High-quality Documentation Research Articles

EHR Documentation and Referrals for Intimate Partner Violence and Sexual Assault.

Hospital settings provide a unique opportunity to screen for interpersonal violence (IPV) and sexual assault (SA) yet often lack health IT solutions for generating reliable and valid medico-legal documentation via forensic reports. The objective of the project was to evaluate a pilot, technology "tool" for documenting cases of IPV and SA that could support forensic nurse examiners and related stakeholders in generating high quality documentation and coordinating victim support services. The tool was a digital health intervention implemented for use among forensic nurse examiners, law enforcement, victim support organizations, and more within four counties of California. We conducted a mixed-methods pilot study that captured data around the adoption, use, and impact of having access to the newly implemented tool. The tool successfully went live in all four pilot counties at different time points with different proportions of use by county and form type: exams, referrals, addenda, risk assessments, and other. Participants were motivated to use the tool out of a perceived need for data handling functionalities that went beyond traditional manual (paper) means. Key functionalities included body mapping, data quality controls within validated forms, attaching addenda to already existing case reports, and the means to distribute data to external recipients. Further study and development are needed on functions to incorporate into body maps and forms, and understanding the information needs of law enforcement and victim support organizations. Our evaluation demonstrated the feasibility and acceptability of a health IT tool to support forensic nurse documentation of IPV and SA, and direct information to multiple legal and support-related stakeholders. Areas of future development include integrating IPV and SA-related data standards for digitized forms, enhancements to the body mapping feature, and understanding the needs of those who receive digital data from forensic nurse examiners within the tool.

Improving the Quality and Standardization of Operative Notes in a Tertiary Regional ENT Department: A Closed-Loop Audit.

Comprehensive and accurate documentation is paramount in ensuring patient safety, and continuity of care, and casts the foundation for auditing practice and creating research. Unfortunately, a lack of documentation has been reported globally. This study aims to challenge current practices and ensure high-quality documentation. The study appraised 100 operation notes completed within a tertiary, regional ENT department against the published guidance. Following an inquiry into the findings, the operative note proformas were modified in alignment with the Royal College of Surgeons (RCS) published standards for the quality of operative notes. A further 100 operation notes were audited. Rates of compliance before and post implementing the intervention were compared. Non-parametric data were analyzed using Fischer's exact test, with P< 0.05 considered to be statistically significant. Upon auditing of operative note completeness against the set criteria, the use of a comprehensive operative note proforma significantly refined the quality of documentation and adherence to the published standards (P< 0.00001). This study displayed the lack of adherence to the RCS standards about the quality of operative notes within our center. The adoption of a modified proforma which incorporates the 18 criteria defined by the RCS resulted in improved conformance to published standards and a higher quality of documentation. This study corroborates the RCS framework as an effective tool in recognizing deficient practices and areas of improvement. Through compliance with published standards, a higher quality of documentation is attained, contributing to patient safety, clear continued communication, and support of clinical governance.

An AdaBoost-based algorithm to detect hospital-acquired pressure injury in the presence of conflicting annotations

Hospital-acquired pressure injury is one of the most harmful events in clinical settings. Patients who do not receive early prevention and treatment can experience a significant financial burden and physical trauma. Several hospital-acquired pressure injury prediction algorithms have been developed to tackle this problem, but these models assume a consensus, gold-standard label (i.e., presence of pressure injury or not) is present for all training data. Existing definitions for identifying hospital-acquired pressure injuries are inconsistent due to the lack of high-quality documentation surrounding pressure injuries. To address this issue, we propose in this paper an ensemble-based algorithm that leverages truth inference methods to resolve label inconsistencies between various case definitions and the level of disagreements in annotations. Application of our method to MIMIC-III, a publicly available intensive care unit dataset, gives empirical results that illustrate the promise of learning a prediction model using truth inference-based labels and observed conflict among annotators.

