Aim: This study aims to assess health management information systems at the ... workers' ability to practice and use the health data generated at their Primary Health ... Only 2 (5.7%) of the health centres surveyed were capable of operating the ... The government at all levels should ensure collective effort and political will to ...
Detmer Don E
Full Text Available Abstract Background Improving health in our nation requires strengthening four major domains of the health care system: personal health management, health care delivery, public health, and health-related research. Many avoidable shortcomings in the health sector that result in poor quality are due to inaccessible data, information, and knowledge. A national health information infrastructure (NHII offers the connectivity and knowledge management essential to correct these shortcomings. Better health and a better health system are within our reach. Discussion A national health information infrastructure for the United States should address the needs of personal health management, health care delivery, public health, and research. It should also address relevant global dimensions (e.g., standards for sharing data and knowledge across national boundaries. The public and private sectors will need to collaborate to build a robust national health information infrastructure, essentially a 'paperless' health care system, for the United States. The federal government should assume leadership for assuring a national health information infrastructure as recommended by the National Committee on Vital and Health Statistics and the President's Information Technology Advisory Committee. Progress is needed in the areas of funding, incentives, standards, and continued refinement of a privacy (i.e., confidentiality and security framework to facilitate personal identification for health purposes. Particular attention should be paid to NHII leadership and change management challenges. Summary A national health information infrastructure is a necessary step for improved health in the U.S. It will require a concerted, collaborative effort by both public and private sectors. If you cannot measure it, you cannot improve it. Lord Kelvin
Meidani, Zahra; Sadoughi, Farhnaz; Ahmadi, Maryam; Maleki, Mohammad Reza; Zohoor, Alireza; Saddik, Basema
Challenges and drawbacks of the health information management (HIM) curriculum at the Master's degree were examined, including lack of well-established computing sciences and inadequacy to give rise to specific competencies. Information management was condensed to the hospital setting to intensify the indispensability of a well-organized educational campaign. The healthcare information dimensions of a national health information infrastructure (NHII) model present novel requirements for HIM education. Articles related to challenges and barriers to adoption of the personal health record (PHR), the core component of personal health dimension of an NHII, were searched through sources including Science Direct, ProQuest, and PubMed. Through a literature review, concerns about the PHR that are associated with HIM functions and responsibilities were extracted. In the community/public health dimension of the NHII the main components have been specified, and the targeted information was gathered through literature review, e-mail, and navigation of international and national organizations. Again, topics related to HIM were evoked. Using an information system (decision support system, artificial neural network, etc.) to support PHR media and content, patient education, patient-HIM communication skills, consumer health information, conducting a surveillance system in other areas of healthcare such as a risk factor surveillance system, occupational health, using an information system to analyze aggregated data including a geographic information system, data mining, online analytical processing, public health vocabulary and classification system, and emerging automated coding systems pose major knowledge gaps in HIM education. Combining all required skills and expertise to handle personal and public dimensions of healthcare information in a single curriculum is simply impractical. Role expansion and role extension for HIM professionals should be defined based on the essence of
Stead, William W.; Kelly, Brian J.; Kolodner, Robert M.
Consensus is growing that a health care information and communication infrastructure is one key to fixing the crisis in the United States in health care quality, cost, and access. The National Health Information Infrastructure (NHII) is an initiative of the Department of Health and Human Services receiving bipartisan support. There are many possible courses toward its objective. Decision makers need to reflect carefully on which approaches are likely to work on a large enough scale to have th...
Walker, Daniel M; Diana, Mark L
Health information technology (IT) has the potential to improve the nation's public health infrastructure. In support of this belief, meaningful use incentives include criteria for hospitals to electronically report to immunization registries, as well as to public health agencies for reportable laboratory results and syndromic surveillance. Electronic reporting can facilitate faster and more appropriate public health response. However, it remains unclear the extent that hospitals have adopted IT for public health efforts. To examine hospital adoption of IT for public health and to compare hospitals capable of using and not using public health IT. Cross-sectional design with data from the 2012 American Hospital Association annual survey matched with data from the 2013 American Hospital Association Information Technology Supplement. Multivariate logistic regression was used to compare hospital characteristics. Inverse probability weights were applied to adjust for selection bias because of survey nonresponse. All acute care general hospitals in the United States that matched across the surveys and had complete data available were included in the analytic sample. Three separate outcome measures were used: whether the hospital could electronically report to immunization registries, whether the hospital could send electronic laboratory results, and whether the hospital can participate in syndromic surveillance. A total of 2841 hospitals met the inclusion criteria. Weighted results show that of these hospitals, 62.7% can electronically submit to immunization registries, 56.6% can electronically report laboratory results, and 54.4% can electronically report syndromic surveillance. Adjusted and weighted results from the multivariate analyses show that small, rural hospitals and hospitals without electronic health record systems lag in the adoption of public health IT capabilities. While a majority of hospitals are using public health IT, the infrastructure still has
Tsiknakis, Manolis; Katehakis, Dimitrios G; Orphanoudakis, Stelios C
A fundamental requirement for achieving continuity of care is the seamless sharing of multimedia clinical information. Different technological approaches can be adopted for enabling the communication and sharing of health record segments. In the context of the emerging global information society, the creation of and access to the integrated electronic health record (I-EHR) of a citizen has been assigned high priority in many countries. This requirement is complementary to an overall requirement for the creation of a health information infrastructure (HII) to support the provision of a variety of health telematics and e-health services. In developing a regional or national HII, the components or building blocks that make up the overall information system ought to be defined and an appropriate component architecture specified. This paper discusses current international priorities and trends in developing the HII. It presents technological challenges and alternative approaches towards the creation of an I-EHR, being the aggregation of health data created during all interactions of an individual with the healthcare system. It also presents results from an ongoing Research and Development (R&D) effort towards the implementation of the HII in HYGEIAnet, the regional health information network of Crete, Greece, using a component-based software engineering approach. Critical design decisions and related trade-offs, involved in the process of component specification and development, are also discussed and the current state of development of an I-EHR service is presented. Finally, Human Computer Interaction (HCI) and security issues, which are important for the deployment and use of any I-EHR service, are considered.
Stead, William W; Kelly, Brian J; Kolodner, Robert M
Consensus is growing that a health care information and communication infrastructure is one key to fixing the crisis in the United States in health care quality, cost, and access. The National Health Information Infrastructure (NHII) is an initiative of the Department of Health and Human Services receiving bipartisan support. There are many possible courses toward its objective. Decision makers need to reflect carefully on which approaches are likely to work on a large enough scale to have the intended beneficial national impacts and which are better left to smaller projects within the boundaries of health care organizations. This report provides a primer for use by informatics professionals as they explain aspects of that dividing line to policy makers and to health care leaders and front-line providers. It then identifies short-term, intermediate, and long-term steps that might be taken by the NHII initiative.
The European Union needs a common health information infrastructure to support policy and governance on a routine basis. A stream of initiatives conducted in Europe during the last decade resulted into several success stories, but did not specify a unified framework that could be broadly implemented on a continental level. The recent debate raised a potential controversy on the different roles and responsibilities of policy makers vs the public health community in the construction of such a pan-European health information system. While institutional bodies shall clarify the statutory conditions under which such an endeavour is to be carried out, researchers should define a common framework for optimal cross-border information exchange. This paper conceptualizes a general solution emerging from past experiences, introducing a governance structure and overarching framework that can be realized through four main action lines, underpinned by the key principle of "Essential Levels of Health Information" for Europe. The proposed information model is amenable to be applied in a consistent manner at both national and EU level. If realized, the four action lines outlined here will allow developing a EU health information infrastructure that would effectively integrate best practices emerging from EU public health initiatives, including projects and joint actions carried out during the last ten years. The proposed approach adds new content to the ongoing debate on the future activity of the European Commission in the area of health information. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Lindberg, D A
The High Performance Computing and Communications Program (HPCC) is a multiagency federal initiative under the leadership of the White House Office of Science and Technology Policy, established by the High Performance Computing Act of 1991. It has been assigned a critical role in supporting the international collaboration essential to science and to health care. Goals of the HPCC are to extend USA leadership in high performance computing and networking technologies; to improve technology transfer for economic competitiveness, education, and national security; and to provide a key part of the foundation for the National Information Infrastructure. The first component of the National Institutes of Health to participate in the HPCC, the National Library of Medicine (NLM), recently issued a solicitation for proposals to address a range of issues, from privacy to 'testbed' networks, 'virtual reality,' and more. These efforts will build upon the NLM's extensive outreach program and other initiatives, including the Unified Medical Language System (UMLS), MEDLARS, and Grateful Med. New Internet search tools are emerging, such as Gopher and 'Knowbots'. Medicine will succeed in developing future intelligent agents to assist in utilizing computer networks. Our ability to serve patients is so often restricted by lack of information and knowledge at the time and place of medical decision-making. The new technologies, properly employed, will also greatly enhance our ability to serve the patient.
Neikter, Susanna Allgurin; Rehnqvist, Nina; Rosén, Måns; Dahlgren, Helena
The aim of this study was to facilitate effective internal and external communication of an international network and to explore how to support communication and work processes in health technology assessment (HTA). STRUCTURE AND METHODS: European network for Health Technology Assessment (EUnetHTA) connected sixty-four HTA Partner organizations from thirty-three countries. User needs in the different steps of the HTA process were the starting point for developing an information system. A step-wise, interdisciplinary, creative approach was used in developing practical tools. An Information Platform facilitated the exchange of scientific information between Partners and with external target groups. More than 200 virtual meetings were set up during the project using an e-meeting tool. A Clearinghouse prototype was developed with the intent to offering a single point of access to HTA relevant information. This evolved into a next step not planned from the outset: Developing a running HTA Information System including several Web-based tools to support communication and daily HTA processes. A communication strategy guided the communication effort, focusing on practical tools, creating added value, involving stakeholders, and avoiding duplication of effort. Modern technology enables a new information infrastructure for HTA. The potential of information and communication technology was used as a strategic tool. Several target groups were represented among the Partners, which supported collaboration and made it easier to identify user needs. A distinctive visual identity made it easier to gain and maintain visibility on a limited budget.
Zuzek, J. E.; Bhasin, K. B.
Health care services delivered from a distance, known collectively as telemedicine, are being increasingly demonstrated on various transmission media. Telemedicine activities have included diagnosis by a doctor at a remote location, emergency and disaster medical assistance, medical education, and medical informatics. The ability of communications satellites to offer communication channels and bandwidth on demand, connectivity to mobile, remote and under served regions, and global access will afford them a critical role for telemedicine applications within the National and Global Information Infrastructure (NII/GII). The importance that communications satellites will have in telemedicine applications within the NII/GII the differences in requirements for NII vs. GII, the major issues such as interoperability, confidentiality, quality, availability, and costs, and preliminary conclusions for future usability based on the review of several recent trails at national and global levels are presented.
This book marks an important contribution to the fascinating debate on the role that information infrastructures and boundary objects play in contemporary life, bringing to the fore the concern of how cooperation across different groups is enabled, but also constrained, by the material and immaterial objects connecting them. As such, the book itself is situated at the crossroads of various paths and genealogies, all focusing on the problem of the intersection between different levels of scale...
Jabbar, Karim; Bjørn, Pernille
In this paper, we present ethnographic data that unpacks the everyday work of some of the many infrastructuring agents who contribute to creating, sustaining and growing the Blockchain information infrastructure. We argue that this infrastructuring work takes the form of entrepreneurial actions......, which are self-initiated and primarily directed at sustaining or increasing the initiator’s stake in the emerging information infrastructure. These entrepreneurial actions wrestle against the affordances of the installed base of the Blockchain infrastructure, and take the shape of engaging...... or circumventing activities. These activities purposefully aim at either influencing or working around the enablers and constraints afforded by the Blockchain information infrastructure, as its installed base is gaining inertia. This study contributes to our understanding of the purpose of infrastructuring, seen...
In many developed countries, a coordinated effort is underway to build national and regional Health Information Infrastructures (HII) for the linking of disparate sites of care, so that an access to a comprehensive Health Record will be feasible when critical medical decisions are made . However, widespread adoption of such national projects is hindered by a series of barriers- regulatory, technical, financial and cultural. Above all, a robust national HII requires a firm foundation of trust: patients must be assured that their confidential health information will not be misused and that there are adequate legal remedies in the event of inappropriate behavior on the part of either authorized or unauthorized parties.The Israeli evolving National HII is an innovative state of the art implementation of a wide-range clinical inter-organizational data exchange, based on a unique concept of virtually temporary sharing of information. A logically connection of multiple caregivers and medical organizations creates a patient-centric virtual repository, without centralization. All information remains in its original format, location, system and ownership. On demand, relevant information is instantly integrated and delivered to the point of care. This system, successfully covering more than half of Israel's population, is currently evolving from a voluntary private-public partnership (dbMOTION and CLALIT HMO) to a formal national reality. The governmental leadership, now taking over the process, is essential to achieve a full potential of the health information technology. All partners of the Israeli health system are coordinated in concert with each other, driven with a shared vision - realizing that a secured, private, confidential health information exchange is assured.
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Background: Setting up Geographical Information Systems (GIS on the existing health infrastructure and ongoing and planned interventions in public health in Tanzania is still in its infancy. While there are several activities on gathering information and attempts of documentation there does not exist an overall systematic approach of generally capturing all health related facts and bringing them together into a unique information system yet. In order to strengthen the information system in the health sector in general, and to assist Ministry of Health and Social Welfare (MoHSW in better receiving an overview of health related infrastructure and intervention data for management purpose, a first-pilot GIS was built up in the Mbeya Region in cooperation with Tanzanian German Programme to Support Health (TGPSH/Gesellschaft für technische Zusammenarbeit (GTZ.
Methods: The Health-GIS contains information on all health facilities (HF in the region and their infrastructure. Therefore, personal interviews were conducted in selected HF based on a comprehensive questionnaire. The spatial coordinates of the HF were taken with a Global Positioning System (GPS. In a relational database, the newly coded HF are linked to the gathered information pertaining to them and in a second step are analysed and visualised with help of GIS. Results: First results show newly collected geometry and attribute data for a considerable number of HFs in Mbeya Region, which are then supplemented by information on the street network lately surveyed during the fieldtrip. With the help of a database management system (DBMS all information are stored and maintained within one health database. By their spatial relation, data may be analysed and mapped with a Health-GIS. Because of the targeted cooperation with people and institutions from the local health sector, the way for integrating the Health-GIS into the health
Health Information Infrastructure for People with Intellectual and Developmental Disabilities (I/DD) Living in Supported Accommodation: Communication, Co-Ordination and Integration of Health Information.
Dahm, Maria R; Georgiou, Andrew; Balandin, Susan; Hill, Sophie; Hemsley, Bronwyn
People with intellectual and/or developmental disability (I/DD) commonly have complex health care needs, but little is known about how their health information is managed in supported accommodation, and across health services providers. This study aimed to describe the current health information infrastructure (i.e., how data and information are collected, stored, communicated, and used) for people with I/DD living in supported accommodation in Australia. It involved a scoping review and synthesis of research, policies, and health documents relevant in this setting. Iterative database and hand searches were conducted across peer-reviewed articles internationally in English and grey literature in Australia (New South Wales) up to September 2015. Data were extracted from the selected relevant literature and analyzed for content themes. Expert stakeholders were consulted to verify the authors' interpretations of the information and content categories. The included 286 sources (peer-reviewed n = 27; grey literature n = 259) reflect that the health information for people with I/DD in supported accommodation is poorly communicated, coordinated and integrated across isolated systems. 'Work-as-imagined' as outlined in policies, does not align with 'work-as-done' in reality. This gap threatens the quality of care and safety of people with I/DD in these settings. The effectiveness of the health information infrastructure and services for people with I/DD can be improved by integrating the information sources and placing people with I/DD and their supporters at the centre of the information exchange process.
Twitchell, Gregory D; Frame, Michael T
The information technology infrastructure of an organization, whether it is a private, non-profit, federal, or academic institution, is key to delivering timely and high-quality products and services...
Trcek, D; Novak, R; Kandus, G; Suselj, M
Slovenia initiated a nation-wide project to introduce smart cards in the health sector in 1995 and its full-scale deployment started in September 2000. Although the basic aim of the project was to support insurance related procedures, the system was designed in a flexible and open manner to present an infrastructure for the whole health sector. The functionality of the current system is described in this paper along with lessons learned so far. The upgrade of the system is outlined, with emphasis on technical details, the objective being to provide a real-time EDI based environment for a general set of applications in the medical sector, supported by the flexibility and security of modern smart card technologies. Integration with similar systems in other EU countries is discussed.
Breivik, Patricia Senn
College governing boards can promote good campus information management by understanding available services, monitoring changes and their relationship to priorities, supporting policies enhancing access to information, encouraging resource allocation for networking, promoting regional economic development through information use, and supporting…
Yoo, Sun K; Kim, Dong Keun; Kim, Jung C; Park, Youn Jung; Chang, Byung Chul
With the increase in demand for high quality medical services, the need for an innovative hospital information system has become essential. An improved system has been implemented in all hospital units of the Yonsei University Health System. Interoperability between multi-units required appropriate hardware infrastructure and software architecture. This large-scale hospital information system encompassed PACS (Picture Archiving and Communications Systems), EMR (Electronic Medical Records) and ERP (Enterprise Resource Planning). It involved two tertiary hospitals and 50 community hospitals. The monthly data production rate by the integrated hospital information system is about 1.8 TByte and the total quantity of data produced so far is about 60 TByte. Large scale information exchange and sharing will be particularly useful for telemedicine applications.
Voeller, John G
Communication and Information Systems Security features articles from the Wiley Handbook of Science and Technology for Homeland Security covering strategies for protecting the telecommunications sector, wireless security, advanced web based technology for emergency situations. Science and technology for critical infrastructure consequence mitigation are also discussed.
Wentzer, Helle; Bygholm, Ann
Introduction: Western health care is under pressure from growing demands on quality and efficiency. The development and implementation of information technology, IT is a key mean of health care authorities to improve on health care infrastructure. Theory and methods: Against a background of theor......Introduction: Western health care is under pressure from growing demands on quality and efficiency. The development and implementation of information technology, IT is a key mean of health care authorities to improve on health care infrastructure. Theory and methods: Against a background...
Full Text Available Every economy of an advanced nation relies on information systems and interconnected networks, thus in order to ensure the prosperity of a nation, making cyberspace a secure place becomes as crucial as securing society. Cyber security means ensuring the safety of this cyberspace from threats which can take different forms, such as stealing secret information from national companies and government institutions, attacking infrastructure vital for the functioning of the nation or attacking the privacy of the single citizen. The critical information infrastructure (CII represents the indispensable "nervous system", that allow modern societies to work and live. Besides, without it, there would be no distribution of energy, no services like banking or finance, no air traffic control and so on. But at the same time, in the development process of CII, security was never considered a top priority and for this reason they are subject to a high risk in relation to the organized crime.
Dogac, A; Yuksel, M; Ertürkmen, G L; Kabak, Y; Namli, T; Yıldız, M H; Ay, Y; Ceyhan, B; Hülür, U; Oztürk, H; Atbakan, E
The objective of this paper is to describe some of the major healthcare information technology (IT) infrastructures in Turkey, namely, Sağlık-Net (Turkish for "Health-Net"), the Centralized Hospital Appointment System, the Basic Health Statistics Module, the Core Resources Management System, and the e-prescription system of the Social Security Institution. International collaboration projects that are integrated with Sağlık-Net are also briefly summarized. The authors provide a survey of the some of the major healthcare IT infrastructures in Turkey. Sağlık-Net has two main components: the National Health Information System (NHIS) and the Family Medicine Information System (FMIS). The NHIS is a nation-wide infrastructure for sharing patients' Electronic Health Records (EHRs). So far, EHRs of 78.9 million people have been created in the NHIS. Similarly, family medicine is operational in the whole country via FMIS. Centralized Hospital Appointment System enables the citizens to easily make appointments in healthcare providers. Basic Health Statistics Module is used for collecting information about the health status, risks and indicators across the country. Core Resources Management System speeds up the flow of information between the headquarters and Provincial Health Directorates. The e-prescription system is linked with Sağlık-Net and seamlessly integrated with the healthcare provider information systems. Finally, Turkey is involved in several international projects for experience sharing and disseminating national developments. With the introduction of the "Health Transformation Program" in 2003, a number of successful healthcare IT infrastructures have been developed in Turkey. Currently, work is going on to enhance and further improve their functionality.
Full Text Available Abstract The term "Geographic Information Systems" (GIS has been added to MeSH in 2003, a step reflecting the importance and growing use of GIS in health and healthcare research and practices. GIS have much more to offer than the obvious digital cartography (map functions. From a community health perspective, GIS could potentially act as powerful evidence-based practice tools for early problem detection and solving. When properly used, GIS can: inform and educate (professionals and the public; empower decision-making at all levels; help in planning and tweaking clinically and cost-effective actions, in predicting outcomes before making any financial commitments and ascribing priorities in a climate of finite resources; change practices; and continually monitor and analyse changes, as well as sentinel events. Yet despite all these potentials for GIS, they remain under-utilised in the UK National Health Service (NHS. This paper has the following objectives: (1 to illustrate with practical, real-world scenarios and examples from the literature the different GIS methods and uses to improve community health and healthcare practices, e.g., for improving hospital bed availability, in community health and bioterrorism surveillance services, and in the latest SARS outbreak; (2 to discuss challenges and problems currently hindering the wide-scale adoption of GIS across the NHS; and (3 to identify the most important requirements and ingredients for addressing these challenges, and realising GIS potential within the NHS, guided by related initiatives worldwide. The ultimate goal is to illuminate the road towards implementing a comprehensive national, multi-agency spatio-temporal health information infrastructure functioning proactively in real time. The concepts and principles presented in this paper can be also applied in other countries, and on regional (e.g., European Union and global levels.
The study investigated the application of infotech infrastructure in information processing for enhancing workplace safety in Rivers State. In view of this, the study was a research survey design. The population of the study comprised 600 oil company workers in Rivers State. A-30% basis was used to randomly select the ...
Cavallini, J.S.; Aiken, R.J.
The Government Services Information Infrastructure (GSII) is that portion of the NII used to link Government and its services, enables virtual agency concepts, protects privacy, and supports emergency preparedness needs. The GSII is comprised of the supporting telecommunications technologies, network and information services infrastructure and the applications that use these. The GSII is an enlightened attempt by the Clinton/Gore Administration to form a virtual government crossing agency boundaries to interoperate more closely with industry and with the public to greatly improve the delivery of government services. The GSII and other private sector efforts, will have a significant impact on the design, development, and deployment of the NII, even if only through the procurement of such services. The Federal Government must adopt new mechanisms and new paradigms for the management of the GSII, including improved acquisition and operation of GSII components in order to maximize benefits. Government requirements and applications will continue to evolv. The requirements from government services and users of form affinity groups that more accurately and effectively define these common requirements, that drive the adoption and use of industry standards, and that provide a significant technology marketplace.
Kjems, Erik; Hansen, Lasse Hedegaard
. Is it possible to retrieve useful information of a design model at a later point in the life cycle for instance during maintenance? This question has actually been answered back in 2009 in (Schall et al., 2009) where a group of researchers developed a handheld AR device with a little monitor and GPS...... with infrastructure projects? There are three major use cases which are straight forward but certainly not all there is. 1. During the planning phase the new road structure can be presented making it way more easy for for instance politicians and neighbors in the area to grasp the new structure and the impact...... and consequences to the area. 2. During construction, the contractor can get an impression of the progress in the work especially connected to a 4D project management system seeing what is missing and what is not. 3. Finally, during maintenance, the possibility to “see through” the surface can give you...
Henningsson, Stefan; Rapti, Charikleia; Jensen, Thomas
This paper develops a framework for characterising the design space of Information Infrastructures (IIs). Existing research has generally sought to unravel the convergent characteristics and mechanisms uniting IIs across a wide range of manifestations. In this research, we explore this divergence...... within the II design space. We do so by reviewing the II literature, focusing on the two domains of design situation and design resolution. Design situation refers to the relevant dimensions of the context in which an II is employed. Design resolution covers the dimensions along which the socio......-technical constituents can be assembled to form an effective solution. The resulting framework allows for the comparing and contrasting of II initiatives, and contributes towards a cumulative knowledge process aimed at a more refined understanding of how an II can be configured to address the specific problem at hand....
The author discusses programs which were directed at the installation of photovoltaic power systems in rural health clinics. The objectives included: vaccine refrigeration; ice pack freezing; lighting; communications; medical appliances; sterilization; water purification; and income generation. The paper discusses two case histories, one in the Dominican Republic and one in Colombia. The author summarizes the results of the programs, both successes and failures, and offers an array of conclusions with regard to the implementation of future programs of this general nature.
Van Loenen, B.
Within information societies, information availability is a key issue affecting societyâs well being. The infrastructure underlying the foundation of the information society may be referred to as the information infrastructure. A geographic information infrastructure (GII) supports the information
Dreessen, Katrien; Huybrechts, Liesbeth; Grönvall, Erik
This paper stresses the need for more research in the field of Participatory Design (PD) and in particular into how to design Health Information Technology (HIT) together with care providers and -receivers in multicultural settings. We contribute to this research by describing a case study...... of this study, we point to the need and the ways of taking spatio-historical aspects of a specific healthcare situation into account in the PD of HIT to support multicultural perspectives on healthcare....
Department of Commerce, Washington, DC. Information Infrastructure Task Force.
The National Information Infrastructure (NII) is planned as a web of communications networks, computers, databases, and consumer electronics that will put vast amounts of information at the users' fingertips. Private sector firms are beginning to develop this infrastructure, but essential roles remain for the Federal Government. The National…
Koerten, H.; Veenswijk, M.
This paper examines narratives relating to the development of National Geo Information Infrastructures (NGII) in eth-nographic research on a Dutch NGII project which was monitored throughout its course. We used an approach which focuses on narratives concerning the environment, groups and practice
This publication describes and explains the user interface for the Infrastructure Management Information System (IMIS). The IMIS is designed to answer questions regarding public water supply, wastewater treatment, and census information. This publica...
2016 Major Automated Information System Annual Report Base Information Transport Infrastructure Wired (BITI Wired) Defense Acquisition Management...Combat Information Transport System program was restructured into two pre-Major Automated Information System (pre-MAIS) components: Information...Major Automated Information System MAIS OE - MAIS Original Estimate MAR – MAIS Annual Report MDA - Milestone Decision Authority MDD - Materiel
Dreessen, Katrien; Huybrechts, Liesbeth; Grönvall, Erik; Hendriks, Niels
This paper stresses the need for more research in the field of Participatory Design (PD) and in particular into how to design Health Information Technology (HIT) together with care providers and -receivers in multicultural settings. We contribute to this research by describing a case study, the 'Health-Cultures' project, in which we designed HIT for the context of home care of older people with a migration background. The Health-Cultures project is located in the city of Genk, Belgium, which is known for its multicultural population, formed by three historical migration waves of people coming to work in the nowadays closed coal mines. Via a PD approach, we studied existing means of dialogue and designed HIT that both care receivers and care providers in Genk can use in their daily exchanges between cultures in home care contexts. In discussing relevant literature as well as the results of this study, we point to the need and the ways of taking spatio-historical aspects of a specific healthcare situation into account in the PD of HIT to support multicultural perspectives on healthcare.
Full Text Available to set up in time for scenarios which require real time information. This may force communications to utilise public infrastructure. Securing communications for military mobile and Web based systems over public networks poses a greater challenge compared...
National economy and security are fully dependent on information technology and infrastructure. At the core of the information infrastructure society relies on, we have the Internet, a system designed initially as a scientists’ forum for unclassified research. The use of communication networks and systems may lead to hazardous situations that generate undesirable effects such as communication systems breakdown, loss of data or taking the wrong decisions. The paper studies the risk analysis of...
Full Text Available Introduction: Western health care is under pressure from growing demands on quality and efficiency. The development and implementation of information technology, IT is a key mean of health care authorities to improve on health care infrastructure. Theory and methods: Against a background of theories on human-computer interaction and IT-mediated communication, different empirical studies of IT implementation in health care are analyzed. The outcome is an analytical discernment between different relations of communication and levels of interaction with IT in health care infrastructure. These relations and levels are synthesized into a framework for identifying tensions and potential problems in the mediation of health care with the IT system. These problems are also known as unexpected adverse consequences, UACs, from IT implementation into clinical health care practices. Results: This paper develops a conceptual framework for addressing transformations of communication and workflow in health care as a result of implementing IT. Conclusion and discussion: The purpose of the conceptual framework is to support the attention to and continuous screening for errors and unintended consequences of IT implementation into health care practices and outcomes.
Twitchell, Gregory D; Frame, Michael T
.... This presents tremendous challenges to the information technology managers, users, and CEOs of large world-wide corporations who wish to exchange information or get access to resources in today's global marketplace...
Henningsson, Stefan; Hanseth, Ole
This paper inquires into the complexities of contemporary IT solutions based on a case study of the EU’s eCustoms initiatives using Manuel DeLanda’s Assemblage Theory. Technological innovations have enabled information infrastructures with dramatically increased number and heterogeneity of included...... components, and their dynamic and unexpected interactions. Unfortunately, lack of understanding of how the increasing complexity influences development initiatives is hampering effective information infrastructure development. Assemblage Theory can be seen as holistic synthesis of previous research streams...... seeking to explain how information infrastructures evolve in social contexts. Accordingly, in this paper it helps us getting a holistic grasp of the complexity of contemporary IT solutions and the “essence” of their dynamics. Through Assemblage Theory we explain how the European eCustoms information...
For proper management of total product life cycle, it is fundamentally important to systematize design and engineering information about product systems. For example, maintenance operation could be more efficiently performed, if appropriate parts design information is available at the maintenance site. Such information shall be available as an information infrastructure for various kinds of engineering operations, and it should be easily accessible during the whole product life cycle, such as transportation, marketing, usage, repair/upgrade, take-back and recycling/disposal. Different from the traditional engineering database, life cycle support information has several characteristic requirements, such as flexible extensibility, distributed architecture, multiple viewpoints, long-time archiving, and product usage information, etc. Basic approaches for managing engineering information infrastructure are investigated, and various information contents and associated life cycle applications are discussed.
Widya, I.A.; Michiels, E.F.; Volman, C.J.A.M.; Pokraev, S.; de Diana, I.P.F.; Filipe, J.; Sharp, B.; Miranda, P.
This paper reports the modelling exercise of an educational information infrastructure that aims to support the organisation of teaching and learning activities suitable for a wide range of didactic policies. The modelling trajectory focuses on capturing invariant structures of relations between
Brown, Kerry A.; Timotijević, Lada; Geurts, Marjolein
be achieved in the area of food and health has, to date, been unclear. Scope and approach This commentary paper presents examples of the types of food and health research facilities, resources and services available in Europe. Insights are provided on the challenge of identifying and classifying research...... infrastructure. In addition, suggestions are made for the future direction of food and health research infrastructure in Europe. These views are informed by the EuroDISH project, which mapped research infrastructure in four areas of food and health research: Determinants of dietary behaviour; Intake of foods....../nutrients; Status and functional markers of nutritional health; Health and disease risk of foods/nutrients. Key findings and conclusion There is no objective measure to identify or classify research infrastructure. It is therefore, difficult to operationalise this term. EuroDISH demonstrated specific challenges...
... DEPARTMENT OF HOMELAND SECURITY [Docket No. DHS-2010-0084] Agency Information Collection Activities: Office of Infrastructure Protection; Infrastructure Protection Stakeholder Input Project--Generic... comments; New Information Collection Request: 1670-NEW. SUMMARY: The Department of Homeland Security...
Wu, Zhishen; Fujino, Yozo
This special issue collects together 19 papers that were originally presented at the First International Conference on Structural Health Monitoring and Intelligent Infrastructure (SHMII-1'2003), held in Tokyo, Japan, on 13-15 November 2003. This conference was organized by the Japan Society of Civil Engineers (JSCE) with partial financial support from the Japan Society for the Promotion of Science (JSPS) and the Ministry of Education, Culture, Sport, Science and Technology, Japan. Many related organizations supported the conference. A total of 16 keynote papers including six state-of-the-art reports from different counties, six invited papers and 154 contributed papers were presented at the conference. The conference was attended by a diverse group of about 300 people from a variety of disciplines in academia, industry and government from all over the world. Structural health monitoring (SHM) and intelligent materials, structures and systems have been the subject of intense research and development in the last two decades and, in recent years, an increasing range of applications in infrastructure have been discovered both for existing structures and for new constructions. SHMII-1'2003 addressed progress in the development of building, transportation, marine, underground and energy-generating structures, and other civilian infrastructures that are periodically, continuously and/or actively monitored where there is a need to optimize their performance. In order to focus the current needs on SHM and intelligent technologies, the conference theme was set as 'Structures/Infrastructures Sustainability'. We are pleased to have the privilege to edit this special issue on SHM and intelligent infrastructure based on SHMII-1'2003. We invited some of the presenters to submit a revised/extended version of their paper that was included in the SHMII-1'2003 proceedings for possible publication in the special issue. Each paper included in this special issue was edited with the same
Tan, J K
The critical success factor (CSF) approach is a technique that will aid health administrators, planners and managers to identify, specify and sort among the most relevant and critical factors determining an organization's survival and success. Following a top-down management perspective, this paper discusses the CSF methodology as a strategic information management process comprising several important phases: (i) understanding the external factors such as the organization's industry, market and environment; (ii) achieving strong support and championship from top management; (iii) encouraging the proactive involvement of management and staff in generic CSF identification; (iv) educating and directing the participation of staff members in CSF verification and further refinement of generic CSFs into specific CSFs; and (v) aggregating, prioritizing and translating activity-related CSFs into organizational information requirements for the design of the organization's management information infrastructure. The implementation of this CSF approach is illustrated in the context of a British Columbia community hospital, with insights provided into key issues for future health researchers and practitioners.
Coutts, Christopher; Hahn, Micah
Contemporary ecological models of health prominently feature the natural environment as fundamental to the ecosystem services that support human life, health, and well-being. The natural environment encompasses and permeates all other spheres of influence on health. Reviews of the natural environment and health literature have tended, at times intentionally, to focus on a limited subset of ecosystem services as well as health benefits stemming from the presence, and access and exposure to, green infrastructure. The sweeping influence of green infrastructure on the myriad ecosystem services essential to health has therefore often been underrepresented. This survey of the literature aims to provide a more comprehensive picture-in the form of a primer-of the many simultaneously acting health co-benefits of green infrastructure. It is hoped that a more accurately exhaustive list of benefits will not only instigate further research into the health co-benefits of green infrastructure but also promote consilience in the many fields, including public health, that must be involved in the landscape conservation necessary to protect and improve health and well-being.
Coutts, Christopher; Hahn, Micah
Contemporary ecological models of health prominently feature the natural environment as fundamental to the ecosystem services that support human life, health, and well-being. The natural environment encompasses and permeates all other spheres of influence on health. Reviews of the natural environment and health literature have tended, at times intentionally, to focus on a limited subset of ecosystem services as well as health benefits stemming from the presence, and access and exposure to, green infrastructure. The sweeping influence of green infrastructure on the myriad ecosystem services essential to health has therefore often been underrepresented. This survey of the literature aims to provide a more comprehensive picture—in the form of a primer—of the many simultaneously acting health co-benefits of green infrastructure. It is hoped that a more accurately exhaustive list of benefits will not only instigate further research into the health co-benefits of green infrastructure but also promote consilience in the many fields, including public health, that must be involved in the landscape conservation necessary to protect and improve health and well-being. PMID:26295249
Full Text Available This paper aims to briefly present the term of â€žinformation societyâ€, term used since the beginning of the 90â€™s, which implies the usage of new information technology both to the individual and organizational level with high ease, in all spheres of activities with a significant economic and social impact, making changes in social, cultural, educational, economic, environmental, political, administrative and judicial dimensions, changes that influence the work, study and life conditions of all citizens. The more and more widely usage of ICT makes any economy become more efficient, more transparent, ensuring increased competitiveness and sustainable development. In terms of how ICT influences economic growth, Romania ranks 47 of the 70 countries analyzed in the Digital economy rankings 2010: Beyond e-readiness. Based on a synthetic indicator, defined by 24 variables in four categories, in order to determine the status of the information society, proposed by Marius Guran, and using the statistical data provided by ANCOM, the paper analyzes the current situation in Romania, answering the question: How digital is Romania in terms of communication infrastructure? Thus the paper presents the communication infrastructure from the point of view of: fixed telephony and its penetration rate per 100 inhabitants and per 100 households, a stagnant rate in the last few years; mobile telephony which reached saturation in recent years; cable TV which shows us that the penetration rate is quite low in Romanian households, mainly due to the low number of subscribers in rural areas, and also that the usage of DTH technology is growing.
Kamil KARATAS; Cemal BIYIK
Technical infrastructures are the important development-level parameters of countries, difficult to maintain and require high-investment cost. It is required to take the advantage of information system for the better administration of technical infrastructure facilities, planning and taking effective decisions. Hence, infrastructure information systems must be built oriented to technical infrastructure (TI). In this study, Kunduracilar Street in Trabzon was selected as pilot area oriented to ...
... Research Council ae Currently from Cape Peninsula University of Technology ... Keywords: primary health care facilities; nutritional status; children; caregivers' rural; South Africa ... underlying causes of malnutrition in children, while poor food quality, .... Information on PHC facility infrastructure and services was obtained.
This has resulted to the growth of slums and informal settlements, which are unplanned, lack basic infrastructure and services such as water, electricity, roads, lighting ... perspective to meet housing and infrastructure needs of the poor, where taxes paid by the rich should be used to subsidize infrastructure costs of the poor.
Cotter, G.; Frame, M.T.
Looking out an office window or exploring a community park, one can easily see the tremendous challenges that biological information presents the computer science community. Biological information varies in format and content depending whether or not it is information pertaining to a particular species (i.e. Brown Tree Snake), or a specific ecosystem, which often includes multiple species, land use characteristics, and geospatially referenced information. The complexity and uniqueness of each individual species or ecosystem do not easily lend themselves to today's computer science tools and applications. To address the challenges that the biological enterprise presents the National Biological Information Infrastructure (NBII) (http://www.nbii.gov) was established in 1993. The NBII is designed to address these issues on a National scale within the United States, and through international partnerships abroad. This paper discusses current computer science efforts within the National Biological Information Infrastructure Program and future computer science research endeavors that are needed to address the ever-growing issues related to our Nation's biological concerns.
Jordan, T. H.; Scec/Itr Collaboration
The Southern California Earthquake Center (SCEC), in collaboration with the San Diego Supercomputer Center, the USC Information Sciences Institute,IRIS, and the USGS, has received a large five-year grant from the NSF's ITR Program and its Geosciences Directorate to build a new information infrastructure for earthquake science. In many respects, the SCEC/ITR Project presents a microcosm of the IT efforts now being organized across the geoscience community, including the EarthScope initiative. The purpose of this presentation is to discuss the experience gained by the project thus far and lay out the challenges that lie ahead; our hope is to encourage cross-discipline collaboration in future IT advancements. Project goals have been formulated in terms of four "computational pathways" related to seismic hazard analysis (SHA). For example, Pathway 1 involves the construction of an open-source, object-oriented, and web-enabled framework for SHA computations that can incorporate a variety of earthquake forecast models, intensity-measure relationships, and site-response models, while Pathway 2 aims to utilize the predictive power of wavefield simulation in modeling time-dependent ground motion for scenario earthquakes and constructing intensity-measure relationships. The overall goal is to create a SCEC "community modeling environment" or collaboratory that will comprise the curated (on-line, documented, maintained) resources needed by researchers to develop and use these four computational pathways. Current activities include (1) the development and verification of the computational modules, (2) the standardization of data structures and interfaces needed for syntactic interoperability, (3) the development of knowledge representation and management tools, (4) the construction SCEC computational and data grid testbeds, and (5) the creation of user interfaces for knowledge-acquisition, code execution, and visualization. I will emphasize the increasing role of standardized
Moteff, John D; Stevens, Gina M
Critical infrastructures have been defined as those systems and assets so vital to the United States that the incapacity of such systems and assets would have a debilitating impact on the United States...
Baker, K. S.; Pennington, D. D.
Information infrastructure that supports collaborative science is a complex system of people, organizational arrangements, and tools that require co-management. Contemporary studies are exploring how to establish and characterize effective collaborative information environments. Collaboration depends on the flow of information across the human and technical system components through mechanisms that create linkages, both conceptual and technical. This transcends the need for requirements solicitation and usability studies, highlighting synergistic interactions between humans and technology that can lead to emergence of group level cognitive properties. We consider the ramifications of placing priority on establishing new metaphors and new types of learning environments located near-to-data-origin for the field sciences. In addition to changes in terms of participant engagement, there are implications in terms of innovative contributions to the design of information systems and data exchange. While data integration occurs in the minds of individual participants, it may be facilitated by collaborative thinking and community infrastructure. Existing learning frameworks - from Maslow’s hierarchy of needs to organizational learning - require modification and extension if effective approaches to decentralized information management and systems design are to emerge. Case studies relating to data integration include ecological community projects: development of cross-disciplinary conceptual maps and of a community unit registry.
Braa, Kristin; Purkayastha, Saptarshi
Developing countries represent the fastest growing mobile markets in the world. For people with no computing access, a mobile will be their first computing device. Mobile technologies offer a significant potential to strengthen health systems in developing countries with respect to community based monitoring, reporting, feedback to service providers, and strengthening communication and coordination between different health functionaries, medical officers and the community. However, there are various challenges in realizing this potential including technological such as lack of power, social, institutional and use issues. In this paper a case study from India on mobile health implementation and use will be reported. An underlying principle guiding this paper is to see mobile technology not as a "stand alone device" but potentially an integral component of an integrated mobile supported health information infrastructure.
... (NPPD), Office of Infrastructure Protection (IP), Infrastructure Information Collection Division (IICD... Information Collection Request should be forwarded to DHS/NPPD/IP/IICD, 245 Murray Lane, SW., Mailstop 0602, Arlington, VA 20598-0602. Email requests should go to Vickie Bovell, [email protected] . Written...
Full Text Available namely, context and need for health care infrastructure; budget allocations to health infrastructure; health infrastructure delivery, constraints and enabling mechanisms; and lastly, consolidation and recommendations of the future....
Bossen, Claus; Markussen, Randi
) that is part of an electronic health record (EHR), carried out at an endocrinology department. The upgrade led to a temporary breakdown of the EMM, and a return to paper-based medication plans. The breakdown made visible and noticeable the taken-for-granted capabilities of medication plans in their paper......In this paper, we analyse physicians' and nurses' practices of prescribing and administering medication through the use of paper-based, and digitalized medication plans. Our point of departure is an ethnographic study of the implications of upgrading an electronic medication module (EMM......-based and digital versions, and the distribution of functionalities between medication plans and clinicians. We see the case as an opportunity to analyse infrastructuring in health care, the process by which medical practices and artefacts become parts of social and technological networks with longer reaches...
Full Text Available Critical Information Infrastructure security will always be difficult to ensure, just because of the features that make it irreplaceable tor other critical infrastructures normal operation. It is decentralized, interconnected interdependent, controlled by multiple actors (mainly private and incorporating diverse types of technologies. It is almost axiomatic that the disruption of the Critical Information Infrastructure affects systems located much farther away, and the cyber problems have direct consequences on the real world. Indeed the Internet can be used as a multiplier in order to amplify the effects of an attack on some critical infrastructures. Security challenges increase with the technological progress. One of the last lines of defense which comes to complete the overall security scheme of the Critical Information Infrastructure is represented by the Network Intrusion Detection Systems.
Michiels, E.F.; Widya, I.A.; Volman, C.J.A.M.; Pokraev, S.; de Diana, I.P.F.
In this report, we present the outcomes of exercising a design trajectory in respect of the modelling of an educational information infrastructure. The infrastructure aims to support the organisation of teaching and learning activities, independently of any particular didactic policy. The design
Monsen, Karen A; Bekemeier, Betty; P Newhouse, Robin; Scutchfield, F Douglas
An invited group of national public health nursing (PHN) scholars, practitioners, policymakers, and other stakeholders met in October 2010 identifying a critical need for a national PHN data infrastructure to support PHN research. This article summarizes the strengths, limitations, and gaps specific to PHN data and proposes a research agenda for development of a PHN data infrastructure. Future implications are suggested, such as issues related to the development of the proposed PHN data infrastructure and future research possibilities enabled by the infrastructure. Such a data infrastructure has potential to improve accountability and measurement, to demonstrate the value of PHN services, and to improve population health. © 2012 Wiley Periodicals, Inc.
