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1.
Nat Commun ; 7: 11934, 2016 06 21.
Article in English | MEDLINE | ID: mdl-27327500

ABSTRACT

Multifactorial mechanisms underlying late-onset Alzheimer's disease (LOAD) are poorly characterized from an integrative perspective. Here spatiotemporal alterations in brain amyloid-ß deposition, metabolism, vascular, functional activity at rest, structural properties, cognitive integrity and peripheral proteins levels are characterized in relation to LOAD progression. We analyse over 7,700 brain images and tens of plasma and cerebrospinal fluid biomarkers from the Alzheimer's Disease Neuroimaging Initiative (ADNI). Through a multifactorial data-driven analysis, we obtain dynamic LOAD-abnormality indices for all biomarkers, and a tentative temporal ordering of disease progression. Imaging results suggest that intra-brain vascular dysregulation is an early pathological event during disease development. Cognitive decline is noticeable from initial LOAD stages, suggesting early memory deficit associated with the primary disease factors. High abnormality levels are also observed for specific proteins associated with the vascular system's integrity. Although still subjected to the sensitivity of the algorithms and biomarkers employed, our results might contribute to the development of preventive therapeutic interventions.


Subject(s)
Alzheimer Disease/physiopathology , Brain/physiopathology , Cognitive Dysfunction/physiopathology , Image Interpretation, Computer-Assisted , Models, Statistical , Aged , Alzheimer Disease/blood , Alzheimer Disease/cerebrospinal fluid , Alzheimer Disease/diagnostic imaging , Amyloid beta-Peptides/blood , Amyloid beta-Peptides/cerebrospinal fluid , Biomarkers/blood , Biomarkers/cerebrospinal fluid , Blood Proteins/metabolism , Brain/blood supply , Brain/diagnostic imaging , Brain/metabolism , Brain Mapping , Cerebrovascular Circulation , Cognitive Dysfunction/blood , Cognitive Dysfunction/cerebrospinal fluid , Cognitive Dysfunction/diagnostic imaging , Disease Progression , Female , Glucose/metabolism , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Multivariate Analysis , Neuroimaging , Positron-Emission Tomography , tau Proteins/blood , tau Proteins/cerebrospinal fluid
2.
Clin Rehabil ; 22(9): 788-800, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18728132

ABSTRACT

OBJECTIVE: To investigate the internal consistency, validity and responsiveness of the Rehabilitation Activities Profile (RAP; a rehabilitation tool structuring the multidisciplinary team care process) in patients with rheumatoid arthritis. METHODS: In 85 rheumatoid arthritis patients admitted to a rheumatology clinic the RAP was applied at admission, at discharge, and six weeks thereafter. Additional assessments included measures of physical and psychological functioning, disease activity and quality of life. The internal consistency of the RAP was determined with Cronbach's alpha. Associations between the RAP and other outcome measures were determined by Spearman rank correlation coefficients. Responsiveness measures included the standardized response mean (SRM), effect size (ES) and responsiveness ratio (RR). RESULTS: Cronbach's alpha of the RAP total score was 0.78. The RAP total score correlated significantly with all other outcome measures. The mean RAP total score improved from 15.2 to 13.2 at discharge (change -2.0; 95% confidence interval (CI) -3.4 to -0.7) and to 11.5 (change -3.7; 95% CI -3.9 to -1.5) six weeks thereafter. The responsiveness of the RAP total score was low (standardized response mean -0.34, effect size -0.30) to high (responsiveness ratio -0.87) at discharge and moderate (standardized response mean -0.54, effect size -0.55) to high (responsiveness ratio -1.56) six weeks thereafter. CONCLUSIONS: The RAP appeared to be an internally consistent, valid and responsive measure to reflect limitations on the level of activities and participation in patients with rheumatoid arthritis admitted for multidisciplinary team care.


