The problem consists of investigating relationships between the Wechsler Bellevue Intelligence Scale, Form I, and the Kuder Preference Record-Personal.

This thesis examines the situation for archivists within the context of e-government in three Swedish authorities. The discussions that are brought up concern the archivists role, professional development and the perspective of information in the context of e-government. Since the purpose with this thesis was mainly concerning the situation for the archivists, the method chosen was a qualitative research method, and it was used in combination with interviews with the archivists at the chosen authorities. The results show that the archivists within the examined authorities are seen as experts on information management and legislation surrounding it. Problems connected to e-government are that they face prejudice about their capability concerning new technology and digital information. This problem has been handled differently within the authorities, change of official titles has been one tactic. Their tasks and professional development have been slightly changed as they are working in a higher capacity ahead of the information being created. The change that can be seen in the context of e-government is that archivists are being more visible within their work places, which can be correlated to the e-government that encourage team work and collaborations to create an efficient and accessible authority. What this means for the archivists is that they can use these collaborations to further their own projects and tasks within the organisation in a better way. Contrary to the belief that archivists can only manage information on paper the participants in this research prove they have adopted well to the way of e-government partly through the Record Continuum Model. They are aware about the different perspectives necessary for handling the new ways of structuring and seeing information, which became clear with the development and structure of e-archives within two of the authorities and the preparation for being connected for the third. Finally, this thesis shows that archivists are beginning to be able to compete with other departments and professions on the same terms and that they are starting to find their own place within the area of IT and information management. This is a two years master's thesis in archival science.

O relacionamento de dados record linkage, originou-se na área da saúde pública e atualmente é aplicado em várias outras áreas como: epidemiologia, pesquisa médica, criação de ensaios clínicos, na área de marketing, gestão de relacionamento com o cliente, detecção de fraude, aplicação da lei e na administração do governo. A técnica consiste no processo de comparação entre dois ou mais registros em diferentes bases de dados e as principais estratégias de record linkage são: manual, deterministic record linkage (DRL) e probabilistic record linkage (PRL). Este estudoteve como objetivo aplicar o record linkage em bases de dados heterogêneas, utilizadas pela rede de atenção à saúde do município de Ribeirão Preto e identificar entre elas a melhor estratégia a ser adotada para a integração de bases de dados na área da saúde. As bases de dados da secretaria Municipal de Saúde de Ribeirão Preto (SMS-RP) e do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto (HCFMRP/USP) foram objeto deste estudo, tendo como critério de inclusão apenas os registros de pacientes em que o município de residência informado correspondia ao município de Ribeirão Preto e o atendimento tivesse ocorrido na Unidade Básica Distrital e de Saúde (UDBS) - Centro Saúde Escola Joel Domingos Machado\" (CSE-Sumarezinho) nos anos de janeiro de 2006 a agosto de 2008 e no HCFMRP/USP. Foi selecionada uma amostra aleatória simples resultando em um conjunto de 1.100 registros de pacientes na base de dados do CSE-Sumarezinho e de 370.375 registros na base de dados do HCFMRP/USP. Foram, então, selecionadas quatro variáveis de relacionamento (nome, nome da mãe, sexo e data de nascimento). As estratégias adotadas foram: DRL exato, DRL com discordância em uma variável de relacionamento, e baseada em funções de similaridades (Dice, Levenshtein, Jaro e Jaro-Winkler) e, por fim, PRL. A estratégia DRL exato resultou em 334 registros pareados e na abordagem com