Scholz, Stefan; Ngoli, Baltazar; Flessa, Steffen
Health care infrastructure constitutes a major component of the structural quality of a health system. Infrastructural deficiencies of health services are reported in literature and research. A number of instruments exist for the assessment of infrastructure. However, no easy-to-use instruments to assess health facility infrastructure in developing countries are available. Present tools are not applicable for a rapid assessment by health facility staff. Therefore, health information systems lack data on facility infrastructure. A rapid assessment tool for the infrastructure of primary health care facilities was developed by the authors and pilot-tested in Tanzania. The tool measures the quality of all infrastructural components comprehensively and with high standardization. Ratings use a 2-1-0 scheme which is frequently used in Tanzanian health care services. Infrastructural indicators and indices are obtained from the assessment and serve for reporting and tracing of interventions. The tool was pilot-tested in Tanga Region (Tanzania). The pilot test covered seven primary care facilities in the range between dispensary and district hospital. The assessment encompassed the facilities as entities as well as 42 facility buildings and 80 pieces of technical medical equipment. A full assessment of facility infrastructure was undertaken by health care professionals while the rapid assessment was performed by facility staff. Serious infrastructural deficiencies were revealed. The rapid assessment tool proved a reliable instrument of routine data collection by health facility staff. The authors recommend integrating the rapid assessment tool in the health information systems of developing countries. Health authorities in a decentralized health system are thus enabled to detect infrastructural deficiencies and trace the effects of interventions. The tool can lay the data foundation for district facility infrastructure management.
LSU was one of the universities chosen to participate in the project of training new researchers to work on the Critical Infrastructure Protection and Information Assurance (CIPIA) areas. Three Ph.D...
... DEPARTMENT OF HOMELAND SECURITY [Docket No. DHS-2011-0018] Protected Critical Infrastructure Information (PCII) Stakeholder Survey AGENCY: National Protection and Programs Directorate, DHS. ACTION: 30... Department of Homeland Security (DHS), National Protection and Programs Directorate (NPPD), Office of...
... DEPARTMENT OF HOMELAND SECURITY [Docket No. DHS-2011-0018] Protected Critical Infrastructure Information (PCII) Stakeholder Survey AGENCY: National Protection and Programs Directorate, DHS. ACTION: 60... Department of Homeland Security (DHS), National Protection and Programs Directorate (NPPD), Office of...
Coyne, Robert A.; Hulen, Harry
Bills currently before the House and Senate would give support to the development of a National Information Infrastructure, in which digital libraries and storage systems would be an important part. A simple model is offered to show the relationship of storage systems, software, and standards to the overall information infrastructure. Some elements of a national strategy for digital libraries are proposed, based on the mission of the nonprofit National Storage System Foundation.
Full Text Available Technical infrastructures are the important development-level parameters of countries, difficult to maintain and require high-investment cost. It is required to take the advantage of information system for the better administration of technical infrastructure facilities, planning and taking effective decisions. Hence, infrastructure information systems must be built oriented to technical infrastructure (TI. In this study, Kunduracilar Street in Trabzon was selected as pilot area oriented to urban TI studies. Graphic and attribute information of the pilot area were collected. Every TI facility was arranged into the same coordinate system with different layers. Maps showing TI facilities in the pilot area and 3D view of the site were prepared on ArcGIS software.
E. G. Gridina
Full Text Available The article describes the work on support and development of information infrastructure NRU «MPEI». Information infrastructure have different approaches to the defi nition. The authors defi ne the information infrastructure as a set of basic information services, computing, storage and data transmission systems that provide user access to information resources. New conditions dictate new approaches to building the education system in general and the educational process in each educational institution. NRU «MPEI» working to create a modern information infrastructure, including automated control systems, information resources and services, modular systems disciplines. This article describes the requirements for a modern information infrastructure of the NRU «MPEI», that provides students and teachers with the necessary services. Information infrastructure includes a set of software and hardware to ensure interaction between the participants of the educational process. All services and NRU «MPEI» system included in the unifi ed information educational environment (UIEE. Architecture UIEE NRU «MPEI» is displayed in the article. UIEE NRU «MPEI» is deployed on the basis of information network NRU «MPEI» and enables a comprehensive optimization of university management in various areas. Information and Computing Center supporting information and computer network NRU «MPEI», bought more than 4800 licenses in 43 different license versions of the software manufacturers. The server segment information network NRU «MPEI» contains a complex infrastructure and application servers for processing and storing information.The segment there are 20 high-performance server and storage system capacity of over 30 TB. In the server segment deployed complex systems to meet the needs in the various fi elds of activity NRU «MPEI», and the educational system to support the economic , scientifi c and human complex. Currently, ICC also pays great
Artem D. Beresnev
Full Text Available Subject of research. Information infrastructure for the training environment with application of technology of virtual computers for small pedagogical systems (separate classes, author's courses is created and investigated. Research technique. The life cycle model of information infrastructure for small pedagogical systems with usage of virtual computers in ARIS methodology is constructed. The technique of information infrastructure formation with virtual computers on the basis of process approach is offered. The model of an event chain in combination with the environment chart is used as the basic model. For each function of the event chain the necessary set of means of information and program support is defined. Technique application is illustrated on the example of information infrastructure design for the educational environment taking into account specific character of small pedagogical systems. Advantages of the designed information infrastructure are: the maximum usage of open or free components; the usage of standard protocols (mainly, HTTP and HTTPS; the maximum portability (application servers can be started up on any of widespread operating systems; uniform interface to management of various virtualization platforms, possibility of inventory of contents of the virtual computer without its start, flexible inventory management of the virtual computer by means of adjusted chains of rules. Approbation. Approbation of obtained results was carried out on the basis of training center "Institute of Informatics and Computer Facilities" (Tallinn, Estonia. Technique application within the course "Computer and Software Usage" gave the possibility to get half as much the number of refusals for components of the information infrastructure demanding intervention of the technical specialist, and also the time for elimination of such malfunctions. Besides, the pupils who have got broader experience with computer and software, showed better results
...; Information Technology Infrastructure Committee; Meeting. AGENCY: National Aeronautics and Space... Information Technology Infrastructure Committee of the NASA Advisory Council. DATES: Wednesday, March 7, 2012... CONTACT: Ms. Karen Harper, Executive Secretary for the Information Technology Infrastructure Committee...
Zlatanova, S.; Beetz, J.; Boersma, A.J.; Mulder, A.; Goos, J.
The maintenance of the complex infrastructure and facilities of Port of Rotterdam is based on large amounts of heterogeneous information. Almost all activities of the Port require spatial information about features above- and under- ground. Current information systems are department and data
Nederveen, G.A. van; Wolfert, R.; Ruitenbeek, M. van de
In principle, Building Information Modelling (BIM) should provide a basis for infrastructure information management during the whole life-cycle. In practice however, the use of BIM is normally limited to the design and construction phases. It seems that the use of BIM information in other life-cycle
Vadim Ivanovich Korolev
Full Text Available The article keeps under consideration the mattersto apply the cryptographic system having a public key to provide information security and to implya digital signature. It performs the analysis of trust models at the formation of certificates and their use. The article describes the relationships between the trust model and the architecture public key infrastructure. It contains conclusions in respect of the options for building the public key infrastructure for integrated informationspace.
Chang, Jong Hwa; Yoo, K. J.; Kim, Y. T. and others
An internet portal site which can be a hub web site of information, was developed and disclosed to enhance the information production and dissimination. The representative functions of the portal site are to provide a site map which provide categorized service of domestic and global internet home pages, and a bulletin board, a closed user group. The serviced databases consist of an encyclopedia of nuclear information, which contains detailed description of nuclear relevant topics, a software database for computer program services, a newspaper database for proving up to date news articles, a descriptive database on the incident and accident on the nuclear power plant, and a central search engine on the bibliographic informations. The training lecture texts for the experts on the field of nuclear energy and radiation technology was converted into HTML formatted text and are on service on an internet web site. Six coursewares for the students studying the nuclear engineering are developed and six digital education platforms are introduced for the nuclear engineering departments of domestic universities. The platforms are used in teaching students utilizing the courseware intergrated with engineering simulation programs for substituting experiments which are difficult, dangerous and sometimes impossible in real situation
The collapse of the I-35W Mississippi River Bridge in Minneapolis has spawned a growing interest in the : development of reliable techniques for evaluating the structural integrity of civil infrastructure. Current inspection : techniques tailored to ...
Full Text Available Manuscript is devoted to the development of information system for tourist objects infrastructure growth and its practical implementation in form of information system using methods of fuzzy logic, theory of fractals and diffusion. Developed technology allows compute attractiveness of Carpathian region, structure, dynamics of the main tourist settlements Vorochta and Slavske, prospective territories for tourist business, growing strategies for region.
Zlatanova, S.; Beetz, J.
The development and maintenance of the infrastructure, facilities, logistics and other assets of the Port of Rotterdam requires a broad spectrum of heterogeneous information. This information concerns features, which are spatially distributed above ground, underground, in the air and in the water.
Price, Kent M.; Inukai, Tom; Razdan, Rajendev; Lazeav, Yvonne M.
This study addressed four tasks: (1) identify satellite-addressable information infrastructure markets; (2) perform network analysis for space-based information infrastructure; (3) develop conceptual architectures; and (4) economic assessment of architectures. The report concludes that satellites will have a major role in the national and global information infrastructure, requiring seamless integration between terrestrial and satellite networks. The proposed LEO, MEO, and GEO satellite systems have satellite characteristics that vary widely. They include delay, delay variations, poorer link quality and beam/satellite handover. The barriers against seamless interoperability between satellite and terrestrial networks are discussed. These barriers are the lack of compatible parameters, standards and protocols, which are presently being evaluated and reduced.
This paper provides an overview of the EU approach to securing critical information infrastructure, as defined in the Action Plan contained in the Commission Communication of March 2009, entitled 'Protecting Europe from large-scale cyber-attacks and disruptions: enhancing preparedness, security and resilience' and further elaborated by the Communication of May 2011 on critical Information infrastructure protection 'Achievements and next steps: towards global cyber-security'. After explaining the need for pan-European cooperation in this area, the CIIP Action Plan is explained in detail. Finally, the current state of progress is summarised together with the proposed next steps.
Lall, U.; Duffy, C j
Hydrologic Sciences are inherently interdisciplinary. Consequently, a myriad state variables are of interest to hydrologists. Hydrologic processes transcend many spatial and temporal scales, and their measurements reflect a variety of scales of support. The global water cycle is continuously modified by human activity through changes in land use, alteration of rivers, irrigation and groundwater pumping and through a modification of atmospheric composition. Since water is a solvent and a medium of transport, the water cycle fundamentally influences other material and energy cycles. This metaphor extends to the function that a hydrologic research information system needs to provide, to facilitate discovery in earth systems science, and to improve our capability to manage resources and hazards in a sustainable manner. At present, we have a variety of sources that provide data useful for hydrologic analyses, that range from massive remote sensed data sets, to sparsely sampled historical and paleo data. Consequently, the first objective of the Hydrologic Information Systems (HIS) group is to design a data services system that makes these data accessible in a uniform and useful way for specific, prioritized research goals. The design will include protocols for archiving and disseminating data from the Long Term Hydrologic Observatories (LTHOs), and comprehensive modeling experiments. Hydrology has a rich tradition of mathematical and statistical modeling of processes. However, given limited data and access to it, and a narrow focus that has not exploited connections to climatic and ecologic processes (among others), there have been only a few forays into diagnostic analyses of hydrologic fields, to identify and evaluate spatial and process teleconnections and an appropriate reduced space for modeling and understanding systems. The HIS initiative consequently proposes an investment in research and the provision of toolboxes to facilitate such analyses using the data
Critical infrastructure models, strategies and policies should take information ... gain an advantage over a competitor or adversary through the use of one's own .... digital communications system, where the vehicles are analogous to bits or packets, ..... performance degraded, causing an increase in traffic finding a new route.
Benitez, Jose; Ray, Gautam; Henseler, Jörg
Although mergers and acquisitions (M&A) are a common strategy to reduce costs and pursue growth, the variance in returns from M&A is very high. This research examines how information technology (IT) infrastructure flexibility affects M&A. We use a combination of secondary as well as matched-pair
Widya, I.A.; Volman, C.J.A.M.; Pokraev, S.; de Diana, I.P.F.; Michiels, E.F.; Filipe, Joaquim; Sharp, Bernadette; Miranda, Paula
This paper reports the modelling exercise of an educational information infrastructure that aims to support the organisation of teaching and learning activities suitable for a wide range of didactic policies. The modelling trajectory focuses on capturing invariant structures of relations between
Van Oosterom, Peter; Zlatanova, S.; Van Harmelen, Frank; Van Oosterom, Peter; Zlatanova, S
The Semantic Web is arising over the pas few years as a realistic option for a world wide Information Infrastructure, with its promises of semantic interoperability and serendipitous reuse. In this paper we will analyse the essential ingredients of semantic technologies, what makes them suitable as
Seifert, Jeffrey W
This report assesses the impact of the September 11, 2001 attacks on public and private information infrastructures in the context of critical infrastructure protection, continuity of operations (COOP...
Tegtmeier, W.; Zlatanova, S.; Van Oosterom, P.J.M.; Hack, H.R.G.K.
In civil engineering infrastructural projects, information exchange and (re-) use in and between involved parties is difficult. This is mainly caused by a lack of information harmonization. Various specialists are working together on the development of an infrastructural project and are all using
This article traces the history of the US FDA regulation of nutrition labeling, identifying an 'informational turn' in the evolving politics of food, diet and health in America. Before nutrition labeling was introduced, regulators actively sought to segregate food markets from drug markets by largely prohibiting health information on food labels, believing such information would 'confuse' the ordinary food consumer. Nutrition labeling's emergence, first in the 1970s as consumer empowerment and then later in the 1990s as a solution to information overload, reflected the belief that it was better to manage markets indirectly through consumer information than directly through command-and-control regulatory architecture. By studying product labels as 'information infrastructure', rather than a 'knowledge fix', the article shows how labels are situated at the center of a legally constructed terrain of inter-textual references, both educational and promotional, that reflects a mix of market pragmatism and evolving legal thought about mass versus niche markets. A change to the label reaches out across a wide informational environment representing food and has direct material consequences for how food is produced, distributed, and consumed. One legacy of this informational turn has been an increasing focus by policymakers, industry, and arguably consumers on the politics of information in place of the politics of the food itself.
Johnson Joy L
Full Text Available Abstract Although multidisciplinary and team-based approaches are increasingly acknowledged as necessary to address some of the most pressing contemporary health challenges, many researchers struggle with a lack of infrastructure to facilitate and formalise the requisite collaborations. Specialised research centres have emerged as an important organisational solution, yet centre productivity and sustainability are frequently dictated by the availability and security of infrastructure funds. Despite being widely cited as a core component of research capacity building, infrastructure as a discrete concept has been rather analytically neglected, often treated as an implicit feature of research environments with little specification or relegated to a narrow category of physical or administrative inputs. The terms research infrastructure, capacity, and culture, among others, are deployed in overlapping and inconsistent ways, further obfuscating the crucial functions of infrastructure specifically and its relationships with associated concepts. The case is made for an expanded conceptualisation of research infrastructure, one that moves beyond conventional 'hardware' notions. Drawing on a case analysis of NEXUS, a multidisciplinary health research centre based at the University of British Columbia, Canada, a conceptual framework is proposed that integrates the tangible and intangible structures that interactively underlie research centre functioning. A relational approach holds potential to allow for more comprehensive accounting of the returns on infrastructure investment. For those developing new research centres or seeking to reinvigorate existing ones, this framework may be a useful guide for both centre design and evaluation.
...; Information Technology Infrastructure Committee; Meeting AGENCY: National Aeronautics and Space Administration... Information Technology Infrastructure Committee (ITIC) of the NASA Advisory Council (NAC). This Committee..., DC 20546. FOR FURTHER INFORMATION CONTACT: Ms. Deborah Diaz, ITIC Executive Secretariat, NASA...
...; Information Technology Infrastructure Committee; Meeting AGENCY: National Aeronautics and Space Administration... Information Technology Infrastructure Committee (ITIC) of the NASA Advisory Council (NAC). DATES: Tuesday... Chief Information Officer Space Launch System Kennedy Space Center Operations and Technology Issues...
Knol, A.J.; Tan, Y.
The development of information infrastructures for international trade to improve supply chain visibility and security has gained momentum due to technological advances. An information infrastructure is a shared, open, and evolving assemblage of interlinked information systems providing distinct
Magnuson, J A
In a revised edition, this book covers all aspects of public health informatics, and discusses the creation and management of an information technology infrastructure that is essential in linking state and local organizations in their efforts to gather data.
The United States has aggressively embarked on the challenging task of building a National Information Infrastructure (NII). This infrastructure will have many levels, extending from the building block capital stock that composes the telecommunications system to the multitude of higher tier applications hardware and software tied to this system. This ``White Paper`` presents a vision for a second and third tier national information infrastructure that focuses exclusively on the needs of social science, education, and decision making (NII-SSEDM). NII-SSEDM will provide the necessary data, information, and automated decision support and educational tools needed to help this nation solve its most pressing social problems. The proposed system has five components: `data collection systems; databases; statistical analysis and modeling tools; policy analysis and decision support tools; and materials and software specially designed for education. This paper contains: a vision statement for each component; comments on progress made on each component as of the early 1990s; and specific recommendations on how to achieve the goals described in the vision statements. The white paper also discusses how the NII-SSEDM could be used to address four major social concerns: ensuring economic prosperity; health care; reducing crime and violence; and K-12 education. Examples of near-term and mid-term goals (e.g., pre-and post Year 2000) are presented for consideration. Although the development of NII-SSEDM will require a concerted effort by government, the private sector, schools, and numerous other organizations, the success of NH-SSEDM is predicated upon the identification of an institutional ``champion`` to acquire and husband key resources and provide strong leadership and guidance.
Henningsson, Stefan; Zinner Henriksen, Helle
Despite the increasing importance of large IT-based solutions binding actors and processes together across institutional borders, still little is known about how these Information Infrastructures (IIs) assume their shapes and potentially may be reshaped towards specific ends. We focus...... on the duality of organizations using the IT artefacts of the European e-Customs IIs to inscribe harmonised behaviour into the operation of the infrastructure and how the IT artefacts are divergently interpreted by the users of the II. We find a tension between the need for artefacts with strong inscription...... to regulate the II and a need for flexibility for II users. The consequence is diluted inscriptions and, in contradiction to what has previously been concluded about interpretative flexibility, the European e-Customs II does not show signs of settling down in a stable phase with consensus. This lack...
Bielecka, Elzbieta; Zwirowicz-Rutkowska, Agnieszka
One of the more important elements of spatial information infrastructure is the organisational structure defining the obligations and dependencies between stakeholders that are responsible for the infrastructure. Many SDI practitioners and theoreticians emphasise that its influence on the success or failure of activities undertaken is significantly greater than that of technical aspects. Being aware of the role of the organisational structure in the creating, operating and maintenance of spatial information infrastructure (SII), Polish legislators placed appropriate regulations in the Spatial Information Infrastructure Act, being the transposition of the INSPIRE Directive into Polish Law. The principal spatial information infrastructure stakeholders are discussed in the article and also the scope of cooperation between them. The tasks and relationships between stakeholders are illustrated in UML, in both the use case and the class diagram. Mentioned also are the main problems and obstructions resulting from imprecise legal regulations. Jednym z istotniejszych komponentów infrastruktury informacji przestrzennej (IIP) jest struktura organizacyjna określająca m.in. zależności pomiędzy organizacjami tworzącymi infrastrukturę. Wielu praktyków i teoretyków SDI podkreśla, że wpływ aspektów organizacyjnych na sukces lub porażkę SDI jest dużo większy niż elementów technicznych. Mając świadomość znaczącej roli struktury organizacyjnej w tworzeniu, funkcjonowaniu i zarządzaniu infrastrukturą przestrzenną w Polsce, legislatorzy umieścili odpowiednie zapisy w ustawie z dnia 4 marca 2010 r. o infrastrukturze informacji przestrzennej, będącej transpozycją dyrektywy INSPIRE do prawa polskiego. W artykule omówiono strukturę organizacyjną IIP w Polsce, podając (m.in. w postaci diagramów UML) obowiązki poszczególnych organów administracji zaangażowanych w jej budowę i rozwój, a także omówiono zależności i zakres współpracy pomi
Hupperts, H; Hermann, K-G A
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.
Kadner, S.; Turpen, E. [Aquila Technologies Group, Albuquerque, NM (United States); Rees, B. [Los Alamos National Lab., NM (United States)
The Internet is a culmination of information age technologies and an agent of change. As with any infrastructure, dependency upon the so-called global information infrastructure creates vulnerabilities. Moreover, unlike physical infrastructures, the Internet is a multi-use technology. While information technologies, such as the Internet, can be utilized as a tool of terror, these same technologies can facilitate the implementation of solutions to mitigate the threat. In this vein, this paper analyzes the multifaceted nature of the Internet information infrastructure and argues that policymakers should concentrate on the solutions it provides rather than the vulnerabilities it creates. Minimizing risks and realizing possibilities in the information age will require institutional activities that translate, exploit and convert information technologies into positive solutions. What follows is a discussion of the Internet information infrastructure as it relates to increasing vulnerabilities and positive potential. The following four applications of the Internet will be addressed: as the infrastructure for information competence; as a terrorist tool; as the terrorist`s target; and as an architecture for rapid response.
Full Text Available The proliferation of advanced technologies led researchers within the Rehabilitation Engineering Research Center on Telerehabilitation (RERC-TR to devise an integrated infrastructure for clinical services using the University of Pittsburgh (PITT model. This model describes five required characteristics for a telerehabilitation (TR infrastructure: openness, extensibility, scalability, cost-effectiveness, and security. The infrastructure is to deliver clinical services over distance to improve access to health services for people living in underserved or remote areas. The methodological approach to design, develop, and employ this infrastructure is explained and detailed for the remote wheelchair prescription project, a research task within the RERC-TR. The availability of this specific clinical service and personnel outside of metropolitan areas is limited due to the lack of specialty expertise and access to resources. The infrastructure is used to deliver expertise in wheeled mobility and seating through teleconsultation to remote clinics, and has been successfully deployed to five rural clinics in Western Pennsylvania. Keywords: Telerehabilitation, Information Management, Infrastructure Development Methodology, Videoconferencing, Online Portal, Database
Between the end of March to June 2011, there has been no detector downtime during proton fills due to CMS Infrastructures failures. This exceptional performance is a clear sign of the high quality work done by the CMS Infrastructures unit and its supporting teams. Powering infrastructure At the end of March, the EN/EL group observed a problem with the CMS 48 V system. The problem was a lack of isolation between the negative (return) terminal and earth. Although at that moment we were not seeing any loss of functionality, in the long term it would have led to severe disruption to the CMS power system. The 48 V system is critical to the operation of CMS: in addition to feeding the anti-panic lights, essential for the safety of the underground areas, it powers all the PLCs (Twidos) that control AC power to the racks and front-end electronics of CMS. A failure of the 48 V system would bring down the whole detector and lead to evacuation of the cavern. EN/EL technicians have made an accurate search of the fault, ...
A. Gaddi and P. Tropea
Most of the work relating to Infrastructure has been concentrated in the new CSC and RPC manufactory at building 904, on the Prevessin site. Brand new gas distribution, powering and HVAC infrastructures are being deployed and the production of the first CSC chambers has started. Other activities at the CMS site concern the installation of a new small crane bridge in the Cooling technical room in USC55, in order to facilitate the intervention of the maintenance team in case of major failures of the chilled water pumping units. The laser barrack in USC55 has been also the object of a study, requested by the ECAL community, for the new laser system that shall be delivered in few months. In addition, ordinary maintenance works have been performed during the short machine stops on all the main infrastructures at Point 5 and in preparation to the Year-End Technical Stop (YETS), when most of the systems will be carefully inspected in order to ensure a smooth running through the crucial year 2012. After the incide...
A. Gaddi and P. Tropea
The CMS Infrastructures teams are preparing for the LS1 activities. A long list of maintenance, consolidation and upgrade projects for CMS Infrastructures is on the table and is being discussed among Technical Coordination and sub-detector representatives. Apart from the activities concerning the cooling infrastructures (see below), two main projects have started: the refurbishment of the SX5 building, from storage area to RP storage and Muon stations laboratory; and the procurement of a new dry-gas (nitrogen and dry air) plant for inner detector flushing. We briefly present here the work done on the first item, leaving the second one for the next CMS Bulletin issue. The SX5 building is entering its third era, from main assembly building for CMS from 2000 to 2007, to storage building from 2008 to 2012, to RP storage and Muon laboratory during LS1 and beyond. A wall of concrete blocks has been erected to limit the RP zone, while the rest of the surface has been split between the ME1/1 and the CSC/DT laborat...
... 6 Domestic Security 1 2010-01-01 2010-01-01 false Disclosure of Protected Critical Infrastructure... PROTECTED CRITICAL INFRASTRUCTURE INFORMATION § 29.8 Disclosure of Protected Critical Infrastructure... Infrastructure Protection, or either's designee may choose to provide or authorize access to PCII under one or...
Olugasa, B O
The World-Wide-Web as a contemporary means of information sharing offers a platform for geo-spatial information dissemination to improve education about spatio-temporal patterns of disease spread at the human-animal-environment interface in developing countries of West Africa. In assessing the quality of exposure to geospatial information applications among students in five purposively selected institutions in West Africa, this study reviewed course contents and postgraduate programmes in zoonoses surveillance. Geospatial information content and associated practical exercises in zoonoses surveillance were scored.. Seven criteria were used to categorize and score capability, namely, spatial data capture; thematic map design and interpretation; spatio-temporal analysis; remote sensing of data; statistical modelling; the management of spatial data-profile; and web-based map sharing operation within an organization. These criteria were used to compute weighted exposure during training at the institutions. A categorical description of institution with highest-scoring of computed Cumulative Exposure Point Average (CEPA) was based on an illustration with retrospective records of rabies cases, using data from humans, animals and the environment, that were sourced from Grand Bassa County, Liberia to create and share maps and information with faculty, staff, students and the neighbourhood about animal bite injury surveillance and spatial distribution of rabies-like illness. Uniformly low CEPA values (0-1.3) were observed across academic departments. The highest (3.8) was observed at the Centre for Control and Prevention of Zoonoses (CCPZ), University of Ibadan, Nigeria, where geospatial techniques were systematically taught, and thematic and predictive maps were produced and shared online with other institutions in West Africa. In addition, a short course in zoonosis surveillance, which offers inclusive learning in geospatial applications, is taught at CCPZ. The paper
van Dijk, Frank J H; Verbeek, Jos H; Hoving, Jan L; Hulshof, Carel T J
Occupational Safety and Health (OSH) professionals should use scientific evidence to support their decisions in policy and practice. Although examples from practice show that progress has been made in evidence-based decision making, there is a challenge to improve and extend the facilities that support knowledge translation in practice. A knowledge infrastructure that supports OSH practice should include scientific research, systematic reviews, practice guidelines, and other tools for professionals such as well accessible virtual libraries and databases providing knowledge, quality tools, and good learning materials. A good infrastructure connects facilities with each other and with practice. Training and education is needed for OSH professionals in the use of evidence to improve effectiveness and efficiency. New initiatives show that occupational health can profit from intensified international collaboration to establish a good functioning knowledge infrastructure.
Full Text Available The Web and its capabilities can be employed as a tool for data and information integration if comprehensive datasets and appropriate technologies and standards enable the web with interpretation and easy alignment of data and information. Semantic Web along with the spatial functionalities enable the web to deal with the huge amount of data and information. The present study investigate the advantages and limitations of the Spatial Semantic Web and compare its capabilities with relational models in order to build a spatial data infrastructure. An architecture is proposed and a set of criteria is defined for the efficiency evaluation. The result demonstrate that when using the data with special characteristics such as schema dynamicity, sparse data or available relations between the features, the spatial semantic web and graph databases with spatial operations are preferable.
The CMS Infrastructures teams are constantly ensuring the smooth operation of the different services during this critical period when the detector is taking data at full speed. A single failure would spoil hours of high luminosity beam and everything is put in place to avoid such an eventuality. In the meantime however, the fast approaching LS1 requires that we take a look at the various activities to take place from the end of the year onwards. The list of infrastructures consolidation and upgrade tasks is already long and will touch all the services (cooling, gas, inertion, powering, etc.). The definitive list will be available just before the LS1 start. One activity performed by the CMS cooling team that is worth mentioning is the maintenance of the cooling circuits at the CMS Electronics Integration Centre (EIC) at building 904. The old chiller has been replaced by a three-units cooling plant that also serves the HVAC system for the new CSC and RPC factories. The commissioning of this new plant has tak...
In addition to the intense campaign of replacement of the leaky bushing on the Endcap circuits, other important activities have also been completed, with the aim of enhancing the overall reliability of the cooling infrastructures at CMS. Remaining with the Endcap circuit, the regulating valve that supplies cold water to the primary side of the circuit heat-exchanger, is not well adapted in flow capability and a new part has been ordered, to be installed during a stop of LHC. The instrumentation monitoring of the refilling rate of the circuits has been enhanced and we can now detect leaks as small as 0.5 cc/sec, on circuits that have nominal flow rates of some 20 litres/sec. Another activity starting now that the technical stop is over is the collection of spare parts that are difficult to find on the market. These will be stored at P5 with the aim of reducing down-time in case of component failure. Concerning the ventilation infrastructures, it has been noticed that in winter time the relative humidity leve...
Sinha, Pradeep K; Bendale, Prashant; Mantri, Manisha; Dande, Atreya
Discover How Electronic Health Records Are Built to Drive the Next Generation of Healthcare Delivery The increased role of IT in the healthcare sector has led to the coining of a new phrase ""health informatics,"" which deals with the use of IT for better healthcare services. Health informatics applications often involve maintaining the health records of individuals, in digital form, which is referred to as an Electronic Health Record (EHR). Building and implementing an EHR infrastructure requires an understanding of healthcare standards, coding systems, and frameworks. This book provides an
Konstantin Grigorevich Kogos
Full Text Available The application of cryptographic security methods in cloud infrastructure information security is analyzed. The cryptographic problems in cloudy infrastructures are chosen; the appropriate protocols are investigated; the appropriate mathematical problems are examined.
With all the technical services running, the attention has moved toward the next shutdown that will be spent to perform those modifications needed to enhance the reliability of CMS Infrastructures. Just to give an example for the cooling circuit, a set of re-circulating bypasses will be installed into the TS/CV area to limit the pressure surge when a circuit is partially shut-off. This problem has affected especially the Endcap Muon cooling circuit in the past. Also the ventilation of the UXC55 has to be revisited, allowing the automatic switching to full extraction in case of magnet quench. (Normally 90% of the cavern air is re-circulated by the ventilation system.) Minor modifications will concern the gas distribution, while the DSS action-matrix has to be refined according to the experience gained with operating the detector for a while. On the powering side, some LV power lines have been doubled and the final schematics of the UPS coverage for the counting rooms have been released. The most relevant inte...
A. Gaddi and P. Tropea
Most of the CMS infrastructures at P5 will go through a heavy consolidation-work period during LS1. All systems, from the cryogenic plant of the superconducting magnet to the rack powering in the USC55 counting rooms, from the cooling circuits to the gas distribution, will undergo consolidation work. As announced in the last issue of the CMS Bulletin, we present here one of the consolidation projects of LS1: the installation of a new dry-gas plant for inner detectors inertion. So far the oxygen and humidity suppression inside the CMS Tracker and Pixel volumes were assured by flushing dry nitrogen gas evaporated from a large liquid nitrogen tank. For technical reasons, the maximum flow is limited to less than 100 m3/h and the cost of refilling the tank every two weeks with liquid nitrogen is quite substantial. The new dry-gas plant will supply up to 400 m3/h of dry nitrogen (or the same flow of dry air, during shut-downs) with a comparatively minimal operation cost. It has been evaluated that the...
During the last six months, the main activity on the cooling circuit has essentially been preventive maintenance. At each short machine technical stop, a water sample is extracted out of every cooling circuit to measure the induced radioactivity. Soon after, a visual check of the whole detector cooling network is done, looking for water leaks in sensitive locations. Depending on sub-system availability, the main water filters are replaced; the old ones are inspected and sent to the CERN metallurgical lab in case of suspicious sediments. For the coming winter technical stop, a number of corrective maintenance activities and infrastructure consolidation work-packages are foreseen. A few faulty valves, found on the muon system cooling circuit, will be replaced; the cooling gauges for TOTEM and CASTOR, in the CMS Forward region, will be either changed or shielded against the magnetic stray field. The demineralizer cartridges will be replaced as well. New instrumentation will also be installed in the SCX5 PC farm ...
The various water-cooling circuits ran smoothly over the summer. The overall performance of the cooling system is satisfactory, even if some improvements are possible, concerning the endcap water-cooling and the C6F14 circuits. In particular for the endcap cooling circuit, we aim to lower the water temperature, to provide more margin for RPC detectors. An expert-on-call piquet has been established during the summer global run, assuring the continuous supervision of the installations. An effort has been made to collect and harmonize the existing documentation on the cooling infrastructures at P5. The last six months have seen minor modifications to the electrical power network at P5. Among these, the racks in USC55 for the Tracker and Sniffer systems, which are backed up by the diesel generator in case of power outage, have been equipped with new control boxes to allow a remote restart. Other interventions have concerned the supply of assured power to those installations that are essential for CMS to run eff...
The long winter shut-down allows for modifications that will improve the reliability of the detector infrastructures at P5. The annual maintenance of detector services is taking place as well. This means a full stop of water-cooling circuits from November 24th with a gradual restart from mid January 09. The annual maintenance service includes the cleaning of the two SF5 cooling towers, service of the chiller plants on the surface, and the cryogenic plant serving the CMS Magnet. In addition, the overall site power is reduced from 8MW to 2MW, compatible with the switchover to the Swiss power network in winter. Full power will be available again from end of January. Among the modification works planned, the Low Voltage cabinets are being refurbished; doubling the cable sections and replacing the 40A circuit breakers with 60A types. This will reduce the overheating that has been experienced. Moreover, two new LV transformers will be bought and pre-cabled in order to assure a quick swap in case of failure of any...
During the last winter technical stop, a number of corrective maintenance activities and infrastructure consolidation work-packages were completed. On the surface, the site cooling facility has passed the annual maintenance process that includes the cleaning of the two evaporative cooling towers, the maintenance of the chiller units and the safety checks on the software controls. In parallel, CMS teams, reinforced by PH-DT group personnel, have worked to shield the cooling gauges for TOTEM and CASTOR against the magnetic stray field in the CMS Forward region, to add labels to almost all the valves underground and to clean all the filters in UXC55, USC55 and SCX5. Following the insertion of TOTEM T1 detector, the cooling circuit has been branched off and commissioned. The demineraliser cartridges have been replaced as well, as they were shown to be almost saturated. New instrumentation has been installed in the SCX5 PC farm cooling and ventilation network, in order to monitor the performance of the HVAC system...
Morgan, John P; Isyagi, Moses; Ntaganira, Joseph; Gatarayiha, Agnes; Pagni, Sarah E; Roomian, Tamar C; Finkelman, Matthew; Steffensen, Jane E M; Barrow, Jane R; Mumena, Chrispinus H; Hackley, Donna M
Oral health affects quality of life and is linked to overall health. Enhanced oral health research is needed in low- and middle-income countries to develop strategies that reduce the burden of oral disease, improve oral health and inform oral health workforce and infrastructure development decisions. To implement the first National Oral Health Survey of Rwanda to assess the oral disease burden and inform oral health promotion strategies. In this cross-sectional study, sample size and site selection were based on the World Health Organization (WHO) Oral Health Surveys Pathfinder stratified cluster methodologies. Randomly selected 15 sites included 2 in the capital city, 2 other urban centers and 11 rural locations representing all provinces and rural/urban population distribution. A minimum of 125 individuals from each of 5 age groups were included at each site. A Computer Assisted Personal Instrument (CAPI) was developed to administer the study instrument. Nearly two-thirds (64.9%) of the 2097 participants had caries experience and 54.3% had untreated caries. Among adults 20 years of age and older, 32.4% had substantial oral debris and 60.0% had calculus. A majority (70.6%) had never visited an oral health provider. Quality-of-life challenges due to oral diseases/conditions including pain, difficulty chewing, self-consciousness, and difficulty participating in usual activities was reported at 63.9%, 42.2% 36.2%, 35.4% respectively. The first National Oral Health Survey of Rwanda was a collaboration of the Ministry of Health of Rwanda, the University of Rwanda Schools of Dentistry and Public Health, the Rwanda Dental Surgeons and Dental (Therapists) Associations, and Tufts University and Harvard University Schools of Dental Medicine. The international effort contributed to building oral health research capacity and resulted in a national oral health database of oral disease burden. This information is essential for developing oral disease prevention and management
Henningsson, Stefan; Gal, Uri; Bjørn-Andersen, Niels
that are in control of their business. Trusted traders are entitled to trade facilitations, faster border crossing, and fewer physical inspections. To enable the use of trusted traders, changes are required to the information infrastructure (II) of international trade. This article complements existing works on e......-Government interoperability by a theoretically driven approach with theoretical development of the II concept and how II can be modified as additional focus. Following the principles of IS design research, this paper presents a design proposition for the II of international trade. Using theories of II development and change......Regulators and actors in international trade are facing a difficult challenge of increasing control and security while at the same time lowering the administrative burden for traders. As a tentative response, the European Commission has introduced the concept of “trusted traders”: certified traders...
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.
Full Text Available Health infrastructure is one of the weaknesses of socio-economic development in Romania and in other European states. In order to get a better picture of the Romanian health system issues, this paper analyzes a number of statistical indicators considered representative for the national and European health infrastructure for a 20 years period, between 1990 and 2010. Our paper has three main objectives: (a to identify the main trends for health infrastructure in some of the European Union countries; (b to describe the evolution of the health system in Romania, the comparative situation at the European level as well as regional level indicators dynamics; (c to overview the Regional Operational Program in Romania, how much does it help the regional health infrastructure in our country. At the European level, there is a constant decrease in the number of hospital beds. For this indicator, Romania has slightly higher values than the European average. We must mention that the hospital beds indicator offers limited information on health infrastructure which also includes medical equipment and specific devices and practices. The number of hospitals in Romania increased with 18.9% during the last 20 years (1990-2010. During the observed timeline, the number of hospitals in Romania had a constant positive evolution at regional level. The number of doctors in hospitals has an increasing trend at the local as well as at the international level. Romania has a number of doctors twice lower than the European average (3.6 doctors for one thousand inhabitants. The Regional Operational Program (ROP has a limited influence in achieving the objectives stated in Applicants Guide for Priority Axis 3. Major Intervention Area 3.1. This happens because supporting infrastructure improvements will not create institutional modernization. The financial contribution through ROP will result in the modernization of 11% of the existing hospitals in Romania.
In two particular respects (briefly investigated in this study from a lawyer`s perspective), electric utilities appear uniquely well-positioned to contribute to the National Information Infrastructure (NII). First of all, utilities have legal powers derived from their charters and operating authorities, confirmed in their rights-of-way, to carry out activities and functions necessary for delivering electric service. These activities and functions include building telecommunications facilities and undertaking information services that have become essential to managing electricity demand and supply. The economic value of the efficiencies made possible by telecommunications and information could be substantial. How great remains to be established, but by many estimates electric utility applications could fund a significant share of the capital costs of building the NII. Though utilities` legal powers to pursue such efficiencies through telecommunications and information appear beyond dispute, it is likely that the effort to do so will produce substantial excess capacity. Who will benefit from this excess capacity is a potentially contentious political question that demands early resolution. Will this windfall go to the utility, the customer, or no one (because of political paralysis), or will there be some equitable and practical split? A second aspect of inquiry here points to another contemporary issue of very great societal importance that could very well become the platform on which the first question can be resolved fortuitously-how to achieve universal telecommunications service. In the effort to fashion the NII that will now continue, ways and means to maximize the unique potential contribution of electric utilities to meeting important social and economic needs--in particular, universal service--merit priority attention.
The continuous increase in the complexity and the heterogeneity of corporate and healthcare telecommunications infrastructures will require new assessment methods of quality of service (QoS) provision that are capable of addressing all engineering and social issues with much faster speeds. Speed and accessibility to any information at any time from anywhere will create global communications infrastructures with great performance bottlenecks that may put in danger human lives, power supplies, national economy and security. Regardless of the technology supporting the information flows, the final verdict on the QoS is made by the end user. The users' perception of telecommunications' network infrastructure QoS provision is critical to the successful business management operation of any organization. As a result, it is essential to assess the QoS Provision in the light of user's perception. This article presents a cost effective methodology to assess the user's perception of quality of service provision utilizing the existing Staffordshire University Network (SUN) by adding a component of measurement to the existing model presented by Walker. This paper presents the real examples of CISCO Networking Solutions for Health Care givers and offers a cost effective approach to assess the QoS provision within the campus network, which could be easily adapted to any health care organization or campus network in the world.
Improvement of the infrastructure of probabilistic safety assessment (PSA) is essential to the risk-informed regulation for nuclear power plants. JNES conducted update of initiating event frequencies and improvement of the method for uncertainty analysis to enhance the technology bases of PSA in 2011. Furthermore, JNES improved the human reliability analysis method and the reliability analysis method for digital reactor protection systems. JNES estimated initiating event frequencies both for power and shutdown operation based on the recent operating experiences in Nuclear Power Plants (NPPs) of Japan using the hierarchical Bayesian method. As for improvement of the uncertainty analysis method, JNES conducted trial analyses using SOKC (State-Of-Knowledge Correlation) for the representative PWR plant and BWR plant of Japan. The study on the advanced HRA method with operator cognitive action model was conducted to improve a quality of HRA. The study on analyses of 'defense in depth' and 'diversity' for introducing digital instrumentation and control (I and C) systems was conducted. In order to ensure the quality of PSA, JNES conducted a peer review of a representative Japanese BWR plant PSA by the professional PSA engineers from the U.S. in order to extract to improve quality of PSA, and made an effort to develop the procedures of internal fire PSA. JNES participated in OECD/NEA PRISME and FIRE project to obtain the latest information and data to validate and improve the fire propagation analysis codes and the parameters for fire PSA as well. Furthermore, JNES studied schemes for the endorsement and application in the risk-informed regulation of PSA standards established by Atomic Energy Society of Japan. (author)
Muta, Hitoshi; Tanji, Junichi; Kondo, Keisuke; Uchida, Tsuyoshi; Ito, Tomomichi
Improvement of the infrastructure of probabilistic safety assessment (PSA) is essential to the risk-informed regulation for nuclear power plants. JNES conducted update of initiating event frequency and improvement of method for uncertainty analysis to enhance the technology bases of PSA in 2010. Furthermore, JNES improved human reliability assessment method and reliability assessment method for digital reactor protection systems. JNES estimated initiating event frequencies both for power and shutdown operation based on the recent operating experiences in NPPs of Japan using hierarchical Bayesian method. As for improvement of uncertainty analysis method, JNES conducted trial analysis using SOKC (State-Of-Knowledge Correlation) for representative PWR and BWR of Japan. The study on the advanced HRA method with operator cognitive action model was conducted. The study on reliability analysis method for digital reactor protection systems using Bayesian Network Method was conducted. In order to ensure the quality of PSA, JNES studied requirements and methods for PSA peer review via the preparation of peer review for PSA of a representative Japanese BWR plant conducted by JNES. As an effort to develop the procedures of internal fire PSA and internal flooding PSA, trial analyses were conducted to grasp the risk level cause by fire and flooding in nuclear power plants. JNES participated in OECD/NEA PRISME and FIRE project to obtain the latest information and data to validate and improve the fire propagation analysis codes and the parameters for fire PSA. Furthermore, JNES studies schemes for endorsement and application in risk-informed regulation of PSA standards established by Atomic Energy Society of Japan. (author)
..., Executive Secretary for the Information Technology Infrastructure Committee, National Aeronautics and Space... they are attending the NASA Advisory Council, Information Technology Infrastructure Committee meeting in Building 34, Room W305. All U.S. citizens desiring to attend the Information Technology...
