Nuclear Waste Review that summarises developments worldwide in the field of waste management.

  15. The European reliability data system. An organized information exchange on the operation of European nuclear reactors

    International Nuclear Information System (INIS)

    Mancini, G.; Amesz, J.; Bastianini, P.; Capobianchi, S.

    1983-01-01

    The paper revises the aims and objectives of the European Reliability Data System (ERDS), a centralized system collecting and organizing, at European level, information related to the operation of LWRs. The ERDS project was started in 1977 and after a preliminary feasibility study that ended in 1979 is now proceeding towards the final design and implementation stages. ERDS exploits information collected in national data systems and information deriving from single reactor sources. The paper describes first the development of the four data banks constituting the system: Component Event Data Bank, CEDB; Abnormal Occurrences Reporting System, AORS; Operating Unit Status Report, OUSR; and Generic Reliability Parameter Data Bank, GRPDB. Several typical aspects concerning the project are then outlined from the need of homogeneization of data and therefore the need for setting up reference classifications, to the problem of data transcoding and input into the system. Furthermore, the need is stressed of involving much more deeply nuclear power plant operators into the process of data acquisition by providing them with a useful feedback from the data analysis. (author)

  16. Evaluation of a Pilot Surveillance System: Health and Environment Linked for Information Exchange in Atlanta (HELIX-Atlanta)

    Science.gov (United States)

    Meyer, P.; Shire, J.; Qualters, Judy; Daley, Randolph; Fiero, Leslie Todorov; Autry, Andy; Avchen, Rachel; Stock, Allison; Correa, Adolofo; Siffel, Csaba; hide

    2007-01-01

    CDC and its partners established the Health and Environment Linked for Information Exchange, Atlanta (HELIX-Atlanta) demonstration project, to develop linking and analysis methods that could be used by the National Environmental Public Health Tracking (EPHT) Network. Initiated in October 2003, the Metropolitan Atlanta-based collaborative conducted four projects: asthma and particulate air pollution, birth defects and ozone and particulate air pollution, childhood leukemia and traffic emissions, and children's blood lead testing and neighborhood risk factors for lead poisoning. This report provides an overview of the HELIX-Atlanta projects' goals, methods and outcomes. We discuss priority attributes and common issues and challenges and offer recommendations for implementation of the nascent national environmental public health tracking network.

  17. On the role of exchange of power and information signals in control and stability of the human-robot interaction

    Science.gov (United States)

    Kazerooni, H.

    1991-01-01

    A human's ability to perform physical tasks is limited, not only by his intelligence, but by his physical strength. If, in an appropriate environment, a machine's mechanical power is closely integrated with a human arm's mechanical power under the control of the human intellect, the resulting system will be superior to a loosely integrated combination of a human and a fully automated robot. Therefore, we must develop a fundamental solution to the problem of 'extending' human mechanical power. The work presented here defines 'extenders' as a class of robot manipulators worn by humans to increase human mechanical strength, while the wearer's intellect remains the central control system for manipulating the extender. The human, in physical contact with the extender, exchanges power and information signals with the extender. The aim is to determine the fundamental building blocks of an intelligent controller, a controller which allows interaction between humans and a broad class of computer-controlled machines via simultaneous exchange of both power and information signals. The prevalent trend in automation has been to physically separate the human from the machine so the human must always send information signals via an intermediary device (e.g., joystick, pushbutton, light switch). Extenders, however are perfect examples of self-powered machines that are built and controlled for the optimal exchange of power and information signals with humans. The human wearing the extender is in physical contact with the machine, so power transfer is unavoidable and information signals from the human help to control the machine. Commands are transferred to the extender via the contact forces and the EMG signals between the wearer and the extender. The extender augments human motor ability without accepting any explicit commands: it accepts the EMG signals and the contact force between the person's arm and the extender, and the extender 'translates' them into a desired position. In

  18. CONCEPTION AND DEVELOPMENT OF A SYSTEM USED TO ORGANIZE AND FACILITATE ACCESS TO ENVIRONMENTAL INFORMATION AND ITS USE IN AREAS CONTAMINATED BY INDUSTRIAL WASTE

    Directory of Open Access Journals (Sweden)

    Pedro Luiz Côrtes

    2013-04-01

    Full Text Available In São Paulo State (Brazil coastal area, for several years, a chemical industry discharged, without any sort of environmental control, a blend of industrial waste formed by Persistent Organic Pollutants (POPs. Judicial suits forced the company to identify and limit such deposits in order to perform environmental recovery work. Project were developed demanding preparation and handling of a large amount of documents, satellite images, aerial photographs, maps and videos with the increase of the information and knowledge management issues. This condition became even more critical as the projects started to become cross-disciplinary, involving a growing number of experts, many of them established in different cities. Those circumstances led to the generation of an Environmental Information System (BASGEO enabling organization and facilitation of access to such documents while increasing information safety. This work shows the development of this system and the difficulties related to environmental documents management and handling.

  19. Investing in Post-Acute Care Transitions: Electronic Information Exchange Between Hospitals and Long-Term Care Facilities.

    Science.gov (United States)

    Cross, Dori A; Adler-Milstein, Julia

    2017-01-01

    Electronic health information exchange (HIE) is expected to help improve care transitions from hospitals to long-term care (LTC) facilities. We know little about the prevalence of hospital LTC HIE in the United States and what contextual factors may motivate or constrain this activity. Cross-sectional analysis of U.S. acute-care hospitals responding to the 2014 AHA IT Supplement survey and with available readmissions data (n = 1,991). We conducted multivariate logistic regression to explore the relationship between hospital LTC HIE and selected IT and policy characteristics. Over half of the hospitals in our study (57.2%) reported engaging in some form of HIE with LTC providers: 33.9% send-only, 0.5% receive-only, and 22.8% send and receive. Hospitals that engaged in some form of LTC HIE were more likely than those that did not engage to have attested to meaningful use (odds ratio [OR], 1.87; P = .01 for stage 1 and OR, 2.05; P investing in electronic information exchange with LTCs as part of a general strategy to adopt EHRs and engage in HIE, but also potentially to strengthen ties to LTC providers and to reduce readmissions. To achieve widespread connectivity, continued focus on adoption of related health IT infrastructure and greater emphasis on aligning incentives for hospital-LTC care transitions would be valuable. Copyright © 2016 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

  20. Long-term evaluation of a hospital-based violence intervention program using a regional health information exchange.

    Science.gov (United States)

    Bell, Teresa M; Gilyan, Dannielle; Moore, Brian A; Martin, Joel; Ogbemudia, Blessing; McLaughlin, Briana E; Moore, Reilin; Simons, Clark J; Zarzaur, Ben L

    2018-01-01

    Hospital-based violence intervention programs (HVIP) aim to reduce violent-injury recidivism by providing intensive case management services to high-risk patients who were violently injured. Although HVIP have been found effective at reducing recidivism, few studies have sought to identity how long their effects last. Additionally, prior studies have been limited by the fact that HVIP typically rely on self-report or data within their own healthcare system to identify new injuries. Our aim was to quantify the long-term recidivism rate of participants in an HVIP program using more objective and comprehensive data from a regional health information exchange. The study included 328 patients enrolled in Prescription for Hope (RxH), an HVIP, between January 2009 and August 2016. We obtained RxH participants' emergency department (ED) encounter data from a regional health information exchange database from the date of hospital discharge to February 2017. Our primary outcome was violent-injury recidivism rate of the RxH program. We also examined reasons for ED visits that were unrelated to violent injury. We calculated a 4.4% recidivism rate based on 8 years of statewide data, containing 1,575 unique encounters. More than 96% of participants were matched in the state database. Of the 15 patients who recidivated, only five were admitted for their injury. More than half of new violence-related injuries were treated outside of the HVIP-affiliated trauma center. The most common reasons for ED visits were pain (718 encounters), followed by suspected complications or needing additional postoperative care (181 encounters). Substance abuse, unintentional injuries, and suicidal ideation were also frequent reasons for ED visits. The low, long-term recidivism rate for RxH indicates that HVIPs have enduring positive effects on the majority of participants. Our results suggest that HVIP may further benefit patients by partnering with organizations that work to prevent suicide

  1. Processing information about support exchanges in close relationships: The role of a knowledge structure

    Directory of Open Access Journals (Sweden)

    Bulent eTuran

    2016-02-01

    Full Text Available People develop knowledge of interpersonal interaction patterns (e.g., prototypes and schemas, which shape how they process incoming information. One such knowledge structure based on attachment theory was examined: the secure base script (the prototypic sequence of events when an attachment figure comforts a close relationship partner in distress. In two studies (N = 53 and N = 119, participants were shown animated film clips in which geometric figures depicted the secure base script and asked to describe the animations. Both studies found that many people readily recognize the secure-base script from these minimal cues quite well, suggesting that this script is not only available in the context of specific relationships (i.e., a relationship-specific knowledge: The generalized (abstract structure of the script is also readily accessible, which would make it possible to apply it to any relationship (including new relationships. Regression analyses suggested that participants who recognized the script were more likely to (a include more animation elements when describing the animations, (b see a common theme in different animations, (c create better organized stories, and (d later recall more details of the animations. These findings suggest that access to this knowledge structure helps a person organize and remember relevant incoming information. Furthermore, in both Study 1 and Study 2, individual differences in the ready recognition of the script were associated with individual differences in having access to another related knowledge: indicators suggesting that a potential relationship partner can be trusted to be supportive and responsive at times of stress. Results of Study 2 also suggest that recognizing the script is associated with those items of an attachment measure that concern giving and receiving support. Thus, these knowledge structures may shape how people process support-relevant information in their everyday lives, potentially

  2. Parenting Across the Social Ecology Facilitated by Information and Communications Technology: Implications for Research and Educational Design

    Directory of Open Access Journals (Sweden)

    Susan K. Walker

    2014-06-01

    Full Text Available To inform parenting research and aid educators seeking to deliver programs that support effective parenting, this study explored types of information and communications technology (ICT used to fulfill childrearing goals. Mothers’ (N = 1,804 reports of ICT activity frequency were examined from data collected from an online survey. Results suggest that mothers’ ICT use for parenting is less frequent than general use in adulthood. Mothers employ ICT to fulfill parenting goals within and across five domains of the parenting social ecology: (a parent development, (b parent-child relationships, (c child development, (d, family development, and (e culture and community. Several types of ICT activities may strengthen parenting in a single domain, and a single ICT activity may help fulfill multiple domains. Implications for research and for promoting and selecting ICT for effective parent learning and education design are discussed.