discordância de uma variável foram 335, 343, 383 e 495, sendo as variáveis discordantes sexo, data de nascimento, nome e nome da mãe respectivamente. Quanto ao uso das funções de similaridades, as que mais se destacaram foram Jaro-Winkler e Jaro. Quanto à acurácia dos métodos aplicados, o PRL (sensibilidade = 97,75% (CI 95% 96,298,8) e especificidade = 98,55% (CI 95% 97,0-99,4)) obteve melhor sensibilidade e especificidade, seguido do DRL com as funções de similaridade Jaro-Winkler sensibilidade = 91,3% (CI 95% 88,793,4) e especificidade = 99% (CI 95% 97,6-99,7)) e Jaro (sensibilidade = 73,1% (CI 95% 69,476,6) e especificidade = 99,6% (CI 95% 98,5-99,9)). Quanto à avaliação da área sob a curva ROC do PRL, observou-se que há diferença estatisticamente significativa (p = 0,0001) quando comparada com os métodos DRL com discordância da variável nome da mãe, Jaro-Winkler e Jaro. Os resultados obtidos permitem concluir que o método PRL é mais preciso dentre as técnicas avaliadas. Mas as técnicas com a função de similaridade de Jaro-Winkler e Jaro também são alternativas viáveis interessantes devido à facilidade de utilização apesar de apresentarem o valor de sensibilidade ligeiramente menor que o PRL. / The record linkage originated in the area of public health and is currently applied in several other areas such as epidemiology, medical research, establishment of clinical trials, in the area of marketing, manager customer relationships, fraud detection, law enforcement and government administration. The technique consists on the comparison between two or more records in different databases and their key strategies are: manual comparison, Deterministic Record Linkage (DRL), and Probabilistic Record Linkage (PRL).This study aimed to apply the record linkage in heterogeneous databases, used by the network of health care in Ribeirão Preto and identify the best strategy to be adopted for the integration of databases in health care. The databases that were evaluated in this study were of the Municipal Health Department of Ribeirão Preto (SMS-RP) and of the Clinical Hospital of the School of Medicine of Ribeirao Preto (HCFMRP/USP) having as inclusion criterion only the records of patients in the county of residence reported corresponded to the city of Ribeirão Preto and care had taken place in the Basic District Health Unit (UDBS) - School Health Center \"Joel Domingos Machado\" (CSE-Sumarezinho) included in the years from January 2006 to August 2008 and in the HCFMRP/USP. Held to select a simple random sample resulted in a set of 1,100 patient records in the database of the CSE-Sumarezinho and 370,375 records in the database of HCFMRP/USP. Then there was the selection of four linking variables (name, mother\'s name, gender and birth date). The strategies adopted were: the exact DRL, DRL with one variable where the linking is disagreement, applied with similarity functions (Dice, Levenshtein, Jaro, and Jaro-Winkler), and, finally, PRL. The strategy of the exact DRL resulted in 334 matched records and strategy in dealing with disagreement of one variable were 335, 343, 383 and 495, to the following variables discordant gender, birth date, name and mother\'s name, respectively. Regarding the use of similarity functions which most stood out were Jaro and Jaro-Winkler. Regarding the accuracy of the methods applied, the PRL obtained better sensitivity and specificity (sensitivity = 97,75% (CI 95% 96,298,8) and specificity = 98.55% (95% CI 97.0 to 99.4)), followed by the DRL with the similarity functions Jaro-Winkler (sensitivity = 91.3% (95% CI 88.7 to 93.4) and specificity = 99% (95% CI 97.6 to 99, 7)) and then by Jaro (sensitivity = 73.1% (95% CI 69.4 to 76.6) = 99.6% and specificity (95% CI 98.5 to 99.9)). The evaluation of the area under the ROC curve in the PRL, was observed that there is statistically significant difference (p = 0.0001) if it is compared with the DRL methods when there is disagreement in the variable mother\'s name, as well as for Jaro and for Jaro-Winkler. The results indicate that the PRL method is most accurate among the techniques evaluated. Although the techniques with the similarity function of Jaro-Winkler and Jaro were also interesting viable options due to the ease of use, although having the sensitivity value slightly smaller than the PRL.

No description available.

