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Definição e estabelecimento de processos de fábrica de software em uma organização de TI do setor público.; Definition and establishment of software factory processes in an IT organization of the public sector.

Nomura, Luzia
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 07/04/2008 PT
Relevância na Pesquisa
36.11%
Um crescente número de empresas produtoras de software tem adotado um modelo organizacional de Fábrica de Software (FS), que facilita a terceirização por intermédio da segmentação das atividades e adoção de um sistema de produção mais flexível, dinâmico e controlado. Uma FS pode atender a múltiplas demandas de natureza e escopos distintos com o intuito de prover as necessidades específicas de cada cliente. Em face da diversidade e complexidade deste contexto, uma das questões principais a resolver é como mapear todos os processos envolvidos, identificando claramente o que, quem e, sobretudo como cada trabalho deve ser executado e controlado, visando o alinhamento dos processos à estrutura organizacional e conceitual de FS com foco nos processos de integração, alinhamento e reuso. Este estudo tem como objetivo mapear, definir, reestruturar e estabelecer processos de Fábrica de Software, conduzidos pelo método de pesquisaação em uma organização produtora de software do setor público, considerando seu contexto operacional, técnico e cultura organizacional. O desenvolvimento, execução, acompanhamento e resultados são descritos pelos ciclos da pesquisa-ação envolvendo o estudo de estruturas organizacionais...

Análise dos critérios de definição da síndrome metabólica em pacientes com diabetes melito tipo 2; Analysis of the criteria used for the definition of metabolic syndrome in patients with type 2 diabetes mellitus

Picon, Paula Xavier; Zanatta, Claudete Maria; Gerchman, Fernando; Zelmanovitz, Themis; Gross, Jorge Luiz; Canani, Luis Henrique Santos
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
POR
Relevância na Pesquisa
36.1%
O objetivo deste estudo é comparar em pacientes com diabetes melito tipo 2 (DM2) a proporção de síndrome metabólica de acordo com a definição da Organização Mundial de Saúde (OMS) e a do National Cholesterol Education Program (NCEP), e analisar qual se associa mais à presença das complicações do DM2. Foram avaliados 753 pacientes com DM2 em atendimento ambulatorial, quanto a parâmetros étnicos, antropométricos, laboratoriais e presença das complicações: nefropatia diabética, cardiopatia isquêmica, acidente vascular cerebral, retinopatia diabética e vasculopatia periférica. A resistência insulínica foi estimada através do HOMA-IR. A síndrome metabólica esteve presente em 671 (89%) e 657 (87%) dos pacientes utilizando a definição da OMS e do NCEP, respectivamente. No grupo total, houve uma concordância moderada entre as duas definições (k= 0,54; IC 95% 0,49–0,59), porém foi melhor para negros (k= 0,69; IC 95% 0,6–0,78) do que para brancos (k= 0,54; IC 95% 0,48–0,6) e mulatos (k= 0,26; IC 95% 0,09–0,43). Pacientes com síndrome metabólica pela definição do NCEP apresentaram valores de HOMA-IR maiores que os pacientes sem síndrome metabólica (p= 0,001). Esta diferença não foi encontrada utilizando a definição da OMS (p= 0...

Diagnosis of measles by clinical case definition in dengue-endemic areas: implications for measles surveillance and control.

Dietz, V. J.; Nieburg, P.; Gubler, D. J.; Gomez, I.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
Publicado em //1992 EN
Relevância na Pesquisa
36%
In many countries, measles surveillance relies heavily on the use of a standard clinical case definition; however, the clinical signs and symptoms of measles are similar to those of dengue. For example, during 1985, in Puerto Rico, 22 (23%) of 94 cases of illnesses with rashes that met the measles clinical case definition were serologically confirmed as measles, but 32 (34%) others were serologically confirmed as dengue. Retrospective analysis at the San Juan Laboratories of the Centers for Disease Control showed also that at least 28% of all laboratory-confirmed cases of dengue in Puerto Rico in 1985 met the measles clinical case definition. If the true measles vaccine efficacy (VE) is assumed to be 90%, the occurrence of laboratory-confirmed dengue cases that meet the measles clinical case definition results in a reduction of the apparent measles VE to only 64% (a 29% relative reduction from the true VE). The results of the study demonstrate the importance of a laboratory-based surveillance system in measles control or elimination efforts in dengue-endemic areas.

Definition and measurement of reproductive health.