Full Text Available IT Service Management adalah salah satu cara untuk mengelola layanan teknologi informasi. Layanan teknologi perlu dikelola dengan baik untuk mendapatkan output dalam bentuk informasi yang dibutuhkan oleh manajemen. Untuk meningkatkan layanan teknologi informasi untuk lebih baik, diperlukan audit meliputi audit layanan teknologi informasi. Audit layanan teknologi informasi dilakukan untuk menentukan kelayakan teknologi informasi denngan terkait, dalam hal ini penulis berfokus pada isu-isu keamanan teknologi informasi. Audit keamanan teknologi informasi dibuat untuk menentukan tingkat keamanan untuk layanan teknologi informasi, sejauh mana informasi tersebut bisa sampai kepada yang berhak menerima, apakah informasi tersebut benar-benar tersedia, apakah informasi tersebut bersifat rahasia. Untuk dapat mengukur tingkat keamanan layanan teknologi informasi, penulis memilih untuk menggunakan metode Information Technology Infrastructure Library Versi 3 (ITIL V3. ITIL adalah set yang terdiri dari Layanan Strategi, Jasa Desain, Jasa Transisi, Layanan Operasi, dan terus-menerus Peningkatan Pelayanan. Dalam hal ini penulis berfokus pada layanan desain pada bagian dari manajemen keamanan informasi, pada bagian ini menjelaskan bagaimana layanan dikatakan baik jika memenuhi 8 poin yang telah distandarisasi secara internasional.
Tonn, B.E.; Oliver, C.E.
The National Information Infrastructure (NII) Education Forum was held on October 6-8, 1993, in Arlington, Virginia. The Forum was sponsored by the Office of Scientific Computing, U.S. Department of Energy (DOE). Its purpose was to discuss technology for K-12 education and what role DOE and its national laboratories could play in developing, disseminating, and using technology for K-12. The Forum brought together over 120 people from across the nation. Participants represented six groups: national laboratories; education research institutions; K-12 teachers and administrators; industry; federal agencies; and other institutions. The Forum consisted of a series of structured presentations from each of these six groups; technology demonstrations; and open, small group discussions. The presentations covered the following: important K-12 education and computing issues, national laboratory capabilities, other federal sector initiatives, and industry perspectives. The demonstration room had over 20 computers networked to the Internet. Workshop participants were shown (1) how to use the Internet to access resources anywhere in the world, (2) state-of-the-art network video teleconferencing technology, (3) multi-media technology, and (4) various other educational software systems.
Scott T. Weiss
Full Text Available Partners HealthCare Personalized Medicine (PPM is a center within the Partners HealthCare system (founded by Massachusetts General Hospital and Brigham and Women’s Hospital whose mission is to utilize genetics and genomics to improve the care of patients in a cost effective manner. PPM consists of five interconnected components: (1 Laboratory for Molecular Medicine (LMM, a CLIA laboratory performing genetic testing for patients world-wide; (2 Translational Genomics Core (TGC, a core laboratory providing genomic platforms for Partners investigators; (3 Partners Biobank, a biobank of samples (DNA, plasma and serum for 50,000 Consented Partners patients; (4 Biobank Portal, an IT infrastructure and viewer to bring together genotypes, samples, phenotypes (validated diagnoses, radiology, and clinical chemistry from the electronic medical record to Partners investigators. These components are united by (5 a common IT system that brings researchers, clinicians, and patients together for optimal research and patient care.
Danijela D. Protić
Full Text Available The development of technology has changed the world economy and induced new political trends. The European Union (EU and many non-EU member states apply the strategies of information society development that raise the level of information security (IS. The Serbian Government (Government has adopted the Strategy for Information Society in Serbia by 2020 (Strategy, and pointed to the challenges for the development of a modern Serbian information society. This paper presents an overview of the open-ended questions about IS, critical infrastructures and protection of critical infrastructures. Based on publicly available data, some critical national infrastructures are listed. As a possible solution to the problem of IS, the Public Key Infrastructure (PKI-based Information security integrated information system (ISIIS is presented. The ISIIS provides modularity and interoperability of critical infrastructures both in Serbia and neighboring countries.
Gao, Sheng; Mioc, Darka; Yi, Xiaolun
such as emergency management, public health, disaster relief, environmental impact assessment, transportation, and land information systems. In this paper, our aims are to use the CGDI and to identify its usability in supporting online health mapping. To identify the usability of the CGDI for health mapping, we...
Weimer, James; Xu, Yuzhe; Fischione, Carlo; Johansson, Karl Henrik; Ljungberg, Per; Donovan, Craig; Sutor, Ariane; Fahlén, Lennart E.
Testing smart grid information and communication (ICT) infrastructures is imperative to ensure that they meet industry requirements and standards and do not compromise the grid reliability. Within the micro-grid, this requires identifying and testing ICT infrastructures for communication between distributed energy resources, building, substations, etc. To evaluate various ICT infrastructures for micro-grid deployment, this work introduces the Virtual Micro-Grid Laboratory (VMGL) and provides ...
Mengiste, Shegaw Anagaw; Neilsen, Petter
This article addresses the issues of scaling health information system in the context of developing countries by taking a case study from Ethiopia. Concepts of information infrastructure have been used as an analytical lens to better understand scaling of Health Information systems. More...... specifically, we question the fruitfulness of focusing on not being installed base hostile and suggest focusing on how to be installed base “friendly” by underscoring how the installed base can also be draw upon and shaped by human agents. The paper conceptualizes health information infrastructure (HII......) building as an intertwined process of the evolution of the installed base and the construction activities of human agents. Overall, we argue that it is not only the adverse situation that determines how things develop, but HII builders need to navigate and take into account a wide range of issues related...
Melaina, Marc W [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Wood, Eric W [National Renewable Energy Laboratory (NREL), Golden, CO (United States)
The plug-in electric vehicle (PEV) market is experiencing rapid growth with dozens of battery electric (BEV) and plug-in hybrid electric (PHEV) models already available and billions of dollars being invested by automotive manufacturers in the PEV space. Electric range is increasing thanks to larger and more advanced batteries and significant infrastructure investments are being made to enable higher power fast charging. Costs are falling and PEVs are becoming more competitive with conventional vehicles. Moreover, new technologies such as connectivity and automation hold the promise of enhancing the value proposition of PEVs. This presentation outlines a suite of projects funded by the U.S. Department of Energy's Vehicle Technology Office to conduct assessments of the economic value and charging infrastructure requirements of the evolving PEV market. Individual assessments include national evaluations of PEV economic value (assuming 73M PEVs on the road in 2035), national analysis of charging infrastructure requirements (with community and corridor level resolution), and case studies of PEV ownership in Columbus, OH and Massachusetts.
Millions of consumers get health information from magazines, TV or the Internet. Some of the information is reliable and up to date; some is not. How can ... the site have an editorial board? Is the information reviewed before it is posted? Be skeptical. Things ...
Hansen, Kjeld S.
In this PhD project, I'm investigating how health organizations are sharing health information on social media. My PhD project is divided into two parts, but in this paper, I will only focus on the first part: To understand current practices of how health organizations engage with health...... information and users on social media (empirical studies 1,2,3) and to develop a theoretical model for how it is done efficiently and effectively. I have currently conducted and published on two empirical studies (1,2). I am in the process of collecting data for a revised version of empirical study (2...
... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice: (10-110)] NASA Advisory Council...-463, as amended, the National Aeronautics and Space Administration (NASA) announce a meeting for the Information Technology Infrastructure Committee of the NASA Advisory Council (NAC). DATES: Tuesday, September...
... DEPARTMENT OF HOMELAND SECURITY National Protection and Programs Directorate [Docket No. DHS-2010-0071] Agency Information Collection Activities: Office of Infrastructure Protection; Chemical Security...: The Department of Homeland Security (DHS), National Protection and Programs Directorate (NPPD), Office...
Boonstra, D.; Hartog, T.; Schotanus, H.A.; Verkoelen, C.A.A.
The NATO Network-Enabled Capability (NNEC) study envisions effective and efficient cooperation among the coalition partners in missions. This requires information sharing and efficient deployment of IT assets. Current military communication infrastructures are mostly deployed as stand-alone
Mari Jair de Jesus
Full Text Available The objective of this descriptive study was to map mental health research in Brazil, providing an overview of infrastructure, financing and policies mental health research. As part of the Atlas-Research Project, a WHO initiative to map mental health research in selected low and middle-income countries, this study was carried out between 1998 and 2002. Data collection strategies included evaluation of governmental documents and sites and questionnaires sent to key professionals for providing information about the Brazilian mental health research infrastructure. In the year 2002, the total budget for Health Research was US$101 million, of which US$3.4 million (3.4 was available for Mental Health Research. The main funding sources for mental health research were found to be the São Paulo State Funding Agency (Fapesp, 53.2% and the Ministry of Education (CAPES, 30.2%. The rate of doctors is 1.7 per 1,000 inhabitants, and the rate of psychiatrists is 2.7 per 100,000 inhabitants estimated 2000 census. In 2002, there were 53 postgraduate courses directed to mental health training in Brazil (43 in psychology, six in psychiatry, three in psychobiology and one in psychiatric nursing, with 1,775 students being trained in Brazil and 67 overseas. There were nine programs including psychiatry, neuropsychiatry, psychobiology and mental health, seven of them implemented in Southern states. During the five-year period, 186 students got a doctoral degree (37 per year and 637 articles were published in Institute for Scientic Information (ISI-indexed journals. The investment channeled towards postgraduate and human resource education programs, by means of grants and other forms of research support, has secured the country a modest but continuous insertion in the international knowledge production in the mental health area.
... U.S. (2011-2015): Individual-level & Placed-based Disparities Source: Southwest Rural Health Research Center Online Library » Resource and Referral Service Need help finding information? RHIhub can provide free assistance customized to your ...
the technology and expertise to process and share ... services. GEHS supports efforts that reach beyond healthcare institutions to capture evidence ... Health information systems are a foundation for quality care, and can increase accountability ...
Haro, A. S.
Discusses the need to apply modern scientific management to health administration in order to effectively manage programs utilizing increased preventive and curative capabilities. The value of having maximum information in order to make decisions, and problems of determining information content are reviewed. For journal availability, see SO 506…
Tabano, David C; Cole, Elizabeth; Holve, Erin; Davidson, Arthur J
Data networks, consisting of pooled electronic health data assets from health care providers serving different patient populations, promote data sharing, population and disease monitoring, and methods to assess interventions. Better understanding of data networks, and their capacity to support public health objectives, will help foster partnerships, expand resources, and grow learning health systems. We conducted semistructured interviews with 16 key informants across the United States, identified as network stakeholders based on their respective experience in advancing health information technology and network functionality. Key informants were asked about their experience with and infrastructure used to develop data networks, including each network's utility to identify and characterize populations, usage, and sustainability. Among 11 identified data networks representing hundreds of thousands of patients, key informants described aggregated health care clinical data contributing to population health measures. Key informant interview responses were thematically grouped to illustrate how networks support public health, including (1) infrastructure and information sharing; (2) population health measures; and (3) network sustainability. Collaboration between clinical data networks and public health entities presents an opportunity to leverage infrastructure investments to support public health. Data networks can provide resources to enhance population health information and infrastructure.
Elam, Donald Emmett.
The world has entered the Third Wave; it has entered the Information Age. One of the fundamentals of this paradigm shift is the fact that information is power. The side that controls information more effectively will be victorious. Thus, countries and militaries must change their mentality in order to survive. A new form of conflict, Information Warfare, has been born. This new discipline is large, dynamic, and complex. The need exists for education among military officers and other concerned...
Prologue is a health information system developed for underserved communities in Bihar, India. It is aimed at helping people living in poverty and with low literacy to take the right steps to manage their and their family’s health. Bihar suffers from one of the worst healthcare records in the country. This is as much due to the lack of access to the right information as it is due to the economic condition of the region. The inaccessibility of information is aggravated by the complex social se...
Jeffery, Nancy Loder; McKelvey, Wendy; Matte, Thomas
To describe how the New York City (NYC) Tracking Program has used nationally mandated Secure Portal infrastructure and staff analytical expertise to support programs and inform policy. The NYC Health Department assesses, investigates, and acts on a wide range of environmental concerns to protect the health of New Yorkers. Specific examples of highly effective policies or initiatives that relied on the NYC Tracking Program are described, including restaurant sanitary grade posting, rat indexing, converting boilers to cleaner-burning fuels, reducing exposure to mercury from fish and contaminated products, and responding to Superstorm Sandy. The NYC Tracking Program supports the Health Department in using inspectional, administrative, and health data to guide operations. Tracking has also allowed internal and external partners to use these data to guide policy development.
Soares, Joaquim José; Machado, Maria Helena; Alves, Cecília Brito
The main objective of this article was to examine the context in which professionals working within the Mais Médicos (More Doctors) Program operate. This study used the infrastructure scale of primary health units (PHUs), which was recently developed by Soares Neto and colleagues to provide more information regarding the relationship between the infrastructure of PHUs and the Municipal Human Development Index (MHDI) of municipalities that received Mais Médicos Program doctors. Using exploratory and inferential statistics, the article shows that 65.2% of the PHUs that received Mais Médicos Program doctors had medium-quality infrastructure and only 5.8% of them had low-quality infrastructure. The correlation of 0.50 between the infrastructure indicator and the MHDI points to a moderate tendency for municipalities with low MHDIs to have more precarious PHUs. Using multiple linear regression analysis it can be inferred that the main factor that contributed to the increase in the infrastructure indicator of the PHUs was the average municipal income. On the other hand, the factor that negatively affected the infrastructure of the PHUs was being located in the north or northeast regions.
... Infrastructure Information. 29.7 Section 29.7 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE..., and consistent with the Act, for Automated Information Systems that contain PCII. Such security requirements will be in conformance with the information technology security requirements in the Federal...
.... The meeting will be held for the purpose of soliciting from the information technology community and... NAC Information Technology Infrastructure Committee meeting in Building 28. All U.S. citizens and... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice 12-048] NASA Advisory Council; Information...
.... Information sharing and coordination are key elements in developing comprehensive and practical approaches to defending against computer-based, or cyber, attacks, which could threaten the national welfare...
Haque, Waqar; Urquhart, Bonnie; Berg, Emery; Dhanoa, Ramandeep
Health care organizations gather large volumes of data, which has been traditionally stored in legacy formats making it difficult to analyze or use effectively. Though recent government-funded initiatives have improved the situation, the quality of most existing data is poor, suffers from inconsistencies, and lacks integrity. Generating reports from such data is generally not considered feasible due to extensive labor, lack of reliability, and time constraints. Advanced data analytics is one way of extracting useful information from such data. The intent of this study was to propose how Business Intelligence (BI) techniques can be applied to health system infrastructure data in order to make this information more accessible and comprehensible for a broader group of people. An integration process was developed to cleanse and integrate data from disparate sources into a data warehouse. An Online Analytical Processing (OLAP) cube was then built to allow slicing along multiple dimensions determined by various key performance indicators (KPIs), representing population and patient profiles, case mix groups, and healthy community indicators. The use of mapping tools, customized shape files, and embedded objects further augment the navigation. Finally, Web forms provide a mechanism for remote uploading of data and transparent processing of the cube. For privileged information, access controls were implemented. Data visualization has eliminated tedious analysis through legacy reports and provided a mechanism for optimally aligning resources with needs. Stakeholders are able to visualize KPIs on a main dashboard, slice-and-dice data, generate ad hoc reports, and quickly find the desired information. In addition, comparison, availability, and service level reports can also be generated on demand. All reports can be drilled down for navigation at a finer granularity. We have demonstrated how BI techniques and tools can be used in the health care environment to make informed
Using interdisciplinary approaches to urban water management strategies can yield benefits for sustainability. While green infrastructure (GI) has primarily been used to increase infiltration/redistribution and reduce runoff in urban areas, the physical siting of GI can provide o...
Sirintrapun, S Joseph; Artz, David R
This article provides surgical pathologists an overview of health information systems (HISs): what they are, what they do, and how such systems relate to the practice of surgical pathology. Much of this article is dedicated to the electronic medical record. Information, in how it is captured, transmitted, and conveyed, drives the effectiveness of such electronic medical record functionalities. So critical is information from pathology in integrated clinical care that surgical pathologists are becoming gatekeepers of not only tissue but also information. Better understanding of HISs can empower surgical pathologists to become stakeholders who have an impact on the future direction of quality integrated clinical care. Copyright © 2015 Elsevier Inc. All rights reserved.
Full Text Available Background: Systems medicine denotes a paradigm shift in medicine that arising from fundamental thoughts in systems biology. Systems medicine looks at health and disease using systems approaches. Systems or holistic approaches to studying the complexities of disease, emerging measurement and visualization molecular technologies to exploring of patient data space, and new computational and mathematical tools are fundamentals for this revolution in medicine. Methods: In order to explore the scientific/technological key objectives for systems medicine in “Iran’s Scientific Map in the Health Sector”, the details of goals, policies and requisites of Iran’s Health Roadmap were compared with horizontal and vertical policies of “National Institutes of Health (NIH Roadmap for Medical Research in U.S.A”. Results: A great attention has been paid on information technology, networking, interdisciplinary approach, innovation and high- risk research in Iran’s Health Roadmap. However, areas of research such as biological pathways (including metabolomics and networks structural biology molecular libraries and imaging bioinformatics and computational biology and human genome have not been adequately addressed. Conclusion: In order to react to waves of systems medicine, as a megatrend in health, Iran’s Scientific Map in the Health Sector should be synthesized to paradigm shift of emerging technologies in biomedicine. A framework for a broad interdisciplinary approach in biomedical research should be addressed to change medicine from reactive to proactive.
Luiijf, H.A.M.; Schie, T.C.C. van; Ruijven, T.W.J. van; Huistra, A.W.W.
Critical Information Infrastructure Protection (CIIP) is a complex but important topic for nations. Nations at large critically depend on Critical Infrastructure (CI) services such as energy supply, telecommunications, financial systems, drinking water, and governmental services. Critical
Full Text Available STMIK AMIKOM Purwokerto merupakan salah satu perguruan tinggi swasta yang dalam proses pengelolaan dan penyampaian informasi telah menerapan teknologi informasi. Proses pelayanan suatu perguruan tinggi dipandang sebagai suatu solusi yang nantinya dapat meningkatkan kemampuan perusahaan di dalam pelayanan. Hal ini menyebabkan pentingnya peningkatan peran teknologi informasi agar selaras dengan investasi baik hardware dan software yang dikeluarkan, sehingga dibutuhkan perencanaan yang optimal.IT Service Management (ITSM digunakan sebagai upaya untuk meningkatkan efisiensi pelayanan teknologi informasi kepada pengguna yang terdapat dalam framework Information Technology Infrastructure Library.Diharapkan dengan penerapan ITSM pengelolaan layanan TI menjadi lebih baik serta mampu menyelesaikan beberapa permasalahan yang ada pada organisasiyang sedang berjalan dengan menggunakan COBIT 4.1. ITSM menghasilkan perancangan pada masing-masing prosesnya dari 2 domain pembangun ITSM yaitu domain service support dan service delivery. Kata Kunci: ITSM, ITIL V3, COBIT 4.1
content. The curriculum development efforts are accompanied by exercises that expose students to practical tools and resources for security engineering...with relatively simple analytical features, but high pedagogical value. Information Assurance Courses Curriculum development has occurred for...tool chain and accompanying methodology confronts serious challenges posed by large heterogeneous networks (e.g., SCADA and corporate systems) from
The records that men have kept over the centuries have made the civilizations of man possible. Recorded history shows that our progress is closely correlated to man's ability to communicate recorded facts to others, and to effectively use knowledge gained by others. During the past few decades our ability to store and use information, and to reach larger audiences has grown dramatically. The advent of computers is discussed and their evolution to the state-of-the-art is described. Data bases, batch and on-line processing, centralized and distributed processing as well as other computer jargon are generally explained and examples are given as they apply specifically to health physics programs. It is proposed that systems designed to manage information cannot be adapted to health physics problems without extensive involvement of the HP who must use the computerized program. Specific problems which arise during the development of a computerized health physics program are explained
Erika S. Svendsen; Mary E. Northridge; Sara S. Metcalf
One of the enduring lessons of cities is the essential relationship between grey infrastructure (e.g., streets and buildings) and green infrastructure (e.g., parks and open spaces). The design and management of natural resources to enhance human health and well-being may be traced back thousands of years to the earliest urban civilizations. From the irrigation projects...
Rudolph Frederick Stapelberg
Full Text Available This paper reviews current research into infrastructure systems interdependencies with regard to safesty risks induced by natural, technological and intentional hazards. The paper further considers risk informed decision-making.
Wilcox, Adam; Randhawa, Gurvaneet; Embi, Peter; Cao, Hui; Kuperman, Gilad J
The United States has made recent large investments in creating data infrastructures to support the important goals of patient-centered outcomes research (PCOR) and comparative effectiveness research (CER), with still more investment planned. These initial investments, while critical to the creation of the infrastructures, are not expected to sustain them much beyond the initial development. To provide the maximum benefit, the infrastructures need to be sustained through innovative financing models while providing value to PCOR and CER researchers. Based on our experience with creating flexible sustainability strategies (i.e., strategies that are adaptive to the different characteristics and opportunities of a resource or infrastructure), we define specific factors that are important considerations in developing a sustainability strategy. These factors include assets, expansion, complexity, and stakeholders. Each factor is described, with examples of how it is applied. These factors are dimensions of variation in different resources, to which a sustainability strategy should adapt. We also identify specific important considerations for maintaining an infrastructure, so that the long-term intended benefits can be realized. These observations are presented as lessons learned, to be applied to other sustainability efforts. We define the lessons learned, relating them to the defined sustainability factors as interactions between factors. Using perspectives and experiences from a diverse group of experts, we define broad characteristics of sustainability strategies and important observations, which can vary for different projects. Other descriptions of adaptive, flexible, and successful models of collaboration between stakeholders and data infrastructures can expand this framework by identifying other factors for sustainability, and give more concrete directions on how sustainability can be best achieved.
De la Iglesia, D; García-Remesal, M; Maojo, V; Cachau, R E
Nanotechnology represents an area of particular promise and significant opportunity across multiple scientific disciplines. Ongoing nanotechnology research ranges from the characterization of nanoparticles and nanomaterials to the analysis and processing of experimental data seeking correlations between nanoparticles and their functionalities and side effects. Due to their special properties, nanoparticles are suitable for cellular-level diagnostics and therapy, offering numerous applications in medicine, e.g. development of biomedical devices, tissue repair, drug delivery systems and biosensors. In nanomedicine, recent studies are producing large amounts of structural and property data, highlighting the role for computational approaches in information management. While in vitro and in vivo assays are expensive, the cost of computing is falling. Furthermore, improvements in the accuracy of computational methods (e.g. data mining, knowledge discovery, modeling and simulation) have enabled effective tools to automate the extraction, management and storage of these vast data volumes. Since this information is widely distributed, one major issue is how to locate and access data where it resides (which also poses data-sharing limitations). The novel discipline of nanoinformatics addresses the information challenges related to nanotechnology research. In this paper, we summarize the needs and challenges in the field and present an overview of extant initiatives and efforts. (paper)
de la Iglesia, D; Cachau, R E; García-Remesal, M; Maojo, V
Nanotechnology represents an area of particular promise and significant opportunity across multiple scientific disciplines. Ongoing nanotechnology research ranges from the characterization of nanoparticles and nanomaterials to the analysis and processing of experimental data seeking correlations between nanoparticles and their functionalities and side effects. Due to their special properties, nanoparticles are suitable for cellular-level diagnostics and therapy, offering numerous applications in medicine, e.g. development of biomedical devices, tissue repair, drug delivery systems and biosensors. In nanomedicine, recent studies are producing large amounts of structural and property data, highlighting the role for computational approaches in information management. While in vitro and in vivo assays are expensive, the cost of computing is falling. Furthermore, improvements in the accuracy of computational methods (e.g. data mining, knowledge discovery, modeling and simulation) have enabled effective tools to automate the extraction, management and storage of these vast data volumes. Since this information is widely distributed, one major issue is how to locate and access data where it resides (which also poses data-sharing limitations). The novel discipline of nanoinformatics addresses the information challenges related to nanotechnology research. In this paper, we summarize the needs and challenges in the field and present an overview of extant initiatives and efforts. PMID:24932210
Full Text Available Most African countries have limited health information systems infrastructure. Some health information system components are implemented but often on an adhoc, piecemeal basis, by foreign software developers and designed to solve specific problems...
Matthiesen, Stina; Bjørn, Pernille
We report on an ethnographic study of an outsourcing global software development (GSD) setup between a Danish IT company and an Indian IT vendor developing a system to replace a legacy system for social services administration in Denmark. Physical distance and GSD collaboration issues tend...... to be obvious explanations for why GSD tasks fail to reach completion; however, we account for the difficulties within the technical nature of software system task. We use the framework of information infrastructure to show how replacing a legacy system in governmental information infrastructures includes...... the work of tracing back to knowledge concerning law, technical specifications, as well as how information infrastructures have dynamically evolved over time. Not easily carried out in a GSD setup is the work around technical tasks that requires careful examination of mundane technical aspects, standards...
In human medicine, the information infrastructure that supports the knowledge translation processes of exchange, synthesis, dissemination, and application of the best clinical intervention research has developed significantly in the past 15 years, facilitating the uptake of research evidence by clinicians as well as the practice of evidence-based medicine. Seven of the key elements of this improved information infrastructure are clinical trial registries, research reporting standards, systematic reviews, organizations that support the production of systematic reviews, the indexing of clinical intervention research in MEDLINE, clinical search filters for MEDLINE, and point-of-care decision support information resources. The objective of this paper is to describe why these elements are important for evidence-based medicine, the key developments and issues related to these seven information infrastructure elements in human medicine, how these 7 elements compare with the corresponding infrastructure elements in veterinary medicine, and how all of these factors affect the translation of clinical intervention research into clinical practice. A focused search of the Ovid MEDLINE database was conducted for English language journal literature published between 2000 and 2010. Two bibliographies were consulted and selected national and international Web sites were searched using Google. The literature reviewed indicates that the information infrastructure supporting evidence-based veterinary medicine practice in all of the 7 elements reviewed is significantly underdeveloped in relation to the corresponding information infrastructure in human medicine. This lack of development creates barriers to the timely translation of veterinary medicine research into clinical practice and also to the conduct of both primary clinical intervention research and synthesis research.
Likumahuwa, Sonja; Song, Hui; Singal, Robbie; Weir, Rosy Chang; Crane, Heidi; Muench, John; Sim, Shao-Chee; DeVoe, Jennifer E
This article introduces the Community Health Applied Research Network (CHARN), a practice-based research network of community health centers (CHCs). Established by the Health Resources and Services Administration in 2010, CHARN is a network of 4 community research nodes, each with multiple affiliated CHCs and an academic center. The four nodes (18 individual CHCs and 4 academic partners in 9 states) are supported by a data coordinating center. Here we provide case studies detailing how CHARN is building research infrastructure and capacity in CHCs, with a particular focus on how community practice-academic partnerships were facilitated by the CHARN structure. The examples provided by the CHARN nodes include many of the building blocks of research capacity: communication capacity and "matchmaking" between providers and researchers; technology transfer; research methods tailored to community practice settings; and community institutional review board infrastructure to enable community oversight. We draw lessons learned from these case studies that we hope will serve as examples for other networks, with special relevance for community-based networks seeking to build research infrastructure in primary care settings.
Full Text Available Abstract Open Access publishing is a valuable resource for the synthesis and distribution of essential health care information. This article discusses the potential benefits of Open Access, specifically in terms of Low and Middle Income (LAMI countries in which there is currently a lack of informed health care providers – mainly a consequence of poor availability to information. We propose that without copyright restrictions, Open Access facilitates distribution of the most relevant research and health care information. Furthermore, we suggest that the technology and infrastructure that has been put in place for Open Access could be used to publish download-able manuals, guides or basic handbooks created by healthcare providers in LAMI countries.
... Health Services Utilization > Internet use for Health Information Internet use for Health Information Narrative Due in part ... adults in the United States who use the Internet has increased substantially, from 47 percent in 2000 ...
This paper seeks to highlight the problems of gaps in health infrastructure in Chile, and to analyze the mechanisms by which it is provided. In Chile this is done in two ways: the first is through competitive bidding or sector-wide modality. The second way is through hospital concessions. Both mechanisms have had difficulties in recent years, which are reported. Finally, we propose ways to improve the provision of health infrastructure in Chile.
Parcher, J.W.; Humberson, D.G.
Colonias, which are unincorporated border setdements in the United. States, have emerged in rural areas without the governance and services normally provided by local government. Colonia residents live in poverty and lack adequate health care, potable water, and sanitation systems. These conditions create substantial health risks for themselves and surrounding communities. By 2001, more than 1,400 colonias were identified in Texas. Cooperation with several Federal and Texas state agencies has allowed the U.S. Geological Survey (USGS) to improve colonia Geographic Information System (GIS) boundaries and develop the Colonia Health, Infrastructure, and Platting Status tool (CHIPS). Together, the GIS boundaries and CHIPS aid the Texas government in prioritizing the limited funds that are available for infrastructure improvement. CHIPS's report: generator can be tailored, to the needs of the user, providing either broad or specific output. CHIPS is publicly available on the U.S. Geological Survey Border Environmental Health Initiative website at http://borderhealth.cr. usgs.gov.
Full Text Available As an invaluable source of knowledge about the past, cultural heritage may be an important element of the humanities research infrastructure, along with other elements, such as spatial references. Therefore, this paper attempts to provide an answer to the questions concerning the ways in which spatial information can contribute to the development of this infrastructure and the aspects of storytelling based on cultural resources that can be supported by such infrastructure. The objective of the methodology that was used was to combine the aspects that refer to spatial information and cultural items into a single, common issue, and to describe them in a formalized way with use of Unified Modeling Language (UML. As a result, the study presents a proposal of the Humanities Infrastructure Architecture based on spatially-oriented movable cultural items, taking into account their use in the context of interoperability, along with the concept of creating spatial databases that would include movable monuments. The authors also demonstrate that the ISO 19100 series of geographical information standards may be a source of interesting conceptual solutions that may be used in the process of the standardization of geographical information that was recorded in the descriptions of cultural heritage items in form of metadata and data structure descriptions.
Kahn, R E
R.KAHN will discuss the current situation in the United States with respect to development of a National Information Infrastructure(NII). He will address the roles being played by various government and private sector parties and likely scenarios for evolution of the NII. The interplay of technology with non-technological considerations will also be addressed.
Boersma, F.K.; Wagenaar, F.P.; Wolbers, J.J.
Our main concern in this article is whether nation-wide information technology (IT) infrastructures or systems in emergency response and disaster management are the solution to the communication problems the safety sector suffers from. It has been argued that implementing nation-wide IT systems will
Luiijf, H.A.M.; Schie, T.C.C. van
Early 2016, the Meridian Process and the GFCE tasked the Netherlands Organisation for Applied Scientific Research TNO to develop a Good Practice Guide on Critical Information Infrastructure Protection (CIIP) for governmental policy-makers . The guide primarily aims at governmental policy-makers,
Magzamen, Sheryl; Mayer, Adam P; Barr, Stephanie; Bohren, Lenora; Dunbar, Brian; Manning, Dale; Reynolds, Stephen J; Schaeffer, Joshua W; Suter, Jordan; Cross, Jennifer E
Sustainable school buildings hold much promise to reducing operating costs, improve occupant well-being and, ultimately, teacher and student performance. However, there is a scarcity of evidence on the effects of sustainable school buildings on health and performance indicators. We sought to create a framework for a multidisciplinary research agenda that links school facilities, health, and educational outcomes. We conducted a nonsystematic review of peer review publications, government documents, organizational documents, and school climate measurement instruments. We found that studies on the impact of physical environmental factors (air, lighting, and thermal comfort) on health and occupant performance are largely independent of research on the social climate. The current literature precludes the formation of understanding the causal relation among school facilities, social climate, occupant health, and occupant performance. Given the average age of current school facilities in the United States, construction of new school facilities or retrofits of older facilities will be a major infrastructure investment for many municipalities over the next several decades. Multidisciplinary research that seeks to understand the impact of sustainable design on the health and performance of occupants will need to include both an environmental science and social science perspective to inform best practices and quantification of benefits that go beyond general measures of costs savings from energy efficiencies. © 2017, American School Health Association.
Abarca, Christine; Grigg, C Meade; Steele, Jo Ann; Osgood, Laurie; Keating, Heidi
COMPASS (Comprehensive Assessment, Strategic Success) is the Florida Department of Health's community health assessment and health improvement planning initiative. Since 2002, COMPASS built state and county health department infrastructure to support a comprehensive, systematic, and integrated approach to community health assessment and planning. To assess the capacity of Florida's 67 county health departments (CHDs) to conduct community health assessment and planning and to identify training and technical assistance needs, COMPASS surveyed the CHDs using a Web-based instrument annually from 2004 through 2008. Response rate to the survey was 100 percent annually. In 2007, 96 percent of CHDs reported conducting assessment and planning within the past 3 years; 74 percent used the MAPP (Mobilizing for Action through Planning and Partnerships) framework. Progress was greater for the organizational and assessment phases of the MAPP-based work; only 10 CHDs had identified strategic priorities in 2007, and even fewer had implemented strategies for improving health. In 2007, the most frequently requested types of training were measuring success, developing goals and action plans, and using qualitative data; technical assistance was most frequently requested for program evaluation and writing community health status reports. Florida's CHDs have increased their capacity to conduct community health assessment and planning. Questions remain about sustaining these gains with limited resources.
Cicero, T.; Malgarini, M
Measuring research output in Humanities and Social Sciences (HSS) is particularly important, since in these fields scientific production is much more heterogeneous than in Natural and Life Sciences, and as such it is not well represented in standard international databases normally used to assess research output and impact. For these reason, ANVUR has recently started a new data infrastructure, aimed at gathering information about scienticic production, research infrastructures and research groups active in the Italian Universities. On the basis of these data, the aim of this paper is to provide a first characterization of Italian research Departments active in HSS, clustering them according to their level of research productivity and infrastructure availability. On the basis of our analysis, it is generally possible to distinguish among two main groups of Departments, respectively characterized by higher productivity but lower research quality, or by higher shares of excellent articles, but lower overall number of publications. (Author)
Kosenko, Viktor; Persiyanova, Elena; Belotskyy, Oleksiy; Malyeyeva, Olga
The subject matter of the article is information and communication networks (ICN) of critical infrastructure systems (CIS). The goal of the work is to create methods for managing the data flows and resources of the ICN of CIS to improve the efficiency of information processing. The following tasks were solved in the article: the data flow model of multi-level ICN structure was developed, the method of adaptive distribution of data flows was developed, the method of network resource assignment...
Electronic information is a vital but complex component in the modern health care system, fueling ongoing efforts to develop a universal electronic health record infrastructure. This innovation creates a substantial tension between two desirable values: the increased quality and utility of patient medical records and the protection of the privacy…
Roach, Dennis Patrick; Jauregui, David Villegas (New Mexico State University, Las Cruces, NM); Daumueller, Andrew Nicholas (New Mexico State University, Las Cruces, NM)
Recent structural failures such as the I-35W Mississippi River Bridge in Minnesota have underscored the urgent need for improved methods and procedures for evaluating our aging transportation infrastructure. This research seeks to develop a basis for a Structural Health Monitoring (SHM) system to provide quantitative information related to the structural integrity of metallic structures to make appropriate management decisions and ensuring public safety. This research employs advanced structural analysis and nondestructive testing (NDT) methods for an accurate fatigue analysis. Metal railroad bridges in New Mexico will be the focus since many of these structures are over 100 years old and classified as fracture-critical. The term fracture-critical indicates that failure of a single component may result in complete collapse of the structure such as the one experienced by the I-35W Bridge. Failure may originate from sources such as loss of section due to corrosion or cracking caused by fatigue loading. Because standard inspection practice is primarily visual, these types of defects can go undetected due to oversight, lack of access to critical areas, or, in riveted members, hidden defects that are beneath fasteners or connection angles. Another issue is that it is difficult to determine the fatigue damage that a structure has experienced and the rate at which damage is accumulating due to uncertain history and load distribution in supporting members. A SHM system has several advantages that can overcome these limitations. SHM allows critical areas of the structure to be monitored more quantitatively under actual loading. The research needed to apply SHM to metallic structures was performed and a case study was carried out to show the potential of SHM-driven fatigue evaluation to assess the condition of critical transportation infrastructure and to guide inspectors to potential problem areas. This project combines the expertise in transportation infrastructure at New
Seryo, K [IBM Japan Ltd., Tokyo (Japan)
The materialization of computer integrated manufacturing (CIM) requires an establishment of its systematizing system, i.e., architecturer and planning of the infrastructure to support it and basic engineering to support the informational utilization. The CIM architecture is classified into management and system structure, strategic planning method, System development introduction method, etc. The infrastructure aims at epoch-makingly heightening the productivity and speed by integrating the production planning, engineering design, accounting, sales, general business and affairs, production engineering, production activities, and activities of suppliers and clients. The informational utilization support engineering comprises the management support tool, decision making support tool, application development tool, etc. What is important is to establish a system of systematizing engineering in order not to be behind the strategic activation era of information to come. 17 refs., 4 figs., 1 tab.
Balducelli, C. [ENEA-Italian National Agency for new Technology, Energy and the Environment Via Anguillasere 301, 00060 Rome (Italy)]. E-mail: firstname.lastname@example.org; Bologna, S. [ENEA-Italian National Agency for new Technology, Energy and the Environment Via Anguillasere 301, 00060 Rome (Italy); Lavalle, L. [ENEA-Italian National Agency for new Technology, Energy and the Environment Via Anguillasere 301, 00060 Rome (Italy); Vicoli, G. [ENEA-Italian National Agency for new Technology, Energy and the Environment Via Anguillasere 301, 00060 Rome (Italy)
The complexity of information intensive critical infrastructures, like electricity networks, telecommunication networks and public transportation networks is today augmented much more than in the past: such complexity augments the number of possible failures and anomalous working conditions and consequently decreases the survivability of the infrastructures. In this paper, the possibility is investigated to detect early anomalies and failures inside information intensive critical infrastructures by the introduction of anomaly detectors being 'self-aware' about the normal working conditions of the infrastructure itself. This approach has the objective to improve the performance of the most popular signature-based algorithms for intrusion detection, and makes use of different classes of time-oriented algorithms based on artificial intelligence paradigm. It has the advantage to work also in presence of unknown and unexpected types of attacks or failures. The tests, to evaluate the performance of the utilised detectors, are executed inside an emulated supervisory control and data acquisition (SCADA) system of an electrical power transmission grid, and a proposal for the future integration inside real SCADA systems is also reported.
Balducelli, C.; Bologna, S.; Lavalle, L.; Vicoli, G.
The complexity of information intensive critical infrastructures, like electricity networks, telecommunication networks and public transportation networks is today augmented much more than in the past: such complexity augments the number of possible failures and anomalous working conditions and consequently decreases the survivability of the infrastructures. In this paper, the possibility is investigated to detect early anomalies and failures inside information intensive critical infrastructures by the introduction of anomaly detectors being 'self-aware' about the normal working conditions of the infrastructure itself. This approach has the objective to improve the performance of the most popular signature-based algorithms for intrusion detection, and makes use of different classes of time-oriented algorithms based on artificial intelligence paradigm. It has the advantage to work also in presence of unknown and unexpected types of attacks or failures. The tests, to evaluate the performance of the utilised detectors, are executed inside an emulated supervisory control and data acquisition (SCADA) system of an electrical power transmission grid, and a proposal for the future integration inside real SCADA systems is also reported
Afzali, Mina; Ahmadi, Maryam; Mahmoudvand, Zahra
Health kiosks are an innovative and cost-effective solution that organizations can easily implement to help educate people. To determine the data requirements and basis for designing health information kiosks as a new technology to maintain the health of society. By reviewing the literature, a list of information requirements was provided in 4 sections (demographic information, general information, diagnostic information and medical history), and questions related to the objectives, data elements, stakeholders, requirements, infrastructures and the applications of health information kiosks were provided. In order to determine the content validity of the designed set, the opinions of 2 physicians and 2 specialists in medical informatics were obtained. The test-retest method was used to measure its reliability. Data were analyzed using SPSS software. In the proposed model for Iran, 170 data elements in 6 sections were presented for experts' opinion, which ultimately, on 106 elements, a collective agreement was reached. To provide a model of health information kiosk, creating a standard data set is a critical point. According to a survey conducted on the various literature review studies related to the health information kiosk, the most important components of a health information kiosk include six categories; information needs, data elements, applications, stakeholders, requirements and infrastructure of health information kiosks that need to be considered when designing a health information kiosk.
Bastos, C. R.
Brazilian space expenditures correspond to a low-middle rank among the space-faring nations. In this regard, international partnerships have opened doors for the country to take part in a wider range of projects than it would be possible if carried out on its own. Within the above framework, this paper will address a concept in which countries join efforts in pursuit of common objectives and needs in the field of health, countries whose similarities tend to make them face the same types of health problems. Exactly for this reason, such countries can get together and share the costs, risks and ultimately the benefits of their joint efforts. Infectious diseases are mankind's leading causes of death. And their agents travel around the world by the action of their vectors: insects, birds, winds, infected individuals, and others. The ways how Global Information Infrastructure and Space applications can be very helpful in the detection, identification, tracking and fighting migratory diseases will then be discussed. A concept for an international cooperative initiative is presented, addressing its composition, its implementation, the international coordination requirements, the financial and funding issues related to its implementation and sustainability, and the roles to be played by such an organization. The funding issue deserves a closer attention, since many good ideas are killed by financial problems in their early implementation stages. Finally, a conclusion drives the audience's attention towards the potential advantages of space-based assets in covering large portions of the Earth, and consequently being suitable for global initiatives for the benefit of mankind.
Forrester, Joseph D; Pillai, Satish K; Beer, Karlyn D; Neatherlin, John; Massaquoi, Moses; Nyenswah, Tolbert G; Montgomery, Joel M; De Cock, Kevin
Ebola virus disease (Ebola) is a multisystem disease caused by a virus of the genus Ebolavirus. In late March 2014, Ebola cases were described in Liberia, with epicenters in Lofa County and later in Montserrado County. While information about case burden and health care infrastructure was available for the two epicenters, little information was available about remote counties in southeastern Liberia. Over 9 days, August 6-14, 2014, Ebola case burden, health care infrastructure, and emergency preparedness were assessed in collaboration with the Liberian Ministry of Health and Social Welfare in four counties in southeastern Liberia: Grand Gedeh, Grand Kru, River Gee, and Maryland. Data were collected by health care facility visits to three of the four county referral hospitals and by unstructured interviews with county and district health officials, hospital administrators, physicians, nurses, physician assistants, and health educators in all four counties. Local burial practices were discussed with county officials, but no direct observation of burial practices was conducted. Basic information about Ebola surveillance and epidemiology, case investigation, contact tracing, case management, and infection control was provided to local officials.
Michelle C. Kondo; Sarah C. Low; Jason Henning; Charles C. Branas
We investigated the health and safety effects of urban green stormwater infrastructure (GSI) installments. We conducted a difference-in-differences analysis of the effects of GSI installments on health (e.g., blood pressure, cholesterol and stress levels) and safety (e.g., felonies, nuisance and property crimes, narcotics crimes) outcomes from 2000 to 2012 in...
Zinszer, Kate; Tamblyn, Robyn; Bates, David W; Buckeridge, David L
Background: Although the adoption of health information technology (HIT) has advanced in Canada over the past decade, considerable challenges remain in supporting the development, broad adoption, and effective use of HIT in the public health system. Policy makers and practitioners have long recognized that improvements in HIT infrastructure are necessary to support effective and efficient public health practice. The objective of this study was to identify aspects of health information technol...
... Coordinator for Health Information Technology, HHS. ACTION: Notice of change of location for meetings. This... Coordinator for Health Information Technology (ONC). The meeting will be open to the public. Name of Committee... health information technology infrastructure that permits the electronic exchange and use of health...
Jaw, S W
The rapid progress of urbanization around the world has lead to an issue of urban land shortage. As such, the urban infrastructure, especially the utilities infrastructure, were buried underground for space saving and better design of urban landscape. However, this has created difficulties in locating these infrastructures from ground surface since they are invisible to the naked eye. Therefore, this paper offers a method to secure as-built information of the underground utility feature without excavation. This is done by utilizing digital image processing, a series of experiments conducted on preferred test site and real model simulation. By securing these underground utilities as-built information, it can contribute to the sustainability of cities through better urban planning. Moreover, the significant findings achieved in this study also eligible to pinpoint that ground penetrating radar (GPR) backscatter with appropritate treatment can yield unique backscatter signature which functional for identification of the types of underground utility without proving excavation. Thereby, good agreement between the backscatter reflections of GPR with respective underground utility not only serves as input which can channelled into a city's planning, but also uncovers the immense potential of GPR backscatter in reporting the ''feature information'' of the objects
Bernal-Delgado, Enrique; Estupiñán-Romero, Francisco
The integration of different administrative data sources from a number of European countries has been shown useful in the assessment of unwarranted variations in health care performance. This essay describes the procedures used to set up a data infrastructure (e.g., data access and exchange, definition of the minimum common wealth of data required, and the development of the relational logic data model) and, the methods to produce trustworthy healthcare performance measurements (e.g., ontologies standardisation and quality assurance analysis). The paper ends providing some hints on how to use these lessons in an eventual European infrastructure on public health research and monitoring. Although the relational data infrastructure developed has been proven accurate, effective to compare health system performance across different countries, and efficient enough to deal with hundred of millions of episodes, the logic data model might not be responsive if the European infrastructure aims at including electronic health records and carrying out multi-cohort multi-intervention comparative effectiveness research. The deployment of a distributed infrastructure based on semantic interoperability, where individual data remain in-country and open-access scripts for data management and analysis travel around the hubs composing the infrastructure, might be a sensible way forward.
