The purpose of this thesis for the degree of Master, one year, is to investigate the translation of medical information from British English into Swedish. The analysis is concerned with readability and terminology. In specific, the areas of investigation are how readability of the material compares to other studies, what translation strategies or sources a translator may use, and what kind of translation shifts the terms analyzed undergo. The source text material consists of some six thousand words from a leaflet called 10q25 and 10q26 Deletions from Unique, a charity organization based in Great Britain, which welcomes families located worldwide as members. The theory in this thesis is based on previous research within the focus areas of readability, terminology, translation strategies, and translation shifts. Examples include Frege (1948 [1892]), Ogden and Richards (1923), Flesch(1948), McLaughlin (1969), Vinay and Darbelnet (1995), Deléger et al (2010), Kolahi andShirvani (2012), and Acar and İşisağ (2017). The text material does not fulfill the professional recommendations regarding readability, which confirms observations from previous studies. Overall, there is a tendency towards an improved readability level in the translation, which contradicts one bilingual study (Kolahi and Shirvani) but partially confirms another (Acar and İşisağ). Of the terms identified for analysis, 49.4 % have been found to require translation strategies sorting under oblique translation, where the predominant method is transposition. A significantly higher number of terms have been found in term banks and corpora than indicated in a previous study.

This diploma thesis focuses on the problem of information behavior in the process of providing medical and health information. Research focuses on identifying information barriers. Research was implemented in several specialized workplaces: Homolka Hospital Library, National Medical Library, Institute for Clinical and Experimental Medicine: Scientific Medical Library, Institute for Postgraduate Medical Education: Department of Scientific Information and Bulovka Hospital Library. The following part is my own research listing the reference workstations and utilizing the information about the problem provided by the local employees. The information was gathered during monitored interviews. The thesis also introduces basic theoretical concepts of the area of information behavior, which are related to the topic. The final part is the evaluation of the results from the collection of information. The components are suggestions for changes to improve.

Актуальность обусловлена ростом объемов обрабатываемой информации, а также необходимостью повышать качество предоставляемых услуг в области здравоохранения. Цель магистерской работы: внедрение и адаптация 1С:Медицина. Стоматологическая клиника в частное медицинское учреждение. Научная новизна диссертационного исследования заключается в развитии теоретико-методической положений управления бизнес-процессами в сфере управления медицинской организации, с целью совершенствовании уже существующих информационных моделей организации с целью направленных на повышение эффективности управления фирмой. Практическая значимость исследования заключается в автоматизация основных процессов частной клиники с помощью ПО «1С: Медицина», что привело к сокращению управленческих расходов и получению дополнительной прибыли. / The relevance is due to the growth in the volume of processed information, as well as the need to improve the quality of services provided in the field of healthcare. The purpose of the master's work: implementation and adaptation of 1C: Medicine. Dental clinic in a private medical institution. The scientific novelty of the dissertation research lies in the development of theoretical and methodological principles of business process management in the management of a medical organization, in order to improve the already existing information models of the organization in order to improve the efficiency of company management. The practical significance of the study lies in the automation of the main processes of a private clinic using the software "1C: Medicine", which led to a reduction in management costs and additional profit.

