822 resultados para current medical knowledge


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Workshop Research Data Management – Activities and Challenges 14-15 November 2011, Bonn The Knowledge Exchange initiative organised a workshop to highlight current activities and challenges with respect to research data management in the Knowledge Exchange partner countries and beyond. The workshop brought together experts from data centres, libraries, computational centres, funding organisations, publishing services and other institutions in the field of research and higher education who are working to improve research data management and encourage effective reuse of research data. A considerable part of the programme was dedicated to sharing perspectives from these communities, leading to the development of a roadmap of practical actions for the Knowledge Exchange initiative, partner organisations and other stakeholders to progress over the next two years. On the first day, principal investigators and project managers from a great variety of recent projects shared their insights on objectives and methods for improving data management ranging from discipline-specific to more general approaches. A series of short presentations of selected projects was followed by an extensive poster session that functioned as a “trade fair” of current trends and activities in the field of research data management. Moreover, the poster session offered ample network opportunities for participants. The second day was dedicated to intensive group discussions looking at a number of data management challenges. First the most important findings from the "Surfboard for 'Riding the Wave'" report were presented. This included the state of the art on activities and challenges in the field of research data management. The subgroups will concentrate on the following key themes: funding, incentives, training and technical infrastructure. These discussions culminated in the identification of practical recommendations for future cooperation on practical as well as on strategic levels that should be taken forward by the KE partner organisations and beyond. These activities aim to improve the sustainability of services and infrastructures at both national and international levels.

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In today’s changing research environment, RDM is important in all stages of research. The skills and know-how in RDM that researchers and research support staff need, should be nurtured all though their career. At the end of 2015, KE initiated a project to compare approaches in RDM training within the partnership’s five member countries. The project was structured around two strands of activity: In the last months of 2015 a survey was conducted to collect information on current practice around RDM training, in order to provide an overview of the RDM training landscape. In February 2016 a workshop was held to share successful approaches to RDM training and capacity building provided within institutions and by infrastructure. The report describes the outputs of both the analysis of the survey and the outcomes of the workshop. The document provides an evidence base and informed suggestions to help improve RDM training practices in KE partner countries and beyond.

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Many sources of information that discuss currents problems of food security point to the importance of farmed fish as an ideal food source that can be grown by poor farmers, (Asian Development Bank 2004). Furthermore, the development of improved strains of fish suitable for low-input aquaculture such as Tilapia, has demonstrated the feasibility of an approach that combines “cutting edge science” with accessible technology, as a means for improving the nutrition and livelihoods of both the urban poor and poor farmers in developing countries (Mair et al. 2002). However, the use of improved strains of fish as a means of reducing hunger and improving livelihoods has proved to be difficult to sustain, especially as a public good, when external (development) funding sources devoted to this area are minimal1. In addition, the more complicated problem of delivery of an aquaculture system, not just improved fish strains and the technology, can present difficulties and may go explicitly unrecognized (from Sissel Rogne, as cited by Silje Rem 2002). Thus, the involvement of private partners has featured prominently in the strategy for transferring to the public technology related to improved Tilapia strains. Partnering with the private sector in delivery schemes to the poor should take into account both the public goods aspect and the requirement that the traits selected for breeding “improved” strains meet the actual needs of the resource poor farmer. Other dissemination approaches involving the public sector may require a large investment in capacity building. However, the use of public sector institutions as delivery agents encourages the maintaining of the “public good” nature of the products.

