Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Decentralization”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 595 records · Page 33Linked to original sources
PubMed2002

Malnutrition in food-surplus areas: experience from nutritional surveillance for decentralized planning in Haiti.

In Haiti, a novel approach to nutritional surveillance was developed on the basis of a low-cost, simple-to-repeat set of household surveys in all nine administrative departments using sentinel community sites. This system allows each department to independently conduct follow-up surveys as needed. The results of the first round of surveys conducted in 1995 show lower malnutrition rates in typical food-deficient departments and high levels of malnutrition in several food-surplus areas. Further analyses underscore the importance of variables related to child-care practices and of care-enabling factors such as household food security, health environment, and caregivers' time and education. These findings challenge the traditional thinking among a majority of Haitian policy makers who look at the malnutrition problem solely from the perspective of local food production.

Age Factors↗
PubMed2002

Transmitting patient and device data via GSM--central management for decentral mobile medical devices.

Equipping medical devices with long range telemetry opens completely new possibilities for emergency response, home care and remote diagnosis. Mobile communications nowadays seem to be a generally accepted part of our modern world, but bridging the gap between new (consumer-) technologies and medical devices still is a challenge today. Providing a telemetry link (GSM) is just the trivial part--ensuring security, reliability and service management are the more critical tasks that need to be addressed. Therefore, a complete system concept consists of an automatic fleet management (e.g. periodic device-initiated service calls) as well as customer relationship management (CRM), including technical service and a trouble-ticket system.

Artificial Intelligence↗
PubMed1988

From mainframe to micro: decentralization of perinatal epidemiology.

To evaluate the feasibility of analyzing large perinatal datasets on smaller computers, the 1980 National Natality Survey was downloaded first to a minicomputer and then to a microcomputer. Operating system utilities were used to minimize programming and storage requirements. Accuracy was confirmed by comparing descriptive statistics with published values derived on mainframes. Based on a typical analytic problem, implementation on the microcomputer compared favorably to implementation on the minicomputer. Our results suggest that the microcomputer may be a practical alternative to the mainframe for perinatal epidemiological analysis.

Computers↗
PubMedDate not supplied

An ontology of quality initiatives and a model for decentralized, collaborative quality management on the (semantic) World-Wide-Web.

This editorial provides a model of how quality initiatives concerned with health information on the World Wide Web may in the future interact with each other. This vision fits into the evolving "Semantic Web" architecture - ie, the prospective that the World Wide Web may evolve from a mess of unstructured, human-readable information sources into a global knowledge base with an additional layer providing richer and more meaningful relationships between resources. One first prerequisite for forming such a "Semantic Web" or "web of trust" among the players active in quality management of health information is that these initiatives make statements about themselves and about each other in a machine-processable language. I present a concrete model on how this collaboration could look, and provide some recommendations on what the role of the World Health Organization (WHO) and other policy makers in this framework could be.

Internet↗
PubMed1992

Suboccipital acoustic neuroma surgery: results of decentralized neurosurgical tumor removal in Denmark.

From 1979 to 1990, a series of 59 patients with 59 acoustic neuromas were operated on in five departments of neurosurgery by at least five different neurosurgical teams, employing the suboccipital approach. Perioperative mortality rate was 8.5%. Complications including hematoma, ventricular hemorrhage, meningitis, hemiparalysis, abducens nerve paralysis, recurrent nerve paralysis, postoperative wound infection and CSF leak were observed in 21 patients (35.6%). Total tumor removal was not possible in 17 patients (28.8%). Converting the postoperative facial nerve function to House-Brackmann (HB) classification, 34 patients (57.6%) were regarded as HB 6. Reconstruction of the facial nerve was attempted in 19 patients (32.2%). Attempts at hearing preservation were unsuccessful in all patients. Failure to attain better results and the importance of centralized treatment of acoustic neuroma are emphasized.

Adult↗