Dissertations / Theses: 'ICF classification'

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Maier, Petra. "International Classification of Functioning, Disability and Health (ICF)." Diss., lmu, 2004. http://nbn-resolving.de/urn:nbn:de:bvb:19-25561.

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Williams, A. Lynn, and Brenda Louw. "International classification of functioning, disability, and health: ICF-CY World Health Organization." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/2012.

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Stamm, Tanja. "Conceptualising the patient perspective of the International Classification of Functioning, Disability and Health (ICF)." Diss., lmu, 2005. http://nbn-resolving.de/urn:nbn:de:bvb:19-39375.

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Andersson, Annelie, and Elin Andersson. "Omvårdnadsdokumentationens betydelse & utveckling - med fokus på VIPS & ICF." Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-1017.

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Sjuksköterskan är dokumentationsskyldig enligt ett flertal lagar och förordningar. Dessa ger oss ramar men inga enhetliga riktlinjer och verktyg för hur strukturen för omvårdnadsdokumentationen ska se ut. Syftet med litteraturstudien var att granska hur den vetenskapliga litteraturen beskriver omvårdnadsdokumentationen utifrån VIPS-modellen och ICF som tillämpbar inom omvårdnadsdomänen. Metoden som användes var litteraturstudie där sammanlagt 18 st. vetenskapliga artiklar granskades. Resultatet påvisar brister i omvårdnadsdokumentationen. Få av de granskade journalerna uppfyllde kraven enligt patientjournallagen. Enligt granskningsinstrumentet Cat-ch-Ing förbättrades dokumentationen efter utbildningsinterventioner som byggde på VIPS-modellen.

Det framkom en diskrepans mellan patienters egen uppfattning av sina problem, sjuksköterskors uppfattning och vad som fanns dokumenterat i journalen. Sjuksköterskan skriver ner sina iakttagelser utan att stämma av med patienten. Studierna visade att de flesta omvårdnadsdiagnoser kunde omvandlas till International Classification of Functioning, Disability and Health (ICF) koder. I vissa fall ansåg sjuksköterskorna att koderna inte var tillräckligt specifika. Konklusionen är att en dokumentationsmodell eller klassifikation inte är tillräckligt för att säkerställa kvalitén i omvårdnadsdokumentationen utifrån omvårdnadsprocessen och gällande lagar. Som komplement krävs kontinuerlig journalgranskning och återkommande utbildningsinterventioner. ICF-klassifikationen anses tillämpbar inom omvårdnadsdomänen och kan främja en tvärprofessionell kommunikation. De tillkortakommanden som identifierats kan undanröjas genom att sjuksköterskor tar en aktiv roll i kommande revisioner. Om ICF skall implementeras måste det ske nationellt.

Dokumentationen bör förenklas i så stor grad som möjligt i standardiserade modeller så tid kan ägnas åt det patientnära arbetet. ICF är en strukturerad modell som kan underlätta dokumentationsarbetet.

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Algurén, Beatrix. "Functioning after stroke : An application of the International Classification of Functioning,Disability and Health (ICF)." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-13871.

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Objective. The overall aim of this thesis was to evaluate the biopsychosocial consequences after stroke and test the validity of the ICF Core Sets for Stroke during one year post-stroke. Material and Methods. Studies I, II and III were based on data from a prospective cohort study with 120 stroke survivors who were recruited at admission to stroke units in western Sweden and were followed-up at six weeks, three months and one year after stroke event. Repeated assessments were done through face-to-face interviews consisting of a battery of questions based on the Stroke ICF Core Set (59 categories of Body Functions, 59 of Activities and Participation and 37 of Environmental Factors) and several questionnaires (EuroQol-5D (EQ-5D), Stroke Impact Scale (SIS), Medical Outcome Study Short Form 36 (SF-36), Self administered Comorbidity Questionnaire (SCQ), information on health care and social services utilization and spouse support). Study IV was based on data from the multi-center cross-sectional validation study of the Stroke ICF Core Set with 757 stroke survivors from China, Germany, Italy and Sweden. Results. Study I: A total of 28 of 59 ICF categories of Body Functions and a total of 41 of 59 categories of Activities and Participation were significant problems for stroke survivors at six weeks and three months. These categories showed a good discriminative ability to distinguish between independent (≤ 2 on modified Ranking Scale (mRS)) and dependent (> 2 on mRS) stroke survivors. Study II: Most stroke survivors felt satisfied with their stroke care and rehabilitation during three months post-stroke. Frequently perceived environmental facilitators could be documented with eleven of 37 ICF categories of Environmental Factors. Only physical geography, such as hills, was a common perceived barrier. Study III: Independent factors of health-related quality of life (HRQoL) varied over time. Almost all variance in HRQoL was explained by categories within Body Functions and within Activities and Participation during the first three months, while at one year only half of the variance could be explained by categories within either Body Functions or Environmental Factors. Problems with personal and energy functions, as well as limited recreational activities, were recurringly associated with poorer HRQoL. Study IV: It was possible to integrate ICF categories of Body Functions and Structures, Activities and Participation into a cross-cultural measurement with good reliability providing summary scores of the overall functioning of stroke survivors. However, the five-point ICF qualifier scale was not consistently applicable. Conclusions. The results of the present thesis showed that the ICF,particularly the ICF Core Set for Stroke, was a valid and practical tool for documenting the multi-faceted biopsychosocial problems and consequences after stroke structured with one common terminology throughout the long chain of care and rehabilitation. The opportunity to integrate ICF categories of Body Functions and Structures, Activities and Participation into a measurement provides new possibilities for monitoring, following-up and comparing overall functioning after stroke.
Syfte. Avhandlingen i sin helhet syftade till att fastställa de mångfaldiga biopsykosociala konsekvenserna under ett års tid efter stroke med hjälp av ICF och att testa validiteten av det nyetablerade Stroke ICF Core Set med avsikt att mäta funktionstillstånd efter stroke. Material och metod. I studie I, II och III ingår data från en ett års prospektiv kohortstudie med 120 personer med stroke som vårdades på strokeenheter i Västsverige och somföljdes upp efter sex veckor, tre månader och efter ett år. Datainsamlingen genomfördes med intervjuer som bestod av ett batteri av frågor grundat påStroke ICF Core Set, EuroQol-5D (EQ-5D), Stroke Impact Scale (SIS), Medical Outcome Study Short Form 36 (SF-36), Self-administered Comorbidity Questionnaire (SCQ), och information om insatser från hälso- och sjukvård, socialtjänst och familj. I studie I analyserades de 59 ICFkategorierna gällande Kroppsfunktioner och de 59 kategorier gällande Aktivitet och Delaktighet deskriptivt vid sex veckor och tre månader efter stroke. Därutöver prövades core sets förmåga att skilja mellan personer som var antingen beroende eller oberoende av hjälp efter stroke. Hur deltagarna uppfattade omgivningsfaktorernas betydelse analyserades deskriptivt utifrån de 37 ICF kategorierna från Omgivningsfaktorer i studie II vid sex veckoroch tre månader liksom skillnaderna mellan deltagarna som var hemma redan vid sex veckor och deltagarna som kom hem senare men inom tre månader. I studie III identifierades faktorerna av generell hälso-relaterad livskvalitet (EQ-5D visuell analog skala) med hänsyn till den biopsykosociala mångfaldigheten av hälsan och huruvida faktorerna ändrades under ett år efter stroke. Till detta användes korrelation- och regressionsanalys och de 155 ICF kategorier gällande Kroppsfunktioner, Aktivitet och Delaktighet samt Omgivningsfaktorer. Den pyskometriska analysen i studie IV baserades på datamaterial från WHO:s internationella multicentertvärsnittsstudie för validering av Stroke ICF Core Sets där 757 personer med stroke från Kina, Tyskland, Italien och Sverige ingår. Möjligheten att integrera 15 ICF kategorier från Brief ICF Core Set for Stroke (6 kroppsfunktioner, 2 strukturer, 7 aktiviteter och delaktighet) med dess 5-stegsbedömningsskala (från 0 till 4, inget, lätt, måttligt, stort och totalt problem) undersöktes både nationsspecifikt men också tvärkulturellt med Raschanalys. Resultat. Studie I. Signifikanta problem kunde dokumenteras med 28 ICF kategorierfrån komponenten Kroppsfunktion och med 41 ICF kategorier frånkomponenten Aktivitet och Delaktighet. Det fanns inga skillnader mellan 6veckor och 3 månader. Kategorierna hade en god förmåga att skilja mellan personer som var antingen oberoende eller beroende av hjälp efter stroke. Personer som var beroende av hjälp hade kontinuerlig mera problem inom området som gällde framförallt förflyttning, personlig vård och urinering men även kommunikation. Studie II. Deltagarna uppfattade elva omgivningsfaktorer som underlättande vid sex veckor och vid tre månader (framförallt familj, vänner och hälso- ochsjukvårdspersonal men också hjälpmedel, medicin och hälso- och sjukvårdsservice) och endast en faktor (fysisk geografi, dvs. backe, grusvägar, etc.) som hindrande. Vid tre månader uppfattades de sistnämnda faktorerna vanligare som hindrande än vid sex veckor. Vården på strokeenheten upplevdes något bättre jämfört med den senare tillkomna servicen från primär- och kommunvård. Studie III. Medan kroppsfunktioner och aktiviteter och delaktighet kunde förklara nästan all varians av självupplevd hälsa under de första tre månaderna (R2=0.80 - 0.93), så kunde bara hälften av variationen förklaras antingen med kroppsfunktioner eller med omgivningsfaktorer (R2=0.51). Problem med fritidsaktiviteter, personlighet, mental uttröttbarhet ochgångförmåga var återkommande problem som var relaterat till sämre självupplevd hälsa under året efter insjuknandet. Studie IV. Efter justeringar som innebar en minskning av bedömningsskalan till mellan två till tre svarsalternativ för vissa kategorier och en borttagning av några kategorier som inte passade in i Raschmodellen visade de resterande ICF kategorierna en bra täckning av personernas funktionstillstånd efter stroke och en god reliabilitet för att mäta funktionstillstånd. I den tvärkulturella analysen fanns det fyra kategorier sominte hade samma betydelse i de olika länderna. Därför utformades nationsspecifika kategorier. Det slutliga tvärkulturella instrumentet omfattar 20 ICF kategorier. Därmed blir det möjligt att integrera olika ICF kategorier till ett instrument och summera bedömningsvärden av de olika kategorierna till ett helhetsvärde för funktionstillstånd som underlättar uppföljning av och jämförelse mellan personer med stroke men även jämförelse mellan olika nationer. Slutsats. Studierna visar att ICF, och särskilt det specifika Stroke ICF Core Set, är ett valid och praktiskt verktyg för att strukturerat kunna dokumentera de mångfaldiga problemen och konsekvenserna efter stroke enhetlig genom hela förloppet av vårdkedjan. Strokesjukvården i Sverige upplevs som välfungerande men en god förbättringspotential finns framförallt i senare skede när primär- och kommunvård ta över ansvaret för personernas vård och rehabilitering. För dokumentation av funktionstillstånd av den typiska äldre patienten med stroke kan de 166 ICF kategorierna reduceras till 92. Faktorer som påverkar hälsorelaterad livskvalitet varierar under tiden efter insjuknandet där kroppsfunktioner och aktiviteter och delaktighet är starkt relaterade under de första tre månaderna. Vid ett år efter insjuknandet har omgivningens betydelse ökat för hälsorelaterad livskvalitet. Tidig hänsyn inte bara till gångförmåga men också till problem med personlighet och temperament, mental uttröttbarhet och återgång till fritidsaktiviteter borde kunna förbättra personernas livskvalitet efter stroke. Att konstruera ett tvärkulturellt instrument i syfte att mäta funktionstillstånd efter stroke genom integrering av ICF kategorier som omfattar kroppsfunktioner, strukturer, och aktiviteter och delaktighet är möjligt. Därmed öppnas nya potentialer för att kunna följa upp och jämföra funktionstillstånd efter stroke inte enbart på individ- och nationell nivå men även på populations- och internationell nivå. Den 5-stegs bedömningsskala (ICF qualifier) är dock inte psykometrisk användbart och fortsatt forskning behövs.

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Müller, Silvia Margarete. "Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for Diabetes Mellitus." Diss., Ludwig-Maximilians-Universität München, 2014. http://nbn-resolving.de/urn:nbn:de:bvb:19-166237.

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Eriksson, Kristina, and Lotta Ericsson. "Implementering av Klassifikation av funktionstillstånd, funktionshinder och hälsa (ICF) inom kommunal äldre- och handikappomsorg : en deskriptiv studie av åtta kommuners införande och användande av ICF." Thesis, Örebro universitet, Institutionen för hälsovetenskap och medicin, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-22920.

