PubMed · 11638799
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J Mildenberger. 1997. [Not Available].. https://pubmed.ncbi.nlm.nih.gov/11638799/
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OBJECTIVE: The purposes of the study were (1) to evaluate the usefulness of the International Standards Organization (ISO) Reference Terminology Model for Nursing Diagnoses as a terminology model for defining nursing diagnostic concepts in the Medical Entities Dictionary (MED) and (2) to create the additional hierarchical structures required for integration of nursing diagnostic concepts into the MED. DESIGN AND MEASUREMENTS: The authors dissected nursing diagnostic terms from two source terminologies (Home Health Care Classification and the Omaha System) into the semantic categories of the ISO model. Consistent with the ISO model, they selected Focus and Judgment as required semantic categories for creating intensional definitions of nursing diagnostic concepts in the MED. Because the MED does not include Focus and Judgment hierarchies, the authors developed them to define the nursing diagnostic concepts. RESULTS: The ISO model was sufficient for dissecting the source terminologies into atomic terms. The authors identified 162 unique focus concepts from the 266 nursing diagnosis terms for inclusion in the Focus hierarchy. For the Judgment hierarchy, the authors precoordinated Judgment and Potentiality instead of using Potentiality as a qualifier of Judgment as in the ISO model. Impairment and Alteration were the most frequently occurring judgments. CONCLUSIONS: Nursing care represents a large proportion of health care activities; thus, it is vital that terms used by nurses are integrated into concept-oriented terminologies that provide broad coverage for the domain of health care. This study supports the utility of the ISO Reference Terminology Model for Nursing Diagnoses as a facilitator for the integration process.
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In the literature it is L. L. Finke's three volume work Versuch einer aligemeinen medicinisch-praktischen Geographie, 1792-1795, that is commonly cited as the first to use the term "medical geography". However, Rofort's investigations on the 18th and 19th century development of medical topography in France (1987, 1988) has revealed that a French physician, Dehorne, used the term a decade earlier, and in 1784 Dehorne suggested that a project be undertaken by the Royal Medical Society of Paris on a "Medical Geography of France". The proposal was debated in the Journal de Médecine Militaire in 1786. This correspondence probably is the earliest critique of the concept of medical geography. It was also the French who were the first to have entries on medical geography in dictionaries and encyclopedias. Dr. Jean-Noël Hallé wrote a lengthy piece conceptually placing medical geography as a foundation for medical hygienics in Encyclopédie Méthodique (1787, 1792). In 1817 Julien Virey wrote a 66 page entry on medical geography in the Dictionnaire des Sciences Médicales. Throughout the nineteenth century authors writing in the French language continued to make advances and in 1933 the French geographer Max Sorre suggested new directions for the field in the light of bacteriological discoveries and the re-orientation of medicine.