Le domaine biomédical est probablement le domaine où il y a les ressources les plus riches. Dans ces ressources, on regroupe les différentes expressions exprimant un concept, et définit des relations entre les concepts. Ces ressources sont construites pour faciliter l’accès aux informations dans le domaine. On pense généralement que ces ressources sont utiles pour la recherche d’information biomédicale. Or, les résultats obtenus jusqu’à présent sont mitigés : dans certaines études, l’utilisation des concepts a pu augmenter la performance de recherche, mais dans d’autres études, on a plutôt observé des baisses de performance. Cependant, ces résultats restent difficilement comparables étant donné qu’ils ont été obtenus sur des collections différentes. Il reste encore une question ouverte si et comment ces ressources peuvent aider à améliorer la recherche d’information biomédicale. Dans ce mémoire, nous comparons les différentes approches basées sur des concepts dans un même cadre, notamment l’approche utilisant les identificateurs de concept comme unité de représentation, et l’approche utilisant des expressions synonymes pour étendre la requête initiale. En comparaison avec l’approche traditionnelle de "sac de mots", nos résultats d’expérimentation montrent que la première approche dégrade toujours la performance, mais la seconde approche peut améliorer la performance. En particulier, en appariant les expressions de concepts comme des syntagmes stricts ou flexibles, certaines méthodes peuvent apporter des améliorations significatives non seulement par rapport à la méthode de "sac de mots" de base, mais aussi par rapport à la méthode de Champ Aléatoire Markov (Markov Random Field) qui est une méthode de l’état de l’art dans le domaine. Ces résultats montrent que quand les concepts sont utilisés de façon appropriée, ils peuvent grandement contribuer à améliorer la performance de recherche d’information biomédicale. Nous avons participé au laboratoire d’évaluation ShARe/CLEF 2014 eHealth. Notre résultat était le meilleur parmi tous les systèmes participants. / Health and biomedical area is probably the area where there are the richest domain resources. In these resources, different expressions are clustered into well defined concepts. They are designed to facilitate public access to the health information and are widely believed to be useful for biomedical information retrieval. However the results of previous works are highly mitigated: in some studies, concepts slightly improve the retrieval performance, while in some others degradations are observed. It is however difficult to compare the results directly due to the fact that they have been performed on different test collections. It is still unclear whether and how medical information retrieval can benefit from these knowledge resources. In this thesis we aim at comparing in the same framework two families of approaches to exploit concepts - using concept IDs as the representation units or using synonymous concept expressions to expand the original query. Compared to a traditional bag-of-words (BOW) baseline, our experiments on test collections show that concept IDs always degrades retrieval effectiveness, whereas the second approach can lead to some improvements. In particular, by matching the concept expressions as either strict or flexible phrases, some methods can lead to significant improvement over the BOW baseline and even over MRF model on most query sets. This study shows experimentally that when concepts are used in a suitable way, it can help improve the effectiveness of medical information retrieval. We participated at the ShARe/CLEF 2014 eHealth Evaluation Lab. Our result was the best among all the participating systems.

The aim of this project was to investigate what information is critical to convey to nurses when performing digital triage. In addition, the project aimed to investigate how such information could be visualized. This was done through a combined user research and machine learning approach, which enabled for a more nuanced and thorough investigation compared to only making use of one of the two fields. There is sparse research investigating how digital triaging can be improved and made more efficient. Therefore, this study has contributed with new and relevant insights. Three machine learning algorithms were implemented to predict the right level of care for a patient. Out of these three, the random forest classifier proved to have the best performance with an accuracy of 69.46%, also having the shortest execution time. Evaluating the random forest classifier, the most important features were stated to be the duration and progress of the symptoms, allergies to medicine, chronic diseases and the patient's own estimation of his/her health. These factors could all be confirmed by the user research approach, indicating that the results from the approaches were aligned. The results from the user research approach also showed that the patients' own description of their symptoms was of great importance. These findings served as a basis for a number of visualization decisions, aiming to make the triage process as accurate and efficient as possible.