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Abstract: Syfte: Att beskriva hur kommunernas äldre- och handikappomsorg infört och använder sig av ICF. Metod: Semistrukturerade telefonintervjuer med representanter för åtta svenska kommuner. Intervjuerna har transkriberats och analyserats genom kvalitativ innehållsanalys, Resultat: Resultatet redovisas under två teman. Ett tema handlar om hur kommuner infört ICF i kommunernas äldre- och handikappomsorg, med kategorierna införande i journalstruktur och införande av tankemodell. Ett tema handlar om hur kommunerna använder ICF i kommunernas äldre- och handikappomsorg. Kategorierna under det temat är användning i journalstruktur, användning av tankemodell och problem och utvecklingsbehov. Två olika typer av införande och användningssätt av ICF inom kommunernas äldre- och handikappomsorg framkom i studien. Införandet initieras ofta av medicinskt ansvarig för rehabilitering (MAR) eller medicinskt ansvarig sjuksköterska (MAS) och startar vanligtvis i projektform för båda arbetssätten. Två av kommunerna använder sig mest av den första delen i den svenska versionen av ICF, som handlar om ICF:s tankemodell och sex komponenter, för att göra en brukarnära kartläggning och formulera beslutsunderlag. I de övriga sex kommunerna används ICF:s komponenter och klassifikationer som sökord i journalsystemens sökordsträd. Diskussion: Studien visar att delaktighet, friskperspektiv och helhetssyn inte är något som automatiskt följer med när ICF införs. Det framstår som om användningen kräver mer utbildning om, och mera bearbetning av ICF än vad kommunerna hade trott från början. Det framgår tydligt av studien att arbetsterapeuter har lättare att ta till sig tankesättet medan sjuksköterskor har betydligt svårare. Eftersom ICF är på stark frammarsch så behöver inslagen av ICF öka i alla vårdutbildningar. Sökord: International Classification of Functioning, Disability and Health, Äldreomsorg, Arbetsterapi, Hälsa, Social omsorg

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Sagahutu and Jean Baptiste. "Use of the International Classification of Functioning Disability and Health (ICF) as a theoretical framework to inform interprofessional assessment and management by health care professionals in Rwanda.: a cluster randomised control trial." Thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28379.

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Background: Effective collaboration between health professionals can reduce medical errors and assist in interpretation of health information resulting in improved patient care. The International Classification of Functioning, Disability and Health (ICF) has been suggested as a potential framework to help health professionals develop a common language for better collaboration and to provide more holistic care. In the main, Rwandan district hospitals still utilise the hierarchical medical model of health. Aim: The aim of the study was to determine whether training on interprofessional practice, using the ICF framework, resulted in improved knowledge, attitudes and behaviour(as determined by improved recording of interprofessional assessment and management in patient records) in randomly selected Rwandan District Hospitals. Methodology: This study was composed of two phases. Phase I: Preparation. The intervention programme was developed based on a literature review and input from an international panel of experts. A feasibility study in which self-designed instruments and the training programme were tested was undertaken in one district hospital. Phase II: A Cluster Randomised Control Trial. Four district hospitals were randomly allocated to receive a day’s training in interprofessional practice using the ICF (experimental hospitals) or a short talk on the topic (control hospital). Participants included medical doctors, nurses, physiotherapists, social workers, nutritionists, and mental health nurses/clinical psychologists. Using self-designed and validated measures, pre- and postmeasurements of knowledge and attitudes towards Interprofessional Practice (IPP) were performed at baseline and after training and audit of patients’ records after discharge was performed at baseline and at two, four and six months. The independent t-test and Mann-Whitney U test were used to establish if the two sets of groups were equivalent before and after training at baseline and at two, four and six months. Repeated measures ANOVA and the post-hoc Tukey test were used to compare the audit scores at each time point. The Kruskal Wallis test was used to compare rankings of the scores of attitudes of different professions before and after the intervention. Ethical approval was obtained from the Human Research Ethics Committee of the University of Cape Town and the Rwandan National Ethics Committee.

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Eckert, Katharina G., and Martin A. Lange. "Comparison of physical activity questionnaires for the elderly with the International Classification of Functioning, Disability and Health (ICF)." Universitätsbibliothek Leipzig, 2015. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-169453.

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Background: Physical activity questionnaires (PAQ) have been extensively used to determine physical activity (PA) levels. Most PAQ are derived from an energy expenditure-based perspective and assess activities with a certain intensity level. Activities with a moderate or vigorous intensity level are predominantly used to determine a person’s PA level in terms of quantity. Studies show that the time spent engaging in moderate and vigorous intensity PA does not appropriately reflect the actual PA behavior of older people because they perform more functional, everyday activities. Those functional activities are more likely to be considered low-intense and represent an important qualitative health-promoting activity. For the elderly, functional, light intensity activities are of special interest but are assessed differently in terms of quantity and quality. The aim was to analyze the content of PAQ for the elderly.

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Granberg, Sarah. "Functioning and disability in adults with hearing loss : the preparatory studies in the ICF Core sets for hearing loss project." Doctoral thesis, Örebro universitet, Institutionen för hälsovetenskap och medicin, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-45274.

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Hearing loss (HL) is a health condition that affects more than 360 million people worldwide. The findings from previous research point at the adverse relationship between adults with hearing loss and important aspects of everyday life such as social relations, communication and work-related tasks. However, the overall picture concerning the functional and disabling aspects of adults with HL re- mains incomplete. To identify the functional and disabling aspects, a conceptual and/or theoretical framework is required. The International Classification of Functioning, Disability and Health (ICF) offer a multidimensional framework based on bio-psycho-social assumptions about health. In previous research inves- tigations in which the ICF has been used, some utility problems in the linking (relating) of data to the classification have been highlighted. The aims of the present thesis were to explore the areas of functioning and disability of relevance for adults with HL and to explore how audiological data can be linked to ICF. The aims were explored by applying the methodology of the ‘interdisciplinary evidence-based approach to functioning and disability in adults with HL’, acknowledging the merging of three perspectives designated the Researcher, the Patient and the Professional perspective. Four studies that focus on the three perspectives were conducted. All results were linked to the ICF classification. The results were merged into a model designated ‘the integrative model of functioning and disability in adults with HL’. When the three perspectives were linked, the results revealed several aspects of relevance for the target group. Bodily (individual) dimensions, such as hear- ing, auditory perception, memory, attention, energy, and emotions, were acknowledged. Aspects of everyday life such as conversations, the usage of communication strategies, family relationships and work, were highlighted. Influential environmental factors, such as noise, assistive technical devices, the design of public buildings, social support and the attitudes of people in the envi- ronment, were also identified. In conclusion, interactions seemed to be vital as almost all identified aspects highlighted or were tied to this dimension of human functioning. Further, concerning the linking of the data it was acknowledged that the ICF and the research area of adult HL do not fully comply. Suggestions for improvements in future revisions of the ICF were highlighted and discussed.

Funding agency: Oticon Foundation; Hörselforskningsfonden (Swedish HearingResearch Foundation); the Foundation for Audiological Research (FAR) Forskningskommitten, Region Örebro County

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Boldt, Christine. "The International Classification of Functioning, Disability and Health (ICF) in nursing: Persons with spinal-cord injury as an example." Diss., Ludwig-Maximilians-Universität München, 2013. http://nbn-resolving.de/urn:nbn:de:bvb:19-157017.

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The core aim of nursing practice is to improve or maintain the person’s well-being and quality of life. The use of standardized classifications and terminologies can contribute to this aim by facilitating intra- and inter-professional communication. Therefore, it is important to explore approaches that enhance common use of the current standard classifications of all health-care professions. The overall objective of this doctoral thesis was to investigate whether the International Classification of Functioning, Disability and Health (ICF) is a practicable and useful classification for nurses - using spinal-cord injury (SCI) nursing as an example. This doctoral thesis comprises the research, results and conclusions of two original studies published in the nursing journal “Journal of Advanced Nursing” first authored by the doctoral candidate. The objective of the first study was to identify the conceptual and practical relationships between the inter-professional ICF and the nursing-specific NANDA-I Taxonomy II for nursing diagnoses. The specific research questions were: (1) What are the commonalities and differences between the conceptional frameworks and assessment principles of the ICF and the NANDA-I Taxonomy II? and (2) Can the two classifications serve as a combined approach in SCI nursing practice? The discussion of the conceptual and practical relationships between the ICF and the NANDA-I Taxonomy II is based on (1) the most recently published descriptions of both classifications and (2) the illustration of a SCI-specific case example presenting the combined use of both classifications. The objective of the second study was to analyse the extent to which the intervention goals of nurses when caring for persons with SCI can be expressed in the standardized language of the ICF. The specific research questions were: (1) Which problems, resources and aspects of the environment of persons with SCI relevant to nurses can be translated into the ICF language? and (2) Which problems, resources and aspects of the environment relevant to nurses are still missing in the ICF? The method used to answer these questions was a worldwide Delphi Survey with SCI nurses. The results of this doctoral thesis shed light on the use of the ICF in nursing practice. First, I discuss the commonalities and differences between the ICF and the NANDA-I Taxonomy II that should be taken into account when implementing both 10 classifications in nursing practice. Important clinical requirements that are exclusive to nursing can be met with the NANDA-I Taxonomy II. The application of the ICF helps nurses communicate abbreviated nursing issues with other health professionals in a common language. A combined application of the ICF and the NANDA-I Taxonomy II is valuable, and they can complement each other to enhance the quality of clinical teamwork and nursing practice. Second, I provide a list of patients’ problems, patients’ resources or aspects of their environment treated by SCI nurses that might be introduced in nursing practice for a comprehensive standardized documentation and for a better exchange of information in a common language with other health professionals. Third, I show the strengths and weaknesses of the ICF when used in nursing care specific to SCI and provide evidence for the update and future revisions of the ICF. For example, I propose to add two qualifiers, one for “Risk for” and one for “Resource for” to the existing qualifier scale. Several recommendations for future research are based on the results of this doctoral thesis. First, there is a need to continue exploring the simultaneous use of the ICF and NANDA-I Taxonomy II. A complete linking of both classifications could reveal their commonalities and differences in a more detailed way and identify all missing elements in the ICF for nursing purposes. Second, the list of patients’ problems, patients’ resources or aspects of their environment treated by SCI nurses should be validated in different nursing settings (e.g. acute hospital care, rehabilitative care and community care). This list should also be compared with the existing Comprehensive ICF Core Sets for SCI in the early post-acute context and long-term context. Third, the personal factors identified should be taken into account when developing the ICF component Personal Factors.
Das Wohlbefinden und die Lebensqualität eines Menschen zu verbessern oder zu erhalten ist das Kernziel der Pflegepraxis. Zu diesem Ziel kann der Einsatz von standardisierten Klassifikationen und Terminologien beitragen, indem diese die intra - und interprofessionelle Kommunikation erleichtern. Deshalb ist es sinnvoll, Ansätze zu untersuchen, die die gemeinsame Nutzung von standardisierten Klassifikationen der Gesundheitsfachberufe unterstützen. Das übergeordnete Ziel dieser Dissertation war zu untersuchen, inwieweit die Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) eine praktikable und nützliche Klassifikation für Pflegende darstellt - exemplarisch gezeigt anhand der Pflege von Personen mit Rückenmarksverletzung. Diese Dissertation umfasst die Untersuchungen, Ergebnisse und Schlussfolgerungen von zwei Studien, die von der Doktorandin als Erstautorin in der Pflegefachzeitschrift “Journal of Advanced Nursing” veröffentlicht wurden. Das Ziel der ersten Studie war die konzeptionellen und praxisrelevanten Beziehungen der interprofessionellen ICF und der pflegespezifischen NANDA-I Taxonomy II für Pflegediagnosen zu identifizieren. Die spezifischen Forschungsfragen waren: (1) Was sind die Gemeinsamkeiten und Unterschiede der ICF und der NANDA-I Taxonomy II bezüglich der konzeptionellen Rahmenwerke und Prinzipien der Erhebung? und (2) Inwieweit können beide Klassifikationen zur gemeinsamen Anwendung für die Pflege von Personen mit Rückenmarksverletzung genutzt werden? Die Diskussion über die konzeptionellen und praxisrelevanten Beziehungen zwischen der ICF und der NANDA-I Taxonomy II basiert (1) auf den zuletzt veröffentlichten Beschreibungen beider Klassifikationen und (2) auf der Darstellung einer kombinierten Verwendung beider Klassifikationen anhand eines Fallbeispiels einer Person mit Rückenmarksverletzung. Das Ziel der zweiten Studie war zu analysieren, in welchem Ausmaß die Behandlungsziele von Pflegenden für Personen mit Rückenmarksverletzung in der standardisierten Sprache der ICF ausgedrückt werden können. Die spezifischen Forschungsfragen waren: (1) Welche Probleme, Ressourcen und Aspekte der 7 Umwelt von Personen mit Rückenmarksverletzung, die pflegerelevant sind, können in die Sprache der ICF übersetzt werden? und (2) Welche Probleme, Ressourcen und Aspekte der Umwelt, die pflegerelevant sind, fehlen noch in der ICF? Um diese Fragen zu beantworten, wurde als Methode eine weltweite Delphi-Befragung von Pflegenden, die mit der Pflege von Personen mit Rückenmarksverletzung Erfahrung haben, gewählt. Die Ergebnisse dieser Dissertation geben Aufschluss über die Anwendbarkeit der ICF in der Pflege. Zuerst diskutiere ich die Gemeinsamkeiten und Unterschiede der ICF und der NANDA-I Taxonomy II, die bei der Implementierung beider Klassifikationen in die Pflegepraxis berücksichtigt werden sollten. Mit der NANDA-I Taxonomy II können wichtige praxisnahe Anforderungen, die ausschließlich für die Pflege relevant sind, erfüllt werden. Die Anwendung der ICF wiederum ist hilfreich für Pflegende um mit anderen Gesundheitsfachberufen anhand einer gemeinsamen Sprache vereinfacht über Pflegeprobleme zu sprechen. Eine kombinierte Anwendung der ICF zusammen mit der NANDA-I Taxonomy II ist nützlich, weil sie einander im klinischen Alltag ergänzen können und somit die Qualität der Teamarbeit und der Pflegepraxis bereichern. Zweitens stelle ich eine Liste mit Problemen, Ressourcen und Aspekten der Umwelt von Patienten mit Rückenmarksverletzung zur Verfügung, die alles umfasst, was von Pflegenden behandelt wird. Diese Liste könnte in der Pflegepraxis zur umfassenden und standardisierten Dokumentation eingesetzt werden und für einen besseren Informationsaustausch mit anderen Gesundheitsfachberufen in einer gemeinsamen Sprache dienen. Drittens zeige ich die Stärken und Schwächen der ICF in der Pflegepraxis für Rückenmarksverletzte auf und erbringe Evidenz für Verbesserungen und zukünftige Revisionen der ICF. Beispielsweise schlage ich vor, zur bestehenden Skala der Beurteilungsmerkmale, die beiden Beurteilungsmerkmale „Risiko für“ und „Ressource für“ hinzuzufügen. Aus den Ergebnissen dieser Dissertation ergeben sich einige Empfehlungen für zukünftige Forschungsarbeiten. Erstens bedarf es weiterer Forschung hinsichtlich der gleichzeitigen Verwendung der ICF und der NANDA-I Taxonomy I. Eine vollständige Verknüpfung der beiden Klassifikation auf Item-Ebene (sog. „linking“) könnte ihre Gemeinsamkeiten und Unterschiede auf eine detailliertere Weise 8 offenbaren und somit weitere fehlende Elemente hinsichtlich der Ansprüche der Pflege an die ICF identifizieren. Zweitens sollte die Liste mit Problemen, Ressourcen und Aspekten der Umwelt von Patienten mit Rückenmarksverletzung in verschiedenen Versorgungsformen validiert werden (z.B. in der Pflege im Akutkrankenhaus, in der Rehabilitationspflege und in der ambulanten Pflege). Diese Liste sollte zudem mit den existierenden sog. Umfassenden ICF Core Sets für Personen mit Rückenmarksverletzung in der Frührehabilitation und in der Langzeitversorgung verglichen werden. Drittens sollten die personbezogenen Faktoren, die in dieser Dissertation identifiziert wurden bei der Entwicklung der ICF-Komponente der Personbezogenen Faktoren berücksichtigt werden.

