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1.
Eur Phys J C Part Fields ; 84(1): 18, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38205101

RESUMO

High-precision searches for an electric dipole moment of the neutron (nEDM) require stable and uniform magnetic field environments. We present the recent achievements of degaussing and equilibrating the magnetically shielded room (MSR) for the n2EDM experiment at the Paul Scherrer Institute. We present the final degaussing configuration that will be used for n2EDM after numerous studies. The optimized procedure results in a residual magnetic field that has been reduced by a factor of two. The ultra-low field is achieved with the full magnetic-field-coil system, and a large vacuum vessel installed, both in the MSR. In the inner volume of ∼1.4m3, the field is now more uniform and below 300 pT. In addition, the procedure is faster and dissipates less heat into the magnetic environment, which in turn, reduces its thermal relaxation time from 12h down to 1.5h.

2.
Eur Phys J C Part Fields ; 83(11): 1061, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38021215

RESUMO

We present a novel Active Magnetic Shield (AMS), designed and implemented for the n2EDM experiment at the Paul Scherrer Institute. The experiment will perform a high-sensitivity search for the electric dipole moment of the neutron. Magnetic-field stability and control is of key importance for n2EDM. A large, cubic, 5 m side length, magnetically shielded room (MSR) provides a passive, quasi-static shielding-factor of about 105 for its inner sensitive volume. The AMS consists of a system of eight complex, feedback-controlled compensation coils constructed on an irregular grid spanned on a volume of less than 1000 m3 around the MSR. The AMS is designed to provide a stable and uniform magnetic-field environment around the MSR, while being reasonably compact. The system can compensate static and variable magnetic fields up to ±50µT (homogeneous components) and ±5µT/m (first-order gradients), suppressing them to a few µT in the sub-Hertz frequency range. The presented design concept and implementation of the AMS fulfills the requirements of the n2EDM experiment and can be useful for other applications, where magnetically silent environments are important and spatial constraints inhibit simpler geometrical solutions.

3.
Nutr Cycl Agroecosyst ; 127(3): 375-392, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38025204

RESUMO

Soil nitrous oxide (N2O) fluxes comprise a significant part of the greenhouse gas emissions of agricultural products but are spatially and temporally variable, due to complex interactions between climate, soil and management variables. This study aimed to identify the main factors that affect N2O emissions under sugarcane, using a multi-site database from field experiments. Greenhouse gas fluxes, soil, climate, and management data were obtained from 13 field trials spanning the 2011-2017 period. We conducted exploratory, descriptive and inferential data analyses in experiments with varying fertiliser and stillage (vinasse) type and rate, and crop residue rates. The most relevant period of high N2O fluxes was the first 46 days after fertiliser application. The results indicate a strong positive correlation of cumulative N2O with nitrogen (N) fertiliser rate, soil fungi community (18S rRNA gene), soil ammonium (NH4+) and nitrate (NO3-); and a moderate negative correlation with amoA genes of ammonia-oxidising archaea (AOA) and soil organic matter content. The regression analysis revealed that easily routinely measured climate and management-related variables explained over 50% of the variation in cumulative N2O emissions, and that additional soil chemical and physical parameters improved the regression fit with an R2 = 0.65. Cross-wavelet analysis indicated significant correlations of N2O fluxes with rainfall and air temperature up to 64 days, associated with temporal lags of 2 to 4 days in some experiments, and presenting a good environmental control over fluxes in general. The nitrogen fertiliser mean emission factors ranged from 0.03 to 1.17% of N applied, with urea and ammonium nitrate plus vinasse producing high emissions, while ammonium sulphate, ammonium nitrate without vinasse, calcium nitrate, and mitigation alternatives (nitrification inhibitors and timing of vinasse application) producing low N2O-EFs. Measurements from multiple sites spanning several cropping seasons were useful for exploring the influence of environmental and management-related variables on soil N2O emissions in sugarcane production, providing support for global warming mitigation strategies, nitrogen management policies, and increased agricultural input efficiency. Supplementary Information: The online version contains supplementary material available at 10.1007/s10705-023-10321-w.

