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Kapitza C, Luedtke K, Komenda M, Kiefhaber M, Schmid AB, Ballenberger N, Tampin B. Inter- and intra-rater-reliability of a clinical framework for spine-related neck-arm pain. Musculoskelet Sci Pract 2023; 67:102853. [PMID: 37657399 DOI: 10.1016/j.msksp.2023.102853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 07/27/2023] [Accepted: 08/23/2023] [Indexed: 09/03/2023]
Abstract
OBJECTIVE A mechanism-based clinical framework for spine-related pain differentiates (i) somatic referred pain, ii) heightened nerve mechanosensitivity, iii) radicular pain, iv) radiculopathy and mixed-pain. This study aimed to determine the reliability of proposed framework. METHOD Fifty-one people with unilateral spine-related neck-arm pain were assessed and categorized by examiner-1. The classifications were compared to those made by two other examiners, based on written documentation of examiner-1. Cohens kappa was calculated between examiner-pairs; Fleiss Kappa among all examiners to assess agreement in classifying subgroups and entire framework. RESULT Inter-rater-reliability showed moderate to almost perfect reliability (somatic: no variation, mechanosensitivity: 0.96 (95% CI 0.87-1.0) to 1.0 (95% CI: 1.0-1.0), radicular pain: 0.46 (95% CI: 0.19-0.69) to 0.62 (95% CI: 0.42-0.81), radiculopathy: 0.65 (95% CI: 0.43-0.84) to 0.80 (95% CI: 0.63-0.96) mixed-pain: 0.54 (95% CI: 0.21-0.81) to 0.75 (95% CI: 0.48-0.94). There was almost perfect to moderate reliability among all examiners (somatic: no variation, mechanosensitivity: 0.97 (95% CI: 0.82-1.0), radicular pain: 0.56 (95% CI: 0.40-0.71), radiculopathy: 0.74 (95% CI: 0.58-0.90), mixed-pain: 0.63 (95% CI: 0.47-0.79), entire framework: 0.64 (95% CI: 0.57-0.71)). Intra-rater-reliability showed substantial to almost perfect reliability (somatic: no variation, mechanosensitivity: 0.96 (95% CI: 0.87-1.0), radicular pain: 0.76 (95% CI: 0.57-0.92), radiculopathy: 0.84 (95% CI: 0.67-0.96), mixed-pain: 0.83 (95% CI: 0.60-1.0), entire framework: 0.80 (95% CI: 0.61-0.92). CONCLUSION Moderate to almost perfect reliability in subgrouping people with spine-related neck-arm pain and substantial reliability for entire framework support this classification's reliability.
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Affiliation(s)
- C Kapitza
- Hochschule Osnabrueck, University of Applied Sciences, Faculty of Business, Management and Social Sciences, Department Movement and Rehabilitation Science, Osnabrueck, Germany; Universität zu Lübeck, Institute of Health Sciences, Department of Physiotherapy, Pain and Exercise Research Luebeck (P.E.R.L), Luebeck, Germany.
| | - K Luedtke
- Universität zu Lübeck, Institute of Health Sciences, Department of Physiotherapy, Pain and Exercise Research Luebeck (P.E.R.L), Luebeck, Germany
| | - M Komenda
- Hochschule Osnabrueck, University of Applied Sciences, Faculty of Business, Management and Social Sciences, Department Movement and Rehabilitation Science, Osnabrueck, Germany
| | - M Kiefhaber
- Praxis für Physiotherapie Kiefhaber, Bad Dürkheim, Germany
| | - A B Schmid
- Nuffield Department of Clinical Neurosciences, Oxford University, John Radcliffe Hospital, Headley Way, Oxford, UK
| | - N Ballenberger
- Hochschule Osnabrueck, University of Applied Sciences, Faculty of Business, Management and Social Sciences, Department Movement and Rehabilitation Science, Osnabrueck, Germany
| | - B Tampin
- Hochschule Osnabrueck, University of Applied Sciences, Faculty of Business, Management and Social Sciences, Department Movement and Rehabilitation Science, Osnabrueck, Germany; Department of Physiotherapy, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia; Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia
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2
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Komenda M, Černý V, Šnajdárek P, Karolyi M, Hejný M, Panoška P, Jarkovský J, Gregor J, Bulhart V, Šnajdrová L, Májek O, Vymazal T, Blatný J, Dušek L. Control Centre for Intensive Care as a Tool for Effective Coordination, Real-Time Monitoring, and Strategic Planning During the COVID-19 Pandemic. J Med Internet Res 2022; 24:e33149. [PMID: 34995207 PMCID: PMC8852654 DOI: 10.2196/33149] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Revised: 12/10/2021] [Accepted: 12/20/2021] [Indexed: 01/28/2023] Open
Abstract