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The Guidelines provide a special focus on information and knowledge sharing and its current and potential role in supporting implementation of the Code of Conduct for Responsible Fisheries. They expand on relevant principles and standards set forth in the Code and make practical suggestions about ways to ensure that this role can be enhanced. The issues involved in the flow of information between different stakeholder groups include topics as diverse as information policy frameworks and information and communication technology infrastructure, hence coverage is introductory. Some of the constraints involved in the cycle from the creation, production, dissemination and availability of information and knowledge to its effective use and sharing by the present generation as well as its preservation for the future are presented. The special circumstances and requirements of stakeholders in developing countries are recognized in accordance with Article 5 of the Code. A separate chapter on small-scale fisheries and aquaculture looks in more detail at the special situation and information needs of the sub-sector. The Guidelines aim to foster a better understanding of the issues involved to ensure that stakeholders obtain the essential information that they need and that they make available their own information and knowledge for the public good. (PDF contains 115 pages)

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This paper addresses the need for computer support in aerospace design. A review of current design methodologies and computer support tools is presented and the need for further support in aerospace design, particularly in the early formative stages of the design process, is discussed. A parameter-based model of design, founded on the assumption that a design process can be constructed from a predefined set of tasks, is proposed for aerospace design. This is supported by knowledge of possible tasks in which the confidence in key design parameters is used as a basis for identifying, or signposting, the next task. A prototype implementation of the signposting model, for use in the design of helicopter rotor blades, is described and results from trials of the tool are presented. Further areas of research are discussed

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O estudo acompanha a rotina de um ensaio clínico de vacinas experimentais anti-HIV/AIDS desenvolvido no Projeto Praça Onze, da UFRJ, em colaboração com a rede mundial de pesquisas de vacinas anti-HIV/AIDS, HVTN (HIV Vaccine Trials Network) e apoio financeiro dos NIH (National Institutes of Health), dos EUA. Focaliza os processos de recrutamento, seleção e seguimento dos voluntários, articulando os aspectos mais gerais às particularidades e demandas locais deste estudo realizado no Rio de Janeiro, Brasil. Do ponto de vista teórico-conceitual utiliza recursos oriundos das ciências sociais - história, sociologia da ciência e da corrente interacionista da sociologia. O estudo mostra que, como todo ensaio clínico, o experimento do Projeto Praça Onze é uma atividade coletiva, sustentada sobre múltiplos atores e instâncias, com diversas racionalidades, o que gera uma permanente tensão. Estuda a tensão que se coloca, principalmente entre a expectativa dos profissionais envolvidos (aconselhadores, recrutadores, médicos, enfermeiros, farmacêuticos, gerentes e coordenadores de estudos) e a experiência vivenciada pelos voluntários, assim como as possíveis negociações propostas durante o desenvolvimento do protocolo, a partir do contexto sociopolítico onde o mesmo está inserido. Os profissionais, apesar de suas especificidades, articulam-se para incorporar do universo dos colegas suas linguagens e seus modos de agir, num processo de hibridização dos conhecimentos e práticas. Os voluntários do ensaio, por sua vez, submetem-se, por um lado a uma rotina de disciplina e compromisso, que implica na entrega de seu corpo à medicina, implícita nesse papel. Por outro, apropriam-se da lógica do ensaio clínico para, em sua ótica, transformar-se em um coadjuvante no descobrimento de uma nova biotecnologia, que neste caso, se coloca como uma questão de vida ou morte, para ele e para uma ampla comunidade de infectados pelo HIV. Para o voluntário a entrega do corpo à ciência faz parte da construção de uma bioidentidade e de uma biopolítica contemporânea, onde não se pode desconsiderar a constante inter-relação entre ciência, sociedade, técnica e política.

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Nowadays, train control in-lab simulation tools play a crucial role in reducing extensive and expensive on-site railway testing activities. In this paper, we present our contribution in this arena by detailing the internals of our European Railway Train Management System in-lab demonstrator. This demonstrator is built over a general-purpose simulation framework, Riverbed Modeler, previously Opnet Modeler. Our framework models both ERTMS subsystems, the Automatic Train Protection application layer based on movement authority message exchange and the telecommunication subsystem based on GSM-R communication technology. We provide detailed information on our modelling strategy. We also validate our simulation framework with real trace data. To conclude, under current industry migration scenario from GSM-R legacy obsolescence to IP-based heterogeneous technologies, our simulation framework represents a singular tool to railway operators. As an example, we present the assessment of related performance indicators for a specific railway network using a candidate replacement technology, LTE, versus current legacy technology. To the best of our knowledge, there is no similar initiative able to measure the impact of the telecommunication subsystem in the railway network availability.