4.
Plant Cell Physiol ; 64(7): 729-745, 2023 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-37026703

RESUMO

This study investigates carbon partitioning in the developing endosperm of a European variety of spring wheat subjected to moderately elevated daytime temperatures (27°C/16°C d/night) from anthesis to grain maturity. Elevated daytime temperatures caused significant reductions in both fresh and dry weights and reduced the starch content of harvested grains compared to plants grown under a 20°C/16°C d/night regimen. Accelerated grain development caused by elevated temperatures was accounted for by representing plant development as thermal time (°C DPA). We examined the effects of high-temperature stress (HTS) on the uptake and partitioning of [U-14C]-sucrose supplied to isolated endosperms. HTS caused reduced sucrose uptake into developing endosperms from the second major grain-filling stage (approximately 260°C DPA) up to maturity. Enzymes involved in sucrose metabolism were unaffected by HTS, whereas key enzyme activities involved in endosperm starch deposition such as ADP-glucose pyrophosphorylase and soluble isoforms of starch synthase were sensitive to HTS throughout grain development. HTS caused a decrease in other major carbon sinks such as evolved CO2, ethanol-soluble material, cell walls and protein. Despite reductions in the labeling of carbon pools caused by HTS, the relative proportions of sucrose taken up by endosperm cells allocated to each cellular pool remain unchanged, except for evolved CO2, which increased under HTS and may reflect enhanced respiratory activity. The results of this study show that moderate temperature increases can cause significant yield reductions in some temperate wheat cultivars chiefly through three effects: reduced sucrose uptake by the endosperm, reduced starch synthesis and increased partitioning of carbon into evolved CO2.


Assuntos
Carbono , Triticum , Temperatura , Triticum/metabolismo , Carbono/metabolismo , Dióxido de Carbono/metabolismo , Amido/metabolismo , Grão Comestível/metabolismo , Sacarose/metabolismo
5.
Domest Anim Endocrinol ; 83: 106785, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36745973

RESUMO

A chemiluminescent immunoassay is commonly employed to measure adrenocorticotrophic hormone (ACTH) concentrations to assist pituitary pars intermedia dysfunction diagnosis. In a previous study, seasonally-dependent assay cross-reactivity to endogenous equine corticotropin-like intermediate lobe peptide (CLIP, ACTH 18-39) was suspected. The present study aimed to demonstrate binding of endogenous equine CLIP to the capture antibody of the ACTH chemiluminescent immunoassay. Liquid chromatography - mass spectrometry (LCMS) methods were optimised to identify selected ions from synthetic human ACTH, α-melanocyte stimulating hormone (α-MSH, ACTH 1-17) and CLIP. Synthetic ACTH and CLIP bound to the capture antibody of the chemiluminescent ACTH assay, but α-MSH did not. Equine endogenous CLIP was detected by LCMS in pony plasma taken in the autumn and could be eluted from the capture antibody of the ACTH chemiluminescent immunoassay. Further research is required to enable quantification of CLIP. Equine CLIP may alter measured ACTH concentrations in vivo.


Assuntos
Hormônio Adrenocorticotrópico , alfa-MSH , Cavalos , Animais , Humanos , Peptídeo da Parte Intermédia da Adeno-Hipófise Semelhante à Corticotropina/metabolismo , alfa-MSH/metabolismo , Anticorpos , Hipófise/metabolismo , Hormônios Estimuladores de Melanócitos/metabolismo
7.
Rev Sci Instrum ; 93(9): 095105, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-36182526

RESUMO

We present the magnetically shielded room (MSR) for the n2EDM experiment at the Paul Scherrer Institute, which features an interior cubic volume with each side of length 2.92 m, thus providing an accessible space of 25 m3. The MSR has 87 openings of diameter up to 220 mm for operating the experimental apparatus inside and an intermediate space between the layers for housing sensitive signal processing electronics. The characterization measurements show a remanent magnetic field in the central 1 m3 below 100 pT and a field below 600 pT in the entire inner volume, up to 4 cm to the walls. The quasi-static shielding factor at 0.01 Hz measured with a sinusoidal 2 µT peak-to-peak signal is about 100 000 in all three spatial directions and increases rapidly with frequency to reach 108 above 1 Hz.

