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[PMID]: 28328646 [Au] Autor: Widén H; Alenljung S; Forsgren-Brusk U; Hall G [Ad] Endereço: Heléne Widén, PhD, Sensory and Flavor Science, SP Technical Research Institute of Sweden, Food and Bioscience, Gothenburg, Sweden. Susanne Alenljung, MSc, Hygiene and Odor, SCA Hygiene Products AB, Gothenburg, Sweden. Ulla Forsgren-Brusk, MSc, Hygiene and Odor, SCA Hygiene Products AB, Gothenburg, Sweden. Gunnar Hall, PhD, Sensory and Flavor Science, SP Technical Research Institute of Sweden, Food and Bioscience, Gothenburg, Sweden. [Ti] Título: Sensory Characterization of Odors in Used Disposable Absorbent Incontinence Products. [So] Source: J Wound Ostomy Continence Nurs;44(3):277-282, 2017 May/Jun. [Is] ISSN: 1528-3976 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: The objectives of this study were to characterize the odors of used incontinence products by descriptive analysis and to define attributes to be used in the analysis. A further objective was to investigate to what extent the odor profiles of used incontinence products differed from each other and, if possible, to group these profiles into classes. SUBJECTS AND SETTING: Used incontinence products were collected from 14 residents with urinary incontinence living in geriatric nursing homes in the Gothenburg area, Sweden. METHODS: Pieces were cut from the wet area of used incontinence products. They were placed in glass bottles and kept frozen until odor analysis was completed. A trained panel consisting of 8 judges experienced in this area of investigation defined terminology for odor attributes. The intensities of these attributes in the used products were determined by descriptive odor analysis. Data were analyzed both by analysis of variance (ANOVA) followed by the Tukey post hoc test and by principal component analysis and cluster analysis. RESULTS: An odor wheel, with 10 descriptive attributes, was developed. The total odor intensity, and the intensities of the attributes, varied considerably between different, used incontinence products. The typical odors varied from "sweetish" to "urinal," "ammonia," and "smoked." Cluster analysis showed that the used products, based on the quantitative odor data, could be divided into 5 odor classes with different profiles. CONCLUSIONS: The used products varied considerably in odor character and intensity. Findings suggest that odors in used absorptive products are caused by different types of compounds that may vary in concentration. [Mh] Termos MeSH primário: Tampões Absorventes para a Incontinência Urinária Odorantes/análise Percepção Descritores [Mh] Termos MeSH secundário: Idoso Idoso de 80 Anos ou mais Análise por Conglomerados Feminino Seres Humanos Masculino Meia-Idade Casas de Saúde/organização & administração Suécia Incontinência Urinária/enfermagem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170926 [Lr] Data última revisão: 170926 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 170323 [St] Status: MEDLINE [do] DOI: 10.1097/WON.0000000000000326

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[PMID]: 28269894 [Au] Autor: Ochs C; Case JT; Perl Y [Ad] Endereço: New Jersey Institute of Technology, Newark, NJ. [Ti] Título: Tracking the Remodeling of SNOMED CT's Bacterial Infectious Diseases. [So] Source: AMIA Annu Symp Proc;2016:974-983, 2016. [Is] ISSN: 1942-597X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: SNOMED CT's content undergoes many changes from one release to the next. Over the last year SNOMED CT's Bacterial infectious disease subhierarchy has undergone significant editing to bring consistent modeling to its concepts. In this paper we analyze the stated and inferred structural modifications that affected the Bacterial infectious disease subhierarchy between the Jan 2015 and Jan 2016 SNOMED CT releases using a two-phased approach. First, we introduce a methodology for creating a human readable list of changes. Next, we utilize partial-area taxonomies, which are compact summaries of SNOMED CT's content and structure, to identify the "big picture" changes that occurred in the subhierarchy. We illustrate how partial-area taxonomies can be used to help identify groups of concepts that were affected by these editing operations and the nature of these changes. Modeling issues identified using our two-phase methodology are discussed. [Mh] Termos MeSH primário: Infecções Bacterianas/classificação Descritores Systematized Nomenclature of Medicine [Mh] Termos MeSH secundário: Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170811 [Lr] Data última revisão: 170811 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170309 [St] Status: MEDLINE