Sadana, Ritu
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
Publicado em //2002 EN
Relevância na Pesquisa
35.93%
An internationally agreed conceptual definition of reproductive health is applied to the development and testing of practical indicators for use in the community. Basic criteria are proposed for an interview-based tool to measure reproductive health -- as opposed to morbidity or mortality -- adapting methods from the health status measurement field. Proposed domains and indicators linked to the definition of reproductive health adopted at the International Conference on Population and Development (ICPD) should be comparable across and within diverse populations. Two sets of domains that describe reproductive health are recommended for further development and testing, seven domains that focus directly on health and six others that assess related areas of well-being.

A new definition of drowning: towards documentation and prevention of a global public health problem.

van Beeck, E. F.; Branche, C. M.; Szpilman, D.; Modell, J. H.; Bierens, J. J. L. M.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.04%
Drowning is a major global public health problem. Effective prevention of drowning requires programmes and policies that address known risk factors throughout the world. Surveillance, however, has been hampered by the lack of a uniform and internationally accepted definition that permits all relevant cases to be counted. To develop a new definition, an international consensus procedure was conducted. Experts in clinical medicine, injury epidemiology, prevention and rescue from all over the world participated in a series of "electronic" discussions and face-to-face workshops. The suitability of previous definitions and the major requirements of a new definition were intensely debated. The consensus was that the new definition should include both cases of fatal and nonfatal drowning. After considerable dialogue and debate, the following definition was adopted: "Drowning is the process of experiencing respiratory impairment from submersion/immersion in liquid." Drowning outcomes should be classified as: death, morbidity, and no morbidity. There was also consensus that the terms wet, dry, active, passive, silent, and secondary drowning should no longer be used. Thus a simple, comprehensive, and internationally accepted definition of drowning has been developed. Its use should support future activities in drowning surveillance worldwide...

The elusive definition of pandemic influenza

Doshi, Peter
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
Publicado em 01/07/2011 EN
Relevância na Pesquisa
36.1%
There has been considerable controversy over the past year, particularly in Europe, over whether the World Health Organization (WHO) changed its definition of pandemic influenza in 2009, after novel H1N1 influenza was identified. Some have argued that not only was the definition changed, but that it was done to pave the way for declaring a pandemic. Others claim that the definition was never changed and that this allegation is completely unfounded. Such polarized views have hampered our ability to draw important conclusions. This impasse, combined with concerns over potential conflicts of interest and doubts about the proportionality of the response to the H1N1 influenza outbreak, has undermined the public trust in health officials and our collective capacity to effectively respond to future disease threats.

Consensus Review and Definition of Nonallergic Rhinitis With a Focus on Vasomotor Rhinitis, Proposed to Be Known henceforth as Nonallergic Rhinopathy: Introduction to Part 2

Kaliner, Michael A; Farrar, Judith R
Fonte: World Allergy Organization Publicador: World Allergy Organization
Tipo: Artigo de Revista Científica
Publicado em 15/08/2009 EN
Relevância na Pesquisa
35.93%
"Nonallergic vasomotor rhinitis" (also referred to as nonallergic rhinitis and/or idiopathic rhinitis) is a term that has been used to describe a common nasal condition of unclear pathophysiology. Clinical options for patients are limited by a lack of straight-forward diagnostic criteria and poorly defined and heterogeneous populations in clinical trials. A roundtable conference convened in December 2008 addressed these challenges. Part 1 of the proceedings of that meeting provided a consensus definition of "nonallergic rhinopathy," proposed to replace the former terms above based on the clinical characteristics of the disease, which were described in individual papers. Part 2 of the proceedings uses the revised definition for a consensus discussion on appropriate criteria for enrolling subjects in future clinical studies of the efficacy of potential treatments for this disease.

Consensus Review and Definition of Nonallergic Rhinitis With a Focus on Vasomotor Rhinitis, Proposed to be Known henceforth as Nonallergic Rhinopathy Part 1. Introduction

Kaliner, Michael A; Farrar, Judith R
Fonte: World Allergy Organization Publicador: World Allergy Organization
Tipo: Artigo de Revista Científica
Publicado em 15/06/2009 EN
Relevância na Pesquisa
35.93%
"Nonallergic vasomotor rhinitis" (also referred to as nonallergic rhinitis and/or idiopathic rhinitis) is a term that has been used to describe a common nasal condition of unclear pathophysiology. Clinical options for patients are limited by a lack of straightforward diagnostic criteria and poorly defined and heterogeneous populations in clinical trials. A roundtable conference convened in December 2008 addressed these challenges. The outcomes were (1) a revised clinical definition and (2) appropriate inclusion and exclusion criteria (based on the revised definition) to be used for the enrollment of subjects in future clinical studies.