Sammanfattning Syftet med föreliggande arbete var att studera förekomsten av felaktiga läkemedelsordinationer på en pediatrisk avdelning. Metoden bestod i journalgranskning av läkemedelsordinationer av inskrivna patienter (n = 94) under två månader, 2012. Journalgranskningen utfördes i journaldatabasen Cosmic och omfattade 543 läkemedelsordinationer vilka granskades utifrån flertalet variabler. Resultatet visade att 174 av 543 (32 %) ordinationslistor var felaktiga. Läkemedelsnamn samt hänvisning till speciallista var angivet i samtliga ordinationer. Läkemedelsform var angivet i majoriteten av läkemedelsordinationerna. Styrka var ej angivet i 1 %, dos var ej angivet i 2 %, administrationssätt var felaktigt angivet i 6 % och var ej angivet i 9 %, administrationstidpunkt var ej angivet i 2 %. Maxdos för vid behovsläkemedel var ej angivet i 35 % och spädningsschema eller hänvisning till spädningsschema var ej angivet i 10 % av läkemedelsordinationerna. Slutsatsen visar att de vanligaste felaktigheterna bestod i administrationssätt, maxdos för vid behovsläkemedel samt spädningsschema eller hänvisning till spädningsschema. Alla felaktigheter i läkemedelsordinationen har påverkan på arbetssituationen för sjuksköterskan i såväl handhavandet av läkemedel, tidsåtgång samt resurser inom vården, vilket äventyrar patientsäkerheten. / Abstract The aim of the study was to investigate the incidence of drug prescription errors at a pediatric ward facility. The method used consisted of medical record review of drug prescription errors of enrolled patients (n = 94) for two months during 2012. Medical record review was performed and included 543 drug prescriptions, which were evaluated. The results showed that 174 of 543 (32 %) of prescription lists were incorrect, based on information given with the medication. The study found that drug name and reference to the specialist were always provided. However, errors included: dosage form not specified in 0.4%, strength was not specified in 1.1%, dose was not specified in 1.6%, route of administration was incorrectly stated in 5.9% and was not specified in 8.8%, administration time was not specified in 1.7%. Maximum dose for range order was not specified in 34.9% and dilution scheme or reference to dilution scheme was not specified in 9.6%. The conclusion of the study was that the most common prescription errors consisted of route of administration, the maximum dose if necessary drugs and dilution scheme or reference to dilution scheme. Prescription errors have effects in the workplace for nurses in the administration of drugs, which threatens patient safety.

xvi, 436 p. A print copy of this thesis is available through the UO Libraries. Search the library catalog for the location and call number. / This study examined the cultural political economic significance of the physical "brick and mortar" independent record store in the digital era. The research was built upon two critical frameworks -- the political economy of communication and critical cultural studies. The political economy of communication situated the independent record store within the dominant music industry, and was concerned with the corporate structuring and standardization of music culture. The study analyzed the extreme market concentration involving the "big four" major record labels (in terms of vertical and horizontal integration, diversification and product synergy), their interconnectedness to the major corporate music retailers, and the implications for the manufacturing of popular musical artists. The independent record store (to varying degrees) counters these tendencies by offering greater cultural diversity in terms of "independent," local, used and obscure music. However, the independent record store is influenced by the policies and practices of the major label system, distribution channels, big box chain retailers, and on-line commerce. The study examined the dominant industry policies and practices, including buying (centralized versus localized), music as a loss leader, co-op advertising, retail "payola," retail censorship, and the overall range of musical diversity, vis-à-vis the practices and semi-autonomous nature of the independent record store. This project was equally invested in the cultural aspects of the independent record store in terms of communities and scenes. Various subcultures gather and connect with each other at independent record stores, where anti-corporate and counter-hegemonic narratives circulate, and individuals learn about the depths of musical history and