In the Czech Republic, the strategic data-based and organizational support for individual regions and for providers of acute care at the nationwide level is coordinated by the Ministry of Health. At the beginning of the COVID-19 pandemic, the country needed to very quickly implement a system for the monitoring, reporting, and overall management of hospital capacities. The aim of this viewpoint is to describe the purpose and basic functions of a web-based application named "Control Centre for Intensive Care," which was developed and made available to meet the needs of systematic online technical support for the management of intensive inpatient care across the Czech Republic during the first wave of the pandemic in spring 2020. Two tools of key importance are described in the context of national methodology: one module for regular online updates and overall monitoring of currently free capacities of intensive care in real time, and a second module for online entering and overall record-keeping of requirements on medications for COVID-19 patients. A total of 134 intensive care providers and 927 users from hospitals across all 14 regions of the Czech Republic were registered in the central Control Centre for Intensive Care database as of March 31, 2021. This web-based application enabled continuous monitoring and decision-making during the mass surge of critical care from autumn 2020 to spring 2021. The Control Center for Intensive Care has become an indispensable part of a set of online tools that are employed on a regular basis for crisis management at the time of the COVID-19 pandemic.
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Affiliation(s)
- Martin Komenda
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic.,Department of Simulation Medicine, Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Vladimír Černý
- Ministry of Health of the Czech Republic, Prague, Czech Republic.,Clinic of Anaesthesiology, Perioperative and Intensive Medicine, Masaryk Hospital in Ústí nad Labem, Ústí nad Labem, Czech Republic
| | - Petr Šnajdárek
- General Staff, Czech Armed Forces, Prague, Czech Republic
| | - Matěj Karolyi
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Miloš Hejný
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Petr Panoška
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Jiří Jarkovský
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Jakub Gregor
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Vojtěch Bulhart
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Lenka Šnajdrová
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Ondřej Májek
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Tomáš Vymazal
- Clinic of Anaesthesiology, Resuscitation and Intensive Medicine, University Hospital in Motol, Second Faculty of Medicine of Charles University, Prague, Czech Republic
| | - Jan Blatný
- Ministry of Health of the Czech Republic, Prague, Czech Republic.,Department of Paediatric Haematology and Biochemistry, University Hospital Brno, Brno, Czech Republic
| | - Ladislav Dušek
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
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3
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Majerník J, Kacmarikova A, Komenda M, Kononowicz AA, Kocurek A, Stalmach-Przygoda A, Balcerzak Ł, Hege I, Ciureanu A. Development and implementation of an online platform for curriculum mapping in medical education. Bio-Algorithms and Med-Systems 2021. [DOI: 10.1515/bams-2021-0143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
Objectives
Nowadays universities face ever-increasing demands on quality of education, which is crucial from perspective of future graduates. In face of the need of constant quality improvements of medical curricula, it is important to seek strategies for their efficient management. The general trend is to develop electronic support tools to streamline the curricular design, analysis and harmonization.
Methods
Based on the requirements we have identified by the needs analysis among curriculum designers, teachers and managers at five universities involved in the Building Curriculum Infrastructure in Medical Education (BCIME) project, and evidence published in literature on curriculum development, we have developed methodological guidelines on curriculum innovations and a software-based tools that help manage, map and analyse curricula in the medical and healthcare study fields.
Results
In this paper, we share our experiences with building and implementation of EDUportfolio, an online platform developed within our consortium and intended to facilitate harmonisation and optimisation of medical outcome-based curricula. Its functionalities and outputs were verified by pilot mapping of Anatomy curricula as taught at partner universities in five European countries.
Conclusions
The visualisation and the analysis of described curriculum data using natural language processing techniques revealed both the hidden relations between curriculum building blocks and a set of overlaps and gaps in curricula. In addition, we demonstrate both the usability of the platform in the context of the involved academic environments and the capability to map and compare curricula across different institutions and different countries.