How Well Does the World Health Organization Definition of Domestic Violence Work for India?

Kalokhe, Ameeta S.; Potdar, Ratnaprabha R.; Stephenson, Rob; Dunkle, Kristin L.; Paranjape, Anuradha; del Rio, Carlos; Sahay, Seema
Fonte: Public Library of Science Publicador: Public Library of Science
Tipo: Artigo de Revista Científica
Publicado em 26/03/2015 EN
Relevância na Pesquisa
36.15%
Domestic violence (DV) is reported by 40% of married women in India and associated with substantial morbidity. An operational research definition is therefore needed to enhance understanding of DV epidemiology in India and inform DV interventions and measures. To arrive at a culturally-tailored definition, we aimed to better understand how definitions provided by the World Health Organization and the 2005 India Protection of Women from Domestic Violence Act match the perceptions of behaviors constituting DV among the Indian community. Between September 2012 and January 2013, 16 key informant interviews with experts in DV and family counseling and 2 gender-concordant focus groups of lay community members were conducted in Pune, India to understand community perceptions of the definition of DV, perpetrators of DV, and examples of DV encountered by married women in Pune, India. Several key themes emerged regarding behaviors and acts constituting DV including 1) the exertion of control over a woman’s reproductive decision-making, mobility, socializing with family and friends, finances, and access to food and nutrition, 2) the widespread acceptance of sexual abuse and the influences of affluence on sexual DV manifestations, 3) the shaping of physical abuse experiences by readily-available tools and the presence of witnesses...

Strategies for Application of the Coalition Battle Management Language (C-BML) with the Military Scenario Definition Language (MSDL)

Blais, Curtis
Fonte: Escola de Pós-Graduação Naval Publicador: Escola de Pós-Graduação Naval
Tipo: Trabalho em Andamento
EN_US
Relevância na Pesquisa
35.93%
Approved for public release; distribution is unlimited.; The Coalition Battle Management Language (C-BML) is a common language for expressing and exchanging plans, orders, requests, and reports across command and control systems, modeling and simulation systems, and robotic systems. C-BML is an emerging standard from the Simulation Interoperability Standards Organization (SISO). The Military Scenario Definition Language (MSDL) is a SISO-approved standard for describing forces, force structures, environment, and other aspects of military scenarios.MSDL is generally employed for initializing databases of simulation systems prior to execution of the simulation, but it is recognized that certain objects specified by MSDL data structures can be defined during execution. C-BML is generally considered a language for expressing plans, orders, requests, and reports during an operation (during execution), but is clearly applicable to expression of plans, orders, and requests given to simulation objects prior to execution (during initialization) so that the objects can begin performing those orders when execution begins. While these intertwined purposes have been discussed in the respective development groups, no clear specification of the approach has been put forward for consideration by the respective specification groups. This paper provides a brief description of the two languages and discusses the issues relating to their use in pre-execution and during execution of simulation and C2 systems supporting an operational or synthetic event. The paper provides examples of possible use of data constructs from the two languages in pre-execution and during execution to illustrate synergistic employment of the two languages.

Organização: critérios para uma concepção crítica e objetiva; Organization: criteria for a critical and objective conception

NASCIMENTO, Paulo Tromboni
Fonte: Fundação Getúlio Vargas, Escola Brasileira de Administração Pública e de Empresas Publicador: Fundação Getúlio Vargas, Escola Brasileira de Administração Pública e de Empresas
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
46.16%
O conceito de organização é, muitas vezes, utilizado de modo subjetivo, vago e até equivocado. Aqui se buscam critérios para criticar e julgar de modo objetivo as definições propostas ou implícitas numa pesquisa em administração. O caminho escolhido foi partir da concepção de Barnard (1942) e dialogar com a literatura científica na área. Sem cair no irracionalismo, critica-se a conceituação formalista e racionalista. Em substituição, entra a correspondência entre resultados e as cobranças das partes interessadas. Afasta-se o foco dos significados, em favor da idéia de sistema social aberto, com divisão de trabalho, reais relações de cooperação e poder e reprodução, apoiada nos resultados dos intercâmbios com o meio social onde se insere a organização. A conclusão está na forma de critérios aplicáveis a uma concepção de organização que se proponha objetiva e crítica.; The concept of organization is often used in subjective, vague and even wrong ways. In this paper, the aim is to find criteria to objectively criticize and judge definitions applied in management research. The adopted approach is to depart from Barnard's conception (1942) and to establish a dialogue with the scientific management literature. Rationalistic and formalistic conceptions are criticized. These ideas are replaced by correspondence between results and stakeholders demands. The focus on meaning is abandoned...