Lennerz, Jochen K; McLaughlin, Heather M; Baron, Jason M; Rasmussen, David; Sumbada Shin, Meini; Berners-Lee, Nancy; Miller Batten, Julie; Swoboda, Kathryn J; Gala, Manish K; Winter, Harland S; Schmahmann, Jeremy D; Sweetser, David A; Boswell, Marianne; Pacula, Maciej; Stenzinger, Albrecht; Le, Long P; Hynes, William; Rehm, Heidi L; Klibanski, Anne; Black-Schaffer, Stephen W; Golden, Jeffrey A; Louis, David N; Weiss, Scott T; Iafrate, A John
Next-generation sequencing has evolved technically and economically into the method of choice for interrogating the genome in cancer and inherited disorders. The introduction of procedural code sets for whole-exome and genome sequencing is a milestone toward financially sustainable clinical implementation; however, achieving reimbursement is currently a major challenge. As part of a prospective quality-improvement initiative to implement the new code sets, we adopted Agile, a development methodology originally devised in software development. We implemented eight functionally distinct modules (request review, cost estimation, preauthorization, accessioning, prebilling, testing, reporting, and reimbursement consultation) and obtained feedback via an anonymous survey. We managed 50 clinical requests (January to June 2015). The fraction of pursued-to-requested cases (n = 15/50; utilization management fraction, 0.3) aimed for a high rate of preauthorizations. In 13 of 15 patients the insurance plan required preauthorization, which we obtained in 70% and ultimately achieved reimbursement in 50%. Interoperability enabled assessment of 12 different combinations of modules that underline the importance of an adaptive workflow and policy tailoring to achieve higher yields of reimbursement. The survey confirmed a positive attitude toward self-organizing teams. We acknowledge the individuals and their interactions and termed the infrastructure: human pipeline. Nontechnical barriers currently are limiting the scope and availability of clinical genomic sequencing. The presented human pipeline is one approach toward long-term financial sustainability of clinical genomics. Copyright © 2016 American Society for Investigative Pathology and the Association for Molecular Pathology. Published by Elsevier Inc. All rights reserved.
Lintonen, T P; Konu, A I; Seedhouse, D
eHealth, the use of information technology to improve or enable health and health care, has recently been high on the health care development agenda. Given the vivid interest in eHealth, little reference has been made to the use of these technologies in the promotion of health. The aim of this present study was to conduct a review on recent uses of information technology in health promotion through looking at research articles published in peer-reviewed journals. Fifteen relevant journals with issues published between 2003 and June 2005 yielded altogether 1352 articles, 56 of which contained content related to the use of information technology in the context of health promotion. As reflected by this rather small proportion, research on the role of information technology is only starting to emerge. Four broad thematic application areas within health promotion were identified: use of information technology as an intervention medium, use of information technology as a research focus, use of information technology as a research instrument and use of information technology for professional development. In line with this rather instrumental focus, the concepts 'ePromotion of Health' or 'Health ePromotion' would come close to describing the role of information technology in health promotion.
Robinson, Mark; Robertson, Steve
Objective: To understand the views of men and service providers concerning the health information needs of men. Design: A men's health programme was implemented aimed at developing new health information resources designed for use by local organizations with men in socially disadvantaged groups. Research was carried out at the scoping stage to…
Horch, K; Wirz, J
Well-informed citizens and patients regard health policy innovations as a key element when it comes to reforms in the health service--both in health economics and with regard to prevention issues. We evaluated the data provided by the 2003 Telephone Health Survey (GSTel03) to examine demographic and social distinctions in the use of different information sources. At the same time we examined whether there are any population-related differences in people's interest in health information depending on their levels of health awareness, attitudes to prevention and related modes of behaviour. The data generated by the survey show that there is considerable interest in health-related topics. Only 2% of the people questioned used no information sources for this purpose. In addition to more traditional media (books, newspapers, information from pharmacies), information provided by health insurance companies and via the Internet is becoming increasingly important. With the exception of the Internet, all other sources of information are used more frequently by women than by men, and demand for most of the information media increases with age. The frequency of information use and the number of different media used increase from the lower to the upper strata of society. As far as selected variables of health-related behaviour are concerned (smoking, sport, alcohol), the results show a link between a more positive attitude to health and a greater interest in information.
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.
Wasiu Ishola Oyeniran
Full Text Available The study examines the effect of investment in telecommunication infrastructure on economic growth in Nigeria. Using time series data from 1980 and 2012, the study employs autoregressive distributed lag (ARDL bounds testing approach proposed by Pesaran et al., (2001 to estimate the long run and short run effect of investment in telecommunication infrastructure on economic growth. The result from cointegration test showed presence of long run relationship between dependent and all explanatory variables. The study found foreign direct investment in information and communication technology more effective in improving and raising economic growth in Nigeria than government investment. The output from Chow breakpoint test shows that the liberalization of telecommunication industry introduced in 1992 has significant effect on economic growth in Nigeria. Therefore, it is imperative for Nigerian government to increase its spending on telecom and attract more foreign investment in telecommunication in order to boost productivity and economic growth.
van Dijk, Frank J. H.; Verbeek, J. H.; Hoving, J. L.; Hulshof, C. T.
Occupational Safety and Health (OSH) professionals should use scientific evidence to support their decisions in policy and practice. Although examples from practice show that progress has been made in evidence-based decision making, there is a challenge to improve and extend the facilities that
and greater transparency (e-democracy/participation democracy). The e-government initiatives are rapidly changing the spatial data/spatial information area too. Investigations indicate that about 80% of the information needed for e-government can be related to a location on the Earth. The paper presents five...... is to use the potentials of the Internet to structure the public sector in a more flexible and efficient way (e-government) and, as they say, with higher quality for the citizens. At the same time the citizens are increasingly demanding better service from the public sector by way of more information...... map- and spatial information services available for the citizens via the Internet. The services can be described as building blocks to a Danish Spatial Information Infrastructure...
Iraj Nabipour; Majid Assadi
Background: Systems medicine denotes a paradigm shift in medicine that arising from fundamental thoughts in systems biology. Systems medicine looks at health and disease using systems approaches. Systems or holistic approaches to studying the complexities of disease, emerging measurement and visualization molecular technologies to exploring of patient data space, and new computational and mathematical tools are fundamentals for this revolution in medicine. Methods: In order to explore the sci...
Recently, two quantitative tools have emerged for predicting the health impacts of projects that change population physical activity: the Health Economic Assessment Tool (HEAT) and Dynamic Modeling for Health Impact Assessment (DYNAMO-HIA). HEAT has been used to support health impact assessments of transportation infrastructure projects, but DYNAMO-HIA has not been previously employed for this purpose nor have the two tools been compared. To demonstrate the use of DYNAMO-HIA for supporting health impact assessments of transportation infrastructure projects, we employed the model in three communities (urban, suburban, and rural) in North Carolina. We also compared DYNAMO-HIA and HEAT predictions in the urban community. Using DYNAMO-HIA, we estimated benefit-cost ratios of 20.2 (95% C.I.: 8.7–30.6), 0.6 (0.3–0.9), and 4.7 (2.1–7.1) for the urban, suburban, and rural projects, respectively. For a 40-year time period, the HEAT predictions of deaths avoided by the urban infrastructure project were three times as high as DYNAMO-HIA's predictions due to HEAT's inability to account for changing population health characteristics over time. Quantitative health impact assessment coupled with economic valuation is a powerful tool for integrating health considerations into transportation decision-making. However, to avoid overestimating benefits, such quantitative HIAs should use dynamic, rather than static, approaches. PMID:26504832
... Refugees and Immigrants Drug Abuse Substance Abuse or Dependence - bosanski (Bosnian) Bilingual PDF Health Information Translations E Expand Section Exercise and Physical Fitness Starting an Exercise Program - bosanski ( ...
Vickers, Don [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)
Advanced Manufacturing - National Information Infrastructure (AM-NII) was a multiyear DOE/DP program, involving multiple DOE laboratories and production facilities, focused on improving the manufacturing capabilities of the Nuclear Weapons Complex (NWC) through the application of modem information technologies. AM-NII's published mission states: "In partnership with the manufacturing business sector, AMNII will leverage DOE capabilities to develop, demonstrate, and pilot industrial information infrastructure and applications that enhance national security." LLNL's AM-NII project targeted two opportunities for improving NWC manufacturing capabilities. First was the link between the NWC and its outside suppliers of manufactured parts - web-based supply-chain integration. Second was the cross-site enterprise integration (EI) within the Complex itself. The general approach to supply-chain integration was to leverage the National Information Infrastructure (including Internet) to demonstrate the procurement of fabricated electrical and mechanical parts using a completely paperless procurement process. The general approach to NWC enterprise integration was to utilize SecureNet, a network that provides a secure, high-speed data link among the various NWC sites. If one looks at SecureNet as "the track," our goal was to get the trains running. Cross-site enterprise integration presupposes there is some level of local integration, so we worked both local and cross-site is sues simultaneously. Our EI work was in support of the LLNL Stockpile Life Extension Programs (SLEPs), the Submarine Launch Ballistic Missile Warhead Protection Program (SWPP), and the Laser Cutter Workstation installed at Y-12.
Johannessen, Liv Karen; Obstfelder, Aud; Lotherington, Ann Therese
The purpose of this paper is to explore the making and scaling of information infrastructures, as well as how the conditions for scaling a component may change for the vendor. The first research question is how the making and scaling of a healthcare information infrastructure can be done and by whom. The second question is what scope for manoeuvre there might be for vendors aiming to expand their market. This case study is based on an interpretive approach, whereby data is gathered through participant observation and semi-structured interviews. A case study of the making and scaling of an electronic system for general practitioners ordering laboratory services from hospitals is described as comprising two distinct phases. The first may be characterized as an evolving phase, when development, integration and implementation were achieved in small steps, and the vendor, together with end users, had considerable freedom to create the solution according to the users' needs. The second phase was characterized by a large-scale procurement process over which regional healthcare authorities exercised much more control and the needs of groups other than the end users influenced the design. The making and scaling of healthcare information infrastructures is not simply a process of evolution, in which the end users use and change the technology. It also consists of large steps, during which different actors, including vendors and healthcare authorities, may make substantial contributions. This process requires work, negotiation and strategies. The conditions for the vendor may change dramatically, from considerable freedom and close relationships with users and customers in the small-scale development, to losing control of the product and being required to engage in more formal relations with customers in the wider public healthcare market. Onerous procurement processes may be one of the reasons why large-scale implementation of information projects in healthcare is difficult
In two articles the author presents some key elements from his recently completed thesis about functional, non-intrusive information infrastructures for interorganisational public policy implementation. The development of these information infrastructures requires a new approach,
Cheryl Marie Cordeiro
Full Text Available Being a small island and without any natural resource, Singapore has much to depend on its human potential and investment in National Information Infrastructure (NII in order to find its place in the ever competitive global world economies. From Singapore's first experience with the setting up and accessing of the Internet in 1991, the Singapore Government has expended so much creative and financial energy into using information technology to spearhead Singapore's success in terms of enticing and encouraging economic growth and achieving national competitiveness on a global scale. In 1991, the Singapore government, together with the National Computer Board (NCB currently known as the Infocomm Development Authority (IDA, launched the IT 2000, with the objective of converting Singapore into an intelligent island. With many NII projects in place and the various government initiative, this study focus on the role of Singapore Government in the development of the national information infrastructure and the realisation of IT2000 vision. This investigative study delves into the role of the Singapore government in helping Singapore forge its path into the new millennium of the information world.
Abdekhoda, M; Ahmadi, M; Dehnad, A; Hosseini, A F
User acceptance of information technology has been a significant area of research for more than two decades in the field of information technology. This study assessed the acceptance of information technology in the context of Health Information Management (HIM) by utilizing Technology Acceptance Model (TAM) which was modified and applied to assess user acceptance of health information technology as well as viability of TAM as a research construct in the context of HIM. This was a descriptive- analytical study in which a sample of 187 personnel from a population of 363 personnel, working in medical records departments of hospitals affiliated to Tehran University of Medical Sciences, was selected. Users' perception of applying information technology was studied by a researcher-developed questionnaire. Collected data were analyzed by SPSS software (version16) using descriptive statistics and regression analysis. The results suggest that TAM is a useful construct to assess user acceptance of information technology in the context of HIM. The findings also evidenced the perceived ease of use (PEOU) and perceived usefulness (PE) were positively associated with favorable users' attitudes towards HIM. PU was relatively more associated (r= 0.22, p = 0.05) than PEOU (r = 0.014, p = 0.05) with favorable user attitudes towards HIM. Users' perception of usefulness and ease of use are important determinants providing the incentive for users to accept information technologies when the application of a successful HIM system is attempted. The findings of the present study suggest that user acceptance is a key element and should subsequently be the major concern of health organizations and health policy makers.
Woodcock, R.; Cox, S. J.; Fraser, R.; Wyborn, L. A.
Since 2005 the Australian Government has supported a series of initiatives providing researchers with access to major research facilities and information networks necessary for world-class research. Starting with the National Collaborative Research Infrastructure Strategy (NCRIS) the Australian earth science community established an integrated national geoscience infrastructure system called AuScope. AuScope is now in operation, providing a number of components to assist in understanding the structure and evolution of the Australian continent. These include the acquisition of subsurface imaging , earth composition and age analysis, a virtual drill core library, geological process simulation, and a high resolution geospatial reference framework. To draw together information from across the earth science community in academia, industry and government, AuScope includes a nationally distributed information infrastructure. Free and Open Source Software (FOSS) has been a significant enabler in building the AuScope community and providing a range of interoperable services for accessing data and scientific software. A number of FOSS components have been created, adopted or upgraded to create a coherent, OGC compliant Spatial Information Services Stack (SISS). SISS is now deployed at all Australian Geological Surveys, many Universities and the CSIRO. Comprising a set of OGC catalogue and data services, and augmented with new vocabulary and identifier services, the SISS provides a comprehensive package for organisations to contribute their data to the AuScope network. This packaging and a variety of software testing and documentation activities enabled greater trust and notably reduced barriers to adoption. FOSS selection was important, not only for technical capability and robustness, but also for appropriate licensing and community models to ensure sustainability of the infrastructure in the long term. Government agencies were sensitive to these issues and Au
As power industry enters the new century, powerful driving forces, uncertainties and new functions are compelling electric utilities to make dramatic changes in their information communication infrastructure. Expanding network services such as real time measurement and monitoring are also driving the need for more bandwidth in the communication network. These needs will grow further as new remote real-time protection and control applications become more feasible and pervasive. This dissertation addresses two main issues for the future power system information infrastructure: communication network infrastructure and associated power system applications. Optical networks no doubt will become the predominant data transmission media for next generation power system communication. The rapid development of fiber optic network technology poses new challenges in the areas of topology design, network management and real time applications. Based on advanced fiber optic technologies, an all-fiber network is investigated and proposed. The study will cover the system architecture and data exchange protocol aspects. High bandwidth, robust optical networks could provide great opportunities to the power system for better service and efficient operation. In the dissertation, different applications are investigated. One of the typical applications is the SCADA information accessing system. An Internet-based application for the substation automation system will be presented. VLSI (Very Large Scale Integration) technology is also used for one-line diagrams auto-generation. High transition rate and low latency optical network is especially suitable for power system real time control. In the dissertation, a new local area network based Load Shedding Controller (LSC) for isolated power system will be presented. By using PMU (Phasor Measurement Unit) and fiber optic network, an AGE (Area Generation Error) based accurate wide area load shedding scheme will also be proposed. The objective
The emerging multidimensional GI- and VR-technologies within the professional disciplines dealing with design, planning and management processes is leading to a demand for four-dimensional building objects as part of the public geo-information infrastructure. The other way around the recognition...... of the building as a four-dimensional geo-phenomenon will provide a reference between different data sets whether representing buildings in two, three or four dimensions. Finally a central issue is the potential in using frameworks of multidimensional representations as interfaces to the available data sets...
Xu, Baiquan; Yan, Shiqiang; Wang, Qianju; Lian, Jian; Wu, Xiaoping; Ding, Keyong
Stores of geoscience records are in constant flux. These stores are continually added to by new information, ideas and data, which are frequently revised. The geoscience record is in restrained by human thought and technology for handling information. Conventional methods strive, with limited success, to maintain geoscience records which are readily susceptible and renewable. The information system must adapt to the diversity of ideas and data in geoscience and their changes through time. In China, more than 400,000 types of important geological data are collected and produced in geological work during the last two decades, including oil, natural gas and marine data, mine exploration, geophysical, geochemical, remote sensing and important local geological survey and research reports. Numerous geospatial databases are formed and stored in National Geological Archives (NGA) with available formats of MapGIS, ArcGIS, ArcINFO, Metalfile, Raster, SQL Server, Access and JPEG. But there is no effective way to warrant that the quality of information is adequate in theory and practice for decision making. The need for fast, reliable, accurate and up-to-date information by providing the Geographic Information System (GIS) communities are becoming insistent for all geoinformation producers and users in China. Since 2010, a series of geoinformation projects have been carried out under the leadership of the Ministry of Land and Resources (MLR), including (1) Integration, update and maintenance of geoinformation databases; (2) Standards research on clusterization and industrialization of information services; (3) Platform construction of geological data sharing; (4) Construction of key borehole databases; (5) Product development of information services. "Nine-System" of the basic framework has been proposed for the development and improvement of the geospatial data infrastructure, which are focused on the construction of the cluster organization, cluster service, convergence
Xu, Baiquan; Yan, Shiqiang; Wang, Qianju; Lian, Jian; Wu, Xiaoping; Ding, Keyong
Stores of geoscience records are in constant flux. These stores are continually added to by new information, ideas and data, which are frequently revised. The geoscience record is in restrained by human thought and technology for handling information. Conventional methods strive, with limited success, to maintain geoscience records which are readily susceptible and renewable. The information system must adapt to the diversity of ideas and data in geoscience and their changes through time. In China, more than 400,000 types of important geological data are collected and produced in geological work during the last two decades, including oil, natural gas and marine data, mine exploration, geophysical, geochemical, remote sensing and important local geological survey and research reports. Numerous geospatial databases are formed and stored in National Geological Archives (NGA) with available formats of MapGIS, ArcGIS, ArcINFO, Metalfile, Raster, SQL Server, Access and JPEG. But there is no effective way to warrant that the quality of information is adequate in theory and practice for decision making. The need for fast, reliable, accurate and up-to-date information by providing the Geographic Information System (GIS) communities are becoming insistent for all geoinformation producers and users in China. Since 2010, a series of geoinformation projects have been carried out under the leadership of the Ministry of Land and Resources (MLR), including (1) Integration, update and maintenance of geoinformation databases; (2) Standards research on clusterization and industrialization of information services; (3) Platform construction of geological data sharing; (4) Construction of key borehole databases; (5) Product development of information services. ''Nine-System'' of the basic framework has been proposed for the development and improvement of the geospatial data infrastructure, which are focused on the construction of the cluster organization, cluster
Full Text Available This article addresses the challenges of cybersecurity and ultimately the provision of a stable and resilient information-technology infrastructure for Canada and, more broadly, the world. We describe the context of current cybersecurity challenges by synthesizing key source material whose importance was informed by our own real-world experiences. Furthermore, we present a checklist of guiding principles to a unified response, complete with a set of action-oriented research topics that are linked to known operational limitations. The focus areas are used to drive the formulation of a unified and relevant research and experimental development program, thereby moving us towards a stable and resilient cyberinfrastructure. When cybersecurity is viewed as an inherently interdisciplinary problem of societal concern, we expect that fundamentally new research perspectives will emerge in direct response to domain-specific protection requirements for information-technology infrastructure. Purely technical responses to cybersecurity challenges will be inadequate because human factors are an inherent aspect of the problem. This article will interest managers and entrepreneurs. Senior management teams can assess new technical developments and product releases to fortify their current security solutions, while entrepreneurs can harness new opportunities to commercialize novel technology to solve a high-impact cybersecurity problem..
Vest, Joshua R
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.
Full Text Available Abstract. Nowadays, an integrated location, descriptive inventory data and geographical information are required for a better decision making in Indigenous community management activities. The management system can improve productivity and to save time, money and man power. Conventional maps and Indigenous inventories on papers or spread sheet are lack of meeting these requirements which are not static and subjected to change rapidly. The Geographic Information Systems (GIS and Database Management (DBM System are capabilities and confined in manipulation of location and descriptive data, respectively. A GIS system is chosen in Management Information and Infrastructure of Indigenous Communities because its meets all the requirements that can help the authorities to managed the community. GIS able to manipulate location and descriptive data as well as the relationships between them are dynamic. This paper will discussed briefly the conceptual design of GIS activities and Indigenous community in Royal Belum State Park, Malaysia, then terminology and theoretical concepts of GIS, Indigenous community management and the link between them are reviewed. Keywords: Management, information, infrastructure, conceptual design, Indigenous community
Full Text Available Abstract. Nowadays, an integrated location, descriptive inventory data and geographical information are required for a better decision making in Indigenous community management activities. The management system can improve productivity and to save time, money and man power. Conventional maps and Indigenous inventories on papers or spread sheet are lack of meeting these requirements which are not static and subjected to change rapidly. The Geographic Information Systems (GIS and Database Management (DBM System are capabilities and confined in manipulation of location and descriptive data, respectively. A GIS system is chosen in Management Information and Infrastructure of Indigenous Communities because its meets all the requirements that can help the authorities to managed the community. GIS able to manipulate location and descriptive data as well as the relationships between them are dynamic. This paper will discussed briefly the conceptual design of GIS activities and Indigenous community in Royal Belum State Park, Malaysia, then terminology and theoretical concepts of GIS, Indigenous community management and the link between them are reviewed.Keywords: Management, information, infrastructure, conceptual design, Indigenous community
Kierkegaard, Patrick; Kaushal, Rainu; Vest, Joshua R
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.
may be derived from detailed inspection of the IC itself or from illicit appropriation of design information. Counterfeit smart cards can be mass...Infrastructure (PKI) as the Internet to securely and privately exchange data and money through the use of a public and a private cryptographic key pair...interference devices (SQDIS), electrical testing, and electron beam testing. • Other attacks, such as UV or X-rays or high temperatures, could cause erasure
International Organization for Standardization/International Electrotechnical Commission ( ISO /IEC) 27000 Series, Information technology—Security...the International Organization for Standardization ( ISO )), the IT SSP bases the terms and definitions on those in the NIPP because the SSP is an annex...techniques—Information security management systems • ISO /IEC 13335, Information technology—Security tech- niques—Management of information and
Hilberts, Sonya; Gray, Kathleen
This paper explores the role of education as infrastructure in large-scale ehealth strategies--in theory, in international practice and in one national case study. Education is often invisible in the documentation of ehealth infrastructure. Nevertheless a review of international practice shows that there is significant educational investment made…
The digital signature is a key technology in the forthcoming Internet society for electronic healthcare as well as for electronic commerce. Efficient exchanges of authorized information with a digital signature in healthcare information networks require a construction of a public key infrastructure (PKI). In order to introduce a PKI to healthcare information networks in Japan, we proposed a development of a user authentication system based on a PKI for user management, user authentication and privilege management of healthcare information systems. In this paper, we describe the design of the user authentication system and its implementation. The user authentication system provides a certification authority service and a privilege management service while it is comprised of a user authentication client and user authentication serves. It is designed on a basis of an X.509 PKI and is implemented with using OpenSSL and OpenLDAP. It was incorporated into the financial information management system for the national university hospitals and has been successfully working for about one year. The hospitals plan to use it as a user authentication method for their whole healthcare information systems. One implementation of the system is free to the national university hospitals with permission of the Japanese Ministry of Education, Culture, Sports, Science and Technology. Another implementation is open to the other healthcare institutes by support of the Medical Information System Development Center (MEDIS-DC). We are moving forward to a nation-wide construction of a PKI for healthcare information networks based on it.
Sypek, Scott; Clugston, Gregory; Phillips, Christine
To explore the reported impact of regional resettlement of refugees on rural health services, and identify critical health infrastructure for refugee resettlement. Comparative case study, using interviews and situational analysis. Four rural communities in New South Wales, which had been the focus of regional resettlement of refugees since 1999. Refugees, general practitioners, practice managers and volunteer support workers in each town (n = 24). The capacity of health care workers to provide comprehensive care is threatened by low numbers of practitioners, and high levels of turnover of health care staff, which results in attrition of specialised knowledge among health care workers treating refugees. Critical health infrastructure includes general practices with interest and surge capacity, subsidised dental services, mental health support services; clinical support services for rural practitioners; care coordination in the early settlement period; and a supported volunteer network. The need for intensive medical support is greatest in the early resettlement period for 'catch-up' primary health care. The difficulties experienced by rural Australia in securing equitable access to health services are amplified for refugees. While there are economic arguments about resettlement of refugees in regional Australia, the fragility of health services in regional Australia should also be factored into considerations about which towns are best suited to regional resettlement.
We live in an information society, we search and gather on the internet almost everything we want to know. More and more often we are also looking for information about health issues on the world wide web. The real world is reflected by the internet: more and more false and misleading information can be found. From what home page and how to choose health information that is reliable and professionally correct? If we find relevant, useful information, can we fully understand it? These questions will be answered by this publication. Orv Hetil. 2018; 159(22): 855-862.
Kierkegaard, Patrick; Kaushal, Rainu; Vest, Joshua R.
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...
Sepic, R.; Kase, K.
Coordinated by the U.S. Geological Survey (USGS), the National Biological Information Infrastructure (NBII) is a Web-based system that provides access to data and information on the nation's biological resources. Although it was begun in 1993, predating any formal E-Government initiative, the NBII typifies the E-Government concepts outlined in the President's Management Agenda, as well as in the proposed E-Government Act of 2002. This article-an individual case study and not a broad survey with extensive references to the literature-explores the structure and operation of the NBII in relation to several emerging trends in E-Government: end-user focus, defined and scalable milestones, public-private partnerships, alliances with stakeholders, and interagency cooperation. ?? 2002 Elsevier Science Inc. All rights reserved.
Peng, Xiang; Zhang, Peng; Cai, Lilong
In this paper, we present a virtual-optical based information security system model with the aid of public-key-infrastructure (PKI) techniques. The proposed model employs a hybrid architecture in which our previously published encryption algorithm based on virtual-optics imaging methodology (VOIM) can be used to encipher and decipher data while an asymmetric algorithm, for example RSA, is applied for enciphering and deciphering the session key(s). For an asymmetric system, given an encryption key, it is computationally infeasible to determine the decryption key and vice versa. The whole information security model is run under the framework of PKI, which is on basis of public-key cryptography and digital signatures. This PKI-based VOIM security approach has additional features like confidentiality, authentication, and integrity for the purpose of data encryption under the environment of network.
Ebrahimi, Kamal; Roudbari, Masoud; Sadoughi, Farahnaz
Health Information Economy (HIE) is one of the broader, more complex, and challenging and yet important topics in the field of health science that requires the identification of its dimensions for planning and policy making. The aim of this study was to determine HIE concept dimensions. This paper presents a systematic methodology for analyzing the trends of HIE. For this purpose, the main keywords of this area were identified and searched in the databases and from among 4775 retrieved sources, 12 sources were studied in the field of HIE. Information Economy (IE) in the world has passed behind four paradigms that involve the information evaluation perspective, the information technology perspective, the asymmetric information perspective and information value perspective. In this research, the fourth perspective in the HIE was analyzed. The main findings of this research were categorized in three major groups, including the flow of information process in the field of health (production. collection, processing and dissemination), and information applications in the same field (education, research, health industry, policy, legislation, and decision-making) and the underlying fields. According to the findings, HIE has already developed a theoretical and conceptual gap that due to its importance in the next decade would be one of the research approaches to health science.
Ebrahimi, Kamal; Roudbari, Masoud; Sadoughi, Farahnaz
Introduction: Health Information Economy (HIE) is one of the broader, more complex, and challenging and yet important topics in the field of health science that requires the identification of its dimensions for planning and policy making. The aim of this study was to determine HIE concept dimensions. Methods: This paper presents a systematic methodology for analyzing the trends of HIE. For this purpose, the main keywords of this area were identified and searched in the databases and from among 4775 retrieved sources, 12 sources were studied in the field of HIE. Results: Information Economy (IE) in the world has passed behind four paradigms that involve the information evaluation perspective, the information technology perspective, the asymmetric information perspective and information value perspective. In this research, the fourth perspective in the HIE was analyzed. The main findings of this research were categorized in three major groups, including the flow of information process in the field of health (production. collection, processing and dissemination), and information applications in the same field (education, research, health industry, policy, legislation, and decision-making) and the underlying fields. Conclusion: According to the findings, HIE has already developed a theoretical and conceptual gap that due to its importance in the next decade would be one of the research approaches to health science. PMID:26153182
Leite, Silvana Nair; Manzini, Fernanda; Álvares, Juliana; Guerra, Augusto Afonso; Costa, Ediná Alves; Acurcio, Francisco de Assis; Guibu, Ione Aquemi; Costa, Karen Sarmento; Karnikowski, Margô Gomes de Oliveira; Soeiro, Orlando Mário; Farias, Mareni Rocha
To characterize the infrastructure of the primary health care pharmacies of the Brazilian Unified Health System, aiming at humanizing the offered services. This is a cross-sectional study, of quantitative approach, from data obtained in the Pesquisa Nacional de Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines - Services, 2015). Information on 1,175 pharmacies/dispensing units were gathered from direct observation and assessment of dispensing units installations conducted by trained researchers who used a standardized form. The analyzed variables refer to the physical structure of pharmacies or medicine dispensing units of the health units under research. The pharmacy area was greater than 14 m2 in 40.3% of the sampled units, highlighting those from Midwest (56.9%) and Southeast (56.2%) regions and those of Northeast, with only 23.3%. About 80.2% units had waiting rooms with chairs for patients, 31.8% of them had dispensing areas inferior to 5m2, while in 46.2% these areas were superior to 10m2. Bars were found in service counters in 23.8% of health units, thus separating the patient from the professional; 44.1% had internet access. In most units, the area of medicine storage had no refrigerator or freezer for their exclusive storage and 13.7% had a specific room for pharmaceutical consultation. Aiming at achieving care humanization and improving working conditions for professionals, the structuring of the environment of pharmacy services is necessary. This would contribute to the better qualification of pharmacy services, comprising more than medicine delivery. Data on the Northeast region indicated less favorable conditions to the development of adequate dispensing services. Based on the panorama pointed out, we suggest the expansion of stimulus concerning the physical structure of pharmaceutical services, considering regional specificities.
... Tools You Are Here: Home → Multiple Languages → Polish (polski) URL of this page: https://medlineplus.gov/languages/polish.html Health Information in Polish (polski) To use the sharing features on this page, ...
... Tools You Are Here: Home → Multiple Languages → German (Deutsch) URL of this page: https://medlineplus.gov/languages/german.html Health Information in German (Deutsch) To use the sharing features on this page, ...
Trufanov, A. I.; Rossodivita, A.; Tikhomirov, A. A.; Berestneva, O. G.; Marukhina, O. V.
A building information modelling (BIM) conception has established itself as an effective and practical approach to plan, design, construct, and manage buildings and infrastructure. Analysis of the governance literature has shown that the BIM-developed tools do not take fully into account the growing demands from ecology and health fields. In this connection, it is possible to offer an optimal way of adapting such tools to the necessary consideration of the sanitary and hygienic specifications of materials used in construction industry. It is proposed to do it through the introduction of assessments that meet the requirements of national sanitary standards. This approach was demonstrated in the case study of Revit® program.
Lehmann, Richard J.; Hermansen, John Erik; Fritz, Melanie
Several global developments such as diminishing production resources, limits in the availability of water and the growing demand for bio-energy as well as sector-wide crises (e.g. BSE, swine fever, dioxin) have led to a changing attitude of society towards the conse-quences of the food system......‘s activities for social, economic and environmental issues, cap-tured in the term of sustainability. As a consequence, consumers show increasing interest in the characteristics of food, and in turn, on the availability of related information and guaran-tees. The paper introduces different information reference...
... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...
... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...
... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...
In recent years, tremendous progress has been made toward providing health information in Africa, in part because of technological advancements. Nevertheless, ensuring that information is accessible, comprehensible, and usable remains problematic, and there remain needs in many settings to address issues such as computer skills, literacy, and the infrastructure to access information. To determine how librarians might play a more strategic role in meeting information needs of health professionals in Africa, the author reviewed key components of information systems pertinent to knowledge management for the health sector, including access to global online resources, capacity to use computer technology for information retrieval, information literacy, and the potential for professional networks to play a role in improving access to and use of information. The author concluded that, in regions that lack adequate information systems, librarians could apply their knowledge and skills to facilitate access and use by information seekers. Ensuring access to and use of health information can also be achieved by engaging organizations and associations working to enhance access to health information, such as the Association for Health Information and Libraries in Africa. These groups can provide assistance through training, dissemination, information repackaging, and other approaches known to improve information literacy.
Moore, Corey L.; Manyibe, Edward O.; Sanders, Perry; Aref, Fariborz; Washington, Andre L.; Robertson, Cherjuan Y.
Purpose: The purpose of this multimethod study was to evaluate the institutional research capacity building and infrastructure model (IRCBIM), an emerging innovative and integrated approach designed to build, strengthen, and sustain adequate disability and health research capacity (i.e., research infrastructure and investigators' research skills)…
Lehmann, Richard J; Hermansen, John Erik; Fritz, Melanie
and environmental issues, captured in the term of sustainability. Consumers in their role as final customers, and as a consequence also enterprises within agri-food supply chains, show increasing interest in the characteristics of food, and in turn, on the availability of related information and guarantees....... Enterprises in agri-food supply chains are facing new expectations and are seeking to communicate social, economic and environmental performance of their business to customers within their supply chain and to consumers. New solutions for determination and communication of sustainability are needed...... to measure and evaluate sustainability of products throughout agri-food supply chains. Gained information on product characteristics might be used for decision support within enterprises as well as for communication of sustainable practices to customers and consumers, resulting in increased competitiveness...
Peng, Xiang; Zhang, Peng; Cai, Lilong; Niu, Hanben
A virtual-optical based encryption model with the aid of public key infrastructure (PKI) is presented in this paper. The proposed model employs a hybrid architecture in which our previously published encryption method based on virtual-optics scheme (VOS) can be used to encipher and decipher data while an asymmetric algorithm, for example RSA, is applied for enciphering and deciphering the session key(s). The whole information security model is run under the framework of international standard ITU-T X.509 PKI, which is on basis of public-key cryptography and digital signatures. This PKI-based VOS security approach has additional features like confidentiality, authentication, and integrity for the purpose of data encryption under the environment of network. Numerical experiments prove the effectiveness of the method. The security of proposed model is briefly analyzed by examining some possible attacks from the viewpoint of a cryptanalysis.
Full Text Available The Biobank and Translational Genomics core at Partners Personalized Medicine requires robust software and hardware. This Information Technology (IT infrastructure enables the storage and transfer of large amounts of data, drives efficiencies in the laboratory, maintains data integrity from the time of consent to the time that genomic data is distributed for research, and enables the management of complex genetic data. Here, we describe the functional components of the research IT infrastructure at Partners Personalized Medicine and how they integrate with existing clinical and research systems, review some of the ways in which this IT infrastructure maintains data integrity and security, and discuss some of the challenges inherent to building and maintaining such infrastructure.
Woodell, Eric A.
Information Technology (IT) professionals use the Information Technology Infrastructure Library (ITIL) process to better manage their business operations, measure performance, improve reliability and lower costs. This study examined the operational results of those data centers using ITIL against those that do not, and whether the results change…
Mobile health information system: a mobile app. to aid health workers relate health information. ... Global Journal of Mathematical Sciences ... phones in delivering vital health information and effective fieldwork reporting is of significance.
Ye, X. W.; Su, Y. H.; Han, J. P.
In the last two decades, a significant number of innovative sensing systems based on optical fiber sensors have been exploited in the engineering community due to their inherent distinctive advantages such as small size, light weight, immunity to electromagnetic interference (EMI) and corrosion, and embedding capability. A lot of optical fiber sensor-based monitoring systems have been developed for continuous measurement and real-time assessment of diversified engineering structures such as bridges, buildings, tunnels, pipelines, wind turbines, railway infrastructure, and geotechnical structures. The purpose of this review article is devoted to presenting a summary of the basic principles of various optical fiber sensors, innovation in sensing and computational methodologies, development of novel optical fiber sensors, and the practical application status of the optical fiber sensing technology in structural health monitoring (SHM) of civil infrastructure. PMID:25133250
Ye, X W; Su, Y H; Han, J P
In the last two decades, a significant number of innovative sensing systems based on optical fiber sensors have been exploited in the engineering community due to their inherent distinctive advantages such as small size, light weight, immunity to electromagnetic interference (EMI) and corrosion, and embedding capability. A lot of optical fiber sensor-based monitoring systems have been developed for continuous measurement and real-time assessment of diversified engineering structures such as bridges, buildings, tunnels, pipelines, wind turbines, railway infrastructure, and geotechnical structures. The purpose of this review article is devoted to presenting a summary of the basic principles of various optical fiber sensors, innovation in sensing and computational methodologies, development of novel optical fiber sensors, and the practical application status of the optical fiber sensing technology in structural health monitoring (SHM) of civil infrastructure.
X. W. Ye
Full Text Available In the last two decades, a significant number of innovative sensing systems based on optical fiber sensors have been exploited in the engineering community due to their inherent distinctive advantages such as small size, light weight, immunity to electromagnetic interference (EMI and corrosion, and embedding capability. A lot of optical fiber sensor-based monitoring systems have been developed for continuous measurement and real-time assessment of diversified engineering structures such as bridges, buildings, tunnels, pipelines, wind turbines, railway infrastructure, and geotechnical structures. The purpose of this review article is devoted to presenting a summary of the basic principles of various optical fiber sensors, innovation in sensing and computational methodologies, development of novel optical fiber sensors, and the practical application status of the optical fiber sensing technology in structural health monitoring (SHM of civil infrastructure.
Essendi, Hildah; Johnson, Fiifi Amoako; Madise, Nyovani; Matthews, Zoe; Falkingham, Jane; Bahaj, Abubakr S; James, Patrick; Blunden, Luke
The efforts and commitments to accelerate progress towards the Millennium Development Goals for maternal and newborn health (MDGs 4 and 5) in low and middle income countries have focused primarily on providing key medical interventions at maternity facilities to save the lives of women at the time of childbirth, as well as their babies. However, in most rural communities in sub-Saharan, access to maternal and newborn care services is still limited and even where services are available they often lack the infrastructural prerequisites to function at the very basic level in providing essential routine health care services, let alone emergency care. Lists of essential interventions for normal and complicated childbirth, do not take into account these prerequisites, thus the needs of most health facilities in rural communities are ignored, although there is enough evidence that maternal and newborn deaths continue to remain unacceptably high in these areas. This study uses data gathered through qualitative interviews in Kitonyoni and Mwania sub-locations of Makueni County in Eastern Kenya to understand community and provider perceptions of the obstacles faced in providing and accessing maternal and newborn care at health facilities in their localities. The study finds that the community perceives various challenges, most of which are infrastructural, including lack of electricity, water and poor roads that adversely impact the provision and access to essential life-saving maternal and newborn care services in the two sub-locations. The findings and recommendations from this study are important for the attention of policy makers and programme managers in order to improve the state of lower-tier health facilities serving rural communities and to strengthen infrastructure with the aim of making basic routine and emergency obstetric and newborn care services more accessible.
Full Text Available Background: One of the spin-off effects of the urban-based medical services established by the colonial administration was the total neglect of rural communities. Those that existed lacked infrastructure. Even fifty years after independence, this dichotomy has persisted and become more pronounced. The objective of this study is to examine the state of infrastructure in the primary health care centres in Delta State, Nigeria. Methodology: The study was a survey of the infrastructure of all the PHC centres in nine local government areas; three from each of the three senatorial districts. The facilities covered were sources of water supply, sources of electricity, number of functional beds and type of communication facilities. The field date were cleaned up, processed and analysed using SPSS 10.0. Focus group discussions and key informant interviews were also conducted. In order to make the findings policy-relevant, a project steering committee made of researchers and decision makers and a project management committee made of representatives of decision makers, care providers, care seekers and other stakeholders were se up and integrated into the study. Results: There were varying degrees of infrastructural deficiencies. 34.22 per cent of the PHCs had no access to safe water; 51.33 per cent were not connected to the national electricity grid; and 34.22 per cent of the available beds and 40.89 per cent no means of communication whatsoever. Conclusion: Field data and perspectives of stakeholders revealed that the major cause of infrastructural deficiencies was insufficient funding, lopsided allocation of resources and official corruption. Correspondingly, increased and sustained funding; prioritized allocation of resources and targeted upgrading of facilities, were recommended.
Hill, Sophie J; Sofra, Tanya A
governments have taken a critical interest in improving health literacy. What does this paper add? This article presents the findings of the Victorian Consultation on Health Literacy as they relate to needs, priorities and potential actions for improving health information. In the context of the National Statement for Health Literacy, health information should be a priority, given its centrality to the public's management of its own health and effective, standards-based, patient-centred clinical care. A framework to improve health information would underpin the efforts of government, services and consumer organisations to meet literacy needs in a more consistent way, improving standards and ultimately increasing the participation by consumers and carers in health decision making and self-management. What are the implications for practitioners? The development and provision of health information materials needs to be systematised and supported by infrastructure, requiring leadership, cultural change, standards and skills development.
It is important to assure the technical adequacy of probabilistic risk assessment (PRA) to implement risk-informed regulation of nuclear power plants (NPPs). JNES has been conducting various activities, such as development of PRA model, method, and data base, in order to assure the technical adequacy of PRA as development of the infrastructure for the regulatory authority to implement risk-informed regulation. In 2012, JNES updated the reliability data base used in PRA and improved PRA models to enhance the technical bases of PRA. In addition, JNES has been establishing the PRA model for fuel damage in the spent fuel storage pool in NPPs. As for improvement of PRA model for core damage in reactor, JNES conducted the study including feasibility of a simplified reliability model for digital I and C system developed by the digital I and C task group of OECD/NEA CSNI WGRISK by reproducing the sample calculation, and improvement of PRA models of individual NPPs in Japan. JNES is making effort to develop the procedures of internal fire PRA and internal flooding PRA. To improve the internal fire PRA, JNES is participating in OECD/NEA FIRE project to obtain the latest information and to validate and improve the fire propagation analysis codes and the parameters. JNES is establishing a method for analyzing internal influence due to flooding in NPPs, and this method is the base to develop the procedure of internal flooding PRA. (author)
Riley, Emily; Harris, Patrick; Kent, Jennifer; Sainsbury, Peter; Lane, Anna; Baum, Fran
Transport policy and practice impacts health. Environmental Impact Assessments (EIAs) are regulated public policy mechanisms that can be used to consider the health impacts of major transport projects before they are approved. The way health is considered in these environmental assessments (EAs) is not well known. This research asked: How and to what extent was human health considered in EAs of four major transport projects in Australia. We developed a comprehensive coding framework to analyse the Environmental Impact Statements (EISs) of four transport infrastructure projects: three road and one light rail. The coding framework was designed to capture how health was directly and indirectly included. We found that health was partially considered in all four EISs. In the three New South Wales (NSW) projects, but not the one South Australian project, this was influenced by the requirements issued to proponents by the government which directed the content of the EIS. Health was assessed using human health risk assessment (HHRA). We found this to be narrow in focus and revealed a need for a broader social determinants of health approach, using multiple methods. The road assessments emphasised air quality and noise risks, concluding these were minimal or predicted to improve. The South Australian project was the only road project not to include health data explicitly. The light rail EIS considered the health benefits of the project whereas the others focused on risk. Only one project considered mental health, although in less detail than air quality or noise. Our findings suggest EIAs lag behind the known evidence linking transport infrastructure to health. If health is to be comprehensively included, a more complete model of health is required, as well as a shift away from health risk assessment as the main method used. This needs to be mandatory for all significant developments. We also found that considering health only at the EIA stage may be a significant
Balbus, J. M.; Kirsch, T.; Mitrani-Reiser, J.