Subject(s)
Arthritis, Rheumatoid/rehabilitation , Disability Evaluation , Activities of Daily Living , Adaptation, Psychological , Adult , Aged , Aged, 80 and over , Female , Health Status , Humans , Male , Middle Aged , Quality of Life , Reproducibility of Results , Statistics, Nonparametric
3.
Open Med Inform J ; 2: 82-91, 2008.
Article in English | MEDLINE | ID: mdl-19415137

ABSTRACT

The Internet offers unlimited possibilities for finding health information. However, the user is often faced with the problem of understanding it. Contextualization has a role to play in enhancing the user's comprehension. We report on a study which addresses this issue, using a theoretical model of communication whose central theme is that of context. A randomized controlled experimental design was chosen, using as a test-bed the website SeniorGezond we had previously developed. The study was composed of a pre-test, the intervention with the website and a post-test. Participants (n=40) were randomly assigned to exposure or no exposure to contextualization with the website. Results show that contextualization increases understanding for non-knowledgeable users. Furthermore, the participant's cognitive style was found to be a significant factor on understanding. We also found that participants bring their own contexts such as social context and psychological context to support their understanding.

4.
Clin Rehabil ; 22(1): 23-37, 2008 Jan.
Article in English | MEDLINE | ID: mdl-18048482

ABSTRACT

OBJECTIVE: To investigate the impact of introducing a rehabilitation tool on multidisciplinary team members' satisfaction with team functioning, team conferences and written information exchange. DESIGN: Pretest posttest design. SETTING: Day patient and inpatient wards of a rheumatology rehabilitation clinic. SUBJECTS: Members of two multidisciplinary teams. INTERVENTIONS: The introduction of an electronic version of the Rehabilitation Activities Profile. MAIN MEASURES: The Group Environment Scale and questionnaires on satisfaction with team conferences and administrative procedures administered before (T1) and 12 months after (T2) the introduction of the Rehabilitation Activities Profile. RESULTS: The Group Environment Scale cohesion subscale was significantly higher at T2 than at T1 in the day patient setting (mean difference 1.9; 95% confidence interval (CI) 0.3; 3.4), whereas in the inpatient setting the Group Environment Scale cohesion and the order and organization subscales were significantly lower (mean differences -3.0; 95% CI -4.7; -1.3 and -2.7; 95% CI -4.3; -1.1, respectively). Satisfaction with team conferences was significantly higher at T2 compared with T1 in the day patient setting (mean difference total score 0.6; 95% CI 0.3; 1.0), but not in the inpatient setting (mean difference -0.3; 95% CI -0.7; 0.2). In both settings, the proportions of health professionals spending >10 minutes on administrative tasks per patient contact were significantly higher at T2 than at T1. CONCLUSIONS: In the day patient setting, the introduction of a rehabilitation tool had a positive effect on team members' satisfaction with team functioning and team conferences, whereas in the inpatient setting the effect was absent or the opposite. In both settings, the time spent on administrative tasks increased.


Subject(s)
Arthritis, Rheumatoid/rehabilitation , Attitude of Health Personnel , Interdisciplinary Communication , Patient Care Team/organization & administration , Rheumatology/methods , Activities of Daily Living , Adult , Day Care, Medical , Female , Humans , Inpatients , Male , Middle Aged , Prospective Studies
5.
Clin Anat ; 20(5): 545-52, 2007 Jul.
Article in English | MEDLINE | ID: mdl-17373712

ABSTRACT

The purpose of this work was to study an inferior lumbar venous system, which turned out to be the vertical component of the iliolumbar vein as defined in early works by Bourgery and Jacob, though there is a terminological ambiguity between the iliolumbar vein and the ascending lumbar vein in the literature. However, the iliolumbar vein is most commonly defined as a vein draining the fourth and fifth lumbar vertebral segments. Cadaver studies, including one injection-corrosion, and in vivo venograms were analyzed by visual inspection and measurements. Whether the injection was made via the axillary or the saphenous veins, the inferior lumbar vein was always filled, demonstrating that it is part of the vertebral venous system. An interruption or a plexiform shape of the venous system at the level of the third lumbar vertebra, and an increase in caliber as this vein runs downwards, allowed differentiating the inferior lumbar vein from the ascending lumbar vein. The inferior lumbar vein and the superior iliac vein drained into the iliac veins, either external or internal iliac vein, but typically into the common iliac vein, separately or with a single common trunk. This common trunk was observed in 92% of the dissected cases on the right side and in 46% on the left, whereas it was seen in 50% of the radiological studies on the right side and 52% on the left. Consequently, the inferior lumbar vein was the main component of the iliolumbar vein, and as such should be differentiated from the ascending lumbar vein.