Criador e criatura : os Estados Unidos e a Organização Mundial do Comércio (OMC); Creator and creature : the United States and the World Trade Organization (WTO)

Carolina Cristina Loução Preto
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 26/08/2011 PT
Relevância na Pesquisa
35.96%
Este trabalho tem como objetivo central examinar e problematizar a reflexão sobre o relacionamento entre a Organização Mundial do Comércio e, seu principal arquiteto, os Estados Unidos, à luz de diferentes teorias das Relações Internacionais e de considerações em torno do debate doméstico sobre a OMC nesse país. Observamos a relação entre os EUA e a OMC tanto no que concerne o plano das negociações comerciais multilaterais, como também, no que se refere à dimensão do Órgão de Solução de Controvérsias, tentando estabelecer paralelos com as dificuldades de negociação no âmbito da Rodada Doha. Historicamente, os EUA dominaram os resultados das negociações comerciais multilaterais, prevalecendo na determinação do conteúdo das regras da OMC, assim como, na definição de suas principais características: uma ampla cobertura temática e a presença de um mecanismo judicial que está entre as formas mais avançadas de direito internacional da atualidade. Contudo, estudos indicam que, no plano das negociações comerciais, devido a alterações na economia mundial, a tradicional influência norte-americana foi sendo reduzida ao longo do tempo, apresentando implicações importantes para o processo de produção de regras da organização. Além disso...

Características y cambios del Plan de Ordenamiento Territorial para el Distrito Capital de Bogotá Año 2013; Changes and characteristics of 2013's Plan for Territorial Organization of Bogotá, Capital District

Zúñiga Cortés, Miller Ricardo; Salazar González, Jair Antonio
Fonte: Universidad Militar Nueva Granada; Facultad de Ciencias Económicas; Especialización en Finanzas y Administración Pública Publicador: Universidad Militar Nueva Granada; Facultad de Ciencias Económicas; Especialización en Finanzas y Administración Pública
Tipo: bachelorThesis; Trabajo de grado Formato: pdf; pdf
SPA
Relevância na Pesquisa
36.11%
Siendo el Plan de Ordenamiento Territorial la herramienta que marca las pautas para que los municipios lleven a cabo una adecuada la planificación del uso de su territorio, es imperativo que dicha herramienta se ajuste de manera dinámica a los cambios y realidad de las ciudades y municipios sobre los cuales tiene autoridad. Para el caso de Bogotá, el plan de ordenamiento territorial fue aprobado a través del decreto 619 de 2000 y posteriormente a través de los decretos 469 de 2003 y 190 de 2004 se realizaron algunos ajustes menores en su definición, sin embargo la ciudad en la última década ha sufrido un importante cambio a nivel social, económico y de infraestructura que no se reflejan consecuentemente en la ruta trazada por el POT del año 2000. A través del decreto 364 de 2013, el alcalde de la ciudad de Bogotá, amparado en los artículos 12 de la Ley 810 de 2013 y 8º del Decreto 4002 de 2004, procedió a modificar vía decreto el Plan de Ordenamiento Territorial, introduciendo cambios importantes en la definición del rumbo de la capital para los próximos años, siendo de vital importancia para el ciudadano conocer su alcance e identificar los puntos centrales que han sido objeto de modificación.; Being the Plan for Territorial Organization (POT) the tool that sets the guideline for municipalities to perform a proper planning for the use of its territory...