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Ka, Toni Mzolisi. "The production of an appropriate and culturally sound isiXhosa translation of the International Classification of Functioning, Disability and Health (ICF) Checklist." Master's thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/11635.

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Includes abstract.
Includes bibliographical references (leaves 64-71).
This study arose out of the necessity to have an isiXhosa version of the ICF Checklist to use in a study on the living conditions of people with disabilities in the Eastern and Western provinces of South Africa carried out by a partnership between the University of Cape Town, the University of Oslo, The Foundation for Scientific and Industrial Research at the Norwegian Institute of Technology (Sintef) and Disabled People South Africa (DPSA). The purpose of translating the ICF Checklist was to make sure that the tool was appropriate and culturally sound for use by isiXhosa speaking disabled people in the Eastern and Western Cape.

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Maxwell, Gregor. "Bringing more to participation : Participation in school activities of persons with disability within the framework of the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY)." Doctoral thesis, Högskolan för lärande och kommunikation, Högskolan i Jönköping, HLK, CHILD, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-18079.

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As societies the world over move towards defining inclusive and effective education systems this presents the educator with the new challenge of providing an equal and democratic education environment for all students. With children the nature of functioning and environmental settings varies greatly in comparison with adults and assessing children’s involvement in activities is of particular importance to ensure effective and inclusive society building through education. Building on the existing and previous participation research this thesis specifically aims to provide a means to theorize participation from two perspectives (frequency of attending and intensity of involvement) and put in to operation using five dimensions of the environment: availability, accessibility, affordability, accommodability, and acceptability. Contextually this has been done by investigating children in need of additional support (including children with disabilities) at school. Results indicate that while research and theory take a holistic and balanced approach by using participation based on two perspectives, this has yet to filter down to practice. A new approach to measuring inclusive education using social capital, the five environmental dimensions, and the ICF-CY is proposed and tested. However, while the ICF-CY provides a consistent descriptive framework, no clear connections between social capital and inclusive education policy could be drawn and the five environmental dimensions – especially the involvement-related ones – need further development. The final paper presents evidence from the individual perspective for a third ICF-CY activities and participation qualifier to represent the subjective experience of involvement. Participation can thus be regarded as a multi-dimensional phenomenon with two main conceptual roots: sociology and developmental psychology.
MURINET project (Multidisciplinary Research Network on Health and Disability in Europe, European Commission project funded within the Sixth Framework Programme, MRTN-CT-2006-035794).

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Tempest, Stephanie Elaine. "Using the International Classification of Functioning, Disability and Health (ICF) to enhance healthcare communication : an action research project with an acute stroke service." Thesis, Brunel University, 2014. http://bura.brunel.ac.uk/handle/2438/10558.

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Background: Effective communication is key to team working in healthcare. It can be negatively impacted upon by existing cultures, logistical challenges, role confusion, and a lack of collaborative approaches to practice. Clinical guidelines recommend using the International Classification of Functioning, Disability and Health (ICF) to aid communication within stroke teams. Yet no empirical evidence exists on the process or outcomes of such implementation. Aims: This project aimed to explore ways the ICF could be used with an acute stroke service and identify key learning from the implementation process. Methods: Using an action research framework, iterative cycles were used within exploratory, innovatory and reflective phases. Content analysis was used to map patient notes’ entries to ICF categories. Thematic analysis was undertaken, using a model of immersion and crystallisation, on data generated via interview and focus group, e-mail communications, minutes from meetings, field notes and a reflective diary. Descriptive statistics were used to analyse quantitative questionnaire data. Data from all sources were combined to determine key findings. Findings: Participants chose to develop an ICF-based team transfer of care report with an ICF glossary to aid completion. Five overall themes were determined; the need to: (1) adopt the ICF in ways that met local service needs; and (2) adapt the ICF language and format. Once implemented, the ICF: (3) fostered communication within and beyond the stroke team; (4) promoted holistic thinking; and (5) helped to clarify team roles. Conclusions: These are the first empirical findings within stroke services that demonstrate how to make the ICF a clinical reality. Participants needed to adapt and own the ICF to adopt it. When implemented, it enabled specific team communication challenges to be overcome. The use of action research to implement the ICF has facilitated sustained change and improvements to communication, thus benefiting patient care.

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McDaniels, Brad Wayne. "USING THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY, AND HEALTH TO PREDICT PARTICIPATION IN ADULTS WITH PARKINSON’S DISEASE: THE ROLE OF POSITIVE PSYCHOLOGICAL CAPITAL." UKnowledge, 2018. https://uknowledge.uky.edu/edsrc_etds/63.

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Participation is generally considered the ultimate rehabilitation outcome and, for individuals with progressive illnesses, elucidating the factors that impact participation is critical. Parkinson’s disease (PD) is a chronic degenerative, neurological condition affecting nearly 1 million people in the United States, making PD the second most prevalent neurodegenerative disorder. PD has a profound negative effect on functioning and activity, but limited literature exists assessing the relationship between PD and community participation. The purpose of this study was to use the World Health Organization (WHO) International Classification of Functioning, Disability, and Health (ICF) as a framework for explaining how PD affects participation. Additionally, because the ICF explains the impact of chronic illness and disability as consisting of interactions between different contextual and disease-related factors, this investigation also addressed whether the personal factors, Positive Psychological Capital (PsyCap), mediated the relationship between functioning with PD and community participation. A total of 114 individuals were surveyed from peer-led PD support groups in a Midwestern state. The study examined the individual and collective contributions of demographic characteristics, activities/functioning, environmental factors, and personal factors on community participation. Results from the hierarchical regression analysis suggest that demographic characteristics account for only 15% of the variance in participation, but when functioning was added to the model, 65% of the variance was accounted for. The addition of environmental and personal covariates did not result in any significant change in overall variance in participation. These results, along with the strong, positive linear correlations between functioning and participation (r = .78), indicate that functioning largely predicts an individual’s participation. The study also sought to identify any mediating effect of personal factors (PsyCap) on the relationship between functioning and participation. The results indicated that the completely standardized indirect coefficient was not significant, b = .065, SE = .0617, 95% CI = -.213, .029, with 0 falling within the CI, which confirms no significant effect of the mediator PsyCap. The study contributes new knowledge to the association between the symptoms associated with PD and one’s community participation. Clearly, functioning is the primary predictor of participation. The lack of mediation of PsyCap, again, supports the strength of the relationship between functioning and participation. Although PsyCap did not mediate the relationship, implications for future research are discussed.

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Boldt, Christine [Verfasser], and Alarcos [Akademischer Betreuer] Cieza. "The International Classification of Functioning, Disability and Health (ICF) in nursing: Persons with spinal-cord injury as an example / Christine Boldt. Betreuer: Alarcos Cieza." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2013. http://d-nb.info/1035066734/34.

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Müller, Silvia Margarete [Verfasser], and Alarcos [Akademischer Betreuer] Cieza. "Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for Diabetes Mellitus : a worldwide delphi survey among physicians / Silvia Margarete Müller. Betreuer: Alarcos Cieza." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2014. http://d-nb.info/1048522296/34.

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Hoffman, Karen. "Development of a framework to improve rehabilitation and health outcome in major trauma patients and trauma systems." Thesis, Queen Mary, University of London, 2015. http://qmro.qmul.ac.uk/xmlui/handle/123456789/8913.

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Rehabilitation outcomes are an important measurement of trauma system effectiveness. However, currently there is no clinically applicable trauma rehabilitation score or framework available to evaluate health and rehabilitation needs after trauma. The World report on Disability (2011) recommended the application of the World Health Organisation International Classification of Function, Disability and Health (ICF) as a framework for all aspects of rehabilitation. A standardised language, based on coded categories would aid in international efforts to evaluate health and disability globally. The ICF framework has not been applied in trauma rehabilitation or trauma systems to date. The objectives were to investigate rehabilitation needs of trauma patients and evaluate to what extent the ICF can be used as a framework to capture and assess health and rehabilitation outcome of patients following traumatic injuries. Two cohort studies with 103 and 308 patients respectively demonstrated the utility of the Rehabilitation Complexity Scale (RCS) in an acute trauma setting. The RCS outperformed other acute measures and rehabilitation complexity correlated with length of stay and discharge destination. A systematic review of 34 articles confirmed that outcome measures frequently used in trauma outcome studies represent only six percent of health concepts contained in the ICF. A quantitative international on-line questionnaire with expert clinicians working in trauma (n=217), identified 121 ICF categories pertinent to rehabilitation and health outcome of trauma patients. Qualitative patient interviews (n=32) identified nearly double the amount of ICF categories (n=234) compared to clinicians. Combined analysis of qualitative and quantitative data presents 109 ICF categories important for rehabilitation and health outcome assessment of trauma patients, using the ICF as a framework. This thesis describes the need for improved outcome evaluation of trauma patients. It demonstrates the acceptability of the ICF language and framework amongst clinicians and suggests the application of the ICF as a framework for trauma service delivery and outcome assessment.

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Jelizarow, Monika [Verfasser], and Ulrich [Akademischer Betreuer] Mansmann. "Global tests of association for multivariate ordinal data : Knowledge-based statistical analysis strategies for studies using the international classification of functioning, disability and health (ICF) / Monika Jelizarow. Betreuer: Ulrich Mansmann." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2015. http://d-nb.info/1075456495/34.