Subject(s)
Iliac Vein/anatomy & histology , Iliac Vein/diagnostic imaging , Lumbar Vertebrae/blood supply , Aged , Aged, 80 and over , Female , Humans , Lumbar Vertebrae/anatomy & histology , Lumbar Vertebrae/diagnostic imaging , Male , Radiography
6.
Int J Med Inform ; 76(11-12): 856-63, 2007.
Article in English | MEDLINE | ID: mdl-17157553

ABSTRACT

OBJECTIVE: Problems with multidisciplinary team conferences in health care include the exchange of too much (discipline-specific) information. The aim of this study was to investigate the effect of the implementation of a rehabilitation tool on the contents of communication during multidisciplinary team conferences in a rheumatology setting. METHODS: All initial and follow-up team conferences of 25 consecutive patients with rheumatoid arthritis admitted to a day patient care ward were videotaped during a period before (period I) and after (period II) the introduction of a rehabilitation tool. The aims of the rehabilitation tool were to enhance discussions on the co-ordination of care rather than merely exchange of information. This was achieved by providing a framework for the setting and evaluation of common treatment goals and management strategies as well as accompanying electronic and printed records. For every team conference, the duration of time spent on three types of communication was recorded: (1) grounding regarding the patient's health status, (2) the making of practical arrangements by no more than two health professionals, and (3) the co-ordination of common treatment goals or management strategies. Comparisons of the proportions of time spent on the different types of communication between the two periods were done by means of the Mann-Whitney U-test. RESULTS: Apart from the 25 initial team conferences in both periods, 86 and 71 follow-up team conferences were available in periods I and II, respectively. Regarding the initial team conferences, the proportion of time spent on grounding and practical arrangements was significantly smaller in period II than in period I. In addition, the proportion of time spent on common goals or management strategies was significantly greater in period II than in period I. For the follow-up team conferences, the proportion of time spent on practical arrangements was significantly smaller in period II, than in period I. Moreover, the proportions of time spent on the other types of communication did not differ significantly between the two periods. CONCLUSION: The implementation of a rehabilitation tool including a computer application increased the proportion of time spent on the discussion of common treatment goals or management strategies during initial but not during follow-up team conferences in a day patient rheumatology clinic.


Subject(s)
Group Processes , Interdisciplinary Communication , Rehabilitation Nursing/instrumentation , Rheumatology , Cohort Studies , Humans , National Health Programs , Netherlands , Patient Care Team , Prospective Studies , Videotape Recording
7.
Morphologie ; 90(291): 181-7, 2006 Dec.
Article in French | MEDLINE | ID: mdl-17432049

ABSTRACT

Anterior internal vertebral venous plexus have been studied extensively due to their clinical importance in diseases of the spine and obstruction of the inferior vena cava. The aim of this feasibility study was to reconstruct in 3D the lower thoracic area of the anterior epidural space of a 69 mm (crown-rump) human fetus from the Rouvière Collection, circa 1927. Forty slices (spaced by 40 microm) at the level of the tenth and eleventh thoracic vertebrae, and their lower adjacent intervertebral discs, were reconstructed in 3D using the commercial software SURFdriver. In a preliminary study, we had found that the structures of the epidural space are already formed at this stage of development, and that they are comparable to the adult stage (2002). Reconstruction of the microscopic slices in 3D allowed to better visualize spatially the structures of the venous plexus and their anatomical relationships. This technique could be used as a complement to the classically used histological studies.


Subject(s)
Fetus/embryology , Imaging, Three-Dimensional , Spine , Veins/embryology , Feasibility Studies , Female , Humans
9.
Int J Med Inform ; 74(10): 783-90, 2005 Oct.
Article in English | MEDLINE | ID: mdl-16023888