Sublingual immunotherapy: World Allergy Organization position paper 2013 update

Canonica, Giorgio Walter; Cox, Linda; Pawankar, Ruby; Baena-Cagnani, Carlos E; Blaiss, Michael; Bonini, Sergio; Bousquet, Jean; Calderón, Moises; Compalati, Enrico; Durham, Stephen R; van Wijk, Roy Gerth; Larenas-Linnemann, Désirée; Nelson, Harold; Pas
Fonte: World Allergy Organization Publicador: World Allergy Organization
Tipo: Artigo de Revista Científica
Publicado em 28/03/2014 EN
Relevância na Pesquisa
35.93%
We have prepared this document, “Sublingual Immunotherapy: World Allergy Organization Position Paper 2013 Update”, according to the evidence-based criteria, revising and updating chapters of the originally published paper, “Sublingual Immunotherapy: World Allergy Organization Position Paper 2009”, available at http://www.waojournal.org. Namely, these comprise: “Mechanisms of sublingual immunotherapy;” “Clinical efficacy of sublingual immunotherapy” – reporting all the data of all controlled trials published after 2009; “Safety of sublingual immunotherapy” – with the recently published Grading System for adverse reactions; “Impact of sublingual immunotherapy on the natural history of respiratory allergy” – with the relevant evidences published since 2009; “Efficacy of SLIT in children” – with detailed analysis of all the studies; “Definition of SLIT patient selection” – reporting the criteria for eligibility to sublingual immunotherapy; “The future of immunotherapy in the community care setting”; “Methodology of clinical trials according to the current scientific and regulatory standards”; and “Guideline development: from evidence-based medicine to patients' views” – including the evolution of the methods to make clinical recommendations.

Validation of clinical case definition of acute intussusception in infants in Viet Nam and Australia.

Bines, Julie E.; Liem, Nguyen Thanh; Justice, Frances; Son, Tran Ngoc; Carlin, John B.; de Campo, Margaret; Jamsen, Kris; Mulholland, Kim; Barnett, Peter; Barnes, Graeme L.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
Publicado em /07/2006 EN
Relevância na Pesquisa
36.04%
OBJECTIVE: To test the sensitivity and specificity of a clinical case definition of acute intussusception in infants to assist health-care workers in settings where diagnostic facilities are not available. METHODS: Prospective studies were conducted at a major paediatric hospital in Viet Nam (the National Hospital of Pediatrics, Hanoi) from November 2002 to December 2003 and in Australia (the Royal Children's Hospital, Melbourne) from March 2002 to March 2004 using a clinical case definition of intussusception. Diagnosis of intussusception was confirmed by air enema or surgery and validated in a subset of participants by an independent clinician who was blinded to the participant's status. Sensitivity of the definition was evaluated in 584 infants aged<2 years with suspected intussusception (533 infants in Hanoi; 51 in Melbourne). Specificity was evaluated in 638 infants aged<2 years presenting with clinical features consistent with intussusception but for whom another diagnosis was established (234 infants in Hanoi; 404 in Melbourne). FINDINGS: In both locations the definition used was sensitive (96% sensitivity in Hanoi; 98% in Melbourne) and specific (95% specificity in Hanoi; 87% in Melbourne) for intussusception among infants with sufficient data to allow classification (449/533 in Hanoi; 50/51 in Melbourne). Reanalysis of patients with missing data suggests that modifying minor criteria would increase the applicability of the definition while maintaining good sensitivity (96-97%) and specificity (83-89%). CONCLUSION: The clinical case definition was sensitive and specific for the diagnosis of acute intussusception in infants in both a developing country and a developed country but minor modifications would enable it to be used more widely.

The elusive definition of pandemic influenza

Doshi,Peter
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2011 EN
Relevância na Pesquisa
36.18%
There has been considerable controversy over the past year, particularly in Europe, over whether the World Health Organization (WHO) changed its definition of pandemic influenza in 2009, after novel H1N1 influenza was identified. Some have argued that not only was the definition changed, but that it was done to pave the way for declaring a pandemic. Others claim that the definition was never changed and that this allegation is completely unfounded. Such polarized views have hampered our ability to draw important conclusions. This impasse, combined with concerns over potential conflicts of interest and doubts about the proportionality of the response to the H1N1 influenza outbreak, has undermined the public trust in health officials and our collective capacity to effectively respond to future disease threats. WHO did not change its definition of pandemic influenza for the simple reason that it has never formally defined pandemic influenza. While WHO has put forth many descriptions of pandemic influenza, it has never established a formal definition and the criteria for declaring a pandemic caused by the H1N1 virus derived from "pandemic phase" definitions, not from a definition of "pandemic influenza". The fact that despite ten years of pandemic preparedness activities no formal definition of pandemic influenza has been formulated reveals important underlying assumptions about the nature of this infectious disease. In particular...