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Affiliation(s)
- Jaroslav Majerník
- Department of Medical Informatics , Pavol Jozef Šafárik University in Košice, Faculty of Medicine , Košice , Slovakia
| | - Andrea Kacmarikova
- Department of Medical Informatics , Pavol Jozef Šafárik University in Košice, Faculty of Medicine , Košice , Slovakia
| | - Martin Komenda
- Faculty of Medicine, Masaryk University , Brno , Czech Republic
| | - Andrzej A. Kononowicz
- Department of Bioinformatics and Telemedicine , Jagiellonian University Medical College , Kraków , Poland
| | - Anna Kocurek
- Department of Medical Education , Center for Innovative Medical Education, Jagiellonian University Medical College , Kraków , Poland
| | - Agata Stalmach-Przygoda
- Department of Medical Education , Center for Innovative Medical Education, Jagiellonian University Medical College , Kraków , Poland
| | - Łukasz Balcerzak
- Department of Medical Education , Center for Innovative Medical Education, Jagiellonian University Medical College , Kraków , Poland
| | - Inga Hege
- Medical Education Sciences, University of Augsburg , Augsburg , Germany
| | - Adrian Ciureanu
- Medical Informatics and Biostatistics, University of Medicine and Pharmacy of Iasi , Iasi , Romania
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Krejčí D, Karolyi M, Pehalová L, Ščavnický J, Zapletalová M, Katinová I, Štěrba J, Starý J, Šnajdrová L, Komenda M, Dušek L. Development of the Czech Childhood Cancer Information System: Data Analysis and Interactive Visualization. JMIR Public Health Surveill 2021; 7:e23990. [PMID: 34185010 PMCID: PMC8278294 DOI: 10.2196/23990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 10/05/2020] [Accepted: 04/17/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The knowledge of cancer burden in the population, its time trends, and the possibility of international comparison is an important starting point for cancer programs. A reliable interactive tool describing cancer epidemiology in children and adolescents has been nonexistent in the Czech Republic until recently. OBJECTIVE The goal of this study is to develop a new web portal entitled the Czech Childhood Cancer Information System (CCCIS), which would provide information on childhood cancer epidemiology in the Czech Republic. METHODS Data on childhood cancers have been obtained from the Czech National Cancer Registry. These data were validated using the clinical database of childhood cancer patients and subsequently combined with data from the National Register of Hospitalised Patients and with data from death certificates. These validated data were then used to determine the incidence and survival rates of childhood cancer patients aged 0 to 19 years who were diagnosed in the period 1994 to 2016 (N=9435). Data from death certificates were used to monitor long-term mortality trends. The technical solution is based on the robust PHP development Symfony framework, with the PostgreSQL system used to accommodate the data basis. RESULTS The web portal has been available for anyone since November 2019, providing basic information for experts (ie, analyses and publications) on individual diagnostic groups of childhood cancers. It involves an interactive tool for analytical reporting, which provides information on the following basic topics in the form of graphs or tables: incidence, mortality, and overall survival. Feedback was obtained and the accuracy of outputs published on the CCCIS portal was verified using the following methods: the validation of the theoretical background and the user testing. CONCLUSIONS We developed software capable of processing data from multiple sources, which is freely available to all users and makes it possible to carry out automated analyses even for users without mathematical background; a simple selection of a topic to be analyzed is required from the user.