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[PMID]: 28269858 [Au] Autor: He Z; Chen Y; de Coronado S; Piskorski K; Geller J [Ad] Endereço: School of Information, Florida State University, Tallahassee, FL; Institute for Successful Longevity, Florida State University, Tallahassee, FL. [Ti] Título: Topological-Pattern-Based Recommendation of UMLS Concepts for National Cancer Institute Thesaurus. [So] Source: AMIA Annu Symp Proc;2016:618-627, 2016. [Is] ISSN: 1942-597X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The National Cancer Institute Thesaurus (NCIt) is a reference terminology used to support clinical, translational and basic research as well as administrative activities. As medical knowledge evolves, concepts that might be missing from a particular needed subdomain are regularly added to the NCIt. However, terminology development is known to be labor-intensive and error-prone. Therefore, cost-effective semi-automated methods for identifying potentially missing concepts would be useful to terminology curators. Previously, we have developed a structural method leveraging the native term mappings of the Unified Medical Language System to identify potential concepts in several of its source vocabularies to enrich the SNOMED CT. In this paper, we tested an analogous method for NCIt. Concepts from eight UMLS source terminologies were identified as possibilities to enrich NCIt's conceptual content. [Mh] Termos MeSH primário: National Cancer Institute (U.S.) Descritores Unified Medical Language System Vocabulário Controlado [Mh] Termos MeSH secundário: Seres Humanos Neoplasias Systematized Nomenclature of Medicine Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1707 [Cu] Atualização por classe: 170731 [Lr] Data última revisão: 170731 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170309 [St] Status: MEDLINE

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[PMID]: 26728964 [Au] Autor: Bickmore TW; Utami D; Matsuyama R; Paasche-Orlow MK [Ad] Endereço: Northeastern University, College of Computer and Information Science, Boston, MA, United States. bickmore@ccs.neu.edu. [Ti] Título: Improving Access to Online Health Information With Conversational Agents: A Randomized Controlled Experiment. [So] Source: J Med Internet Res;18(1):e1, 2016 Jan 04. [Is] ISSN: 1438-8871 [Cp] País de publicação: Canada [La] Idioma: eng [Ab] Resumo: BACKGROUND: Conventional Web-based search engines may be unusable by individuals with low health literacy for finding health-related information, thus precluding their use by this population. OBJECTIVE: We describe a conversational search engine interface designed to allow individuals with low health and computer literacy identify and learn about clinical trials on the Internet. METHODS: A randomized trial involving 89 participants compared the conversational search engine interface (n=43) to the existing conventional keyword- and facet-based search engine interface (n=46) for the National Cancer Institute Clinical Trials database. Each participant performed 2 tasks: finding a clinical trial for themselves and finding a trial that met prespecified criteria. RESULTS: Results indicated that all participants were more satisfied with the conversational interface based on 7-point self-reported satisfaction ratings (task 1: mean 4.9, SD 1.8 vs mean 3.2, SD 1.8, P<.001; task 2: mean 4.8, SD 1.9 vs mean 3.2, SD 1.7, P<.001) compared to the conventional Web form-based interface. All participants also rated the trials they found as better meeting their search criteria, based on 7-point self-reported scales (task 1: mean 3.7, SD 1.6 vs mean 2.7, SD 1.8, P=.01; task 2: mean 4.8, SD 1.7 vs mean 3.4, SD 1.9, P<.01). Participants with low health literacy failed to find any trials that satisfied the prespecified criteria for task 2 using the conventional search engine interface, whereas 36% (5/14) were successful at this task using the conversational interface (P=.05). CONCLUSIONS: Conversational agents can be used to improve accessibility to Web-based searches in general and clinical trials in particular, and can help decrease recruitment bias against disadvantaged populations. [Mh] Termos MeSH primário: Ensaios Clínicos como Assunto Bases de Dados como Assunto Alfabetização em Saúde Armazenamento e Recuperação da Informação/métodos Ferramenta de Busca Descritores [Mh] Termos MeSH secundário: Idoso Conhecimentos em Informática Feminino Seres Humanos Internet Masculino Meia-Idade Interface Usuário-Computador [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL [Em] Mês de entrada: 1607 [Cu] Atualização por classe: 161019 [Lr] Data última revisão: 161019 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160106 [St] Status: MEDLINE [do] DOI: 10.2196/jmir.5239