  3. 2010 Public meetings : To inform and exchange ideas on the issues at stake

    CERN Multimedia

    Staff Association

    2010-01-01

    PENSIONS, HEALTH INSURANCE, SALARIES DO YOU KNOW WHAT THEY HAVE IN STORE FOR US ?!   PUBLIC MEETINGS   Thursday 23 September 2.00 pm IT Auditorium - Meyrin (31/3-004) Friday 24 September 10.00 am TE Auditorium - Meyrin (30/7-018) Monday 27 September 2.00 pm Council Chamber - Meyrin (503/1-001) Tuesday 28 September 10.00 am TH Auditorium - Meyrin (4/3-006) (English) Tuesday 28 September 2.00 pm BE Auditorium - Prévessin (864/1-D02)   COME AND BE INFORMED  

  4. A rigorous approach to facilitate and guarantee the correctness of the genetic testing management in human genome information systems.

    Science.gov (United States)

    Araújo, Luciano V; Malkowski, Simon; Braghetto, Kelly R; Passos-Bueno, Maria R; Zatz, Mayana; Pu, Calton; Ferreira, João E

    2011-12-22

    Recent medical and biological technology advances have stimulated the development of new testing systems that have been providing huge, varied amounts of molecular and clinical data. Growing data volumes pose significant challenges for information processing systems in research centers. Additionally, the routines of genomics laboratory are typically characterized by high parallelism in testing and constant procedure changes. This paper describes a formal approach to address this challenge through the implementation of a genetic testing management system applied to human genome laboratory. We introduced the Human Genome Research Center Information System (CEGH) in Brazil, a system that is able to support constant changes in human genome testing and can provide patients updated results based on the most recent and validated genetic knowledge. Our approach uses a common repository for process planning to ensure reusability, specification, instantiation, monitoring, and execution of processes, which are defined using a relational database and rigorous control flow specifications based on process algebra (ACP). The main difference between our approach and related works is that we were able to join two important aspects: 1) process scalability achieved through relational database implementation, and 2) correctness of processes using process algebra. Furthermore, the software allows end users to define genetic testing without requiring any knowledge about business process notation or process algebra. This paper presents the CEGH information system that is a Laboratory Information Management System (LIMS) based on a formal framework to support genetic testing management for Mendelian disorder studies. We have proved the feasibility and showed usability benefits of a rigorous approach that is able to specify, validate, and perform genetic testing using easy end user interfaces.

  5. Secure Threat Information Exchange across the Internet of Things for Cyber Defense in a Fog Computing Environment

    Directory of Open Access Journals (Sweden)

    Mihai-Gabriel IONITA

    2016-01-01

    Full Text Available Threat information exchange is a critical part of any security system. Decisions regarding security are taken with more confidence and with more results when the whole security context is known. The fog computing paradigm enhances the use cases of the already used cloud computing systems by bringing all the needed resources to the end-users towards the edge of the network. While fog decentralizes the cloud, it is very important to correlate security events which happen in branch offices around the globe for correct and timely decisions. In this article, we propose an infrastructure based on custom locally installed OSSEC agents which communicate with a central AlienVault deployment for event correlation. The agents are based on a neural network which takes actions based on risk assessment inspired by the human immune system. All of the threat information is defined by STIX expressions and a TAXII server can share this information with foreign organizations. The proposed implementation can successfully be implemented in an IoT scenario, with added security for the “brownfiled” devices.

  6. The Conference of Radiation Control Program Directors (CRCPD): a model for networking, cooperation, information exchange and regulation harmonization

    International Nuclear Information System (INIS)

    Gilley, Debbie Bray

    2008-01-01

    This presentation will be to introduce to the participants the Conference of Radiation Control Program Directors, Inc. (CRCPD) and the proven methods used by this organization for networking, information exchange, regulation development and standardization, and radiation protection guidance on emerging technologies. The presentation will describe how radiation control programs and staff from all 50 states in the US work collaboratively to ensure adequate radiation protection standards are uniformly applied throughout the country through the pooling of resources and networking between all the states and the federal government, as well as with international members and partners. The products of CRCPD, such as the Suggested State Regulations along with other relevant informational documents, will be discussed along with how participants can access these products for use in their respective countries. CRCPD and its members represent a comprehensive radiation regulatory structure, covering radioactive materials, radioactive waste, X-ray, accelerators, emergency response, environmental monitoring, radon, and security. Networks are in place for all radiation issues. After the presentation, participants will better understand how to develop and implement a cooperative partnership with other countries. They will also know how to access our products that can be tailored for their own use. They will also be informed of how to contact CRCPD and request technical assistance from one of our 1000 members through our international outreach initiative. (author)

  7. JUICE: a data management system that facilitates the analysis of large volumes of information in an EST project workflow.

    Science.gov (United States)

    Latorre, Mariano; Silva, Herman; Saba, Juan; Guziolowski, Carito; Vizoso, Paula; Martinez, Veronica; Maldonado, Jonathan; Morales, Andrea; Caroca, Rodrigo; Cambiazo, Veronica; Campos-Vargas, Reinaldo; Gonzalez, Mauricio; Orellana, Ariel; Retamales, Julio; Meisel, Lee A

    2006-11-23

    Expressed sequence tag (EST) analyses provide a rapid and economical means to identify candidate genes that may be involved in a particular biological process. These ESTs are useful in many Functional Genomics studies. However, the large quantity and complexity of the data generated during an EST sequencing project can make the analysis of this information a daunting task. In an attempt to make this task friendlier, we have developed JUICE, an open source data management system (Apache + PHP + MySQL on Linux), which enables the user to easily upload, organize, visualize and search the different types of data generated in an EST project pipeline. In contrast to other systems, the JUICE data management system allows a branched pipeline to be established, modified and expanded, during the course of an EST project. The web interfaces and tools in JUICE enable the users to visualize the information in a graphical, user-friendly manner. The user may browse or search for sequences and/or sequence information within all the branches of the pipeline. The user can search using terms associated with the sequence name, annotation or other characteristics stored in JUICE and associated with sequences or sequence groups. Groups of sequences can be created by the user, stored in a clipboard and/or downloaded for further analyses. Different user profiles restrict the access of each user depending upon their role in the project. The user may have access exclusively to visualize sequence information, access to annotate sequences and sequence information, or administrative access. JUICE is an open source data management system that has been developed to aid users in organizing and analyzing the large amount of data generated in an EST Project workflow. JUICE has been used in one of the first functional genomics projects in Chile, entitled "Functional Genomics in nectarines: Platform to potentiate the competitiveness of Chile in fruit exportation". However, due to its ability to

  8. JUICE: a data management system that facilitates the analysis of large volumes of information in an EST project workflow

    Directory of Open Access Journals (Sweden)

    Martinez Veronica

    2006-11-01

    Full Text Available Abstract Background Expressed sequence tag (EST analyses provide a rapid and economical means to identify candidate genes that may be involved in a particular biological process. These ESTs are useful in many Functional Genomics studies. However, the large quantity and complexity of the data generated during an EST sequencing project can make the analysis of this information a daunting task. Results In an attempt to make this task friendlier, we have developed JUICE, an open source data management system (Apache + PHP + MySQL on Linux, which enables the user to easily upload, organize, visualize and search the different types of data generated in an EST project pipeline. In contrast to other systems, the JUICE data management system allows a branched pipeline to be established, modified and expanded, during the course of an EST project. The web interfaces and tools in JUICE enable the users to visualize the information in a graphical, user-friendly manner. The user may browse or search for sequences and/or sequence information within all the branches of the pipeline. The user can search using terms associated with the sequence name, annotation or other characteristics stored in JUICE and associated with sequences or sequence groups. Groups of sequences can be created by the user, stored in a clipboard and/or downloaded for further analyses. Different user profiles restrict the access of each user depending upon their role in the project. The user may have access exclusively to visualize sequence information, access to annotate sequences and sequence information, or administrative access. Conclusion JUICE is an open source data management system that has been developed to aid users in organizing and analyzing the large amount of data generated in an EST Project workflow. JUICE has been used in one of the first functional genomics projects in Chile, entitled "Functional Genomics in nectarines: Platform to potentiate the competitiveness of Chile in

  9. A Standard, Knowledge Integrated Consultation Document for Pediatric HIV Information Exchange

    Directory of Open Access Journals (Sweden)

    Debkumar Patra

    2011-01-01

    Full Text Available HIV/AIDS is one of life-threatening diseases over which human currently does not have enough control. Study and research on HIV and its prevention are being carried out by different organizations. However, they are mostly area specific, thereby, failing to provide a nation-wide or region-wide overview of HIV infection. One of the major bottlenecks in having a wider study is the lack of interoperability among systems managing HIV patient information. Besides, such lack of interoperability also hinders forming larger HIV care network where telemedicine could be accomplished more effectively. We have addressed this interoperability issue through HL7 clinical document architecture (CDA, a document-based messaging standard for clinical interaction. This article introduces a document architecture that conforms to HL7 CDA standard and contains all relevant information of a pediatric HIV patient. We extended the existing architecture of CDA consultation note in three dimensions: (1 HIV specific content, (2 HIV specific knowledgebase and (3 HIV specific presentation of content and knowledge. An example CDA consultation note is demonstrated following the proposed extension.

