168 research outputs found
Setting up a cohort study of functioning: From classification to measurement
No full textOBJECTIVE: Cohort studies are an appropriate method for the collection of population-based longitudinal data to track people's health and functioning over time. However, describing and understanding functioning in its complexity with all its determinants is one of the biggest challenges faced by clinicians and researchers.DESIGN: This paper focuses on the development of a cohort study on functioning, outlining the relevant steps and related methods, and illustrating these with reference to the Swiss Spinal Cord Injury Cohort Study (SwiSCI).METHODS AND RESULTS: In setting up a cohort study the initial step is to specify which variables are to be included, i.e. what to assess. The International Classification of Functioning, Disability and Health (ICF) is valuable in this process. The second step is to identify how to assess the specified ICF categories. Existing instruments and assessments can then be linked to the ICF.CONCLUSION: The methods outlined here enable the development of a cohort study to be based on a comprehensive perspective of health, operationalized through functioning as conceptualized and classified in the ICF, yet to remain efficient and feasible to administer.<br/
Combinatorial Proofs of Identities of Alzer and Prodinger and Some Generalizations
No full textWe provide combinatorial proofs of identities published by Alzer and Prodinger. These identities include that for integers b, n, and r with b ≥ 1 and n − 1 ≥ r ≥ 0 we have
and for integers b, n, and r with b ≥ 0 and n − 1 ≥ r ≥ 0 we have
Our combinatorial proofs generalize squares to sth powers, and involve generalized Eulerian numbers and generalized Delannoy numbers
Toward an International Classification of Functioning, Disability and Health clinical data collection tool: the Italian experience of developing simple, intuitive descriptions of the Rehabilitation Set categories.
No full textBackground: As part of international efforts to develop and implement national models including the specification of ICF-based clinical data collection tools, the Italian rehabilitation community initiated a project to develop simple, intuitive descriptions of the ICF Rehabilitation Set, highlighting the core concept of each category in user-friendly language.
Aim: This paper outlines the Italian experience in developing simple, intuitive descriptions of the ICF Rehabilitation Set as an ICF-based clinical data collection tool for Italy.
Design: Consensus process.
Setting: Expert conference.
Population: Multidisciplinary group of rehabilitation professionals.
Methods: The first of a two-stage consensus process involved developing an initial proposal for simple, intuitive descriptions of each ICF Rehabilitation Set category based on descriptions generated in a similar process in China. Stage two involved a consensus conference. Divided into three working groups, participants discussed and voted (vote A) whether the initially proposed descriptions of each ICF Rehabilitation Set category was simple and intuitive enough for use in daily practice. Afterwards the categories with descriptions considered ambiguous i.e. not simple and intuitive enough, were divided among the working groups, who were asked to propose a new description for the allocated categories. These proposals were then voted (vote B) on in a plenary session. The last step of the consensus conference required each working group to develop a new proposal for each and the same categories with descriptions still considered ambiguous. Participants then voted (final vote) for which of the three proposed descriptions they preferred.
Results: Nineteen clinicians from diverse rehabilitation disciplines from various regions of Italy participated in the consensus process. Three ICF categories already achieved consensus in vote A, while 20 ICF categories were accepted in vote B. The remaining 7 categories were decided in the final vote.
Conclusions: The findings were discussed in light of current efforts toward developing strategies for ICF implementation, specifically for the application of an ICF-based clinical data collection tool, not only for Italy but also for the rest of Europe.
Clinical rehabilitation impact: Promising as minimal standards for monitoring the impact of interventions and for standardized reporting of functioning as a relevant outcome in rehabilitation
Growing and destroying Catalan–Stanley trees
No full textCITATION: Hack, B. & Prodinger, H. 2018. Growing and destroying catalan–stanley trees. Discrete Mathematics and Theoretical Computer Science, 20(1):1-14, doi:10.23638/DMTCS-20-1-11.The original publication is available at https://www.semanticscholar.orgStanley lists the class of Dyck paths where all returns to the axis are of odd length as one of the many objects enumerated
by (shifted) Catalan numbers. By the standard bijection in this context, these special Dyck paths correspond
to a class of rooted plane trees, so-called Catalan–Stanley trees.
