1,720,972 research outputs found

    Investigating risk exposure in e-health systems

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    Purpose\ud \ud Health managers, administrators and health practitioners now face new challenges due to the increasing dependency being placed on electronic health information systems. This paper focuses on Electronic Health Records for determining the critical attributes for e-health system development. The proposed QUiPS model aims to provide a framework for building trustworthy solutions by identifying the pertinent issues needed to determine the risk exposure with a given system.\ud \ud Approach\ud \ud To produce dependable, low risk and viable IT solutions, each critical attribute needs to be specifically addressed and prioritized. It is shown how these attributes possess a number of interdependencies making the analysis and prioritization tasks complex and hence, in practice, often incomplete. Two Australian case studies are presented that access enterprise level applications of live health records where these risk based techniques have been applied.\ud \ud Results\ud \ud The value and the shortcomings of taking a risk based approach to developing and deploying electronic health information systems that are safe and secure, is evaluated. The case studies presented indicate that traditional methods used to derive the requirements are often inadequate and the risks that are faced in ensuring a safe and secure system are highly application dependent and dynamic.\ud \ud Conclusions\ud \ud Convergence towards a viable universal solution for our electronic health records is not imminent and trust in e-health is fragile. Policies that data custodians follow need to be flexible and updated on a regular basis. Technological solutions are at best a stop gap to avoid the common hazards associated with access control and secure messaging. A wider range of analysis techniques to determine the key issues for a dependable health information system can derive longer term sustainable solutions

    Usability Evaluations in Community Health Systems

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    A Data Warehouse Architecture for Clinical Data Warehousing

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    Data warehousing methodologies share a common set of tasks, including business requirements analysis, data design, architectural design, implementation and deployment. Clinical data warehouses are complex and time consuming to review a series of patient records however it is one of the efficient data repository existing to deliver quality patient care. Data integration tasks of medical data store are challenging scenarios when designing clinical data warehouse architecture. The presented data warehouse architectures are practicable solutions to tackle data integration issues and could be adopted by small to large clinical data warehouse applications

    Assistive Technologies for the Frail Elderly, Chronic Illness Sufferers and People with Disabilities – a Case Study of the Development of a Smart Home

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    This paper reports on initial stages of a case study of building a consortium to undertake research into advanced technologies and telecommunications that support the notion of an assisted care 'Smart Home'. The aim is to through research and development to provide greater independence, improved quality of life and reduce unnecessary hospital admission for the dependant being cared for in their own homes including the frail elderly, chronic illness sufferers and people with disabilities. The primary outcome is the intent to support families and professional carers, reduce costs and, where possible, identify commercial opportunities for new products and services. Queensland Smart Home Initiative (QSHI) is discussed as a case study together with the\ud Consortium’s first Smart Home at an aged care facility in Queensland, Australia

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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