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Martin, Toni. "The development and pilot testing of a programme combining Bandura's Theory of Self-Efficacy with the International Classification of Functioning, Disability and Health (ICF), for caregivers of people with dementia." Thesis, University of Southampton, 2014. https://eprints.soton.ac.uk/370403/.

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Demyati, Hanan Ahmed. "Exploring the utility of the ICF-CY (international classification functioning disability and health children and youth version) framework as a clinical reasoning tool for physiotherapists who treat children with Cerebal Palsy." Thesis, University of Strathclyde, 2017. http://digitool.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=28747.

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Three studies were conducted to explore the utility of the WHO taxonomy of health outcomes, namely the International Classification of Functioning Disability and Health, Children and Youth version (ICF-CY), as a Clinical Reasoning tool for Paediatric Physiotherapists (PPTs) treating children with Cerebral Palsy (CP) in Saudi Arabia. The first study was a systematic review to examine the integration of ICF knowledge into the clinical-thinking process in physiotherapy practice. All included articles utilised the ICF to identify ICF domains and apply it to the decision making process. However, only one paper examined the use of the ICF as a clinical-reasoning tool in physiotherapy practice. Contextual factors were often neglected in physiotherapist‟s decision making process. The second was a cross-sectional study that utilised a questionnaire based on psychological theory to explore the use of the ICF by PPTs in their clinical reasoning in relation to the management of children with CP. Results indicated PPTs with ICF knowledge consider environmental and personal factors in their decision-making when developing treatment plans. However, none of the cognitive constructs from the Theory of Planned Behaviour correlated with PPTs decision-making behaviour in the application of contextual factors. The third was a longitudinal Quasi-Experimental study that evaluated the impact of a two-day ICF-CY in-service training on PPTs‟ clinical reasoning and parental experience of the physiotherapy management of their child. The impact of training was significant on PPTs‟ knowledge of the ICF, performance and cognition including intention, attitude toward application and perceived control of the application of contextual factors. Parents were more satisfied with the treatment provided by ICF-trained group. However, there were no differences between the two groups of parents in their perceptions about the use of the ICF by PPTs. Findings from this dissertation inform the development of ICF-CY training as clinical reasoning tool for future studies to investigate ICF-CY implementation.

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Tulinius, Halla Kristín. "ICF-CY as a Tool in Elementary School : An interview study of teacher experiences and perceptions of the International Classification of Functioning, Disability and Health for Children and Youth in their Work in Elementary School." Thesis, Mälardalen University, School of Education, Culture and Communication, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-5146.

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AIM OF THE STUDY

The aim of this study was to explore if ICF-CY can support teachers in elementary schools in their work in promoting children’s health, development and learning. A further aim was to bring forward what teachers experience as benefits and disadvantages in using the classification.

METHOD

After an introduction to ICF-CY, six elementary school teachers filled in questionnaires based on ICF-CY for 94 children. In conjunction with this, the teachers were interviewed about their experiences and perceptions of the work.

RESULTS

The results show that through their work with the ICF-CY questionnaires the teachers experienced an active process of reflection and learning. They obtained new perspectives which gave them a more holistic picture of children’s situations than they had before. The teachers found the ICF-CY to be a useful instrument to support work within the school environment towards individualized education, based on the children’s possibilities. They also felt that the importance of cooperation between the persons around each child became clearer by using ICF-CY because no single individual is in possession of all the necessary information about the child’s situation, but by combining different perspectives it is possible to establish a common ground on which education and intervention can be based. At the same time, however, the teachers found the classification somewhat overly comprehensive and in some ways complicated. Therefore they felt that an introduction to the ICF-CY is essential before adopting it.

CONCLUSIONS

The teachers’ experience of seeing each child’s situation more clearly after conducting a classification by using the ICF-CY questionnaires indicates that ICF-CY should be introduced to parents, teachers and other professionals working with education and intervention for children. The way in which assessment carried out with ICF-CY as an instrument affects the process of education and intervention remains to be examined.

CHILD

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Carregosa, Elisvânia Barroso. "Desenvolvimento do core set da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) para hanseníase – etapa do estudo clínico quantitativo e qualitativo." Pós-Graduação em Ciências Aplicadas à Saúde, 2017. http://ri.ufs.br/jspui/handle/riufs/7207.

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Leprosy it mainly affects the skin and the peripheral nervous system, causes multiple deformities and body disfigurations, interfering directly in the individual’s personal and professional life. The International Classification of Functioning, Disability and Health (ICF) is an instrument that classifies and assists to describe function and disability related to health conditions, reflecting a new approach to identify dysfunctions, classifying them in the biological, individual and social context. The objective of this study is to identify, through a clinical study, the main dysfunctions presented in cases of leprosy and thus to select categories to develop the core set of the ICF for leprosy. The type of this study is clinical descriptive, cross-sectional with quantitative and qualitative analysis. The sample was composed of patients with leprosy, who were recruited at the Centers of leprosy in Sergipe. For data collection with the quantitative approach, validated and standardized functional evaluations were used that represented each ICF domain. In the data collection of the qualitative approach, a structured, standardized questionnaire developed by WHO was used. The data were recorded in Office 2010 program to calculate means, frequencies and percentages. The dysfunctions prevalent in at least 5% of the participating volunteers were selected to be extracted the categories of the ICF with their respective codes to compose the core set. Participants in this study were 29 patients with leprosy. The mean age of the participants was 44.9 (± 13.72), predominance of 60% men. In the study with a quantitative approach, the most relevant functional disabilities were in the body structure domain, where "Structures of areas of skin - s810" was the most prevalent with 78%, in the body function domain the most representative category were "Touch function - b265" with 100% prevalence of participants who presented deficits in sensory. In the field of activity and participation the category: “Carrying, moving and handling objects - d430” had 100% of the participants with limitations. In the area related to participation the category: “Recreation and Leisure - d920”, 89% of the participants had restriction to participate. Regarding environmental impact, the category "Health services, systems and policies - e580" represented a barrier to 56% of participants. Different from what was found in the quantitative study, the results collected in the qualitative study demonstrated a greater number of categories in the environmental factors domain. However, when the amount of categories in the two studies were compared considering the total number of categories of the ICF, with the relative frequency of categories, we observed that the environmental domain is the “incapacity” most prevalent in both studies with the quantitative and qualitative approach. The ICF categories in each domain found in the quantitative study and the qualitative study help to map the functional disabilities of patients with leprosy.
Hanseníase afeta principalmente a pele e o sistema nervoso periférico, provocando múltiplas deformidades e desfigurações no corpo, interferindo diretamente na vida pessoal e profissional do indivíduo. A Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) é um instrumento que classifica e auxilia na descrição da funcionalidade e da incapacidade relacionadas às condições de saúde, classificando-as no âmbito biológico, individual e social. O objetivo deste estudo é identificar através de um estudo clínico as principais disfunções apresentadas em casos de hanseníase e com isso selecionar categorias para desenvolver o core set da CIF para hanseníase. Trata-se de um estudo observacional, transversal, com abordagem de análise quantitativa e qualitativa, composta por pacientes com hanseníase, que foram recrutados nos centros de referência em hanseníase do Estado de Sergipe. Para coleta de dados da abordagem quantitativa foram utilizadas avaliações funcionais validadas que representassem cada domínio da CIF. Já na coleta de dados da abordagem qualitativa foi utilizado um questionário estruturado, padronizado, desenvolvido pela OMS. Os dados foram registrados no programa Office 2010 para cálculo das médias, frequências e porcentagens. As disfunções prevalentes em pelo menos 5% dos voluntários participantes foram selecionadas para serem extraídas as categorias da CIF com seus respectivos códigos para compor o core set. Participaram desse estudo 29 pacientes com hanseníase, com idade média de 44,9 (±13,72), predomínio do sexo masculino (60%). No estudo com abordagem quantitativa, as incapacidades funcionais mais relevantes foram no domínio estrutura do corpo, sendo que “Estrutura das áreas da pele - s810” foi a mais prevalente com 78%, no domínio função do corpo a categoria mais representativa foi “Função tátil - b265” com 100% de prevalência dos participantes que apresentaram déficit na sensibilidade. No domínio atividade e participação a categoria: “Levantar e carregar objetos - d430” apresentou limitação em 100% dos participantes. Já no domínio relativo a participação a “Recreação e Lazer - d920” foi observada como restrição a participação em 89% dos participantes. Em relação ao impacto ambiental a categoria “Serviços, sistemas e políticas de saúde - e580” representou uma barreira para 56% dos participantes. Diferente do encontrado no estudo quantitativo, os resultados coletados no estudo qualitativo demonstraram um número maior de categorias no domínio fatores ambientais. Porém, quando as quantidades de categorias nos dois estudos são comparadas considerando o número total de categorias da CIF, obtendo uma frequência relativa de categorias, observou-se que as incapacidades relativas ao domínio ambiente são prevalentes nos dois estudos tanto na abordagem quantitativa quanto na qualitativa. As categorias da CIF, em cada domínio, encontradas no estudo quantitativo e no estudo qualitativo auxiliam a mapear as incapacidades funcionais de pacientes com hanseníase.
Lagarto, SE

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Zimmermann, Ana Beatriz 1985. "Autopercepção do desempenho ocupacional de usuários adultos e idosos de um centro de reabilitação do estado do Paraná." [s.n.], 2012. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311007.

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Orientador: Maria Ines Rubo de Souza Nobre
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: A Medida Canadense de Desempenho Ocupacional (COPM) foi criada para favorecer uma prática centrada no cliente, tendo como foco a autopercepção da pessoa sobre seu desempenho ocupacional. Avaliações padronizadas são cada vez mais utilizadas no âmbito da reabilitação, no entanto, a maioria dos instrumentos buscam favorecer a independência em atividades pré-estabelecidas, baseadas no que é esperado pela sociedade, podendo não contemplar necessidades individuais dos clientes. Atividades e Participação são aspectos centrais da Terapia Ocupacional e os terapeutas ocupacionais reconhecem que o envolvimento e o desempenho ocupacional contribuem e apoiam à saúde. O modelo proposto na Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF), em 2001, reconhece a influência das atividades e participação, assim como dos fatores contextuais e funções e estruturas do corpo na condição de saúde. Tem-se por objetivo verificar a autopercepção do desempenho ocupacional por meio da COPM em usuários adultos e idosos de um centro de reabilitação no estado do Paraná e classificar os problemas de desempenho ocupacional segundo a CIF. Realizou-se um estudo descritivo com usuários acometidos por lesão medular ou lesão encefálica adquirida em processo de reabilitação entre o período de agosto/2010 a fevereiro /2011. A COPM foi aplicada por meio de entrevista semiestruturada e os problemas de desempenho ocupacional identificados pelos 28 usuários foram classificados segundo a CIF. Entre os 122 problemas classificados, houve maior frequência nos seguintes domínios do componente Atividade e Participação: Mobilidade (36%), Vida Comunitária Social e Cívico (24%) e Cuidado Pessoal (15%). Sugere-se que dificuldades relacionadas a Vida Comunitária, Social e Cívica são mais frequentes dependendo do tempo de lesão e do contexto de tratamento. Percebe-se a abrangência e variedade de problemas identificados por meio da COPM pode colaborar no processo de reabilitação com o estabelecimento de objetivos mais congruentes às demandas e experiências de vida diária dos clientes. Tem-se o desafio de se construir e conduzir práticas de saúde na área de reabilitação à pessoa com deficiência em conjunto com outros setores, ampliando nosso olhar de forma a contemplar as várias dimensões da funcionalidade humana. A classificação dos problemas de desempenho ocupacional de acordo com a CIF pode favorecer a comparação entre estudos que utilizam diferentes instrumentos de avaliação e que por vezes possuem terminologias distintas. Por outro lado, há desafios no processo de codificação no tocante a utilização de categorias abrangentes e inespecíficas para atividades e situações não tão comuns, pois permite interpretações variadas entre os usuários da CIF
Abstract: In the context of rehabilitation, standardized assessments are being more utilized in order to evaluate the impact of the impairment on the individual's daily routine. Most of the assessment instruments focus on favoring the independence on predefined activities, based on what is expected by society, and may not be meeting the client's individual needs. The COPM was created to facilitate a client-centered practice, allowing the client to identify his/her own limitations and restrictions lived on the occupational performance. The model proposed on CIF (International Classification of Functionality, Impairment and Health) in 2001 states that environmental and personal factors, activities and participation, body functions and structures, and health conditions are in dynamic interaction, so that any modifications in one of these components have the potential of generating changes on the others. Activity and participation are core aspects of occupational therapy. Occupational therapists recognize that the involvement and occupational performance contributes and promotes health. One of the goals is to verify self-perception of the occupational performance through COPM on adults and elderly from a rehabilitation center in the state of Paraná and classify the problems of occupational performance in CIF. A descriptive study was performed on users stricken by spinal cord injury or brain injury, obtained during the rehabilitation process between August of 2010 and February of 2011. COPM was applied through semi-structured interviews and the problems of occupational performance identified by 28 participants were classified in CIF. Among the 122 problems of occupational performance classified in CIF, there was a greater frequency on the following domains of the Activity and Participation component: Mobility (36%), Community, Social and Civic Life (24%) and Personal Care (15%). It is suggested that the difficulties related to Community, Social and Civic Life are more frequent depending on the time of injury and on the treatment context. It is noticed that the scope and variety of problems identified through COPM can collaborate in the process of rehabilitation, with the setting of objectives that are more congruent with the demands and experiences of the clients' daily lives. There is a challenge of building and conducting health practices on the area of rehabilitation to the person with disability along with other sectors, expanding our view in order to contemplate the various dimensions of human functionality. The classification of occupational performance problems in CIF can favor the comparison between studies that utilize different evaluation instruments and that sometimes have distinct terminologies. On the other hand, there are challenges related to the selection of codes: comprehensive and non-specific items can facilitate the classification of uncommon and unlikely elements, but at the same time can generate semantic accumulations and increase disagreements on the choice made by the evaluators
Mestrado
Interdisciplinaridade e Reabilitação
Mestra em Saúde, Interdisciplinaridade e Reabilitação

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Milman, Nataliya. "Using the International Classification of Function, Disability and Health (ICF) to Compare Areas of ANCA-Associated Vasculitits (AAV) Measured in Clinical Trials to those Important to Patients with AAV and Clinicians who are Involved in their Care." Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31827.