  10. A modified Galam’s model for word-of-mouth information exchange

    Science.gov (United States)

    Ellero, Andrea; Fasano, Giovanni; Sorato, Annamaria

    2009-09-01

    In this paper we analyze the stochastic model proposed by Galam in [S. Galam, Modelling rumors: The no plane Pentagon French hoax case, Physica A 320 (2003), 571-580], for information spreading in a ‘word-of-mouth’ process among agents, based on a majority rule. Using the communications rules among agents defined in the above reference, we first perform simulations of the ‘word-of-mouth’ process and compare the results with the theoretical values predicted by Galam’s model. Some dissimilarities arise in particular when a small number of agents is considered. We find motivations for these dissimilarities and suggest some enhancements by introducing a new parameter dependent model. We propose a modified Galam’s scheme which is asymptotically coincident with the original model in the above reference. Furthermore, for relatively small values of the parameter, we provide a numerical experience proving that the modified model often outperforms the original one.

  11. Indivo: a personally controlled health record for health information exchange and communication

    Directory of Open Access Journals (Sweden)

    Crawford William CR

    2007-09-01

    Full Text Available Abstract Background Personally controlled health records (PCHRs, a subset of personal health records (PHRs, enable a patient to assemble, maintain and manage a secure copy of his or her medical data. Indivo (formerly PING is an open source, open standards PCHR with an open application programming interface (API. Results We describe how the PCHR platform can provide standard building blocks for networked PHR applications. Indivo allows the ready integration of diverse sources of medical data under a patient's control through the use of standards-based communication protocols and APIs for connecting PCHRs to existing and future health information systems. Conclusion The strict and transparent personal control model is designed to encourage widespread participation by patients, healthcare providers and institutions, thus creating the ecosystem for development of innovative, consumer-focused healthcare applications.

  12. Challenges of Executive Information Systems in listed Johannesburg Stock Exchange companies

    Directory of Open Access Journals (Sweden)

    Elmarie Papageorgiou

    2011-09-01

    Objectives: The purpose of this study is to establish and to determine the existence, and to what extent EISs exist in all levels of management and to identify the challenges companies experienced in listed JSE companies. Therefore the problem exists that EIS-users at all levels of management are unaware of the challenges of EISs and that EISs can be used as a tool to analyse their businesses’ performance and competitiveness. Method: A mixed method was used; both quantitative and qualitative in nature. Questionnaires were sent to 334 listed JSE companies and 13 interviews were conducted with users of EISs in all levels of management. Results: The results of the study demonstrate that the majority of respondents of the questionnaire have an EIS or plan to implement an EIS. The results further revealed the respondents’ positive attitude towards EISs as it is an excellent management information tool that adds strategic value to their business, that is critical for real-time decision-making, solves problems and creates a competitive edge. From the results it is evident that there is a need for an EIS to be ‘everybody’s information system’. The results of the interviews demonstrate that an EIS is a seamless reliable system necessary for proper timeous decision-making. The respondents to the questionnaire and the interviewees indicated that they understood the value of EISs as a useful part of their company. Conclusion: The study adds value to the awareness and understanding of EISs that creates a business environment in which business and management can enhance sustainability and strategic competitiveness.

  13. Data Exchange Inventory System (DEXI)

    Data.gov (United States)

    Social Security Administration — Enterprise tool used to identify data exchanges occurring between SSA and our trading partners. DEXI contains information on both incoming and outgoing exchanges and...

  14. Heat exchanger

    International Nuclear Information System (INIS)

    Bennett, J.C.

    1975-01-01

    A heat exchanger such as forms, for example, part of a power steam boiler is made up of a number of tubes that may be arranged in many different ways, and it is necessary that the tubes be properly supported. The means by which the tubes are secured must be as simple as possible so as to facilitate construction and must be able to continue to function effectively under the varying operating conditions to which the heat exchanger is subject. The arrangement described is designed to meet these requirements, in an improved way. The tubes are secured to a member extending past several tubes and abutment means are provided. At least some of the abutment means comprise two abutment pieces and a wedge secured to the supporting member, that acts on these pieces to maintain the engagement. (U.K.)

  15. Harnessing Private-Sector Innovation to Improve Health Insurance Exchanges.

    Science.gov (United States)

    Gresenz, Carole Roan; Hoch, Emily; Eibner, Christine; Rudin, Robert S; Mattke, Soeren

    2016-05-09

    Overhauling the individual health insurance market-including through the creation of health insurance exchanges-was a key component of the Patient Protection and Affordable Care Act's multidimensional approach to addressing the long-standing problem of the uninsured in the United States. Despite succeeding in enrolling millions of Americans, the exchanges still face several challenges, including poor consumer experience, high operational and development costs, and incomplete market penetration. In light of these challenges, analysts considered a different model for the exchanges-privately facilitated exchanges-which could address these challenges and deepen the Affordable Care Act's impact. In this model, the government retains control over sovereign exchange functions but allows the private sector to assume responsibility for more-peripheral exchange functions, such as developing and sustaining exchange websites. Although private-sector entities have already undertaken exchange-related functions on a limited basis, privately facilitated exchanges could conceivably relieve the government of its responsibility for front-end website operations and consumer decision-support functions entirely. A shift to privately facilitated exchanges could improve the consumer experience, increase enrollment, and lower costs for state and federal governments. A move to such a model requires, nonetheless, managing its risks, such as reduced consumer protection, increased consumer confusion, and the possible lack of a viable revenue base for privately facilitated exchanges, especially in less populous states. On net, the benefits are large enough and the risks sufficiently manageable to seriously consider such a shift. This paper provides background information and more detail on the analysts' assessment.

  16. Joint Thesaurus. Part I (A-L) + Part II (M-Z)[International Nuclear Information System. Energy Technology Data Exchange

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-04-01

    This is the 1st revision of the INIS/ETDE Joint Thesaurus. It contains 20 953 valid descriptors and 8 600 forbidden terms. It was last updated in December 2003. The Joint Thesaurus contains the controlled terminology for indexing all information within the subject scope of both INIS (International Nuclear Information System) and ETDE (Energy Technology Data Exchange) information systems. The terminology is intended for use in subject description for input or retrieval of information in those systems. The thesaurus is a terminological control device used in translating from the natural language of documents, indexers or users into a more constrained system language It is also a controlled and dynamic vocabulary of semantically and generically related terms which covers a specific domain of knowledge. The domain of knowledge covered by this Thesaurus includes physics (in particular, plasma physics, atomic and molecular physics, and especially nuclear and high-energy physics), chemistry, materials, earth sciences, radiation biology, radioisotope effects and kinetics, applied life sciences, radiology and nuclear medicine, isotope and radiation source technology, radiation protection, radiation applications, engineering, instrumentation, fossil fuels, synthetic fuels, renewable energy sources, advanced energy systems, fission and fusion reactor technology, safeguards and inspection, waste management, environmental aspects of the production and consumption of energy from nuclear and non-nuclear sources, energy efficiency and energy conservation, economics and sociology of energy production and use, energy policy, and nuclear law. The terms in the Thesaurus are listed alphabetically, and with each alphabetic entry a word block containing the terms associated with the particular entry is displayed. In the word block, terms that have a hierarchical relationship to the entry are identified by the symbols BT and NT, for Broader Term and Narrower Term. Those with an affinitive

  17. Conference of Radiation Control Program Directors, Inc. (CRCPD). A model for networking, cooperation, resource sharing, information exchange and regulation harmonization

    International Nuclear Information System (INIS)

    2007-01-01

    The focus of the talk will be to introduce the participants to the Conference of Radiation Control Program Directors, Inc. (CRCPD) and their proven methods for networking, information exchange, regulation development and standardization, and radiation protection guidance on emerging technologies. The presentation will describe how radiation control programs and staff from all 50 states in the US work collaboratively to ensure adequate radiation protection standards are uniformly applied throughout the country by pooling of resources and networking between all the states and the federal government, as well as with international members and partners. The products of CRCPD, such as the Suggested State Regulations along with other relevant informational documents, will be discussed along with how participants can access these products for use in their respective countries. CRCPD and its members represent a comprehensive radiation regulatory structure, covering all radiation sources and activities, (radioactive materials, licensing, registration, radioactive waste, x-ray, accelerators, emergency response, environmental monitoring, radon, and security). Networks are in place for all radiation issues. At the completion of this presentation, the participants will better understand a proven method to develop and implement a cooperative partnership with other countries. They will also gain knowledge on how to access CRCPD products that can be tailored for their own use and how to request technical assistance from membership. (author)

  18. Using Peer Discussion Facilitated by Clicker Questions in an Informal Education Setting: Enhancing Farmer Learning of Science

    Science.gov (United States)

    Smith, Michelle K.; Annis, Seanna L.; Kaplan, Jennifer J.; Drummond, Frank

    2012-01-01

    Blueberry growers in Maine attend annual Cooperative Extension presentations given by university faculty members. These presentations cover topics, such as, how to prevent plant disease and monitor for insect pests. In 2012, in order to make the sessions more interactive and promote learning, clicker questions and peer discussion were incorporated into the presentations. Similar to what has been shown at the undergraduate level, after peer discussion, more blueberry growers gave correct answers to multiple-choice questions than when answering independently. Furthermore, because blueberry growers are characterized by diverse levels of education, experience in the field etc., we were able to determine whether demographic factors were associated with changes in performance after peer discussion. Taken together, our results suggest that clicker questions and peer discussion work equally well with adults from a variety of demographic backgrounds without disadvantaging a subset of the population and provide an important learning opportunity to the least formally educated members. Our results also indicate that clicker questions with peer discussion were viewed as a positive addition to university-related informal science education sessions. PMID:23077638

  19. Using peer discussion facilitated by clicker questions in an informal education setting: enhancing farmer learning of science.