8.
J Math Biol ; 85(4): 32, 2022 09 17.
Artigo em Inglês | MEDLINE | ID: mdl-36114922

RESUMO

The SIR (susceptible-infectious-recovered) model is a well known method for predicting the number of people (or animals) in a population who become infected by and then recover from a disease. Modifications can include categories such people who have been exposed to the disease but are not yet infectious or those who die from the disease. However, the model has nearly always been applied to the entire population of a country or state but there is considerable observational evidence that diseases can spread at different rates in densely populated urban regions and sparsely populated rural areas. This work presents a new approach that applies a SIR type model to a country or state that has been divided into a number of geographical regions, and uses different infection rates in each region which depend on the population density in that region. Further, the model contains a simple matrix based method for simulating the movement of people between different regions. The model is applied to the spread of disease in the United Kingdom and the state of Rio Grande do Sul in Brazil.


Assuntos
Modelos Teóricos , Animais , Brasil/epidemiologia , Humanos , Densidade Demográfica , Reino Unido
9.
J Equine Vet Sci ; 118: 104080, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-35843389

RESUMO

There is little information about how weight change in horses impacts bone turnover and the metabolism of minerals associated with bone. This study evaluated weight change in mature horses as a factor that could alter bone turnover and fecal P output. Fifteen horses (555 ± 8 kg) were assigned to three treatments: weight loss (LO; n = 5), weight maintenance (MA; n = 5), and weight gain (GA; n = 5). Diets contained 75%, 100%, and 145% of maintenance digestible energy requirements for the three treatments, respectively, but contained similar amounts of protein and minerals. At the end of the weight change period (27 ± 6 d), blood samples were analyzed for bone biomarkers and a 5-day total fecal collection was conducted to measure fecal mineral output. Horses fed the MA diet had an average daily weight change that was not different from either the GA or LO treatments, while weight change was different between the GA group and the LO group (0.49 kg/d vs. -1.16 kg/d; P = .017). Weight change was negatively correlated with cross-linking C-terminal telopeptides of type-I collagen, a biomarker of bone resorption (r = -0.62; P = .014) and tended to be positively correlated with bone alkaline phosphatase, a biomarker of bone formation (r = 0.48; P = .068). Also, fecal P output tended to be lower in GA than in LO horses (P = .085), while MA was intermediate and not different, suggesting that weight loss was increasing bone resorption, resulting in a tendency for higher P loss from the body. Weight change in horses can influence bone metabolism as well as mineral excretion.


Assuntos
Reabsorção Óssea , Doenças dos Cavalos , Cavalos , Animais , Fósforo/metabolismo , Ração Animal/análise , Remodelação Óssea , Minerais/metabolismo , Biomarcadores , Reabsorção Óssea/veterinária , Redução de Peso
10.
Front Pediatr ; 10: 896232, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35664885

RESUMO

Technological advancements and rapid expansion in the clinical use of extracorporeal life support (ECLS) across all age ranges in the last decade, including during the COVID-19 pandemic, has led to important ethical considerations. As a costly and resource intensive therapy, ECLS is used emergently under high stakes circumstances where there is often prognostic uncertainty and risk for serious complications. To develop a research agenda to further characterize and address these ethical dilemmas, a working group of specialists in ECLS, critical care, cardiothoracic surgery, palliative care, and bioethics convened at a single pediatric academic institution over the course of 18 months. Using an iterative consensus process, research questions were selected based on: (1) frequency, (2) uniqueness to ECLS, (3) urgency, (4) feasibility to study, and (5) potential to improve patient care. Questions were categorized into broad domains of societal decision-making, bedside decision-making, patient and family communication, medical team dynamics, and research design and implementation. A deeper exploration of these ethical dilemmas through formalized research and deliberation may improve equitable access and quality of ECLS-related medical care.

11.
JPRAS Open ; 32: 150-160, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35402680

RESUMO

Background: Hand vascularized composite allotransplantation (VCA) and myoelectric prostheses have proven their efficacy for treating hand amputation. Despite reported functional outcomes, the lack of consensus on VCA versus myoelectric prostheses brought us to report on their utilities and costs within the Canadian healthcare system. Methods: A review of utility outcomes and costs was performed for VCA and myoelectric prostheses and a comparison between unilateral versus bilateral amputations was made. Results: The simulation model demonstrated that significant savings could be achieved with both hand transplantation ($10.04 billion) and myoelectric prostheses ($12.17 billion) in all Canadian patients sustaining hand amputation with a 30-year life expectancy., Myoelectric prosthesis had lowest total cost compared to hand VCA by generating savings of $4,458,445,840 and $1,868,121,840 when compared to bilateral and unilateral upper limb amputations respectively. Conclusion: Treatment of unilateral amputations with myoelectric prostheses would cost significantly less to the society, whereas the gap in cost savings becomes less significant in bilateral amputees. From the socioeconomic standpoint of the Canadian healthcare system, this simulation model demonstrates that significant savings can be achieved with both treatments.