ABSTRACT

BACKGROUND: Coordinated teams with multidisciplinary team conferences are generally seen as a solution to the management of complex health conditions. However, problems regarding the process of communication during team conferences are reported, such as the absence of a common language or viewpoint and the exchange of irrelevant or repeated information. To determine the outcome of interventions aimed at improving communication during team conferences, a reliable and valid assessment method is needed. AIM: To investigate the feasibility of a theory-based measurement instrument for assessing the process of the communication during multidisciplinary team conferences in rheumatology. METHOD: An observation instrument was developed based on communication theory. The instrument distinguishes three types of communication: (I) grounding activities, (II) coordination of non-team activities, and (III) coordination of team activities. To assess the process of communication during team conferences in a rheumatology clinic with inpatient and day patient facilities, team conferences were videotaped. To determine the inter-rater reliability, in 20 conferences concerning 10 patients with rheumatoid arthritis admitted to the inpatient unit, the instrument was applied by two investigators independently. Content validity was determined by analysing and comparing the results of initial and follow-up team conferences of 25 consecutive patients with rheumatoid arthritis admitted to the day patient unit (Wilcoxon signed rank test). RESULTS: The inter-rater reliability was excellent with the intra-class correlation coefficients being >0.98 for both types I and III communications in 10 initial and 10 follow-up conferences (type II was not observed). An analysis of an additional 25 initial and 86 follow-up team conferences showed that time spent on grounding (type I) made up the greater part of the contents of communication (87% S.D. 14 and 60% S.D. 29 in initial and follow-up conferences, respectively), which is significantly more compared to time spent on co-ordination (p<0.001 and 0.02 for categories II and III, respectively). Moreover, significantly less time spent was spent on grounding in follow-up as compared to initial team conferences, whereas the time spent on coordination (type III) increased (both p-values<0.001). CONCLUSION: This theory-based measurement instrument for describing and evaluating the communication process during team conferences proved to be reliable and valid in this pilot study. Its usefulness to detect changes in the communication process, e.g. after implementing systems for re-structuring team conferences mediated by ICT applications, should be further examined.


Subject(s)
Communication , Models, Theoretical , Patient Care Team , Quality Assurance, Health Care , Rheumatology/organization & administration , Humans , Observer Variation , Program Evaluation , Quality Assurance, Health Care/methods , Time Management , Video Recording , Workforce
10.
Stud Health Technol Inform ; 107(Pt 2): 988-91, 2004.
Article in English | MEDLINE | ID: mdl-15360960

ABSTRACT

Communication processes are pervasive in the daily practice of health professionals. Reorganizing these daily practices by introducing ICT, inevitably effects one or more communication processes. Understanding exactly what these effects are, is a major problem in designing and implementing ICT-applications. In this paper we present an analysis of these effects, based on a theory of communication processes. The concept of 'decoupling' is pivotal in our analysis. Based on the identified effects, and some preconditions that have to be met in order for these effects to take place, we derive a number of guidelines for reorganizing communication processes by means of applying ICT. The application of these guidelines will be demonstrated and discussed in the context of the reorganization of a team conference at the Rehabilitation Clinic of the Rheumatology Department of the Leiden University Medical Center (RCRD/LUMC).


Subject(s)
Information Theory , Interdisciplinary Communication , Medical Informatics Applications , Patient Care Team/organization & administration , Models, Organizational , Systems Analysis
11.
Stud Health Technol Inform ; 103: 183-90, 2004.
Article in English | MEDLINE | ID: mdl-15747919

ABSTRACT

Communication processes are pervasive in the daily practice of health professionals. Reorganizing these daily practices by introducing ICT, inevitably effects one or more communication processes. Understanding exactly what these effects are, is a major problem in designing and implementing ICT-applications. In this paper we present an analysis of these effects, based on a theory of communication processes. The concept of 'decoupling' is pivotal in our analysis. Based on the identified effects, and some preconditions that have to be met in order for these effects to take place, we derive a number of guidelines for reorganizing communication processes by means of applying ICT. The application of these quidelines will be demonstrated and discussed in the context of the reorganization of a team conference at the Rehabilitation Clinic of the Rheumatology Department of the Leiden University Medical Center (RCRD/LUMC), a multidisciplinary team care setting.


Subject(s)
Interdisciplinary Communication , Medical Informatics Applications , Patient Care Team/organization & administration , Rheumatic Diseases/therapy , Telecommunications/organization & administration , Health Personnel/organization & administration , Humans
12.
Stud Health Technol Inform ; 95: 857-62, 2003.
Article in English | MEDLINE | ID: mdl-14664096

ABSTRACT

In this paper we present an assessment instrument for evaluating the quality of communication processes in health care. This instrument is based on communication theory, and does not only indicate the level of quality, but also explains it. This makes it also useful as a design tool in reorganising communication processes, in order to make them more effective. Such a tool is highly needed when Information and Communication Technology is applied in health care to support communication between professionals. The instrument is demonstrated for a case in multidisciplinary team care.


