Use Of Terminology Research Articles

From the International Association for the Study of Lung Cancer Early Detection and Screening Committee: Terminology Issues in Screening and Early Detection of Lung Cancer—International Association for the Study of Lung Cancer Early Detection and Screening Committee Expert Group Recommendations

IntroductionTo facilitate global implementation of lung cancer (LC) screening and early detection in a quality assured and consistent manner, common terminology is needed. Researchers and clinicians within different specialties may use the same terms but with different meanings or different terms for the same intended meanings. MethodsThe Diagnostics Working Group of the International Association for the Study of Lung Cancer Early Detection and Screening Committee has analyzed and discussed relevant terms used on a regular basis and suggests recommendations for consensus definitions of terminology applicable in this setting. We explored how to reach consensus to define relevant and unambiguous terminology for use by health care providers, researchers, patients, screening participants, and family. ResultsTerms and definitions for epidemiologic and health-economical purposes included the following: standardized incidence and mortality rates, LC-specific survival, long-term survival and cure rates, overdiagnosis, overtreatment, and undertreatment. Terms and definitions for defining screening findings included the following: positive, false-positive, negative, false-negative, and indeterminate findings and additional and incidental findings. Terms and definitions for describing parameters in screening programs included the following: opportunistic versus programmatic screening, screening rounds, interval or interim diagnoses, and invasive and minimally invasive procedures. Terms and definitions for shared decision-making included the following: LC screening—possible harms and risks and LC risk and modifiers prior and posterior to a measure. ConclusionsA common set of terminology with standard definitions is recommended for describing clinical LC screening programs, the discussion about effectiveness and outcomes, or the clinical setting. The use of the terms should be clearly defined and explained.

Complex issues in vocational rehabilitation with functional capacity evaluation results

BACKGROUND: The American Physical Therapy Association (APTA) conducted a two-year process of literature review, writing, discussion, and debate within a panel of four subject matter experts in design, administration, and interpretation of Functional Capacity Evaluations (FCE). This process resulted in a Best Practice Guidelines document which was then adopted by the APTA. OBJECTIVE: This article provides additional clarification regarding best practices and standard methodology for functional capacity evaluations including standard terminology for use by physical therapists and vocational rehabilitation professionals in determining the types of work a patient has the capacity of performing. METHODS: The clarification of the role of the FCE, who is qualified to conduct an FCE, complexities such as ‘good effort’ and pain in the evaluation process, clarification of terms from different government agencies, and the implications for disability determination are discussed. RESULTS: Specific guidelines for best practice with FCE are suggested and demonstrated through case studies. CONCLUSION: The best practice guidelines are detailed here to set forth qualification standards for FCE examiners and to promote clinical excellence, accountability, and consistency in the design, administration, and interpretation of FCEs.

A pilot conceptualisation of the data space ecosystems for cultural heritage

The digital heritage sector is among the nine common European data spaces out- lined in the EU Data Act: Health, Industrial, Agriculture, Finance, Mobility, Green Deal, Energy, Public Administration, and Skills. The data space concept is complex, and being linked with the data ecosystem brings together methodologies and techniques from numerous domains: artificial intelligence (AI), text/data mining, data visualisation, mapping, image analysis, audio analysis, network analysis, and rights management. There is a need for clarifying data terminology in use for the GLAM field and transferable methodology to strengthen its’ ongoing datafication and digital skill set. The paper offers a comprehensive literature review (incl. EU Data (space) policy documents) on data spaces and data ecosystems aimed at (1) formulating the main challenges in data collection, data processing, and data maturity for heritage-related information systems and (2) justification of the necessary mindset and digital skill set change for a mature museum. General conclusions are made as well as rec- ommendations for the Bulgarian GLAM sector.

Exploration on Standardization of Clinical Research Data in a Clinical Trial Institute of Traditional Chinese Medicine

Traditional Chinese Medicine(TCM) products and practices are widely used worldwide with increasing popularity. The number of TCM clinical trials has increased significantly in the past two decades. There is an urgent need to standardize TCM data and terminology for use in clinical studies. It will ensure data quality, improve the efficiency and expedite scientific communications in TCM. This paper illustrates our exploration processes in the application and development of the data standards in TCM clinical trials. We hope these explorations will help TCM data exchange, sharing, and aggregation which will ultimately accelerate the launch of TCM products and bring benefits to people.

