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PubMed1998

The SNOMED model: a knowledge source for the controlled terminology of the computerized patient record.

This article will present a description of the semi-implicit semantic properties of the Systematized Nomenclature of Human and Veterinary Medicine, also called SNOMED International. It will focus on the formalism of SNOMED and its computational properties using the disease definition as an example. Additional information will be provided in order to convert semi-implicit links found between SNOMED concepts into explicit computational semantic links.

Artificial Intelligence↗
PubMed2000

The use of schematic knowledge about sources in source monitoring.

Source monitoring refers to mental processes leading to attributions regarding the origin of information. We tested Johnson, Hashtroudi, and Lindsay's (1993) assumption that prior source-relevant knowledge is used in some source-monitoring tasks. In two experiments using different domains of schematic knowledge, two sources presented information that was expected for one source and somewhat unexpected for the other. In a later source-monitoring test, participants decided whether items had been presented by Source A, by Source B, or were new. The results of both experiments show that source identification is better for expected items than for somewhat unexpected items. Multinomial modeling analyses revealed that when participants do not remember the source of information, they guess that it was presented by the expected source. These results provide evidence for the claim that source monitoring can be based on prior knowledge and support a guessing hypothesis.

Adolescent↗
PubMed1997

An identification procedure for foodborne microbial hazards.

A stepwise and interactive identification procedure for foodborne microbial hazards has been developed in which use is made of several levels of detail ranging from rough hazard identification to comprehensive hazard identification. This approach allows one to tackle the most obvious hazards first, before focusing on less obvious hazards. The interactive character of the identification procedure is based on the use of several knowledge sources. Combination of knowledge sources, expressed in the use of knowledge rules, supports the user in systematically selecting hazards which may pose a real risk to the consumer. Due to the structured method and the clear definitions of the knowledge rules, the procedure is transparent and may be changed if necessary. The hazard identification procedure has been implemented as a computer program, resulting in a decision-supporting identification system. It provides a way to efficiently assess those hazards which may cause harm if not brought under control during processing. The procedure forms a basis for quantitative risk assessments.

Animals↗
PubMedDate not supplied

Diabetes knowledge and sources of information among African American and white older women.

African American women have a disproportionate risk of diabetes-related morbidity and mortality. Despite this risk, evidence indicates that educational interventions are not aimed at this population. We also currently lack basic information about the source of diabetes information for African American women and how such sources might affect their knowledge of the disease. We interviewed 51 women with diabetes to address such deficits in our understanding and, conceivably, to contribute culturally sensitive recommendations to enhance glucose control. To detect ethnic variations in knowledge and information source, half of our selected sample was African American and half was white. Results indicate that African American respondents achieved lower scores on the Diabetes Knowledge Test than their white counterparts. However, few differences were noted in the source of diabetes information, with both groups receiving their information from a wide variety of sources. Implications for health providers and educators are discussed.

Black or African American↗
PubMed1989

Oral health knowledge and sources of information among elementary schoolchildren.

The dental health knowledge and sources of health information of 848 elementary schoolchildren (aged 9-12) in southwestern Michigan were assessed. Demographic parameters (education level, percent below poverty level, median income level) of the area were similar to state and national averages. The children were found to have some knowledge of caries and periodontal disease prevention, yet basic misconceptions were evident. More than one-third of the children thought that plaque should only be removed by a dentist. While 75 percent of the subjects knew that fluoride protected teeth from decay, only 4 percent of the children identified fluoridated water as the best source of this preventive agent. Knowledge of pit and fissure sealants was limited. Extent of correct dental knowledge was not related to age, sex, or mean DMFS scores. Children who answered the most questions correctly named parents and family as their source of information; dentist's office was the second most frequently mentioned source. Findings suggest a need to correct basic misinformation about dental health and to inform children about current efficacious preventive agents.

Child↗
PubMed1993

The UMLS project: making the conceptual connection between users and the information they need.

Conceptual connections between users and information sources depend on an accurate representation of the content of available information sources, an accurate representation of specific user information needs, and the ability to match the two. Establishing such connections is a principal function of medical librarians. The goal of the National Library of Medicine's Unified Medical Language System (UMLS) project is to facilitate the development of conceptual connections between users and relevant machine-readable information. The UMLS model involves a combination of three centrally developed Knowledge Sources (a Metathesaurus, a Semantic Network, and an Information Sources Map) and a variety of smart interface programs that make use of these Knowledge Sources to help users in different environments find machine-readable information relevant to their particular practice or research problems. The third experimental edition of the UMLS Knowledge Sources was issued in the fall of 1992. Current priorities for the UMLS project include developing applications that make use of the Knowledge Sources and using feedback from these applications to guide ongoing enhancement and expansion of the Knowledge Sources. Medical librarians are involved heavily in the direction of the UMLS project, in the development of the Knowledge Sources, and in their experimental application. The involvement of librarians in reviewing, testing, and providing feedback on UMLS products will increase the likelihood that the UMLS project will achieve its goal of improving access to machine-readable biomedical information.