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A Medicina chinesa divulgada no ocidente tem sido estudada de forma fragmentada entre as suas diferentes formas de expressão desenvolvidas ao longo da história do Pensamento Médico Chinês. Nesse sentido o texto destaca três possíveis vertentes desta expressão, que denomina: Medicina Clássica Chinesa (GÜ DÀI ZHÖNG YÏ), Medicina Tradicional Chinesa (ZHÖNG YÏ) e Medicina Chinesa Contemporânea (DÄNG DÀI ZHÖNG YÏ). A primeira expressa as formulações nas obras clássicas surgidas a partir do período formativo da Medicina Chinesa, na Dinastia HÀN (206 a.C. a 221 d.C.). A segunda como corpo teórico e prático de conhecimento que, se disseminou no Oriente em geral e, posteriormente, no Ocidente como uma continuidade da Medicina Clássica Chinesa (GÜ DÀI ZHÖNG YÏ). A terceira refere-se à corrente hegemônica, hoje, na República Popular da China e mais tarde nos meios ocidentais. O objetivo do trabalho é investigar como tem sido divulgada no Ocidente por diferentes autores representantes de cada uma dessas vertentes a categoria SHÉN , frequentemente traduzida no Ocidente como Mente ou Espírito. Para tal, leva-se em conta a notoriedade acadêmica, a familiaridade com o idioma chinês, os pressupostos adotados, a história pessoal de cada um desses autores, entendidas como determinantes para suas apreensões de sentidos e significados da categoria SHÉN e, consequentemente, para os sentidos que assumem sua divulgação no Ocidente. Entendendo a Medicina Chinesa como uma Racionalidade Médica, conforme definição de Madel Therezinha Luz composta de seis dimensões: cosmologia, doutrina médica, dinâmica vital, morfologia, diagnose e terapêutica, o trabalho investiga do ponto de vista teórico-conceitual, amparado na Filosofia e Antropologia Médicas como a categoria SHÉN relaciona-se a cada uma das dimensões da Racionalidade Médica Chinesa. SHÉN relaciona-se com diversas outras categorias do Pensamento Médico e Filosófico Chinês, não sendo possível conceituá-lo sem mencionar categorias, tais como DÀO, YÏN YÁNG , TIÄN (Céu), RÉN (Homem), DÌ (Terra), MING (Destino), WÜ XÍNG (Cinco Fases), SÄN BÄO (Três Tesouros), GUÏ e LING Manifesta-se de diferentes formas através de sua relação com os ZÁNG FÜ (Órgãos e Vísceras), interferindo no funcionamento orgânico-visceral, nos aspectos de personalidade, nas emoções, entendidas como uma totalidade corpo-mente-espírito no Pensamento Médico chinês. SHÉN está presente em todas as dimensões da Racionalidade Médica Chinesa, diferindo o grau de importância dado por autores representantes de cada uma das três vertentes da Medicina Chinesa. Autores representantes da Medicina Clássica Chinesa (GÜ DÀI ZHÖNG YÏ) E DA Medicina Tradicional Chinesa (ZHÖNG YÏ) tendem a valorizar sua presença em todas as dimensões. Autores representantes da Medicina Chinesa Contemporânea (DÄNG DÀI ZHÖNG YÏ) tendem a valorizar a participação de SHÉN na dimensão Diagnose. Percebe-se, portanto, que SHÉN ao participar de todas as dimensões ganha o importante papel de estruturante da Racionalidade Médica Chinesa, não podendo, portanto, ser negligenciado nos estudos da Medicina Chinesa, sob pena de comprometer a importância da Racionalidade Médica.