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Affiliation(s)
- Denisa Krejčí
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Matěj Karolyi
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic.,Facilty of Informatics, Masaryk University, Brno, Czech Republic
| | - Lucie Pehalová
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Jakub Ščavnický
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Michaela Zapletalová
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Ivana Katinová
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Jaroslav Štěrba
- Department of Paediatric Oncology, Institutions shared with the Faculty Hospital Brno, Faculty of Medicine, Brno, Czech Republic
| | - Jan Starý
- Department of Paediatric Haematology and Oncology, Charles University and University Hospital Motol, Prague, Czech Republic
| | - Lenka Šnajdrová
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Martin Komenda
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Ladislav Dušek
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
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5
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Karolyi M, Nováková T, Panoška P, Wallenfels J, Komenda M, Jarkovský J. Interactive Online Reporting of Registry of Tuberculosis. Annals of Computer Science and Information Systems 2020. [DOI: 10.15439/2020f105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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6
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Komenda M, Bulhart V, Karolyi M, Jarkovský J, Mužík J, Májek O, Šnajdrová L, Růžičková P, Rážová J, Prymula R, Macková B, Březovský P, Marounek J, Černý V, Dušek L. Complex Reporting of the COVID-19 Epidemic in the Czech Republic: Use of an Interactive Web-Based App in Practice. J Med Internet Res 2020; 22:e19367. [PMID: 32412422 PMCID: PMC7254961 DOI: 10.2196/19367] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 05/14/2020] [Accepted: 05/14/2020] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND The beginning of the coronavirus disease (COVID-19) epidemic dates back to December 31, 2019, when the first cases were reported in the People's Republic of China. In the Czech Republic, the first three cases of infection with the novel coronavirus were confirmed on March 1, 2020. The joint effort of state authorities and researchers gave rise to a unique team, which combines methodical knowledge of real-world processes with the know-how needed for effective processing, analysis, and online visualization of data. OBJECTIVE Due to an urgent need for a tool that presents important reports based on valid data sources, a team of government experts and researchers focused on the design and development of a web app intended to provide a regularly updated overview of COVID-19 epidemiology in the Czech Republic to the general population. METHODS The cross-industry standard process for data mining model was chosen for the complex solution of analytical processing and visualization of data that provides validated information on the COVID-19 epidemic across the Czech Republic. Great emphasis was put on the understanding and a correct implementation of all six steps (business understanding, data understanding, data preparation, modelling, evaluation, and deployment) needed in the process, including the infrastructure of a nationwide information system; the methodological setting of communication channels between all involved stakeholders; and data collection, processing, analysis, validation, and visualization. RESULTS The web-based overview of the current spread of COVID-19 in the Czech Republic has been developed as an online platform providing a set of outputs in the form of tables, graphs, and maps intended for the general public. On March 12, 2020, the first version of the web portal, containing fourteen overviews divided into five topical sections, was released. The web portal's primary objective is to publish a well-arranged visualization and clear explanation of basic information consisting of the overall numbers of performed tests, confirmed cases of COVID-19, COVID-19-related deaths, the daily and cumulative overviews of people with a positive COVID-19 case, performed tests, location and country of infection of people with a positive COVID-19 case, hospitalizations of patients with COVID-19, and distribution of personal protective equipment. CONCLUSIONS The online interactive overview of the current spread of COVID-19 in the Czech Republic was launched on March 11, 2020, and has immediately become the primary communication channel employed by the health care sector to present the current situation regarding the COVID-19 epidemic. This complex reporting of the COVID-19 epidemic in the Czech Republic also shows an effective way to interconnect knowledge held by various specialists, such as regional and national methodology experts (who report positive cases of the disease on a daily basis), with knowledge held by developers of central registries, analysts, developers of web apps, and leaders in the health care sector.
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Affiliation(s)
- Martin Komenda
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Vojtěch Bulhart
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Matěj Karolyi
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Jiří Jarkovský
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Jan Mužík
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Ondřej Májek
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Lenka Šnajdrová
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Petra Růžičková
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Jarmila Rážová
- Ministry of Health of the Czech Republic, Prague, Czech Republic
| | - Roman Prymula
- Ministry of Health of the Czech Republic, Prague, Czech Republic
| | | | | | - Jan Marounek
- Ministry of Health of the Czech Republic, Prague, Czech Republic
| | - Vladimír Černý
- Department of Anesthesiology, Perioperative Medicine and Intensive Care, Masaryk Hospital, Ústí nad Labem, Czech Republic.,Jan Evangelista Purkyne University, Ústí nad Labem, Czech Republic
| | - Ladislav Dušek
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
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Karolyi M, Komenda M, Woodham L, Ščavnický J, Vaitsis C, Spachos D. Medical curriculum standards: Towards relational database transformation. Health Technol 2020. [DOI: 10.1007/s12553-020-00409-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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8
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Karolyi M, Šcavnický J, Buďa J, Jurková T, Mazalová M, Komenda M. Mapping of Dental Care in the Czech Republic: Case Study of Graduates Distribution in Practice. Proceedings of the 2019 Federated Conference on Computer Science and Information Systems 2019. [DOI: 10.15439/2019f69] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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9
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Ščavnický J, Karolyi M, Růžičková P, Pokorná A, Harazim H, Štourač P, Komenda M. Pitfalls in users’ evaluation of algorithms for text-based similarity detection in medical education. Proceedings of the 2018 Federated Conference on Computer Science and Information Systems 2018. [DOI: 10.15439/2018f163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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10
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Komenda M, Ščavnický J, Růžičková P, Karolyi M, Štourač P, Schwarz D. Similarity Detection Between Virtual Patients and Medical Curriculum Using R. Stud Health Technol Inform 2018; 255:222-226. [PMID: 30306941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This paper presents the domain of information sciences, applied informatics and biomedical engineering, proposing to develop methods for an automated detection of similarities between two particular virtual learning environments - virtual patients at Akutne.cz and the OPTIMED curriculum management system - in order to provide support to clinically oriented stages of medical and healthcare studies. For this purpose, the authors used large amounts of text-based data collected by the system for mapping medical curricula and through the system for virtual patient authoring and delivery. The proposed text-mining algorithm for an automated detection of links between content entities of these systems has been successfully implemented by the means of a web-based toolbox.