    Directory of Open Access Journals (Sweden)

    Michelle K Smith

    Full Text Available Blueberry growers in Maine attend annual Cooperative Extension presentations given by university faculty members. These presentations cover topics, such as, how to prevent plant disease and monitor for insect pests. In 2012, in order to make the sessions more interactive and promote learning, clicker questions and peer discussion were incorporated into the presentations. Similar to what has been shown at the undergraduate level, after peer discussion, more blueberry growers gave correct answers to multiple-choice questions than when answering independently. Furthermore, because blueberry growers are characterized by diverse levels of education, experience in the field etc., we were able to determine whether demographic factors were associated with changes in performance after peer discussion. Taken together, our results suggest that clicker questions and peer discussion work equally well with adults from a variety of demographic backgrounds without disadvantaging a subset of the population and provide an important learning opportunity to the least formally educated members. Our results also indicate that clicker questions with peer discussion were viewed as a positive addition to university-related informal science education sessions.

  20. Using peer discussion facilitated by clicker questions in an informal education setting: enhancing farmer learning of science.

    Science.gov (United States)

    Smith, Michelle K; Annis, Seanna L; Kaplan, Jennifer J; Drummond, Frank

    2012-01-01

    Blueberry growers in Maine attend annual Cooperative Extension presentations given by university faculty members. These presentations cover topics, such as, how to prevent plant disease and monitor for insect pests. In 2012, in order to make the sessions more interactive and promote learning, clicker questions and peer discussion were incorporated into the presentations. Similar to what has been shown at the undergraduate level, after peer discussion, more blueberry growers gave correct answers to multiple-choice questions than when answering independently. Furthermore, because blueberry growers are characterized by diverse levels of education, experience in the field etc., we were able to determine whether demographic factors were associated with changes in performance after peer discussion. Taken together, our results suggest that clicker questions and peer discussion work equally well with adults from a variety of demographic backgrounds without disadvantaging a subset of the population and provide an important learning opportunity to the least formally educated members. Our results also indicate that clicker questions with peer discussion were viewed as a positive addition to university-related informal science education sessions.

  1. Barriers, facilitators and views about next steps to implementing supports for evidence-informed decision-making in health systems: a qualitative study.

    Science.gov (United States)

    Ellen, Moriah E; Léon, Grégory; Bouchard, Gisèle; Ouimet, Mathieu; Grimshaw, Jeremy M; Lavis, John N

    2014-12-05

    Mobilizing research evidence for daily decision-making is challenging for health system decision-makers. In a previous qualitative paper, we showed the current mix of supports that Canadian health-care organizations have in place and the ones that are perceived to be helpful to facilitate the use of research evidence in health system decision-making. Factors influencing the implementation of such supports remain poorly described in the literature. Identifying the barriers to and facilitators of different interventions is essential for implementation of effective, context-specific, supports for evidence-informed decision-making (EIDM) in health systems. The purpose of this study was to identify (a) barriers and facilitators to implementing supports for EIDM in Canadian health-care organizations, (b) views about emerging development of supports for EIDM, and (c) views about the priorities to bridge the gaps in the current mix of supports that these organizations have in place. This qualitative study was conducted in three types of health-care organizations (regional health authorities, hospitals, and primary care practices) in two Canadian provinces (Ontario and Quebec). Fifty-seven in-depth semi-structured telephone interviews were conducted with senior managers, library managers, and knowledge brokers from health-care organizations that have already undertaken strategic initiatives in knowledge translation. The interviews were taped, transcribed, and then analyzed thematically using NVivo 9 qualitative data analysis software. Limited resources (i.e., money or staff), time constraints, and negative attitudes (or resistance) toward change were the most frequently identified barriers to implementing supports for EIDM. Genuine interest from health system decision-makers, notably their willingness to invest money and resources and to create a knowledge translation culture over time in health-care organizations, was the most frequently identified facilitator to

  2. Collaborative Information Agents on the World Wide Web

    Science.gov (United States)

    Chen, James R.; Mathe, Nathalie; Wolfe, Shawn; Koga, Dennis J. (Technical Monitor)

    1998-01-01

    In this paper, we present DIAMS, a system of distributed, collaborative information agents which help users access, collect, organize, and exchange information on the World Wide Web. Personal agents provide their owners dynamic displays of well organized information collections, as well as friendly information management utilities. Personal agents exchange information with one another. They also work with other types of information agents such as matchmakers and knowledge experts to facilitate collaboration and communication.

  3. INDC list of correspondents for the exchange of nuclear data information and compilation of national nuclear data committees

    International Nuclear Information System (INIS)

    1987-09-01

    This list of INDC Correspondents, including information on currently existing National Nuclear Data Committees and their memberships, is compiled and published upon the request of the International Nuclear Data Committee with the objective to promote the interaction and enhance the awareness of nuclear data activities in IAEA Member States. It also serves as a basis for the distribution of documents originated by or for the International Nuclear Data Committee and includes the names of all recipients of INDC documents. The INDC Secretariat tries to maintain this list up-to-date in order to facilitate an efficient interchange of information on nuclear data topics. The report is presented in five sections. The first section contains a detailed description of the INDC distribution categories, distribution codes and document designator codes. The second section describes the aims, organization and objectives of individual national nuclear data committees. The third section lists names and addresses in alphabetical order within each state or international organization together with the assigned INDC document distribution code(s); where applicable committee membership and/or area of specialization are indicated. This is followed by four shorter lists, indicating the names of individuals in each distribution category, sorted by country or international organization, and the total number of individuals in each category. The final section provides the names of nuclear data committee members also listed by country or international organization

  4. Leveraging health information exchange to improve population health reporting processes: lessons in using a collaborative-participatory design process.

    Science.gov (United States)

    Revere, Debra; Dixon, Brian E; Hills, Rebecca; Williams, Jennifer L; Grannis, Shaun J

    2014-01-01

    Surveillance, or the systematic monitoring of disease within a population, is a cornerstone function of public health. Despite significant investment in information technologies (IT) to improve the public's health, health care providers continue to rely on manual, spontaneous reporting processes that can result in incomplete and delayed surveillance activities. Participatory design principles advocate including real users and stakeholders when designing an information system to ensure high ecological validity of the product, incorporate relevance and context into the design, reduce misconceptions designers can make due to insufficient domain expertise, and ultimately reduce barriers to adoption of the system. This paper focuses on the collaborative and informal participatory design process used to develop enhanced, IT-enabled reporting processes that leverage available electronic health records in a health information exchange to prepopulate notifiable-conditions report forms used by public health authorities. Over nine months, public health stakeholders, technical staff, and informatics researchers were engaged in a multiphase participatory design process that included public health stakeholder focus groups, investigator-engineering team meetings, public health survey and census regarding high-priority data elements, and codesign of exploratory prototypes and final form mock-ups. A number of state-mandated report fields that are not highly used or desirable for disease investigation were eliminated, which allowed engineers to repurpose form space for desired and high-priority data elements and improve the usability of the forms. Our participatory design process ensured that IT development was driven by end user expertise and needs, resulting in significant improvements to the layout and functionality of the reporting forms. In addition to informing report form development, engaging with public health end users and stakeholders through the participatory design

  5. The Federation of Earth Science Information Partners (ESIP Federation): Facilitating Partnerships that Work to Bring Earth Science Data into Educational Settings

    Science.gov (United States)

    Freuder, R.; Ledley, T. S.; Dahlman, L.

    2004-12-01

    The Federation of Earth Science Information Partners (ESIP Federation, http://www.esipfed.org) formed seven years ago and now with 77 member organizations is working to "increase the quality and value of Earth science products and services .for the benefit of the ESIP Federation's stakeholder communities." Education (both formal and informal) is a huge audience that we serve. Partnerships formed by members within the ESIP Federation have created bridges that close the gap between Earth science data collection and research and the effective use of that Earth science data to explore concepts in Earth system science by the educational community. The Earth Exploration Toolbook is one of those successful collaborations. The Earth Exploration Toolbook (EET, http://serc.carleton.edu/eet) grew out of a need of the educational community (articulated by the Digital Library for Earth System Education (DLESE) community) to have better access to Earth science data and data analysis tools and help in effectively using them with students. It is a collection of web-accessible chapters, each featuring step-by-step instructions on how to use an Earth science dataset and data analysis tool to investigate an issue or concept in Earth system science. Each chapter also provides the teacher information on the outcome of the activity, grade level, standards addressed, learning goals, time required, and ideas for exploring further. The individual ESIP Federation partners alone could not create the EET. However, the ESIP Federation facilitated the partnering of members, drawing from data providers, researchers and education tool developers, to create the EET. Interest in the EET has grown since it went live with five chapters in July 2003. There are currently seven chapters with another six soon to be released. Monthly online seminars in which over a hundred educators have participated have given very positive feedback. Post workshop surveys from our telecon-online workshops indicate that

  6. LMR deactivation information exchange

    International Nuclear Information System (INIS)

    Guttenberg, S.

    1998-01-01

    This report contains vugraphs of presentations given at the meeting. The topics covered include the following: FFTF Deactivation Strategy; Sodium Drain and Disposition; Sodium Processing; and Fuel Storage and Disposition

  7. Fire Protection Informational Exchange

    Science.gov (United States)

    2016-07-01

    durable and launderable. A summary of contractor lead efforts to achieve these goals was presented. 3.19 US Naval Air Systems Command The NAVAIR fire... contractors spoke next concerning their companies’ technologies for fuel fire mitigation. Randy Fontinakes from Meggitt summarized his company’s products...decomprHalon FUS~ ht Surgeon’a Manual, USN: 0 Mdentlry, rapid d.eC)mpt"tMion • moct.rate .ctfvtty, rapkl decomprualon c: 0 Ill 5 1000 +- ph~lo4oglcal

  8. 75 FR 64775 - 60-Day Notice of Proposed Information Collection: Form DS-3097, Exchange Visitor Program Annual...

