Data Quarantine in the Time of the COVID-19 Pandemic
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Our healthcare information is trapped.It is trapped in the proprietary data models of the electronic medical record (EMR) and in our healthcare systems' data warehouses.This reality has become strikingly clear as the coronavirus disease 2019 (COVID-19) pandemic has swept across the globe, killing >80 000 people in the United States alone.We need answers but struggle to address even the simplest questions.How many individuals are infected?Who is at the highest risk for developing severe infection?What therapies are being used to treat hospitalized patients?This crisis is testing the limits of our public health and healthcare systems in many ways, including a quarantined health information system.This perspective reviews several deficiencies in healthcare information technology that currently limit our ability to deal with the pandemic and suggests current solutions moving forward.In an ideal world, healthcare systems would speak the same language, communicate with public health agencies, and engage directly with the community.This type of system would allow us to track, learn, and innovate during the current crisis.The COVID-19 pandemic lays bare just how far we are from this vision, and, sadly, the deficiency will have dire consequences.For example, pooling data across multiple institutions is critical for scientific discovery and community surveillance.No single healthcare system reflects the status of a community or region, and individually each lacks the sample size and diversity for robust, generalizable results.Yet bringing data together for pooled analyses is currently too difficult.Different healthcare systems essentially speak different languages.Even if 2 systems use the same EMR software, each build is individualized such that the same concept may be hidden in different places in the data.For example, hydroxychloroquine has emerged as a potential treatment option for COVID-19 but also has known QTprolonging effects and can cause ventricular arrhythmias.As these are rare complications, healthcare systems and researchers must pool data to identify these events among treated patients.When a clinician researcher says, "Find me the patients treated with hydroxychloroquine," a data scientist hears, "Find me the patients with one of the drug codes that represents hydroxychloroquine."Yet one healthcare system may use the National Drug Code directory to represent medications and another system might use Medi-Span to represent medications.The systems speak different languages-a barrier to pooling data for rapid analyses.Common data models (CDMs) address the interoperability issue to some degree, but this is an imperfect solution.Using our example above, the 2 different hydroxychloroquine representations could be mapped to a single data format, to facilitate pooling.But systems must still map their data accurately to the CDM, and the upfront cost is generally steep for this labor-intensive process.The CDM is essentially a middle man, and, currently, the transformation process is not automated nor does it occur in real time.After data are mapped to the CDM, the tables inKeywords:
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The GLOBE Program (www.globe.gov) provides a myriad of resources that can be used to support environmental science exploration in classrooms. GLOBE offers a toolkit of measurements designed to support the study of Earth as a system. This toolkit features a variety of measurements that can be used to monitor marine environments. These measurements vary in complexity and equipment requirements. In addition to these measurements, GLOBE provides resources to support conducting environmental research projects. There are currently marine-related projects taking place that feature the use of GLOBE resources. GLOBE is looking at the possibility of packaging materials appropriate for marine environments. This paper describes the GLOBE Program and suggests possible ideas for expanding investigations to include marine environments.
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Primary and secondary students in the GLOBE program, together with their teachers, work in partnership with scientists to take scientific measurements to bring about a better understanding of the Earth's environment. GLOBE students collect atmospheric, hydrologic, geologic, and biometric data from local study sites in order to monitor conditions in their community and make comparisons with other schools around the world. Students report their data via the Internet to the GLOBE network and to scientists around the world who incorporate GLOBE data in research projects. Since GLOBE's inception in 1995, more than one million students in over 14,000 schools around the world have taken part in the program. Currently, students and teachers from 105 countries are actively participating in GLOBE.
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Abstract The 2012 Globe to Globe Festival proved a great success. Actors, directors, musicians, dancers, designers and technicians travelled from all over the world to perform on the Globe stage. Visitors to London’s Cultural Olympiad enjoyed six jam-packed weeks of Shakespeare, presented in an array of international languages. The Globe’s Artistic Director, Dominic Dromgoole, and his Festival Director, Tom Bird, had achieved what seemed, to many, the impossible. Nonetheless, filmed interviews with Dromgoole and Bird, conducted during the festival by the American documentary-maker Steve Rowland, offer tantalizing insights into the genesis of the festival venture. These candid interviews confirm the sometimes farcical, often exhausting, but invariably serendipitous truth behind the Globe to Globe Festival’s short, intense history. Although the Globe was “flying completely blind,” it still succeeded in hosting a glorious feast of Shakespearean delights, seasoned with the strong spice of multiculturality.
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This study was aimed at determining whether participating in an environmental
education programme (GLOBE) was positively reflected in participants'
environmental awareness, concern and level of environmentally responsible
behaviour. An ecologically homogeneous sample consisting of 22 Grade 8 GLOBE
participants and 24 non-GLOBE participants was selected. Pearson correlation
coefficients and t-tests were employed to compare the research groups. GLOBE
programme participants had stronger concerns and took more positive actions
toward the environment than those who did not participate in the GLOBE
programme. However, those participating in the GLOBE programme were not
more exposed to environmental information than respondents not taking part in
the GLOBE programme. Analyses of the GLOBE participants' responses in terms of
gender and place of residence yielded no significant differences. It is recommended
that specific attention to initial motivations for participation / non-participation in
the GLOBE programme be considered in follow-up investigations.
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Extracted from text ... belief (117).
J.R. MULRAYNE and MARGARET SHEWRING Eds. Shakespeare's Globe Revisited.
Cambridge: Cambridge University Press, 1997. 192 pp.
Reviewed by JAYNE GLOVER
As the preface makes clear, Shakespeare's Globe Revisited is designed as a tribute to the
rebuilding, in the 1990s, of the Globe theatre on London's Bankside. It is described by the editors,
Ronnie Mulryne and Margaret Shewring, as one of the most imaginative projects of recent
decades (11). In particular they acknowledge the vision of Sam Wanamaker and architect Theo
Crosby, who worked together to see their dream of a working Globe come to fruition, but sadly ..
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List of plates Preface 1. The topographical glass 2. The printed panoramas 3. Looking at the Globe 4. Measuring the Globe 5. The plans of the Fortune and the Globe 6. Seating and capacity 7. The Globe and the sun Appendices Notes Index.
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Journal Article Globe to Globe: 37 Plays, 37 Languages Get access Edward Reiss Edward Reiss Search for other works by this author on: Oxford Academic Google Scholar Shakespeare Quarterly, Volume 64, Issue 2, Summer 2013, Pages 220–232, https://doi.org/10.1353/shq.2013.0023 Published: 01 July 2013
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In this symposium, GLOBE researchers will present the theoretical framework connecting national culture and antecedents of trust, the quantitative and qualitative methodologies used to measure the constructs, and preliminary findings. Upon the completion of the presentations, Kurt Dirks, a renowned authority on trust issues, will act as a discussant and will comment on the GLOBE work. The symposium will end with an engaging discussion with the audience.
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