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Background: The International Classification of Function, Disability and Health (ICF) describes health using 1424 categories from 4 components: body functions (BF), body structures (BS), activities and participation (AP) and contextual factors (environmental (EF) and personal (PF)). In this study the ICF was used to describe and compare aspects of ANCA-Associated Vasculitis (AAV) measured in clinical trials and those important to clinicians and patients. Methods: Individual interviews and focus groups were used to capture the perspective of AAV patients. Clinicians’ perspective was obtained with an email-based questionnaire. Outcomes used in AAV randomized trials were extracted from results of a systematic review of literature. Identified concepts were mapped to the ICF according to previously published ICF linking rules, and the resulting lists of relevant AAV outcomes were compared descriptively. Results: Twelve individual interviews and 2 focus groups represented the patient perspective while responses from 27 clinicians yielded the clinicians’ perspective. Systematic literature review identified 67 clinical trials and 28 abstracts from which measured outcomes were extracted. All three perspectives demonstrated detailed coverage of ICF components BF and BS. In the component AP patients and clinicians identified similar ICF categories, a number of which were under-sampled by AAV trials. Contextual factors appear to be significantly more relevant to patients than clinicians and researchers. Conclusion: Patients and clinicians have different views of the relevance of various AAV outcomes, and these views differ from what is measured in clinical trials of AAV. This highlights the need for a broad and standardized approach to developing and selecting outcomes for complex medical conditions such as AAV.

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Sagawa, Yoshimasa. "Vers une approche multidimensionnelle de l'évaluation motrice du sujet amputé." Thesis, Valenciennes, 2012. http://www.theses.fr/2012VALE0018/document.

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Les personnes amputées de membre inférieur (PAMI) sont très diversifiées. Ils’agit d’une population hétérogène, tant par ses origines que par ses niveaux d’amputation, ses capacités et ses projets de vie. A ces profils variés s’ajoutent une multitude de composants prothétiques ainsi que les différentes combinaisons possibles entre ces composants. Il est également important de prendre en compte les différents environnements auxquels la PAMI est confrontée quotidiennement. La Classification Internationale du Fonctionnement (CIF 2001) a été créée par l’Organisation Mondiale de la Santé et repose sur un modèle multidimensionnel. Elle est constituée de deux grandes parties : le fonctionnement d’une part et les facteurs contextuels d’autre part. Ce modèle est capable de décrire de manière globale les modifications de fonctionnement (handicap) à partir d’un problème de santé quelconque. Ainsi, une grande quantité d’informations peut être obtenues à partir du modèle de la CIF. Néanmoins, il demeure nécessaire de développer de nouveaux outils pour mieux exploiter ce modèle afin de le rendre plus intelligible et utilisable en pratique clinique courante. Pour cela, nous nous proposons d’utiliser l’Extraction de Connaissances à partir des Données (ECD). L’ECD est un processus non trivial d'identification des structures inconnues, valide et potentiellement exploitable dans les bases de données, qui permet de transformer un maximum d’informations en connaissances facilement exploitables. A partir du modèle de la CIF et conjointement avec des méthodes d’ECD, l’objectif de cette thèse est de caractériser un groupe de PAMI expertes en termes de capacités locomotrices. Ce groupe et sa liste d’indicateurs pertinents reposant sur le modèle de la CIF ont été déterminés. Ils servent de référence pour la comparaison d’autres PAMI et peuvent guider la prise en charge de cette population particulière
The subjects with a lower-limb amputation (LLA) compose a heterogeneouspopulation, by their amputation origins, by their amputation levels, by their abilities and by their life projects. To these various LLA’s profiles we could add a multitude of prosthetic components and the combination of these components. It is also important to take into account the different environments, which the LAA are confronted daily. The International Classification of Functioning, Disability and Health (ICF 2001) was created by the Word Heath Organization and is based on a multidimensional model. The ICF is constituted by two domains: the functioning on one hand and the contextual factors on the other hand. This comprehensive-global model is able to describe the functioning (disability) from any health problem. However it remains necessary to develop new tools to better use the ICF model making it more intelligible and useful in clinical practice. For this, we proposed to use the Knowledge Discovery in Database (KDD). KDD is a non-trivial process of identification of unknown, valid and potentially-exploitable structures in database. KDD permits to transform a maximum of information in easy-exploitable knowledge. From the ICF model conjoint with KDD methods, the aim of this thesis was to characterize an expert group of LLA in terms of locomotion capacity. This group and its list of relevant indicators, based on the ICF model, were determined. They can be used as a reference to compare with others LLA improving making decision of this particular population

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Arnadottir, Solveig. "Physical activity, participation and self-rated health among older community-dwelling Icelanders : a population-based study." Doctoral thesis, Umeå universitet, Sjukgymnastik, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-35823.

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Background: The main objective of this study was to investigate older people’s physical activity, their participation in various life situations, and their perceptions of their own health. This included an exploration of potential influences of urban versus rural residency on these outcomes, an evaluation of the measurement properties of a balance confidence scale, and an examination of the proposed usefulness of the International Classification of Functioning, Disability and Health (ICF) as a conceptual framework to facilitate analysis and understanding of selected outcomes. Methods: The study design was cross-sectional, population-based, with random selection from the national register of one urban and two rural municipalities in Northern Iceland. There were 186 participants, all community-dwelling, aged 65 to 88 years (mean = 73.8), and 48% of the group were women. The participation rate was 79%. Data was collected in 2004, in face-to-face interviews and through various standardized assessments. The main outcomes were total physical activity; leisure-time, household, and work-related physical activity; participation frequency and perceived participation restrictions; and self-rated health. Other assessments represented aspects of the ICF body functions, activities, environmental factors and personal factors. Moreover, Rasch analysis methods were applied to examine and modify the Activities-specific Balance Confidence (ABC) scale and the ICF used as a conceptual framework throughout the study. Results: The total physical activity score was the same for urban and rural people and the largest proportion of the total physical activity behavior was derived from the household domain. Rural females received the highest scores of all in household physical activity and rural males were more physically active than the others in the work-related domain. However, leisure-time physical activity was more common in urban than rural communities. A physically active lifestyle, urban living, a higher level of cognition, younger age, and fewer depressive symptoms were all associated with more frequent participation. Rural living and depressive symptoms were associated with perceived participation restrictions. Moreover, perceived participation restrictions were associated with not being employed and limitations in advanced lower extremity capacity. Both fewer depressive symptoms and advanced lower extremity capacity also increased the likelihood of better self-rated health, as did capacity in upper extremities, older age, and household physical activity. Rasch rating scale analysis indicated a need to modify the ABC to improve its psychometric properties. The modified ABC was then used to measure balance confidence which, however, was found not to play a major role in explaining participation or self-rated health. Finally, the ICF was useful as a conceptual framework for mapping various components of functioning and health and to facilitate analyses of their relationships. Conclusions: The results highlighted the commonalities and differences in factors associated with participation frequency, perceived participation restrictions, and self-rated health in old age. Some of these factors, such as advanced lower extremity capacity, depressive symptoms, and physical activity pattern should be of particular interest for geriatric physical therapy due to their potential for interventions. While the associations between depressive symptoms, participation, and self-rated health are well known, research is needed on the effects of advanced lower extremity capacity on participation and self-rated health in old age. The environment (urban versus rural) also presented itself as an important contextual variable to be aware of when working with older people’s participation and physically active life-style. Greater emphasis should be placed on using Rasch measurement methods for improving the availability of quality scientific measures to evaluate various aspects of functioning and health among older adults. Finally, a coordinated implementation of a conceptual framework such as ICF may further advance interdisciplinary and international studies on aging, functioning, and health.

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Ferrer, Michele Lacerda Pereira. "O impacto dos fatores ambientais na incapacidade funcional de idosos: a importância de políticas públicas que valorizem o Aging in place." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/6/6132/tde-23032018-094707/.

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Introdução: A incapacidade no idoso é multidimensional, envolvendo aspectos de saúde física, emocional, cognitiva, ambiental e social. Os fatores ambientais têm um impacto importante como facilitadores ou barreiras nas atividades e participação social do idoso, especialmente relacionado ao ambiente de moradia e a capacidade de continuar vivendo no próprio domicilio apesar do envelhecimento (Aging in place). Políticas públicas devem ser pensadas levando a questão do Aging in place em consideração. Objetivos: investigar o impacto dos fatores ambientais na incapacidade de idosos que residem em conjuntos habitacionais verticais de interesse social que não contam com quesitos de acessibilidade como o elevador, sob a perspectiva da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). Método: Para alcance dos objetivos propostos foi necessário a realização da validação de construto e identificação das propriedades psicométricas e de normatização do WHODAS 2.0- 12 itens para avaliação da incapacidade em idosos brasileiros. Após esta etapa, foi realizada a análise dos fatores ambientais sugeridos pela CIF e reconhecidos por moradores dos conjuntos habitacionais e sua associação com a incapacidade funcional. Os estudos transversais aqui apresentados foram realizados com duas amostras distintas: Amostra 1 para o processo de validação de construto e normatização do WHODAS 2.0 contou com 350 idosos assistidos pelo Centro de referência do Idoso na cidade de São Paulo. Com dados desta amostra foi realizada uma análise fatorial exploratória, confirmatória e teoria de resposta ao item e análise de variância para validação de construto e observação da distribuição dos escores na amostra. Amostra 2 contando com 96 idosos residentes em um conjunto habitacional com 26 edifícios verticais com até 4 andares em Bragança Paulista (SP) para análise do impacto dos fatores ambientais na incapacidade dos idosos. Com os dados desta amostra foi realizada análise de regressão linear multivariada para identificação dos fatores ambientais mais associados ao aumento do escore de incapacidade. Resultados: O WHODAS 2.0, 12 itens apresentou boa adequação das cargas fatorais em um modelo unidimensional somente com 10 itens dos 12 avaliados. A retirada do item 6 (concentrar-se) e 10 (lidar com pessoas estranhas) na análise fatorial exploratória melhorou o desempenho do teste com variância explicada de 70 por cento (x2/df = 2,45; p < 0,001, NNFI = 0,98, CFI = 0,99, GFI = 0,99, RMSEA = 0,06; Alpha de Cronbach = 0,95 e Mc Donald = 0,92). Na análise da associação entre barreiras ambientais e incapacidade observou-se que fatores ambientais como escadas, acesso ao transporte público, ruídos, clima e preconceito reconhecidos como barreira foram associados a um aumento no escore do WHODAS 2.0-BO. Conclusão: A presença de barreiras ambientais como dificuldade de acesso ao transporte público, presença de escadas na entrada da casa, ruídos, condições climáticas adversas e preconceito foram associadas a um aumento no escore de incapacidade, o que pode impedir idosos de continuar vivendo no próprio domicílio na presença de tais barreiras. Políticas públicas deveriam considerar o envelhecimento e as barreiras ambientais identificadas neste estudo para a garantia do Aging in place.
Introduction: Disability in older people is multidimensional with physical, emotional, cognitive, environmental and social aspects. The environmental factors could have an important impact as facilitators or barriers in their activities and social participation, specially related to the habitation and the aging in place. Public housing policies should be made based on aging in place. Objectives: to investigate the impact of environmental factors in disability of older people living in a multi-storey apartment complex building for low-income families with no elevator, by International Classification of Functioning, Disability and Health (ICF) perspective. Method: As a first step to this study purpose, analyses of the psychometric properties and normative data of the WHODAS 2.0- 12 item were necessary to validate this instrument and assess disability in Brazilian older people. After that, the analysis of the environmental factors (as suggested by ICF) recognized by older people living in apartment complex building and their association with disability was done. The cross-sectional studies here presented were done with two different samples: Sample 1 was used to identify the construct validation and normative data of the WHODAS 2.0 12 item. This sample had 350 individuals attending a community based reference center for older people in São Paulo. The construct validity was tested with Exploratory and Confirmatory Factor Analysis, Parallel Analysis, Item Response Theory. Sample 2 was used to analyse the perceived environmental factors and the disability. It had 96 older people living in a multi-storey apartment complex for low income families in Bragança Paulista. The regression linear analysis was done to identify the environmental barriers associated to disability in the older people. Results: The WHODAS 2.0, 12-item version, is a unidimensional scale, and goodness of fit occurs only with 10 items evaluating disability in older people. Withdrawn items 6 (concentration) and 10 (leading with strangers) established an appropriate adjustment, with high and excellent values for all indicators. The explained variance was 70 per cent and confirmatory analysis showed X2/df = 2,45; p < 0,001, NNFI = 0,98, CFI = 0,99, GFI = 0,99, and RMSEA = 0,06; reliability indexes Cronbachs ( = 0.95) and McDonalds ( = 0,92) were adequate. This new version was named WHODAS 2.0-BO (Brazilian version for older people). At the environmental barriers and disability association study was observed the association between perceived barriers as public transportation, stairs, noise, climate and prejudice and disability with the increased WHODAS 2.0-BO score. Conclusion: older people who recognize environmental barriers such as access to public transportation, stairs, noise, adverse climate and prejudice have an increase in disability score, which can prevent them from aging in place. The public policies should consider the aging and the environmental barriers identified by this study in order to assure aging in place.