    Science.gov (United States)

    2010-10-20

    ... DS-3097, Exchange Visitor Program Annual Report, and OMB Control Number 1405- 0151 ACTION: Notice of request for public comments. SUMMARY: The Department of State is seeking Office of Management and Budget...: Exchange Visitor Program Annual Report. OMB Control Number: 1405-0151. Type of Request: Extension of a...

  9. 76 FR 77581 - 60-Day Notice of Proposed Information Collection: Form DS-3097, Exchange Visitor Program Annual...

    Science.gov (United States)

    2011-12-13

    ... DS-3097, Exchange Visitor Program Annual Report, and OMB Control Number 1405- 0151 ACTION: Notice of request for public comments. SUMMARY: The Department of State is seeking Office of Management and Budget...: Exchange Visitor Program Annual Report. OMB Control Number: 1405-0151. Type of Request: Extension of a...

  10. Joint terminals and relay optimization for two-way power line information exchange systems with QoS constraints

    Science.gov (United States)

    Wu, Xiaolin; Rong, Yue

    2015-12-01

    The quality-of-service (QoS) criteria (measured in terms of the minimum capacity requirement in this paper) are very important to practical indoor power line communication (PLC) applications as they greatly affect the user experience. With a two-way multicarrier relay configuration, in this paper we investigate the joint terminals and relay power optimization for the indoor broadband PLC environment, where the relay node works in the amplify-and-forward (AF) mode. As the QoS-constrained power allocation problem is highly non-convex, the globally optimal solution is computationally intractable to obtain. To overcome this challenge, we propose an alternating optimization (AO) method to decompose this problem into three convex/quasi-convex sub-problems. Simulation results demonstrate the fast convergence of the proposed algorithm under practical PLC channel conditions. Compared with the conventional bidirectional direct transmission (BDT) system, the relay-assisted two-way information exchange (R2WX) scheme can meet the same QoS requirement with less total power consumption.

  11. Balancing Health Information Exchange and Privacy Governance from a Patient-Centred Connected Health and Telehealth Perspective.

    Science.gov (United States)

    Kuziemsky, Craig E; Gogia, Shashi B; Househ, Mowafa; Petersen, Carolyn; Basu, Arindam

    2018-04-22

     Connected healthcare is an essential part of patient-centred care delivery. Technology such as telehealth is a critical part of connected healthcare. However, exchanging health information brings the risk of privacy issues. To better manage privacy risks we first need to understand the different patterns of patient-centred care in order to tailor solutions to address privacy risks.  Drawing upon published literature, we develop a business model to enable patient-centred care via telehealth. The model identifies three patient-centred connected health patterns. We then use the patterns to analyse potential privacy risks and possible solutions from different types of telehealth delivery.  Connected healthcare raises the risk of unwarranted access to health data and related invasion of privacy. However, the risk and extent of privacy issues differ according to the pattern of patient-centred care delivery and the type of particular challenge as they enable the highest degree of connectivity and thus the greatest potential for privacy breaches.  Privacy issues are a major concern in telehealth systems and patients, providers, and administrators need to be aware of these privacy issues and have guidance on how to manage them. This paper integrates patient-centred connected health care, telehealth, and privacy risks to provide an understanding of how risks vary across different patterns of patient-centred connected health and different types of telehealth delivery. Georg Thieme Verlag KG Stuttgart.

  12. Fast filtering algorithm based on vibration systems and neural information exchange and its application to micro motion robot

    International Nuclear Information System (INIS)

    Gao Wa; Zha Fu-Sheng; Li Man-Tian; Song Bao-Yu

    2014-01-01

    This paper develops a fast filtering algorithm based on vibration systems theory and neural information exchange approach. The characters, including the derivation process and parameter analysis, are discussed and the feasibility and the effectiveness are testified by the filtering performance compared with various filtering methods, such as the fast wavelet transform algorithm, the particle filtering method and our previously developed single degree of freedom vibration system filtering algorithm, according to simulation and practical approaches. Meanwhile, the comparisons indicate that a significant advantage of the proposed fast filtering algorithm is its extremely fast filtering speed with good filtering performance. Further, the developed fast filtering algorithm is applied to the navigation and positioning system of the micro motion robot, which is a high real-time requirement for the signals preprocessing. Then, the preprocessing data is used to estimate the heading angle error and the attitude angle error of the micro motion robot. The estimation experiments illustrate the high practicality of the proposed fast filtering algorithm. (general)

  13. Out-of-hours GPs and palliative care-a qualitative study exploring information exchange and communication issues.

    Science.gov (United States)

    Taubert, Mark; Nelson, Annmarie

    2010-08-12

    Out-of-hours general practitioners (GPs) cover the community over a significant proportion of a given week, and palliative care patients are seen as a priority. Little is known about how well these GPs feel supported in their line of work and whether communication exchanges work well for the proportion of their patients who have palliative care needs. For this study, GPs who provide out-of-hours care were interviewed in order to explore factors that they identified as detrimental or beneficial for good communication between themselves, patients, relatives and other professionals, specifically to palliative care encounters. Nine GPs were interviewed using face-to-face semi-structured interviews. All nine GPs worked regular out-of-hours sessions. Data from transcripts was analysed using Interpretative Phenomenological Analysis. A predominant theme expressed by GPs related to constraints within the system provided by the local private company owned out-of-hours provider. A strong feeling of 'being alone out there' emerged, with some GPs more willing to call for help than others, and others expressing their concern at access to pharmacies and medication being very inconsistent.Out-of-hours GPs felt left alone on occasion, unable to access daytime services and not knowing who to call for advice. Information hand-over systems from in-hours to out-of-hours with regard to palliative care were felt to be inadequate. Out-of-hours doctors interviewed felt left out of the care loop; handover sheets from specialist palliative care providers were a rarity. Out-of-hours services need to be mindful of the needs of the GPs they employ, in particular relating to the palliative care they provide in this setting. Other healthcare professionals should aim to keep their local out-of-hours service informed about palliative care patients they may be called to see.

  14. Out-of-hours GPs and palliative care-a qualitative study exploring information exchange and communication issues

    Directory of Open Access Journals (Sweden)

    Taubert Mark

    2010-08-01

    Full Text Available Abstract Background Out-of-hours general practitioners (GPs cover the community over a significant proportion of a given week, and palliative care patients are seen as a priority. Little is known about how well these GPs feel supported in their line of work and whether communication exchanges work well for the proportion of their patients who have palliative care needs. For this study, GPs who provide out-of-hours care were interviewed in order to explore factors that they identified as detrimental or beneficial for good communication between themselves, patients, relatives and other professionals, specifically to palliative care encounters. Methods Nine GPs were interviewed using face-to-face semi-structured interviews. All nine GPs worked regular out-of-hours sessions. Data from transcripts was analysed using Interpretative Phenomenological Analysis. Results A predominant theme expressed by GPs related to constraints within the system provided by the local private company owned out-of-hours provider. A strong feeling of 'being alone out there' emerged, with some GPs more willing to call for help than others, and others expressing their concern at access to pharmacies and medication being very inconsistent. Out-of-hours GPs felt left alone on occasion, unable to access daytime services and not knowing who to call for advice. Information hand-over systems from in-hours to out-of-hours with regard to palliative care were felt to be inadequate. Out-of-hours doctors interviewed felt left out of the care loop; handover sheets from specialist palliative care providers were a rarity. Conclusions Out-of-hours services need to be mindful of the needs of the GPs they employ, in particular relating to the palliative care they provide in this setting. Other healthcare professionals should aim to keep their local out-of-hours service informed about palliative care patients they may be called to see.

  15. Assisted Living Facilities, This file contains the name, address, contact and some licensing information for the Assisted Living Facilites for the State of Maryland., Published in 2010, Smaller than 1:100000 scale, Maryland Department of Health and Mental Hygiene.

    Data.gov (United States)

    NSGIC State | GIS Inventory — Assisted Living Facilities dataset current as of 2010. This file contains the name, address, contact and some licensing information for the Assisted Living Facilites...

  16. Facilitating Transfers

    DEFF Research Database (Denmark)

    Kjær, Poul F.

    to specific logics of temporalisation and spatial expansion of a diverse set of social processes in relation to, for example, the economy, politics, science and the mass media. On this background, the paper will more concretely develop a conceptual framework for classifying different contextual orders...... that the essential functional and normative purpose of regulatory governance is to facilitate, stabilise and justify the transfer of condensed social components (such as economic capital and products, political decisions, legal judgements, religious beliefs and scientific knowledge) from one social contexts...

  17. Engineer exchanging project (coal mine technology field) in fiscal 1999. International information exchanging project (advance survey on Russia); 1999 nendo gijutsusha koryu jigyo (tanko gijutsu bun'ya) kokusai koryu jigyo. Jizen chosa (Roshia)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    This advance survey on Russia has performed visiting surveys and information collection at coal related organizations inside Japan and in overseas countries on production technology levels, trends and technology exchange needs in overseas coal producing countries. The project is intended to serve for improvement in the contents of and smooth execution of the engineer exchange project in the 'coal mine technology field. It was carried out by expertise people as the site surveys and the engineer reception and exchange surveys. Because of the economic crisis that has hit Russia in 1998, unprofitable coal mines were closed one after another under the coal mine scrap and build policy under the initiative of the World Bank. This situation is giving serious impacts on coal mines in the Far East Russia and the coastal areas. However, the importance of coal as the primary energy source has not been changed at all in the Far East Russia. Thus, the areas have fallen into a situation that they must rely on a great amount of introduced and imported coals as a result of weakening in coal mines in the Far Eastern area on the other hand. This paper reports mainly the situation in which the coal industries in the coastal areas are placed, and the possibilities of technology exchange. (NEDO)

  18. Understanding barriers and facilitators to the use of Clinical Information Systems for intensive care units and Anesthesia Record Keeping: A rapid ethnography.