Mamlūk Qurʾān Manuscripts

Abstract The present article focuses on additional texts or appendices by scribes to three Qurʾānic manuscripts of the Mamlūk era. These appendices were accidentally found in the collections of Dār al-Kutub al-Miṣriyyah in Cairo: in Maṣāḥif 81 dating from 734/1334; Maṣāḥif 94 from 830/1427; and Maṣāḥif 143 also from 879/1474–1475. The three manuscripts are one-volume luxury copies of the Qurʾān. The subjects of these scribal appendices are mostly matters of qirāʾāt, taǧwīd, and waqf. They make explicit some of the rules that all scribes have internalized for themselves, as is often the case with crafts, but which are rarely recorded. Two of the three texts examined here are short, no more than one or two pages, but an exception to this is the longer text at the end of Maṣāḥif 81, the oldest example of the scribal additions that are presented herewith. The appendices are presented in chronological order. First, every manuscript is described generally, then each appendix is presented in transcription and annotated translation. At the end, a glossary of the technical terminology in use is added. All appendices are shown in facsimile.

Differences in nomenclature usage and preference among dermatopathologists for "dysplastic" nevi: A national survey.

Ongoing controversy exists regarding terminology used to describe atypical melanocytic nevi. Efforts to standardize nomenclature, including the 1992 NIH consensus conference, have been largely unsuccessful. Significant advances have revealed an increasingly detailed genetic picture of melanocytic neoplasms, including strong evidence for the existence of those with "intermediate" behavior. We sent an electronic survey to dermatopathologists (n=846) to assess trends in nomenclature usage and attitudes toward developing new consensus nomenclature for atypical melanocytic nevi. There were 229 complete responses (27.1% response rate). The most used/preferred nomenclature was "dysplastic nevus" (43%/39%, respectively), followed by the NIH-recommended terminology (28%/26%). Three-tier grading systems were most heavily used/preferred (79%/63%). Dermatopathologists based in New England were most likely to use the NIH terminology; on the other hand, "dysplastic nevus" or "other" were most used elsewhere (p=0.029). Most (76%) expressed at least "moderate" enthusiasm for developing consensus nomenclature, with 47% "very" or "extremely" enthusiastic. Little has changed with the wide variation in terminology for atypical melanocytic nevi. There continues to be no one dominant terminology in use. However, there is enthusiasm for standardization. A new attempt at updated consensus nomenclature may be fruitful.

Towards a common terminology in radioglaciology

AbstractOver the past 70 years, many different components of the cryosphere have been imaged with a variety of radar systems using increasingly sophisticated processing techniques. These systems use various pulse lengths, signal frequencies and, in some cases, modulated signals. The increasing diversity of radar systems has created the potential for confusion due to the use of non-consistent terminology. Here we provide an overview of state-of-the-science radar technologies and suggest a simplified and unified terminology for use by the cryosphere community. We recommend a terminology that is target independent but specifies the characteristics of the signal. Following this recommendation, commercial impulse systems that penetrate the subsurface should be referred to as ground-penetrating radar (GPR), and pulse radars as radio-echo sounding (RES). Continuous-wave (CW) radar systems should be referred to as ground-penetrating CW radars. We further suggest any additional characterisation of the system be expressed using descriptors that specify the platform it is mounted on (e.g. airborne) or the frequency range (e.g. HF (high frequency)) or modulation (e.g. FM (frequency modulated)).

The Need to Standardize Our Language Around Dual Antiplatelet Therapy—A Call to Action

This Viewpoint summarizes the complexity of the existing terminology used for dual antiplatelet therapy (DAPT) and the need to standardize the terminology for use in clinical cardiology and scientific research.

Addressing Trauma-Informed Principles in Public Health through Training and Practice.

The increasing prevalence of traumatic events requires our public health workforce to be knowledgeable about ways trauma influences population and individual health. There is a gap in student training about the various ways that traumatic events affect their capacity to perform public health work and the communities they serve. While other human services disciplines explicitly use trauma-informed terminology and concepts in student training, references to trauma-informed approaches are more implicit in public health curricula. This study examined trauma-informed principles and related terminology for use in public health coursework in the context of a community-wide water contamination public health crisis in Flint, Michigan, USA. We addressed the principles of trauma-informed approaches across key competency areas common to USA public health accredited programs, including discussion to support student understanding of the principle in action. Using trauma-informed language (1) enhances our capacity to name and respond empathetically in traumatized communities, (2) provides guiding principles for less community-engaged efforts, and (3) fosters stronger relationships for more community-engaged initiatives by providing areas of accountability for unintended consequences throughout the program’s development and implementation processes. Rising public health professionals equipped with knowledge of trauma-informed approaches can more intentionally minimize unintended negative consequences of public health initiatives.

Understanding the use of patient-reported data by health care insurers: A scoping review.