Сhanging the legal qualification of the facts of a person’s disappearance: a practical aspect

The article is devoted to the study of the peculiarities of legal qualification of criminal offences entered into the Unified Register of Pre-trial Investigations on the facts of disappearance of a person under the conditions of temporary occupation and force majeure circumstances in the period from 20.02.2014 to the present. The actions of an investigator at various stages of pre-trial investigation of such criminal offences have been analysed, taking into account investigative situations directly related to premeditated murder as a result of violation of the laws and customs of war. The grounds for changing the legal qualification in criminal proceedings on the facts of missing persons have been proposed.&#x0D; The variability of legal qualifications in criminal proceedings based on the facts of the missing person under special circumstances that occurred in the temporarily occupied territory, due to the influence of force majeure, forced migration of the population, the lack of a unified approach of investigative units, the prosecutor's office and the court to this issue at various stages of the pre-trial investigation is a problem that affects the assignment of a fair punishment to persons whose guilt has been proven by the court in the commission of criminal offenses of a violent nature, the consequence of which is first the disappearance of a person, and then the establishment of the fact of his/her death or violent death, extrajudicial execution.&#x0D; The objectivity of the pre-trial investigation in criminal proceedings on the facts of intentional murders resulting from violations of the laws and customs of war that preceded the disappearance of a person is ensured by establishing reliable and confirmed data on the circumstances of the crime, absolutely all the facts that have preceded it, all information characterising the missing person, his or her lifestyle, connections, political preferences.&#x0D; Under special conditions and the force majeure factor, investigative situations of missing persons at the initial stage of the pre-trial investigation are almost typical. However, high-quality documentation of such criminal offences and bringing the perpetrators to justice is ensured through the proper organisation of interaction between the investigative and operational units of the National Police and other law enforcement agencies with the military, forensic experts and volunteer search organisations. Currently, the military aggression continues.

Облікове забезпечення процесу надання ІТ-послуг на підприємстві

The aim of the article is the scientific substantiation of theoretical provisions and the development of practical recommendations for the optimal accounting support of the process of providing IT services at the enterprise. The article analyzes the views of scholars on the relevance of the process of providing IT services at the enterprise in the context of digitalization of business processes, the vectors of their scientific research in accounting for the IT industry are presented. The types of IT services that can be provided by IT entrepreneurship entities are listed. The characteristic features of IT service as an object of accounting are generalized. It is emphasized that the specific features of IT services require high-quality documentation and accounting support. The article underlines variety of IT services, which is reflected in the relevant methodological aspects and the procedure for displaying information in accounting accounts. The documentary support of the process of providing IT services on the terms of trust between the subject of IT entrepreneurship and customers of IT services is generalized. Emphasis is placed on the possibilities of cooperation between an IT company under civil law contracts with individuals and under gig contracts with residents of Diia.City. Options for organizing the accounting support of the process of providing IT services are provided. The peculiarities of reflection in the accounting accounts of the provision of various types of IT services, including the IT product as a comprehensive set of services and IT outsourcing, are outlined. The need to fix the transfer of ownership of an intangible asset in the case of providing a comprehensive set of IT services and creating an IT product is emphasized. It is summarized that the organization of accounting support for the process of providing IT services can be ensured in different ways, taking into view the needs of the IT entrepreneur and the possibility of optimizing the tax burden. As a direction for further research, the need to develop ways to optimize the tax burden of IT entrepreneurship entities is outlined.

Reducing Inpatient Psychiatric Unit Denials: A Case Management Quality Improvement Project.

The purpose of the inpatient psychiatric unit denials reduction project was to establish a taskforce to analyze denials data for root cause and identify an effective solution to prevent denials through improved provider documentation. The development and implementation of the project occurred at Stanford Health Care, a nonprofit Level 1 trauma hospital, with a 29-bed inpatient psychiatric unit containing both open and secured levels of care. The project was led by the Utilization/Denials Management team, which is subteam within the Case Management Department. Team members are Nurse Case Managers specializing in the management of denials and appeals, data analysis and trending of denials, denial avoidance, and reduction of financial risk. Denials data analysis revealed the Psychiatry Service Line was responsible for over 70% of payer denials within the Length of Stay Write-offs category. In early 2019, the Utilization/Denials Management team initiated a quality improvement project using A3 Lean Approach methodology and evidence-based practice to guide the implementation. The partnership and collaboration included Case Management, Revenue Cycle, Clinical Documentation Improvement, Technology and Digital Solutions, and Psychiatry Service Line leadership that had an interest in reducing payer denials. Outcomes measured for the project were based on denials data for (fiscal year) FY19, the preintervention period, compared to FY20 and FY21, the postintervention period. From FY19 to FY20, revenue loss decreased by 42%. The downward trend continued from FY20 to FY21 with a recorded decrease by 69%. The most important implication of the project was improved physician documentation and medical necessity supporting the severity and intensity of inpatient psychiatric level of care, and medical justification for the inpatient stay not only to prevent medical necessity denials but to accurately reflect the care that was provided. High-quality documentation correlates to the high quality of care being provided. This project is far reaching not only for psychiatric units but also reproducible for other acute hospital service lines. Case Management is a multidisciplinary role, and this work is most meaningful for a Nurse Case Manager engaged in care coordination, including utilization and denials management.