12.
Sci Total Environ ; 831: 154819, 2022 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-35346701

RESUMO

Grasslands cover around 25% of the global ice-free land surface, they are used predominantly for forage and livestock production and are considered to contribute significantly to soil carbon (C) sequestration. Recent investigations into using 'nature-based solutions' to limit warming to <2 °C suggest up to 25% of GHG mitigation might be achieved through changes to grassland management. In this study we evaluate pasture management interventions at the Rothamsted Research North Wyke Farm Platform, under commercial farming conditions, over two years and consider their impacts on net CO2 exchange. We investigate if our permanent pasture system (PP) is, in the short-term, a net sink for CO2 and whether reseeding this with deep-rooting, high-sugar grass (HS) or a mix of high-sugar grass and clover (HSC) might increase the net removal of atmospheric CO2. In general CO2 fluxes were less variable in 2018 than in 2017 while overall we found that net CO2 fluxes for the PP treatment changed from a sink in 2017 (-5.40 t CO2 ha-1 y-1) to a source in 2018 (6.17 t CO2 ha-1 y-1), resulting in an overall small source of 0.76 t CO2 ha-1 over the two years for this treatment. HS showed a similar trend, changing from a net sink in 2017 (-4.82 t CO2 ha-1 y-1) to a net source in 2018 (3.91 t CO2 ha-1 y-1) whilst the HSC field was a net source in both years (3.92 and 4.10 t CO2 ha-1 y-1, respectively). These results suggested that pasture type has an influence in the atmospheric CO2 balance and our regression modelling supported this conclusion, with pasture type and time of the year (and their interaction) being significant factors in predicting fluxes.


Assuntos
Ciclo do Carbono , Dióxido de Carbono , Agricultura , Dióxido de Carbono/análise , Solo , Açúcares
14.
Agric Syst ; 195: 103307, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34980941

RESUMO

CONTEXT: Ruminant livestock make an important contribution to global food security by converting feed that is unsuitable for human consumption into high value food protein, demand for which is currently increasing at an unprecedented rate because of increasing global population and income levels. Factors affecting production efficiency, product quality, and consumer acceptability, such as animal fertility, health and welfare, will ultimately define the sustainability of ruminant production systems. These more complex systems can be developed and analysed by using models that can predict system responses to environment and management. OBJECTIVE: We present a framework that dynamically models, using a process-based and mechanistic approach, animal and grass growth, nutrient cycling and water redistribution in a soil profile taking into account the effects of animal genotype, climate, feed quality and quantity on livestock production, greenhouse gas emissions, water use and quality, and nutrient cycling in a grazing system. METHODS: A component to estimate ruminant animal growth was developed and integrated with the existing components of the SPACSYS model. Intake of herbage and/or concentrates and partitioning of the energy and protein contained in consumed herbage and/or concentrates were simulated in the component. Simulated animal growth was validated using liveweight data from over 200 finishing beef cattle and 900 lambs collected from the North Wyke Farm Platform (NWFP) in southwest England, UK, between 2011 and 2018. Annual nitrous oxide (N2O), ammonia, methane and carbon dioxide emissions from individual fields were simulated based on previous validated parameters. RESULTS AND CONCLUSIONS: A series of statistical indicators demonstrated that the model could simulate liveweight gain of beef cattle and lamb. Simulated nitrogen (N) cycling estimated N input of 190 to 260 kg ha-1, of which 37-61% was removed from the fields either as silage or animal intake, 15-26% was lost through surface runoff or lateral drainage and 1.14% was emitted to the atmosphere as N2O. About 13% of the manure N applied to the NWFP and excreta N deposited at grazing was lost via ammonia volatilisation. SIGNIFICANCE: The extended model has the potential to investigate the responses of the system on and consequences of a range of agronomic management and grazing strategies. However, modelling of multi-species swards needs to be validated including the dynamics of individual species in the swards, preferential selection by grazing animals and the impact on animal growth and nutrient flows.