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[PMID]: 26502463 [Au] Autor: Abadie Y; Battolla J; Zubieta A; Dartiguelongue J; Pascual C; Elías Costa C; Vassallo JC; Rodríguez S [Ad] Endereço: Dirección de Docencia e Investigación, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina. E-mail: yamilabadie@yahoo.com.ar. [Ti] Título: [Using descriptors during the implementation of Mini-CEX at pediatric residency]. [Ti] Título: Uso de descriptores durante la implementación de Mini-CEX en la residencia de pediatría.. [So] Source: Medicina (B Aires);75(5):289-96, 2015. [Is] ISSN: 0025-7680 [Cp] País de publicação: Argentina [La] Idioma: spa [Ab] Resumo: UNLABELLED: The Mini Clinical Evaluation Exercise (Mini-CEX) is an assessment tool, which emphasizes the educational value and is based on direct performance observation. The objective was to evaluate the reliability and feasibility of Mini-CEX using pediatric descriptors during its implementation in two pediatric residency programs. The design was observational, exploratory and feasibility in the use of this evaluation tool. Based on the original format, descriptors related to the pediatric consult for each Mini-CEX dimension's were agreed. Operators were trained in the use of this tool by means of descriptors as well as in debriefing strategies. Finally, there were two simultaneous and independent evaluations for each observation. ANALYSIS: a) Mini-CEX global and dimension score; b) Concordance between operators scores (mean differences and 95% CI); c) Non evaluable descriptors frequency; d) Duration and satisfaction in use. There were 80 observations in 40 pediatric consults. Overall score 7.5±0.9 (6.4±2 to 8.3±1.1 depending on dimension), with no significant differences between the two institutions. There was high agreement between observers (Mean, difference between 0.1 and 0.3, 95% CI -0.8 to 0.3). The frequency of non evaluable descriptors ranged 5-28 (9% to 51%) and it was not associated with the implementation stage. The average implementation time was 20 minutes, and satisfaction in use was high among both operators and residents. Mini-CEX tool using pediatric descriptors showed high reliability. The joint experience was satisfactory and simultaneously confirmed the value of debriefing. [Mh] Termos MeSH primário: Avaliação Educacional/métodos Internato e Residência/métodos Ambulatório Hospitalar Pediatria/educação Indicadores de Qualidade em Assistência à Saúde/estatística & dados numéricos [Mh] Termos MeSH secundário: Competência Clínica/estatística & dados numéricos Estudos de Viabilidade Seres Humanos Variações Dependentes do Observador Indicadores de Qualidade em Assistência à Saúde/utilização Reprodutibilidade dos Testes Descritores Fatores de Tempo Desempenho Profissional/educação [Pt] Tipo de publicação: ENGLISH ABSTRACT; JOURNAL ARTICLE [Em] Mês de entrada: 1604 [Cu] Atualização por classe: 151027 [Lr] Data última revisão: 151027 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 151027 [St] Status: MEDLINE

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[PMID]: 25845199 [Au] Autor: Barras D [Ti] Título: [What key words to use to retrieve pertinent articles?]. [Ti] Título: Quels mots-clés pour trouver des articles pertinents?. [So] Source: Rev Med Suisse;11(459):329, 2015 Jan 28. [Is] ISSN: 1660-9379 [Cp] País de publicação: Switzerland [La] Idioma: fre [Mh] Termos MeSH primário: Armazenamento e Recuperação da Informação/normas MEDLINE/utilização Descritores [Mh] Termos MeSH secundário: Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1505 [Cu] Atualização por classe: 150407 [Lr] Data última revisão: 150407 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 150408 [St] Status: MEDLINE