Over recent decades, natural disasters and mass-casualty events in United States have repeatedly revealed the serious consequences of health care facility vulnerability and the subsequent ability to deliver care for the affected people. Advances in predictive modeling and vulnerability assessment for health care facility failure, integrated infrastructure, and extreme weather events have now enabled a more rigorous scientific approach to evaluating health care system vulnerability and assessing impacts of natural and human disasters as well as the value of specific interventions. Concurrent advances in computing capacity also allow, for the first time, full integration of these multiple individual models, along with the modeling of population behaviors and mass casualty responses during a disaster. A team of federal and academic investigators led by the National Center for Disaster Medicine and Public Health (NCDMPH) is develoing a platform for integrating extreme event forecasts, health risk/impact assessment and population simulations, critical infrastructure (electrical, water, transportation, communication) impact and response models, health care facility-specific vulnerability and failure assessments, and health system/patient flow responses. The integration of these models is intended to develop much greater understanding of critical tipping points in the vulnerability of health systems during natural and human disasters and build an evidence base for specific interventions. Development of such a modeling platform will greatly facilitate the assessment of potential concurrent or sequential catastrophic events, such as a terrorism act following a severe heat wave or hurricane. This presentation will highlight the development of this modeling platform as well as applications not just for the US health system, but also for international science-based disaster risk reduction efforts, such as the Sendai Framework and the WHO SMART hospital project.
Hübner, Ursula; Schulte, Georg; Sellemann, Björn; Quade, Matthias; Rottmann, Thorsten; Fenske, Matthias; Egbert, Nicole; Kuhlisch, Raik; Rienhoff, Otto
Although national eHealth strategies have existed now for more than a decade in many countries, they have been implemented with varying success. In Germany, the eHealth strategy so far has resulted in a roll out of electronic health cards for all citizens in the statutory health insurance, but in no clinically meaningful IT-applications. The aim of this study was to test the technical and organisation feasibility, usability, and utility of an eDischarge application embedded into a laboratory Health Telematics Infrastructure (TI). The tests embraced the exchange of eDischarge summaries based on the multiprofessional HL7 eNursing Summary standard between a municipal hospital and a nursing home. All in all, 36 transmissions of electronic discharge documents took place. They demonstrated the technical-organisation feasibility and resulted in moderate usability ratings. A comparison between eDischarge and paper-based summaries hinted at higher ratings of utility and information completeness for eDischarges. Despite problems with handling the electronic health card, the proof-of-concept for the first clinically meaningful IT-application in the German Health TI could be regarded as successful.
Conclusion: Canadian universities are encouraged to continue to send their trainees on global health electives. To address the gaps in infrastructure reported in this study, the authors suggest the development of comprehensive standardized guidelines by post-graduate regulatory/advocacy bodies to better ensure patient and participant safety. We also encourage the centralization of infrastructure management to the universities’ global health departments to aid in resource management.
Thomson, Peter; Marulanda Casas, Johannio; Marulanda Arbelaez, Johannio; Caicedo, Juan
Colombia's topography, climatic conditions, intense seismic activity and acute social problems place high demands on the nations deteriorating civil infrastructure. Resources that are available for maintenance of the road and railway networks are often misdirected and actual inspection methods are limited to a visual examination. New techniques for inspection and evaluation of safety and serviceability of civil infrastructure, especially bridges, must be developed. Two cases of civil structures with health monitoring systems in Colombia are presented in this paper. Construction of the Pereria-Dos Quebradas Viaduct was completed in 1997 with a total cost of 58 million dollars, including 1.5 million dollars in health monitoring instrumentation provided and installed by foreign companies. This health monitoring system is not yet fully operational due to the lack of training of national personnel in system operation and extremely limited technical documentation. In contrast to the Pereria-Dos Quebradas Viaduct monitoring system, the authors have proposed a relatively low cost health monitoring system via telemetry. This system has been implemented for real-time monitoring of accelerations of El Hormiguero Bridge spanning the Cauca River using the Colombian Southwest Earthquake Observatory telemetry systems. This two span metallic bridge, located along a critical road between the cities of Puerto Tejada and Cali in the Cauca Valley, was constructed approximately 50 years ago. Experiences with this system demonstrate how effective low cost systems can be used to remotely monitor the structural integrity of deteriorating structures that are continuously subject to high loading conditions.
Much of the digital geological information on the composition, properties and dynamics of the subsurface is based ultimately on physical samples, many of which are archived to provide a basis for the information. Online metadata catalogues of these collections have now been available for many years. Many of these are institutional and tightly focussed, with UK examples including the British Geological Survey's (BGS) palaeontological samples database, PalaeoSaurus (http://www.bgs.ac.uk/palaeosaurus/), and mineralogical and petrological sample database, Britrocks (http://www.bgs.ac.uk/data/britrocks.html) . There are now a growing number of international sample metadata databases, including The Palaeobiology Database (http://paleobiodb.org/) and SESAR, the IGSN (International Geo Sample Number) database (http://www.geosamples.org/catalogsearch/ ). More recently the emphasis has moved beyond metadata (locality, identification, age, citations, etc) to digital imagery, with the intention of providing the user with at least enough information to determine whether viewing the sample would be worthwhile. Recent BGS examples include high resolution (e.g. 7216 x 5412 pixel) hydrocarbon well core images (http://www.bgs.ac.uk/data/offshoreWells/wells.cfc?method=searchWells) , high resolution rock thin section images (e.g. http://www.largeimages.bgs.ac.uk/iip/britrocks.html?id=290000/291739 ) and building stone images (http://geoscenic.bgs.ac.uk/asset-bank/action/browseItems?categoryId=1547&categoryTypeId=1) . This has been developed further with high resolution stereo images. The Jisc funded GB3D type fossils online project delivers these as red-cyan anaglyphs (http://www.3d-fossils.ac.uk/). More innovatively, the GB3D type fossils project has laser scanned several thousand type fossils and the resulting 3d-digital models are now being delivered through the online portal. Importantly, this project also represents collaboration between the BGS, Oxford and Cambridge Universities
Fokina Elena Anatolyevna
Full Text Available The author concerns the current state and possible ways of telecommunication sector of the Russian economy development in the conditions of world economy globalization and suggests that the process of globalization reflects the current stage of telecommunication companies’ capital internationalization. The analysis of telecommunication sector shows that it is not only a perspective, highmargin and dynamically developing sector but is still one of the most integrated into the system of world economic relations. The stages of Russian telecommunication companies’ capital internationalization are determined, the internal connections between internationalization process and globalization are revealed. It is revealed that the new information and communication technologies development and expansion results in substantial increase in cooperation between economical entities and provides a sustainable long-term economical growth of telecommunication enterprises. The financial and operational data determining the effectiveness of telecommunication companies’ activity are presented. The analysis of tendencies promoting the extension of the market activity of Russian telecommunication companies at global information and telecommunication infrastructure shows that the main tendencies are the following ones: foreign capital inflow increase, capital integration and expansion of new services based on technologies convergence. The author reasonably concludes in recent times, the telecommunication sector of the Russian economy formation and development is determined by the existing global trends.
Bell, S.E. (Science Applications International Corp., Oak Ridge, TN (United States)); Yoder, T.N. (Tennessee Univ., Knoxville, TN (United States))
The Federal Emergency Management Agency (FEMA) has commissioned the design of an assessment system to perform rapid analysis of the economic impacts of various disasters. Oak Ridge National Laboratory (ORNL) developed the National Infrastructure Information System (NIIS) in response to this need. Its design includes several modules to support emergency assessment--the Facility Damage Assessment Module to provide rapid summaries of economic capacity at risk in a disaster area, the Regional Impacts Module (RIM) to estimate the change in a region's production, consumption, and net exports as a result of capacity lost in the disaster area, the Inter-Regional Trade Flows Module to identify potential interruptions in commodity trade flows between regions, based on the results of the RIM analysis, and the National Economic Model to identify potential macroeconomic impacts of the disaster. In addition to the assessment system, FEMA needs a core data base that contains the comprehensive, county-level information required to conduct regional and national impact analyses. The effort is focused on a general overview of the seriousness of each disaster (e.g., how large is the relative impact) and not on detailed local effects. However, the core data file must be complete enough and accurate enough to support analysis of the relative costs of different disasters. Coverage must be comprehensive in order to address equity issues, as well as detailed in the specific industries that most affect the economy's ability to respond to disaster.
Bell, S.E. [Science Applications International Corp., Oak Ridge, TN (United States); Yoder, T.N. [Tennessee Univ., Knoxville, TN (United States)
The Federal Emergency Management Agency (FEMA) has commissioned the design of an assessment system to perform rapid analysis of the economic impacts of various disasters. Oak Ridge National Laboratory (ORNL) developed the National Infrastructure Information System (NIIS) in response to this need. Its design includes several modules to support emergency assessment--the Facility Damage Assessment Module to provide rapid summaries of economic capacity at risk in a disaster area, the Regional Impacts Module (RIM) to estimate the change in a region`s production, consumption, and net exports as a result of capacity lost in the disaster area, the Inter-Regional Trade Flows Module to identify potential interruptions in commodity trade flows between regions, based on the results of the RIM analysis, and the National Economic Model to identify potential macroeconomic impacts of the disaster. In addition to the assessment system, FEMA needs a core data base that contains the comprehensive, county-level information required to conduct regional and national impact analyses. The effort is focused on a general overview of the seriousness of each disaster (e.g., how large is the relative impact) and not on detailed local effects. However, the core data file must be complete enough and accurate enough to support analysis of the relative costs of different disasters. Coverage must be comprehensive in order to address equity issues, as well as detailed in the specific industries that most affect the economy`s ability to respond to disaster.
Arnesen, Stacey J; Cid, Victor H; Scott, John C; Perez, Ricardo; Zervaas, Dave
This paper describes an international outreach program to support rebuilding Central America's health information infrastructure after several natural disasters in the region, including Hurricane Mitch in 1998 and two major earthquakes in 2001. The National Library of Medicine joined forces with the Pan American Health Organization/World Health Organization, the United Nations International Strategy for Disaster Reduction, and the Regional Center of Disaster Information for Latin America and the Caribbean (CRID) to strengthen libraries and information centers in Central America and improve the availability of and access to health and disaster information in the region by developing the Central American Network for Disaster and Health Information (CANDHI). Through CRID, the program created ten disaster health information centers in medical libraries and disaster-related organizations in six countries. This project served as a catalyst for the modernization of several medical libraries in Central America. The resulting CANDHI provides much needed electronic access to public health "gray literature" on disasters, as well as access to numerous health information resources. CANDHI members assist their institutions and countries in a variety of disaster preparedness activities through collecting and disseminating information.
Health Information Technology (HIT) continues to increase in importance as a component of healthcare provision, but designing HIT is complex. The creation of cooperative learning processes for future HIT users is not a simple task. The importance of engaging end users such as health professionals......, in collaboration with a wide range of people, a broad repertoire of methods and techniques to apply PD within multiple domains has been established. This book, Participatory Design & Health Information Technology, presents the contributions of researchers from 5 countries, who share their experience and insights......, patients and relatives in the design process is widely acknowledged, and Participatory Design (PD) is the primary discipline for directly involving people in the technological design process. Exploring the application of PD in HIT is crucial to all those involved in engaging end users in HIT design and...
... Information Technology Implementation AGENCY: Health Resources and Services Administration (HRSA), Department... effective use of Health Information Technology (HIT). SUPPLEMENTARY INFORMATION: Former Grantee of Record... advance information technology resources of Virginia's medically underserved communities, HCHC has...
Islam, Sheik Mohammed Shariful; Tabassum, Reshman
Bangladesh has yet to develop a fully integrated health information system infrastructure that is critical to guiding policy development and planning. Initial pilot telemedicine and eHealth programmes were not coordinated at national level. However, in 2011, a national eHealth policy was implemented. Bangladesh has made substantial improvements to its health system. However, the country still faces public health challenges with limited and inequitable access to health services and lack of adequate resources to meet the demands of the population. In 2008, eHealth services were introduced, including computerization of health facilities at sub-district levels, internet connections, internet servers and an mHealth service for communicating with health-care providers. Health facilities at sub-district levels were provided with internet connections and servers. In 482 upazila health complexes and district hospitals, an mHealth service was set-up where an on-duty doctor is available for patients at all hours to provide consultations by mobile phone. A government operated telemedicine service was initiated and by 2014, 43 fully equipped centres were in service. These centres provide medical consultations by qualified physicians to patients visiting rural and remote community clinics and union health centres. Despite early pilot interventions and successful implementation, progress in adopting eHealth strategies in Bangladesh has been slow. There is a lack of common standards on information technology for health, which causes difficulties in data management and sharing among different databases. Limited internet bandwidth and the high cost of infrastructure and software development are barriers to adoption of these technologies.
Haruna, Hussein; Mtoroki, Majaliwa; Gerendasy, Dan D; Detlefsen, Ellen G
The intention of the Government of Tanzania is to establish more health information resource canters in all health facilities. With this regard, health information science personnel are needed to provide adequate and accurate health information services. However, availability of these personnel remains to be a challenge because of their non-existence. To identify the current status and local impact of health sciences libraries and user perception of these libraries, as a prerequisite to the development of a competence-based curriculum for health information science training in Tanzania. A needs assessment was carried out using a convenience sample of local respondents, including librarians, trainers, academicians, students, health care providers, and patients and families, drawn from national, referral, regional, district hospitals, health training institutions, and universities from both government and nongovernment entities in Tanzania. A focus group approach was used to gather data from respondents. Results from this assessment revealed that health science libraries in Tanzania are faced with the challenges of insufficient infrastructure, old technology, limited facilities and furniture, inadequate and incompetent library staff, lack of health sciences librarians, outdated and insufficient resources, and low knowledge and use of information technologies by library clients. Most respondents would prefer to have both physical and electronic libraries, as well as librarians with specialized health information science skills, to cope with changing nature of the medical field. The findings obtained from this assessment are strong enough to guide the development of a curriculum and training strategy and an operational plan and training packages for health information professionals. The development of a training curriculum for health information science professionals will mean better health information service delivery for Tanzania. Copyright © 2016 Icahn School of
Lin Blossom Yen-Ju
Full Text Available Abstract Background Taiwan's primary community care network (PCCN demonstration project, funded by the Bureau of National Health Insurance on March 2003, was established to discourage hospital shopping behavior of people and drive the traditional fragmented health care providers into cooperate care models. Between 2003 and 2005, 268 PCCNs were established. This study profiled the individual members in the PCCNs to study the nature and extent to which their network infrastructures have been integrated among the members (clinics and hospitals within individual PCCNs. Methods The thorough questionnaire items, covering the network working infrastructures – governance, clinical, marketing, financial, and information integration in PCCNs, were developed with validity and reliability confirmed. One thousand five hundred and fifty-seven clinics that had belonged to PCCNs for more than one year, based on the 2003–2005 Taiwan Primary Community Care Network List, were surveyed by mail. Nine hundred and twenty-eight clinic members responded to the surveys giving a 59.6 % response rate. Results Overall, the PCCNs' members had higher involvement in the governance infrastructure, which was usually viewed as the most important for establishment of core values in PCCNs' organization design and management at the early integration stage. In addition, it found that there existed a higher extent of integration of clinical, marketing, and information infrastructures among the hospital-clinic member relationship than those among clinic members within individual PCCNs. The financial infrastructure was shown the least integrated relative to other functional infrastructures at the early stage of PCCN formation. Conclusion There was still room for better integrated partnerships, as evidenced by the great variety of relationships and differences in extent of integration in this study. In addition to provide how the network members have done for their initial work at
Koerten, Henk; Veenswijk, Marcel
Disclosure of governmental map related information is increasingly being conceptualized as management of inter-organizational National Spatial Data Infrastructures (NSDIs). Until now, studies have been published on how NSDI projects should be designed, set up and monitored. While these approaches
Davis, C.B.; Nikoli?, I.; Dijkema, G.P.J.
A method is presented that allows for a life cycle assessment (LCA) to provide environmental information on an energy infrastructure system while it evolves. Energy conversion facilities are represented in an agent-based model (ABM) as distinct instances of technologies with owners capable of making
Full Text Available Ensuring access to water and sanitation for all is Goal No. 6 of the 17 UN Sustainability Development Goals to transform our world. As one step towards this goal, we present an approach that leverages remote sensing data to plan optimal water supply networks for informal urban settlements. The concept focuses on slums within large urban areas, which are often characterized by a lack of an appropriate water supply. We apply methods of mathematical optimization aiming to find a network describing the optimal supply infrastructure. Hereby, we choose between different decentral and central approaches combining supply by motorized vehicles with supply by pipe systems. For the purposes of illustration, we apply the approach to two small slum clusters in Dhaka and Dar es Salaam. We show our optimization results, which represent the lowest cost water supply systems possible. Additionally, we compare the optimal solutions of the two clusters (also for varying input parameters, such as population densities and slum size development over time and describe how the result of the optimization depends on the entered remote sensing data.
Heidrich, Brenden John [Idaho National Lab. (INL), Idaho Falls, ID (United States)
The Department of Energy (DOE) Office of Nuclear Energy (NE) released a request for information (RFI) (DE-SOL-0008318) for “University, National Laboratory, Industry and International Input on Potential Office of Nuclear Energy Infrastructure Investments” on April 13, 2015. DOE-NE solicited information on five specific types of capabilities as well as any others suggested by the community. The RFI proposal period closed on June 19, 2015. From the 26 responses, 34 individual proposals were extracted. Eighteen were associated with a DOE national laboratory, including Argonne National Laboratory (ANL), Brookhaven National Laboratory (BNL), Idaho National Laboratory (INL), Los Alamos National Laboratory (LANL), Pacific Northwest National Laboratory (PNNL) and Sandia National Laboratory (SNL). Oak Ridge National Laboratory (ORNL) was referenced in a proposal as a proposed capability location, although the proposal did not originate with ORNL. Five US universities submitted proposals (Massachusetts Institute of Technology, Pennsylvania State University, Rensselaer Polytechnic Institute, University of Houston and the University of Michigan). Three industrial/commercial institutions submitted proposals (AREVA NP, Babcock and Wilcox (B&W) and the Electric Power Research Institute (EPRI)). Eight major themes emerged from the submissions as areas needing additional capability or support for existing capabilities. Two submissions supported multiple areas. The major themes are: Advanced Manufacturing (AM), High Performance Computing (HPC), Ion Irradiation with X-Ray Diagnostics (IIX), Ion Irradiation with TEM Visualization (IIT), Radiochemistry Laboratories (RCL), Test Reactors, Neutron Sources and Critical Facilities (RX) , Sample Preparation and Post-Irradiation Examination (PIE) and Thermal-Hydraulics Test Facilities (THF).
Jensen, Sanne; Lyng, Karen Marie
In Denmark, we have set up a program to establish a nationwide infrastructure for Patient Reported Outcome (PRO) questionnaires. The effort is divided into an IT infrastructure part and a questionnaire development part. This paper describes how development and evaluation are closely knit together in the two tracks, as complexity is high in the PRO field and IT infrastructure, legal issues, various clinical workflows and the numerous stakeholders have to be taken into account concurrently. In the design process, we have thus used a participatory design approach to ensure a high level of active stakeholder involvement and capability of addressing all the relevant issues. In the next phases, we will apply the IT infrastructure in the planned full-scale evaluation of the questionnaires developed in the first phase, while we continue to develop new national questionnaires.
Verbraeck, A.; Widya, I.A.; Shishkov, Boris; Cordeiro, J.; Ranchordas, A.
In Europe, we observe an increasing number of people with health problems, who could theoretically receive care outside of a hospital when their condition could be properly monitored. Not being able to provide this monitoring leads to an increasing pressure on an already overcrowded hospital system and increased costs. Ubiquitous technology on top of a high-quality IT infra-structure has already proven to be able to provide partial solutions. However, such infrastructure is not available thro...
... 45 Public Welfare 1 2010-10-01 2010-10-01 false Standards for health information technology to... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION... FOR HEALTH INFORMATION TECHNOLOGY Standards and Implementation Specifications for Health Information...
... Information Technology Implementation AGENCY: Health Resources and Services Administration, HHS. ACTION... advance information technology resources of the Tennessee's medically underserved communities, TPCA has... advancement and effective use of Health Information Technology. These advancements will result in measurable...
Stuckler, David; Basu, Sanjay; McKee, Martin
We assessed the determinants of health care funding allocations among South Africa's provinces and their effects on health care from 1996 through 2007. We performed multivariate regression of funding allocation data against measures of disease burden and health system infrastructure by province. Disease burden was increasingly negatively correlated with funding allocations and explained less than one quarter of the variation in allocations among provinces. Nearly three quarters of the variation in allocations was explained by preexisting hospital infrastructure and health care workers. The density of private hospitals in the preceding year was associated with greater government allocations (b(private) = 0.12; 95% confidence interval [CI] = 0.08, 0.15), but public hospital density in the preceding year was not (b(public) = 0.05; 95% CI = -0.02, 0.11). Greater allocations were associated with a higher number of doctors (b = 0.54; 95% CI = 0.34, 0.75) but fewer nurses (b = -0.37; 95% CI = -0.72,-0.25) in the same year. Regions with a greater capacity to spend funds received more funding and created more infrastructure than those with greater health needs. Historical infrastructure inequalities may have created an infrastructure-inequality trap, in which the distribution of funds to those with greater "absorptive capacity" exacerbates inequalities.
Australia's AuScope provides world class research infrastructure as a framework for understanding the structure and evolution of the Australian continent. Since it conception in 2005, Data Scientists have led the Grid and Interoperability component of AuScope. The AuScope Grid is responsible for the effective management, curation, preservation and analysis of earth science data across the many organisations collaborating in AuScope. During this journey much was learned about technology and architectures but even more about organisations and people, and the role of Data Scientists in the science ecosystem. With the AuScope Grid now in operation and resulting techniques and technologies now underpinning Australian Government initiatives in solid earth and environmental information, it is beneficial to reflect upon the journey and observe what has been learned in order to make data science routine. The role of the Data Scientist is a hybrid one, of not quite belonging and yet highly valued. With the skills to support domain scientists with data and computational needs and communicate across domains, yet not quite able to do the domain science itself. A bridge between two worlds, there is tremendous satisfaction from a job well done, but paradoxically it is also best when it is unnoticeable. In the years since AuScope started much has changed for the Data Scientist. Initially misunderstood, Data Scientists are now a recognisable part of the science landscape in Australia. Whilst the rewards and incentives are still catching up, there is wealth of knowledge on the technical and soft skills required and recognition of the need for Data Scientists. These will be shared from the AuScope journey so other pilgrims may progress well.
Lubetkin, Erica I; Zabor, Emily C; Isaac, Kathleen; Brennessel, Debra; Kemeny, M Margaret; Hay, Jennifer L
To assess heath literacy, health information seeking, and trust in health-related information among Haitian immigrants seen in primary care. Health literacy was measured by the Brief Health Literacy Screen (BHLS); items on health information use were from the 2007 Health Information National Trends Survey. BHLS scores differed according to age, education, and survey language. Participants with lower levels of health literacy tended to be more likely to place "a lot" or "some" trust in family and friends and religious organizations and leaders as sources of information about health or medical topics. Constructing a culturally-tailored and appropriate intervention regarding health promotion requires understanding how the population accesses and conveys health information.
Orr, Justine; Smith, Mark; Burchill, Charles; Katz, Alan; Fransoo, Randy
Using the Manitoba Centre for Health Policy as an example, this commentary discusses how even small investments in population health data can create a multitude of research benefits. The authors highlight that through infrastructure development such as acquiring databases, facilitating access to data and developing data management practices, new, innovative research can be achieved at relatively low cost.
Digital health information is widely available, but not everyone fully benefits due to limited health literacy. Until now, little was known about how health literacy influences information processing and how design features of digital health information can be used to create optimal health messages
This is the second of a series of two articles in which the author presents some key elements from his recently completed thesis about functional, non-intrusive information infrastructures for interorganisational public policy implementation. The development of these information infrastructures
Resources for state and local environmental and public health officials, and water, infrastructure and utility professionals to learn about sustainable water infrastructure, sustainable water and energy practices, and their role.
Wimalaratne, Sarala M; Grenon, Pierre; Hoehndorf, Robert; Gkoutos, Georgios V; de Bono, Bernard
The article presents an infrastructure for supporting the semantic interoperability of biomedical resources based on the management (storing and inference-based querying) of their ontology-based annotations. This infrastructure consists of: (i) a repository to store and query ontology-based annotations; (ii) a knowledge base server with an inference engine to support the storage of and reasoning over ontologies used in the annotation of resources; (iii) a set of applications and services allowing interaction with the integrated repository and knowledge base. The infrastructure is being prototyped and developed and evaluated by the RICORDO project in support of the knowledge management of biomedical resources, including physiology and pharmacology models and associated clinical data. The RICORDO toolkit and its source code are freely available from http://ricordo.eu/relevant-resources. email@example.com.
Yasnoff, William A
Patient-centric repositories of health records are an important component of health information infrastructure. However, patient information in a single repository is potentially vulnerable to loss of the entire dataset from a single unauthorized intrusion. A new health record storage architecture, the personal grid, eliminates this risk by separately storing and encrypting each person's record. The tradeoff for this improved security is that a personal grid repository must be sequentially searched since each record must be individually accessed and decrypted. To allow reasonable search times for large numbers of records, parallel processing with hundreds (or even thousands) of on-demand virtual servers (now available in cloud computing environments) is used. Estimated search times for a 10 million record personal grid using 500 servers vary from 7 to 33min depending on the complexity of the query. Since extremely rapid searching is not a critical requirement of health information infrastructure, the personal grid may provide a practical and useful alternative architecture that eliminates the large-scale security vulnerabilities of traditional databases by sacrificing unnecessary searching speed. Copyright © 2016 Elsevier Inc. All rights reserved.
Hartmann, T.; Baumgartner, S.
This article is one of the first to empirically explore the relationship between health anxiety and online health information search. Two studies investigate how health anxiety influences the use of the Internet for health information and how health anxious individuals respond to online health
Taiwo Adeleke, Ibrahim; Hakeem Lawal, Adedeji; Adetona Adio, Razzaq; Adisa Adebisi, AbdulLateef
There is a lack of effective health information management systems in Nigeria due to the prevalence of cumbersome paper-based and disjointed health data management systems. This can make informed healthcare decision making difficult. This study examined the information technology (IT) skills, utilisation and training needs of Nigerian health information management professionals. We deployed a cross-sectional structured questionnaire to determine the IT skills and training needs of health information management professionals who have leadership roles in the nation's healthcare information systems (n=374). It was found that ownership of a computer, level of education and age were associated with knowledge and perception of IT. The vast majority of participants (98.8%) acknowledged the importance and relevance of IT in healthcare information systems and many expressed a desire for further IT training, especially in statistical analysis. Despite this, few (8.1 %) worked in settings where such systems operate and there exists an IT skill gap among these professionals which is not compatible with their roles in healthcare information systems. To rectify this anomaly they require continuing professional development education, especially in the areas of health IT. Government intervention in the provision of IT infrastructure in order to put into practice a computerised healthcare information system would therefore be a worthwhile undertaking.
Patrick Albert Chikumba
Full Text Available This paper is an extended version of the conference paper presented at IST Africa Week Conference 2016 and it discusses in detail the existing technology gaps using DHIS2 (District Health Information System 2.0 as an example, and how Geographic Information System (GIS and mobile application, as specific examples of technology, can enhance health management information system (HMIS in Malawi. The paper focuses on management of health information. When organisation information is made available, it is expected that the decision-makers use it objectively making rational decisions. This can be achieved by how the information is organized, integrated and presented probably through technology. Along with the increase in strengthening HMIS, questions of how to support the management of information at various organizational levels arise. Research on technologies in health management in developing countries has been on single technologies. Therefore, in this paper, the interest is on multiple technologies and how they support each other to enhance health information management. It has been observed that when it comes to health information management, HMIS employs a mix of paper-based and technology-based practices. Taking into account the infrastructure in Malawi, as in many developing countries, this is probably the most feasible approach. Hence, discussions of existing technology gaps include both paper-based and technology-based practices and how to better support health information management practices through this mixed use of media. The case study confirms that technology plays a role in strengthening HMIS. However, this should be supported by enhancing a culture of information management. It has been noted that DHIS2 is the main information system but it requires the enhancement through inclusions of other technologies. The DHIS2 alone cannot do everything.
Lindau, Stacy Tessler; Makelarski, Jennifer A; Chin, Marshall H; Desautels, Shane; Johnson, Daniel; Johnson, Waldo E; Miller, Doriane; Peters, Susan; Robinson, Connie; Schneider, John; Thicklin, Florence; Watson, Natalie P; Wolfe, Marcus; Whitaker, Eric
To describe the roles community members can and should play in, and an asset-based strategy used by Chicago's South Side Health and Vitality Studies for, building sustainable, large-scale community health research infrastructure. The Studies are a family of research efforts aiming to produce actionable knowledge to inform health policy, programming, and investments for the region. Community and university collaborators, using a consensus-based approach, developed shared theoretical perspectives, guiding principles, and a model for collaboration in 2008, which were used to inform an asset-based operational strategy. Ongoing community engagement and relationship-building support the infrastructure and research activities of the studies. Key steps in the asset-based strategy include: 1) continuous community engagement and relationship building, 2) identifying community priorities, 3) identifying community assets, 4) leveraging assets, 5) conducting research, 6) sharing knowledge and 7) informing action. Examples of community member roles, and how these are informed by the Studies' guiding principles, are provided. Community and university collaborators, with shared vision and principles, can effectively work together to plan innovative, large-scale community-based research that serves community needs and priorities. Sustainable, effective models are needed to realize NIH's mandate for meaningful translation of biomedical discovery into improved population health. Copyright © 2011 Elsevier Inc. All rights reserved.
Full Text Available The article presents several arguments on the need to study the critical infrastructure in Romania including various systems (networks and special military communications. It emphasizes the role and place of such systems and networks to provide national defense and security and the risks and vulnerabilities faced by these infrastructures, and some necessary measures to be taken for the physical and informational protection in the case of hostile military actions, natural disasters or other negative phenomena. Finally some conclusions and proposals are formulated.
Sadoughi, Farahnaz; Shahi, Mehraban; Ahmadi, Maryam; Davaridolatabadi, Nasrin
There are increasing change and development of information in healthcare systems. Given the increase in aging population, managers are in need of true and timely information when making decision. The aim of this study was to investigate the current status of the health information management system for the elderly health sector in Iran. This qualitative study was conducted in two steps. In the first step, required documents for administrative managers were collected using the data gathering form and observed and reviewed by the researcher. In the second step, using an interview guide, the required information was gathered through interviewing experts and faculty members. The convenience, purposeful and snowball sampling methods were applied to select interviewees and the sampling continued until reaching the data saturation point. Finally, notes and interviews were transcribed and content analysis was used to analyze them. The results of the study showed that there was a health information management system for the elderly health sector in Iran. However, in all primary health care centers the documentation of data was done manually; the data flow was not automated; and the analysis and reporting of data are also manually. Eventually, decision makers are provided with delayed information. It is suggested that the steward of health in Iran, the ministry of health, develops an appropriate infrastructure and finally puts a high priority on the implementation of the health information management system for elderly health sector in Iran.
Full Text Available Comprehensive surface soil moisture (SM monitoring is a vital task in precision agriculture applications. SM monitoring includes remote sensing imagery monitoring and in situ sensor-based observational monitoring. Cloud computing can increase computational efficiency enormously. A geographical web service was developed to assist in agronomic decision making, and this tool can be scaled to any location and crop. By integrating cloud computing and the web service-enabled information infrastructure, this study uses the cloud computing-enabled spatio-temporal cyber-physical infrastructure (CESCI to provide an efficient solution for soil moisture monitoring in precision agriculture. On the server side of CESCI, diverse Open Geospatial Consortium web services work closely with each other. Hubei Province, located on the Jianghan Plain in central China, is selected as the remote sensing study area in the experiment. The Baoxie scientific experimental field in Wuhan City is selected as the in situ sensor study area. The results show that the proposed method enhances the efficiency of remote sensing imagery mapping and in situ soil moisture interpolation. In addition, the proposed method is compared to other existing precision agriculture infrastructures. In this comparison, the proposed infrastructure performs soil moisture mapping in Hubei Province in 1.4 min and near real-time in situ soil moisture interpolation in an efficient manner. Moreover, an enhanced performance monitoring method can help to reduce costs in precision agriculture monitoring, as well as increasing agricultural productivity and farmers’ net-income.
Hannan, Terry J
The management of health care delivery requires the availability of effective 'information management' tools based on e-technologies [eHealth]. In developed economies many of these 'tools' are readily available whereas in Low and Middle Income Countries (LMIC) there is limited access to eHealth technologies and this has been defined as the "digital divide". This paper provides a short introduction to the fundamental understanding of what is meant by information management in health care and how it applies to all social economies. The core of the paper describes the successful implementation of appropriate information management tools in a resource poor environment to manage the HIV/AIDS epidemic and other disease states, in sub-Saharan Africa and how the system has evolved to become the largest open source eHealth project in the world and become the health information infrastructure for several national eHealth economies. The system is known as Open MRS [www.openmrs.org). The continuing successful evolution of the OpenMRS project has permitted its key implementers to define core factors that are the foundations for successful eHealth projects.
Dmitry Anatolevich Melnikov
Full Text Available This paper proposes a method of IPv6-protocol logical characteristics using in order to increase the security level of the Russian Federation national information technology infrastructure and the global information society.
million users and a 41 Gobierno de los Estados Unidos Mexicanos, Presidencia de la República...2007. Gobierno de los Estados Unidos Mexicanos, Presidencia de la República. “National Infrastructure Program 2007-2012.” PowerPoint. July 2007
Sucipto, Katoningsih, Sri; Ratnaningrum, Anggry
With large number of schools and many components of school infrastructure supporting with limited funds,so, the school infrastructure development cannot be done simultaneously. Implementation of development must be based on priorities according to the needs. Record all existing needs Identify the condition of the school infrastructure, so that all data recorded bias is valid and has covered all the infrastructure needs of the school. SIPIS very helpful in the process of recording all the necessary needs of the school. Make projections of school development, student participants to the HR business. Make the order needs based on their level of importance. Determine the order in accordance with the needs of its importance, the most important first. By using SIPIS can all be arranged correctly so that do not confuse to construct what should be done in advance but be the last because of factors like and dislike. Make the allocation of funds in detail, then when submitting the budget funds provided in accordance with demand.
Ramutė Naujikienė; Dalė Dzemydienė
The purpose – of the article is attached to the examination of information infrastructure for the assessment of water resource planning and water treatment activities, to provide data warehouse (DW) analysis measuring environmental and water pollution and indicators for the evaluation based on the requirements of sustainable development.Methodology – the analysis is performed by revealing the factors affecting sustainable development decisions. The insights of scientists are demonstrated by a...
Pearre, Nathaniel S.
The substitution of electrical energy for gasoline as a transportation fuel is an initiative both with a long history, and one made both pressing and important in today's policy discussion by renewed interest in plug-in vehicles. The research presented in this dissertation attempts to inform the policy discussion for governments, for electric utilities, for the makers of electric cars, and for the industries developing and planning charging infrastructure. To that end, the impacts of variations to several possible system design parameters, on several metrics of evaluation, are assessed. The analysis is based on a dataset of vehicle trips collected by Georgia Institute of Technology, tracking almost 500 vehicles that commute to, from or within the Atlanta city center, comprising Atlanta `commuter-shed'. By assuming that this dataset of trips defines the desired travel behavior of urban and suburban American populations, the effects of travel electrification in personal vehicles can be assessed. Several significant and novel findings have emerged from this research. These include the conclusion that at-work charging is not necessarily the logical next step beyond home-charging, as it will in general add little to the substitutability of electric vehicles. In contrast, high power en-route charging, combined with modest power home charging is shown to be surprisingly effective, potentially requiring of EV drivers a total time spent at en-route recharging stations similar to that for liquid fueled cars. From the vehicle marketing perspective, a quantification of the hybrid household effect, wherein multi-vehicle households own one EV, showed that about a quarter of all households could adopt a vehicle with 80 miles of range with no changes to travel patterns. Of interest to grid management, this research showed an apparent maximum fleet-wide load from unregulated charging of about 1 kW per vehicle, regardless of EVSE power or EV battery size. This contrasts with a
Kondo, Michelle C; Low, Sarah C; Henning, Jason; Branas, Charles C
We investigated the health and safety effects of urban green stormwater infrastructure (GSI) installments. We conducted a difference-in-differences analysis of the effects of GSI installments on health (e.g., blood pressure, cholesterol and stress levels) and safety (e.g., felonies, nuisance and property crimes, narcotics crimes) outcomes from 2000 to 2012 in Philadelphia, Pennsylvania. We used mixed-effects regression models to compare differences in pre- and posttreatment measures of outcomes for treatment sites (n=52) and randomly chosen, matched control sites (n=186) within multiple geographic extents surrounding GSI sites. Regression-adjusted models showed consistent and statistically significant reductions in narcotics possession (18%-27% less) within 16th-mile, quarter-mile, half-mile (P<.001), and eighth-mile (P<.01) distances from treatment sites and at the census tract level (P<.01). Narcotics manufacture and burglaries were also significantly reduced at multiple scales. Nonsignificant reductions in homicides, assaults, thefts, public drunkenness, and narcotics sales were associated with GSI installation in at least 1 geographic extent. Health and safety considerations should be included in future assessments of GSI programs. Subsequent studies should assess mechanisms of this association.
Wells, Kristen J; Lima, Diana S; Meade, Cathy D; Muñoz-Antonia, Teresita; Scarinci, Isabel; McGuire, Allison; Gwede, Clement K; Pledger, W Jack; Partridge, Edward; Lipscomb, Joseph; Matthews, Roland; Matta, Jaime; Flores, Idhaliz; Weiner, Roy; Turner, Timothy; Miele, Lucio; Wiese, Thomas E; Fouad, Mona; Moreno, Carlos S; Lacey, Michelle; Christie, Debra W; Price-Haywood, Eboni G; Quinn, Gwendolyn P; Coppola, Domenico; Sodeke, Stephen O; Green, B Lee; Lichtveld, Maureen Y
Significant cancer health disparities exist in the United States and Puerto Rico. While numerous initiatives have been implemented to reduce cancer disparities, regional coordination of these efforts between institutions is often limited. To address cancer health disparities nation-wide, a series of regional transdisciplinary networks through the Geographic Management Program (GMaP) and the Minority Biospecimen/Biobanking Geographic Management Program (BMaP) were established in six regions across the country. This paper describes the development of the Region 3 GMaP/BMaP network composed of over 100 investigators from nine institutions in five Southeastern states and Puerto Rico to develop a state-of-the-art network for cancer health disparities research and training. We describe a series of partnership activities that led to the formation of the infrastructure for this network, recount the participatory processes utilized to develop and implement a needs and assets assessment and implementation plan, and describe our approach to data collection. Completion, by all nine institutions, of the needs and assets assessment resulted in several beneficial outcomes for Region 3 GMaP/BMaP. This network entails ongoing commitment from the institutions and institutional leaders, continuous participatory and engagement activities, and effective coordination and communication centered on team science goals. Copyright © 2014 Elsevier Ltd. All rights reserved.
Wells, Kristen J.; Lima, Diana S.; Meade, Cathy D.; Muñoz-Antonia, Teresita; Scarinci, Isabel; McGuire, Allison; Gwede, Clement K.; Pledger, W. Jack; Partridge, Edward; Lipscomb, Joseph; Matthews, Roland; Matta, Jaime; Flores, Idhaliz; Weiner, Roy; Turner, Timothy; Miele, Lucio; Wiese, Thomas E.; Fouad, Mona; Moreno, Carlos S.; Lacey, Michelle; Christie, Debra W.; Price-Haywood, Eboni G.; Quinn, Gwendolyn P.; Coppola, Domenico; Sodeke, Stephen O.; Green, B. Lee; Lichtveld, Maureen Y.
Significant cancer health disparities exist in the United States and Puerto Rico. While numerous initiatives have been implemented to reduce cancer disparities, regional coordination of these efforts between institutions is often limited. To address cancer health disparities nationwide, a series of regional transdisciplinary networks through the Geographic Management Program (GMaP) and the Minority Biospecimen/Biobanking Geographic Management Program (BMaP) were established in six regions across the country. This paper describes the development of the Region 3 GMaP/BMaP network composed of over 100 investigators from nine institutions in five Southeastern states and Puerto Rico to develop a state-of-the-art network for cancer health disparities research and training. We describe a series of partnership activities that led to the formation of the infrastructure for this network, recount the participatory processes utilized to develop and implement a needs and assets assessment and implementation plan, and describe our approach to data collection. Completion, by all nine institutions, of the needs and assets assessment resulted in several beneficial outcomes for Region 3 GMaP/BMaP. This network entails ongoing commitment from the institutions and institutional leaders, continuous participatory and engagement activities, and effective coordination and communication centered on team science goals. PMID:24486917
... 000869.htm Online health information - what can you trust? To use the sharing features on this page, ... the difference? To find health information you can trust, you have to know where and how to ...
... and Wound Healing - Af-Soomaali (Somali) Bilingual PDF Health Information Translations Fasting Blood Sugar Test - Af-Soomaali (Somali) Bilingual PDF Health Information Translations GTT (Glucose Tolerance Test) - Af-Soomaali ( ...
Akl, Elie A; Oxman, Andrew D; Herrin, Jeph; Vist, Gunn E; Terrenato, Irene; Sperati, Francesca; Costiniuk, Cecilia; Blank, Diana; Schünemann, Holger
The same information about the evidence on health effects can be framed either in positive words or in negative words. Some research suggests that positive versus negative framing can lead to different decisions, a phenomenon described as the framing effect. Attribute framing is the positive versus negative description of a specific attribute of a single item or a state, for example, "the chance of survival with cancer is 2/3" versus "the chance of mortality with cancer is 1/3". Goal framing is the description of the consequences of performing or not performing an act as a gain versus a loss, for example, "if you undergo a screening test for cancer, your survival will be prolonged" versus "if you don't undergo screening test for cancer, your survival will be shortened". To evaluate the effects of attribute (positive versus negative) framing and of goal (gain versus loss) framing of the same health information, on understanding, perception of effectiveness, persuasiveness, and behavior of health professionals, policy makers, and consumers. We searched the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library, issue 3 2007), MEDLINE (Ovid) (1966 to October 2007), EMBASE (Ovid) (1980 to October 2007), PsycINFO (Ovid) (1887 to October 2007). There were no language restrictions. We reviewed the reference lists of related systematic reviews, included studies and of excluded but closely related studies. We also contacted experts in the field. We included randomized controlled trials, quasi-randomised controlled trials, and cross-over studies with health professionals, policy makers, and consumers evaluating one of the two types of framing. Two review authors extracted data in duplicate and independently. We graded the quality of evidence for each outcome using the GRADE approach. We standardized the outcome effects using standardized mean difference (SMD). We stratified the analysis by the type of framing (attribute, goal) and conducted pre
Mair, Christine A; Quiñones, Ana R; Pasha, Maha A
The purpose of this study is to expand knowledge of care options for aging populations cross-nationally by examining key individual-level and nation-level predictors of European middle-aged and older adults' preferences for care. Drawing on data from the Survey of Health, Ageing and Retirement in Europe and the Organisation for Economic Co-operation and Development, we analyze old age care preferences of a sample of 6,469 adults aged 50 and older with chronic disease in 14 nations. Using multilevel modeling, we analyze associations between individual-level health care needs and nation-level health care infrastructure and preference for family-based (vs. state-based) personal care. We find that middle-aged and older adults with chronic disease whose health limits their ability to perform paid work, who did not receive personal care from informal sources, and who live in nations with generous long-term care funding are less likely to prefer family-based care and more likely to prefer state-based care. We discuss these findings in light of financial risks in later life and the future role of specialized health support programs, such as long-term care. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: firstname.lastname@example.org.
Guerra-Reyes, Lucia; Christie, Vanessa M; Prabhakar, Annu; Siek, Katie A
Seeking and receiving health information are critical aspects of prenatal and postpartum care; however, many informational sources lack postpartum content. This study explores the gaps between information desired and information received postpartum and identifies the sources women use for health information seeking, with an emphasis on emergent online and mobile phone-based resources. Participants were recruited from our community partners' client base for a cross-sectional study. Mothers (n = 77) of a child 48 months or younger completed a survey on health information seeking, health information needs, and technology use. Postpartum health information gaps were defined as topics about which a participant indicated that she wanted information, but did not receive information. Bivariate analyses assessed the association between demographic characteristics, sources of health information used during pregnancy, and postpartum information gaps. Health care providers, Internet-based resources, and mobile applications were common sources of health information during pregnancy. Mental and sexual health were the most common types of postpartum health information gaps. In bivariate analyses, higher income and education were associated with postpartum information gaps in mental health and sexual health, respectively (p higher levels of education and income and postpartum health information gaps were observed in bivariate analyses. Health educators have the opportunity to capitalize on high rates of Internet information seeking by providing health information online. Health care providers must incorporate mental and sexual health into routine postpartum care. Copyright © 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
U.S. Department of Health & Human Services — The data was derived from the Health Care Information System (HCIS), which contains Medicare Part A (Inpatient, Skilled Nursing Facility, Home Health Agency (Part A...