Patient-reported data are widely used for many purposes by different actors within a health system. However, little is known about the use of such data by health insurers. Our study aims to map the evidence on the use of patient-reported data by health insurers; to explore how collected patient-reported data are utilized; and to elucidate the motives of why patient-reported data are collected by health insurers. The study design is that of a scoping review. In total, 11 databases were searched on. Relevant grey literature was identified through online searches, reference mining and recommendations from experts. Forty-two documents were included. We synthesized the evidence on the uses of patient-reported data by insurers following a structure-process-outcome approach; we also mapped the use and function of those data by a health insurer. Health insurers use patient-reported data for assurance and improvement of quality of care and value-based health care. The patient-reported data most often collected are those of outcomes, experiences and satisfaction measures; structure indicators are used to a lesser extent and often combined with process indicators. These data are mainly used for the purposes of procurement and purchasing of services, quality assurance, improvement and reporting, and strengthening the involvement of insured people. The breadth to which insurers use patient-reported data in their business models varies greatly. Some hindering factors to the uptake of such data are the varying and overlapping terminology in use in the field and the limited involvement of insured people in a health insurer's business. Health insurers are advised to be more explicit in regard to the role they want to play within the health system and society at large, and accommodate implications for the use of patient-reported data accordingly.

C212: An R Package for the Detection of Safety Signals in Clinical Trials Using Body-Systems (System Organ Classes)

Safety in clinical trials may be characterised by the incidence or occurrence of adverse events. The statistical analysis of this data is complicated by the large number of adverse events recorded, with low event rates, small effect sizes and low power all contributing to the difficulty in determining a robust safety profile for a treatment during the trial process. In addition to end of trial analyses, a number of interim analyses may take place at different time points during the trial lifecycle. These offer the additional statistical challenge of testing accumulating data, with possibly differing recruitment rates on trial arms contributing to a lack of balance in the data. Adverse events are typically defined by medical dictionaries, which provide a common reference terminology for use in and between clinical trials. There are a number of medical dictionaries in current use, all of which provide similar services. One such dictionary is MedDRA (Medical Dictionary for Regulatory Activities), which was developed by the ICH (International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use) and is widely used by regulatory bodies, clinical research organisations (CROs), and pharmaceutical companies. WHO-ART (World Health Organisation Adverse Reaction Terminology) is a similar dictionary maintained by the Uppsala Monitoring Centre for the World Health Organisation Collaborating Centre for International Drug Monitoring. MedDRA and WHO-ART have a similar hierarchical structure consisting of System Organ Classes (SOC) and various grouping and descriptor terms. The MedDRA hierarchical structure consists of five levels: System Organ Class (SOC), High Level Group Terms (HLGT), High Level Terms (HLT), Preferred Terms (PT), and Lower Level Terms (LLT). The PT is a single medical description of a symptom or observation while the LLT is how a patient or data recorder would describe a symptom or observation. Each LLT belongs to one PT and, in general, data will be recorded at the LLT level but reported at the PT level (the adverse event). As of 2020 there are 27 SOCs and over 80,000 LLTs. The grouping of adverse events by SOC (or body-system) provides for possible relationships between the adverse events within a SOC. One consequence of this is the possibility that, for treatments which may affect a particular SOC, there may be raised rates for a number of adverse events within that SOC. A number of methods have recently been proposed to address the statistical issues in adverse event analysis by using these groupings of adverse events by body-system or SOC, taking into account the additional information provided by these relationships to increase the power of detecting real adverse event effects. These methods, Hochberg, 1995; Hu et al., 2010; Matthews, 2006; Mehrotra & Adewale, 2012; Yekutieli, 2008), and Bayesian modelling approaches (Amy Xia et al., 2011; Berry & Berry, 2004; Carragher, 2017b), are implemented in the R package c212.

Videos improve patient understanding of misunderstood chemotherapy terms in a rural population.