ERA: A new, fast, machine learning-based software to document rock paintings

The present study proposes a new software program to help researchers identify rock paintings from digital images, rapidly producing high-quality documentation, in a user-friendly way. The three RGB colour channels of the digital image are first decorrelated and then stretched, a well-known technique used by remote-sensing specialists for over thirty years. In contrast with the approaches previously developed specifically for rock art, several data-whitening algorithms are used at this step: (regular) principal component analysis, zero-phase component analysis, Cholesky decomposition, and independent component analysis. These transformations produce different arrangements of the colour information, which nevertheless share some important properties (e.g. the covariance matrix of the new channels equals the identity matrix). The decorrelated data, previously stretched and scaled to fit the RGB space, are then converted into various colour spaces (selected from among the most popular): XYZ, HLS, HSV, LAB (CIELAB), Luv, CMY(K), YCrCb, and YUV. The most subtle colour variations will be better perceived in some of these newly produced, contrasted, false-coloured images. The researcher can then take advantage of supervised machine learning algorithms to isolate painted figures. At this step, binary pixel classification is performed either by logistic regression, support vector machine, or k -nearest neighbours, possibly including confident learning. There is no need for complex tuning at any point during the procedure, which lasts a few minutes at most, while a posteriori cleaning of the produced document is minimal. The software, written in Python, is provided as a stand-alone executable program for Windows, for broader diffusion, and as open-source code, which can therefore be adapted to the evolving needs of the community.

Best Practices in Medical Documentation: A Curricular Module.

To create and validate a checklist for high-quality documentation and pilot a multi-modal, immersive educational module across multiple institutions. We hypothesized that this module would improve knowledge, skills, and attitudes in medical documentation. Module design was grounded in an established curriculum design framework. We conducted the study across 12 pediatric critical care fellowship programs between September 2017 and January 2018. Workshops were allotted 90 minutes for completion. We utilized a pre-/post- study design to determine the workshop's impact. Changes in knowledge were assessed through pre and post testing. Changes in skills were evaluated with a validated checklist for inclusion of key documentation elements. Changes in attitudes were determined through learner self-assessment RESULTS: 83 of 138 eligible fellows (60%) started the module and 62 of 83 (75%) completed data sets for analysis. Immediate post-testing demonstrated modest statistically significant improvement in knowledge, skills, and attitudes. The workshop was easily disseminated and deployed CONCLUSIONS: This study demonstrates that a multi-modal educational intervention can lead to improvement in medical documentation knowledge, skills, and attitudes in a cohort of PCCM fellows and be easily disseminated for use by other specialties and types of clinicians.

Documentación y análisis de un cepo de ancla romano y sus elementos iconográficos y epigráficos sellados