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[PMID]: 25332354 [Au] Autor: Ochs C; Geller J; Perl Y; Chen Y; Agrawal A; Case JT; Hripcsak G [Ad] Endereço: Computer Science Department, New Jersey Institute of Technology, Newark, New Jersey, USA. [Ti] Título: A tribal abstraction network for SNOMED CT target hierarchies without attribute relationships. [So] Source: J Am Med Inform Assoc;22(3):628-39, 2015 May. [Is] ISSN: 1527-974X [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: OBJECTIVE: Large and complex terminologies, such as Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT), are prone to errors and inconsistencies. Abstraction networks are compact summarizations of the content and structure of a terminology. Abstraction networks have been shown to support terminology quality assurance. In this paper, we introduce an abstraction network derivation methodology which can be applied to SNOMED CT target hierarchies whose classes are defined using only hierarchical relationships (ie, without attribute relationships) and similar description-logic-based terminologies. METHODS: We introduce the tribal abstraction network (TAN), based on the notion of a tribe-a subhierarchy rooted at a child of a hierarchy root, assuming only the existence of concepts with multiple parents. The TAN summarizes a hierarchy that does not have attribute relationships using sets of concepts, called tribal units that belong to exactly the same multiple tribes. Tribal units are further divided into refined tribal units which contain closely related concepts. A quality assurance methodology that utilizes TAN summarizations is introduced. RESULTS: A TAN is derived for the Observable entity hierarchy of SNOMED CT, summarizing its content. A TAN-based quality assurance review of the concepts of the hierarchy is performed, and erroneous concepts are shown to appear more frequently in large refined tribal units than in small refined tribal units. Furthermore, more erroneous concepts appear in large refined tribal units of more tribes than of fewer tribes. CONCLUSIONS: In this paper we introduce the TAN for summarizing SNOMED CT target hierarchies. A TAN was derived for the Observable entity hierarchy of SNOMED CT. A quality assurance methodology utilizing the TAN was introduced and demonstrated. [Mh] Termos MeSH primário: Classificação Descritores Systematized Nomenclature of Medicine [Mh] Termos MeSH secundário: Terminologia como Assunto [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1511 [Cu] Atualização por classe: 161025 [Lr] Data última revisão: 161025 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 141022 [St] Status: MEDLINE [do] DOI: 10.1136/amiajnl-2014-003173

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[PMID]: 25031558 [Au] Autor: Glanville JM; Duffy S; McCool R; Varley D [Ad] Endereço: julie.glanville@york.ac.uk , Associate Director; steven.duffy@york.ac.uk , Senior Information Consultant; rachael.mccool@york.ac.uk , Research Consultant; danielle.varley@york.ac.uk , Research Assistant; York Health Economics Consortium, University of York, YO10 5NH, United Kingdom. [Ti] Título: Searching ClinicalTrials.gov and the International Clinical Trials Registry Platform to inform systematic reviews: what are the optimal search approaches? [So] Source: J Med Libr Assoc;102(3):177-83, 2014 Jul. [Is] ISSN: 1558-9439 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Since 2005, International Committee of Medical Journal Editors (ICMJE) member journals have required that clinical trials be registered in publicly available trials registers before they are considered for publication. OBJECTIVES: The research explores whether it is adequate, when searching to inform systematic reviews, to search for relevant clinical trials using only public trials registers and to identify the optimal search approaches in trials registers. METHODS: A search was conducted in ClinicalTrials.gov and the International Clinical Trials Registry Platform (ICTRP) for research studies that had been included in eight systematic reviews. Four search approaches (highly sensitive, sensitive, precise, and highly precise) were performed using the basic and advanced interfaces in both resources. RESULTS: On average, 84% of studies were not listed in either resource. The largest number of included studies was retrieved in ClinicalTrials.gov and ICTRP when a sensitive search approach was used in the basic interface. The use of the advanced interface maintained or improved sensitivity in 16 of 19 strategies for Clinicaltrials.gov and 8 of 18 for ICTRP. No single search approach was sensitive enough to identify all studies included in the 6 reviews. CONCLUSIONS: Trials registers cannot yet be relied upon as the sole means to locate trials for systematic reviews. Trials registers lag behind the major bibliographic databases in terms of their search interfaces. IMPLICATIONS: For systematic reviews, trials registers and major bibliographic databases should be searched. Trials registers should be searched using sensitive approaches, and both the registers consulted in this study should be searched. [Mh] Termos MeSH primário: Ensaios Clínicos como Assunto/utilização Armazenamento e Recuperação da Informação/métodos Literatura de Revisão como Assunto [Mh] Termos MeSH secundário: Resumos e Indexação como Assunto/utilização Medicina Baseada em Evidências Seres Humanos Disseminação de Informação Ensaios Clínicos Controlados Aleatórios como Assunto Sistema de Registros Descritores [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1504 [Cu] Atualização por classe: 170220 [Lr] Data última revisão: 170220 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 140718 [St] Status: MEDLINE [do] DOI: 10.3163/1536-5050.102.3.007

