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- ItemAcesso aberto (Open Access)Desenvolvimento de um programa de apoio à decisão para análise do crescimento, nutrição e maturação sexual para uso na atenção primária(Universidade Federal de São Paulo (UNIFESP), 2010-02-24) Succi, Ernesto [UNIFESP]; Sigulem, Daniel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The main drive to develop a Health Decision Support System (HDSS) lies on creating a digital system to help medical practitioners exposed to an ever increasing quantity of data, information and knowledge which they have to resort to in order to conduct their duties properly. In a practice field such as adolescent healthcare, in which physicians diagnose deviant states, not always based in sufficient scientific evidence, the HDSS becomes a musthave tool for those who are not specialized in this field. Objective: Survey information related to growth, nutrition, and sexual maturity, compile a knowledge base, develop the HDSS tool to provide non-specialist medical practitioners with information on puberty and sexual maturity, validate the compiled knowledge base and validate its user interface. Design: The collection of information has been conducted by querying related bibliography at Medline, PubMed, Google Scholar databases and UNIFESP’s library. The knowledge base surveyed has been translated into computer language by application of production rules. To validate the knowledge base, all medical diagnoses generated by the HDSS for 30 test cases were compared with diagnoses reported by 9 specialist medical practitioners. The system interface was validated by 55 physicians who answered standardized forms on system satisfaction. Results: We developed an open-source, Java™-based, decision-making system related to puberty and sexual maturity capable of running on Mac™, GNU Linux and Windows™ operating systems. The HDSS comprises a Java™-based inference engine with 128 production rules and graphical user interface. Based on the construction of the knowledge base we generated a 591-entry glossary to help users. Information was evaluated by comparing the results generated by the system and those reported by specialist medical practitioners. The evaluation rendered by specialists and the system was statistically significant by 1% with 77% of the specialists and their respective groups. The user interface was positively evaluated regarding all aspects. Conclusions: We have collected information on puberty and sexual maturity and used that to develop an HDSS comprised of 128 production rules. The system was evaluated and displayed adequate performance when compared with diagnoses reported by specialist medical practitioners, and its user interface was validated by physicians. Due to the fact this is an open-source, Java™-based system, we believe it is suitable for deployment in the public healthcare system.
- ItemAcesso aberto (Open Access)Em busca da eficiência: visibilidade internacional da produção científica dos programas brasileiros de pós-graduação em saúde infantil e do adolescente entre 1998 e 2003(Sociedade Brasileira de Pediatria, 2007-10-01) Goldani, Marcelo Z.; Gurgel, Ricardo Q.; Blank, Danilo; Gerolin, Jerônimo [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Universidade Federal do Rio Grande do Sul Faculdade de Medicina Departamento de Pediatria; Universidade Federal de Sergipe Núcleo de Pós-Graduação em Medicina Departamento de Medicina; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE:To assess the trend in the number of published articles by Brazilian graduate programs in child and adolescent health and the proportion of such publications cited in MEDLINE and Thomson Scientific's Journal Citation Reports (JCR), using the former database as a proxy for efficiency and the latter as an indicator of visibility. METHODS: We assessed the trends of 14 graduate programs concerning the number of theses, dissertations, and articles cited in MEDLINE and JCR, through secondary data from the latest two triennial evaluations carried out by the Brazilian Federal Agency for the Improvement of Higher Education (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, CAPES) between 1998 and 2000 and between 2001 and 2003). RESULTS:The number of published articles increased (1,520 to 1,917), as did the median number of articles cited both in MEDLINE (32.5 to 45) and in JCR (24.5 to 27). The median number of dissertations rose from 19.5 to 26.5; the median number of theses went up from 12 to 13.5. The median number of faculty advisors decreased (21.5 to 18.4). CONCLUSION: Graduate programs in child and adolescent health became more efficient in producing knowledge through the publication of more articles with broader international visibility. Such trend was contradictorily accompanied by a diminishing number of advisors.
- ItemAcesso aberto (Open Access)Perspectivas atuais da Informática em Enfermagem(Associação Brasileira de Enfermagem, 2006-06-01) Marin, Heimar de Fatima [UNIFESP]; Cunha, Isabel Cristina Kowal Olm [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Sociedade Brasileira de Informática em SaúdeNursing Informatics is the area of knowledge that studies the application of technological resources in teaching, in practice, in care, and in the management of care. Resources such as voice recognition, knowledge base, genoma project and even Internet have offered to Nursing a gama of possibilities for a better professional performance and better nursing care to the patient/client. This text reports and exemplifies how these resources are impacting and presenting new oportunities for teaching, research and specially for nursing care, still warns for the importance of humanized care in a high-tech scenario.
- ItemAcesso aberto (Open Access)Técnica de mineração de dados: uma revisão da literatura(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2009-10-01) Galvao, Noemi Dreyer [UNIFESP]; Marin, Heimar de Fatima [UNIFESP]; Universidade de São Paulo (USP); Secretaria de Estado de Saúde de Mato Grosso; Universidade Federal de São Paulo (UNIFESP)The purpose of this study was to conduct a literature review on data mining (DM) technique in the LILACS and SciELO databases and specialized books. A broad data literature search using the words data mining (in English) and/or mineração de dados (in Portuguese) and limited to publications between 1999 and 2008, was conducted. The exclusion criteria were the keywords mining industry, mines, mineralogy, and publications that did not describe the methods and the tasks related to data mining. Of 123 publications retrieved, 38 were selected to review. Findings suggest that the existent amount of stored data is titanic and it continue to increase considerably. Thus, the process of knowledge discovery in databases and DM have developed tasks and methods for the retrieval of useful knowledge that may be of interest and necessary for just-in-time decision making in different areas of knowledge.