This paper aims to present the documentation and analysis methodology carried out on a lead trap from the ancient period, which belongs to the collection of traps in the Museum of Cádiz (Andalusia, Spain). The anchor stock had some interesting characteristics for this research. On the one hand, from the point of view of conservation and restoration, due to the alterations it presented. On the other hand, from a historical and archaeological point of view, it showed signs of reliefs on its surface hidden under the alteration products. The removal of the different layers of alteration that covered the surface during conservation and restoration treatments revealed an unpublished iconographic and epigraphic programme, as well as possible marks of use and manufacture. The poor state of conservation of the original surface made it impossible to visualise the details as a whole, so we applied photogrammetric methods, and subsequently processed models using various GIS analysis and point cloud processing softwares.Two photogrammetric models (in Agisoft PhotoScan) were made to document the trap in general: one prior to the conservation and restoration process; and a second three-dimensional (3D) model once the surface had been cleaned. The purpose of the second model was to visualise the reliefs programme in general, as well as the different surface details. The first complete 3D model of the object was used to perform a virtual reconstruction of the anchor including the elements that did not preserve, using a 3D modelling program (Blender).Nine areas of the stock surface were selected for the analyses of the various iconographic and epigraphic features, which were documented and processed in Agisoft PhotoScan. The Digital Elevation Model (DEM) and point cloud models were then processed with different analyses tools in Geographic Information System (GIS) (such as QGIS) and point cloud processing software (CloudCompare). Our results document a piece of highly interesting information from its surface consisting of reliefs of four dolphins; at least four rectangular stamps: two of them with possible inscriptions, and an anthropomorphic figure. Thanks to the comparative data, we conclude that the four dolphins were made with the same stamp during the stock manufacturing process. Further, we were able to reconstruct the dolphin stamp, partially preserved in each of the reliefs, by unifying the 3D models, thus revealing the original set. This system of stamping by means of reusable dies is well known in other elements such as amphorae but has not been studied in the specific case of lead traps.In the case of the epigraphic elements, the 3D documentation methodology revealed numerous micro-surface details, not visible under conventional documentation techniques, which could help specialists to interpret these inscriptions. Although they have not been analysed in this research, its documentation has promoted the appreciation of surface details that could refer to the manufacturing processes (moulds and tools) or the traces of use, providing historical information on this object. At the same time, the virtual reconstruction of the anchor has aided the formation of hypotheses on the dimensions and original appearance of the anchor. The different tools used, such as raster analysis using shadow mapping and point cloud alignment, proved to be very effective. They have fulfilled the established objectives and have helped to establish a possible analysis methodology for future lead traps with decorative elements. These types of artefacts recovered from underwater sites are very common in museum collections. In many cases, their state of conservation and the difficulty in handling them due to their size and weight make it difficult to document surface details. In this case, the multidisciplinary work of conservation and 3D documentation allows for high-quality documentation that is easy to access and exchange between researchers. The combined use of photogrammetric techniques with virtual RTI provides a non-invasive method for the object, low cost and easy processing compared to other conventional methods.

From a Concentration of Finds to Stone Age Architecture

High-quality documentation that was made during fieldwork at archaeological sites can provide new information for old excavations, even decades later. The revision of the archival data of the Stone Age settlement site Lommi III, located in the border zone of Russia and Estonia and excavated by Richard Indreko in 1940, allowed us to identify the remains of a Comb Ware culture (4th millennium cal BC) pit-house based on the concentration of artefacts marked in the field drawings. The rectangular shape and size of the concentration (c. 7.1x4.4m, depth 0.7–0.75m) corresponds to the architectural form common in the European forest zone and has numerous analogies at the settlement sites of that time in Finland, Karelia (Russia) and Estonia. The composition and diversity of the finds and their distribution indicate the (semi-)sedentary way of life of inhabitants of the pit-house. The radiocarbon age obtained from the organic crust on pottery fragments collected in the pit-house corresponds to the first half of 4th millennium cal BC.

Improving the quality of nursing documentation at a residential care home: a clinical audit

BackgroundQuality in nursing documentation holds promise to increase patient safety and quality of care. While high-quality nursing documentation implies a comprehensive documentation of the nursing process, nursing records do not always adhere to these documentation criteria. The aim of this quality improvement project was to assess the quality of electronic nursing records in a residential care home using a standardized audit tool and, if necessary, implement a tailored strategy to improve documentation practice.MethodsA criteria-based clinical audit was performed in a residential care home in Norway. Quantitative criteria in the N-Catch II audit instrument was used to give an assessment of electronic nursing records on the following: nursing assessment on admission, nursing diagnoses, aims for nursing care, nursing interventions, and evaluation/progress reports. Each criterium was scored on a 0–3 point scale, with standard (complete documentation) coinciding with the highest score. A retrospective audit was conducted on 38 patient records from January to March 2018, followed by the development and execution of an implementation strategy tailored to local barriers. A re-audit was performed on 38 patient records from March to June 2019.ResultsNone of the investigated patient records at audit fulfilled standards for recommended nursing documentation practice. Mean scores at audit varied from 0.4 (95 % confidence interval 0.3–0.6) for “aims for nursing care” to 1.1 (0.9–1.3) for “nursing diagnoses”. After implementation of a tailored multifaceted intervention strategy, an improvement (p < 0.001) was noted for all criteria except for “evaluation/progress reports” (p = 0.6). The improvement did not lead to standards being met at re-audit, where mean scores varied from 0.9 (0.8–1.1) for “evaluation/progress reports” to 1.9 (1.5–2.2) for “nursing assessment on admission”.ConclusionsA criteria-based clinical audit with multifaceted tailored interventions that addresses determinants of practice may improve the quality of nursing documentation, but further cycles of the clinical audit process are needed before standards are met and focus can be shifted to sustainment of knowledge use.