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Garcia, Frank W. Jr. "Sea ice classification using synthetic aperture radar." Thesis, Monterey, California: Naval Postgraduate School, 1990. http://hdl.handle.net/10945/27745.

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Approved for public release; distribution is unlimited.
This study employs Synthetic Aperture Radar (SAR) imagery from the Marginal Ice Zone Experiment (MIZEX) 1987 to identify an optimal set of statistical descriptors that accurately classify three types of ice (first-year, multiyear, odden) and open water. Two groups of statistics, univariate and texture, are compared and contrasted with respect to their skill in classifying the ice types and open water. Individual statistical descriptors are subjected to principal component analysis and discriminant analysis. Principal component analysis was of little use in understanding features of each ice and open water group. Discriminant analysis was valuable in identifying which statistics held the most power. When combined, univariate and texture statistics classified the groups with 89.5% accuracy, univariate alone with 86.8% accuracy and texture alone with 75.4% accuracy. Range and inertia were the strongest univariate and texture discriminators with 74.6% and 50.8% accuracy, respectively. Despite the use of a non-calibrated SAR, univariate statistics were able to classify the images with greater accuracy than texture statistics.

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Garcia, Frank W. "Sea ice classification using synthetic aperture radar." Monterey, California : Naval Postgraduate School, 1990. http://handle.dtic.mil/100.2/ADA232248.

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Thesis (M.S. in Meteorology and Physical Oceanography)--Naval Postgraduate School, June 1990.
Thesis Advisor(s): Nystuen, J.A. ; Bourke, R.H. "June 1990." "MPS-68-90-004." Description based on title screen as viewed on March 24, 2010. DTIC Identifier(s): Radar Images, Sea Ice, Marginal Ice Zones, Ice Classification, Statistical Analysis, Gray Scale, Odden Ice, Theses. Author(s) subject terms: Synthetic Aperture Radar, Sea Ice Classification, Marginal Zone, Gray Level Co-Occurrence Matrices, Texture Statistics, Univariate Statistics, MIZEX '87 SAR Data. Includes bibliographical references (p. 96-98). Also available in print.

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Nubila, Heloisa Brunow Ventura Di. "Aplicação das classificações CID-10 e CIF nas definições de deficiência e incapacidade." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/6/6132/tde-09042007-151313/.

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A Organização Mundial de Saúde tem hoje duas classificações de referência para a descrição dos estados de saúde: a CID-10 (Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde) e a CIF (Classificação Internacional de Funcionalidade, Incapacidade e Saúde). A utilização da CIF vem sendo aguardada com grande expectativa pelas organizações de pessoas com deficiências e instituições relacionadas. A falta de definição clara de deficiência ou incapacidade tem sido apontada como um impedimento para a promoção de saúde de pessoas com deficiência. Este trabalho tem como objetivo apresentar definições de deficiência, discutindo a utilização da CID-10 e da CIF e a contribuição da CIF para melhorar a compreensão sobre definições de deficiência a partir do conceito de funcionalidade e dos fatores contextuais. Foram revisados alguns diferentes conceitos/definições de deficiência, bem como publicações envolvendo a aplicação da CIF. São apresentadas algumas categorias de diagnósticos de estados de saúde da CID-10 hoje utilizadas em alguns sistemas, além de elementos da recém-apresentada CIF, que podem contribuir para diferentes campos de aplicabilidade no que diz respeito ao entendimento das definições de deficiência ou incapacidade.
The World Health Organization has nowadays two reference classifications for description of health conditions: ICD-10 (International Statistical Classification of Diseases and Health Related Problems) and ICF (International Classification of Functioning, Disability and Health). Organizations of people with disabilities and related institutions are waiting with high expectation for the ICF utilization. Lack of clear definition of disability is being pointed out as a deterrent for promoting the health of people with disabilities. The objective of this work is to evaluate definitions of disability, and discuss the use of ICD-10 and ICF and the contribution of ICF to improve understanding of definitions of disability through functioning and contextual factors. Some different definitions of disability have been reviewed, as well as publications involving ICF application. Diagnostic categories of health conditions of ICD-10 used in some systems are presented, as well as ICF components that could contribute for different fields of applicability regarding the understanding of definitions of disability.

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Vianna, Patricia Carla. "Validação do instrumento baseado no Core set resumido da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) para Indivíduos com Lesão Medular Aguda Traumática." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/22/22134/tde-08032016-151059/.

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As lesões medulares traumáticas (LMT) são comumente geradoras de deficiências e levam a limitações na execução de atividades, como também à restrição de participação em situações concretas de vida. Conhecer os indivíduos com LMT em termos de independência funcional permite aos serviços de reabilitação estruturarem-se para atenderem às demandas dessa população de forma mais eficiente. Estudo de delineamento metodológico objetivou construir e validar instrumento baseado no Core Set resumido da CIF para indivíduos com lesão medular aguda traumática. A pesquisa, aprovada pelo Comitê de Ética, foi realizada em três etapas: etapa 1:Elaboração do instrumento a partir do Core set resumido da CIF para lesão medular aguda: \"Instrumento baseado no Core set resumido da CIF para indivíduos com Lesão Medular Aguda Traumática\"; etapa 2: Validação do instrumento e coleta de dados; etapa 3: Aplicação do pré-teste.O instrumento para validação de face e conteúdo continha13 categorias que integraram os componentes da CIF: funções do corpo (3), estrutura do copo (1), atividades e participação (9), perfazendo um total de 109 itens. Em cada seção do instrumento tinha um campo para sugestões. A validade de conteúdo do instrumento foi realizada por um comitê de dezesseis juízes.Os resultados demonstraram que a maioria dos juízes de conteúdo eram do sexo feminino, jovens, com idade entre 30 e 39 anos. Quanto à titulação acadêmica e área de atuação, a maioria tinha doutorado e eram docentes, assim como, realizavam estudos sobre a CIF e à utilizavam na sua prática clinica.Cada item do instrumento foi avaliado em mais de 70% pelos avaliadores, sendo considerado aceitável para a validação de conteúdo. Na maioria dos itens, os juízes fizeram sugestões que visavam à modificação de termos, para serem substituídos ou reformulados, a partir do conceito apreendido, para que a estrutura e a propriedade do instrumento não fossem alteradas de modo significativo. Foram sugestões pertinentes que favoreceram a adequação do instrumento, a fim de facilitar a compreensão dos itens propostos pelo publico alvo. O pré-teste foi realizado no Centro de Reabilitação do HCFMRP-USP, participaram da pesquisa 10 indivíduos com diagnóstico de LTME, com até 6 meses lesão.A maioria eram do sexo masculino, com média de idade de 43 anos, sendo a principal etiologia do trauma os acidentes automobilísticos. Quanto à escolaridade verificou-se que a maioria dos participantes tinha ensino fundamental completo ou incompleto. Nesta etapa, houve substituição de alguns termos técnicos para melhor compreensão pelo público alvo. Mediante a análise entre os pesquisadores e após consenso das modificações sugeridas pelos especialistas e público alvo, foi elaborada a versão final do instrumento. Ressalta-se que o instrumento contribuíra na prática clinica como uma ferramenta inovadora a ser utilizado pela equipe multidisciplinar, na avaliação da funcionalidade para o planejamento da assistência, com foco nas necessidades individuais e nos resultados mais efetivos das intervenções no processo de reabilitação
Traumatic spinal cord injuries (TSCI) are usually the cause of disabilities and limited performance of some activities as well as limited participation in some life moments. Knowing if TSCI patients are functional dependent helps the rehabilitation services to be organized to effectively meet the demand of that population. The goal of the methodological design study was to create and validate an instrument based on summed up ICF Core Set for patients with acute traumatic spinal cord injury. The survey was approved by the Ethics Committee and it was divided in three phases: Phase 1 - Elaboration of the instrument based on summed up ICF Core Set for acute spinal cord injury: \"Instrument based on summed up ICF Core Set for patients with Acute Traumatic Spinal Cord Injury\"; Phase 2 - Validation of the instrument and data collect; Phase 3 - Implementation of the pre-test. Face and content validation tool had 13 categories which were part of ICF components: body functions (3), body structure (1), activities and participation (9); in total 109 items. Every section of the tool had a specific place for suggestions. A sixteen-judge committee validated the content. The results showed that most of the judges were 30 to 39-year-old women, with doctorate degree and they were professors who also studied ICF and applied it in their clinics. The evaluators checked more than 70% of each item of the tool and it was considered enough for the validation of the content. The judges made some suggestions for most of the items in order to replace or redesign the terms so that the structure and the effect of the tool would not be significantly changed. Those suggestions were relevant and they helped adjusting the tool to make easier for the community to understand the items. The pre-test was performed at Rehabilitation Center of HCFMRP-USP; ten patients who have had TSCI for up to 6 months participated on the survey. Most of them were 43 -year- old men, who studied up to elementary school, with a trauma caused by a car crash. At this stage some technical terms were replaced in order to help the community understanding. After the analysis of the researchers and the modifications suggested by the experts and the community, a final version of the tool was elaborated. In clinical practice this instrument was a new tool used by the multidisciplinary team when evaluating the functioning of helping individual necessities and more effective results of the interventions on the rehabilitation process

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Swan, Aaron M. "Multi-year Arctic Sea Ice Classification Using QuikSCAT." BYU ScholarsArchive, 2011. https://scholarsarchive.byu.edu/etd/2762.

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Long term trends in Arctic sea ice are of particular interest with regard to global temperature, climate change, and industry. This thesis uses microwave scatterometer data from QuikSCAT and radiometer data to analyze intra- and interannual trends in first-year and multi-year Arctic sea ice. It develops a sea ice type classification method. The backscatter of first-year and multi-year sea ice are clearly identifiable and are observed to vary seasonally. Using an average of the annual backscatter trends obtained from QuikSCAT, a classification of multi-year ice is obtained which is dependent on the day of the year (DOY). Validation of the classification method is done using regional ice charts from the Canadian Ice Service. Differences in ice classification are found to be less than 6% during the winters of 06-07, 07-08, and the end of 2008. Anomalies in the distribution of sea ice backscatter from year to year suggest a reduction in multi-year ice cover between 2003 and 2009 and an approximately equivalent increase in first-year ice cover.

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Tora, Moumita Roy. "Classification of puck possession events in ice hockey." Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/63149.