Einleitung In einem größeren Universitätsklinikum wie in der Charité sind EDV-gestützte Verfahren in verschiedenen Einrichtungen und für verschiedene Aufgaben im Einsatz: Verwaltung, Krankenversorgung, Forschung und Lehre. Diese Subsysteme sind in der Regel nicht in der Lage, Daten untereinander so auszutauschen, daß die in den Daten enthaltene Semantik nicht verlorengeht. Die Ursache liegt im wesentlichen in der Komplexität und in der Unschärfe der medizinischen Informationen. Medizinische Standards (HL7, DICOM, SNOMED, ICD, ICPM, ...) lassen sich für den Austausch von Daten verwenden, die gut formalisierbar und mit einer klaren Bedeutung behaftet sind. Nicht formalisierbare Daten, die z. B. in einem Befund oft vorkommen, lassen sich nicht ohne weiteres mit diesen Standards darstellen. Ziel Entwicklung eines Konzeptes für den Austausch medizinischer Daten, das die o. g. Probleme vermeidet. Material und Methoden Die Analyse der vorhandenen Subsysteme, Standards und Konzepte zeigt, daß das Konzept einerseits eine sehr einfache Syntax und eine simple Struktur aufweisen muß. Andererseits muß die medizinische Semantik voll erhalten bleiben. Als Vorbild kann die relationale Datenbank dienen, die mit einem Datentyp (Relation bzw. Tabelle) und einem einzigen Operator (SELECT) auf diesen Datentyp auskommt. Ergebnisse Das Konzept ist objektorientiert. Es enthält nur einen Datentyp. Das ist das AMICI-Objekt (AMICI: Architecture for Medical Information Exchange and Communication Interface). Über dieses AMICI-Objekt wird der gesamte Datenaustausch vorgenommen. Kann das Empfängersystem ein Objekt nicht oder nicht korrekt interpretieren, so wird die Interpretation vom Sendesystem übernommen. Ein Subsystem wird im Netzwerk über einen medizinischen Kontext angeschlossen, der das Interessengebiet und die Fähigkeit des Subsystems beschreibt. Das Subsystem kann an Hand der im Netz bekannten medizinischen Kontexte feststellen, welche weiteren Subsysteme für den eigenen Zweck interessant sein könnten. Alle AMICI-Objekte erhalten eine weltweit eindeutige Identifikation, so daß die Daten aus verschiedenen Institutionen, auch international, miteinander gemischt werden können. Diskussion Das Konzept kann als Basis für weitere Dienstleitungen in einem Klinikum bzw. einem Krankenhaus dienen. Namentlich zu nennen sind telemedizinische Anwendungen, bei denen nicht nur die Kommunikation zwischen Ärzten, sondern auch zwischen Patienten und Arzt möglich ist. Weiterhin betrifft dies den Einsatz von Software-Agenten, die sich um den Informationsbedarf eines Arztes individuell kümmern. / Introduction Large hospitals like the University hospital Charité use in different units different information systems for recording patient and medical data. There are also different tasks: administration, healthcare, research and education. These medical information systems are often called subsystems. They are usually not able to exchange data without lost of semantic. The complexity and the variability of medical terminology cause this problem. Existing medical standards (e. g. HL7, DICOM, SNOMED, ICD, ICPM, ...) are helpful for well formalised terms. Non-formalised terms that are often used in diagnostic reports can not be represented by existing standards. Aims Development of a concept for medical information exchange which fulfills the requirements mentioned above. Material and Methods The system analysis that is performed based on existing subsystems, medical standards and concepts provides two essential requirements. On the one hand the syntax of such standard must be extremely simple. On the other hand the standard must be able to transfer extremely complex semantics. As an example relational databases (RDB) provide a good idea of such simple syntax and complex semantics. RDB's include only one data type. It is called relation or table. To manipulate tables one needs only one operation. That is the SELECT command in SQL. Result The concept is object oriented. It includes only one object called AMICI-object like RDB's (AMICI: Architecture for Medical Information Exchange and Communication Interface). Data exchange is completely performed by these AMICI-objects. If the receiving subsystem is not able to interpret and represent an object, the sending subsystem will take over this task. Within a network a subsystem uses a special AMICI-object called medical context to describe its features and its area of interest. A subsystem can inquire medical contexts to explore installed and running subsystems in the network. An international unique identifier identifies every AMICI object so that you can mix objects provided by different international institutions, e. g. to use them in multi-center-studies. Discussion This concept can also be used as a basic service for higher level applications in a hospital. Two of them are telemedicine and software agents. Telemedicine is not only a tool for physicians. It should be also a tool for communication and interaction between patient and physician. Physicians can use personal software agents for information acquisition, which meets exactly his specific requirements.

IT is often seen as a solution to many problems concerning effectiveness in organizations. Information systems within the healthcare sector is often viewed as medical devices rather than just systems or services. These medical devices are thoroughly regulated by laws, standards and certifications. In this study I participated in an innovative project that aimed to bring new life and use to the old fashioned patient journal by giving it a visual representation through the use of an avatar. I aimed to study the effects of regulators connected with the patient journal as a source of information for the innovative project. I drew upon Actor-network theory as a theoretical lens to trace the patient journal and connect it with regulatory aspects important to innovative projects such as the studied scenario. I also aimed to research the possibilities and obstacles provided with today’s IT-climate in Swedish healthcare. I found that regulatory aspects according to Actor-network theory proved to be an actor that stabilizes the network that is the innovative project. Certain regulatory aspects such as quality management standards provided support for unifying the vision concerning the innovation. Further the regulatory aspects proved to be an actor that can shift power between project developers and external actors. The regulatory aspects did not show any significant effect on the innovation or its original vision. These aspects did however show proof of being a heavy provider of project complexity and experience concerning these aspects was shown to be hard to find. I also found that there are two distinct ways for an innovator to realize a vision within Swedish healthcare, the healthcare way and the patient way, these two ways are represented in a model framework for future research. Last but not least I presented a framework for future IT-architecture based on modern technology and the results found in this study.