Death Certificate-Based ICD-10 Diagnosis Codes for COVID-19 Mortality Surveillance - United States, January-December 2020.

Approximately 375,000 deaths during 2020 were attributed to COVID-19 on death certificates reported to CDC (1). Concerns have been raised that some deaths are being improperly attributed to COVID-19 (2). Analysis of International Classification of Diseases, Tenth Revision (ICD-10) diagnoses on official death certificates might provide an expedient and efficient method to demonstrate whether reported COVID-19 deaths are being overestimated. CDC assessed documentation of diagnoses co-occurring with an ICD-10 code for COVID-19 (U07.1) on U.S. death certificates from 2020 that had been reported to CDC as of February 22, 2021. Among 378,048 death certificates listing U07.1, a total of 357,133 (94.5%) had at least one other ICD-10 code; 20,915 (5.5%) had only U07.1. Overall, 97.3% of 357,133 death certificates with at least one other diagnosis (91.9% of all 378,048 death certificates) were noted to have a co-occurring diagnosis that was a plausible chain-of-event condition (e.g., pneumonia or respiratory failure), a significant contributing condition (e.g., hypertension or diabetes), or both. Overall, 70%-80% of death certificates had both a chain-of-event condition and a significant contributing condition or a chain-of-event condition only; this was noted for adults aged 18-84 years, both males and females, persons of all races and ethnicities, those who died in inpatient and outpatient or emergency department settings, and those whose manner of death was listed as natural. These findings support the accuracy of COVID-19 mortality surveillance in the United States using official death certificates. High-quality documentation of co-occurring diagnoses on the death certificate is essential for a comprehensive and authoritative public record. Continued messaging and training (3) for professionals who complete death certificates remains important as the pandemic progresses. Accurate mortality surveillance is critical for understanding the impact of variants of SARS-CoV-2, the virus that causes COVID-19, and of COVID-19 vaccination and for guiding public health action.

Delivering high quality documentation on operative consent forms: a UK major trauma center Quality Improvement Project

Background: Royal College of Surgeons guidelines exist on the importance of full, accurate and legible completion of consent forms as a key part of the process of gaining informed consent. In addition to this, consent forms serve as an important medico-legal document to protect clinicians and patients should problems arise. It is therefore in all parties’ interests that they are correctly completed. It was noted that consent forms within the Royal London Hospital Plastic Surgery department were often not correctly completed. A Quality Improvement Project was undertaken to improve the completion of consent forms within the department. Materials and methods: Common problem areas on consent forms were identified and Quality Improvement (QI) methodology was used to design the study including selection of appropriate outcome, process and balancing measures. Baseline information on completion of: (1) patient details, (2) consultant details, (3) legibility, (4) use of abbreviations in description of operation/complications, and (5) patient signatures was collected. Four weekly interventions were made which were accompanied by 4 further data collection cycles. A further reaudit took place 4 months following the completion of the project to establish whether improvements had been sustained. Results: Over the 5 QI data collection cycles the average completion of the 3 outcome measures rose from 59% to 93% and 4 months later was sustained at 91%. Outcome measure 1 (legibility of documentation) rose from 62% to 100%. Outcome measure 2 (omission of abbreviations) rose from 33% to 79%. Outcome measure 3 (patient signature) rose from 81% to 100%. Conclusion: This Quality Improvement Project led to a significant and sustained improvement in quality of completion of consent forms within the department with the most marked improvement in omission of abbreviations. This quality improvement methodology could easily be adapted for other surgical specialities.