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Affiliation(s)
- Martin Komenda
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Czech Republic
| | - Jakub Ščavnický
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Czech Republic
| | - Petra Růžičková
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Czech Republic
| | - Matěj Karolyi
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Czech Republic
| | - Petr Štourač
- Department of Paediatric Anaesthesiology and Intensive Care Medicine, Faculty of Medicine, Masaryk University, Czech Republic
| | - Daniel Schwarz
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Czech Republic
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11
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Komenda M, Karolyi M, Vyškovský R, Ježová K, Šcavnický J. Towards a Keyword Extraction in Medical and Healthcare Education. Proceedings of the 2017 Federated Conference on Computer Science and Information Systems 2017. [DOI: 10.15439/2017f351] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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12
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Brožová L, Schwarz D, Šnábl I, Kalina J, Pavlíčková B, Komenda M, Jarkovský J, Němec P, Hořínek D, Štefániková Z, Pour L, Hájek R, Maisnar V. Czech Registry of Monoclonal Gammopathies – Technical Solution, Data Collection and Visualisation. Klin Onkol 2017; 30:43-50. [DOI: 10.14735/amko20172s43] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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13
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Komenda M, Karolyi M, Pokorná A, Vaitsis C. Medical and Healthcare Curriculum Exploratory Analysis. Stud Health Technol Inform 2017; 235:231-235. [PMID: 28423788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In the recent years, medical and healthcare higher education institutions compile their curricula in different ways in order to cover all necessary topics and sections that the students will need to go through to success in their future clinical practice. A medical and healthcare curriculum consists of many descriptive parameters, which define statements of what, when, and how students will learn in the course of their studies. For the purpose of understanding a complicated medical and healthcare curriculum structure, we have developed a web-oriented platform for curriculum management covering in detail formal metadata specifications in accordance with the approved pedagogical background, namely outcome-based approach. Our platform provides a rich database that can be used for innovative detailed educational data analysis. In this contribution we would like to present how we used a proven process model as a way of increasing accuracy in solving individual analytical tasks with the available data. Moreover, we introduce an innovative approach on how to explore a dataset in accordance with the selected methodology. The achieved results from the selected analytical issues are presented here in clear visual interpretations in an attempt to visually describe the entire medical and healthcare curriculum.
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Affiliation(s)
- Martin Komenda
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University
| | - Matěj Karolyi
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University
| | - Andrea Pokorná
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University
| | - Christos Vaitsis
- Department of Learning, Informatics Management and Ethics, Karolinska Institutet
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Komenda M, Karolyi M, Pokorná A, Víta M, Kríž V. Automatic Keyword Extraction from Medical and Healthcare Curriculum. Annals of Computer Science and Information Systems 2016. [DOI: 10.15439/2016f156] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Komenda M, Víta M, Vaitsis C, Schwarz D, Pokorná A, Zary N, Dušek L. Curriculum Mapping with Academic Analytics in Medical and Healthcare Education. PLoS One 2015; 10:e0143748. [PMID: 26624281 PMCID: PMC4666663 DOI: 10.1371/journal.pone.0143748] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2015] [Accepted: 11/09/2015] [Indexed: 11/18/2022] Open
Abstract
Background No universal solution, based on an approved pedagogical approach, exists to parametrically describe, effectively manage, and clearly visualize a higher education institution’s curriculum, including tools for unveiling relationships inside curricular datasets. Objective We aim to solve the issue of medical curriculum mapping to improve understanding of the complex structure and content of medical education programs. Our effort is based on the long-term development and implementation of an original web-based platform, which supports an outcomes-based approach to medical and healthcare education and is suitable for repeated updates and adoption to curriculum innovations. Methods We adopted data exploration and visualization approaches in the context of medical curriculum innovations in higher education institutions domain. We have developed a robust platform, covering detailed formal metadata specifications down to the level of learning units, interconnections, and learning outcomes, in accordance with Bloom’s taxonomy and direct links to a particular biomedical nomenclature. Furthermore, we used selected modeling techniques and data mining methods to generate academic analytics reports from medical curriculum mapping datasets. Results We present a solution that allows users to effectively optimize a curriculum structure that is described with appropriate metadata, such as course attributes, learning units and outcomes, a standardized vocabulary nomenclature, and a tree structure of essential terms. We present a case study implementation that includes effective support for curriculum reengineering efforts of academics through a comprehensive overview of the General Medicine study program. Moreover, we introduce deep content analysis of a dataset that was captured with the use of the curriculum mapping platform; this may assist in detecting any potentially problematic areas, and hence it may help to construct a comprehensive overview for the subsequent global in-depth medical curriculum inspection. Conclusions We have proposed, developed, and implemented an original framework for medical and healthcare curriculum innovations and harmonization, including: planning model, mapping model, and selected academic analytics extracted with the use of data mining.