    Science.gov (United States)

    Saleem, Jason J; Plew, William R; Speir, Ross C; Herout, Jennifer; Wilck, Nancy R; Ryan, Dale Marie; Cullen, Theresa A; Scott, Jean M; Beene, Murielle S; Phillips, Toni

    2015-07-01

    This study evaluated the current use of commercial-off-the-shelf Clinical Information Systems (CIS) for intensive care units (ICUs) and Anesthesia Record Keeping (ARK) for operating rooms and post-anesthesia care recovery settings at three Veterans Affairs Medical Centers (VAMCs). Clinicians and administrative staff use these applications at bedside workstations, in operating rooms, at nursing stations, in physician's rooms, and in other various settings. The intention of a CIS or an ARK system is to facilitate creation of electronic records of data, assessments, and procedures from multiple medical devices. The US Department of Veterans Affairs (VA) Office of the Chief of Nursing Informatics sought to understand usage barriers and facilitators to optimize these systems in the future. Therefore, a human factors study was carried out to observe the CIS and ARK systems in use at three VAMCs in order to identify best practices and suggested improvements to currently implemented CIS and ARK systems. We conducted a rapid ethnographic study of clinical end-users interacting with the CIS and ARK systems in the critical care and anesthesia care areas in each of three geographically distributed VAMCs. Two observers recorded interactions and/or interview responses from 88 CIS and ARK end-users. We coded and sorted into logical categories field notes from 69 shadowed participants. The team transcribed and combined data from key informant interviews with 19 additional participants with the observation data. We then integrated findings across observations into meaningful patterns and abstracted the data into themes, which translated directly to barriers to effective adoption and optimization of the CIS and ARK systems. Effective optimization of the CIS and ARK systems was impeded by: (1) integration issues with other software systems; (2) poor usability; (3) software challenges; (4) hardware challenges; (5) training concerns; (6) unclear roles and lack of coordination among

  19. Joint thesaurus Part I (A-L) + II (M-Z)[International Nuclear Information System. Energy Technology Data Exchange

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-04-15

    This is the second revision of the ETDE/INIS Joint Thesaurus, including all updates up to September 2006. It contains 21 147 valid descriptors and 9 114 forbidden terms. The Joint Thesaurus contains the controlled terminology for indexing all information within the subject scopes of the International Nuclear Information System (INIS) and the Energy Technology Data Exchange (ETDE). The terminology is intended for use in subject descriptions for input or retrieval of information in these systems. The thesaurus is a terminological control device used in translating from the natural language of documents, indexers or users into a more constrained system language It is also a controlled and dynamic vocabulary of semantically and generically related terms which covers a specific domain of knowledge. The basic terminology in this thesaurus goes back to the 1969 edition of the EURATOM Thesaurus. The structure subsequently given to that terminology was the result of a systematic study performed by INIS subject specialists. Further expansion of the thesaurus terminology was done by ETDE to incorporate information on all forms of energy. The ETDE/INIS Joint Thesaurus is the result of continued editing, carried out in parallel to the processing of the INIS and ETDE databases. The domain of knowledge covered by the Joint Thesaurus includes physics (in particular, plasma physics, atomic and molecular physics, and especially nuclear and high-energy physics), chemistry, materials science, earth sciences, radiation biology, radioisotope effects and kinetics, applied life sciences, radiology and nuclear medicine, isotope and radiation source technology, radiation protection, radiation applications, engineering, instrumentation, fossil fuels, synthetic fuels, renewable energy sources, advanced energy systems, fission and fusion reactor technology, safeguards and inspection, waste management, environmental aspects of the production and consumption of energy from nuclear and non

  20. Arrangement for Cooperation and Exchange of Information between the Atomic Energy Control Board of Canada and the Health and Safety Executive of the United Kingdom

    International Nuclear Information System (INIS)

    1991-01-01

    Under this Arrangement which covers the period 31 May 1991 to 1 June 1996, the Parties may exchange information on administrative, regulatory and technical questions as well as on press and public reactions to incidents. The information could concern the nuclear installation itself (siting, decommissioning), or safety (assessments, research and development work) or treatment of radioactive wastes. The Arrangement also covers information concerning any event that has a major radiological significance and the remedial actions undertaken in response. In addition, the Arrangement lists excepted information, for example for national security or commercial reasons. (NEA) [fr

  1. Effective international information exchange as a key element of modern tax systems: promises and pitfalls of the OECD’s common reporting standard

    Directory of Open Access Journals (Sweden)

    Stjepan Gadzo

    2017-06-01

    Full Text Available Today’s global economic environment is characterized by the high mobility of capital and labour across national borders. Against the backdrop of a legal framework governing taxation of cross-border income, this may lead to double taxation on the one hand, as well as provide opportunities for tax evasion and tax avoidance on the other. It is well-established that a prerequisite for effective taxation of foreign-sourced income earned by “domestic taxpayers” (i.e. tax residents is the system of administrative co-operation across national boundaries, mainly in the form of exchange of tax-relevant information between tax authorities. Since the lack of information-exchange mechanisms is linked with tax havens and the proliferation of “harmful tax practices”, the OECD put the issue high on the global political agenda as early as 1998. Further developments strengthened the importance of the exchange of information, leading to the so-called “big bang” of 2009, i.e. to a significant increase in the number of concluded tax information exchange agreements, caused by the growing concern about international tax evasion and avoidance in the post-crisis period.Nowadays the so-called automatic exchange of information (AEOI between tax authorities has emerged as a new global standard. This is mostly due to the development of specific national and international models, aimed at enhancing intergovernmental cooperation in fighting offshore tax evasion. In this regard special attention should be drawn to the 2014 release of the OECD’s Common Reporting Standard (CRS, which is based on the idea that banks and other financial institutions should play a crucial role in providing information on taxpayer’s income and assets to tax authorities around the globe.The aim of this paper is to explore some of the most important implications of the adoption of the CRS as a global AEOI model. While there are marked advantages of the new standard - mainly related

  2. Facebook as a tool for communication, collaboration, and informal knowledge exchange among members of a multisite family health team.

    Science.gov (United States)

    Lofters, Aisha K; Slater, Morgan B; Nicholas Angl, Emily; Leung, Fok-Han

    2016-01-01

    To implement and evaluate a private Facebook group for members of a large Ontario multisite Family Health Team (FHT) to facilitate improved communication and collaboration. Program implementation and subsequent survey of team members. A large multisite FHT in Toronto, Ontario. Health professionals of the FHT. Usage patterns and self-reported perceptions of the Facebook group by team members. At the time of the evaluation survey, the Facebook group had 43 members (37.4% of all FHT members). Activity in the group was never high, and posts by team members who were not among the researchers were infrequent throughout the study period. The content of posts fell into two broad categories: 1) information that might be useful to various team members and 2) questions posed by team members that others might be able to answer. Of the 26 team members (22.6%) who completed the evaluation survey, many reported that they never logged into the Facebook page (16 respondents), and never used it to communicate with team members outside of their own site of practice (19 respondents). Only six respondents reported no concerns with using Facebook as a professional communication tool; the most frequent concerns were regarding personal and patient privacy. The use of social media by health care practitioners is becoming ubiquitous. However, the issues of privacy concerns and determining how to use social media without adding to provider workload must be addressed to make it a useful tool in health care.

  3. Engineer exchanging project on coal mine technology field in fiscal 1999. International information exchanging project (the overseas workshop in Vietnam); 1999 nendo gijutsusha koryu jigyo (tanko gijutsu bun'ya) kokusai koryu jigyo. Kaigai workshop (Vietnam)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    Technical information exchange was performed with Vietnamese engineers related to coal mine technologies through the overseas workshop and the technical tour. At the same time, investigations were executed on the production technology levels and needs in Vietnam, and on possibilities of transfer of Japanese technologies. The 'Overseas workshop (Vietnam)' was held on September 28, 1999 with the 'trends and problems in coal production technologies' as the main theme. Lectures were given in the session related to coal production technologies by Vietnamese coal technology experts, each from VINACOAL and IMSAT, and by two Japanese coal technology experts. A comprehensive discussion was also executed, and items of technical information were exchanged on the coal production technologies. The number of persons actually participated in the workshop counted 58, with the proceedings presented by them distributed. The Mao Khe and Duong Huy coal mines in Quang Ninh Province were visited as the technical tour, whereas the coal mine sites were inspected and opinions were exchanged with the site engineers. Gas analysis was performed in the Mao Khe mine from the viewpoint of a gas control technology, and site investigation was carried out on lock bolts in the Duong Huy mine from the viewpoint of a roof control technology. (NEDO)

  4. Facilitating Transfers

    DEFF Research Database (Denmark)

    Kjær, Poul F.

    2018-01-01

    Departing from the paradox that globalisation has implied an increase, rather than a decrease, in contextual diversity, this paper re-assesses the function, normative purpose and location of Regulatory Governance Frameworks in world society. Drawing on insights from sociology of law and world...... society studies, the argument advanced is that Regulatory Governance Frameworks are oriented towards facilitating transfers of condensed social components, such as economic capital and products, legal acts, political decisions and scientific knowledge, from one legally-constituted normative order, i.......e. contextual setting, to another. Against this background, it is suggested that Regulatory Governance Frameworks can be understood as schemes which act as ‘rites of passage’ aimed at providing legal stabilisation to social processes characterised by liminality, i.e ambiguity, hybridity and in-betweenness....

  5. The Energy Industry Profile of ISO/DIS 19115-1: Facilitating Discovery and Evaluation of, and Access to Distributed Information Resources

    Science.gov (United States)

    Hills, S. J.; Richard, S. M.; Doniger, A.; Danko, D. M.; Derenthal, L.; Energistics Metadata Work Group

    2011-12-01

    established, capability-rich, open standard for geographic metadata, EIP v1 is expected to be widely acceptable within the community and readily sustainable over the long-term. The EIP design, also per community requirements, will enable discovery, evaluation, and access to types of information resources considered important to the community, including structured and unstructured digital resources, and physical assets such as hardcopy documents and material samples. This presentation will briefly review the development of this initiative as well as the current and planned Work Group activities. More time will be spent providing an overview of the EIP v1, including the requirements it prescribes, design efforts made to enable automated metadata capture and processing, and the structure and content of its documentation, which was written to minimize ambiguity and facilitate implementation. The Work Group considers EIP v1 a solid initial design for interoperable metadata, and first step toward the vision of the Initiative.