Hybrid Symbolic-Numeric Framework for Power System Modeling and Analysis

With the recent proliferation of open-source packages for computing, power system differential-algebraic equation (DAE) modeling and simulation are being revisited to reduce the programming efforts. Existing open-source tools require manual efforts to develop code for numerical equations, sparse Jacobians, and discontinuous components. This paper proposes a hybrid symbolic-numeric framework, exemplified by an open-source Python-based library ANDES, which consists of a symbolic layer for descriptive modeling and a numeric layer for vector-based numerical computation. This method enables the implementation of DAE models by mixing and matching modeling components, through which models are described. In the framework, a rich set of discontinuous components and standard transfer function blocks are provided besides essential modeling elements for rapid modeling. ANDES can automatically generate robust and fast numerical simulation code, as well as and high-quality documentation. Case studies present a) two implementations of turbine governor model TGOV1, b) power flow computation time break down for MATPOWER systems, c) validation of time-domain simulation with commercial software using three test systems with a variety of models, and d) the full eigenvalue analysis for Kundur's system. Validation shows that ANDES closely matches the commercial tool DSATools for power flow, time-domain simulation, and eigenvalue analysis.

Developing hierarchical standardized home care nursing statements using nursing standard terminologies

ObjectivesHome care nursing requires high quality documentation to facilitate communication between health providers. Despite the awareness surrounding the importance of documentation, the home care nursing environment lends itself to incomplete and inaccurate documentation. Our study aims to develop a hierarchical standardized home care nursing statement (S-HCNS) structure that can increase documentation quality and completeness. MethodsWe collected a year of home care nursing notes from a hospital-based home care nursing agency in South Korea. Two nursing terminology standards, the International Classification for Nursing Practice (ICNP) and the Clinical Care Classification (CCC), were used to develop the hierarchical S-HCNS structure. ResultsA total of 1,230 S-HCNSs were derived by mapping 61,061 home care nursing notes to the ICNP. Among the total statements, 82.8 % were completely mapped and 0.3 % were not mapped. A total of 99.2 % of the S-HCNSs were classified within the CCC system to build a hierarchical S-HCNS structure. ConclusionsThe ICNP and CCC showed high mapping rates when building the hierarchical S-HCNSs. The unmapped concepts did not exist in the CCC or ICNP but existed in other terminology systems such as SNOMED CT. The differences in granularity between the two terminology standards enabled the development of a hierarchical structure, which enabled the representation of the appropriate level of detail found within clinical documentation. We expect this structure will increase documentation quality and completeness.

Hyper-Spectral Imaging Technique in the Cultural Heritage Field: New Possible Scenarios.

Imaging spectroscopy technique was introduced in the cultural heritage field in the 1990s, when a multi-spectral imaging system based on a Vidicon camera was used to identify and map pigments in paintings. Since then, with continuous improvements in imaging technology, the quality of spectroscopic information in the acquired imaging data has greatly increased. Moreover, with the progressive transition from multispectral to hyperspectral imaging techniques, numerous new applicative perspectives have become possible, ranging from non-invasive monitoring to high-quality documentation, such as mapping and characterization of polychrome and multi-material surfaces of cultural properties. This article provides a brief overview of recent developments in the rapidly evolving applications of hyperspectral imaging in this field. The fundamentals of the various strategies, that have been developed for applying this technique to different types of artworks are discussed, together with some examples of recent applications.

An Automated Approach for Constructing Framework Instantiation Documentation

A substantial effort, in general, is required for understanding APIs of application frameworks. High-quality API documentation may alleviate the effort, but the production of such documentation still poses a major challenge for modern frameworks. To facilitate the production of framework instantiation documentation, we hypothesize that the framework code itself and the code of existing instantiations provide useful information. However, given the size and complexity of existent code, automated approaches are required to assist the documentation production. Our goal is to assess an automated approach for constructing relevant documentation for framework instantiation based on source code analysis of the framework itself and of existing instantiations. The criterion for defining whether documentation is relevant would be to compare the documentation with an traditional framework documentation, considering the time spent and correctness during instantiation activities, information usefulness, complexity of the activity, navigation, satisfaction, information localization and clarity. We propose an automated approach for constructing relevant documentation for framework instantiation based on source code analysis of the framework itself and of existing instantiations. The proposed approach generates documentation in a cookbook style, where the recipes are programming activities using the necessary API elements driven by the framework features. We performed an empirical study, consisting of three experiments with 44 human subjects executing real framework instantiations aimed at comparing the use of the proposed cookbooks to traditional manual framework documentation (baseline). Our empirical assessment shows that the generated cookbooks performed better or, at least, with non-significant difference when compared to the traditional documentation, evidencing the effectiveness of the approach.