Made available in DSpace on 2016-08-17T14:53:04Z (GMT). No. of bitstreams: 1 Simone Melo.pdf: 2880047 bytes, checksum: c872dc02c29d736c1cca896ec5a17ea2 (MD5) Previous issue date: 2007-05-02 / In this work, we develop a medical information system to support medical diagnosis based on an approach oriented to models, in which the system allows sharing of information between physically scattered specialists. The development of a medical information system is done using MDA (Model Drive Architecture) in which the PIM (Platform Independent Model) is created with UML (Unified Modeling Language), and the PSMs (Platform Specific Model) is done according to Web Services Platforms. To implement this system, we devised meta model s for the Web Services, JWSDP (Java Web Services Developement Pack) and WSOracle. Thus, we provide definitions of transformation of UML for the Web Services, JWSDP and WSOracle. The development of the system puts in evidence the process of transformation of PIM for PSM used in MDA. / Neste trabalho, desenvolvemos um sistema de informação médica de auxílio no diagnóstico médico, baseado em uma abordagem orientada a modelos, no qual o sistema permite o compartilhamento de informações entre especialistas fisicamente dispersos. O desenvolvimento do sistema de informação médica foi feito usando MDA (Arquitetura Dirigida a Modelo) em que o PIM (Modelo Independente da Plataforma) foi feito conforme a UML (Linguagem de Modelagem Unificada), e os PSMs (Modelos Específico da Plataforma) conforme as Plataformas dos Web Services. Para implementar este sistema de informação médica, provemos metamodelos para os Web Services, JWSDP (Java Web Services Developer Pack) e WSOracle. Assim, provemos definições de transformação de UML para os Web Services, JWSDP e WSOracle. O desenvolvimento do sistema coloca em evidência o processo de transformação de PIM para PSM, utilizado em MDA.

In order to convince, one must know which arguments are most suitable for the specific situation. But even if you think you know how others will react to your arguments, you may be wrong. Therefore, the purpose of this paper is to find out a way of examining to what extent informative text take account to the subjective views of their addressees. The theoretical framework is Blitzer's theory of the rhetorical situation, pragmatic theory of speech acts and their presuppositions, Burk´s theory of consubstantiality and phenomenographic theory of subjective perceptions. Methodologically, phenomenography has also been used as a guideline for selecting informants, collecting data and processing the interviews. The material analyzed consists interviews with four persons suffering from psoriasis, a brochure addressed to an unspecified audience with the same problem plus an interview with a spokesperson for the Swedish Psoriasis Association. The analysis reveals a clear difference in certain important respects between the subjective views of the intended reader and the implied addressees of the text, i.e. a lack of consubstantiality between sender and receiver. This points to a rhetorical problem when addressing an unknown audience without exploring their specific perceptions of concepts related to the transmitted information, a problem which may be grasped and perhaps to some extent even solved by applying a method similar to the one used in this study.

Suite à l’avènement du Web 2.0, le rôle de l’internaute s’est vu modifier, passant de consommateur passif à acteur à part entière. De nouvelles fonctionnalités ont vu le jour augmentant considérablement les possibilités d’interaction avec le système. Parmi celles-ci, le collaborative tagging permet à l’utilisateur de décrire l’information en ligne par l’attribution de mots-clés (ou tags), la particularité étant que ces tags ne sont pas uniquement accessibles aux tagueurs eux-mêmes mais à l’ensemble des internautes. L’octroi de tags à une ressource lui offre donc de multiples chemins d’accès exploitables par la communauté internet tout entière. Régulièrement comparé à l’indexation « professionnelle », le collaborative tagging soulève une question essentielle :cette nouvelle pratique contribue-t-elle favorablement à la description et, par extension, à la recherche d’informations sur internet ?<p>Tous les types d’informations ne pouvant être étudiés, la présente dissertation se focalise sur l’information médicale scientifique utilisée par les médecins dans le cadre de leur pratique professionnelle. Elle propose, dans un premier temps, de mesurer le potentiel des tags assignés dans deux systèmes de collaborative tagging (Delicious et CiteULike) à décrire l’information en les comparant à des descripteurs attribués par des professionnels de l’information pour un même échantillon de ressources. La comparaison a mis en lumière l’exploitabilité des tags en termes de dispositifs de recherche d’informations mais a néanmoins révélé des faiblesses indéniables par rapport à une indexation réalisée par des professionnels à l’aide d’un langage contrôlé.<p>Dans un second temps, la dissertation s’est intéressée aux utilisateurs finaux en quête d’informations, c’est-à-dire les médecins, afin de déterminer dans quelle mesure un système de collaborative tagging (CiteULike) peut assister ces derniers lors de leur recherche d’informations scientifiques. Pour ce faire, des entretiens individuels combinant interview semi-structurée et expérimentation ont été organisés avec une vingtaine de médecins. Ils ont fourni des indications riches et variées quant à leur adoption effective ou potentielle d’un système de collaborative tagging dans le cadre de leurs pratiques informationnelles courantes.<p>Enfin, cette dissertation se propose d’aller au-delà de l’étude des tags et du phénomène de collaborative tagging dans son ensemble. Elle s’intéresse également aux compétences informationnelles des médecins observés en vue d’alimenter la réflexion sur les formations qui leur sont dispensées tout au long de leurs études mais également durant leur parcours professionnel. / Doctorat en Information et communication / info:eu-repo/semantics/nonPublished