Freed, Christopher R; Hansberry, Shantisha T; Arrieta, Martha I
To examine a local primary health care infrastructure and the reality of primary health care from the perspective of residents of a small, urban community in the southern United States. Data derive from 13 semi-structured focus groups, plus three semi-structured interviews, and were analyzed inductively consistent with a grounded theory approach. Structural barriers to the local primary health care infrastructure include transportation, clinic and appointment wait time, and co-payments and health insurance. Hidden barriers consist of knowledge about local health care services, non-physician gatekeepers, and fear of medical care. Community residents have used home remedies and the emergency department at the local academic medical center to manage these structural and hidden barriers. Findings might not generalize to primary health care infrastructures in other communities, respondent perspectives can be biased, and the data are subject to various interpretations and conceptual and thematic frameworks. Nevertheless, the structural and hidden barriers to the local primary health care infrastructure have considerably diminished the autonomy community residents have been able to exercise over their decisions about primary health care, ultimately suggesting that efforts concerned with increasing the access of medically underserved groups to primary health care in local communities should recognize the centrality and significance of power. This study addresses a gap in the sociological literature regarding the impact of specific barriers to primary health care among medically underserved groups.
Peek, N; Holmes, J H; Sun, J
To review technical and methodological challenges for big data research in biomedicine and health. We discuss sources of big datasets, survey infrastructures for big data storage and big data processing, and describe the main challenges that arise when analyzing big data. The life and biomedical sciences are massively contributing to the big data revolution through secondary use of data that were collected during routine care and through new data sources such as social media. Efficient processing of big datasets is typically achieved by distributing computation over a cluster of computers. Data analysts should be aware of pitfalls related to big data such as bias in routine care data and the risk of false-positive findings in high-dimensional datasets. The major challenge for the near future is to transform analytical methods that are used in the biomedical and health domain, to fit the distributed storage and processing model that is required to handle big data, while ensuring confidentiality of the data being analyzed.
S. V. Suchkov
Full Text Available The article considers the key problems of the transition of the national health-care system to a new platform of personalized medicine and, in particular, pediatrics. The first part, published in this issue, analyzes the most important of the necessary aspects of the infrastructure of the new model. Evidence is given of the extreme urgency of introducing a new model of predictive, preventive and personalized medicine (PPPM. The result of implementation should be breakthrough success in solving many epidemiological, diagnostic, curative, preventive, social and economic problems. It is emphasized that neonatology and pediatrics are the most important link in this paradigm. When considering the potential architectonics of the model, important characteristics of its main segments are revealed. Diagnostic principles (genotyping, targeting, and dynamic screening of biomarkers and arsenal (genomics, proteomics, metabolomics, mathematical modeling tools, etc. of personalized medicine are presented. Attention is focused on the need to create information (global, regional and target-specific banks that are necessary for monitoring individual health. The need to create a new social decision-making mechanism for selecting a preventive protocol that minimizes the risks of the disease or prevents its development is discussed. Four categories of basic programs of medical and social support of persons from the risk category are considered. The necessary conditions for translating these programs into practice are presented. The main tasks and problems of developing the principles for the preparation of preventive-prophylactic and protocols of medical rehabilitation for personalized medicine were discussed.
Shah, Gulzar H; Leep, Carolyn J; Alexander, Dayna
To demonstrate the use of National Association of County & City Health Officials' Profile-IQ, a Web-based data query system, and how policy makers, researchers, the general public, and public health professionals can use the system to generate descriptive statistics on local health departments. This article is a descriptive account of an important health informatics tool based on information from the project charter for Profile-IQ and the authors' experience and knowledge in design and use of this query system. Profile-IQ is a Web-based data query system that is based on open-source software: MySQL 5.5, Google Web Toolkit 2.2.0, Apache Commons Math library, Google Chart API, and Tomcat 6.0 Web server deployed on an Amazon EC2 server. It supports dynamic queries of National Profile of Local Health Departments data on local health department finances, workforce, and activities. Profile-IQ's customizable queries provide a variety of statistics not available in published reports and support the growing information needs of users who do not wish to work directly with data files for lack of staff skills or time, or to avoid a data use agreement. Profile-IQ also meets the growing demand of public health practitioners and policy makers for data to support quality improvement, community health assessment, and other processes associated with voluntary public health accreditation. It represents a step forward in the recent health informatics movement of data liberation and use of open source information technology solutions to promote public health.
Grethe, Jeffrey S; Ross, Edward; Little, David; Sanders, Brian; Gupta, Amarnath; Astakhov, Vadim
This paper presents current progress in the development of semantic data integration environment which is a part of the Biomedical Informatics Research Network (BIRN; http://www.nbirn.net) project. BIRN is sponsored by the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH). A goal is the development of a cyberinfrastructure for biomedical research that supports advance data acquisition, data storage, data management, data integration, data mining, data visualization, and other computing and information processing services over the Internet. Each participating institution maintains storage of their experimental or computationally derived data. Mediator-based data integration system performs semantic integration over the databases to enable researchers to perform analyses based on larger and broader datasets than would be available from any single institution's data. This paper describes recent revision of the system architecture, implementation, and capabilities of the semantically based data integration environment for BIRN.
Snowdon, Anne; Schnarr, Karin; Alessi, Charles
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.
Séror, Ann C
The Internet and emergent telecommunications infrastructures are transforming the future of health care management. The costs of health care delivery systems, products, and services continue to rise everywhere, but performance of health care delivery is associated with institutional and ideological considerations as well as availability of financial and technological resources. to identify the effects of ideological differences on health care market infrastructures including the Internet and telecommunications technologies by a comparative case analysis of two large health care organizations: the British National Health Service and the California-based Kaiser Permanente health maintenance organization. A qualitative comparative analysis focusing on the British National Health Service and the Kaiser Permanente health maintenance organization to show how system infrastructures vary according to market dynamics dominated by health care institutions ("push") or by consumer demand ("pull"). System control mechanisms may be technologically embedded, institutional, or behavioral. The analysis suggests that telecommunications technologies and the Internet may contribute significantly to health care system performance in a context of ideological diversity. The study offers evidence to validate alternative models of health care governance: the national constitution model, and the enterprise business contract model. This evidence also suggests important questions for health care policy makers as well as researchers in telecommunications, organizational theory, and health care management.
Kurtz-Rossi, Sabrina; Funk, Carla J.
Objectives: This research studied hospital administrators' and hospital-based health care providers' (collectively, the target group) perceived value of consumer health information resources and of librarians' roles in promoting health information literacy in their institutions. Methods: A web-based needs survey was developed and administered to hospital administrators and health care providers. Multiple health information literacy curricula were developed. One was pilot-tested by nine hospital libraries in the United States and Canada. Quantitative and qualitative methods were used to evaluate the curriculum and its impact on the target group. Results: A majority of survey respondents believed that providing consumer health information resources was critically important to fulfilling their institutions' missions and that their hospitals could improve health information literacy by increasing awareness of its impact on patient care and by training staff to become more knowledgeable about health literacy barriers. The study showed that a librarian-taught health information literacy curriculum did raise awareness about the issue among the target group and increased both the use of National Library of Medicine consumer health resources and referrals to librarians for health information literacy support. Conclusions: It is hoped that many hospital administrators and health care providers will take the health information literacy curricula and recognize that librarians can educate about the topic and that providers will use related consumer health services and resources. PMID:19851494
Lorence, Daniel P; Park, Heeyoung; Fox, Susannah
The growing diversity of the online health information community is increasingly cited as a limiting factor related to the potential of the Internet as an effective health communication channel and information resource. Public-access Internet portals and decreasing costs of personal computers have created a consensus that unequal access to information, or a "Digital Divide," presents a like problem specific to health care consumers. Access to information, however, is an essential part of the consumer-centric framework outlined in the recently proposed U.S. National Health Information Infrastructure (NHII) and Health Architecture initiatives. To date little research has been done to differentiate the types of health information sought on the Web by different subgroups, linking user characteristics and health-seeking behaviors. Data from a study of consumer Web search activity in a post-intervention era serves as a natural experiment, and can identify whether a "digitally underserved group" persists in the United States. Such an environment would serve to exclude traditionally underserved groups from the benefits of the planned national heath information infrastructure. This exploratory technology assessment study seeks to differentiate and delineate specific behaviors, or lack of desired behaviors, across targeted health care subgroups. Doing so allows the design of more effective strategies to promote the use of the Web as a health education and health promotion tool, under the envisioned shared decision-making, consumer-centric health information model.
The Excellence Initiative has not only been the most prominent funding scheme in German research policy in recent years, but has also had important side effects on research management. This paper argues that the Excellence Initiative was indeed a “boost” for improving the data infrastructure and statistical reporting of the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation). The learning effects are now transferred to the line business and serve as a good starting point for the reporting on a potential third phase of the Excellence Initiative. (Author)
Guimarães, Wilderi Sidney Gonçalves; Parente, Rosana Cristina Pereira; Guimarães, Thayanne Louzada Ferreira; Garnelo, Luiza
This study focuses on access to prenatal care and quality of care in the Family Health Strategy in Brazil as a whole and in the North region, through evaluation of infrastructure characteristics in the health units, management, and supply of care provided by the teams, from the perspective of regional and state inequalities. A cross-sectional evaluative and normative study was performed, drawing on the external evaluation component of the second round of the Program for Improvement of Access and Quality of Primary Care, in 2013-2014. The results revealed the inadequacy of the primary healthcare network's infrastructure for prenatal care, low adequacy of clinical actions for quality of care, and the teams' low management capacity to guarantee access and quality of care. In the distribution according to geopolitical regions, the findings pertaining to the units' infrastructure indicate a direct relationship between the infrastructure's adequacy and social contexts with higher municipal human development indices and income. For the clinical actions in patient care, the teams in all the regions scored low on adequacy, with slightly better results in the North and South regions of the country. There were important differences between the states of the North, and the states with higher mean income and human development scored higher on adequacy. The results indicate important organizational difficulties in both access and quality of care provided by the health teams, in addition to visible insufficiency in management activities aimed to improve access and quality of prenatal care.
Glendinning, S.; Helm, P. R.; Rouainia, M.; Stirling, R. A.; Asquith, J. D.; Hughes, P. N.; Toll, D. G.; Clarke, D.; Powrie, W.; Smethurst, J.; Hughes, D.; Harley, R.; Karim, R.; Dixon, N.; Crosby, C.; Chambers, J.; Dijkstra, T.; Gunn, D.; Briggs, K.; Muddle, D.
The UK's transport infrastructure is one of the most heavily used in the world. The performance of these networks is critically dependent on the performance of cutting and embankment slopes which make up £20B of the £60B asset value of major highway infrastructure alone. The rail network in particular is also one of the oldest in the world: many of these slopes are suffering high incidents of instability (increasing with time). This paper describes the development of a fundamental understanding of earthwork material and system behaviour, through the systematic integration of research across a range of spatial and temporal scales. Spatially these range from microscopic studies of soil fabric, through elemental materials behaviour to whole slope modelling and monitoring and scaling up to transport networks. Temporally, historical and current weather event sequences are being used to understand and model soil deterioration processes, and climate change scenarios to examine their potential effects on slope performance in futures up to and including the 2080s. The outputs of this research are being mapped onto the different spatial and temporal scales of infrastructure slope asset management to inform the design of new slopes through to changing the way in which investment is made into aging assets. The aim ultimately is to help create a more reliable, cost effective, safer and more resilient transport system.
Evans, David K; Welander Tärneberg, Anna
Low-quality health services are a problem across low- and middle-income countries. Information failure may contribute, as patients may have insufficient knowledge to discern the quality of health services. That decreases the likelihood that patients will sort into higher quality facilities, increasing demand for better health services. This paper presents results from a health survey in Nigeria to investigate whether patients can evaluate health service quality effectively. Specifically, this paper demonstrates that although more than 90% of patients agree with any positive statement about the quality of their local health services, satisfaction is significantly associated with the diagnostic ability of health workers at the facility. Satisfaction is not associated with more superficial characteristics such as infrastructure quality or prescriptions of medicines. This suggests that patients may have sufficient information to discern some of the most important elements of quality, but that alternative measures are crucial for gauging the overall quality of care. Copyright © The World Bank Health Economics © 2017 John Wiley & Sons, Ltd.
Skevofilakas, Marios; Mougiakakou, Stavroula G; Zarkogianni, Konstantia; Aslanoglou, Erika; Pavlopoulos, Sotiris A; Vazeou, Andriani; Bartsocas, Christos S; Nikita, Konstantina S
This paper is focused on the integration of state-of-the-art technologies in the fields of telecommunications, simulation algorithms, and data mining in order to develop a Type 1 diabetes patient's semi to fully-automated monitoring and management system. The main components of the system are a glucose measurement device, an insulin delivery system (insulin injection or insulin pumps), a mobile phone for the GPRS network, and a PDA or laptop for the Internet. In the medical environment, appropriate infrastructure for storage, analysis and visualizing of patients' data has been implemented to facilitate treatment design by health care experts.
Lake, Ron; Farley, Jim
Geospatial data and geoprocessing techniques are now directly linked to business processes in many areas. Commerce, transportation and logistics, planning, defense, emergency response, health care, asset management and many other domains leverage geospatial information and the ability to model these data to achieve increased efficiencies and to develop better, more comprehensive decisions. However, the ability to deliver geospatial data and the capacity to process geospatial information effectively in these domains are dependent on infrastructure technology that facilitates basic operations such as locating data, publishing data, keeping data current and notifying subscribers and others whose applications and decisions are dependent on this information when changes are made. This chapter introduces the notion of infrastructure technology for the Geospatial Web. Specifically, the Geography Markup Language (GML) and registry technology developed using the ebRIM specification delivered from the OASIS consortium are presented as atomic infrastructure components in a working Geospatial Web.
This presentation will focus on the history, development, and best practices for evaluating the risks associated with the portfolio of water infrastructure in the United States. These practices have evolved from the early development of the Federal Guidelines for Dam Safety and the establishment of the National Dam Safety Program, to the most recent update of the Best Practices for Dam and Levee Risk Analysis jointly published by the U.S. Department of Interior Bureau of Reclamation and the U.S. Army Corps of Engineers. Since President Obama signed the Water Infrastructure Improvements for the Nation Act (WIIN) Act, on December 16, 2016, adding a new grant program under FEMA's National Dam Safety Program, the focus has been on establishing a risk-based priority system for use in identifying eligible high hazard potential dams for which grants may be made. Finally, the presentation provides thoughts on the future direction and priorities for managing the risk of dams and levees in the United States.
Full Text Available Health and medical care has always been an important issue. Recently, there has been a rapid increase in consumer health awareness. Therefore, Consumer Health Information has been vastlyemphasized, which results in the development of associated websites. According to an investigation in Taiwan, there are 1,820 different health and medical related websites in 2002. However, due to the lack of regulations, some of these websites’ information contents may be faulty and may confuse users or potentially be harmful. The purpose of this article is to advise consumers how to differentiate between correct and incorrect information in the Health Information websites. The present study analyzes the strengths and weaknesses of some Taiwan’s consumer health websites by comparing their structures, contents and other information with those provided by "the Top Ten Most Useful Health Information Websites" of the USA. [Article content in Chinese
Holve, Erin; Segal, Courtney
The 11 big health data networks participating in the AcademyHealth Electronic Data Methods Forum represent cutting-edge efforts to harness the power of big health data for research and quality improvement. This paper is a comparative case study based on site visits conducted with a subset of these large infrastructure grants funded through the Recovery Act, in which four key issues emerge that can inform the evolution of learning health systems, including the importance of acknowledging the challenges of scaling specialized expertise needed to manage and run CER networks; the delicate balance between privacy protections and the utility of distributed networks; emerging community engagement strategies; and the complexities of developing a robust business model for multi-use networks.
Animal Health Safe Use Practices Pest Control Food Safety Low Risk Pesticides Integrated Pest Management directed by the product label. Pesticides may be ingested if stored improperly in food or beverage ; Environment Human Health Animal Health Safe Use Practices Food Safety Environment Air Water Soil Wildlife
Rammohan, Anu; Awofeso, Niyi
Routine childhood immunizations against measles and DPT are part of the World Health Organization's (WHO) Expanded Program on Immunization (EPI) set up in 1974, with the aim of reducing childhood morbidity and mortality. Despite this, immunization rates are sub-optimal in developing countries such as India, with wide heterogeneity observed across districts and socio-economic characteristics. The aim of this paper is to examine district-level variations in the propensity to vaccinate a child in India for measles and DPT3, and analyse the extent to which these immunizations are given age-inappropriately, either prematurely or delayed. The present study uses data from the Indian District Level Household Survey (DLHS-3) collected in 2008, and the final sample contains detailed information on 42157 children aged between 12 and 60 months, across 549 Indian districts for whom we have complete information on immunization history. Our empirical study analyses: (i) the district-level average immunization rates for measles and DPT3, and (ii) the extent to which these immunizations have been given age-appropriately. A key contribution of this paper is that we link the household-level data at the district level to data on availability and proximity to health infrastructure and district-level socio-economic factors. Our results show that after controlling for an array of socio-economic characteristics, across all our models, the district's income per capita is a strong predictor of better immunization outcomes for children. Mother's education level at the district-level has a statistically significant and positive influence on immunization outcomes across all our models. Copyright © 2015 Elsevier Ltd. All rights reserved.
J.E.C.M. Aarts (Jos)
textabstractHealth information technology is widely accepted to increase patient safety and reduce medical errors. The widespread implementation makes evident that health information technology has become of a complex sociotechnical system that is health care. Design and implementation may result in
de la Cruz, Norberto B.; Kahn, Charles E.
As a part of its community outreach efforts, the Medical College of Wisconsin developed the “MCW HealthLink” health information resource. The philosophy, design and implementation of the site lend well to steering future developments towards mass customization of health information.
... Information (PCII) Office Self- Assessment Questionnaire AGENCY: National Protection and Programs Directorate... comments concerning New Information Collection Request, PCII Officer Questionnaire. DHS previously... without alteration at http://www.regulations.gov , including any personal information provided. OMB is...
efficiency and carbon footprint reduction for our nation's Information and Communications Technology (ICT) infrastructure. The specific objectives of the ARCTIC project focused in the following three areas: i) advanced research innovations that dramatically enhance the ability to deal with ever-increasing device heat densities and footprint reduction by bringing the liquid cooling much closer to the actual heat sources; ii) manufacturing optimization of key components; and iii) ensuring rapid market acceptance by reducing cost, thoroughly understanding system-level performance, and developing viable commercialization strategies. The project involved participants with expertise in all aspects of commercialization, including research & development, manufacturing, sales & marketing and end users. The team was lead by Alcatel-Lucent, and included subcontractors Modine and USHose.
... and Prevention Hemorrhagic Fevers Vaccine Information Statement (VIS) -- Yellow Fever Vaccine: What You Need to Know - English PDF Vaccine Information Statement (VIS) -- Yellow Fever Vaccine: What You Need to Know - Hmoob (Hmong) PDF ...
Nunes, Paulo; Correia, Anacleto; Teodoro, M. Filomena
Since long ago, information is a key factor for military organizations. In military context the success of joint and combined operations depends on the accurate information and knowledge flow concerning the operational theatre: provision of resources, environment evolution, targets' location, where and when an event will occur. Modern military operations cannot be conceive without maps and geospatial information. Staffs and forces on the field request large volume of information during the planning and execution process, horizontal and vertical geospatial information integration is critical for decision cycle. Information and knowledge management are fundamental to clarify an environment full of uncertainty. Geospatial information (GI) management rises as a branch of information and knowledge management, responsible for the conversion process from raw data collect by human or electronic sensors to knowledge. Geospatial information and intelligence systems allow us to integrate all other forms of intelligence and act as a main platform to process and display geospatial-time referenced events. Combining explicit knowledge with person know-how to generate a continuous learning cycle that supports real time decisions, mitigates the influences of fog of war and provides the knowledge supremacy. This paper presents the analysis done after applying a questionnaire and interviews about the GI and intelligence management in a military organization. The study intended to identify the stakeholder's requirements for a military spatial data infrastructure as well as the requirements for a future software system development.
Mengiste, Shegaw Anagaw
This paper has analyzed the challenges of sustainability and scalability of HIS. The empirical analysis was conducted in a backward and disadvantaged region of Ethiopia. An ongoing process of HISP (Health Information System Program) was addressed and the main challenges in the implementation...... of sustainable and scalable district-based health information system in the context of Primary Health Care (PHC) sector in Ethiopia were identified. Human resource, infrastructure, and HIS related problems are the main challenges hindering the implementation of sustainable and scalable district-based health...... information systems in the region....
Wolff, Jennifer L; Darer, Jonathan D; Larsen, Kevin L
Health information technology has been embraced as a strategy to facilitate patients' access to their health information and engagement in care. However, not all patients are able to access, or are capable of using, a computer or mobile device. Although family caregivers assist individuals with some of the most challenging and costly health needs, their role in health information technology is largely undefined and poorly understood. This perspective discusses challenges and opportunities of engaging family caregivers through the use of consumer-oriented health information technology. We compile existing evidence to make the case that involving family caregivers in health information technology as desired by patients is technically feasible and consistent with the principles of patient-centered and family-centered care. We discuss how more explicit and purposeful engagement of family caregivers in health information technology could advance clinical quality and patient safety by increasing the transparency, accuracy, and comprehensiveness of patient health information across settings of care. Finally, we describe how clarifying and executing patients' desires to involve family members or friends through health information technology would provide family caregivers greater legitimacy, convenience, and timeliness in health system interactions, and facilitate stronger partnerships between patients, family caregivers, and health care professionals.
Seyed Ehsan Khansarizadeh
Full Text Available Outsourcing IT functions is being developed as a replacement for implementing IT projects or rendering IT services within organizations. Organizations’ past experiences in outsourcing indicate that this process poses variety of risks and problems. This study is aimed to identify and prioritize the risks of outsourcing IT infrastructure projects. Classifying risks of outsourcing along with incorporating thematic experts’ experiences through the Delphi method, reveals various risks associated with the employer and the contractor as the primary sources of risks as well as general risks and chronological risks which occur in the periods before, during and after contracts. A total of 22 main risks were identified and categorized. Afterwards, based on the opinions obtained from thematic experts and using the Analytic Hierarchy Process, different types of risks were prioritized. The results suggest that those risks arising due to failings of structure and content are more important than those of technical and contextual knowledge.
Lewis, Don; Hodge, Nicola; Gamage, Duminda; Whittaker, Maxine
Innovations in, and the use of emerging information and communications technology (ICT) has rapidly increased in all development contexts, including healthcare. It is believed that the use of appropriate technologies can increase the quality and reach of both information and communication. However, decisions on what ICT to adopt have often been made without evidence of their effectiveness; or information on implications; or extensive knowledge on how to maximise benefits from their use. While it has been stated that 'healthcare ICT innovation can only succeed if design is deeply informed by practice', the large number of 'failed' ICT projects within health indicates the limited application of such an approach. There is a large and growing body of work exploring health ICT issues in the developed world, and some specifically focusing on the developing country context emerging from Africa and India; but not for the Pacific Region. Health systems in the Pacific, while diverse in many ways, are also faced with many common problems including competing demands in the face of limited resources, staff numbers, staff capacity and infrastructure. Senior health managers in the region are commonly asked to commit money, effort and scarce manpower to supporting new technologies on proposals from donor agencies or commercial companies, as well as from senior staff within their system. The first decision they must make is if the investment is both plausible and reasonable; they must also secondly decide how the investment should be made. The objective of this article is three-fold: firstly, to provide a common 'language' for categorising and discussing health information systems, particularly those in developing countries; secondly, to summarise the potential benefits and opportunities offered by the use of ICT in health; and thirdly, to discuss the critical factors countries. Overall, this article aims to illuminate the potential role of information and communication
Rothstein, Mark A
The shift to longitudinal, comprehensive electronic health records (EHRs) means that any health care provider (e.g., dentist, pharmacist, physical therapist) or third-party user of the EHR (e.g., employer, life insurer) will be able to access much health information of questionable clinical utility and possibly of great sensitivity. Genetic test results, reproductive health, mental health, substance abuse, and domestic violence are examples of sensitive information that many patients would not want routinely available. The likely policy response is to give patients the ability to segment information in their EHRs and to sequester certain types of sensitive information, thereby limiting routine access to the totality of a patient's health record. This article explores the likely effect on the physician-patient relationship of patient-directed sequestration of sensitive health information, including the ethical and legal consequences.
Sun, Yueping; Hou, Zhen; Hou, Li; Li, Jiao
Different groups of audiences in health care: health professionals and health consumers, each have different information needs. Health monographs targeting different audiences are created by leveraging readers' background knowledge. The NCI's Physician Data Query (PDQ®) Cancer Information Summaries provide parallel cancer information and education resources with different target audiences. In this paper, we used targeted audience-specific cancer information PDQs to measure characteristic differences on the element level between audiences. In addition, we compared vocabulary coverage. Results show a significant difference between the professional and patient version of cancer monographs in both content organization and vocabulary. This study provides a new view to assess targeted audience-specific health information, and helps editors to improve the quality and readability of health information.
The effective planning, management monitoring and evaluation of health services, health resources and indeed the health system requires a wealth of health information, with its simultaneous effective and efficient management. It is an instrument used to help policy-making, decision making and day to day actions in the ...
... Adults Moms/ Moms-to-Be Print Share Health & Nutrition Information When you are pregnant or breastfeeding, you ... Story Last Updated: Apr 27, 2018 RESOURCES FOR NUTRITION AND HEALTH MYPLATE What Is MyPlate? Fruits Vegetables ...
U.S. Department of Health & Human Services — Authors: Cason Schmit, JD, Gregory Sunshine, JD, Dawn Pepin, JD, MPH, Tara Ramanathan, JD, MPH, Akshara Menon, JD, MPH, Matthew Penn, JD, MLIS The Health Information...
Dorsch, J L
This review analyzes the existing research on the information needs of rural health professionals and relates it to the broader information-needs literature to establish whether the information needs of rural health professionals differ from those of other health professionals. The analysis of these studies indicates that rural health practitioners appear to have the same basic needs for patient-care information as their urban counterparts, and that both groups rely on colleagues and personal libraries as their main sources of information. Rural practitioners, however, tend to make less use of journals and online databases and ask fewer clinical questions; a difference that correlates with geographic and demographic factors. Rural practitioners experience pronounced barriers to information access including lack of time, isolation, inadequate library access, lack of equipment, lack of skills, costs, and inadequate Internet infrastructure. Outreach efforts to this group of underserved health professionals must be sustained to achieve equity in information access and to change information-seeking behaviors.
Health Information Science and Systems is an exciting, new, multidisciplinary journal that aims to use technologies in computer science to assist in disease diagnoses, treatment, prediction and monitoring through the modeling, design, development, visualization, integration and management of health related information. These computer-science technologies include such as information systems, web technologies, data mining, image processing, user interaction and interface, sensors and wireless networking and are applicable to a wide range of health related information including medical data, biomedical data, bioinformatics data, public health data.
Full Text Available Increasing urban green and blue structure is often pointed out to be critical for sustainable development and climate change adaptation, which has led to the rapid expansion of greening activities in cities throughout the world. This process is likely to have a direct impact on the citizens’ quality of life and public health. However, alongside numerous benefits, green and blue infrastructure also has the potential to create unexpected, undesirable, side-effects for health. This paper considers several potential harmful public health effects that might result from increased urban biodiversity, urban bodies of water, and urban tree cover projects. It does so with the intent of improving awareness and motivating preventive measures when designing and initiating such projects. Although biodiversity has been found to be associated with physiological benefits for humans in several studies, efforts to increase the biodiversity of urban environments may also promote the introduction and survival of vector or host organisms for infectious pathogens with resulting spread of a variety of diseases. In addition, more green connectivity in urban areas may potentiate the role of rats and ticks in the spread of infectious diseases. Bodies of water and wetlands play a crucial role in the urban climate adaptation and mitigation process. However, they also provide habitats for mosquitoes and toxic algal blooms. Finally, increasing urban green space may also adversely affect citizens allergic to pollen. Increased awareness of the potential hazards of urban green and blue infrastructure should not be a reason to stop or scale back projects. Instead, incorporating public health awareness and interventions into urban planning at the earliest stages can help insure that green and blue infrastructure achieves full potential for health promotion.
Lõhmus, Mare; Balbus, John
Increasing urban green and blue structure is often pointed out to be critical for sustainable development and climate change adaptation, which has led to the rapid expansion of greening activities in cities throughout the world. This process is likely to have a direct impact on the citizens' quality of life and public health. However, alongside numerous benefits, green and blue infrastructure also has the potential to create unexpected, undesirable, side-effects for health. This paper considers several potential harmful public health effects that might result from increased urban biodiversity, urban bodies of water, and urban tree cover projects. It does so with the intent of improving awareness and motivating preventive measures when designing and initiating such projects. Although biodiversity has been found to be associated with physiological benefits for humans in several studies, efforts to increase the biodiversity of urban environments may also promote the introduction and survival of vector or host organisms for infectious pathogens with resulting spread of a variety of diseases. In addition, more green connectivity in urban areas may potentiate the role of rats and ticks in the spread of infectious diseases. Bodies of water and wetlands play a crucial role in the urban climate adaptation and mitigation process. However, they also provide habitats for mosquitoes and toxic algal blooms. Finally, increasing urban green space may also adversely affect citizens allergic to pollen. Increased awareness of the potential hazards of urban green and blue infrastructure should not be a reason to stop or scale back projects. Instead, incorporating public health awareness and interventions into urban planning at the earliest stages can help insure that green and blue infrastructure achieves full potential for health promotion.
Mzukisi N Njotini
Full Text Available South Africa has made great strides towards protecting critical information infrastructures (CIIs. For example, South Africa recognises the significance of safeguarding places or areas that are essential to the national security of South Africa or the economic and social well-being of South African citizens. For this reason South Africa has established mechanisms to assist in preserving the integrity and security of CIIs. The measures provide inter alia for the identification of CIIs; the registration of the full names, address and contact details of the CII administrators (the persons who manage CIIs; the identification of the location(s of CIIs or their component parts; and the outlining of the general descriptions of information or data stored in CIIs.It is argued that the measures to protect CIIs in South Africa are inadequate. In particular, the measures rely on a one-size-fits-all approach to identify and classify CIIs. For this reason the South African measures are likely to lead to the adoption of a paradigm that considers every infrastructure, data or database, regardless of its significance or importance, to be key or critical.
... Technology; Health Information Technology; HIT Policy Committee: Request for Comment Regarding the Stage 3 Definition of Meaningful Use of Electronic Health Records (EHRs) AGENCY: Health Information Technology (HIT) Policy Committee, Office of the National Coordinator for Health Information Technology (ONC), Department...
.... SUPPLEMENTARY INFORMATION: The agenda topics for the meeting will include: Information Technology--The Effects... Center Chandra/X-Ray Astronomy Mobile Applications Wide Area Networks The meeting will be open to the....S. visa information to include type, number, and expiration date, U.S. Social Security Number (if...
... Technology; Health Information Technology; Request for Information Regarding the President's Council of... Information Technology To Improve Healthcare for Americans: The Path Forward'' AGENCY: Office of the National Coordinator for Health Information Technology (ONC), Department of Health and Human Services (HHS). ACTION...
Prins, R G; Panter, J; Heinen, E; Griffin, S J; Ogilvie, D B
Mechanisms linking changes to the environment with changes in physical activity are poorly understood. Insights into mechanisms of interventions can help strengthen causal attribution and improve understanding of divergent response patterns. We examined the causal pathways linking exposure to new transport infrastructure with changes in cycling to work. We used baseline (2009) and follow-up (2012) data (N=469) from the Commuting and Health in Cambridge natural experimental study (Cambridge, UK). Exposure to new infrastructure in the form of the Cambridgeshire Guided Busway was defined using residential proximity. Mediators studied were changes in perceptions of the route to work, theory of planned behaviour constructs and self-reported use of the new infrastructure. Outcomes were modelled as an increase, decrease or no change in weekly cycle commuting time. We used regression analyses to identify combinations of mediators forming potential pathways between exposure and outcome. We then tested these pathways in a path model and stratified analyses by baseline level of active commuting. We identified changes in perceptions of the route to work, and use of the cycle path, as potential mediators. Of these potential mediators, only use of the path significantly explained (85%) the effect of the infrastructure in increasing cycling. Path use also explained a decrease in cycling among more active commuters. The findings strengthen the causal argument that changing the environment led to changes in health-related behaviour via use of the new infrastructure, but also show how some commuters may have spent less time cycling as a result. Copyright © 2016. Published by Elsevier Inc.
... Governance (DG) is the sub-domain of information governance that provides for the design and execution of data needs planning and data quality assurance in concert with the strategic information needs of the organization. This webinar will explore DG as a part ...
Carpenter, Delesha M; Geryk, Lorie L; Chen, Annie T; Nagler, Rebekah H; Dieckmann, Nathan F; Han, Paul K J
Conflicting health information is increasing in amount and visibility, as evidenced most recently by the controversy surrounding the risks and benefits of childhood vaccinations. The mechanisms through which conflicting information affects individuals are poorly understood; thus, we are unprepared to help people process conflicting information when making important health decisions. In this viewpoint article, we describe this problem, summarize insights from the existing literature on the prevalence and effects of conflicting health information, and identify important knowledge gaps. We propose a working definition of conflicting health information and describe a conceptual typology to guide future research in this area. The typology classifies conflicting information according to four fundamental dimensions: the substantive issue under conflict, the number of conflicting sources (multiplicity), the degree of evidence heterogeneity and the degree of temporal inconsistency. © 2015 The Authors. Health Expectations Published by John Wiley & Sons Ltd.
Full Text Available Abstract Background NICE recommends computerised cognitive behavioural therapy (cCBT for the treatment of several mental health problems such as anxiety and depression. cCBT may be one way that services can reduce waiting lists and improve capacity and efficiency. However, there is some doubt about the extent to which the National Health Service (NHS in the UK is embracing this new health technology in practice. This study aimed to investigate Scottish health service infrastructure and policies that promote or impede the implementation of cCBT in the NHS. Methods A telephone survey of lead IT staff at all health board areas across Scotland to systematically enquire about the ability of local IT infrastructure and IT policies to support delivery of cCBT. Results Overall, most of the health boards possess the required software to use cCBT programmes. However, the majority of NHS health boards reported that they lack dedicated computers for patient use, hence access to cCBT at NHS sites is limited. Additionally, local policy in the majority of boards prevent staff from routinely contacting patients via email, skype or instant messenger, making the delivery of short, efficient support sessions difficult. Conclusions Conclusions: Overall most of the infrastructure is in place but is not utilised in ways that allow effective delivery. For cCBT to be successfully delivered within a guided support model, as recommended by national guidelines, dedicated patient computers should be provided to allow access to online interventions. Additionally, policy should allow staff to support patients in convenient ways such as via email or live chat. These measures would increase the likelihood of achieving Scottish health service targets to reduce waiting time for psychological therapies to 18 weeks.
Full Text Available The current paper presents several interoperability features applied to a local distributed information system, CardioNET, meant to improve quality of healthcare services, through the use of the latest medical and IT&C technologies. Modern healthcare systems require a patient-centric vision, where patients must receive medical attention or treatment anytime, regardless of their physical location. The eHealth distributed system we present – CardioNET is based on a SOA producer-consumer model taking a patient centric approach where every hardware, software and medical activities become “services”. The system offers tools for remote interactions between patients, doctors, medical entities (e.g. hospitals, labs and authorities. Based on international standards (IDC10, LOINC, HL7, the system assures interoperability and data exchange in widely accepted XML formats. A logical domain bus, called Pervasive Health Service Bus-pHSB, exchanges HL7 compliant data messages between the integrated elements of the platform, through high level protocols (SOAP/HL7. The paper addresses interoperability problems between medical informational platforms proposing an eHealth architecture composed of: - production systems (nodes: General Practitioner, Analysis Laboratories, Clinics, Hospitals, Home Health Care Units (H-HCU;- portal with specialized web services, registries and shared data repositories – distributed, boundary-less environment for decision support, research and educational activities.
Geena Mary Skaria
Full Text Available Health education has to be one of the most effective ways to reduce morbidity and mortality in developing countries. We need to deliver vital messages and information to people at the lower quarter of the society to use changing behaviour and practices which can save and protect their lives. It is in this context, use of mobile phones in delivering vital health information is of significance. This article reviews few projects which successfully use mobile phones for health information delivery.
Pereira José Luís
Full Text Available Background: Owing to the highly competitive business environment in which contemporary organizations have to operate, a quick and effective way of developing and maintaining information systems is of utmost importance to their success. Obviously, the computerized information systems that support the everyday operations and management of organizations play a critical role in their competitiveness. For that reason, nowadays, more than ever, information systems have to be quickly developed, rapidly reconfigured, and easily maintained.
..., reasons for selecting the proposed type(s) of credit instrument, flexibility in financial plan to support... the applicant's organizational structure, including background information and legal authority...
..., reasons for selecting the proposed type(s) of credit instrument, flexibility in financial plan to support... the applicant's organizational structure, including background information and legal authority...
Nursing homes are considered lagging behind in adopting health information technology (HIT). Many studies have highlighted the use of HIT as a means of improving health care quality. However, these studies overwhelmingly do not provide empirical information proving that HIT can actually achieve these improvements. The main research goal of this…
Manafo, Elizabeth; Wong, Sharon
Objective: To explore older adults' (55-70 years) health information-seeking behaviors. Methods: Using a qualitative methodology, based on grounded theory, data were collected using in-depth interviews. Participants were community-living, older adults in Toronto, Canada who independently seek nutrition and health information. Interview transcripts…
Cimino, James J.; Frisse, Mark; Halamka, John; Sweeney, Latanya; Yasnoff, William
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
Cimino, James J; Frisse, Mark E; Halamka, John; Sweeney, Latanya; Yasnoff, William
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.
Maddux, Cleborne D.; Johnson D. Lamont
In this second special issue on Type II applications of information technology in education, the focus is on classroom integration. This editorial explores some possible explanations for the fact that information technology in schools has not fulfilled its considerable potential. One reason may be that individualized instruction is not part of the…
Wombacher, Andreas; Kostaki, Paraskevi; Aberer, Karl
Systems for information commerce on the WWW have to support flexible business models if they should be able to cover a wide range of requirements imposed by the different types of information businesses. This leads to non-trivial functional and security requirements both on the provider and consumer
... Information (PCII) Office Self- Assessment Questionnaire AGENCY: National Protection and Programs Directorate... received will be posted without alteration at http://www.regulations.gov , including any personal...). This questionnaire is designed to gather information from PCII Officers that will be used by the NPPD...
Integrating information systems (IS) has become a key goal for governments worldwide. Systems of “authentic registers,” for instance, provide government agencies with information from databases acknowledged as the only legitimate sources of data. Concerns are thus arising about the risks for
Wagner, T H; Hu, T W; Hibbard, J H
Using data from an evaluation of a community-wide informational intervention, we modeled the demand for medical reference books, telephone advice nurses, and computers for health information. Data were gathered from random household surveys in Boise, ID (experimental site), Billings, MT, and Eugene, OR (control sites). Conditional difference-in-differences show that the intervention increased the use of medical reference books, advice nurses, and computers for health information by approximately 15, 6, and 4%. respectively. The results also suggest that the intervention was associated with a decreased reliance on health professionals for information.
Shang, Jianga; Gu, Fuqiang; Hu, Xuke; Kealy, Allison
The utility and adoption of indoor localization applications have been limited due to the complex nature of the physical environment combined with an increasing requirement for more robust localization performance. Existing solutions to this problem are either too expensive or too dependent on infrastructure such as Wi-Fi access points. To address this problem, we propose APFiLoc—a low cost, smartphone-based framework for indoor localization. The key idea behind this framework is to obtain landmarks within the environment and to use the augmented particle filter to fuse them with measurements from smartphone sensors and map information. A clustering method based on distance constraints is developed to detect organic landmarks in an unsupervised way, and the least square support vector machine is used to classify seed landmarks. A series of real-world experiments were conducted in complex environments including multiple floors and the results show APFiLoc can achieve 80% accuracy (phone in the hand) and around 70% accuracy (phone in the pocket) of the error less than 2 m error without the assistance of infrastructure like Wi-Fi access points. PMID:26516858
Building National Health Research Information Systems (COHRED). This grant will allow the Council on Health Research for Development (COHRED) to create, host and maintain a web-based resource on national health research in low- and middle-income countries in partnership with institutions in the South. Called ...
Turley, Ruth; Saith, Ruhi; Bhan, Nandita; Rehfuess, Eva; Carter, Ben
difference (MD) -17.11 pesos; 95% CI -32.6 to -1.62). One RCT also showed mixed results for employment variables, finding no effect on unemployment levels but increased weekly worked hours (MD 4.68; 95% CI -0.46 to 9.82) and lower risk of residents intending to migrate for work (RR 0.78; 95% CI 0.60 to 1.01).There was no evidence available to assess the impact of slum upgrading on non-communicable diseases or social capital. Maternal and perinatal conditions, infant mortality, nutritional deficiencies, injuries, self-reported quality of life, education and crime were evaluated in one study each.Nine supporting studies were included that measured varying outcomes (6794 households or observations within eight studies reporting sample sizes). One CPI evaluated cement flooring only while three UBAs and five CPIs evaluated multicomponent slum upgrading strategies. All studies but one had a high risk of bias.The studies reinforced main study findings for diarrhoea incidence and water-related expenditure. Findings for parasitic infections and financial poverty were inconsistent with the main studies. In addition, supporting studies reported a number of disparate outcomes that were not evaluated in the main studies.Five supporting studies included some limited information on slum dweller perspectives. They indicated the importance of appropriate siting of facilities, preference for private facilities, delivering synergistic interventions together, and ensuring that infrastructure was fit for purpose and systems were provided for cleaning, maintenance and repair. A high risk of bias within the included studies, heterogeneity and evidence gaps prevent firm conclusions on the effect of slum upgrading strategies on health and socio-economic wellbeing. The most common health and socio-economic outcomes reported were communicable diseases and indicators of financial poverty. There was a limited but consistent body of evidence to suggest that slum upgrading may reduce the incidence of
Sopna M Choudhury
Full Text Available Qatar is experiencing rapid population expansion with increasing demands on healthcare services for both acute and chronic conditions. Sourcing accurate information about health conditions is crucial, yet the methods used for sourcing health information in Qatar are currently unknown. Gaining a better understanding of the sources the Qatari population use to recognize and manage health and/or disease will help to develop strategies to educate individuals about existing and emerging health problems.To investigate the methods used by the Qatari population to source health information. We hypothesized that the Internet would be a key service used to access health information by the Qatari population.A researcher-led questionnaire was used to collect information from Qatari adults, aged 18-85 years. Participants were approached in shopping centers and public places in Doha, the capital city of Qatar. The questionnaire was used to ascertain information concerning demographics, health status, and utilization of health care services during the past year as well as sources of health information used.Data from a total of 394 eligible participants were included. The Internet was widely used for seeking health information among the Qatari population (71.1%. A greater proportion of Qatari females (78.7% reported searching for health-related information using the Internet compared to Qatari males (60.8%. Other commonly used sources were family and friends (37.8% and Primary Health Care Centers (31.2%. Google was the most commonly used search engine (94.8%. Gender, age and education levels were all significant predictors of Internet use for heath information (P<0.001 for all predictors. Females were 2.9 times more likely than males (P<0.001 and people educated to university or college level were 3.03 times more likely (P<0.001 to use the Internet for heath information.The Internet is a widely used source to obtain health-related information by the Qatari
Langhoff, Tue Odd; Amstrup, Mikkel Hvid; Mørck, Peter
The Danish General Practitioners Database has over more than a decade developed into a large-scale successful information infrastructure supporting medical research in Denmark. Danish general practitioners produce the data, by coding all patient consultations according to a certain set of classif...... synergy into account, if not to risk breaking down the fragile nature of otherwise successful information infrastructures supporting research on healthcare....
... proposed type(s) of credit instrument, flexibility in financial plan to support a reduced percentage-share... organizational structure, including background information and legal authority, organization and management...