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Affiliation(s)
- Martin Komenda
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic
- Faculty of Informatics, Masaryk University, Brno, Czech Republic
- * E-mail:
| | - Martin Víta
- Faculty of Informatics, Masaryk University, Brno, Czech Republic
| | - Christos Vaitsis
- Department of Learning, Informatics Management and Ethics, Karolinska Institutet, Stockholm, Sweden
| | - Daniel Schwarz
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Andrea Pokorná
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Nabil Zary
- Department of Learning, Informatics Management and Ethics, Karolinska Institutet, Stockholm, Sweden
| | - Ladislav Dušek
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic
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Komenda M, Surboeck B, Berger O, Steffal C, Horvath-Mechtler B, Grisold W. RTRB-20CALCIFICATION AFTER RADIOTHERAPY IN GLIOBLASTOMA: A CASE REPORT. Neuro Oncol 2015. [DOI: 10.1093/neuonc/nov231.20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Víta M, Komenda M, Pokorná A. Exploring Medical Curricula Using Social Network Analysis Methods. Annals of Computer Science and Information Systems 2015. [DOI: 10.15439/2015f312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Komenda M, Schwarz D, Švancara J, Vaitsis C, Zary N, Dušek L. Practical use of medical terminology in curriculum mapping. Comput Biol Med 2015; 63:74-82. [DOI: 10.1016/j.compbiomed.2015.05.006] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Revised: 05/06/2015] [Accepted: 05/07/2015] [Indexed: 11/17/2022]
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Komenda M, Schwarz D, Vaitsis C, Zary N, Štěrba J, Dušek L. OPTIMED Platform: Curriculum Harmonisation System for Medical and Healthcare Education. Stud Health Technol Inform 2015; 210:511-515. [PMID: 25991200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
This contribution introduces a new web-based OPTIMED platform for an effective harmonisation of medical and healthcare curriculum. Behind the engineering background stays an original methodology covering planning model based on formal parameterisation of curriculum, which fully support the outcome-based approach to education. With the use of developed system curriculum, designers and senior guarantors can provide a clear and transparent composition of compulsory and optional courses, and easily identify potential duplicities and overlaps across a domain of medical and healthcare education. For students, it means an absolutely new way of how to understand what is really taught during a learning period, including all necessary meta information. All members across the academic community are able to search and consequently display in detail the most important domains related to the particular year, term, course, medical discipline or topic. The presented solution significantly enhances the transparency and continuity of the environment in which the authors of the teaching materials as well as their consumers work daily. Suggestions for future improvements of the OPTIMED platform are discussed.