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A modernidade caracteriza-se por um período em que ocorreram profundas revoluções em curtos intervalos de tempo. Nela, o mundo analógico foi substituído, gradativamente, pelo digital e o mundo material passou a dividir espaço com a realidade virtual. Inicialmente representada pelo mito prometeico, a modernidade foi tomada pelo impulso fáustico que hoje se traduz no desejo de recriar a condição humana. Os tecnoprofetas da Inteligência Artificial anunciam para breve as maravilhas da pós-humanidade e se ocupam com criação de máquinas espirituais que, acreditam eles, libertarão o homem de sua condição orgânica. Ciente de que a sociedade se organiza em torno da ótica tecnocientífica e de que as inovações alteram significativamente o modo como a maioria dos seres humanos se relaciona com o tempo, com o espaço e com a vida, este estudo discute o modelo de desenvolvimento tecnológico, por entender que ele não mais constitui assunto de domínio exclusivamente técnico, mas, também, de interesse político. Ademais, com vistas a problematizar o que dá sentido à técnica, faz-se uma crítica ao modelo atual, no qual ela, a técnica, subordinada à razão intrumental, funciona como instrumento de alienação e discute as condições necessárias a sua democratização. O estudo começa examinando dois fenômenos considerados determinantes na configuração do cenário atual: o capitalismo cognitivo e a reificação-tecnológica, entendidos como construções monopolizadas pela ótica capital-tecnocientífica. A seguir, faz-se uma análise sobre as noções de técnica, tecnologia e razão técnica e discute-se o impacto do desenvolvimento tecnológico no ato médico. A medicina representa uma atividade de grande valor social para o bem estar humano, embora, nas últimas décadas, venha enfrentando uma quebra no vínculo de confiança entre médicos e pacientes, além de uma crise na identidade desse profissional que hoje enfrenta dificuldades para preservar sua autonomia, face ao mercado das novas tecnologias e estratégias de gestão. Nesse contexto, surgem novas questões a serem elaboradas e a serem respondidas por diferentes atores e áreas de conhecimento da sociedade que desejem contribuir com reflexões e propostas que façam frente aos problemas específicos de nosso tempo. O trabalho sugere, ainda, que noções como Vontade - no sentido arendtiano, ou como o Olhar atento - Josep Esquiról e como Habilidade artesanal - Richard Sennett, podem nos ajudar a compreender as incumbências de uma re-orientação ética, se quisermos construir um diálogo com a razão tecnocientífica em prol da liberdade humana.

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Dedicated at-sea surveys for marine birds and mammals conducted in lower Cook Inlet in late July and early August from 1995–99 failed to locate any belugas, Delphinapterus leucas. Surveys covered a total of 6,249 linear km and were conducted in both nearshore and offshore habitats. Sightings included 791 individual marine mammals of 10 species. Both historical data and local knowledge indicate that belugas were regularly seen in summer in nearshore and offshore areas of lower Cook Inlet up until the early 1990’s. Diminished presence of belugas in lower Cook Inlet may be a direct function of reduced numbers but may also indicate changes in habitat quality that may inhibit recovery.

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With current and anticipated increases in magnitude of extreme weather events and a declining consistency in weather patterns, particularly challenging for agriculture, there has been a growing interest in weather index-based insurance (IBI) schemes in Bangladesh. A number of weather index-based insurance products have already been tested and applied across Asia and Africa, with varying degrees of success, as a mechanism to improve livelihood security by enabling vulnerable populations to transfer risk associated with climate change, extreme weather events and other hazards. In the process, these efforts have generated important new knowledge on how these schemes can be designed and implemented for optimal results. However, the practice of index-based insurance is still limited in Bangladesh, and the experience and knowledge generated by the different stakeholders involved needs to be better communicated.