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Group activity recognition in sports is often challenging due to the complex dynamics and interaction among the players. In this thesis, we propose a deep architecture to classify puck possession events in ice hockey. Our model consists of three distinct phases: feature extraction, feature aggregation and, learning and inference. For the feature extraction and aggregation, we use a Convolutional Neural Network (CNN) followed by a late fusion model on top to extract and aggregate different types of features that includes handcrafted homography features for encoding the camera information. The output from the CNN is then passed into a Recurrent Neural Network (RNN) for the temporal extension and classification of the events. The proposed model captures the context information from the frame features as well as the homography features. The individual attributes of the players and the interaction among them is also incorporated using a pre-trained model and team pooling. Our model requires only the player positions on the image and the homography matrix and does not need any explicit annotations for the individual actions or player trajectories, greatly simplifying the input of the system. We evaluate our model on a new Ice Hockey Dataset and a Volleyball Dataset. Experimental results show that our model produces promising results on both these challenging datasets with much simpler inputs compared with the previous work.
Science, Faculty of
Computer Science, Department of
Graduate

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Calarota, Gabriele. "Domain-specific word embeddings for ICD-9-CM classification." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2018. http://amslaurea.unibo.it/16714/.

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In this work we evaluate domain-speci�c embedding models induced from textual resources in the medical domain. The International Classi�cation of Diseases (ICD) is a standard, broadly used classi�cation system, that codes a large number of speci�c diseases, symptoms, injuries and medical procedures into numerical classes. Assigning a code to a clinical case means classifying that case into one or more particular discrete class, hence allowing further statistics studies and automated calculations. The possibility to have a discrete code instead of a text in natural language is intuitively a great advantage for data processing systems. The use of such classi�cation is becoming increasingly important for, but not limited to, economic and policy-making purposes. Experiments show that domain-speci�c word embeddings, instead of a general one, improves classi�ers in terms of frequency similarities between words.

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Stopford, C. "Ice crystal classification using two dimensional light scattering patterns." Thesis, University of Hertfordshire, 2010. http://hdl.handle.net/2299/4797.

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An investigation is presented into methods of characterising cirrus ice crystals from in-situ light scattering data. A database of scattering patterns from modelled crystals was created using the Ray Tracing with Diffraction on Facets (RTDF) model from the University of Hertfordshire, to which experimental and modelled data was fitted. Experimental data was gathered in the form of scattering patterns from ice analogue crystals with similar optical properties and hexagonal symmetry to ice, yet stable at room temperature. A laboratory rig is described which images scattering patterns from single particles while allowing precise control over the orientation of the particle with respect to the incident beam. Images of scattering patterns were captured and compared to patterns from modelled crystals with similar geometry. Methods for introducing particles en-masse and individually to the Small Ice Detector (SID) instruments are discussed, with particular emphasis on the calibration of the gain of the SID-2 instrument. The variation in gain between detector elements is found to be significant, variable over the life of the detector, and different for different detectors. Fitting was performed by comparison of test scattering patterns (either modelled or experimental) to the reference database. Representation of the two dimensional scattering patterns by asymmetry factor, moment invariants, azimuthal intensity patterns (AIP) and the Fourier transform of the AIP are compared for fitting accuracy. Direct comparison of the AIP is found to be the most accurate method. Increased resolution of the AIP is shown to improve the fitting substantially. Case studies are presented for the fitting of two ice analogue crystals to the modelled database. Fitting accuracy is found to be negatively influenced by small amounts of surface roughness and detail not currently considered by the RTDF model. Fitting of in-situ data gathered by the SID-3 instrument during the HALO 02 campaign at the AIDA cloud chamber in Germany is presented and discussed. Saturation of detector pixels is shown to affect pattern fitting. In-flight operation of the instrument involves the variation of gain of the whole detector (as opposed to individual elements) in order to obtain unsaturated images of both large and small particles.

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Slade, Tim Psychiatry Faculty of Medicine UNSW. "Using epidemiology to inform classification in psychiatry." Awarded by:University of New South Wales. Psychiatry, 2002. http://handle.unsw.edu.au/1959.4/19059.

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Classification systems in psychiatry are a work in progress. Therefore, continued efforts to improve their validity are necessary. Epidemiology provides a scientific method to assess the extent of psychiatric morbidity in community populations. However, data from epidemiological surveys have also contributed, either directly or indirectly, to many changes in the classification systems. Recent reviews of the current state of psychiatric classification indicate four unresolved issues: 1) the presence of two differing classification systems, 2) the role of the clinical significance criterion in differentiating psychopathology from normality, 3) the relationship of the exclusion criteria to the co-occurrence of psychiatric disorder pairs, and 4) the relative validity of categorical versus dimensional conceptualizations of psychiatric disorders. The current thesis examines these four unresolved issues, using data from a large-scale epidemiological survey of psychiatric disorders. With regard to GAD, differences in diagnostic criteria between DSM-IV and ICD-10 resulted in different types of cases identified, despite similarities in prevalence. The DSM-IV diagnostic criterion for clinical significance impacted, albeit to different degrees, on the prevalence, health service use and impairment of five disorders. The exclusion criteria in both DSM-IV and ICD-10 were significantly related to the patterns of co-occurrence found in the data. Using the example of depression, symptoms were more consistent with a dimensional rather than a categorical structure. A specific research agenda is proposed, the aim of which is to provide possible avenues of research that may benefit revisions to classification systems and the conduct of epidemiological surveys. This research agenda contains a number of suggestions. Future revisions will benefit from an explicit understanding of the differences between the classification systems. Better definitions of the concepts of clinical significance and psychiatric disorder are required. The co-occurrence of disorder pairs in epidemiological data informs understanding of the exclusion criteria, but the validity of these criteria relies on different data. Dimensional models of classification may yield more information than categorical models, and methods for incorporating them in large-scale surveys are proposed. It is concluded that epidemiological data should continue to play a significant part in the refinement of psychiatric classification.

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Morard, Marie-Doriane. "De la fonction à la participation : illustration par le développement et la validation de trois outils de mesure en médecine physique et de réadaptation." Thesis, Lyon, 2020. http://www.theses.fr/2020LYSES022.

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La médecine physique et de réadaptation (MPR) s’est développée autour d’une approche globale de l’individu et des multiples conséquences des déficiences et incapacités résultant d’un problème de santé. La détermination de ces conséquences nécessite le recours à l’évaluation, concept largement utilisé en médecine lors de la pratique clinique, la thérapeutique, la recherche… Cette évaluation, qui repose elle-même sur la nécessaire évaluation de l’outil de mesure et de ses modalités d’utilisation, constitue le corps de notre travail de thèseLa vision MPR s’est construite sur la Classification internationale du fonctionnement, du handicap et de la santé (CIF) qui fournit un cadre biopsychosocial pour la description des états de santé, pouvant ainsi servir à la définition du mesuré. Les liens étroits entre MPR et CIF nous ont amenés à nous interroger sur les différentes manières de développer des outils d’évaluation adaptés à chacune des dimensions de la CIF : la fonction, l’activité et la participation.À travers différents états de santé, nous avons donc exploré ces trois dimensions cliniques en utilisant des méthodes valides en métrologie, via trois outils de mesure : (1) de la fonction neurologique chez des enfants ayant eu un accident vasculaire cérébral néonatal, (2) d’activité physique et cognitive chez des patients hospitalisés en soins de suite et de réadaptation et (3) de la participation d’enfants ayant une maladie neuromusculaire. Les résultats et leur interprétation placent la participation comme critère principal des actions en MPR tout en soulignant l’importance de maitriser la limite de chaque outil de mesure bien avant de valoriser de leurs avantages
Physical and Rehabilitation Medicine (PRM) has been developed around a holistic approach of the individual and the multiple consequences of impairments and disabilities resulting from a health problem. Determining these consequences requires the use of assessment, which is a concept widely used in medicine in clinical practice, therapy, research, and which is based on the use of measuring tools. The PRM vision was built on the International Classification of Functioning, Disability and Health (ICF) which is a biopsychosocial framework for the description of the health state, which can thus be used to define of the measured. The close links between PRM and ICF led us to question the different ways of developing assessment tools adapted to each of the dimensions of the ICF: function, activity and participation. We have therefore through various health states, explored these three dimensions in clinical practice using valid methods in metrology, via three measurement tools: (1) neurological function in French-speaking children with a neonatal stroke, (2) a score of physical and cognitive activity in patients hospitalized in follow-up care and rehabilitation, (3) participation of children with neuromuscular disease. The results and their interpretation stemming from this work, clearly place participation as the main criterion for actions in PRM while highlighting the importance of mastering the limits of measurement tools before taking into account their advantages

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Drusiani, Alberto. "Deep Learning Text Classification for Medical Diagnosis." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2018. http://amslaurea.unibo.it/17281/.

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The ICD coding is the international standard for the classification of diseases and related disorders, drawn up by the World Health Organization. It was introduced to simplify the exchange of medical data, to speed up statistical analyzes and to make insurance reimbursements efficient. The manual classification of ICD-9-CM codes still requires a human effort that implies a considerable waste of resources and for this reason several methods have been presented over the years to automate the process. In this thesis an approach is proposed for the automatic classification of medical diagnoses in ICD-9-CM codes using the Recurrent Neural Networks, in particular the LSTM module, and exploiting the word embedding. The results were satisfactory as we were able to obtain better accuracy than Support Vector Machines, the most used traditional method. Furthermore, we have shown the effectiveness of specific domain embedding models compared to general ones.

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El, Ghouat Mohamed Abdelwafi. "Classification markovienne pyramidale adaptation de l'algorithme ICM aux images de télédétection." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq26379.pdf.

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41

El, Ghouat Mohamed Abdelwafi. "Classification markovienne pyramidale : adaptation de l'algorithme ICM aux images de télédétection." Sherbrooke : Université de Sherbrooke, 1997.

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42

Lindell, David Brian. "Arctic Sea Ice Classification and Soil Moisture Estimation Using Microwave Sensors." BYU ScholarsArchive, 2016. https://scholarsarchive.byu.edu/etd/6153.

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Spaceborne microwave sensors are capable of estimating various properties of many geophysical phenomena, including the age and extent of Arctic sea ice and the relative soil moisture over land. The measurement and classification of such geophysical phenomena are used to refine climate models, localize and predict drought, and better understand the water cycle. Data from the active Ku-band scatterometers, the Quick Scatterometer (QuikSCAT), and the Oceansat-2 Scatterometer (OSCAT), are here used to classify areas of first-year and multiyear Arctic sea ice using a temporally adaptive threshold on reported radar backscatter values. The result is a 15-year data record of daily ice classification images. An additional ice age data record is produced using the C-band Advanced Scatterometer (ASCAT) and the Special Sensor Microwave Imager Sounder (SSMIS) with an alternate classification methodology based on Bayesian decision theory. The ASCAT/SSMIS classification methodology results in a record which is generally consistent with the QuikSCAT and OSCAT classifications, which conclude in 2014. With multiple ASCAT and SSMIS sensors still operational, the ASCAT/SSMIS ice classifications can continue to be produced into the future. In addition to ice classification, ASCAT is used to estimate the relative surface soil moisture at high-resolution (4.45 — 4.45 km per pixel). The soil moisture estimates are obtained using enhanced resolution image reconstruction techniques and an altered version of the Water Retrieval Package (WARP) algorithm. The high-resolution soil moisture estimates are shown to agree well with the existing lower resolution WARP products while also revealing finer details.

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43

Hudson, Richard Earl. "Semi-Supervised Visual Texture Based Pattern Classification." Case Western Reserve University School of Graduate Studies / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=case1339081444.

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Costa, Thelma Regina da Silva. "Distúrbios de audição e a classificação internacional de funcionalidade, incapacidade e saúde." Pontifícia Universidade Católica de São Paulo, 2013. https://tede2.pucsp.br/handle/handle/11963.