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Affiliation(s)
- Martin Komenda
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University
| | - Daniel Schwarz
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University
| | - Christos Vaitsis
- Department of Learning, Informatics Management and Ethics, Karolinska Institutet
| | - Nabil Zary
- Department of Learning, Informatics Management and Ethics, Karolinska Institutet
| | - Jaroslav Štěrba
- Department of Paediatric Oncology, Faculty of Medicine, Masaryk University
| | - Ladislav Dušek
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University
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Komenda M, Stadler D, Malinas T, Moses M, Pragst I, Herzog E, Schmutz P, Minnig K, El Menyawi I. Assessment of the ability of the Privigen®purification process to deplete thrombogenic factor XIa from plasma. Vox Sang 2013; 107:26-36. [DOI: 10.1111/vox.12119] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2013] [Revised: 11/04/2013] [Accepted: 11/07/2013] [Indexed: 11/27/2022]
Affiliation(s)
- M. Komenda
- Research and Development; CSL Behring AG; Bern Switzerland
| | - D. Stadler
- Research and Development; CSL Behring AG; Bern Switzerland
| | - T. Malinas
- Research and Development; CSL Behring; Broadmeadows Vic. Australia
| | - M. Moses
- Preclinical Research and Development; CSL Behring GmbH; Marburg Germany
| | - I. Pragst
- Preclinical Research and Development; CSL Behring GmbH; Marburg Germany
| | - E. Herzog
- Preclinical Research and Development; CSL Behring GmbH; Marburg Germany
| | - P. Schmutz
- Quality Control; CSL Behring AG; Bern Switzerland
| | - K. Minnig
- Quality Control; CSL Behring AG; Bern Switzerland
| | - I. El Menyawi
- Research and Development; CSL Behring AG; Bern Switzerland
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Schwarz D, Štourač P, Komenda M, Harazim H, Kosinová M, Gregor J, Hůlek R, Smékalová O, Křikava I, Štoudek R, Dušek L. Interactive algorithms for teaching and learning acute medicine in the network of medical faculties MEFANET. J Med Internet Res 2013; 15:e135. [PMID: 23835586 PMCID: PMC3714007 DOI: 10.2196/jmir.2590] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2013] [Accepted: 04/05/2013] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND Medical Faculties Network (MEFANET) has established itself as the authority for setting standards for medical educators in the Czech Republic and Slovakia, 2 independent countries with similar languages that once comprised a federation and that still retain the same curricular structure for medical education. One of the basic goals of the network is to advance medical teaching and learning with the use of modern information and communication technologies. OBJECTIVE We present the education portal AKUTNE.CZ as an important part of the MEFANET's content. Our focus is primarily on simulation-based tools for teaching and learning acute medicine issues. METHODS Three fundamental elements of the MEFANET e-publishing system are described: (1) medical disciplines linker, (2) authentication/authorization framework, and (3) multidimensional quality assessment. A new set of tools for technology-enhanced learning have been introduced recently: Sandbox (works in progress), WikiLectures (collaborative content authoring), Moodle-MEFANET (central learning management system), and Serious Games (virtual casuistics and interactive algorithms). The latest development in MEFANET is designed for indexing metadata about simulation-based learning objects, also known as electronic virtual patients or virtual clinical cases. The simulations assume the form of interactive algorithms for teaching and learning acute medicine. An anonymous questionnaire of 10 items was used to explore students' attitudes and interests in using the interactive algorithms as part of their medical or health care studies. Data collection was conducted over 10 days in February 2013. RESULTS In total, 25 interactive algorithms in the Czech and English languages have been developed and published on the AKUTNE.CZ education portal to allow the users to test and improve their knowledge and skills in the field of acute medicine. In the feedback survey, 62 participants completed the online questionnaire (13.5%) from the total 460 addressed. Positive attitudes toward the interactive algorithms outnumbered negative trends. CONCLUSIONS The peer-reviewed algorithms were used for conducting problem-based learning sessions in general medicine (first aid, anesthesiology and pain management, emergency medicine) and in nursing (emergency medicine for midwives, obstetric analgesia, and anesthesia for midwifes). The feedback from the survey suggests that the students found the interactive algorithms as effective learning tools, facilitating enhanced knowledge in the field of acute medicine. The interactive algorithms, as a software platform, are open to academic use worldwide. The existing algorithms, in the form of simulation-based learning objects, can be incorporated into any educational website (subject to the approval of the authors).
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Affiliation(s)
- Daniel Schwarz
- Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, 625 00 Czech Republic.
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Komenda M, Schwarz D, Feberová J, Stípek S, Mihál V, Dušek L. Medical faculties educational network: multidimensional quality assessment. Comput Methods Programs Biomed 2012; 108:900-909. [PMID: 22640818 DOI: 10.1016/j.cmpb.2012.05.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2011] [Revised: 01/23/2012] [Accepted: 05/01/2012] [Indexed: 06/01/2023]
Abstract
Today, World Wide Web technology provides many opportunities in the disclosure of electronic learning and teaching content. The MEFANET project (MEdical FAculties NETwork) has initiated international, effective and open cooperation among all Czech and Slovak medical faculties in the medical education fields. This paper introduces the original MEFANET educational web portal platform. Its main aim is to present the unique collaborative environment, which combines the sharing of electronic educational resources with the use tools for their quality evaluation. It is in fact a complex e-publishing system, which consists of ten standalone portal instances and one central gateway. The fundamental principles of the developed system and used technologies are reported here, as well as procedures of a new multidimensional quality assessment.