7022 Background: Rural communities can have low health literacy, which impacts the adequacy of informed consent, adherence to treatment, and outcomes. We had previously created and tested educational videos about basic chemotherapy terminology for use in an underserved population at our inner-city hospital. This study aimed to determine if these videos increased understanding of these terms in rural communities. Methods: Through patient and provider interviews in an underserved urban setting, 20 basic cancer treatment terms were identified as frequently misunderstood. As a pilot, 6 of these terms were explained in short, animated one-minute videos using VideoScribe (Sparkol).To determine if these videos improved understanding in the rural setting, 50 rural patients, specified as patients living in a county ranked 4-9 on the USDA Rural Urban Continuum Code (RUCC) scale, were asked to define each term before and after viewing the video. All answers were audiotaped and double coded for correctness of definition pre and post video screening, using the video definition as the correct definition. Before video and after video correct definition rates were calculated, along with 95% exact binomial confidence intervals using the Clopper-Pearson method. The videos for all 20 terms can be viewed on CancerQuest ( https://www.cancerquest.org/media-center/videos/cancer-treatment-terms ). Results: Participants were mostly white (79%), female (52%), resided in the more rural counties RUCC ranked 6-9 (62%), had < a high school degree (56%) and had a family income of <$40K (59%). Conclusions: Improving health literacy is a critical component in improving care. Our study establishes that a simple and easily disseminated intervention can significantly increase patient understanding of basic chemotherapy terminology in a rural setting. [Table: see text]

Proposing a re-conceptualisation of competency framework terminology for health: a scoping review

BackgroundCompetency frameworks are being taken up by a growing number of sectors and for a broad range of applications. However, the topic of competency frameworks is characterised by conceptual ambiguity, misunderstanding and debate. Lack of consistency in the conceptualisation and use of key terminology creates a barrier to research and development, consensus, communication and collaboration, limiting the potential that competency frameworks have to deal with real workforce challenges. This paper aims to advance the field by conducting a detailed review of the literature to understand the underlying causes of conceptual differences and divergent views and proposing a re-conceptualisation of competency framework terminology for use by the health sector.MethodsA broad scoping review of literature was conducted to identify publications relating to the conceptualisation of competency frameworks and key terms, examine how they are conceptualised and determine how this evolved. In addition, a purposive sample of health-related competency frameworks was chosen to illustrate how the terms and concepts are currently being applied in the health context.ResultsOf the 4 155 records identified, 623 underwent text searches and broad quantitative analysis, and 70 were included for qualitative analysis. Quantitative analysis identified 26 key terms, which were coded under six thematic headings. Qualitative analysis using the thematic areas revealed two distinct conceptualisations of competency frameworks and their terminology emerging concurrently in the education and employment sectors, with different underpinnings and purposes. As competency frameworks have developed, these two conceptualisations intertwined, resulting in the same terms being used to convey different concepts. Examination of health-related frameworks showed that this merging of concepts is prominent, with lack of consistency in definitions and use of key terms even within a single organisation.Discussion and conclusionsBuilding on previous efforts to address the lack of conceptual clarity surrounding competency frameworks, this paper proposes a re-conceptualisation of the terminology that encompasses two distinct competency framework interpretations, using a glossary of mutually exclusive terms to differentiate concepts. The re-conceptualisation holds relevance for multiple competency framework applications within health, enabling harmonisation, clear communication, consensus-building and effective implementation of competency frameworks.

Ten guiding principles for movement training in neurorehabilitation

Clinicians and researchers in neurorehabilitation continue to have difficulties with reporting and describing the many active components used within physical therapy interventions. People with neurological conditions can present with cognitive, perceptual, behavioural and physical impairments that require individual consideration within their training program. Current knowledge from the areas from motor control theories, neuroscience and clinical evidence from neurological and musculoskeletal rehabilitation all inform the design of movement training programs. Such a diverse field of theoretical, scientific and clinical knowledge makes it difficult to agree upon a consistent way to label the many components relevant to training. This article proposes the use of ten guiding principles of movement training that can provide terminology for use in neurorehabilitation clinical practice that could be used by both professionals and individuals with neurological conditions. The ten Movement Training Principles could potentially improve interdisciplinary collaboration, enhance teaching of the clinical reasoning process and drive innovation for future therapies.

Faut-il en finir avec la sépulture collective (et sinon qu’en faire) ?

Depuis les années 1960, l’appellation de sépulture collective est d’un emploi commun en archéologie. Elle a pourtant suscité de nombreuses discussions, notamment parce qu’elle est aussi utilisée pour désigner des structures et des fonctionnements observés en ethnographie et qu’il existe de ce fait une tendance permanente pour lui accorder une signification sociale de plus en plus grande. Cela amène à se poser deux questions : pouvons-nous conserver sous sa forme actuelle la terminologie employée ou devons-nous la modifier ? Et, surtout, pouvons-nous continuer à utiliser le même concept à la fois en archéologie et en ethnologie, et si oui à quelles conditions ? En définissant correctement l’unité analytique de référence qu’est la sépulture, puis en examinant les différentes manières possibles d’y réunir des morts, on peut finalement montrer que la terminologie française actuelle se rapportant à la sépulture collective est tout à fait opérationnelle en archéologie comme en ethnologie et est transposable d’une discipline à une autre dès lors que l’on évite absolument d’intégrer une fonction sociale dans les définitions. On peut toutefois apporter quelques ajustements à ces dernières pour lever certaines ambiguïtés et en assurer la cohérence, ainsi que quelques précisions d’utilisation. Par ailleurs, l’opposition classique entre la sépulture multiple et la sépulture collective apparaît fondamentale, parce qu’elle permet de dégager un comportement mortuaire particulier et de conjecturer que toutes les sépultures collectives archéologiques ont été établies pour réunir des individus liés par la parenté.