Dynamic Video–Photograph Studio: A New Rhinoplasty Documentation

Photographic documentation of the nose is the standard procedure for many surgeons who perform rhinoplasty across the world. One of the most challenging views in the photograph documentation is the frontal view that requires special photographic skills and may create a bias. Our dynamic video recording process allows us to improve the quality of patient evaluation, making the assessment more convenient and enabling the documentation of high-level rhinoplasty database. Our main goal was to present our selected video recording process that ensures standardized, high-quality documentation of the data from rhinoplasty patients. As per our knowledge, this tool has not been published before. We have invented a rotational platform-based chair that allows us to make a dynamic evaluation of the patients under standardized photograph settings (patient's position, camera, and lighting features) through a video recording. We demonstrated that the quality of our rotational video recording process is similar to that of standardized photographs. However, this additional dynamic evaluation helps to avoid Photoshop® corrections which may result in bias. This high-quality patient evaluation represents advancement in the photograph-documentation process in the modern era of rhinoplasty. This new dynamic video recording process prevents image misinterpretation, helps improve the quality of patient evaluations, makes the process more convenient, and enables the documentation of high-quality data for rhinoplasty patients. Moreover, this new recording process is an excellent tool for educational purposes and presentations. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Levantamiento arquitectónico y análisis arqueológico del castillo de Píñar como punto de partida para su conservación

&lt;p&gt;This paper presents an applied methodology for the graphic documentation, analysis and criteria determination for the protection and conservation of built heritage. One of the main risks when restoring medieval rammed earth architecture is the lacking of an optimal graphic base of its structures. This paper’s main objective is the holistic knowledge of the Píñar fortress (Granada), analysis the building sequence from an archaeological perspective, and performing a rigorous 3D survey of its structures as a fundamental procedure. This survey was carried out applying the new technologies in graphic documentation: Unmanned Aerial Vehicle (UAV)-based multi-image photogrammetry and Structure-from-Motion (SfM) processing. The new systems of aerial three-dimensional (3D) capture and representation are changing the paradigm in the architectural heritage documentation, being much more efficient and precise. This high-quality documentation is fundamental for the archaeological research of the fortress’ building sequence, remarkably easing research as well as results dissemination. The constructive techniques and building sequence study made with archaeological methodology has revealed the complex historical evolution of Píñar fortress, since it was built in the Almohad period, with important transformations in Nasrid and Castilian periods. These alterations in such a narrow span of time shed light on the importance of this fortification in the border organization in the Late Middle Ages. The experimentation with Building Information Modelling (BIM) tools applied to heritage (HBIM) is showing its great potential in processing data linked to conceptual models, integrating graphic documentation with archaeological and historical interpretation. Nevertheless, the complexity of historical buildings and the hard work of manual modelling are making its wider use in archaeology difficult. The BIM model of Píñar fortress has been enriched with data such as type of material, building technique, chronology, pathologies and modifications, differentiating the historical phases with specific colours to make its identification easier. Its aim is to acquire a better knowledge of the fortress historical evolution, thus allowing the creation of conservation and protection strategies. The holistic knowledge of a building is a complex task that requires the work of different professionals. The ones in charge of the graphic documentation must know the survey objectives and the needs of the rest of the team. The current and future management of heritage requires professionals working on conservation with updated skills in digital technologies. The results of public heritage research with these technologies should be in open access platforms to be used by all researchers and professionals that could need them.&lt;/p&gt;

Gamification of communication and documentation processes in project teams

Abstract Motivation - communication and documentation processes do not always support project realization and there are numerous examples that these processes are not executed properly or are neglected, treated as natural, and not needing much attention. In many cases, the problem is that team members do not put enough effort and attention to communicate clearly, to produce high-quality documentation, and to obey communication deadlines (providing reports, summaries, replying to emails, etc.). One possible way to get them more engaged is to gamify the communication and documentation processes. Aim - the paper aims to discover which communication and documentation processes and tasks are especially suitable to apply gamification and suggest appropriate gamification methods and forms which could motivate team members to execute them properly and efficiently. Method - to discover which communication and documentation processes and tasks are seen as burdensome or often neglected and which are especially suitable to apply gamification, an online-questionnaire method has been used. Then, basing on common rules regarding the application of gamification, as well as respondents’ answers, a set of gamification methods and forms for supporting communication and documentation tasks is proposed.