Ad Reactions over Time: Capturing Changes in the Real World

1986 ◽  
Vol 13 (1) ◽  
pp. 114 ◽  
Author(s):  
Marian C. Burke ◽  
Julie A. Edell
Keyword(s):  
The Real ◽  
Author(s):  
Zouhaier Brahmia ◽  
Fabio Grandi ◽  
Abir Zekri ◽  
Rafik Bouaziz

Like other components of Semantic Web-based applications, ontologies are evolving over time to reflect changes in the real world. Several of these applications require keeping a full-fledged history of ontology changes so that both ontology instance versions and their corresponding ontology schema versions are maintained. Updates to an ontology instance could be non-conservative that is leading to a new ontology instance version no longer conforming to the current ontology schema version. If, for some reasons, a non-conservative update has to be executed, in spite of its consequence, it requires the production of a new ontology schema version to which the new ontology instance version is conformant so that the new ontology version produced by the update is globally consistent. In this paper, we first propose an approach that supports ontology schema changes which are triggered by non-conservative updates to ontology instances and, thus, gives rise to an ontology schema versioning driven by instance updates. Note that in an engineering perspective, such an approach can be used as an incremental ontology construction method driven by the modification of instance data, whose exact structure may not be completely known at the initial design time. After that, we apply our proposal to the already established [Formula: see text]OWL (Temporal OWL 2) framework, which allows defining and evolving temporal OWL 2 ontologies in an environment that supports temporal versioning of both ontology instances and ontology schemas, by extending it to also support the management of non-conservative updates to ontology instance versions. Last, we show the feasibility of our approach by dealing with its implementation within a new release of the [Formula: see text] OWL-Manager tool.


2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e24112-e24112
Author(s):  
Safiya Karim ◽  
Sasha M. Lupichuk ◽  
Amy Tan ◽  
Aynharan Sinnarajah ◽  
Jessica Simon

e24112 Background: The Serious Illness Care Program (SICP) is a system-based intervention, including a conversation guide, which facilitates improved advance care planning (ACP) conversations between clinicians and seriously ill patients. A recent randomized control trial found the program reduced symptoms of depression and anxiety amongst oncology out-patients and improved process outcomes. We implemented the SICP in our center to determine if the effects of this program could be translated into the real world. Methods: Two outpatient oncology clinics implemented the SICP, each over a 16-week period. Patients were identified based on an answer of “no” to the question “would I be surprised if this patient died within the next year?”, or any patient with a diagnosis of metastatic pancreatic cancer, or symptom scores of > 7 on more than three categories of the patient reported outcome dashboard. Physicians were trained on how to conduct the SICP conversation. One patient per week was identified and prepared to have the SICP conversation with the goal of at least 12 conversations in each 16-week period. Rates of SICP conversation documentation on our system’s “ACP and goals of care designation (GCD) Tracking Record” and GCD orders were recorded. Patient satisfaction after each conversation and physician comfort level over time were assessed. Results: 16 patients were identified (8 patients in each 16-week period). One patient was lost to follow-up. Of the remaining 15 patients who had the SICP conversation, 14 (93%) had documentation on the Tracking Record and 8 (53%) had a GCD order. This was a major improvement over baseline rates of documentation (e.g. < 1 % Tracking Record use and 16% GCD for patients with GI cancers). 14 patients completed satisfaction surveys, of which 12 (86%) felt “completely” or “quite a bit” more heard or understood. Physician comfort level increased from 3.6 to 4.8 and from 4.8 to 5 out of 5, respectively over each 16-week period. Conclusions: SICP implementation resulted in high rates of documentation of goals and preferences. Patients felt heard and understood by their healthcare team, and comfort in these conversations improved over time for physicians. The goal number of conversations was not met, but otherwise the SICP was feasible to implement in the real world. Further study is required to identify the appropriate triggers and barriers to routine SICP conversations.


2020 ◽  
Vol 9 (3) ◽  
pp. 55
Author(s):  
Erina Novita ◽  
Nursaid Nursaid

AbstractThis study aims to describe the structure of the text (orientation, complications, resolution), elements, and types of text contained in the  fantasy text stories written by students of class VII of  SMP Negeri 7 Padang. The data to be analyzed in the form of structure, elements, and type of text contained in the text of a fantasy story. Data collection techniques in this study were carried out through three stages. First, researchers read and understand the text of fantasy stories. Second, researchers mark the sections related to the structure of the text, elements, and types of text of fantasy stories. Third, inventorying findings related to the structure, elements, and type of text into the data inventory format Based on the results of the study, it can be concluded three things as follows. First, in general students of class VII SMP 7 Padang have used the three text structures of fantasy stories. This is evident from the 48 fantasy story texts analyzed there are 2 fantasy story texts that do not have a complete structure. Second, students generally use six elements of fantasy story text. This is evident from the 48 fantasy texts analyzed which all have complete elements, namely themes, plot, characters and characterizations, settings, points of view, and mandates. Third, the type of fantasy story text is divided into two, namely (1) based on conformity with the real world, students are more likely to write slices of fantasy stories and (2) based on story settings, students tend to write stories over time, from the present to the past. Kata Kunci: Struktur, Teks Cerita Fantasi Tipe, Unsur 


Reality is shaped differently in software environments through Virtual Reality VR and augmented Reality AR, it has a remarkable position and an important background with its role of ensuring contact between the software environment and the user. It was popular in the entertainment sector, in particularly industry, but over time, it becomes apparent that there would be a much greater need for VR/AR technologies in different areas dealing with tasks/issues in the real world. In This article we provide an overview of virtual and augmented reality systems and their principal domains of applications.