Grateful Med↗
PubMedDate not supplied

Children's suggestibility in relation to their understanding about sources of knowledge.

In the experiments reported here, children chose either to maintain their initial belief about an object's identity or to accept the experimenter's contradicting suggestion. Both 3- to 4-year-olds and 4- to 5-year-olds were good at accepting the suggestion only when the experimenter was better informed than they were (implicit source monitoring). They were less accurate at recalling both their own and the experimenter's information access (explicit recall of experience), though they performed well above chance. Children were least accurate at reporting whether their final belief was based on what they were told or on what they experienced directly (explicit source monitoring). Contrasting results emerged when children decided between contradictory suggestions from two differentially informed adults: Three- to 4-year-olds were more accurate at reporting the knowledge source of the adult they believed than at deciding which suggestion was reliable. Decision making in this observation task may require reflective understanding akin to that required for explicit source judgments when the child participates in the task.

Child Development↗
PubMed2004

Oral health knowledge and sources of information among male Saudi school children.

The purpose of present study was to determine the oral health knowledge and sources of information in male Saudi school children. The required information was collected through a especially designed questionnaire. A total of 130 children completed the questionnaire with the mean age of 13.3 (SD 1.9) years. There was no significant difference in oral health knowledge or sources of information in relation to age and educational level. Less than half (44.6%) of the children actually had heard about fluoride, one-third (34.6%) correctly identified the action of fluoride as preventing tooth decay. Almost all (97.2%) the children thought that sweets (chocolates/candies) could cause tooth decay. However, a large number of children were not aware of cariogenic potential of soft drinks (31.5%). More than half (53.1%) of the children reported that their dentist taught them how to brush properly. However, 11.5% children were not taught by any one about proper tooth-brushing. A large number (40.0%) of children thought that one must visit the dentist only in case of pain in the teeth. Dentists were the most popular (61.5%) source of oral health information. It can be concluded that the children need further oral health education in areas of caries prevention, and there was a need to utilise parents, schoolteachers and media to enhance their oral health knowledge.

Adolescent↗
PubMed2005

Knowledge, attitude and practice of parturients regarding Epidural Analgesia for labour in a university hospital in Karachi.

OBJECTIVE: To assess the knowledge, sources of knowledge, attitude (fears and misconceptions) regarding Epidural Analgesia (EA) and practices of parturients delivery at Aga Khan University hospital (AKUH). METHODS: A hospital based cross sectional study was conducted at the obstetric unit of AKUH, from November to December 2003. A questionnaire was filled through verbal interviews conducted on 448 parturients fulfilling the inclusion criteria. RESULTS: Seventy six percent of the females were aware of epidural analgesia as a labor pain relieving method. However, only 19% availed EA. About 40% had heard about EA from their obstetricians and 64% from friends or relatives. Twenty even percent believed that EA has detrimental effects on the baby while 9% stated that EA can prolong the duration of labour. CONCLUSION: Majority of the pregnant females delivering at Aga Khan University Hospital were aware of epidural analgesia for labour. However, only a small proportion are availing this service, due to fears and misconceptions.

Adult↗
PubMed1993

Toward an interim standard for patient-centered knowledge-access.

Most care-giver "knowledge" needs arise at the point of care and are "patient-centered." Many of these knowledge needs can be met using existing on-line knowledge sources, but the process is too time-consuming, currently, for even the computer-proficient. We are developing a set of public domain standards aimed at bringing potentially relevant knowledge to the point of care in a straight-forward and timely fashion. The standards will a) make use of selected items from a Computer-based Patient Record (CPR), e.g., a diagnosis and measure of severity, b) anticipate certain care-giver knowledge needs, e.g., "therapy," "protocols," "complications," and c) try to satisfy those needs from available knowledge sources, e.g., knowledge-bases, citation databases, practice guidelines, and on-line textbooks. The standards will use templates, i.e., fill-in-the-blank structures, to anticipate knowledge needs and UMLS Metathesaurus enhancements to represent the content of knowledge sources. Together, the standards will form the specification for a "Knowledge-Server" (KS) designed to be accessed from any CPR system. Plans are in place to test an interim version of this specification in the context of medical oncology. We are accumulating anecdotal evidence that a KS operating in conjunction with a CPR is much more compelling to users than either a CPR or a KS operating alone.

Artificial Intelligence↗
PubMed2004

Theoretical estimates of the solid angle subtended by a dual diaphragm-detector assembly for alpha sources.

Knowledge of the solid angle subtended by a detector is essential for the determination of the activity of a radioactive source. This work investigates the influence of diaphragm and source diameter, and source to diaphragm distance, on the solid angle subtended by a dual opposed alpha diaphragm-detector assembly. Expressions published by Segre, Ruby, and others, and the Monte Carlo method are used. The analytical expressions consistently produced higher estimates than the Monte Carlo method for the solid angle.

Journal Article↗
PubMed2001

[A shared room of reflection where the patient's symptoms are valid sources of knowledge].

