AIM:To undertake a metasynthesis of qualitative studies to understand the health and social needs of people living with inflammatory bowel disease (IBD). METHODS:A systematic search strategy identified qualitative stu...AIM:To undertake a metasynthesis of qualitative studies to understand the health and social needs of people living with inflammatory bowel disease (IBD). METHODS:A systematic search strategy identified qualitative studies exploring the phenomenon of living with inflammatory bowel disease. Databases included MEDLINE, PsychInfo, EMBASE, CINAHL and the British Nursing Index via the OVID platform. Qualitative search filters were adapted from Hedges database (http://www.urmc.rochester.edu/hslt/miner/ digital_library/tip_sheets/Cinahl_eb_filters.pdf). Qualitative empirical studies exploring the health and social needs of people living with inflammatory bowel disease were selected. Study eligibility and data extraction were independently completed using the Critical Appraisal Skills Programme for qualitative studies. The studies were analysed and synthesised using metasynthesis methodology. The themes from the studies allowed for common translations into a new interpretation of the impact of living with inflammatory bowel disease. RESULTS:Of 1395 studies, six published studies and one unpublished thesis fulfilled the inclusion criteria. First iteration of synthesis identified 16 themes, 2nd iteration synthesised these into three main 2nd order constructs:"detained by the disease"; "living in a world of disease" and "wrestling with life". "Detained by the disease" is the fear of incontinence, the behaviour the patients display due to the fear, and the impact this has on the individual, such as social isolation and missing out on life events. All of these serve to "pull" the patient back from normal living. "Living in a world of disease" is the long term effects of living with a long term condition and the fear of these effects. "Wrestling with life" is the continued fight to thrive, the "push" to continue normal living. CONCLUSION:The metasynthesis provides a comprehensive representation of living with IBD. The unmistakeable burden of incontinence is exposed and its ongoing effects are demonstrated. The combined overall impact of living with IBD is the tension these patients live with:"Pushed and pulled:a compromised life", people living with IBD experience a constant conflict throughout their lives, they push to be normal but IBD pulls them back. The impact of the fear of incontinence and behaviour of the individual as a result, requires further qualitative enquiry.展开更多
In this paper, the structure characteristics of open complex giant systems are concretely analysed in depth, thus the view and its significance to support the meta synthesis engineering with manifold knowledge models...In this paper, the structure characteristics of open complex giant systems are concretely analysed in depth, thus the view and its significance to support the meta synthesis engineering with manifold knowledge models are clarified. Furthermore, the knowledge based multifaceted modeling methodology for open complex giant systems is emphatically studied. The major points are as follows: (1) nonlinear mechanism and general information partition law; (2) from the symmetry and similarity to the acquisition of construction knowledge; (3) structures for hierarchical and nonhierarchical organizations; (4) the integration of manifold knowledge models; (5) the methodology of knowledge based multifaceted modeling.展开更多
In this paper, a new parallel compact integration scheme based on multi-layer perceptron (MLP) networks is proposed to solve handwritten Chinese character recognition (HCCR) problems. The idea of metasynthesis is appl...In this paper, a new parallel compact integration scheme based on multi-layer perceptron (MLP) networks is proposed to solve handwritten Chinese character recognition (HCCR) problems. The idea of metasynthesis is applied to HCCR, and compact MLP network classifier is defined. Human intelligence and computer capabilities are combined together effectively through a procedure of two-step supervised learning. Compared with previous integration schemes, this scheme is characterized with parallel compact structure and better performance. It provides a promising way for applying MLP to large vocabulary classification.展开更多
文摘AIM:To undertake a metasynthesis of qualitative studies to understand the health and social needs of people living with inflammatory bowel disease (IBD). METHODS:A systematic search strategy identified qualitative studies exploring the phenomenon of living with inflammatory bowel disease. Databases included MEDLINE, PsychInfo, EMBASE, CINAHL and the British Nursing Index via the OVID platform. Qualitative search filters were adapted from Hedges database (http://www.urmc.rochester.edu/hslt/miner/ digital_library/tip_sheets/Cinahl_eb_filters.pdf). Qualitative empirical studies exploring the health and social needs of people living with inflammatory bowel disease were selected. Study eligibility and data extraction were independently completed using the Critical Appraisal Skills Programme for qualitative studies. The studies were analysed and synthesised using metasynthesis methodology. The themes from the studies allowed for common translations into a new interpretation of the impact of living with inflammatory bowel disease. RESULTS:Of 1395 studies, six published studies and one unpublished thesis fulfilled the inclusion criteria. First iteration of synthesis identified 16 themes, 2nd iteration synthesised these into three main 2nd order constructs:"detained by the disease"; "living in a world of disease" and "wrestling with life". "Detained by the disease" is the fear of incontinence, the behaviour the patients display due to the fear, and the impact this has on the individual, such as social isolation and missing out on life events. All of these serve to "pull" the patient back from normal living. "Living in a world of disease" is the long term effects of living with a long term condition and the fear of these effects. "Wrestling with life" is the continued fight to thrive, the "push" to continue normal living. CONCLUSION:The metasynthesis provides a comprehensive representation of living with IBD. The unmistakeable burden of incontinence is exposed and its ongoing effects are demonstrated. The combined overall impact of living with IBD is the tension these patients live with:"Pushed and pulled:a compromised life", people living with IBD experience a constant conflict throughout their lives, they push to be normal but IBD pulls them back. The impact of the fear of incontinence and behaviour of the individual as a result, requires further qualitative enquiry.
文摘In this paper, the structure characteristics of open complex giant systems are concretely analysed in depth, thus the view and its significance to support the meta synthesis engineering with manifold knowledge models are clarified. Furthermore, the knowledge based multifaceted modeling methodology for open complex giant systems is emphatically studied. The major points are as follows: (1) nonlinear mechanism and general information partition law; (2) from the symmetry and similarity to the acquisition of construction knowledge; (3) structures for hierarchical and nonhierarchical organizations; (4) the integration of manifold knowledge models; (5) the methodology of knowledge based multifaceted modeling.
文摘In this paper, a new parallel compact integration scheme based on multi-layer perceptron (MLP) networks is proposed to solve handwritten Chinese character recognition (HCCR) problems. The idea of metasynthesis is applied to HCCR, and compact MLP network classifier is defined. Human intelligence and computer capabilities are combined together effectively through a procedure of two-step supervised learning. Compared with previous integration schemes, this scheme is characterized with parallel compact structure and better performance. It provides a promising way for applying MLP to large vocabulary classification.