15.
Data Brief ; 39: 107679, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34917711

RESUMO

The world has set the goal of reducing CO2 emissions from burning fossil fuels by using carbon capture and storage (CCS) as one of the major solutions. A sudden and complete switch from fossil fuels to renewable resources cannot be achieved immediately. Therefore, CCS remains an essential techniques to reduce CO2. In this work, the 180 - 65 Ma old onshore part of the Zululand Basin in KwaZulu-Natal in South Africa was investigated for geological CO2 sequestration. A total of 160 core samples of sandstone, conglomerate, tuff, rhyolite, breccia, and siltstone were taken from NZA, ZA, ZB, and ZC drill cores. The wells were drilled in the 1960s by the South African Petroleum and Gas Corporation Company for hydrocarbon exploration. In order to examine the basin suitability for CO2 storage, porosity and permeability, mineralogy, geochemistry, geomechanical properties, and H2O-CO2-rock interactions were investigated using geological core logging, spectral scanning, petrography, X-ray diffraction (XRD), X-ray fluorescence (XRF), inductively coupled plasma mass spectrometry, uniaxial compressive stress, and scanning electron microscopy. The basin comprises clastic sedimentary rocks, pyroclastic deposits and carbonates from the Makatini, Mzinene and St. Lucia formations. Aptian and Cenomanian sandstones are identified as CO2 reservoirs, and the siltstone above is considered capstone. The sandstone comprises on average 34.45 wt% quartz, 32.91 wt% clays, 29.53 wt% feldspars, 4.44 wt% carbonates, 3.10 wt% Fe-oxides, 2.40 wt% micas, and 2.00 wt% organic materials as per XRD data, also contains trace amounts of sulphides and sulphates. Geochemical XRF data for sandstone are 29.72 - 62.51 wt% SiO2, 6.95 - 13.44 wt% Al2O3, 3.06 - 48.81 wt%, 1.90 - 4.51 wt% MgO, 1.04 - 2.19 wt% K2O, 1.00 - 3.67 Na2O wt%. The content of TiO2, Cr2O3 and P2O5 is below 0.01 wt% each. Siltstone has similar mineralogy and geochemistry as sandstone, but high clay content, fine-grained, impervious, with porosity <5%. The sandstone and siltstone are geomechanically soft and recorded 15 MPa on the Enerpac P141 device. CO2-H2O-rock interaction experiments performed at 100 °C and 100 bar using autoclaves showed that sandstone and siltstone react with scCO2.

16.
Eur Phys J C Part Fields ; 81(6): 512, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34720721

RESUMO

We present the design of a next-generation experiment, n2EDM, currently under construction at the ultracold neutron source at the Paul Scherrer Institute (PSI) with the aim of carrying out a high-precision search for an electric dipole moment of the neutron. The project builds on experience gained with the previous apparatus operated at PSI until 2017, and is expected to deliver an order of magnitude better sensitivity with provision for further substantial improvements. An overview is of the experimental method and setup is given, the sensitivity requirements for the apparatus are derived, and its technical design is described.

17.
Eur Phys J A Hadron Nucl ; 57(4): 152, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34776778

RESUMO

Psychological bias towards, or away from, prior measurements or theory predictions is an intrinsic threat to any data analysis. While various methods can be used to try to avoid such a bias, e.g. actively avoiding looking at the result, only data blinding is a traceable and trustworthy method that can circumvent the bias and convince a public audience that there is not even an accidental psychological bias. Data blinding is nowadays a standard practice in particle physics, but it is particularly difficult for experiments searching for the neutron electric dipole moment (nEDM), as several cross measurements, in particular of the magnetic field, create a self-consistent network into which it is hard to inject a false signal. We present an algorithm that modifies the data without influencing the experiment. Results of an automated analysis of the data are used to change the recorded spin state of a few neutrons within each measurement cycle. The flexible algorithm may be applied twice (or more) to the data, thus providing the option of sequentially applying various blinding offsets for separate analysis steps with independent teams. The subtle manner in which the data are modified allows one subsequently to adjust the algorithm and to produce a re-blinded data set without revealing the initial blinding offset. The method was designed for the 2015/2016 measurement campaign of the nEDM experiment at the Paul Scherrer Institute. However, it can be re-used with minor modification for the follow-up experiment n2EDM, and may be suitable for comparable projects elsewhere.