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Made available in DSpace on 2016-04-27T18:12:01Z (GMT). No. of bitstreams: 1 Final para biblioteca.pdf: 517561 bytes, checksum: 8ada3b8358b7ff570de6993d1d52b7c9 (MD5) Previous issue date: 2013-05-27
Introduction: the International Classification of Functioning, Disability and Health offers a positive outlook of categorization to the individual that presents changes on function and/or of the structure of the body. Aims to describe the nature and severity of the limitations of functionality (OMS 2011). It is used as a statistical tool, clinical, educational, research and social policy. This classification has been incorporated and used in the sectors of health and multidisciplinary teams. Objective: to verify the applicability of the Hearing Handicap Inventory for the Elderly, to classify individuals according to the categories of the International Classification of Functioning, Disability and Health; establish the categories of the International Classification of Functioning, Disability and Health to individuals who have hearing loss and investigate the prevalence of changes to functionality in individuals with hearing loss. Method: it was applied the Hearing Handicap Inventory for the Elderly and then select the categories of the International Classification of Functioning, Disability and Health. Results: 44.83% showed severe perception of its inability. 62.1% presented: moderate hearing loss that affects the body's functions, the mental functions, perception and hearing (cod b1560.1), moderate hearing loss that affects the body's functions, sensory functions, the auditory functions and the detection of sound (cod b2300.1), qualitative change in the structure of the inner ear, in this case being characterized as sensorioneural bilateral moderate hearing loss (cod s2609.173); 62.1% does not present difficulty for situations involving conversation activities with the family (cod d 3508.0_); 58.6% does not present difficulty in hearing functions of auditory discrimination (cod b2308.0); 69.0% presents much difficulty to hear in their participation activities (cod d115.4 _), does not present difficulty in controlling emotions and impulses in complex personal interactions (cod d7202.0_), does not present difficulty to attend religious services (cod d 9309.0_); 51.7% presents great difficulties to participate in community life when it comes to ceremonies (cod d 9102.4_). Conclusion: the ICF offers important applicability to categorize individuals with hearing loss; the questionnaire used is partially applicable to classify on a complete form, the disabilities of the subjects with hearing loss
a Classificação Internacional de Funcionalidade, Incapacidade e Saúde propõe uma perspectiva positiva de categorização para o indivíduo que apresenta alterações de função e/ou da estrutura do corpo. Tem como objetivo descrever a natureza e a gravidade das limitações de funcionalidade (OMS 2011). Ë utilizada como uma ferramenta estatística, de pesquisa, clínica, pedagógica e de política social. Esta classificação vem sendo incorporada e utilizada nos setores da saúde e equipes multidisciplinares. Objetivo: verificar a aplicabilidade do Questionário de Auto-avaliação do Handicap Auditivo para Idosos, para classificar indivíduos segundo as categorias da Classificação Internacional de Funcionalidade, Incapacidade e Saúde; estabelecer as categorias da Classificação Internacional de Funcionalidade, Incapacidade e Saúde, para indivíduos que apresentem perda auditiva e investigar a prevalência de alterações na funcionalidade em indivíduos com perda auditiva. Método: foi realizado o Hearing Handicap Inventory for the Elderly e posteriormente selecionadas as categorias da Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Resultados: 44,83% apresentaram percepção severa de sua incapacidade. 62,1% apresentaram: perda auditiva moderada que afeta as funções do corpo, as funções mentais, de percepção e auditiva (cod b1560.1), perda auditiva moderada que afeta as funções do corpo, as funções sensoriais, as funções auditivas e a detecção do som (cod b2300.1), alteração qualitativa na estrutura do ouvido interno, neste caso sendo caracterizada como perda auditiva sensorioneural moderada bilateral (cod s2609.173); 62,1% não apresenta dificuldade para situações que envolvam atividades de conversação com a família (cod d3508.0_); 58,6% não apresenta dificuldade nas funções auditivas de discriminação auditiva (cod b2308.0); 69,0% apresenta muita dificuldade para ouvir nas suas atividades de participação (cod d115.4_), não apresenta dificuldade em controlar emoções e impulsos nas interações pessoais complexas (cod d7202.0_), não apresenta dificuldade para frequentar serviços religiosos (cod d9309.0_); 51,7% apresenta grande dificuldade para participar na vida comunitária quando se trata de cerimônias (cod d9102.4_). Conclusão: a CIF apresenta importante aplicabilidade para categorizar indivíduos com perda auditiva; o questionário utilizado é parcialmente aplicável para classificar de forma completa as incapacidades dos sujeitos com perda auditiva

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Krishnaprasad, Balaji. "Networked International Classification of Diseases, ninth revision (ICD-9) coder a .NET approach /." [Gainesville, Fla.] : University of Florida, 2003. http://purl.fcla.edu/fcla/etd/UFE0000726.

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Akkerman, Cindy A. "Intraoperative Neurophysiological Monitoring Reimbursement Post International Classification of Diseases-10." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6297.

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International Classification of Diseases the 10th Revision (ICD-10) was implemented October 1, 2015, and there was little knowledge how the transition to ICD-10 would impact the revenue cycle for intraoperative neurophysiological monitoring medical practices in Oklahoma. This correlational quantitative study examined the changes in dependent variables of reimbursements due to the change from ICD-9 to ICD-10 for independent variables of intraoperative neurophysiological monitoring procedure codes. The reimbursements from 2014 were compared to reimbursements from 2016. Prices were adjusted for inflation to 2016 dollar values. Annual reimbursements decreased for all intraoperative neurophysiological monitoring procedures examined except the remote monitoring code. The intraoperative neurophysiological monitoring procedure with the greatest mean annual decreases in reimbursement was the lower somatosensory evoked potentials. The intraoperative neurophysiological monitoring procedures with the least annual reimbursement decreases were transcranial electrical motor potential monitoring and electromyography. The findings of the budget-impact analysis and cost-effectiveness analysis indicated that reimbursement for procedures has steadily decreased from 2014 to 2016, causing a negative effect on practices' revenue cycle management. The findings of this study could benefit intraoperative neurophysiological monitoring companies in Oklahoma by supporting adjustments essential for healthcare leaders to maintain a financially sustainable intraoperative neurophysiological monitoring medical practice.

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Aygar, Alper. "Doppler Radar Data Processing And Classification." Master's thesis, METU, 2008. http://etd.lib.metu.edu.tr/upload/12609890/index.pdf.

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In this thesis, improving the performance of the automatic recognition of the Doppler radar targets is studied. The radar used in this study is a ground-surveillance doppler radar. Target types are car, truck, bus, tank, helicopter, moving man and running man. The input of this thesis is the output of the real doppler radar signals which are normalized and preprocessed (TRP vectors: Target Recognition Pattern vectors) in the doctorate thesis by Erdogan (2002). TRP vectors are normalized and homogenized doppler radar target signals with respect to target speed, target aspect angle and target range. Some target classes have repetitions in time in their TRPs. By the use of these repetitions, improvement of the target type classification performance is studied. K-Nearest Neighbor (KNN) and Support Vector Machine (SVM) algorithms are used for doppler radar target classification and the results are evaluated. Before classification PCA (Principal Component Analysis), LDA (Linear Discriminant Analysis), NMF (Nonnegative Matrix Factorization) and ICA (Independent Component Analysis) are implemented and applied to normalized doppler radar signals for feature extraction and dimension reduction in an efficient way. These techniques transform the input vectors, which are the normalized doppler radar signals, to another space. The effects of the implementation of these feature extraction algoritms and the use of the repetitions in doppler radar target signals on the doppler radar target classification performance are studied.

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Bremberg, Dennis, and Sarah Högdahl. "Ice Class Strengthening of Existing Reefer Vessels Trading in the Baltic Sea : - A comparative study of ice classifications 1D and 1C." Thesis, KTH, Skolan för teknikvetenskap (SCI), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-193658.

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This bachelor thesis strives to perspicuously answer what an ice strengthening of two different existing reefer vessels might mean for operations in the Baltic Sea and illustrate what factors a shipping company needs to consider when initiating such a project. The main purpose is to provide an information basis facilitating the communication between different parties in the shipping industry. The existing specialized reefer fleet is old and few new ships are being built or commissioned. At the same time, there is an increasing demand of shipping perishables to St. Petersburg, inciting the strengthening of existing ships to meet market demands. The methodology used in this report is a compilation of selective literature research (primarily providing qualitative, secondary data) and a comparative study in which the secondary data is applied on the reefer classes Crown and Family. While other classification societies are mentioned, this report focuses on Lloyd’s Register and the ice classes 1D and 1C, suitable for very light and light ice conditions and sailing in convoy with icebreaker assistance. Although ice class 1C is designated for tougher ice conditions than 1D, they share many strengthening requirements. Most substantially, the requirements for 1C concerning the forward region and steering arrangements, stipulated by the Swedish Maritime Administration (Swedish: Sjöfartsverket), are also applicable to 1D. The main differences between these classes originate from the expanse of waterline and structural strengthening in the ice belt, propeller and screw shaft requirements and lastly, the requirements concerning machinery layout and engine output. The results comprise of estimations regarding minimum engine output, ice belt cost, thickness and spread, bow strengthening and a commentary on the remaining requirements that have been omitted in the analysis. Conclusively, depending on the shipping company’s predefined operational and financial goals, the initial choice of class notation should be evident based on the information presented in this report. If, for example, the Crown class is intended for shipping perishable goods to St. Petersburg all year round, the incentives for converting the ship to ice class 1C are strong, due to a higher reliability in ETA. The effects of added weight and higher expenses could however advocate ice class 1D. Similarly, should the Family class only sail sporadically to St. Petersburg, it could be more financially sensible to convert the ship to ice class 1D.

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Staccone, Francesco. "Deep Learning for Sea-Ice Classification on Synthetic Aperture Radar (SAR) Images in Earth Observation : Classification Using Semi-Supervised Generative Adversarial Networks on Partially Labeled Data." Thesis, KTH, Skolan för elektroteknik och datavetenskap (EECS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-277920.

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Earth Observation is the gathering of information about planet Earth’s system via Remote Sensing technologies for monitoring land cover types and their changes. Through the years, image classification techniques have been widely studied and employed to extract useful information from Earth Observation data such as satellite imagery. One of the most attractive use cases is the monitoring of polar regions, that recently observed some dramatic changes due to global warming. Indeed drifting ice caps and icebergs represent threats to ship activities and navigation in polar areas, and the risk of collision with land-derived ice highlights the need to design a robust and automatic Sea-Ice classification for delivering up-to- date and accurate information. To achieve this goal, satellite data such as Sentinel-1 Synthetic Aperture Radar images from the European Union’s Copernicus program can be given in input to a Deep Learning classifier based on Convolutional Neural Networks capable of giving the content categorization of such images as output. For the task at hand, the availability of labeled data is generally scarce, there- fore the problem of learning with limited labeled data must be faced. There- fore, this work aims at leveraging the broader pool of unlabeled satellite data available to open up new classification solutions. This thesis proposes a Semi-Supervised Learning approach based on Generative Adversarial Networks. Such an architecture takes in input both labeled and unlabeled data and outputs the classification results exploiting the knowledge retrieved from both the data sources. Its classification performance is evaluated and it is later compared with the Supervised Learning approach and the Transfer Learning approach based on pre-trained networks. This work empirically proves that the Semi-Supervised Generative Adversarial Networks approach outperforms the Supervised Learning method, improving its Overall Accuracy by at least 5% in configurations with less than 100 training labeled samples available in the use cases under evaluation, achieving performance comparable to the Transfer Learning approach and even over- coming it under specific experimental configurations. Further analyses are then performed to highlight the effectiveness of the proposed solution.
Jordobservation är samlingen av information om jordklotets system via fjärravkänningstekniker för övervakning av landskapstyper och deras förändringar. Under årens lopp har bildklassificeringstekniker studerats och använts för att extrahera användbar information från jordobservationsdata som satellitbilder. Ett av de mest attraktiva användningsfallen är övervakningen av polära regioner, som nyligen observerade några dramatiska förändringar på grund av den globala uppvärmningen. Driftande istäcken och isberg representerar ett verkligt hot mot fartygsaktiviteter och navigering inom polära områden, och risken för kollision med land-baserad is belyser behovet av att utforma en robust och automatisk Hav-Is-klassificering för att leverera aktuell och korrekt information. För att uppnå detta mål kan satellitdata som Sentinel-1 Synthetic Aperture Radar-bilder från Europeiska unionens Copernicus-program ges som input till en Deep Learning-klassificerare baserad på Convolutional Neural Networks som kan ge innehållskategorisering av sådana bilder som output. För den aktuella uppgiften är tillgängligheten av märkt data i allmänhet otillräcklig, därför måste problemet med inlärning med begränsad mängd märkt data ställas inför rätta. Därav syftar detta arbete till att utnyttja den bredare samlingen av omärkt satellitdata som finns tillgänglig för att öppna nya klassificeringslösningar. Denna avhandling föreslår en Semi-Supervised Learning-strategi baserad på Generative Adversarial Networks. En sådan arkitektur tar som input både märkt och omärkt data, och matar ut klassificeringsresultat som utnyttjar den kunskap som hämtats från båda datakällorna. Dess klassificeringsprestanda ut- värderas och jämförs senare med tillvägagångssättet Supervised Learning och metoden Transfer Learning baserat på förtränade nätverk. Detta arbete bevisar empiriskt att Semi-Supervised Generative Adversarial Network överträffar metoden Supervised Learning och förbättrar dess totala noggrannhet med minst 5% i konfigurationer med mindre än 100 tränings- märkta prover tillgängliga i användningsfallen under utvärdering, vilket uppnår prestanda som både är jämförbar med Transfer Learning-metoden och överlägsen jämte den under specifika experimentella konfigurationer. Ytterligare analyser utförs sedan för att belysa effektiviteten hos den föreslagna lösningen.

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Minnaar, Phillip P. "Multi-element analysis of South African wines by ICP-AES and their classification according to geographical origin." Pretoria : [s. n.], 2009. http://upetd.up.ac.za/thesis/available/etd-10022009-171204/.

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Dissertations / Theses on the topic 'ICF classification'

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