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Affiliation(s)
- Martin Komenda
- Masaryk University, Institute of Biostatistics and Analyses, Czech Republic.
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Adam Z, Komenda M, Doubek M, Krejcí M, Tomíska M, Schwarz D, Vorlícek J. [Universities need to have high quality education as well as an effective quality control of their students' (products') knowledge and skill base]. Vnitr Lek 2010; 56:624-628. [PMID: 20681477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
In order for the schools of medicine to produce high quality physicians, they have to provide high quality education as well as they must ensure that knowledge building is taking place in the course of the programme and that the students whose efforts and/or abilities do not allow achievement of the required criteria are eliminated. Exams used to be the standard quality control tool. However, current information technologies allow doubling-up of this control; retaining the traditional examinations but preceding them with the requirement to complete multiple-choice tests. The text summarizes our experience with examining the students' mental presence during teaching with tests and our plans for the combined form of exit control using tests, completion of which will be prerequisite to admission to the exam itself. We do not believe that tests should completely replace exams but we do believe that the requirement to pass the exam should only take place following previous successful completion ofa test. This is achievable ifwe manage to establish a computer teaching room, i.e. examination room, and transform a vast number of questions into high quality multiple choice tests.
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Affiliation(s)
- Z Adam
- Interní hematoonkologická klinika Lékarské fakulty MU a FN Brno.
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Abstract
Automatic peak evaluation in chromatograms and subsequent quantification of compound concentrations is still a challenge in the analysis of complex samples containing hundreds or thousands of compounds. Although a number of software packages for peak evaluation exist, baseline definition and overlapping peaks of different shapes are the main reasons which prevent reliable automatic analysis of complex chromatograms. A new mathematical procedure is presented which uses peak shapes extracted from the chromatogram itself and modified by nonlinear (in fact, hyperbolic) stretching of the peak head and tail. With this approach, the peak parameters are position, height, scale of front, scale of tail, and smoothness of transition from front to tail scaling. This approach is found to give a substantially better fit than traditional analytically defined peak shapes. Together with a good peak finding heuristic and nonlinear optimization of parameters this allows a reliable automatic analysis of chromatograms with a large number of peaks, even with large groups of overlapping peaks. The analysis matches the quality of standard interactive methods, but still permits interactive refinement. This approach has been implemented and tested on a large set of data from chromatography of hydrocarbons in ambient air samples.
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Affiliation(s)
- B Steffen
- Zentralinstitut für angewandte Mathematik, Forschungszentrum Jülich, 52425 Jülich, Germany.
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Komenda M, Schaub A, Koppmann R. Description and characterization of an on-line system for long-term measurements of isoprene, methyl vinyl ketone, and methacrolein in ambient air. J Chromatogr A 2003; 995:185-201. [PMID: 12800935 DOI: 10.1016/s0021-9673(03)00518-1] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
In this work we present a detailed technical description of the system that was set up for long-term on-line measurements of isoprene and two of its major degradation products, methyl vinyl ketone and methacrolein in order to provide a better understanding of the role of forest stands as a complex source of reactive trace gases into the troposphere and to elucidate the role of forests as chemical reactors. Volatile organic compounds (VOCs) are preconcentrated on cartridges containing a package of two solid adsorbents (Tenax TA and Carbopack X). Ozone removal is performed prior to sampling by titration with nitrogen monoxide. For the calibration and characterization of the system, a diffusion source was built to produce standard gas mixtures of up to 16 different compounds with mixing ratios at tens ppt (parts per trillion) level mixing ratios and high accuracy. The developed system allows a reliable quantification of these VOCs (detection limit approximately 10 ppt, reproducibility approximately 5%) with a high temporal resolution (approximately 30 min) and has proven to be stable and run automatically without major maintainence.
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Affiliation(s)
- M Komenda
- Institut für Chemie und Dynamik der Geosphäre, Institut II: Troposphäre, Forschungszentrum Jülich, D-52425 Jülich, Germany.
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