BACKGROUND: The consultation is supposed to clarify the origin of the patient's complaints and what can be done to alleviate them. Diagnostic work and interaction are challenged by subjective symptoms with no objective findings. In our project "Symptoms as a source of knowledge" we studied women's medically unexplained disorders from the viewpoint that the patient's knowledge represents significant potential for creative understanding. MATERIAL AND METHODS: Concepts and hypotheses about symptoms applied as diagnostic sources of knowledge were drawn from qualitative analysis of findings from the subprojects. We have explored issues of relevance and validity that shape the consultation as a medical and cultural space. RESULTS: Symptoms beyond established categories can disturb a room of reflection which includes patient as well as doctor. The patient may feel dismissed as a person, the process of objectivising becomes defocused, and the diagnostic activity deals with the patient's credibility. Signs related to "either-or" appear as a more comprehensible medical pattern than signs of 'more-or-less'. The probability of a common room of reflection may be related to cultural attitudes to time, blame, and womanliness. INTERPRETATION: When traditional medical analytic tools fail, alternative rooms of reflection can be established from recognition, resources, and dialogue, enhancing surprises and curiosity.

Clinical Competence↗
PubMed1994

Reusable influence diagrams.

Influence Diagrams have been recognized as a suitable formalism for building probabilistic expert systems. Nevertheless, the most part of applications consists in stand-alone systems, concerning a very limited domain. On the other hand, Artificial Intelligence research has outlined Blackboard Architectures as the basis for building expert systems in which several knowledge sources, in general built with different formalisms, cooperate to the solution of a complex task. This paper addresses the use of influence diagrams as knowledge sources of such a system, and particularly faces the problem of reusing the same influence diagram in different inference phases. We will show that, specially in planning tasks, the modularity requirement of keeping the knowledge sources separated, may imply that an influence diagram must call another influence diagram to solve itself and to maintain the coherence of the whole set of decisions underlying the plan. Conditions for the correctness of this concatenation of knowledge sources will be provided, and an example from the medical domain of therapy planning for Acute Myeloid Leukemia will be shown, as an implemented prototype exploiting these ideas.

Acute Disease↗
PubMed1989

Early understanding of perception as a source of knowledge.

Two studies investigated preschool children's ability to infer another person's knowledge or ignorance on the basis of that person's recent perceptual experience. In Experiment 1 children were questioned about their own and a puppet's knowledge of a hidden object's color and about their own and the puppet's ability to see the hidden object. Three- and 4-year-olds attributed knowledge and perceptual experience to the person (either themselves or the puppet) who had viewed the hidden object, but not to the person who did not view it. Experiment 2 further investigated 3-year-olds understanding of perception as a source of knowledge. Children were asked to indicate which of two puppets, one who had viewed a hidden object and one who had not, would be able to tell them the object's color. Children chose the correct puppet more often than would be predicted by chance. The results of these experiments suggest that understanding of perception as a source of knowledge is present by the age of 3 years.

Attention↗
PubMed2006

Utilization of covariation knowledge in source monitoring: no evidence for implicit processes.

In three experiments, a "hidden covariation" (Lewicki, in Journal of Experimental Psychology: Learning, Memory, and Cognition, 12, 135-146, 1986) of nonsalient stimulus attributes and the source of stimulus information was established to test whether implicit knowledge about this correlation influences source memory judgments. The source monitoring framework (Johnson, Hashtroudi, and Lindsay, in Psychological Bulletin, 114, 3-28, 1993) postulates heuristic and strategic judgment processes in source attributions. A multinomial model analysis disentangled memory and guessing processes. While there were large strategic guessing biases involving explicit knowledge in all experiments, there was no evidence for the use of implicit covariation knowledge. Only participants who were later able to verbalize the covariation had shown corresponding biases during the source memory test, suggesting that implicit covariation knowledge plays no prominent role in the reconstruction processes in source monitoring.

Adult↗
PubMedDate not supplied

Sources of knowledge in nursing.

This article provides a brief overview of the various sources and types of nursing knowledge, highlighting their similarities and differences. The authors investigate the underlying principles and the strengths and weaknesses of such knowledge. This should enable the professional to decide which is the most appropriate source (both to the patient/client and the professional) to meet a particular demand.

Clinical Competence↗
PubMed2006

Analytical calculations of the solid angles subtended by a well-type detector at point and extended circular sources.

Knowledge of the solid angle (and consequently, the geometrical efficiency) is essential in all absolute measurements of the strengths of radioactive materials and to calibrate detectors. The method of high-efficiency gamma counting by means of well-type HPGe and NaI (Tl) detectors is widely used and has proved a powerful tool, particularly when low-activity, small-volume environmental samples are to be analyzed by gamma-ray spectrometry. In the present work, we introduce a direct analytical method for calculating the solid angle subtended by a well-type detector at axial point, non-axial point, extended circular disk and cylindrical sources. The validity of the derived analytical expressions was successfully confirmed by the comparisons with some published data (experimental and Monte Carlo).

Journal Article↗