18.
Philos Trans A Math Phys Eng Sci ; 379(2212): 20200262, 2021 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-34689617

RESUMO

The electrocardiogram (ECG) is a widespread diagnostic tool in healthcare and supports the diagnosis of cardiovascular disorders. Deep learning methods are a successful and popular technique to detect indications of disorders from an ECG signal. However, there are open questions around the robustness of these methods to various factors, including physiological ECG noise. In this study, we generate clean and noisy versions of an ECG dataset before applying symmetric projection attractor reconstruction (SPAR) and scalogram image transformations. A convolutional neural network is used to classify these image transforms. For the clean ECG dataset, F1 scores for SPAR attractor and scalogram transforms were 0.70 and 0.79, respectively. Scores decreased by less than 0.05 for the noisy ECG datasets. Notably, when the network trained on clean data was used to classify the noisy datasets, performance decreases of up to 0.18 in F1 scores were seen. However, when the network trained on the noisy data was used to classify the clean dataset, the decrease was less than 0.05. We conclude that physiological ECG noise impacts classification using deep learning methods and careful consideration should be given to the inclusion of noisy ECG signals in the training data when developing supervised networks for ECG classification. This article is part of the theme issue 'Advanced computation in cardiovascular physiology: new challenges and opportunities'.


Assuntos
Eletrocardiografia , Redes Neurais de Computação
19.
Mar Pollut Bull ; 171: 112708, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34273726

RESUMO

The South China Sea (SCS) is recognised as a global hotspot for plastic pollution. We review available field studies and identify a significant lack of data needed to construct a simple mass balance box model for plastic pollution in the SCS. Fundamental information on plastic mass input, transfer and sink terms are simply not available. Also unknown are the rates of accumulation in different environments, the dispersal pathways of plastic particles of different density, the residence times of plastic in the water column and the rate at which macroplastics are transformed into microplastics in different environments. Filling these information gaps is critical for states to determine adequate response measures, including developing and tracking impact of policies to deal with the problem of plastic pollution in the SCS.


Assuntos
Plásticos , Poluentes Químicos da Água , China , Monitoramento Ambiental , Microplásticos , Poluentes Químicos da Água/análise
20.
J Biomed Inform ; 121: 103871, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34298155

RESUMO

BACKGROUND: Despite widespread use of electronic data capture (EDC) systems for research and electronic health records (EHR), most transfer of data between EHR and EDC systems is manual and error prone. Increased adoption of Health Level Seven Fast Healthcare Interoperability Resource (FHIR) application programming interfaces (APIs) in recent years by EHR systems has increased the availability of patient data for external applications such as REDCap. OBJECTIVE: Describe the development of the REDCap Clinical Data Interoperability Services (CDIS) module that provides seamless data exchange between the REDCap research EDC and any EHR system with a FHIR API. CDIS enables end users to independently set up their data collection projects, map EHR data to fields, and adjudicate data transfer without project-by-project involvement from Health Information Technology staff. METHODS: We identified two use cases for EHR data transfer into REDCap. Clinical Data Pull (CDP) automatically pulls EHR data into user-defined REDCap fields and replaces the workflow of having to transcribe or copy and paste data from the EHR. Clinical Data Mart (CDM) collects all specified data for a patient over a given time period and replaces the process of importing EHR data for registries from research databases. With an iterative process, we designed our access control, authentication, variable selection, and mapping interfaces in such a way that end users could easily set up and use CDIS. RESULTS: Since its release, the REDCap CDIS has been used to pull over 19.5 million data points for 82 projects at Vanderbilt University Medical Center. Software and documentation are available through the REDCap Consortium. CONCLUSIONS: The new REDCap Clinical Data and Interoperability Services (CDIS) module leverages the FHIR standard to enable real-time and direct data extraction from the EHR. Researchers can self-service the mapping and adjudication of EHR data into REDCap. The uptake of CDIS at VUMC and other REDCap consortium sites is improving the accuracy and efficiency of EHR data collection by reducing the need for manual transcription and flat file uploads.


Assuntos
Registros Eletrônicos de Saúde , Nível Sete de Saúde , Data Warehousing , Atenção à Saúde , Humanos , Fluxo de Trabalho
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