culture. This project explored the physical atmosphere and vernacular culture associated with the stores, as well as the cultural significance of vinyl record collecting. However, these cultural attributes are framed in terms of the harvesting of commodification, where the perception of "independence" is rendered problematic in terms of the economic realities associated with the logic of capital. The primary ethnographic field sites for this study included the House of Records in Eugene, Oregon; Music Millennium in Portland, Oregon; and Amoeba Music in San Francisco, California. Numerous specialty independent record stores within these geographic areas were also included in the study. / Committee in charge: Janet Wasko, Chairperson, Journalism and Communication; Carl Bybee, Member, Journalism and Communication; Leslie Steeves, Member, Journalism and Communication; Julianne Newton, Member, Journalism and Communication; Douglas Blandy, Outside Member, Arts and Administration

Made available in DSpace on 2016-08-03T12:29:25Z (GMT). No. of bitstreams: 1 JAMILE MARINHO PALACCE.pdf: 4045432 bytes, checksum: 3ffcc23dc03b1f99366e4caff9bb64c9 (MD5) Previous issue date: 2011-09-13 / The promotional calls are considered as a commercial broadcaster. Through them, the programming content is disclosed to persuade the public to watch the programs. This research has identified that the use of verbal and visual appeal, close calls, language publicitaries. No But the similarities do not get the publicity at the time of the exhibition pieces. Baseaded on the concept of redundancy proposed by the Information Theory and Learning Theory in the Message, Carl Hovland, research conducted a case study of the first two seasons of THE FARM, displayed on the Rede Record TV. It was concluded that the so-called reality show were not displayed in accordance with the concepts of advertising GRP coverage and often wasted space caused overexposure of the breaks and the public with self-promotional messages. / As chamadas promocionais são consideradas como um comercial da emissora. Através delas, o conteúdo da programação é divulgado para persuadir o público a assistir os programas. Esta investigação identificou que o uso de apelos verbais e visuais, aproxima as chamadas da linguagem publicitária. No entanto, as semelhanças com a publicidade não se dão no momento da exibição das peças. Baseando-se no conceito de redundância proposto pela Teoria da Informação e na Teoria da Aprendizagem da Mensagem, de Carl Hovland, a pesquisa realizou um estudo de caso das duas primeiras temporadas de A FAZENDA, exibidas na Rede Record de Televisão. Pôde-se concluir que as chamadas do reality show não foram exibidas de acordo com os conceitos publicitários de GRP, cobertura e frequência, desperdiçando o espaço dos breaks e causando superexposição das mensagens autopromocionais.

O relacionamento de dados record linkage, originou-se na área da saúde pública e atualmente é aplicado em várias outras áreas como: epidemiologia, pesquisa médica, criação de ensaios clínicos, na área de marketing, gestão de relacionamento com o cliente, detecção de fraude, aplicação da lei e na administração do governo. A técnica consiste no processo de comparação entre dois ou mais registros em diferentes bases de dados e as principais estratégias de record linkage são: manual, deterministic record linkage (DRL) e probabilistic record linkage (PRL). Este estudoteve como objetivo aplicar o record linkage em bases de dados heterogêneas, utilizadas pela rede de atenção à saúde do município de Ribeirão Preto e identificar entre elas a melhor estratégia a ser adotada para a integração de bases de dados na área da saúde. As bases de dados da secretaria Municipal de Saúde de Ribeirão Preto (SMS-RP) e do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto (HCFMRP/USP) foram objeto deste estudo, tendo como critério de inclusão apenas os registros de pacientes em que o município de residência informado correspondia ao município de Ribeirão Preto e o atendimento tivesse ocorrido na Unidade Básica Distrital e de Saúde (UDBS) - Centro Saúde Escola Joel Domingos Machado\" (CSE-Sumarezinho) nos anos de janeiro de 2006 a agosto de 2008 e no HCFMRP/USP. Foi selecionada uma amostra aleatória simples resultando em um conjunto de 1.100 registros de pacientes na base de dados do CSE-Sumarezinho e de 370.375 registros na base de dados do HCFMRP/USP. Foram, então, selecionadas quatro variáveis de relacionamento (nome, nome da mãe, sexo e data de nascimento). As estratégias adotadas foram: DRL exato, DRL com discordância em uma variável de relacionamento, e baseada em funções de similaridades (Dice, Levenshtein, Jaro e Jaro-Winkler) e, por fim, PRL. A estratégia DRL exato resultou em 334 registros pareados e na abordagem com discordância de uma variável foram 335, 343, 383 e 495, sendo as variáveis discordantes sexo, data de nascimento, nome e nome da mãe respectivamente. Quanto ao uso das funções de similaridades, as que mais se destacaram foram Jaro-Winkler e Jaro. Quanto à acurácia dos métodos aplicados, o PRL (sensibilidade = 97,75% (CI 95% 96,298,8) e especificidade = 98,55% (CI 95% 97,0-99,4)) obteve melhor sensibilidade e especificidade, seguido do DRL com as funções de similaridade Jaro-Winkler sensibilidade = 91,3% (CI 95% 88,793,4) e especificidade = 99% (CI 95% 97,6-99,7)) e Jaro (sensibilidade = 73,1% (CI 95% 69,476,6) e especificidade = 99,6% (CI 95% 98,5-99,9)). Quanto à avaliação da área sob a curva ROC do PRL, observou-se que há diferença estatisticamente significativa (p = 0,0001) quando comparada com os métodos DRL com discordância da variável nome da mãe, Jaro-Winkler e Jaro. Os resultados obtidos permitem concluir que o método PRL é mais preciso dentre as técnicas avaliadas. Mas as técnicas com a função de similaridade de Jaro-Winkler e Jaro também são alternativas viáveis interessantes devido à facilidade de utilização apesar de apresentarem o valor de sensibilidade ligeiramente menor que o PRL. / The record linkage originated in the area of public health and is currently applied in several other areas such as epidemiology, medical research, establishment of clinical trials, in the area of marketing, manager customer relationships, fraud detection, law enforcement and government administration. The technique consists on the comparison between two or more records in different databases and their key strategies are: manual comparison, Deterministic Record Linkage (DRL), and Probabilistic Record Linkage (PRL).This study aimed to apply the record linkage in heterogeneous databases, used by the network of health care in Ribeirão Preto and identify the best strategy to be adopted for the integration of databases in health care. The databases that were evaluated in this study were of the Municipal Health Department of Ribeirão Preto (SMS-RP) and of the Clinical Hospital of the School of Medicine of Ribeirao Preto (HCFMRP/USP) having as inclusion criterion only the records of patients in the county of residence reported corresponded to the city of Ribeirão Preto and care had taken place in the Basic District Health Unit (UDBS) - School Health Center \"Joel Domingos Machado\" (CSE-Sumarezinho) included in the years from January 2006 to August 2008 and in the HCFMRP/USP. Held to select a simple random sample resulted in a set of 1,100 patient records in the database of the CSE-Sumarezinho and 370,375 records in the database of HCFMRP/USP. Then there was the selection of four linking variables (name, mother\'s name, gender and birth date). The strategies adopted were: the exact DRL, DRL with one variable where the linking is disagreement, applied with similarity functions (Dice, Levenshtein, Jaro, and Jaro-Winkler), and, finally, PRL. The strategy of the exact DRL resulted in 334 matched records and strategy in dealing with disagreement of one variable were 335, 343, 383 and 495, to the following variables discordant gender, birth date, name and mother\'s name, respectively. Regarding the use of similarity functions which most stood out were Jaro and Jaro-Winkler. Regarding the accuracy of the methods applied, the PRL obtained better sensitivity and specificity (sensitivity = 97,75% (CI 95% 96,298,8) and specificity = 98.55% (95% CI 97.0 to 99.4)), followed by the DRL with the similarity functions Jaro-Winkler (sensitivity = 91.3% (95% CI 88.7 to 93.4) and specificity = 99% (95% CI 97.6 to 99, 7)) and then by Jaro (sensitivity = 73.1% (95% CI 69.4 to 76.6) = 99.6% and specificity (95% CI 98.5 to 99.9)). The evaluation of the area under the ROC curve in the PRL, was observed that there is statistically significant difference (p = 0.0001) if it is compared with the DRL methods when there is disagreement in the variable mother\'s name, as well as for Jaro and for Jaro-Winkler. The results indicate that the PRL method is most accurate among the techniques evaluated. Although the techniques with the similarity function of Jaro-Winkler and Jaro were also interesting viable options due to the ease of use, although having the sensitivity value slightly smaller than the PRL.