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[PMID]: 24735266 [Au] Autor: Saleh AA; Ratajeski MA; Ladue J [Ad] Endereço: a Arizona Health Sciences Library, University of Arizona , Tucson , Arizona , USA. [Ti] Título: Development of a Web-based repository for sharing biomedical terminology from systematic review searches: a case study. [So] Source: Med Ref Serv Q;33(2):167-78, 2014. [Is] ISSN: 1540-9597 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Requests for comprehensive searches, such as searches to support systematic reviews, seem to be evolving into routine practice in the health sciences library environment. Collecting terminology for these searches is often a time-consuming process. This case study reports on the development of a searchable Web-based repository, MedTerm Search Assist, as a means for librarians to share biomedical terminology from systematic review searches. [Mh] Termos MeSH primário: Bases de Dados Bibliográficas Armazenamento e Recuperação da Informação/normas Internet Literatura de Revisão como Assunto Descritores Terminologia como Assunto [Mh] Termos MeSH secundário: Seres Humanos Bibliotecas Médicas Ferramenta de Busca [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1508 [Cu] Atualização por classe: 140416 [Lr] Data última revisão: 140416 [Sb] Subgrupo de revista: H [Da] Data de entrada para processamento: 140417 [St] Status: MEDLINE [do] DOI: 10.1080/02763869.2014.897518

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[PMID]: 24464853 [Au] Autor: Mougin F; Grabar N [Ad] Endereço: ISPED, Université de Bordeaux 2, Bordeaux, France ERIAS, INSERM, Centre INSERM U897, Bordeaux, France. [Ti] Título: Auditing the multiply-related concepts within the UMLS. [So] Source: J Am Med Inform Assoc;21(e2):e185-93, 2014 Oct. [Is] ISSN: 1527-974X [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: OBJECTIVE: This work focuses on multiply-related Unified Medical Language System (UMLS) concepts, that is, concepts associated through multiple relations. The relations involved in such situations are audited to determine whether they are provided by source vocabularies or result from the integration of these vocabularies within the UMLS. METHODS: We study the compatibility of the multiple relations which associate the concepts under investigation and try to explain the reason why they co-occur. Towards this end, we analyze the relations both at the concept and term levels. In addition, we randomly select 288 concepts associated through contradictory relations and manually analyze them. RESULTS: At the UMLS scale, only 0.7% of combinations of relations are contradictory, while homogeneous combinations are observed in one-third of situations. At the scale of source vocabularies, one-third do not contain more than one relation between the concepts under investigation. Among the remaining source vocabularies, seven of them mainly present multiple non-homogeneous relations between terms. Analysis at the term level also shows that only in a quarter of cases are the source vocabularies responsible for the presence of multiply-related concepts in the UMLS. These results are available at: http://www.isped.u-bordeaux2.fr/ArticleJAMIA/results_multiply_related_concepts.aspx. DISCUSSION: Manual analysis was useful to explain the conceptualization difference in relations between terms across source vocabularies. The exploitation of source relations was helpful for understanding why some source vocabularies describe multiple relations between a given pair of terms. [Mh] Termos MeSH primário: Descritores Unified Medical Language System [Mh] Termos MeSH secundário: Vocabulário Controlado [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1410 [Cu] Atualização por classe: 151001 [Lr] Data última revisão: 151001 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 140128 [St] Status: MEDLINE [do] DOI: 10.1136/amiajnl-2013-002227

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