Subject(s)
Computer Communication Networks/standards , Hospital Communication Systems/standards , Interdisciplinary Communication , Netherlands , Patient Care Team , Systems Analysis
13.
Int J Med Inform ; 65(3): 179-91, 2002 Nov 12.
Article in English | MEDLINE | ID: mdl-12414017

ABSTRACT

OBJECTIVES: The proper alignment of functional features of the ICT-infrastructure to business processes is a major challenge in health care organisations. This alignment takes into account that the organisational structure not only shapes the ICT-infrastructure, but that the inverse also holds. To solve the alignment problem, relevant features of the ICT-infrastructure should be derived from the organisational structure and the influence of this envisaged ICT to the work practices should be pointed out. The objective of our study was to develop a method to solve this alignment problem. METHODS: In a previous study we demonstrated the appropriateness of the business process modelling methodology Dynamic Essential Modelling of Organizations (DEMO). A proven and widely used modelling language for expressing functional features is Unified Modelling Language (UML). In the context of a specific case study at the University Medical Centre Utrecht in the Netherlands we investigated if the combined use of DEMO and UML could solve the alignment problem. RESULTS AND CONCLUSION: The study demonstrated that the DEMO models were suited as a starting point in deriving system functionality by using the use case concept of UML. Further, the case study demonstrated that in using this approach for the alignment problem, insight is gained into the mutual influence of ICT-infrastructure and organisation structure: (a) specification of independent, re-usable components-as a set of related functionalities-is realised, and (b) a helpful representation of the current and future work practice is provided for in relation to the envisaged ICT support.


Subject(s)
Medical Records Systems, Computerized , Process Assessment, Health Care , Health Status , Humans , Medical Informatics Applications , Models, Organizational , Netherlands , Patient Care Planning , Referral and Consultation
14.
Stud Health Technol Inform ; 93: 155-62, 2002.
Article in English | MEDLINE | ID: mdl-15058427

ABSTRACT

Communication makes up a very important part of the daily practice of health professionals. Current trends in health care indicate that this will even increase. However, the explicit application of Information and Communication Technologies (ICT) in order to support communication is relatively rare. This leaves a great potential of ICT in health care unused. The clinical informatics group at the Leiden University Medical Centre has established a research program which aims at eliciting, analysing, and specifying requirements for communication supporting ICT-applications in health care. Several research projects are part of this program already. Two of these, that focus on supporting a specific kind of health professional/client communication, are discussed in this paper against the background of the research program.


Subject(s)
Communication , Delivery of Health Care/methods , Internet/statistics & numerical data , Delivery of Health Care/organization & administration , Health Personnel/psychology , Health Services Research , Hospitals, University , Information Systems/organization & administration , Medical Records Systems, Computerized/organization & administration , Patient Care/methods , Patient Education as Topic/methods , Patient Education as Topic/organization & administration , Patients/psychology , User-Computer Interface
15.
Comput Methods Programs Biomed ; 64(1): 9-35, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11084230

ABSTRACT

Due to organizational and technological changes the need for integrating information systems within healthcare institutions, has increased enormously. Although the technical means for systems integration have definitely matured, integration methodologies are still in their infancy. Two important questions regarding systems integration are hardly ever addressed in a systematic way: how to derive integration requirements, and how to check whether the requirements are met in a given integrated system. These two questions must be answered if we want to assess or improve the quality of integration of a given set of systems. In this article we present a nine-step method for deriving integration requirements from a business process model, and we assess the quality of integration of a given integrated system against these requirements. The method is demonstrated by elaborating two case studies from the health care domain.


Subject(s)
Information Systems , Computer Simulation , Delivery of Health Care, Integrated , Diabetes Mellitus/therapy , Humans , Information Systems/standards , Quality Assurance, Health Care
16.
Neuroreport ; 11(14): 3085-90, 2000 Sep 28.
Article in English | MEDLINE | ID: mdl-11043528

ABSTRACT

To identify cortical structures that subserve residual motor and sensory function in patients with congenital hemiparesis due to a porencephalic cyst, we examined, using [(15)O]H2O, PET and somatosensory evoked potentials (SEPs) in three patients with left-sided hemiparesis who had undergone hemispherectomy. Motor stimulation of the affected hand produced ipsilateral activation in the premotor area in all patients, the SMA in two patients, and SII in two patients. Vibrotactile stimulation resulted in activation of the ipsilateral SII in all subjects. Median nerve stimulation of the affected hand produced ipsilateral long-latency SEPs in fronto-centro-parietal areas, whereas stimulation of the non-affected hand produced normal early cortical potentials in the contralateral hemisphere. Our results suggest that residual function in the paretic hand is warranted through non-primary motor and sensory areas, and higher order associative areas in the intact hemisphere.