Networking and Information Technology Research and Development, Executive Office of the President — The Federal High Performance Computing and Communications HPCC Program was created to accelerate the development of future generations of high performance computers...
Cooper, Antony K
Full Text Available , Information and Computational Viewpoints of the Reference Model for Open Distributed Processing (RM-ODP). We identified six stakeholders: Policy Maker, Producer, Provider, Broker, Value-added Reseller and End User. The Internet has spawned the development...
Networking and Information Technology Research and Development, Executive Office of the President — government and industry that advanced computer and telecommunications technologies could provide huge benefits throughout the research community and the entire U.S....
Background: There is ongoing interest in strengthening the informational component of the EPI as a mean to enhance the efficacy of service delivery. As developing country governments make significant investments in strengthening health information systems, benefits obtained from these initiatives tend to be below their ...
Scheibe, Timothy D.; Johnson, Gary E.; Perkins, Bill
The goal of this project was to help develop technology and a unified structure to access and disseminate information related to the Bonneville Power Administration's fish and wildlife responsibility in the Pacific Northwest. BPA desires to increase access to, and exchange of, information produced by the Environment Fish, and Wildlife Group in concert with regional partners. Historically, data and information have been managed through numerous centralized, controlled information systems. Fisheries information has been fragmented and not widely exchanged. Where exchange has occurred, it often is not timely enough to allow resource managers to effectively use the information to guide planning and decision making. This project (and related projects) have successfully developed and piloted a network-based infrastructure that will serve as a vehicle to transparently connect existing information systems in a manner that makes information exchange efficient and inexpensive. This project was designed to provide a mechanism to help BPA address measures in the Northwest Power Planning Council's (NPPC) Fish and Wildlife program: 3.2H Disseminate Research and Monitoring Information and 5.1A.5 manage water supplies in accordance with the Annual Implementation Work Plan. This project also provided resources that can be used to assist monitoring and evaluation of the Program
Scheibe, Timothy D.; Johnson, Gary E.; Perkins, Bill
The goal of this project was to help develop technology and a unified structure to access and disseminate information related to the Bonneville Power Administration's fish and wildlife responsibility in the Pacific Northwest. BPA desires to increase access to, and exchange of, information produced by the Environment Fish, and Wildlife Group in concert with regional partners. Historically, data and information have been managed through numerous centralized, controlled information systems. Fisheries information has been fragmented and not widely exchanged. Where exchange has occurred, it often is not timely enough to allow resource managers to effectively use the information to guide planning and decision making. This project (and related projects) have successfully developed and piloted a network-based infrastructure that will serve as a vehicle to transparently connect existing information systems in a manner that makes information exchange efficient and inexpensive. This project was designed to provide a mechanism to help BPA address measures in the Northwest Power Planning Council's (NPPC) Fish and Wildlife program: 3.2H Disseminate Research and Monitoring Information and 5.1A.5 manage water supplies in accordance with the Annual Implementation Work Plan. This project also provided resources that can be used to assist monitoring and evaluation of the Program.
The Fiscal Year 1996 Infrastructure Program Site Support Program Plan addresses the mission objectives, workscope, work breakdown structures (WBS), management approach, and resource requirements for the Infrastructure Program. Attached to the plan are appendices that provide more detailed information associated with scope definition. The Hanford Site's infrastructure has served the Site for nearly 50 years during defense materials production. Now with the challenges of the new environmental cleanup mission, Hanford's infrastructure must meet current and future mission needs in a constrained budget environment, while complying with more stringent environmental, safety, and health regulations. The infrastructure requires upgrading, streamlining, and enhancement in order to successfully support the site mission of cleaning up the Site, research and development, and economic transition
The Fiscal Year 1996 Infrastructure Program Site Support Program Plan addresses the mission objectives, workscope, work breakdown structures (WBS), management approach, and resource requirements for the Infrastructure Program. Attached to the plan are appendices that provide more detailed information associated with scope definition. The Hanford Site`s infrastructure has served the Site for nearly 50 years during defense materials production. Now with the challenges of the new environmental cleanup mission, Hanford`s infrastructure must meet current and future mission needs in a constrained budget environment, while complying with more stringent environmental, safety, and health regulations. The infrastructure requires upgrading, streamlining, and enhancement in order to successfully support the site mission of cleaning up the Site, research and development, and economic transition.
Ködmön, József; Csajbók, Zoltán Ernő
Doctors, nurses and other medical professionals are spending more and more time in front of the computer, using applications developed for general practitioners, specialized care, or perhaps an integrated hospital system. The data they handle during healing and patient care are mostly sensitive data and, therefore, their management is strictly regulated. Finding our way in the jungle of laws, regulations and policies is not simple. Notwithstanding, our lack of information does not waive our responsibility. This study summarizes the most important points of international recommendations, standards and legal regulations of the field, as well as giving practical advices for managing medical and patient data securely and in compliance with the current legal regulations.
Dixon, Brian E; Whipple, Elizabeth C; Lajiness, John M; Murray, Michael D
To explore the ability of an integrated health information infrastructure to support outcomes research. A systematic review of articles published from 1983 to 2012 by Regenstrief Institute investigators using data from an integrated electronic health record infrastructure involving multiple provider organisations was performed. Articles were independently assessed and classified by study design, disease and other metadata including bibliometrics. A total of 190 articles were identified. Diseases included cognitive, (16) cardiovascular, (16) infectious, (15) chronic illness (14) and cancer (12). Publications grew steadily (26 in the first decade vs. 100 in the last) as did the number of investigators (from 15 in 1983 to 62 in 2012). The proportion of articles involving non-Regenstrief authors also expanded from 54% in the first decade to 72% in the last decade. During this period, the infrastructure grew from a single health system into a health information exchange network covering more than 6 million patients. Analysis of journal and article metrics reveals high impact for clinical trials and comparative effectiveness research studies that utilised data available in the integrated infrastructure. Integrated information infrastructures support growth in high quality observational studies and diverse collaboration consistent with the goals for the learning health system. More recent publications demonstrate growing external collaborations facilitated by greater access to the infrastructure and improved opportunities to study broader disease and health outcomes. Integrated information infrastructures can stimulate learning from electronic data captured during routine clinical care but require time and collaboration to reach full potential. © 2015 Health Libraries Group.
V.J.J.M. Bekkers (Victor)
textabstractHow can the flexibility of an information architecture in e-government chains - defined as a set of multi-rational agreements - be achieved, if one acknowledges the fact that the use of ICT may automate the status quo between organizations which work together in a policy chain? Research
know or can learn may be advantageous to defenders. If defend- ers are unaware that a terrorist group knows about a particular vulnerability, that...cases, this information is necessarily in the public domain because it provides an important service. For instance, as noted above, ecommerce sites for
Cox, Din S. Z.
There is a shortage of evidence based research that provides organizations with the necessary information in support of their technology adoption decisions in relation to ITSM technologies. As such, this research study attempted to bridge the gap by offering insight on possible factors that could influence such decisions. An examination of…
have paid off cyber criminals who threatened to attack their computer systems and destroy their data unless a ‘ransom’ was paid. These cyber...sharing information with law enforcement and appropriate industry groups will we be able to identify and prosecute cyber criminals , identify new
Aanestad, Margunn; Jensen, Tina Blegind
initiatives, where a national project failed to deliver interoperable Electronic Patient Record (EPR) systems while a small, local solution grew and now offers a nation-wide solution for sharing patient record information. We apply II theory, specifically the five design principles proposed by Hanseth...... of the installed base, which current II theory advocates. Here we articulate and exemplify a modular implementation strategy as an approach that also addresses the challenges related to mobilization and organization of multiple stakeholders....
A. Fereidunian; H. Lesani; C. Lucas; M. Lehtonen; M. M. Nordman
Almost all of electric utility companies are planning to improve their management automation system, in order to meet the changing requirements of new liberalized energy market and to benefit from the innovations in information and communication technology (ICT or IT). Architectural design of the utility management automation (UMA) systems for their IT-enabling requires proper selection of IT choices for UMA system, which leads to multi-criteria decision-makings (MCDM). In resp...
The past few decades have witnessed a dramatic increase in consumers seeking health information online. However, the quality of such information remains questionable, and the trustworthiness of online health information has become a hot topic, whereas little attention has been paid to how consumers evaluate online health information credibility. This study builds on theoretical perspectives of trust such as personal-capital-based, social-capital-based, and transfer-based, and it examines various correlates of consumer trust in online health information. The author analyzed the 2007 Health Information National Trends Survey data (N = 7,674). Results showed that consumer trust in online health information did not correlate with personal capital such as income, education, and health status. Social capital indicated by visiting social networking Web sites was not associated with trust in online health information either. Nevertheless, trust in online health information transferred from traditional mass media and government health agencies to the Internet, and it varied by such information features as easiness to locate and to understand. Age appeared to be a key factor in understanding the correlates of trust in online health information. Theoretical and empirical implications of the results are discussed.
Keselman, Alla; Browne, Allen C; Kaufman, David R
Despite the proliferation of consumer health sites, lay individuals often experience difficulty finding health information online. The present study attempts to understand users' information seeking difficulties by drawing on a hypothesis testing explanatory framework. It also addresses the role of user competencies and their interaction with internet resources. Twenty participants were interviewed about their understanding of a hypothetical scenario about a family member suffering from stable angina and then searched MedlinePlus consumer health information portal for information on the problem presented in the scenario. Participants' understanding of heart disease was analyzed via semantic analysis. Thematic coding was used to describe information seeking trajectories in terms of three key strategies: verification of the primary hypothesis, narrowing search within the general hypothesis area and bottom-up search. Compared to an expert model, participants' understanding of heart disease involved different key concepts, which were also differently grouped and defined. This understanding provided the framework for search-guiding hypotheses and results interpretation. Incorrect or imprecise domain knowledge led individuals to search for information on irrelevant sites, often seeking out data to confirm their incorrect initial hypotheses. Online search skills enhanced search efficiency, but did not eliminate these difficulties. Regardless of their web experience and general search skills, lay individuals may experience difficulty with health information searches. These difficulties may be related to formulating and evaluating hypotheses that are rooted in their domain knowledge. Informatics can provide support at the levels of health information portals, individual websites, and consumer education tools.
... You Are Here: Home → Multiple Languages → Indonesian (Bahasa Indonesia) URL of this page: https://medlineplus.gov/languages/indonesian.html Health Information in Indonesian (Bahasa Indonesia) To use the sharing features on this page, ...
... Brigham Young University Drug Abuse Substance Abuse or Dependence - português (Portuguese) Bilingual PDF Health Information Translations E Expand Section Exercise and Physical Fitness Starting an Exercise Program - português ( ...
... You Are Here: Home → Multiple Languages → Malay (Bahasa Malaysia) URL of this page: https://medlineplus.gov/languages/malay.html Health Information in Malay (Bahasa Malaysia) To use the sharing features on this page, ...
Accessing Sexual and Reproductive Health Information and Services: A Mixed Methods Study of Young ... PROMOTING ACCESS TO AFRICAN RESEARCH ... and services in Soweto, South Africa using quantitative and qualitative methods.
Full Text Available Disaster risk information is spatial in nature and Geographic Information Systems (GIS and Remote Sensing (RS play an important key role by the services they provide to society. In this context, to risk management and governance, in general, and to civil protection, specifically (termed differently in many countries, and includes, for instance: civil contingencies in the UK, homeland security in the USA, disaster risk reduction at the UN level. The main impetus of this article is to summarize key contributions and challenges in utilizing and accepting GIS and RS methods and data for disaster risk governance, which includes public bodies, but also risk managers in industry and practitioners in search and rescue organizations. The article analyzes certain method developments, such as vulnerability indicators, crowdsourcing, and emerging concepts, such as Volunteered Geographic Information, but also investigates the potential of the topic Critical Infrastructure as it could be applied on spatial assets and GIS and RS itself. Intended to stimulate research on new and emerging fields, this article’s main contribution is to move spatial research toward a more reflective stance where opportunities and challenges are equally and transparently addressed in order to gain more scientific quality. As a conclusion, GIS and RS can play a pivotal role not just in delivering data but also in connecting and analyzing data in a more integrative, holistic way.
Full Text Available This paper illustrates and discusses the key issues of the geographical information system (GIS developed by the Unit of Veterinary Epidemiology of the Veneto region (CREV, defined according to user needs, spatial data (availability, accessibility and applicability, development, technical aspects, inter-institutional relationships, constraints and policies. GeoCREV, the support system for decision-making, was designed to integrate geographic information and veterinary laboratory data with the main aim to develop a sub-national, spatial data infrastructure (SDI for the veterinary services of the Veneto region in north-eastern Italy. Its implementation required (i collection of data and information; (ii building a geodatabase; and (iii development of a WebGIS application. Tools for the management, collection, validation and dissemination of the results (public access and limited access were developed. The modular concept facilitates the updating and development of the system according to user needs and data availability. The GIS management practices that were followed to develop the system are outlined, followed by a detailed discussion of the key elements of the GIS implementation process (data model, technical aspects, inter-institutional relationship, user dimension and institutional framework. Problems encountered in organising the non-spatial data and the future work directions are also described.
Ferrè, Nicola; Mulatti, Paolo; Mazzucato, Matteo; Lorenzetto, Monica; Trolese, Matteo; Pandolfo, Dario; Vio, Piero; Sitta, Guido; Marangon, Stefano
This paper illustrates and discusses the key issues of the geographical information system (GIS) developed by the Unit of Veterinary Epidemiology of the Veneto region (CREV), defined according to user needs, spatial data (availability, accessibility and applicability), development, technical aspects, inter-institutional relationships, constraints and policies. GeoCREV, the support system for decision-making, was designed to integrate geographic information and veterinary laboratory data with the main aim to develop a sub-national, spatial data infrastructure (SDI) for the veterinary services of the Veneto region in north-eastern Italy. Its implementation required (i) collection of data and information; (ii) building a geodatabase; and (iii) development of a WebGIS application. Tools for the management, collection, validation and dissemination of the results (public access and limited access) were developed. The modular concept facilitates the updating and development of the system according to user needs and data availability. The GIS management practices that were followed to develop the system are outlined, followed by a detailed discussion of the key elements of the GIS implementation process (data model, technical aspects, inter-institutional relationship, user dimension and institutional framework). Problems encountered in organising the non-spatial data and the future work directions are also described.
Full Text Available There has been much interest in replacing traditional information supports with more technological solutions in recent years. New technologies which allow paper-like perception with minimal power needs have emerged as low-power wireless scenarios. A priority for these new supports is to create the architecture for a scalable solution which maintains minimal power requirements. The retail industry demands a new information infrastructure that improves customer and employee satisfaction. In this work, authors propose an information provision architecture based on E-Paper and carry out an experiment where different smart labeling architectures based on Paper, E-Paper, LED liquid crystal display (LCD and Dot-matrix LCD were tested in order to determine which is best suited for a real labeling environment. Enclosed in a research project called SMARKET, the authors pilot-tested the work in a real supermarket, having the opportunity to survey employees and customers about satisfaction and frustration with the use of the architectures proposed in this research work.
Corburn, Jason; Karanja, Irene
On an urban planet, slums or informal settlements present an increasing challenge for health promotion. The living conditions in complex informal settlements interact with how people navigate through their daily lives and political institutions to shape health inequities. In this article, we suggest that only a relational place-based characterization of informal settlements can accurately capture the forces contributing to existing urban health inequities and inform appropriate and effective health promotion interventions. We explore our relational framework using household survey, spatial mapping and qualitative focus group data gathered in partnership with residents and non-governmental organizations in the Mathare informal settlement in Nairobi, Kenya. All data interpretation included participation with local residents and organizations. We focus on the inter-relationships between inadequate sanitation and disease, social, economic and human rights for women and girls, who we show are most vulnerable from poor slum infrastructure. We suggest that this collaborative process results in co-produced insights about the meanings and relationships between infrastructure, security, resilience and health. We conclude that complex informal settlements require relational and context-specific data gathering and analyses to understand the multiple determinants of health and to inform appropriate and effective healthy city interventions. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: email@example.com.
Evidence-based health information is distinguished by the provision of an unbiased and trustworthy description of the current state of medical knowledge. It enables people to learn more about health and disease, and to make health-related decisions - on their own or together with others - reflecting their attitudes and lifestyle. To adequately serve this purpose, health information must be evidence-based. A working group from the German Network for Evidence-based Medicine (Deutsches Netzwerk Evidenzbasierte Medizin) has developed a first draft of good practice guidelines for health information (Gute Praxis Gesundheitsinformation) with the aim of providing support for authors and publishers of evidence-based health information. The group included researchers, patient representatives, journalists and developers of health information. The criteria for evidence-based health information were developed and agreed upon within this author group, and then made available for public comment. All submitted comments were documented and assessed regarding the need to revise or amend the draft. Changes were subsequently implemented following approval by the author group. Gute Praxis Gesundheitsinformation calls for a transparent methodological approach in the development of health information. To achieve this, evidence-based information must be based on (a) a systematic literature search, (b) a justified selection of evidence, (c) unbiased reporting of relevant results, (d) appropriate factual and linguistic communication of uncertainties, (e) either avoidance of any direct recommendations or a strict division between the reporting of results and the derivation of recommendations, (f) the consideration of current evidence on the communication of figures, risks and probabilities, and (g) transparent information about the authors and publishers of the health information, including their funding sources. Gute Praxis Gesundheitsinformation lists a total of 16 aspects to be addressed
Patel, Rachana; Ladusingh, Laishram
This study aims to examine the inter-district and inter-village variation of utilization of health services for institutional births in EAG states in presence of rural health program and availability of infrastructures. District Level Household Survey-III (2007-08) data on delivery care and facility information was used for the purpose. Bivariate results examined the utilization pattern by states in presence of correlates of women related while a three-level hierarchical multilevel model illustrates the effect of accessibility, availability of health facility and community health program variables on the utilization of health services for institutional births. The study found a satisfactory improvement in state Rajasthan, Madhya Pradesh and Orissa, importantly, in Bihar and Uttaranchal. The study showed that increasing distance from health facility discouraged institutional births and there was a rapid decline of more than 50% for institutional delivery as the distance to public health facility exceeded 10 km. Additionally, skilled female health worker (ANM) and observed improved public health facility led to significantly increase the probability of utilization as compared to non-skilled ANM and not-improved health centers. Adequacy of essential equipment/laboratory services required for maternal care significantly encouraged deliveries at public health facility. District/village variables neighborhood poverty was negatively related to institutional delivery while higher education levels in the village and women's residing in more urbanized districts increased the utilization. "Inter-district" variation was 14 percent whereas "between-villages" variation for the utilization was 11 percent variation once controlled for all the three-level variables in the model. This study suggests that the mere availability of health facilities is necessary but not sufficient condition to promote utilization until the quality of service is inadequate and inaccessible considering
Full Text Available This study aims to examine the inter-district and inter-village variation of utilization of health services for institutional births in EAG states in presence of rural health program and availability of infrastructures. District Level Household Survey-III (2007-08 data on delivery care and facility information was used for the purpose. Bivariate results examined the utilization pattern by states in presence of correlates of women related while a three-level hierarchical multilevel model illustrates the effect of accessibility, availability of health facility and community health program variables on the utilization of health services for institutional births. The study found a satisfactory improvement in state Rajasthan, Madhya Pradesh and Orissa, importantly, in Bihar and Uttaranchal. The study showed that increasing distance from health facility discouraged institutional births and there was a rapid decline of more than 50% for institutional delivery as the distance to public health facility exceeded 10 km. Additionally, skilled female health worker (ANM and observed improved public health facility led to significantly increase the probability of utilization as compared to non-skilled ANM and not-improved health centers. Adequacy of essential equipment/laboratory services required for maternal care significantly encouraged deliveries at public health facility. District/village variables neighborhood poverty was negatively related to institutional delivery while higher education levels in the village and women's residing in more urbanized districts increased the utilization. "Inter-district" variation was 14 percent whereas "between-villages" variation for the utilization was 11 percent variation once controlled for all the three-level variables in the model. This study suggests that the mere availability of health facilities is necessary but not sufficient condition to promote utilization until the quality of service is inadequate and
Van Wyk, Llewellyn V
Full Text Available The development and maintenance of infrastructure is crucial to improving economic growth and quality of life (WEF 2013). Urban infrastructure typically includes bulk services such as water, sanitation and energy (typically electricity and gas...
The practice of medicine in general and nephrology in particular grows increasingly complex with each passing year. In parallel with this trend, the purchasers of health care are slowly shifting the reimbursement paradigm from one based on rewarding transactions, or work performed, to one that rewards value delivered. Within this context, the health-care value equation is broadly defined as quality divided by costs. Health information technology has been widely recognized as 1 of the foundations for delivering better care at lower costs. As the largest purchaser of health care in the world, the Centers for Medicare and Medicaid Services has deployed a series of interrelated programs designed to spur the adoption and utilization of health information technology. This review examines our known collective experience in the practice of nephrology to date with several of these programs and attempts to answer the following question: Is health information technology helping or hindering the delivery of value to the nation's health-care system? Through this review, it was concluded overall that the effect of health information technology appears positive; however, it cannot be objectively determined because of the infancy of its utilization in the practice of medicine. Copyright © 2014 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
S. H. Alsultan
Full Text Available This paper reviews the current Geographic Information System (Longley et al. implementation and status in the Kingdom of Saudi Arabia (KSA. Based on the review, several problems were identified and discussed. The characteristic of these problems show that the country needs a national geospatial centre. As a new initiative for a national geospatial centre, a study is being conducted especially on best practice from other countries, availability of national committee for standards and policies on data sharing, and the best proposed organization structure inside the administration for the KSA. The study also covers the degree of readiness and awareness among the main GIS stakeholders within the country as well as private parties. At the end of this paper, strategic steps for the national geospatial management centre were proposed as the initial output of the study.
Full Text Available Rights management for digital library programs is affected by high transaction costs and this calls for new schemes of collective management. Voluntary Stakeholders Agreements (VSA is proposed as a solution. However, there is a need to reshape the way of defining the scope of such agreements. In the past, the scope was set by limiting the type of uses licensed in the collective agreement, while other uses, pertaining the primary exploitation of works, remain in the sphere of direct management by the rightholder. In the agreements under discussion in several countries in relation to digital library initiatives, the scope is rather defined through limiting the type of works included in the agreement, while the licensed use is broad, including full making available in the Internet. A key distinction is the commercial status of a work, if it is in-print or out-of-print.Such new VSAs require innovative forms of managing of rights information, i.e. set of metadata referred to rights management. A significant part of transaction costs derives from the search of rightholders, and thus there is a trend to call for reducing or even abolishing the need for this search. However, the identification of the right status (public domain vs. in-copyright and the commercial status (in print vs. out of print requires a title by title management of information, which is inevitable because of the characteristics of the emerging VSAs. The proper rightholder search cost should be assessed as an additional cost to something that is in the nature of the agreements. The paper tries to set the terms and conditions to achieve this assessment, and to figure out practical solutions to the problem.
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Information Technology Extension Program ACTION: Public Notice. SUMMARY: This notice announces changes to the Health Information Technology Extension... of the National Coordinator for Health Information Technology, 200 Independence Ave, SW., Suite 729D...
Silva, Victor; Harder, Henrik; Jensen, Ole B.
Bike Infrastructures aims to identify bicycle infrastructure typologies and design elements that can help promote cycling significantly. It is structured as a case study based research where three cycling infrastructures with distinct typologies were analyzed and compared. The three cases......, the findings of this research project can also support bike friendly design and planning, and cyclist advocacy....
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.
Stucki, Gerold; Bickenbach, Jerome; Melvin, John
A complete understanding of the experience of health requires information relevant not merely to the health indicators of mortality and morbidity but also to functioning-that is, information about what it means to live in a health state, "the lived experience of health." Not only is functioning information relevant to healthcare and the overall objectives of person-centered healthcare but to the successful operation of all components of health systems.In light of population aging and major epidemiological trends, the health strategy of rehabilitation, whose aim has always been to optimize functioning and minimize disability, will become a key health strategy. The increasing prominence of the rehabilitative strategy within the health system drives the argument for the integration of functioning information as an essential component in national health information systems.Rehabilitation professionals and researchers have long recognized in WHO's International Classification of Functioning, Disability and Health the best prospect for an internationally recognized, sufficiently complete and powerful information reference for the documentation of functioning information. This paper opens the discussion of the promise of integrating the ICF as an essential component in national health systems to secure access to functioning information for rehabilitation, across health systems and countries.
Chiaradia, M. T.; Samarelli, S.; Massimi, V.; Nutricato, R.; Nitti, D. O.; Morea, A.; Tijani, K.
Geospatial information is today essential for organizations and professionals working in several industries. More and more, huge information is collected from multiple data sources and is freely available to anyone as open data. Rheticus® is an innovative cloud-based data and services hub able to deliver Earth Observation added-value products through automatic complex processes and, if appropriate, a minimum interaction with human operators. This target is achieved by means of programmable components working as different software layers in a modern enterprise system which relies on SOA (Service-Oriented-Architecture) model. Due to its spread architecture, where every functionality is defined and encapsulated in a standalone component, Rheticus is potentially highly scalable and distributable allowing different configurations depending on the user needs. This approach makes the system very flexible with respect to the services implementation, ensuring the ability to rethink and redesign the whole process with little effort. In this work, we outline the overall cloud-based platform and focus on the "Rheticus Displacement" service, aimed at providing accurate information to monitor movements occurring across landslide features or structural instabilities that could affect buildings or infrastructures. Using Sentinel-1 (S1) open data images and Multi-Temporal SAR Interferometry techniques (MTInSAR), the service is complementary to traditional survey methods, providing a long-term solution to slope instability monitoring. Rheticus automatically browses and accesses (on a weekly basis) the products of the rolling archive of ESA S1 Scientific Data Hub. S1 data are then processed by SPINUA (Stable Point Interferometry even in Unurbanized Areas), a robust MTInSAR algorithm, which is responsible of producing displacement maps immediately usable to measure movements of point and distributed scatterers, with sub-centimetric precision. We outline the automatic generation
Yang, Peng; Pan, Feng; Liu, Danhong; Xu, Yongyong
In order to construct a function model of community health service (CHS) information for development of CHS information management system, Integration Definition for Function Modeling (IDEF0), an IEEE standard which is extended from Structured Analysis and Design(SADT) and now is a widely used function modeling method, was used to classifying its information from top to bottom. The contents of every level of the model were described and coded. Then function model for CHS information, which includes 4 super-classes, 15 classes and 28 sub-classed of business function, 43 business processes and 168 business activities, was established. This model can facilitate information management system development and workflow refinement.
Full Text Available This paper highlights the first attempt by researchers at Stellenbosch University to model freight flows between and for 17 countries in sub-Saharan Africa (SSA. The model will be informed by and linked to the South African surface Freight Demand Model (FDM given these dimensions. By analysing and collating available datasets and developing a freight flow model, a better understanding of freight movements between countries can be obtained and then used for long-term planning efforts. A simple methodology is envisaged that will entail a high-level corridor classification that links a major district in the country with a similar district in another country. Existing trade data will be used to corroborate new base-year economic demand and supply volumetric data that will be generated from social accounting matrices for each country. The trade data will also provide initial flow dynamics between countries that will be refined according to the new volumes. The model can then generate commodity-level corridor flows between SSA countries, and between SSA countries and the rest of the world, as well as intra-country rural and metropolitan flows, using a gravity-based modelling approach. This article outlines efforts to harmonise trade data between the 17 countries identified, as well as between these countries and the rest of the world as a first step towards developing a freight demand model for sub-Saharan Africa.
Medford-Davis, Laura N; Chang, Lawrence; Rhodes, Karin V
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.
DO, YOUNG KYUNG; NORTON, EDWARD C.; STEARNS, SALLY C.; VAN HOUTVEN, COURTNEY HAROLD
This study aims to measure the causal effect of informal caregiving on the health and health care use of women who are caregivers, using instrumental variables. We use data from South Korea, where daughters and daughters-in-law are the prevalent source of caregivers for frail elderly parents and parents-in-law. A key insight of our instrumental variable approach is that having a parent-in-law with functional limitations increases the probability of providing informal care to that parent-in-law, but a parent-in-law’s functional limitation does not directly affect the daughter-in-law’s health. We compare results for the daughter-in-law and daughter samples to check the assumption of the excludability of the instruments for the daughter sample. Our results show that providing informal care has significant adverse effects along multiple dimensions of health for daughter-in-law and daughter caregivers in South Korea. PMID:24753386
Courtney, Paul K
In 2001, the Institute of Medicine report Crossing the Quality Chasm and the National Committee on Vital and Health Statistics report Information for Health were released, and they provided the context for the development of information systems used to support health-supporting processes. Both had as their goals, implicit or explicit, to ensure the right data are provided to the right person at the right time, which is one definition of "data liquidity." This concept has had some traction in recent years as a shorthand way to express a system property for health information technology, but there is not a well-defined characterization of what properties of a system or of its components give it better or worse data liquidity. This article looks at some recent work that help to identify those properties and perhaps can help to ground the concept with metrics that are assessable.
One of the most significant changes in the healthcare field in the past 10 years has been the large-scale digitalization of patients' healthcare data, and an increasing emphasis on the importance of patients' roles in cooperating with healthcare professionals through digital infrastructures. A project carried out in the North of Italy with the aim of creating a personal health record has been evaluated over the course of 5 years by means of mixed method fieldwork. Two years after the infrastructure was put into regular service, the way in which patients are represented in the system and patient practices have been studied using surveys and qualitative interviews. The data show that, first, patients have become co-actors in describing their clinical histories; second, that they have become co-actors in the diagnosis process; and finally, they have become co-actors in the management of time and space as regards their specific state of health.
Achampong, Emmanuel Kusi
Information and Communication Technology (ICT) has become a major tool in delivery of health services and has had an innovative impact on quality of life. ICT is affecting the way healthcare is delivered to clients. In this paper, we discuss the state of ICT and health informatics in Ghana. We also discuss the state of various relevant infrastructures for the successful implementation of ehealth projects. We analyse the past and present state of health informatics in Ghana, in comparison to other African countries. We also review the challenges facing successful implementation of health informatics projects in Ghana and suggest possible solutions.
Brennan, Patricia Flatley; Casper, Gail; Downs, Stephen; Aulahk, Veenu
Project HealthDesign is a country-wide initiative in the United States designed to stimulate innovation in personal health records (PHRs). Nine grantee teams engaged in an 18-month long design and prototyping process. Two teams addressed the needs of children and adolescents; three created novel approaches to help adults prevent or manage metabolic syndrome; three groups employed interface innovations to assist patients with chronic care management and one team devised a novel calendaring system to assist patients undergoing complex medical/surgical treatments to integrate care processes into their daily lives. These projects not only included development and testing of novel personal health records applications, but also served as the starting point to specify and implement a common technical core platform. The project advanced PHR development in two key ways: intensive user-centered design and a development architecture that separates applications of PHRs from the infrastructure that supports them. The initiative also allowed systematic investigation of significant ethical, legal and social issues, including how privacy considerations are changed when information technology innovations are used in the home and the rebalancing of the authority structure of health care decision making when patient-centered approaches guide the design of PHRs.
Santana Arroyo, Sonia
Health professionals frequently do not possess the necessary information-seeking abilities to conduct an effective search in databases and Internet sources. Reference librarians may teach health professionals these information and technology skills through the Big6 information literacy model (Big6). This article aims to address this issue. It also…
Rissel, Chris; Greaves, Stephen; Wen, Li Ming; Capon, Anthony; Crane, Melanie; Standen, Chris
There are repeated calls to build better cycling paths in Australian cities if the proportion of people cycling is to increase. Yet the full range of transport, health, environmental and economic impacts of new cycling infrastructure and the extent to which observed changes are sustained is not well understood. The City of Sydney is currently building a new bicycle network, which includes a new bicycle path separated from road traffic in the south Sydney area. This protocol paper describes a comprehensive method to evaluate this new cycling infrastructure. A cohort of residents within two kilometres of the new bicycle path will be surveyed at baseline before a new section of bicycle path is built, and again 12 and 24 months later to assess changes in travel behaviour, sense of community, quality of life and health behaviours. Residents in a comparable area of Sydney that will not get a new separated bike path will act as a comparison group. At baseline a sub-set of residents who volunteer will also take a small GPS device with them for one week to assess travel behaviour. This research should contribute to the advancement in evaluation and appraisal methods for cycling projects.
Van Craeynest, J.M.; Jacquemet, F.; Chermette, D.; Bonneau, S.
After a brief recall of Knowledge Management issues and of the MKSM knowledge modelling method developed and used by the CEA, this paper focuses on the eDOC web collaboration platform designed to support a large range of cross-collaboration needs and a large spectrum of community types (from small units to large European Networks of Excellence). Online community members have different needs : knowing other members and their roles, accessing to reference information and documents, reviewing, annotating and publishing documents or sending information to all or part of members, being informed of events, scheduling shared jobs and manage tasks, discuss some questions using forums, etc. They also want to develop a common identity and portal look and structure customizations are very useful for that purpose. The Information System Department of the CEA has launched the eDOC project to supply a rapid demand growth for those tools. In the CEA, this demand is due to the growing importance and number of internal and external cross-collaborations and alliances with industrial and research partners. After a systematic evaluation campaign of both proprietary and open-source solutions, and after having defined the most pragmatic deployment strategy, we have chosen the Collaborative Portal Server (CPS) edited by Nuxeo. CPS is based on the Zope open-source object-oriented application server. Then we invested to improve functionalities and performances of CPS but also to design and implement a security policy adapted to different types of security requirements and information privacy levels. The eDOC web collaboration infrastructure is now used by 50 projects and this number keeps increasing. The main uses are internal documents repositories (to simplify classical 'Intranet' building and maintaining process) and information repositories (including documents but also events, news, calendar, conferences, etc.) for external collaborations. The 6th European research framework program
Suzuki, M.; Izumi, Y.; Kimoto, T.; Naoi, Y.; Inoue, T.; Hoffheins, B.
In 2008, Japan and other G8 countries pledged to support the Safeguards, Safety, and Security (3S) Initiative to raise awareness of 3S worldwide and to assist countries in setting up nuclear energy infrastructures that are essential cornerstones of a successful nuclear energy program. The goals of the 3S initiative are to ensure that countries already using nuclear energy or those planning to use nuclear energy are supported by strong national programs in safety, security, and safeguards not only for reliability and viability of the programs, but also to prove to the international audience that the programs are purely peaceful and that nuclear material is properly handled, accounted for, and protected. In support of this initiative, Japan Atomic Energy Agency (JAEA) has been conducting detailed analyses of the R and D programs and cultures of each of the 'S' areas to identify overlaps where synergism and efficiencies might be realized, to determine where there are gaps in the development of a mature 3S culture, and to coordinate efforts with other Japanese and international organizations. As an initial outcome of this study, incoming JAEA employees are being introduced to 3S as part of their induction training and the idea of a President's Award program is being evaluated. Furthermore, some overlaps in 3S missions might be exploited to share facility instrumentation as with Joint-Use-Equipment (JUE), in which cameras and radiation detectors, are shared by the State and IAEA. Lessons learned in these activities can be applied to developing more efficient and effective 3S infrastructures for incorporating into Safeguards by Design methodologies. They will also be useful in supporting human resources and technology development projects associated with Japan's planned nuclear security center for Asia, which was announced during the 2010 Nuclear Security Summit. In this presentation, a risk-informed approach regarding integration of 3S will be introduced. An initial
The infrastructure area simplification plan was presented at the 3rd EMI All Hands Meeting in Padova. This plan only affects the information and accounting systems as the other areas are new in EMI and hence do not require simplification.
This proceedings contains information from the IPHE Infrastructure Workshop, a two-day interactive workshop held on February 25-26, 2010, to explore the market implementation needs for hydrogen fueling station development.
With the recent passage of the National Defense Authorization Act for Fiscal Year 2017, Congress has triggered groundbreaking Military Health System organizational restructuring with the Defense Health Agency assuming responsibility for managing all hospitals and clinics owned by the Army, Navy, and Air Force. This is a major shift toward a modern value-based managed care system, which will require much greater military-civilian health care delivery integration to be in place by October 2018. Just before the National Defense Authorization Act for Fiscal Year 2017 passage, the Department of Defense had already begun a seismic shift and awarded a contract for the new Military Health System-wide electronic health record system. In this perspective, we discuss the implications of the intersection of two large-scope and large-scale initiatives, health system transformation, and information technology modernization, being rolled out in the largest and most complex federal agency and potential risk mitigating steps. The Military Health System will require an expanded unified clinical leadership to spearhead short-term transformation; furthermore, developing, organizing, and growing a cadre of informatics expertise to expand the use and diffusion of novel solutions such as health information exchanges, data analytics, and others to transcend organizational barriers are still needed to achieve the long-term aim of health system reform as envisioned by the National Defense Authorization Act for Fiscal Year 2017.
... GOVERNMENT ACCOUNTABILITY OFFICE Health Information Technology Policy Committee Vacancy AGENCY... American Recovery and Reinvestment Act of 2009 (ARRA) established the Health Information Technology Policy... its 20 members. ARRA requires that one member have expertise in health information privacy and...
... GOVERNMENT ACCOUNTABILITY OFFICE Health Information Technology Policy Committee Appointment AGENCY... Recovery and Reinvestment Act of 2009 (ARRA) established the Health Information Technology Policy Committee to make recommendations on the implementation of a nationwide health information technology...
... Information Technology Network Development Grant AGENCY: Health Resources and Services Administration (HRSA...-competitive replacement award under the Rural Health Information Technology Network Development Grant (RHITND... relinquishing its fiduciary responsibilities for the Rural Health Information Technology Network Development...
The reliability and usability of district health information software: case studies from Tanzania. ... The District Health Information System (DHIS) software from the Health Information System ... EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT
Muteba A, Eustache
The smart information management system (SIMS) is concerned with the organization of anonymous patient records in a big data and their extraction in order to provide needful real-time intelligence. The purpose of the present study is to highlight the design and the implementation of the smart information management system. We emphasis, in one hand, the organization of a big data in flat file in simulation of nosql database, and in the other hand, the extraction of information based on lookup table and cache mechanism. The SIMS in the health big data aims the identification of new therapies and approaches to delivering care.
Wahid, Fathul; Teduh Dirgahayu, Raden; Hamzah, Almed; Setiaji, Hari
The clear majority of previous studies have found that the absence of information systems to properly manage data is one of the main challenges in improving public health management. The present study offers an alternate perspective, revealing other emerging problems in cases where there are many information systems in place but without sufficient orchestration. The national government of Indonesia has been coercive in its implementation of various information systems without involving users at public health facilities, which has created many problems on the ground. The problems identified relate to the quality of the disconnected information systems currently in use, the lack of human resource development, unclear procedures, uncoordinated reports and the absence of an incentive scheme. The present study also highlights some practical implications, including the use of a more holistic perspective in designing and developing an integrated public health information infrastructure.
... a Hurricane - English PDF Be Safe After a Hurricane - Kreyol ayisyen (Haitian Creole) PDF Centers for Disease Control and Prevention I Expand Section Immunization Global TravEpiNet (GTEN) Travelers' Rapid Health Information Portal - English HTML Global TravEpiNet (GTEN) Travelers' Rapid ...
Kitzmiller, Rebecca Rutherford
Background: Hospital adoption of health information technology (HIT) systems is promoted as essential to decreasing medical error and their associated 44,000 annual deaths and $17 billion in healthcare costs (Institute of Medicine, 2001; Kohn, Corrigan, & Donaldson, 1999). Leading national healthcare groups, such as the Institute of Medicine,…
From researches and investigation on the utilization of health care based technologies, there were discoveries that certain kind of population, in the minority, was affected. Recent and evolving use of Information Technology in the healthcare sector among the population that is in the minority and ethnicity in critically ...
Ciriello, James N; Kulatilaka, Nalin
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.
Hugenholtz, Nathalie I. R.; Nieuwenhuijsen, Karen; Sluiter, Judith K.; van Dijk, Frank J. H.
ABSTRACT: BACKGROUND: Evidence-Based Medicine (EBM) is an important method used by occupational physicians (OPs) to deliver high quality health care. The presence and quality of a knowledge infrastructure is thought to influence the practice of EBM in occupational health care. This study explores
Park, Hyejin; Cormier, Eileen; Glenna, Gordon
The purpose of this study was to assess the perceived eHealth literacy of a general health consumer population so that health care professionals can effectively address skills gaps in health consumers' ability to access and use high quality online health information. Participants were recruited from three public library branches in a Northeast Florida community. The eHealth literacy scale (eHEALS) was used. The majority of participants (n = 108) reported they knew how and where to find health information and how to use it to make health decisions; knowledge of what health resources were available and confidence in the ability to distinguish high from low quality information was considerably less. The findings suggest the need for eHealth education and support to health consumers from health care professionals, in particular, how to access and evaluate the quality of health information.
Full Text Available Resources are one of the essential indicators for the functioning of the health care system. Better health care provision is an essential prerequisite for the export of services. Traditionally a competitive health care system is linked to a number of factors (price, quality, reliability, products and services largely determined by the new technologies, innovations and implementation the new methods. The authors of this article analyzed and collected data from the European Commission Eurostat and OECD data. Current situation in health care in Latvia is characterized by populations’ restricted access to health care services, high out-of-pocket payments and poor health outcomes of the population. More than 10% of Latvian population can’t afford medical care. The ratio of public funding for healthcare in Latvia is among the lowest in EU countries. Latvia spends 5.3% (USD PPP 1217 of GDP on health, lower than the OCED country average of 8.9% (USD PPP 3453. Latvia is facing a dramatic gap between the availability of hospital beds and long term care beds and the lowest prevalence of general medical practitioners among all Baltic States 321.6 per 100 000. These mentioned factors may hinder the development of health care in Latvia and reduce the ability to participate in international health service market.
Full Text Available Children's health and wellbeing is high on the research and policy agenda of many nations. There is a wealth of epidemiological research linking childhood circumstances and health practices with adult health. However, echoing a broader picture within child health research where children have typically been viewed as objects rather than subjects of enquiry, we know very little of how, in their everyday lives, children make sense of health-relevant information.This paper reports key findings from a qualitative study exploring how children understand food in everyday life and their ideas about the relationship between food and health. 53 children aged 9-10, attending two socio-economically contrasting schools in Northern England, participated during 2010 and 2011. Data were generated in schools through interviews and debates in small friendship groups and in the home through individual interviews. Data were analysed thematically using cross-sectional, categorical indexing.Moving beyond a focus on what children know the paper mobilises the concept of health literacy (Nutbeam, 2000, explored very little in relation to children, to conceptualise how children actively construct meaning from health information through their own embodied experiences. It draws on insights from the Social Studies of Childhood (James and Prout, 2015, which emphasise children's active participation in their everyday lives as well as New Literacy Studies (Pahl and Rowsell, 2012, which focus on literacy as a social practice. Recognising children as active health literacy practitioners has important implications for policy and practice geared towards improving child health. Keywords: Children, Health literacy, Qualitative, UK
Full Text Available The purpose – of the article is attached to the examination of information infrastructure for the assessment of water resource planning and water treatment activities, to provide data warehouse (DW analysis measuring environmental and water pollution and indicators for the evaluation based on the requirements of sustainable development.Methodology – the analysis is performed by revealing the factors affecting sustainable development decisions. The insights of scientists are demonstrated by assessing the situation of environmental pollution, the appropriate search parameters, which allow revealing environmental and water contamination by waste water. Secondary data analysis was performed in order to reveal surface water contamination assessment districts in Lithuania and the Baltic Sea region and to summarise the results.It is very important for business activities to implement methods and tools based on a sense of responsibility for environmental pollution through the use of methods for increasing corporate responsibility, supporting measures to promote stimulation resulting in emission reduction, and efficiency of techniques. The paper presents the results of surface water pollution obtained according to the monitoring data and benchmarking analysis in the districts of Lithuania and the Baltic Sea. It can be concluded that the economic factors of enterprise functioning on the occasion of pollution also impacts the pollution of the Baltic Sea.More and more attention in the sustainable development of the implementation process should be given to decreasing population and increasing responsibility of economic operators for measures of environmental management levels: strategic and tactical planning, operational control, evaluation of economic, social and ecological balance. The regulatory importance in determining the impact on the environment should also be kept in mind.The results – were based on the obtained wastewater monitoring and
Leung, Tiffany I; Goldstein, Mary K; Musen, Mark A; Cronkite, Ruth; Chen, Jonathan H; Gottlieb, Assaf; Leitersdorf, Eran
Humanism in medicine is defined as health care providers' attitudes and actions that demonstrate respect for patients' values and concerns in relation to their social, psychological and spiritual life domains. Specifically, humanistic clinical medicine involves showing respect for the patient, building a personal connection, and eliciting and addressing a patient's emotional response to illness. Health information technology (IT) often interferes with humanistic clinical practice, potentially disabling these core aspects of the therapeutic patient-physician relationship. Health IT has evolved rapidly in recent years - and the imperative to maintain humanism in practice has never been greater. In this vision paper, we aim to discuss why preserving humanism is imperative in the design and implementation of health IT systems.