Когнитивный подход к терминологии естественных наук на занятиях по английскому языку

The purpose of this article was to conduct an analysis of scientific terminology in use. The analysis was based on the perception of the terminology in interlanguage contexts. Regarding the source of the study, a number of international terms were analyzed, which showed a specific ‘word usage’ in professional communication in order to prevent ‘false analogies’. In addition to its value for comparative linguistics, the study also reveals universals of lexical conceptual space. We present a typological study of terminology polysemy in order to construct a special perception on semantic similarity among the basic scientific terminology and in borrowings, specifically. The findings provide a sound basics and valuable implications for further research in this field which will improve, as we believe, the understanding among professionals on the global level and speed up the development of science.

58th Annual Meeting of the Japanese Teratology Society: Congenital anomalies as variants

58th Annual Meeting of the Japanese Teratology Society: Congenital anomalies as variants

Statues and Improvement of Electronic Medical Record System in Traditional Korean Medicine.

ObjectivesThe study was to survey use of electronic medical records in subjects of Korean medicine doctors working for Korean medicine organizations and to contemplate ways to develop utilization of electronic medical records.MethodsOn August 2017, it conducted online self-reported survey on subjects of Korean medicine doctors at Korean hospitals and clinics who agreed to participate in the study. A total 40 doctors in hospital and 279 doctors in clinic were included. The surveyed contents include kinds of electronic chart, reason for not using electronic medical records and problems with creation of medical records.ResultsIt finds that 100% of those working at Korean medicine hospitals and 86.4% of those at Korean medicine clinics have used electronic medical records. Subjects answered the biggest reason for not using electronic medical records was inconvenience. The most serious problems with creation of electronic medical records at Korean medicine organizations found in the study include there was no method of creation of medical records and no standardized terminology for use in electronic medical records.ConclusionFor utilization of electronic medical records at Korean medicine organizations, standardization of terminology, development of EMR in favour of its users and development of strategy that motivates use of EMR are required.

Early music and terminological resurgence

Research on historical terminology is a key step to understanding a specialised language and its evolution, and to getting to the core of a historical discipline in context. This type of research is particularly of interest in fields like Early music, especially as early-music specialists have to use and master the proper terminology for the music they specialise in and that is very often different from the terminology traditionally used in music, and as they have to be able to communicate efficiently with specialists from other fields. In this paper, the author will present an ongoing doctoral research project on the music terminology in use in France and in England during the second half of the 17th century and its evolution through time, the methodology being used and some methodological issues, as well as present a few examples illustrating the author’s work.

Measuring nurses\u2019 perception of work environment: a scoping review of questionnaires

BackgroundNurses’ work environment has been shown to be associated with quality of care and organizational outcomes. In order to monitor the work environment, it is useful for all stakeholders to know the questionnaires that assess or evaluate conditions for delivering nursing care. The aim of this article is: to review the literature for assessed survey questionnaires that measure nurses’ perception of their work environment, make a brief assessment, and map the content domains included in a selection of questionnaires.MethodsThe search included electronic databases of internationally published literature, international websites, and hand searches of reference lists. Eligible papers describing a questionnaire had to be; a) suitable for nurses working in direct care in general hospitals, nursing homes or home healthcare settings; and b) constructed to measure work environment characteristics that are amenable to change and related to patient and organizational outcomes; and c) presented along with an assessment of their measurement properties.ResultsThe search yielded 5077 unique articles. For the final synthesis, 65 articles met inclusion criteria, consisting of 34 questionnaires measuring nursing work environments in different settings. Most of the questionnaires that we found were developed, and tested, for registered nurses in a general hospital setting. Six questionnaires were developed specifically for use in nursing home settings and one for home healthcare. The content domains covered by the questionnaires were both overlapping and unique and the terminology in use was inconsistent. The most common content domains in the work environment questionnaires were supportive managers, collaborative relationships with peers, busyness, professional practice and autonomy.ConclusionsThe findings from this review enhance the understanding of how “work environment” can be measured by an overview of existing questionnaires and domains. Our results indicate that there are very many work environment questionnaires with varying content.