A new definition of drowning: towards documentation and prevention of a global public health problem

Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2005 EN
Relevância na Pesquisa
36.04%
Drowning is a major global public health problem. Effective prevention of drowning requires programmes and policies that address known risk factors throughout the world. Surveillance, however, has been hampered by the lack of a uniform and internationally accepted definition that permits all relevant cases to be counted. To develop a new definition, an international consensus procedure was conducted. Experts in clinical medicine, injury epidemiology, prevention and rescue from all over the world participated in a series of "electronic" discussions and face-to-face workshops. The suitability of previous definitions and the major requirements of a new definition were intensely debated. The consensus was that the new definition should include both cases of fatal and nonfatal drowning. After considerable dialogue and debate, the following definition was adopted: "Drowning is the process of experiencing respiratory impairment from submersion/immersion in liquid." Drowning outcomes should be classified as: death, morbidity, and no morbidity. There was also consensus that the terms wet, dry, active, passive, silent, and secondary drowning should no longer be used. Thus a simple, comprehensive, and internationally accepted definition of drowning has been developed. Its use should support future activities in drowning surveillance worldwide...

Validation of clinical case definition of acute intussusception in infants in Viet Nam and Australia

Bines,Julie E; Liem,Nguyen Thanh; Justice,Frances; Son,Tran Ngoc; Carlin,John B; Campo,Margaret de; Jamsen,Kris; Mulholland,Kim; Barnett,Peter; Barnes,Graeme L
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2006 EN
Relevância na Pesquisa
36.04%
OBJECTIVE: To test the sensitivity and specificity of a clinical case definition of acute intussusception in infants to assist health-care workers in settings where diagnostic facilities are not available. METHODS: Prospective studies were conducted at a major paediatric hospital in Viet Nam (the National Hospital of Pediatrics, Hanoi) from November 2002 to December 2003 and in Australia (the Royal Children's Hospital, Melbourne) from March 2002 to March 2004 using a clinical case definition of intussusception. Diagnosis of intussusception was confirmed by air enema or surgery and validated in a subset of participants by an independent clinician who was blinded to the participant's status. Sensitivity of the definition was evaluated in 584 infants aged < 2 years with suspected intussusception (533 infants in Hanoi; 51 in Melbourne). Specificity was evaluated in 638 infants aged < 2 years presenting with clinical features consistent with intussusception but for whom another diagnosis was established (234 infants in Hanoi; 404 in Melbourne). FINDINGS: In both locations the definition used was sensitive (96% sensitivity in Hanoi; 98% in Melbourne) and specific (95% specificity in Hanoi; 87% in Melbourne) for intussusception among infants with sufficient data to allow classification (449/533 in Hanoi; 50/51 in Melbourne). Reanalysis of patients with missing data suggests that modifying minor criteria would increase the applicability of the definition while maintaining good sensitivity (96-97%) and specificity (83-89%). CONCLUSION: The clinical case definition was sensitive and specific for the diagnosis of acute intussusception in infants in both a developing country and a developed country but minor modifications would enable it to be used more widely.

Definition and measurement of reproductive health

Sadana,Ritu
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2002 EN
Relevância na Pesquisa
35.93%
ABSTRACT: An internationally agreed conceptual definition of reproductive health is applied to the development and testing of practical indicators for use in the community. Basic criteria are proposed for an interview-based tool to measure reproductive health - as opposed to morbidity or mortality - adapting methods from the health status measurement field. Proposed domains and indicators linked to the definition of reproductive health adopted at the International Conference on Population and Development (ICPD) should be comparable across and within diverse populations. Two sets of domains that describe reproductive health are recommended for further development and testing, seven domains that focus directly on health and six others that assess related areas of well-being.

Harmonizing health information systems with information systems in other social and economic sectors

Macfarlane,Sarah B.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2005 EN
Relevância na Pesquisa
35.93%
Efforts to strengthen health information systems in low- and middle-income countries should include forging links with systems in other social and economic sectors. Governments are seeking comprehensive socioeconomic data on the basis of which to implement strategies for poverty reduction and to monitor achievement of the Millennium Development Goals. The health sector is looking to take action on the social factors that determine health outcomes. But there are duplications and inconsistencies between sectors in the collection, reporting, storage and analysis of socioeconomic data. National offices of statistics give higher priority to collection and analysis of economic than to social statistics. The Report of the Commission for Africa has estimated that an additional US$ 60 million a year is needed to improve systems to collect and analyse statistics in Africa. Some donors recognize that such systems have been weakened by numerous international demands for indicators, and have pledged support for national initiatives to strengthen statistical systems, as well as sectoral information systems such as those in health and education. Many governments are working to coordinate information systems to monitor and evaluate poverty reduction strategies. There is therefore an opportunity for the health sector to collaborate with other sectors to lever international resources to rationalize definition and measurement of indicators common to several sectors; streamline the content...