This paper investigates a deterministic growth procedure for these trees by which any Catalan–Stanley tree can be
grown from the tree of size one after some number of rounds; a parameter that will be referred to as the age of the
tree. Asymptotic analyses are carried out for the age of a random Catalan–Stanley tree of given size as well as for the
“speed” of the growth process by comparing the size of a given tree to the size of its ancestors.https://www.semanticscholar.org/paper/Growing-and-Destroying-Catalan-Stanley-Trees-Hackl-Prodinger/eced0779211103ebf2752dc775e2a91b5beb5d73Publisher's versio
Toward the International Classification of Functioning, Disability and Health (ICF) Rehabilitation Set: a minimal generic set of domains for rehabilitation as a health strategy
No full textOBJECTIVE: To develop a comprehensive set of categories from the International Classification of Functioning, Disability and Health (ICF) as a minimal standard for reporting and assessing functioning and disability in clinical populations along the continuum of care. The specific aims were to specify the domains of functioning recommended for such ICF Rehabilitation Set and to identify a minimal set of environmental factors (EFs) to be used alongside the ICF Rehabilitation Sets when describing disability across individuals and populations with various health conditions.DESIGN: A secondary analysis of existing data sets was performed using regression methods (Random Forests and Group Lasso regression) and expert consultation.SETTING: Along the continuum of care, including acute, early-post acute, and long-term and community rehabilitation settings.PARTICIPANTS: In the primary studies 9863 persons participated with various health condition. The number of respondents for whom the dependent variable data were available and used for this analysis consisted of 9264 participants.INTERVENTIONS: Not applicable MAIN OUTCOME MEASURES: For the Regression analyses, self-reported general health was used as dependent variable. The ICF categories from the functioning component and EFs component were used as independent variables for the development of the ICF Rehabilitation Set and minimal set of EFs respectively.RESULTS: Thirty ICF categories to be complemented with 12 EFs were identified as relevant for the identified ICF sets. The ICF Rehabilitation Set constitutes of 9 ICF categories from the component Body Functions and 21 from the component Activities and Participation. The minimal set of EFs contains 12 categories spanning all chapters of the EFs component of the ICF.CONCLUSION: The identified sets proposed serve as minimal generic sets of aspects of functioning in clinical populations for reporting data within and across heath conditions, time, clinical settings including rehabilitation, and countries. These sets present a reference framework for harmonizing existing information on disability across general and clinical populations.<br/
Arthritis-related Occupational Therapy: Making invisible ruling relations visible using institutional ethnography
No full textIntroduction: Occupational therapists' intention of enabling women with rheumatoid arthritis to participate in everyday life is fraught with challenges in everyday practice.Method: Inspired by institutional ethnography, this paper aims to make explicit how the work of occupational therapists in an outpatient rheumatology hospital setting is governed within invisible, ruling relations. An analytical description of the first author's clinical experience was a standpoint from which to explicate how occupational therapy is coordinated to the ruling relations of the Austrian health care system.Findings: Occupational therapy practice and research are ruled within a positivist, body-focused, medical apparatus, which renders largely invisible occupational therapists' knowledge of enabling people to engage in occupations that are meaningful to them.Conclusion: Occupational therapists have professional power that can be asserted by strategically using occupational therapy specific knowledge and language in textually mediated practices, from assessments and case files to media images, to give greater visibility and influence to the profession's work of enabling occupation.Source type: Electronic(1
The International Classification of Functioning, Disability and Health (ICF) in Electronic Health Records
No full textSummary
Background: The International Classification of Functioning, Disability and Health (ICF) is the World Health Organization’s standard for describing health and health-related states. Examples of how the ICF has been used in Electronic Health Records (EHRs) have not been systematically summarized and described yet.
Objectives: To provide a systematic review of peer-reviewed literature about the ICF’s use in EHRs, including related challenges and benefits.
Methods: Peer-reviewed literature, published between January 2001 and July 2015 was retrieved from Medline®, CINAHL®, Scopus®, and ProQuest® Social Sciences using search terms related to ICF and EHR concepts. Publications were categorized according to three groups: Requirement specification, development and implementation. Information extraction was conducted according to a qualitative content analysis method, deductively informed by the evaluation framework for Health Information Systems: Human, Organization and Technology-fit (HOT-fit).
Results: Of 325 retrieved articles, 17 publications were included; 4 were categorized as requirement specification, 7 as development, and 6 as implementation publications. Information regarding the HOT-fit evaluation framework was summarized. Main benefits of using the ICF in EHRs were its unique comprehensive perspective on health and its interdisciplinary focus. Main challenges included the fact that the ICF is not structured as a formal terminology as well as the need for a reduced number of ICF codes for more feasible and practical use.
Conclusion: Different approaches and technical solutions exist for integrating the ICF in EHRs, such as combining the ICF with other existing standards for EHR or selecting ICF codes with natural language processing. Though the use of the ICF in EHRs is beneficial as this review revealed, the ICF could profit from further improvements such as formalizing the knowledge representation in the ICF to support and enhance interoperability.Citation: Maritz R, Aronsky D, Prodinger B. The International Classification of Functioning, Disability and Health (ICF) in Electronic Health Records. Appl Clin Inform 2017; 8: 964–980 https://doi.org/10.4338/ACI-2017050078
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An Explicit Formula of Subblock Occurrences for the p-Adic Expansion
No full textapplication/pdfLet b(n,w) be the number of occurrences of subblock w in the p-adic expansion of n ∈ N and set B(N,w)=Σn=0Nb(n,w) for N ∈ N. Properties of the value of B(N,w) were investigated by Prodinger [8] (for p=2) and by Kirschenhofer [3] (for a general p). In this paper we give a simple representation of B(N,w) by means of previous result [5] on the explicit formula of generalized power and exponential sums of digital sums.紀要類(bulletin)244345 bytesdepartmental bulletin pape
On the Number of Partitions of { 1, …, <i>n</i>} into Two Sets of Equal Cardinalities and Equal Sums
No full textAbstractLet A(n) be the number of partitions of { 1 , … , n} into two sets A, B of cardinality n/2 such that . Then there is the asymptotic result</jats:p
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