Geressu, Robel T.; Harou, Julien J.
Multi-reservoir system planners should consider how new dams impact downstream reservoirs and the potential contribution of each component to coordinated management. We propose an optimized multi-criteria screening approach to identify best performing designs, i.e., the selection, size and operating rules of new reservoirs within multi-reservoir systems. Reservoir release operating rules and storage sizes are optimized concurrently for each separate infrastructure design under consideration. Outputs reveal system trade-offs using multi-dimensional scatter plots where each point represents an approximately Pareto-optimal design. The method is applied to proposed Blue Nile River reservoirs in Ethiopia, where trade-offs between total and firm energy output, aggregate storage and downstream irrigation and energy provision for the best performing designs are evaluated. This proof-of concept study shows that recommended Blue Nile system designs would depend on whether monthly firm energy or annual energy is prioritized. 39 TWh/yr of energy potential is available from the proposed Blue Nile reservoirs. The results show that depending on the amount of energy deemed sufficient, the current maximum capacities of the planned reservoirs could be larger than they need to be. The method can also be used to inform which of the proposed reservoir type and their storage sizes would allow for the highest downstream benefits to Sudan in different objectives of upstream operating objectives (i.e., operated to maximize either average annual energy or firm energy). The proposed approach identifies the most promising system designs, reveals how they imply different trade-offs between metrics of system performance, and helps system planners asses the sensitivity of overall performance to the design parameters of component reservoirs.
Gianotti, F.; Tacchini, A.; Leto, G.; Martinetti, E.; Bruno, P.; Bellassai, G.; Conforti, V.; Gallozzi, S.; Mastropietro, M.; Tanci, C.; Malaguti, G.; Trifoglio, M.
The Cherenkov Telescope Array (CTA) represents the next generation of ground-based observatories for very high energy gamma-ray astronomy. The CTA will consist of two arrays at two different sites, one in the northern and one in the southern hemisphere. The current CTA design foresees, in the southern site, the installation of many tens of imaging atmospheric Cherenkov telescopes of three different classes, namely large, medium and small, so defined in relation to their mirror area; the northern hemisphere array would consist of few tens of the two larger telescope types. The Italian National Institute for Astrophysics (INAF) is developing the Cherenkov Small Size Telescope ASTRI SST- 2M end-to-end prototype telescope within the framework of the International Cherenkov Telescope Array (CTA) project. The ASTRI prototype has been installed at the INAF observing station located in Serra La Nave on Mt. Etna, Italy. Furthermore a mini-array, composed of nine of ASTRI telescopes, has been proposed to be installed at the Southern CTA site. Among the several different infrastructures belonging the ASTRI project, the Information and Communication Technology (ICT) equipment is dedicated to operations of computing and data storage, as well as the control of the entire telescope, and it is designed to achieve the maximum efficiency for all performance requirements. Thus a complete and stand-alone computer centre has been designed and implemented. The goal is to obtain optimal ICT equipment, with an adequate level of redundancy, that might be scaled up for the ASTRI mini-array, taking into account the necessary control, monitor and alarm system requirements. In this contribution we present the ICT equipment currently installed at the Serra La Nave observing station where the ASTRI SST-2M prototype will be operated. The computer centre and the control room are described with particular emphasis on the Local Area Network scheme, the computing and data storage system, and the
George, Sheba; Garth, Belinda; Fish, Allison; Baker, Richard
Urban safety-net clinics are considered prime targets for the adoption of health information technology innovations; however, little is known about their utilization in such safety-net settings. Current scholarship provides limited guidance on the implementation of health information technology into safety-net settings as it typically assumes that adopting institutions have sufficient basic resources. This study addresses this gap by exploring the unique challenges urban resource-poor safety-net clinics must consider when adopting and utilizing health information technology. In-depth interviews (N = 15) were used with key stakeholders (clinic chief executive officers, medical directors, nursing directors, chief financial officers, and information technology directors) from staff at four clinics to explore (a) nonhealth information technology-related clinic needs, (b) how health information technology may provide solutions, and (c) perceptions of and experiences with health information technology. Participants identified several challenges, some of which appear amenable to health information technology solutions. Also identified were requirements for effective utilization of health information technology including physical infrastructural improvements, funding for equipment/training, creation of user groups to share health information technology knowledge/experiences, and specially tailored electronic billing guidelines. We found that despite the potential benefit that can be derived from health information technologies, the unplanned and uninformed introduction of these tools into these settings might actually create more problems than are solved. From these data, we were able to identify a set of factors that should be considered when integrating health information technology into the existing workflows of low-resourced urban safety-net clinics in order to maximize their utilization and enhance the quality of health care in such settings.
Weiss, Bahr; Ngo, Victoria Khanh; Dang, Hoang-Minh; Pollack, Amie; Trung, Lam T; Tran, Cong V; Tran, Nam T; Sang, David; Do, Khanh N
Children and adolescents are among the highest need populations in regards to mental health support, especially in low and middle income countries (LMIC). Yet resources in LMIC for prevention and treatment of mental health problems are limited, in particular for children and adolescents. In this paper, we discuss a model for development of child and adolescent mental health (CAMH) resources in LMIC that has guided a ten year initiative focused on development of CAMH treatment and research infrastructure in Vietnam. We first review the need for development of mental health resources for children and adolescents in general, and then in Vietnam. We next present the model that guided our program as it developed, focused on the twin Capacity Development Goals of efficacy and sustainability, and the Capacity Development Targets used to move towards these goals. Finally we discuss our CAMH development initiative in Vietnam, the center of which has been development of a graduate program in clinical psychology at Vietnam National University, linking program activities to this model.
Yang, Tae Un; Kim, Eunsung; Park, Young-Joon; Kim, Dongwook; Kwon, Yoon Hyung; Shin, Jae Kyong; Park, Ok
Although pneumococcal vaccines had been recommended for the elderly population in South Korea for a considerable period of time, the coverage has been well below the optimal level. To increase the vaccination rate with integrating the pre-existing public health infrastructure and governmental funding, the Korean government introduced an elderly pneumococcal vaccination into the national immunization program with a 23-valent pneumococcal polysaccharide vaccine in May 2013. The aim of this study was to assess the performance of the program in increasing the vaccine coverage rate and maintaining stable vaccine supply and safe vaccination during the 20 months of the program. We qualitatively and quantitatively analyzed the process of introducing and the outcomes of the program in terms of the systematic organization, efficiency, and stability at the national level. A staggered introduction during the first year utilizing the public sector, with a target coverage of 60%, was implemented based on the public demand for an elderly pneumococcal vaccination, vaccine supply capacity, vaccine delivery capacity, safety, and sustainability. During the 20-month program period, the pneumococcal vaccine coverage rate among the population aged ≥65 years increased from 5.0% to 57.3% without a noticeable vaccine shortage or safety issues. A web-based integrated immunization information system, which includes the immunization registry, vaccine supply chain management, and surveillance of adverse events following immunization, reduced programmatic errors and harmonized the overall performance of the program. Introduction of an elderly pneumococcal vaccination in the national immunization program based on strong government commitment, meticulous preparation, financial support, and the pre-existing public health infrastructure resulted in an efficient, stable, and sustainable increase in vaccination coverage. Copyright © 2016. Published by Elsevier Ltd.
Mbondji, Peter Ebongue; Kebede, Derege; Soumbey-Alley, Edoh William; Zielinski, Chris; Kouvividila, Wenceslas; Lusamba-Dikassa, Paul-Samson
To identify key data sources of health information and describe their availability in countries of the World Health Organization (WHO) African Region. An analytical review on the availability and quality of health information data sources in countries; from experience, observations, literature and contributions from countries. Forty-six Member States of the WHO African Region. No participants. The state of data sources, including censuses, surveys, vital registration and health care facility-based sources. In almost all countries of the Region, there is a heavy reliance on household surveys for most indicators, with more than 121 household surveys having been conducted in the Region since 2000. Few countries have civil registration systems that permit adequate and regular tracking of mortality and causes of death. Demographic surveillance sites function in several countries, but the data generated are not integrated into the national health information system because of concerns about representativeness. Health management information systems generate considerable data, but the information is rarely used because of concerns about bias, quality and timeliness. To date, 43 countries in the Region have initiated Integrated Disease Surveillance and Response. A multitude of data sources are used to track progress towards health-related goals in the Region, with heavy reliance on household surveys for most indicators. Countries need to develop comprehensive national plans for health information that address the full range of data needs and data sources and that include provision for building national capacities for data generation, analysis, dissemination and use. © The Royal Society of Medicine.
Xiao, Ting; Stamatakis, Katherine A; McVay, Allese B
Local health departments (LHDs) have an important function in controlling the growing epidemic of obesity in the United States. Data are needed to gain insight into the existence of routine functions and structures of LHDs that support and sustain obesity prevention efforts. The purpose of this study was to develop and examine the reliability of measures to assess foundational LHD organizational processes and functions specific to obesity prevention. Survey measures were developed using a stratified, random sample of US LHDs to assess supportive organizational processes and infrastructure for obesity prevention representing different domains. Data were analyzed using weighted κ and intraclass correlation coefficient for assessing test-retest reliability. Most items and summary indices in the majority of survey domains had moderate/substantial or almost perfect reliability. The overall findings support this survey instrument to be a reliable measurement tool for a large number of processes and functions that comprise obesity prevention-related capacity in LHDs.
Structural Health Monitoring has a great potential to provide valuable information about the actual structural : condition and can help optimize the management activities. However, few eective and robust monitoring technology exist which hinders a...
Müller, H; Hanbury, A; Al Shorbaji, N
This focus theme deals with the various aspects of health information search that are necessary to cope with the challenges of an increasing amount and complexity of medical information currently produced. This editorial reviews the main challenges of health information search and summarizes the five papers of this focus theme. The five papers of the focus theme cover a large part of the current challenges in health information search such as coding standards, information extraction from complex data, user requirements analysis, multimedia data analysis and the access to big data. Several future challenges are identified such as the combination of visual and textual data for information search and the difficulty to scale when analyzing big data.
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Background: On ISTAT website the informative system Health for All – Italia is available. It collects indicators on health coming from various sources to make up a basis for constructing an organic and joint framework on the country’s health reality. The system includes more than 4000 indicators about: demographic and socioeconomic context; causes of death; life styles; disease prevention; chronic and infectious diseases; disability; health status and life expectancy; health facilities; hospital discharges by diagnosis; health care resources. The database-related software was developed by the World Health Organization to make it easier for any user to access the information available either as tables, graphs and territorial maps.
Methods: The system has been built considering data coming from different sources and using, if possible, the same definitions, classifications and desegregations. Time series goes from 1980 to the last year available (which can differ among the different sources. Indicators are calculated by provinces (if possible, regions, big areas and Italy. In order to compare indicators over time and space, standardised rates are calculated, using the same population reference. For each indicator metadata are available to give users additional notes necessary to correctly read and use the data, and publications or internet websites to examine more in-depth the argument.
Results: Different kind of users find Health for All – Italia very useful for their aims: students, researchers, doctors, socio-sanitary operators, policy makers. Some examples of official reports from public institutions are briefly described in the paper.
Conclusions: The increasing number of users of Health for All – Italia make necessary the online version and an English version for international comparisons.
Skillman, Susan M; Andrilla, C Holly A; Patterson, Davis G; Fenton, Susan H; Ostergard, Stefanie J
This study assessed electronic health record (EHR) and health information technology (HIT) workforce resources needed by rural primary care practices, and their workforce-related barriers to implementing and using EHRs and HIT. Rural primary care practices (1,772) in 13 states (34.2% response) were surveyed in 2012 using mailed and Web-based questionnaires. EHRs or HIT were used by 70% of respondents. Among practices using or intending to use the technology, most did not plan to hire new employees to obtain EHR/HIT skills and even fewer planned to hire consultants or vendors to fill gaps. Many practices had staff with some basic/entry, intermediate and/or advanced-level skills, but nearly two-thirds (61.4%) needed more staff training. Affordable access to vendors/consultants who understand their needs and availability of community college and baccalaureate-level training were the workforce-related barriers cited by the highest percentages of respondents. Accessing the Web/Internet challenged nearly a quarter of practices in isolated rural areas, and nearly a fifth in small rural areas. Finding relevant vendors/consultants and qualified staff were greater barriers in small and isolated rural areas than in large rural areas. Rural primary care practices mainly will rely on existing staff for continued implementation and use of EHR/HIT systems. Infrastructure and workforce-related barriers remain and must be overcome before practices can fully manage patient populations and exchange patient information among care system partners. Efforts to monitor adoption of these skills and ongoing support for continuing education will likely benefit rural populations. © 2014 National Rural Health Association.
McCarthy, Douglas B.; Propp, Karen; Cohen, Alexander; Sabharwal, Raj; Schachter, Abigail A.; Rein, Alison L.
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
McCarthy, Douglas B; Propp, Karen; Cohen, Alexander; Sabharwal, Raj; Schachter, Abigail A; Rein, Alison L
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.
Wang, Weiwen; Sun, Ran; Mulvehill, Alice M; Gilson, Courtney C; Huang, Linda L
Patient care problems arise when health care consumers and professionals find health information on the Internet because that information is often inaccurate. To mitigate this problem, nurses can develop Web literacy and share that skill with health care consumers. This study evaluated a Web-literacy intervention for undergraduate nursing students to find reliable Web-based health information. A pre- and postsurvey queried undergraduate nursing students in an informatics course; the intervention comprised lecture, in-class practice, and assignments about health Web site evaluation tools. Data were analyzed using Wilcoxon and ANOVA signed-rank tests. Pre-intervention, 75.9% of participants reported using Web sites to obtain health information. Postintervention, 87.9% displayed confidence in using an evaluation tool. Both the ability to critique health Web sites (p = .005) and confidence in finding reliable Internet-based health information (p = .058) increased. Web-literacy education guides nursing students to find, evaluate, and use reliable Web sites, which improves their ability to deliver safer patient care. [J Nurs Educ. 2017;56(2):110-114.]. Copyright 2017, SLACK Incorporated.
documents work originally shared with the U.S. Air Force on July 15, 2014. The draft report, issued on October 22, 2015, was reviewed by formal peer...maintained infrastructure, particularly facilities associated with morale , welfare, and recreation, can reduce troop morale , health, and fitness...balanced scorecard” approach espoused by Kaplan and Norton. See their 1992 Harvard Business Review article (Kaplan and Norton, 1992) or their
Menefee, Hannah K; Thompson, Morgan J; Guterbock, Thomas M; Williams, Ishan C; Valdez, Rupa S
Consumer health information technology (IT) solutions are designed to support patient health management and have the ability to facilitate patients' health information communication with their social networks. However, there is a need for consumer health IT solutions to align with patients' health management preferences for increased adoption of the technology. It may be possible to gain an understanding of patients' needs for consumer health IT supporting their health information communication with social networks by explicating how they have adopted and adapted social networking sites, such as Facebook, for this purpose. Our aim was to characterize patients' use of all communication mechanisms within Facebook for health information communication to provide insight into how consumer health IT solutions may be better designed to meet patients' communication needs and preferences. This study analyzed data about Facebook communication mechanisms use from a larger, three-phase, sequential, mixed-methods study. We report here on the results of the study's first phase: qualitative interviews (N=25). Participants were over 18, used Facebook, were residents or citizens of the United States, spoke English, and had a diagnosis consistent with type 2 diabetes. Participants were recruited through Facebook groups and pages. Participant interviews were conducted via Skype or telephone between July and September 2014. Data analysis was grounded in qualitative content analysis and the initial coding framework was informed by the findings of a previous study. Participants' rationales for the use or disuse of a particular Facebook mechanism to communicate health information reflected six broad themes: (1) characteristics and circumstances of the person, (2) characteristics and circumstances of the relationship, (3) structure and composition of the social network, (4) content of the information, (5) communication purpose, and (6) attributes of the technology. The results of this
Park, Hyejin; Cormier, Eileen; Gordon, Glenna; Baeg, Jung Hoon
The increasing amount of health information available on the Internet highlights the importance of eHealth literacy skills for health consumers. Low eHealth literacy results in disparities in health consumers' ability to access and use eHealth information. The purpose of this study was to assess the perceived eHealth literacy of a general health consumer population so that healthcare professionals can effectively address skills gaps in health consumers' ability to access and use high-quality online health information. Participants were recruited from three public library branches in a Northeast Florida community. The eHealth Literacy Scale was used. The majority of participants (n = 108) reported they knew how and where to find health information and how to use it to make health decisions; knowledge of what health resources were available and confidence in the ability to distinguish high- from low-quality information were considerably less. The findings suggest the need for eHealth education and support to health consumers from healthcare professionals, in particular, how to access and evaluate the quality of health information.
Karsh, Ben-Tzion; Weinger, Matthew B; Abbott, Patricia A; Wears, Robert L
Current research suggests that the rate of adoption of health information technology (HIT) is low, and that HIT may not have the touted beneficial effects on quality of care or costs. The twin issues of the failure of HIT adoption and of HIT efficacy stem primarily from a series of fallacies about HIT. We discuss 12 HIT fallacies and their implications for design and implementation. These fallacies must be understood and addressed for HIT to yield better results. Foundational cognitive and hu...
Cutilli, Carolyn Crane; Simko, Lynn C; Colbert, Alison M; Bennett, Ian M
Low health literacy in older adults has been associated with poor health outcomes (i.e., mortality, decreased physical and cognitive functioning, and less preventive care utilization). Many factors associated with low health literacy are also associated with health disparities. Interaction with healthcare providers and sources of health information are influenced by an individual's health literacy and can impact health outcomes. This study examined the relationships between health literacy, sources of health information, and demographic/background characteristics in older adults (aged 65 years and older) related to health literacy and disparities. This descriptive, correlational study is a secondary analysis of the 2003 National Assessment of Adult Literacy, a large-scale national assessment. Older adults with lower health literacy have less income and education, rate their health as poor or fair, have visual or auditory difficulties, need help filling out forms, reading newspaper, or writing notes, and use each source of health information less (print and nonprint). Many of these characteristics and skills are predictive of health literacy and associated with health disparities. The results expand our knowledge of characteristics associated with health literacy and sources of health information used by older adults. Interventions to improve health outcomes including health disparities can focus on recognizing and meeting the health literacy demands of older adults.
Therefore, in-service training and updating of staff involved in health information system (HIS) at district, strengthening health information system inputs, timely and concrete feedbacks with establishment of functional health management information system (HMIS). KEY WORDS: Health Management Information System, ...
Thöns, Sebastian; Faber, Michael H.; Val, Dimitri V.
wind turbine systems and its components is developed accounting for the wind park functionality, i.e. power production, its operation and its cascading damage and failure scenarios. This system model facilitates to quantify the expected benefits and risks throughout the service life accounting......In the present paper, an approach for the quantification of the Value of Structural Health Monitoring (SHM) Information building upon a framework for infrastructure system utility and decision analysis is developed and applied to the operation of wind parks. The quantification of the value of SHM...... facilitates a benefit and risk informed assessment and optimization of SHM strategies and encompasses models for the infrastructure functionality, the structural constituent and system risks and its management as well as the performance of SHM strategies. A wind park system model incorporating the structural...
Full Text Available Alternative health practices have become increasingly popular in recent years. Many patients visit specific complementary practitioners, while others attempt to educate themselves, trusting advice from employees at local health food stores or the Internet. Thirty-two retail health food stores were surveyed on the nature of the information provided by their staff. A research assistant visited the stores and presented as the mother of a child in whom Crohn’s disease had been diagnosed. Seventy-two per cent (23 of 32 of store employees offered advice, such as to take nutritional and herbal supplements. Of the 23 stores where recommendations were made, 15 (65% based their recommendation on a source of information. Fourteen of the 15 stores using information sources used the same reference book. This had a significant impact on the recommendations; the use of nutritional supplements was favoured. In conclusion, retail health food stores are not as inconsistent as hypothesized, although there are many variances in the types of supplements recommended for the same chronic disease.
Hyppönen, Hannele; Ronchi, Elettra; Adler-Milstein, Julia
Health Information Systems (HISs) are expected to have a positive impact on quality and efficiency of health care. Rapid investment in and diffusion of HISs has increased the importance of monitoring the adoption and impacts of them in order to learn from the initiatives, and to provide decision makers evidence on the role of HISs in improving health care. However, reliable and comparable data across initiatives in various countries are rarely available. A four-phase approach is used to compare different HIS indicator methodologies in order to move ahead in defining HIS indicators for monitoring effects of HIS on health care performance. Assessed approaches are strong on different aspects, which provide some opportunities for learning across them but also some challenges. As yet, all of the approaches do not define goals for monitoring formally. Most focus on health care structural and process indicators (HIS availability and intensity of use). However, many approaches are generic in description of HIS functionalities and context as well as their impact mechanisms on health care for HIS benchmarking. The conclusion is that, though structural and process indicators of HIS interventions are prerequisites for monitoring HIS impacts on health care outputs and outcomes, more explicit definition is needed of HIS contexts, goals, functionalities and their impact mechanisms in order to move towards common process and outcome indicators. A bottom-up-approach (participation of users) could improve development and use of context-sensitive HIS indicators.
Magzamen, Sheryl; Mayer, Adam P.; Barr, Stephanie; Bohren, Lenora; Dunbar, Brian; Manning, Dale; Reynolds, Stephen J.; Schaeffer, Joshua W.; Suter, Jordan; Cross, Jennifer E.
Background: Sustainable school buildings hold much promise to reducing operating costs, improve occupant well-being and, ultimately, teacher and student performance. However, there is a scarcity of evidence on the effects of sustainable school buildings on health and performance indicators. We sought to create a framework for a multidisciplinary…
Lichtenwalner, Peter F.; White, Edward V.; Baumann, Erwin W.
Structural health monitoring (SHM) technology provides a means to significantly reduce life cycle of aerospace vehicles by eliminating unnecessary inspections, minimizing inspection complexity, and providing accurate diagnostics and prognostics to support vehicle life extension. In order to accomplish this, a comprehensive SHM system will need to acquire data from a wide variety of diverse sensors including strain gages, accelerometers, acoustic emission sensors, crack growth gages, corrosion sensors, and piezoelectric transducers. Significant amounts of computer processing will then be required to convert this raw sensor data into meaningful information which indicates both the diagnostics of the current structural integrity as well as the prognostics necessary for planning and managing the future health of the structure in a cost effective manner. This paper provides a description of the key types of information processing technologies required in an effective SHM system. These include artificial intelligence techniques such as neural networks, expert systems, and fuzzy logic for nonlinear modeling, pattern recognition, and complex decision making; signal processing techniques such as Fourier and wavelet transforms for spectral analysis and feature extraction; statistical algorithms for optimal detection, estimation, prediction, and fusion; and a wide variety of other algorithms for data analysis and visualization. The intent of this paper is to provide an overview of the role of information processing for SHM, discuss various technologies which can contribute to accomplishing this role, and present some example applications of information processing for SHM implemented at the Boeing Company.
... GOVERNMENT ACCOUNTABILITY OFFICE Health Information Technology Policy Committee Nomination Letters.... SUMMARY: The American Recovery and Reinvestment Act of 2009 (ARRA) established the Health Information Technology Policy Committee (Health IT Policy Committee) and gave the Comptroller General responsibility for...
Upadhaya, Nawaraj; Jordans, Mark J D; Abdulmalik, Jibril; Ahuja, Shalini; Alem, Atalay; Hanlon, Charlotte; Kigozi, Fred; Kizza, Dorothy; Lund, Crick; Semrau, Maya; Shidhaye, Rahul; Thornicroft, Graham; Komproe, Ivan H; Gureje, Oye
Research on information systems for mental health in low and middle income countries (LMICs) is scarce. As a result, there is a lack of reliable information on mental health service needs, treatment coverage and the quality of services provided. With the aim of informing the development and implementation of a mental health information sub-system that includes reliable and measurable indicators on mental health within the Health Management Information Systems (HMIS), a cross-country situation analysis of HMIS was conducted in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda), participating in the 'Emerging mental health systems in low and middle income countries' (Emerald) research programme. A situation analysis tool was developed to obtain and chart information from documents in the public domain. In circumstances when information was inadequate, key government officials were contacted to verify the data collected. In this paper we compare the baseline policy context, human resources situation as well as the processes and mechanisms of collecting, verifying, reporting and disseminating mental health related HMIS data. The findings suggest that countries face substantial policy, human resource and health governance challenges for mental health HMIS, many of which are common across sites. In particular, the specific policies and plans for the governance and implementation of mental health data collection, reporting and dissemination are absent. Across sites there is inadequate infrastructure, few HMIS experts, and inadequate technical support and supervision to junior staff, particularly in the area of mental health. Nonetheless there are also strengths in existing HMIS where a few mental health morbidity, mortality, and system level indicators are collected and reported. Our study indicates the need for greater technical and resources input to strengthen routine HMIS and develop standardized HMIS indicators for mental health, focusing in
MARIA MALLIAROU & SOFIA ZYGA
Full Text Available Nursing Information System (NIS has been defined as “a part of a health care information system that deals with nursing aspects, particularly the maintenance of the nursing record”. Nursing Uses of Information Systems in order to assess patient acuity and condition, prepare a plan of care or critical pathway, specify interventions, document care, track outcomes and control quality in the given patient care. Patient care processes, Communication, research, education and ward management can be easily delivered using NIS. There is a specific procedure that should be followed when implementing NISs. The electronic databases CINAHL and Medline were used to identify studies for review. Studies were selected from a search that included the terms ‘nursing information systems’, ‘clinical information systems’, ‘hospital information systems’, ‘documentation’, ‘nursing records’, combined with ‘electronic’ and ‘computer’. Journal articles, research papers, and systematic reviews from 1980 to 2007 were included. In Greek Hospitals there have been made many trials and efforts in order to develop electronic nursing documentation with little results. There are many difficulties and some of them are different levels of nursing education, low nurse to patient ratios, not involvement of nurses in the phases of their implementation, resistance in change. Today’s nursing practice in Greece needs to follow others counties paradigm and phase its controversies and problems in order to follow the worldwide changes in delivering nursing care.
A patient discussing Internet health information with a health care provider (referred to as "patient-provider communication about Internet health information") can contribute positively to health outcomes. Although research has found that once Internet access is achieved, there are no ethnic differences in Internet health information seeking, it is unclear if there are ethnic differences in patient-provider communication about Internet health information. To help fill this gap in the literature, the National Cancer Institute's Health Information National Trends Survey 2005 was analyzed with Stata 9. Two sets of logistic regression analyses were conducted, one for a subsample of Internet users (n = 3,244) and one for a subsample of Internet users who are first-generation immigrants (n = 563). The dependent variable was patient-provider communication about Internet health information, which assessed whether survey participants had discussed online health information with a health care provider. The predictor variables included trust of health care provider, trust of online health information, Internet use, health care coverage, frequency of visits to health care provider, health status, and demographics. Among all Internet users, Whites had higher levels of patient-provider communication about Internet health information than Blacks and Asians. Similarly, among Internet users who are immigrants, Whites had higher levels of patient-provider communication about Internet health information than Blacks and Asians. While the digital divide is narrowing in terms of Internet access, racial differences in patient-provider communication about Internet health information may undermine the potential benefits of the information age.
Loos, E F
Aging and digitalisation are important trends which have their impact on information accessibility. Accessible information about products and services is of crucial importance to ensure that all citizens can participate fully as active members of society. Senior citizens who have difficulties using new media run the risk of exclusion in today's information society. Not all senior citizens, however, encounter problems with new media. Not by a long shot. There is much to be said for 'aged heterogeneity', the concept that individual differences increase as people age. In two explorative qualitative case studies related to accessible health information--an important issue for senior citizens--that were conducted in the Netherlands, variables such as gender, education level and frequency of internet use were therefore included in the research design. In this paper, the most important results of these case studies will be discussed. Attention will be also paid to complementary theories (socialisation, life stages) which could explain differences in information search behaviour when using old or new media.
Tel : 7-3635
Please note that, from 1 July 2002, the tariff agreement between CERN and the Hôpital de la Tour will no longer be in force. As a result the members of the CERN Health Insurance Scheme will no longer obtain a 5% discount for quick payment of bills. More information on the termination of the agreement and the implications for our Health Insurance Scheme will be provided in the next issue of the CHIS Bull', due for publication in the first half of July. It will be sent to your home address, so, if you have moved recently, please check that your divisional secretariat has your current address. Tel.: 73635 The Organization's Health Insurance Scheme (CHIS) has launched its own Web pages, located on the Website of the Social & Statutory Conditions Group of HR Division (HR-SOC). The address is short and easy-to-remember www.cern.ch/chis The pages currently available concentrate on providing basic information. Over the coming months it is planned to fill out the details and introduce new topics. Please give us ...
Southon, Frank Charles Gray; Sauer, Chris; Dampney, Christopher Noel Grant (Kit)
Abstract Objective: To identify impediments to the successful transfer and implementation of packaged information systems through large, divisionalized health services. Design: A case analysis of the failure of an implementation of a critical application in the Public Health System of the State of New South Wales, Australia, was carried out. This application had been proven in the United States environment. Measurements: Interviews involving over 60 staff at all levels of the service were undertaken by a team of three. The interviews were recorded and analyzed for key themes, and the results were shared and compared to enable a continuing critical assessment. Results: Two components of the transfer of the system were considered: the transfer from a different environment, and the diffusion throughout a large, divisionalized organization. The analyses were based on the Scott-Morton organizational fit framework. In relation to the first, it was found that there was a lack of fit in the business environments and strategies, organizational structures and strategy-structure pairing as well as the management process-roles pairing. The diffusion process experienced problems because of the lack of fit in the strategy-structure, strategy-structure-management processes, and strategy-structure-role relationships. Conclusion: The large-scale developments of integrated health services present great challenges to the efficient and reliable implementation of information technology, especially in large, divisionalized organizations. There is a need to take a more sophisticated approach to understanding the complexities of organizational factors than has traditionally been the case. PMID:9067877
Professor Vuori's paper, first presented at the fourth Medico-legal Conference in Prague in the spring of this year, deals with the problem of the maintenance of confidentiality in computerized health records. Although more and more information is required, the hardware of the computer systems is so sophisticated that it would be very expensive indeed to 'break in' and steal from a modern data bank. Those concerned with programming computers are becoming more aware of their responsibilities concerning confidentiality and privacy, to the extent that a legal code of ethics for programmers is being formulated. They are also aware that the most sensitive of all relationships--the doctor-patient relationship--could be in danger if they failed to maintain high standards of integrity. An area of danger is where administrative boundaries between systems must be crossed--say between those of health and employment. Protection of privacy must be ensured by releasing full information about the type of data being stored, and by maintaining democratic control over the establishment of information systems.
Health care information systems must reflect at least two basic characteristics of the health care community: the increasing mobility of patients and the personal liability of everyone giving medical treatment. Open distributed information systems bear the potential to reflect these requirements. But the market for open information systems and operating systems hardly provides secure products today. This 'missing link' is approached by the prototype SECURE Talk that provides secure transmission and archiving of files on top of an existing operating system. Its services may be utilized by existing medical applications. SECURE Talk demonstrates secure communication utilizing only standard hardware. Its message is that cryptography (and in particular asymmetric cryptography) is practical for many medical applications even if implemented in software. All mechanisms are software implemented in order to be executable on standard-hardware. One can investigate more or less decentralized forms of public key management and the performance of many different cryptographic mechanisms. That of, e.g. hybrid encryption and decryption (RSA+DES-PCBC) is about 300 kbit/s. That of signing and verifying is approximately the same using RSA with a DES hash function. The internal speed, without disk accesses etc., is about 1.1 Mbit/s. (Apple Quadra 950 (MC 68040, 33 MHz, RAM: 20 MB, 80 ns. Length of RSA modulus is 512 bit).
Hincapie, Ana Lucia; Warholak, Terri L; Murcko, Anita C; Slack, Marion; Malone, Daniel C
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.
Full Text Available The objective of the study is to develop a systems framework for the implementation and management of sustainable infrastructure technologies in the built environment with specific focus on health facilities. It look at the global trends and drivers...
Houser, Shannon H; Tesch, Linde; Hart-Hester, Susan; Dixon-Lee, Claire
Health information technology initiatives created the framework for a national health information infrastructure that concomitantly fostered a need to build intellectual capacity within our current and future health information management (HIM) work force. Results from the 2008 HIM Educator Survey are discussed. Developed for voluntary electronic participation, the survey comprised a series of questions about educators' professional interests and responsibilities. Summary data from the 402 respondents are provided and highlight areas such as academic rank, teaching status, salary range, levels of interest in various issues, and use of virtual learning tools. Data from this survey provide insights into the concerns and challenges many HIM educators face in today's training institutions and suggest implications for future directions in work force training and professional development within the HIM field.
Sfakianakis, S; Chronaki, C E; Chiarugi, F; Conforti, F; Katehakis, D G
This paper reflects on the role of open source in health information system interoperability. Open source is a driving force in computer science research and the development of information systems. It facilitates the sharing of information and ideas, enables evolutionary development and open collaborative testing of code, and broadens the adoption of interoperability standards. In health care, information systems have been developed largely ad hoc following proprietary specifications and customized design. However, the wide deployment of integrated services such as Electronic Health Records (EHRs) over regional health information networks (RHINs) relies on interoperability of the underlying information systems and medical devices. This reflection is built on the experiences of the PICNIC project that developed shared software infrastructure components in open source for RHINs and the OpenECG network that offers open source components to lower the implementation cost of interoperability standards such as SCP-ECG, in electrocardiography. Open source components implementing standards and a community providing feedback from real-world use are key enablers of health care information system interoperability. Investing in open source is investing in interoperability and a vital aspect of a long term strategy towards comprehensive health services and clinical research.
Chang, Leanne; Chiuan Yen, Ching; Xue, Lishan; Choo Tai, Bee; Chuan Chan, Hock; Been-Lirn Duh, Henry; Choolani, Mahesh
This study examined effects of age and social psychological factors on women's willingness to be mobile health information seekers. A national survey of 1,878 Singaporean women was conducted to obtain information on women's mobile phone usage, experiences of health information seeking, and appraisals of using mobile phones to seek health information. Results showed that young, middle-aged, and older women exhibited distinct mobile phone usage behaviors, health information-seeking patterns, and assessments of mobile health information seeking. Factors that accounted for their mobile information-seeking intention also varied. Data reported in this study provide insights into mobile health interventions in the future.
Sarradon-Eck, A; Vega, A; Faure, M; Humbert-Gaudart, A; Lustman, M
During the last years, the french health system has been developing formal health networks. So, it was necessary to study informal health networks as networks. More precisely, we studied the nature of relationships between various stakeholders around general practionners wich are commonly considering as the stakeholder of the health system private sector. Fieldwork (ethnography based on direct observations and interviews) was conducted between October 2002 and april 2004, in the South-East of France. Ten monographs of general practioner's offices were achieved in a rural area; then, we achieved fieldwork of the informal health networks identified. There is a cultural frame wich is common to all private professionals. This frame includes a triple ideal (teamwork built up the hospital model, independance, and an relational approach with patients). This frame does not square with the real practices. In fact, regulation mechanisms preserve the balance of relashionships between professionnal groups, by restricting/promoting exchanges and complex alliance strategies. These mecanisms include: (1) a few professionnal's rule as disponibility (to the patients and to the professionnals), as communication about patient, as patient's reference, as obligation to communicate between professionals; (2) some constraints such as territory superposition and competition with other professional groups; (3) some needs for: rileiving (of emotions and worries connected to work), sharing (decisions, responsabilities), of delegation (medical treatment, practices), protection against social and legal risk through the creation of trust relationships. These trust relationships are based on several logics (affinity, solidarity, similarity). The study shows the major place of the patient who is often the main organizer of his network, and even though he makes an important structuring work between medical staff, and an information transfer (on his diagnosis, on his treatment, and professionals
Schreiweis, Björn; Schneider, Gerd; Eichner, Theresia; Bergh, Björn; Heinze, Oliver
Secondary use or single source is still far from routine in healthcare, although lots of data are available either structured or unstructured. As data are stored in multiple systems, using them for biomedical research is difficult. Clinical data warehouses already help overcoming this issue, but currently they are only used for certain parts of biomedical research. A comprehensive research platform based on a generic architecture pattern could increase the benefits of existing data warehouses for both patient care and research by meeting two objectives: serving as a so called single point-of-truth and acting as a mediator between them strengthening interaction and close collaboration. Another effect is to reduce boundaries for the implementation of data warehouses. Taking further settings into account the architecture of a clinical data warehouse supporting patient care and biomedical research needs to be integrated with biomaterial banks and other sources. This work provides a solution conceptualizing a comprehensive architecture pattern of a Health Information Research Platform (HIReP) derived from use cases of the patient care and biomedical research domain. It serves as single IT infrastructure providing solutions for any type of use case.
Bansler, Jørgen P.; Havn, Erling C.
Pilot implementation is a powerful and widely used approach in identifying design flaws and implementation issues before the full-scale deployment of new health information systems. However, pilot implementations often fail in the sense that they say little about the usability and usefulness...... of the proposed system designs. This calls for studies that seek to uncover and analyze the reasons for failure, so that guidelines for conducting such pilots can be developed. In this paper, we present a qualitative field study of an ambitious, but unsuccessful pilot implementation of a Danish healthcare...... information system. Based on the findings from this study, we identify three main challenges: (1) defining an appropriate scope for pilot implementation, (2) managing the implementation process, and (3) ensuring commitment to the pilot. Finally, recommendations for future research and implications...
... 42 Public Health 4 2010-10-01 2010-10-01 false Health information systems. 438.242 Section 438.242... Measurement and Improvement Standards § 438.242 Health information systems. (a) General rule. The State must ensure, through its contracts, that each MCO and PIHP maintains a health information system that collects...
Full Text Available “Ecological Infrastructure (EI” are defined as naturally functioning ecosystems that deliver valuable services to people, such as healthy mountain catchments, rivers, wetlands, coastal dunes, and nodes and corridors of natural habitat, which together form a network of interconnected structural elements in the landscape. On the other hand, natural disaster occur at the locations where habitat was reduced due to the changes of land use, in which the land was converted to the settlements and agricultural cropland. Hence, habitat loss and natural disaster are linked closely. Ecological infrastructure is the nature-based equivalent of built or hard infrastructure, and is as important for providing services and underpinning socio-economic development. Hence, ecological infrastructure is expected to contribute to functioning as ecological disaster reduction, which is termed Ecosystem-based Solutions for Disaster Risk Reduction (Eco-DRR. Although ecological infrastructure already exists in the landscape, it might be degraded, needs to be maintained and managed, and in some cases restored. Maintenance and restoration of ecological infrastructure is important for security of human lives. Therefore, analytical tool and effective visualization tool in spatially explicit way for the past natural disaster and future prediction of natural disaster in relation to ecological infrastructure is considered helpful. Hence, Web-GIS based Ecological Infrastructure Environmental Information System (EI-EIS has been developed. This paper aims to describe the procedure of development and future application of EI-EIS. The purpose of the EI-EIS is to evaluate functions of Eco-DRR. In order to analyse disaster data, collection of past disaster information, and disaster-prone area is effective. First, a number of digital maps and analogue maps in Japan and Europe were collected. In total, 18,572 maps over 100 years were collected. The Japanese data includes Future
Doko, T.; Chen, W.; Sasaki, K.; Furutani, T.
"Ecological Infrastructure (EI)" are defined as naturally functioning ecosystems that deliver valuable services to people, such as healthy mountain catchments, rivers, wetlands, coastal dunes, and nodes and corridors of natural habitat, which together form a network of interconnected structural elements in the landscape. On the other hand, natural disaster occur at the locations where habitat was reduced due to the changes of land use, in which the land was converted to the settlements and agricultural cropland. Hence, habitat loss and natural disaster are linked closely. Ecological infrastructure is the nature-based equivalent of built or hard infrastructure, and is as important for providing services and underpinning socio-economic development. Hence, ecological infrastructure is expected to contribute to functioning as ecological disaster reduction, which is termed Ecosystem-based Solutions for Disaster Risk Reduction (Eco-DRR). Although ecological infrastructure already exists in the landscape, it might be degraded, needs to be maintained and managed, and in some cases restored. Maintenance and restoration of ecological infrastructure is important for security of human lives. Therefore, analytical tool and effective visualization tool in spatially explicit way for the past natural disaster and future prediction of natural disaster in relation to ecological infrastructure is considered helpful. Hence, Web-GIS based Ecological Infrastructure Environmental Information System (EI-EIS) has been developed. This paper aims to describe the procedure of development and future application of EI-EIS. The purpose of the EI-EIS is to evaluate functions of Eco-DRR. In order to analyse disaster data, collection of past disaster information, and disaster-prone area is effective. First, a number of digital maps and analogue maps in Japan and Europe were collected. In total, 18,572 maps over 100 years were collected. The Japanese data includes Future-Pop Data Series (1,736 maps
Sheikh, Aziz; Sood, Harpreet S; Bates, David W
To investigate experiences with leveraging health information technology (HIT) to improve patient care and population health, and reduce healthcare expenditures. In-depth qualitative interviews with federal government employees, health policy, HIT and medico-legal experts, health providers, physicians, purchasers, payers, patient advocates, and vendors from across the United States. The authors undertook 47 interviews. There was a widely shared belief that Health Information Technology for Economic and Clinical Health (HITECH) had catalyzed the creation of a digital infrastructure, which was being used in innovative ways to improve quality of care and curtail costs. There were however major concerns about the poor usability of electronic health records (EHRs), their limited ability to support multi-disciplinary care, and major difficulties with health information exchange, which undermined efforts to deliver integrated patient-centered care. Proposed strategies for enhancing the benefits of HIT included federal stimulation of competition by mandating vendors to open-up their application program interfaces, incenting development of low-cost consumer informatics tools, and promoting Congressional review of the The Health Insurance Portability and Accountability Act (HIPPA) to optimize the balance between data privacy and reuse. Many underscored the need to "kick the legs from underneath the fee-for-service model" and replace it with a data-driven reimbursement system that rewards high quality care. The HITECH Act has stimulated unprecedented, multi-stakeholder interest in HIT. Early experiences indicate that the resulting digital infrastructure is being used to improve quality of care and curtail costs. Reform efforts are however severely limited by problems with usability, limited interoperability and the persistence of the fee-for-service paradigm-addressing these issues therefore needs to be the federal government's main policy target. © The Author 2015
Kar, Shantanu K; Sah, Binod; Patnaik, Bikash; Kim, Yang Hee; Kerketta, Anna S; Shin, Sunheang; Rath, Shyam Bandhu; Ali, Mohammad; Mogasale, Vittal; Khuntia, Hemant K; Bhattachan, Anuj; You, Young Ae; Puri, Mahesh K; Lopez, Anna Lena; Maskery, Brian; Nair, Gopinath B; Clemens, John D; Wierzba, Thomas F
The substantial morbidity and mortality associated with recent cholera outbreaks in Haiti and Zimbabwe, as well as with cholera endemicity in countries throughout Asia and Africa, make a compelling case for supplementary cholera control measures in addition to existing interventions. Clinical trials conducted in Kolkata, India, have led to World Health Organization (WHO)-prequalification of Shanchol, an oral cholera vaccine (OCV) with a demonstrated 65% efficacy at 5 years post-vaccination. However, before this vaccine is widely used in endemic areas or in areas at risk of outbreaks, as recommended by the WHO, policymakers will require empirical evidence on its implementation and delivery costs in public health programs. The objective of the present report is to describe the organization, vaccine coverage, and delivery costs of mass vaccination with a new, less expensive OCV (Shanchol) using existing public health infrastructure in Odisha, India, as a model. All healthy, non-pregnant residents aged 1 year and above residing in selected villages of the Satyabadi block (Puri district, Odisha, India) were invited to participate in a mass vaccination campaign using two doses of OCV. Prior to the campaign, a de jure census, micro-planning for vaccination and social mobilization activities were implemented. Vaccine coverage for each dose was ascertained as a percentage of the censused population. The direct vaccine delivery costs were estimated by reviewing project expenditure records and by interviewing key personnel. The mass vaccination was conducted during May and June, 2011, in two phases. In each phase, two vaccine doses were given 14 days apart. Sixty-two vaccination booths, staffed by 395 health workers/volunteers, were established in the community. For the censused population, 31,552 persons (61% of the target population) received the first dose and 23,751 (46%) of these completed their second dose, with a drop-out rate of 25% between the two doses. Higher