  6. FY 2000 report on information exchanges/analytical survey for improvement of energy consumption efficiency; 2000 nendo energy shohi koritsuka joho kokan bunseki chosa hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    For the purpose of surveying the situation of the arrangement of methods of energy conservation promotion and the emissions trading system in developing countries by Japan having the effectiveness or in cooperation with developed countries, information was collected through the participation in international conferences related to energy conservation promotion, etc. and by visits at governmental organizations in charge in developed countries and developing countries. The results of the survey were classified into the following four items: 1) survey method; 2) exchanges of information on energy conservation in main 3 developing counties; 3) exchanges of information of energy conservation in the main developed countries; 4) exchanges of information of the emissions trading system (international trading system of energy conservation values (greenhouse effect gas emission right)). In 4), survey was made on the following: the emissions trading system for the inside of company group (BP-Amoco), the details of the emissions trading system for one country (the U.K.), the grapple with the emissions trading by a private trading organization (NATSOURCE Co.), and the handle with the emissions trading system by each of the OECD countries. (NEDO)

  7. Facebook as a tool for communication, collaboration, and informal knowledge exchange among members of a multisite family health team

    Directory of Open Access Journals (Sweden)

    Lofters AK

    2016-01-01

    Full Text Available Aisha K Lofters,1,2 Morgan B Slater,1 Emily Nicholas Angl,1 Fok-Han Leung1 1Department of Family and Community Medicine, 2Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St Michael's Hospital, University of Toronto, Toronto, ON, Canada Objective: To implement and evaluate a private Facebook group for members of a large Ontario multisite Family Health Team (FHT to facilitate improved communication and collaboration. Design: Program implementation and subsequent survey of team members. Setting: A large multisite FHT in Toronto, Ontario. Participants: Health professionals of the FHT. Main outcome measures: Usage patterns and self-reported perceptions of the Facebook group by team members. Results: At the time of the evaluation survey, the Facebook group had 43 members (37.4% of all FHT members. Activity in the group was never high, and posts by team members who were not among the researchers were infrequent throughout the study period. The content of posts fell into two broad categories: 1 information that might be useful to various team members and 2 questions posed by team members that others might be able to answer. Of the 26 team members (22.6% who completed the evaluation survey, many reported that they never logged into the Facebook page (16 respondents, and never used it to communicate with team members outside of their own site of practice (19 respondents. Only six respondents reported no concerns with using Facebook as a professional communication tool; the most frequent concerns were regarding personal and patient privacy. Conclusion: The use of social media by health care practitioners is becoming ubiquitous. However, the issues of privacy concerns and determining how to use social media without adding to provider workload must be addressed to make it a useful tool in health care. Keywords: social media, team-based care, communication, interprofessionalism, social network

  8. The use of a policy dialogue to facilitate evidence-informed policy development for improved access to care: the case of the Winnipeg Central Intake Service (WCIS).

    Science.gov (United States)

    Damani, Zaheed; MacKean, Gail; Bohm, Eric; DeMone, Brie; Wright, Brock; Noseworthy, Tom; Holroyd-Leduc, Jayna; Marshall, Deborah A

    2016-10-18

    Policy dialogues are critical for developing responsive, effective, sustainable, evidence-informed policy. Our multidisciplinary team, including researchers, physicians and senior decision-makers, comprehensively evaluated The Winnipeg Central Intake Service, a single-entry model in Winnipeg, Manitoba, to improve patient access to hip/knee replacement surgery. We used the evaluation findings to develop five evidence-informed policy directions to help improve access to scheduled clinical services across Manitoba. Using guiding principles of public participation processes, we hosted a policy roundtable meeting to engage stakeholders and use their input to refine the policy directions. Here, we report on the use and input of a policy roundtable meeting and its role in contributing to the development of evidence-informed policy. Our evidence-informed policy directions focused on formal measurement/monitoring of quality, central intake as a preferred model for service delivery, provincial scope, transparent processes/performance indicators, and patient choice of provider. We held a policy roundtable meeting and used outcomes of facilitated discussions to refine these directions. Individuals from our team and six stakeholder groups across Manitoba participated (n = 44), including patients, family physicians, orthopaedic surgeons, surgical office assistants, Winnipeg Central Intake team, and administrators/managers. We developed evaluation forms to assess the meeting process, and collected decision-maker partners' perspectives on the value of the policy roundtable meeting and use of policy directions to improve access to scheduled clinical services after the meeting, and again 15 months later. We analyzed roundtable and evaluation data using thematic analysis to identify key themes. Four key findings emerged. First, participants supported all policy directions, with revisions and key implementation considerations identified. Second, participants felt the policy roundtable

  9. Matchmaker Exchange.

    Science.gov (United States)

    Sobreira, Nara L M; Arachchi, Harindra; Buske, Orion J; Chong, Jessica X; Hutton, Ben; Foreman, Julia; Schiettecatte, François; Groza, Tudor; Jacobsen, Julius O B; Haendel, Melissa A; Boycott, Kym M; Hamosh, Ada; Rehm, Heidi L

    2017-10-18

    In well over half of the individuals with rare disease who undergo clinical or research next-generation sequencing, the responsible gene cannot be determined. Some reasons for this relatively low yield include unappreciated phenotypic heterogeneity; locus heterogeneity; somatic and germline mosaicism; variants of uncertain functional significance; technically inaccessible areas of the genome; incorrect mode of inheritance investigated; and inadequate communication between clinicians and basic scientists with knowledge of particular genes, proteins, or biological systems. To facilitate such communication and improve the search for patients or model organisms with similar phenotypes and variants in specific candidate genes, we have developed the Matchmaker Exchange (MME). MME was created to establish a federated network connecting databases of genomic and phenotypic data using a common application programming interface (API). To date, seven databases can exchange data using the API (GeneMatcher, PhenomeCentral, DECIPHER, MyGene2, matchbox, Australian Genomics Health Alliance Patient Archive, and Monarch Initiative; the latter included for model organism matching). This article guides usage of the MME for rare disease gene discovery. © 2017 by John Wiley & Sons, Inc. Copyright © 2017 John Wiley and Sons, Inc.

  10. Summary of the contractor information exchange meeting for improving the safety of Soviet-Designed Nuclear Power Plants, February 19, 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-04-01

    This report summarizes a meeting held on February 19, 1997, in Washington, D.C. The meeting was held primarily to exchange information among the contractors involved in the U.S. Department of Energy`s efforts to improve the safety of Soviet-designed nuclear power plants. Previous meetings have been held on December 5-6, 1995, and May 22, 1996. The meetings are sponsored by the U.S. Department of Energy and coordinated by the Pacific Northwest National Laboratory. The U.S. Department of Energy works with countries to increase the level of safety at 63 Soviet-designed nuclear reactors operating in Armenia, Bulgaria, the Czech Republic, Hungary, Lithuania, Russia, Slovakia, and Ukraine. The work is implemented largely by commercial companies and individuals who provide technologies and services to the countries with Soviet-designed nuclear power plants. Attending the meeting were 71 representatives of commercial contractors, the U.S. Department of Energy, the U.S. Department of State, national laboratories, and other federal agencies. The presentations and discussions that occurred during the exchange are summarized in this report. While this report captures the general presentation and discussion points covered at the meeting, it is not a verbatim, inclusive record. To make the report useful, information presented at the meeting has been expanded to clarify issues, respond to attendees` requests, or place discussion points in a broader programmatic context. Appendixes A through F contain the meeting agenda, list of attendees, copies of presentation visuals and handouts, the Strategy Document discussed at the meeting, and a summary of attendees` post-meeting evaluation comments. As with past information exchanges, the participants found this meeting valuable and useful. In response to the participant`s requests, a fourth information exchange will be held later in 1997.

  11. Summary of the contractor information exchange meeting for improving the safety of Soviet-Designed Nuclear Power Plants, February 19, 1997

    International Nuclear Information System (INIS)

    1997-04-01

    This report summarizes a meeting held on February 19, 1997, in Washington, D.C. The meeting was held primarily to exchange information among the contractors involved in the U.S. Department of Energy's efforts to improve the safety of Soviet-designed nuclear power plants. Previous meetings have been held on December 5-6, 1995, and May 22, 1996. The meetings are sponsored by the U.S. Department of Energy and coordinated by the Pacific Northwest National Laboratory. The U.S. Department of Energy works with countries to increase the level of safety at 63 Soviet-designed nuclear reactors operating in Armenia, Bulgaria, the Czech Republic, Hungary, Lithuania, Russia, Slovakia, and Ukraine. The work is implemented largely by commercial companies and individuals who provide technologies and services to the countries with Soviet-designed nuclear power plants. Attending the meeting were 71 representatives of commercial contractors, the U.S. Department of Energy, the U.S. Department of State, national laboratories, and other federal agencies. The presentations and discussions that occurred during the exchange are summarized in this report. While this report captures the general presentation and discussion points covered at the meeting, it is not a verbatim, inclusive record. To make the report useful, information presented at the meeting has been expanded to clarify issues, respond to attendees' requests, or place discussion points in a broader programmatic context. Appendixes A through F contain the meeting agenda, list of attendees, copies of presentation visuals and handouts, the Strategy Document discussed at the meeting, and a summary of attendees' post-meeting evaluation comments. As with past information exchanges, the participants found this meeting valuable and useful. In response to the participant's requests, a fourth information exchange will be held later in 1997

  12. Identifying Health Information Technology Needs of Oncologists to Facilitate the Adoption of Genomic Medicine: Recommendations From the 2016 American Society of Clinical Oncology Omics and Precision Oncology Workshop.