Le chaînage d’enregistrements est la tâche qui consiste à identifier parmi différentes sources de données les enregistrements qui concernent les mêmes entités. En l'absence de clé d’identification commune, cette tâche peut être réalisée à l’aide d’autres champs contenant des informations d’identifications, mais dont malheureusement la qualité n’est pas parfaite. Pour ce faire, de nombreuses méthodes dites « de chaînage de données » ont été proposées au cours des dernières décennies.Afin d’assurer le chaînage valide et rapide des enregistrements des mêmes patients dans le cadre de GINSENG, projet qui visait à mettre en place une infrastructure de grille informatique pour le partage de données médicales distribuées, il a été nécessaire d’inventorier, d’étudier et parfois d’adapter certaines des diverses méthodes couramment utilisées pour le chaînage d’enregistrements. Citons notamment les méthodes de comparaison approximative des champs d’enregistrement selon leurs épellations et leurs prononciations, les chaînages déterministe et probabiliste d’enregistrements, ainsi que leurs extensions. Ces méthodes comptent des avantages et des inconvénients qui sont ici clairement exposés.Dans la pratique, les champs à comparer étant souvent imparfaits du fait d’erreurs typographiques, notre intérêt porte particulièrement sur les méthodes probabilistes de chaînage d’enregistrements. L’implémentation de ces méthodes probabilistes proposées par Fellegi et Sunter (PRL-FS) et par Winkler (PRL-W) est précisément décrite, ainsi que leur évaluation et comparaison. La vérité des correspondances des enregistrements étant indispensable à l’évaluation de la validité des résultats de chaînages, des jeux de données synthétiques sont générés dans ce travail et des algorithmes paramétrables proposés et détaillés.Bien qu’à notre connaissance, le PRL-W soit une des méthodes les plus performantes en termes de validité de chaînages d’enregistrements en présence d’erreurs typographiques dans les champs contenant les traits d’identification, il présente cependant quelques caractéristiques perfectibles. Le PRL-W ne permet par exemple pas de traiter de façon satisfaisante le problème de données manquantes. Notons également qu’il s’agit d’une méthode dont l’implémentation n’est pas simple et dont les temps de réponse sont difficilement compatibles avec certains usages de routine. Certaines solutions ont été proposées et évaluées pour pallier ces difficultés, notamment plusieurs approches permettant d’améliorer l’efficacité du PRL-W en présence de données manquantes et d’autres destinées à optimiser les temps de calculs de cette méthode en veillant à ce que cette réduction du temps de traitement n’entache pas la validité des décisions de chaînage issues de cette méthode. / Record linkage is the task of identifying which records from different data sources refer to the same entities. Without the common identification key among different databases, this task could be performed by comparison of corresponding fields (containing the information for identification) in records to link. To do this, many record linkage methods have been proposed in the last decades.In order to ensure a valid and fast linkage of the same patients’ records for GINSENG, a research project which aimed to implement a grid computing infrastructure for sharing medical data, we first studied various commonly used methods for record linkage. These are the methods of approximate comparison of fields in record according to their spellings and pronunciations; the deterministic and probabilistic record linkages and their extensions. The advantages and disadvantages of these methods are clearly demonstrated.In practice, as fields to compare are sometimes subject to typographical errors, we focused on probabilistic record linkage. The implementation of these probabilistic methods proposed by Fellegi and Sunter (PRL-FS) and Winkler (PRL-W) is described in details, and also their evaluation and comparison. Synthetic data sets were used in this work for knowing the truth of matches to evaluate the linkage results. A configurable algorithm for generating synthetic data was therefore proposed.To our knowledge, the PRL-W is one of the most effective methods in terms of validity of linkages in the presence of typographical errors in the field. However, the PRL-W does not satisfactorily treat the missing data problem in the fields, and the implementation of PRL-W is complex and has a computational time that impairs its opportunity in routine use. Solutions are proposed here with the objective of improving the effectiveness of PRL-W in the presence of missing data in the fields. Other solutions are tested to simplify the PRL-W algorithm and both reduce computational time and keep and optimal linkage accuracy.Keywords:

Some hospital leaders are ineffective in implementing the electronic medical record (EMR) systems in the hospitals. The purpose of this multiple case study was to explore strategies hospital leaders use to successfully implement EMR systems. The target population consisted of hospital leaders and healthcare professionals from two hospitals who have successfully implemented EMR systems. The conceptual framework of this research study was Kotter's 8-stage process for leading change, building on the model of an effective change management method. Data were collected from 5 interviewed participants and company documents related to strategies regarding the EMR system implementation. The results of reviewing open-ended interview questions and archived documents were analyzed using codes and themes to facilitate triangulation. Three primary themes were developed from the coded data: (a) strategies hospital leaders use to implement the EMR system, (b) strategies hospital leaders use to achieve quality and best practice, and (c) strategies hospital leaders use to manage change and resistance to change. Results revealed 4 steps for successful implementation: (1) creating a vision, (2) communicating the vision, (3) establishing strong leadership, and (4) consolidating gains. Utilizing the successful strategies hospital leaders use to implement the EMR systems could produce quality patient care, efficiencies in hospital operations, and reduced organizational operation cost. The findings could effect positive social change through delivery of quality health and patient care that results in community cost benefits and healthier patient lifestyles.