Subject(s)
Cerebral Decortication , Functional Laterality/physiology , Motor Cortex/physiopathology , Nerve Regeneration/physiology , Neuronal Plasticity/physiology , Recovery of Function/physiology , Somatosensory Cortex/physiopathology , Adult , Electric Stimulation , Evoked Potentials, Somatosensory/physiology , Female , Humans , Mechanoreceptors/cytology , Mechanoreceptors/physiology , Motor Activity/physiology , Motor Cortex/abnormalities , Motor Cortex/surgery , Oxygen Radioisotopes , Physical Stimulation , Somatosensory Cortex/abnormalities , Somatosensory Cortex/surgery , Tomography, Emission-Computed , Touch/physiology
17.
Methods Inf Med ; 39(1): 56-62, 2000 Mar.
Article in English | MEDLINE | ID: mdl-10786071

ABSTRACT

The need of an electronic patient record with a process view on medical care is widely acknowledged. Characteristics of DEMO (Dynamic Essential Modeling of Organizations) suggest that with this methodology an adequate process view of medical practice can be obtained. In applying DEMO to the care process of the emergency department at the University Medical Centre Utrecht, it was investigated if DEMO fulfilled our expectations. This practical application showed that DEMO yields an adequate process view by a clear and comprehensible view of the core processes, responsibilities, co-ordination of activities, and a clear description of causal and conditional relations between activities.


Subject(s)
Computer Simulation , Hospital Communication Systems , Medical Records Systems, Computerized , Process Assessment, Health Care , Emergency Service, Hospital , Humans , Medical Informatics Applications , Netherlands , Patient Care Planning
18.
Int J Med Inform ; 52(1-3): 53-60, 1998.
Article in English | MEDLINE | ID: mdl-9848402

ABSTRACT

Changing requirements for health care information systems force the development of an open, modular architecture in which components can be integrated. This offers a flexible means for integrating different (heterogeneous) systems used by different users. Selecting the components to integrate, and determining the 'right way' to integrate them, necessitates a shift in focus towards the business process to be supported. The realization of such an open, modular architecture is a difficult task. It consists of breaking down existing systems in required components and integrating these and other components. Many authors on component-based development strategies focus attention on the technological issues of component integration (do we use CORBA, DCOM/OLE, or EDI?). This paper presents an approach for determining the required components, and the way they have to be integrated, based on an analysis of the business process to be supported, and the information systems currently used.


Subject(s)
Hospital Information Systems , Systems Integration , Computer Communication Networks , Computer Systems , Hospital Information Systems/standards , Models, Theoretical , Software/standards
19.
Comput Methods Programs Biomed ; 55(1): 11-30, 1998 Jan.
Article in English | MEDLINE | ID: mdl-9483364

ABSTRACT

Business process modelling is presented as an important first step in the process of designing a distributed system by integrating pre-existing components. The elements describing a business process are derived from the ODP-enterprise viewpoint language. One of the viewpoints distinguished in the Open Distributed Processing standard is the enterprise viewpoint. This viewpoint describes the organizational context in which the distributed system to be constructed will be used. In this paper we will review four business modelling techniques and their suitability for expressing the enterprise viewpoint is evaluated.


Subject(s)
Computer Simulation , Computer Systems , Systems Integration , Evaluation Studies as Topic
20.
Med Inform (Lond) ; 22(3): 227-35, 1997.
Article in English | MEDLINE | ID: mdl-9364431

ABSTRACT

This paper addresses the problem of integrating healthcare information systems, from a technological viewpoint. We propose to take the concept of an ¿integration service' as an elementary concept in discussing the problem of integration. We then propose a taxonomy for grouping integration services according to their functionality and their domain specificity. The use of this taxonomy for decomposing an integration problem into (less complex) sub-problems is demonstrated. Finally, a sequence of steps to be taken in solving an integration problem is discussed.


Subject(s)
Information Systems , Software , Systems Integration , Computing Methodologies , Humans , Software Design
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