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The mitochondrial DNA (mtDNA) control region is believed to play an important biological role in mtDNA replication. Large deletions in this region are rarely found, but when they do occur they might be expected to interfere with the replication of the molecule, thus leading to a reduction of mtDNA copy number. During a survey for mtDNA sequence variations in 5,559 individuals from the general Chinese population and 2,538 individuals with medical disorders, we identified a 50-bp deletion (m.298_347del50) in the mtDNA control region in a member of a healthy Han Chinese family belonging to haplogroup B4c1b2, as suggested by complete mtDNA genome sequencing. This deletion removes the conserved sequence block II (CSBII; region 299-315) and the replication primer location (region 317-321). However, quantification of the mtDNA copy number in this subject showed a value within a range that was observed in 20 healthy subjects without the deletion. The deletion was detected in the hair samples of the maternal relatives of the subject and exhibited variable heteroplasmy. Our current observation, together with a recent report for a benign 154-bp deletion in the mtDNA control region, suggests that the control of mtDNA replication may be more complex than we had thought. Hum Mutat 31:538-543, 2010. (C) 2010 Wiley-Liss, Inc.

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Our knowledge regarding ethno-medico zoology is scanty and scattered. The present work is an endeavour to collect information on indigenous traditional knowledge (ITK) of disease cure through fish consumption, prepare a consolidated report on this aspect and to document our ITK so that in the long run after due verification (by Medical experts), such ITK can be patented. We also suggest for the recognition of the age old tribal medicine and establishment of a national research institute for tribal medicines at suitable place for the welfare of all the human beings.

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Design rationale is an effective way of capturing knowledge, since it records the issues addressed, the options considered, and the arguments used when specific decisions are made during the design process. Design rationale is generally captured by identifying elements and their dependencies, i.e. in a structured way. Current retrieval methods focus mainly on either the classification of rationale or on keyword-based searches of records. Keyword-based retrieval is reasonably effective as the information in design rationale records is mainly described using text. However, most of the current keyword-based retrieval methods discard the implicit structures of these records, resulting either in poor precision of retrieval or in isolated pieces of information that are difficult to understand. This ongoing research aims to go beyond keyword-based retrieval by developing methods and tools to facilitate the provision of useful design knowledge in new design projects. Our first step is to understand the structured information derived from the relationship between lumps of text held in different nodes in the design rationale captured via a software tool currently used in industry, and study how this information can be utilised to improve retrieval performance. Specifically, methods for utilising various structured information are developed and implemented on a prototype keyword-based retrieval system developed in our earlier work. The implementation and evaluation of these methods shows that the structured information can be utilised in a number of ways, such as filtering the results and providing more complete information. This allows the retrieval system to present results that are easy to understand, and which closely match designers' queries. Like design rationale, other methods for representing design knowledge also in essence involve structured information and thus the methods proposed can be generalised to be adapted and applied for the retrieval of other kinds of design knowledge. Copyright © 2002-2012 The Design Society. All rights reserved.

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OBJECTIVE: This study identifies the stakeholders who have a role in medical device purchasing within the wider system of health-care delivery and reports on their particular challenges to promote patient safety during purchasing decisions. METHODS: Data was collected through observational work, participatory workshops, and semi-structured qualitative interviews, which were analyzed and coded. The study takes a systems-based and engineering design approach to the study. Five hospitals took part in this study, and the participants included maintenance, training, clinical end-users, finance, and risk departments. RESULTS: The main stakeholders for purchasing were identified to be staff from clinical engineering (Maintenance), device users (Clinical), device trainers (Training), and clinical governance for analyzing incidents involving devices (Risk). These stakeholders display varied characteristics in terms of interpretation of their own roles, competencies for selecting devices, awareness and use of resources for purchasing devices, and attitudes toward the purchasing process. The role of "clinical engineering" is seen by these stakeholders to be critical in mediating between training, technical, and financial stakeholders but not always recognized in practice. CONCLUSIONS: The findings show that many device purchasing decisions are tackled in isolation, which is not optimal for decisions requiring knowledge that is currently distributed among different people within different departments. The challenges expressed relate to the wider system of care and equipment management, calling for a more systemic view of purchasing for medical devices.