ABSTRACT
Background: Child mortality is a major public health issue. The studies on under‑five mortality that ignore the hierarchical facts mislead the interpretation of the results due to observations in the same cluster sharing common cluster‑level random effects. Objectives: The present study uses a multilevel model to analyze under‑five mortality and identify the significant factors for under‑five mortality in Manipur. Methods: National Family Health Survey‑5 (2019–21) data are used in the present study. Amultilevel mixed‑effect Weibull parameter survival model was fitted to determine the factors affecting under‑five mortality. We construct three‑level data, individual levels are nested within primary sampling units (PSUs), and PSUs are nested within districts. Results: Out of the 3225 under‑five children, 85 (2.64%) died. The three‑level mixed‑effects Weibull parametric survival model with PSUs nested within the districts, the likelihood‑ratio test with Chi‑square value = 10.98 and P = 0.004 < 0.05 indicated that the model with random‑intercept effects model with PSUs nested within the districts fits the data better than the fixed effect model. The four covariates, namely the number of birth in the last 5 years, age of mother at first birth, use of contraceptive, and size of child at birth, were found as the risk factor for under‑five mortality at a 5% level of significance. Conclusions: In the random‑intercept effect model, the two estimated variances of the random‑intercept effects for district and PSU levels are 0.27 and 0.31, respectively. The values indicate variations (unobserved heterogeneities) in the risk of death of the under‑five children between districts and PSUs levels.
ABSTRACT
@#Objective To establish theoretical framework, content, and standard of disability data using International Classification of Functioning, Disability and Health (ICF). Methods The structure and content of the Disability Survey Project Form by Washington Group on Disability Statistics, World Health Organization Disability Assessment Schedule 2.0, Model Disability Survey developed by World Health Organization and ICF Core Set (General) were analyzed with ICF categories and coding. Results The sturcture and contents of disability measurements has been developed and analysed using ICF.Conclusion The framework, content and data standard had been developed.
ABSTRACT
La inexistencia de un modelo de datos enlazados en el contexto de la Biblioteca Virtual en Salud de Cuba (BVS) provoca deficiencias en la interoperabilidad semántica de los contenidos y la recuperación de información. Además, y como problema añadido, las entidades documentales que lo componen presentan distintos niveles de descripción bibliográfica y de alcance temático. El presente artículo propone el diseño de un marco procedimental para facilitar la interoperabilidad semántica entre conjuntos de datos enlazados de la BVS, y estandarizar sus principales clases y propiedades. Este procedimiento, que se implementa en el modelo ontológico denominado Ontomed, constituye una aproximación teórico-conceptual que permitirá modelar las principales entidades, atributos y relaciones en el contexto de la BVS. Se espera un impacto directo en tres dimensiones fundamentales: 1) caracterización del contexto de aplicación del marco procedimental 2) formalización de los componentes del modelo ontológico y 3) selección de una muestra experimental en el escenario de la BVS.
The absence of a linked data model in the context of the Virtual Health Library of Cuba (VHL) causes deficiencies in the semantic interoperability of content and information retrieval. In addition, as added problem, the documentary component entities have different levels of bibliographic description and subject scope. This article proposes the design of a procedural framework to facilitate semantic interoperability between linked datasets of VHL, standardizing their core classes and properties. Such a procedure, implemented in the ontological model called Ontomed, is a theoretical and conceptual approach that allows modeling the main entities, attributes and relationships in the context of the VHL. A direct impact will expect on three key dimensions: 1) characterization of context implementing the procedural framework 2) formalization of the components of the ontological model and 3) selecting an experimental sample on the stage of the VHL.
ABSTRACT
Objective To realize data structure manual online search of "No.1 Military Medical Project".Methods Access database and ASP technology were adopted.Results Data structure manual online search was realized successfully.Conclusion The system enhances the efficiency of HIS engineers.