2018 ◽  
Vol 71 (8) ◽  
pp. 1663-1671 ◽  
Author(s):  
Hettie Roebuck ◽  
Kun Guo ◽  
Patrick Bourke

Careful systematic tests of hearing ability may miss the cognitive consequences of sub-optimal hearing when listening in the real world. In Experiment 1, sub-optimal hearing is simulated by presenting an audiobook at a quiet but discriminable level over 50 min. Recall of facts, words and inferences are assessed and performance compared to another group at a comfortable listening volume. At the quiet intensity, participants are able to detect, discriminate and identify spoken words but do so at a cost to sequential accuracy and fact recall when attention must be sustained over time. To exclude other interpretations, the effects are studied in Experiment 2 by comparing recall to the same sentences presented in isolation. Here, the differences disappear. The results demonstrate that the cognitive consequences of listening at low volume arise when sustained attention is demanded over time.


2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Aya Ozaki ◽  
Harlan M Krumholz ◽  
Freny V Mody ◽  
Cynthia Jackevicius

Background: Sacubitril/valsartan (Entresto ® ), available since 07/2015 to treat heart failure (HF) with reduced ejection fraction, reduced HF morbidity and mortality in the PARADIGM-HF trial at a mean daily dose of 375mg. The recommended starting dose is 49/51mg BID with up-titration to the target maintenance dose of 97/103mg BID. The uptake and pattern of dosage up-titration of sacubitril/valsartan in the real-world setting is understudied. Therefore, we characterize sacubitril/valsartan utilization patterns over time. Methods: We conducted a population-level cohort study using the IQVIA National Prescription Audit database from 08/2016-07/2019. Primary variables included the number of prescriptions (Rx) dispensed over a 3-year period and the proportion of Rx in the most recent 1-year period by dose, Rx types, prescriber and patient. Results: Over 3-years, 3.3 million sacubitril/valsartan Rx were dispensed. The number of Rx/month increased 5.6-fold, from 30,454 Rx to 175,605 Rx. Cardiologists prescribed 59% of Rx. However, non-cardiologists had a greater increase (7.5-fold) in prescribing over time than cardiologists (4.9-fold). During the most recent year, 49% of Rx were for the lowest dose of 24/26mg, followed by 31% for the intermediate 49/51mg dose, and 21% for the highest 97/103mg dose. There were more refill Rx than new Rx for all doses. For higher doses, more Rx were written by cardiologists than non-cardiologists (49/51mg: 59% vs. 41%; 97/103mg: 59% vs 41%, for cardiologists vs. non-cardiologists, respectively) (p<0.0001). There were fewer Rx for the target dose (97/103mg) in the oldest age than the youngest age category (11% for age 85+ vs. 24% for age 40-64 years). Conclusions: In the real-world setting, only 1 in 5 sacubitril/valsartan Rx dispensed in 2018/19 were for the target dose of 97/103mg with even lower use in the elderly population. The number of Rx prescribed by non-cardiologists has increased steeply, yet higher doses were prescribed more often by cardiologists. Given that these lower doses may not provide the same clinical benefits shown with higher doses in the PARADIGM-HF trial, identification of barriers or risk factors for underdosing of sacubitril/valsartan and its clinical implications warrants further evaluation.


2019 ◽  
Vol 34 (10) ◽  
pp. 1480-1487 ◽  
Author(s):  
Luc J.W. Evers ◽  
Jesse H. Krijthe ◽  
Marjan J. Meinders ◽  
Bastiaan R. Bloem ◽  
Tom M. Heskes

Author(s):  
John Cutcliffe ◽  
Henry Harder

Qualitative research has withstood many challenges on its way to becoming a credible research paradigm, though it remains the case that the paradigm contains ongoing methodological debates. One such debate is, for want of a better expression, the necessity for methodological precision (fundamentalism or purity). While it is accurate that research methodologies are somewhat fluid in that they are refined over time, it is equally correct that some researchers fall into a trap in claiming such fluidity is the reason for their imprecise use of a research methodology. Given that scientific knowledge is inextricably linked to the practice of method (at the very least for those who subscribe to positivist, post-positivist and to some extent modernist views) and that method is prefaced and underpinned by methodology, if methodological slippage has occurred and there is resultant incongruity between methodology and method, then an argument can be made that the study is not a scientific study and consequently cannot make the claim that it has produced scientific knowledge. Even allowing for some movement from the abstract, idealization of a given methodology into the “real world” application of the method, it is essential to note that variation in or movement away from a method’s underpinning methodology and epistemological stances can and does occur in well-designed studies; but if such movement occurs purposefully and/or has an robust rationale, grounded in the method’s original methodology.


2012 ◽  
Vol 4 (2) ◽  
Author(s):  
Maria Giovanna Arcamone

Detective stories were established in Italy at the end of the nine- teenth century in imitation of the 'noir' and the French and English serial novels. The Italian detective story over time has grown also with some of our better writers and it is to stories written by Carlo Emilio Gadda, Leonardo Sciascia, Carlo Fruttero/Franco Lucentini, Carlo Fruttero and Andrea Vitali that this paper is dedicated to investigating. In addition, all these authors reveal with linguistic reflections that they appreciate the inherent power of Proper Names. The de- tective novel is especially appropriate on the relation between proper names and identity. Indeed, normally at the beginning of events both in the real world and in detective fiction the personalities present in the good and bad texture of events have not yet been identified. These authors of Italian detective stories look for an ally in the nominatio to help them define the identity of their characters and the backdrop of their story.


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