    Science.gov (United States)

    Hughes, Kevin S; Ambinder, Edward P; Hess, Gregory P; Yu, Peter Paul; Bernstam, Elmer V; Routbort, Mark J; Clemenceau, Jean Rene; Hamm, John T; Febbo, Phillip G; Domchek, Susan M; Chen, James L; Warner, Jeremy L

    2017-09-20

    At the ASCO Data Standards and Interoperability Summit held in May 2016, it was unanimously decided that four areas of current oncology clinical practice have serious, unmet health information technology needs. The following areas of need were identified: 1) omics and precision oncology, 2) advancing interoperability, 3) patient engagement, and 4) value-based oncology. To begin to address these issues, ASCO convened two complementary workshops: the Omics and Precision Oncology Workshop in October 2016 and the Advancing Interoperability Workshop in December 2016. A common goal was to address the complexity, enormity, and rapidly changing nature of genomic information, which existing electronic health records are ill equipped to manage. The subject matter experts invited to the Omics and Precision Oncology Workgroup were tasked with the responsibility of determining a specific, limited need that could be addressed by a software application (app) in the short-term future, using currently available genomic knowledge bases. Hence, the scope of this workshop was to determine the basic functionality of one app that could serve as a test case for app development. The goal of the second workshop, described separately, was to identify the specifications for such an app. This approach was chosen both to facilitate the development of a useful app and to help ASCO and oncologists better understand the mechanics, difficulties, and gaps in genomic clinical decision support tool development. In this article, we discuss the key challenges and recommendations identified by the workshop participants. Our hope is to narrow the gap between the practicing oncologist and ongoing national efforts to provide precision oncology and value-based care to cancer patients.

  13. A qualitative study of sign-out processes between primary and on-call residents: relationships in information exchange, responsibility and accountability.

    Science.gov (United States)

    Lee, Soo-Hoon; Fisher, Dale A; Mah, Heidi; Goh, Wei-Ping; Phan, Phillip H

    2017-10-01

    To review a quality improvement event on the process of sign-outs between the primary and on-call residents. A retrospective qualitative study using semi-structured interviews. A tertiary academic medical center in Singapore with 283 inpatient Medicine beds served by 28 consultants, 29 registrars, 45 residents and 30 interns during the day but 5 residents and 3 interns at night. Residents, registrars and consultants. Quality improvement event on sign-out. Effectiveness of sign-out comprises exchange of patient information, professional responsibility and task accountability. The following process of sign-outs was noted. Primary teams were accountable to the on-call resident by selecting at-risk patients and preparing contingency plans for sign-out. Structured information exchanged included patient history, active problems and plans of care. On-call residents took ownership of at-risk patients by actively asking questions during sign-out and reporting back the agreed care plan. On-call residents were accountable to the primary team by reporting back at-risk patients the next day. A structured information exchange at sign-out increased the on-call resident's ability to care for at-risk patients when it was supported by two-way transfers of responsibility and accountability. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  14. 77 FR 2566 - Comment Request for Information Collection for a Three-Year Extension of the Labor Exchange...

    Science.gov (United States)

    2012-01-18

    ... characteristics, services and outcomes of job seeker customers. Additionally, ETA and VETS analyze the data to determine the delivery of core labor exchange services; to study performance outcomes vis-[agrave]-vis... by the Office of Workforce Investment, the Office of Unemployment Insurance, the Office of Financial...

  15. Where do intra-organizational advice relations come from? The role of informal status and social capital in social exchange

    NARCIS (Netherlands)

    Agneessens, Filip; Wittek, Rafael

    Social status and social capital frameworks are used to derive competing hypotheses about the emergence and structure of advice relations in organizations. Although both approaches build on a social exchange framework, they differ in their behavioral micro-foundations. From a status perspective,

  16. The utah beacon experience: integrating quality improvement, health information technology, and practice facilitation to improve diabetes outcomes in small health care facilities.

    Science.gov (United States)

    Tennison, Janet; Rajeev, Deepthi; Woolsey, Sarah; Black, Jeff; Oostema, Steven J; North, Christie

    2014-01-01

    The Utah Improving Care through Connectivity and Collaboration (IC3) Beacon community (2010-2013) was spearheaded by HealthInsight, a nonprofit, community-based organization. One of the main objectives of IC(3) was to improve health care provided to patients with diabetes in three Utah counties, collaborating with 21 independent smaller clinics and two large health care enterprises. This paper will focus on the use of health information technology (HIT) and practice facilitation to develop and implement new care processes to improve clinic workflow and ultimately improve patients' diabetes outcomes at 21 participating smaller, independent clinics. Early in the project, we learned that most of the 21 clinics did not have the resources needed to successfully implement quality improvement (QI) initiatives. IC(3) helped clinics effectively use data generated from their electronic health records (EHRs) to design and implement interventions to improve patients' diabetes outcomes. This close coupling of HIT, expert practice facilitation, and Learning Collaboratives was found to be especially valuable in clinics with limited resources. Through this process we learned that (1) an extensive readiness assessment improved clinic retention, (2) clinic champions were important for a successful collaboration, and (3) current EHR systems have limited functionality to assist in QI initiatives. In general, smaller, independent clinics lack knowledge and experience with QI and have limited HIT experience to improve patient care using electronic clinical data. Additionally, future projects like IC(3) Beacon will be instrumental in changing clinic culture so that QI is integrated into routine workflow. Our efforts led to significant changes in how practice staff optimized their EHRs to manage and improve diabetes care, while establishing the framework for sustainability. Some of the IC(3) Beacon practices are currently smoothly transitioning to new models of care such as Patient

  17. Assessment of information needs: Production phase of the petroleum industry for an evaluaton of International Energy Agency Energy Technology Data Exchange

    Energy Technology Data Exchange (ETDEWEB)

    Linville, B.

    1989-09-01

    This survey was conducted to determine needs of the petroleum industry for information and data on petroleum production technology, including subjects of most interest and most difficult to obtain, and sources being used to acquire such information. Results of the survey will be used in evaluating the Energy Technology Data Exchange and Department of Energy common data base. A selected sample of world petroleum production specialists and petroleum information specialists and other related personnel were surveyed to learn about their problems in retrieving information and data on petroleum production. They were asked what topics and kinds of information are of current interest, what sources they are using to help resolve their technological problems, what petroleum-producing countries are of interest to them, and other related questions.

  18. The OXL format for the exchange of integrated datasets

    Directory of Open Access Journals (Sweden)

    Taubert Jan

    2007-12-01

    Full Text Available A prerequisite for systems biology is the integration and analysis of heterogeneous experimental data stored in hundreds of life-science databases and millions of scientific publications. Several standardised formats for the exchange of specific kinds of biological information exist. Such exchange languages facilitate the integration process; however they are not designed to transport integrated datasets. A format for exchanging integrated datasets needs to i cover data from a broad range of application domains, ii be flexible and extensible to combine many different complex data structures, iii include metadata and semantic definitions, iv include inferred information, v identify the original data source for integrated entities and vi transport large integrated datasets. Unfortunately, none of the exchange formats from the biological domain (e.g. BioPAX, MAGE-ML, PSI-MI, SBML or the generic approaches (RDF, OWL fulfil these requirements in a systematic way.

  19. Tensor exchange amplitudes in K +- N charge exchange reactions

    International Nuclear Information System (INIS)

    Svec, M.

    1979-01-01

    Tensor (A 2 ) exchange amplitudes in K +- N charge exchange (CEX) are constructed from the K +- N CEX data supplemented by information on the vector (rho) exchange amplitudes from πN sca tering. We observed new features in the t-structure of A 2 exchange amplitudes which contradict the t-de pendence anticipated by most of the Regge models. The results also provide evidence for violation of weak exchange degeneracy

  20. Facilitating nurses’ knowledge of the utilisation of reflexology in adults with chronic diseases to enable informed health education during comprehensive nursing care

    Directory of Open Access Journals (Sweden)

    Elna Steenkamp

    2012-05-01

    Full Text Available An integrative literature review of identified scientific evidence, published from January 2000 to December 2008, of the utilisation of reflexology as complementary and alternative medicine (CAM modalities to promote well-being and quality of life in adults with chronic diseases was done to facilitate nurses to give informed health education during comprehensive nursing care to patients with chronic diseases. Selected accessible databases were searched purposefully for research articles (N = 1171. Pre-set inclusion criteria were applied during the study selection process. The methodological study quality was reviewed and appraised with appropriate tools from the Critical Appraisal Skills Programme (CASP and the American Dietetic Association’s (ADA Evidence analysis manual (n = 21. Evidence extraction, analysis and synthesis of studies (n = 18 were done through the evidence class rating and level of strength as prescribed in the manuals of ADA and CASP. Findings indicate statistically significant reduction in the frequency of seizures in patients with intractable epilepsy, an improvement of sensory and urinary symptoms associated with multiple sclerosis and clinically significant reduction of anxiety and pain in patients with cancer and fibromyalgia syndrome. These findings can be utilised by nurses to inform patients with these chronic diseases about alternative ways of treatment. Opsomming ‘n Geïntegreerde literatuur oorsig van ge-identifiseerde wetenskaplike bewyse, gepubliseer vanaf Januarie 2000 tot Desember 2008, was gedoen oor die gebruik van refleksologie as aanvullende en alternatiewe behandelingsmodalitieit om welsyn en lewenskwaliteit te bevorder by volwassenes met kroniese siekte om verpleegkundiges te fasiliteer om ingeligte gesondheidsvoorligting te gee gedurende omvattende verpleegsorg aan pasiente met kroniese siektes. Geselekteerde toeganklike databasisse was doelbewustelik deursoek vir navorsingsartikels (N = 1171. Vooraf