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Sunday, May 15, 2022

Hostile media effect

From Wikipedia, the free encyclopedia

The hostile media effect, originally deemed the hostile media phenomenon and sometimes called hostile media perception, is a perceptual theory of mass communication that refers to the tendency for individuals with a strong preexisting attitude on an issue to perceive media coverage as biased against their side and in favor of their antagonists' point of view. Partisans from opposite sides of an issue will tend to find the same coverage to be biased against them. The phenomenon was first proposed and studied experimentally by Robert Vallone, Lee Ross and Mark Lepper.

Studies

In 1982, the second major study of this phenomenon was undertaken; pro-Palestinian students and pro-Israeli students at Stanford University were shown the same news filmstrips pertaining to the then-recent Sabra and Shatila massacre of Palestinian refugees by Christian Lebanese militia fighters abetted by the Israeli army in Beirut during the Lebanese Civil War. On a number of objective measures, both sides found that these identical news clips were slanted in favor of the other side. Pro-Israeli students reported seeing more anti-Israel references and fewer favorable references to Israel in the news report and pro-Palestinian students reported seeing more anti-Palestinian references, and so on. Both sides said a neutral observer would have a more negative view of their side from viewing the clips, and that the media would have excused the other side where it blamed their side.

Subsequent studies have found hostile media effects related to other political conflicts, such as strife in Bosnia, immigration in the U.S. and in U.S. presidential elections, as well as in other areas, such as media coverage of the South Korean National Security Act, the 1997 United Parcel Service Teamsters strike, genetically modified food, and sports.

The effect was originally dubbed "hostile media phenomenon" by Vallone et al, and is occasionally referred to as "hostile media perception," since it seems to precipitate the effects of media. In a 2015 meta-analysis of the subject, Perloff said "hostile media effect" is the most often used term:

The most common term is "hostile media effect," perhaps because scholars appreciate that the "effect" term cuts to the heart of the mass communication research enterprise and captures the theoretically intriguing aspect of the hostile media phenomenon.

The effect appears to be something of a disconfirmation bias, or "a contrast bias – a deviation of judgment in which a partisan individual perceives or evaluates media content to be further away, in terms of valence, from his or her own point of view." In other words, the intention of the reporter or the story is irrelevant – those "partisans" who consume the content find the content that is hostile to their point of view on their own.

An oft-cited forerunner to Vallone et al.'s study was conducted by Albert Hastorf and Hadley Cantril in 1954. Princeton and Dartmouth students were shown a filmstrip of a controversial Princeton-Dartmouth football game. Asked to count the number of infractions committed by both sides, students at both universities "saw" many more infractions committed by the opposing side, in addition to making different generalizations about the game. Hastorf and Cantril concluded that "there is no such 'thing' as a 'game' existing 'out there' in its own right which people merely 'observe.' ... For the 'thing' simply is not the same for different people whether the 'thing' is a football game, a presidential candidate, Communism, or spinach."

Explanations

Cognitive

Three cognitive mechanisms for explaining the hostile media effect have been suggested:

  • Selective recall refers to memory and retrieval. In instances of the hostile media effect, partisans should tend to remember more of the disconfirming portions of a message than the parts that support their position, in a variation of the negativity effect. Vallone and his colleagues observed selective recall differing along partisan lines even on simple, objective criteria such as the number of references to a given subject. However, numerous studies have documented the hostile media effect even when selective recall is positive rather than negative.
  • Selective perception refers to the process by which individuals perceive what they want to in media messages while ignoring opposing viewpoints. In instances of the hostile media effect, partisans have a heightened tendency to interpret aspects of a message as unfavorable – or hostile – as opposed to categorizations by non-partisans. In other words, selective perception is a form of bias because we interpret information in a way that is congruent with our existing values and beliefs.
  • The different standards explanation or motivated reasoning refers to the validity of arguments. This is confirmation bias taken to the next level. It leads people to confirm what they already believe, while ignoring contrary data. But it also drives people to develop elaborate rationalizations to justify holding beliefs that logic and evidence have shown to be wrong. Motivated reasoning responds defensively to contrary evidence, actively discrediting such evidence or its source without logical or evidentiary justification. It seems to be assumed by social scientists that motivated reasoning is driven by a desire to avoid cognitive dissonance. It suggests that reason partisans are so prone to see an unbiased message in a hostile light is because of the strength of the favorable argument they have built in their minds over time. Rather than seeing confirmation bias as an opposite force of hostile media effect, the different standards explanation sees it as a contributing force. As Vallone et al. noted in the seminal study:

Partisans who have consistently processed facts and arguments in light of their preconceptions and prejudices [...] are bound to believe that the preponderance of reliable, pertinent evidence favors their viewpoint. Accordingly, to the extent that the small sample of evidence and argument featured in a media presentation seems unrepresentative of this larger "population" of information, perceivers will charge bias in the presentation and will be likely to infer hostility and bias on the part of those responsible for it.

It is important to note that these criteria allow for specific measures beyond subjective generalizations about the media coverage as a whole, such as what might be expressed as "I thought that the news has been generally biased against this side of the issue." The research suggests the hostile media effect is not just a difference of opinion but a difference of perception (selective perception).

Source factors

Characteristics of the message source may also influence the hostile media effect. A source perceived to be friendly to the partisan (usually because of agreeable ideology or geographic proximity to the group) is less likely to invoke the hostile media effect than a source that is disagreeable or geographically detached. In numerous studies, Albert C. Gunther and his associates have suggested that the ability of mass media to reach a large audience is what triggers the hostile media effect. Consistently, they found that a message appearing to originate from a newspaper was perceived as hostile by partisans, while an identical message appearing in a student essay was perceived as unbiased, or even favorable toward the partisan cause.

The phenomenon also exists for personalities on television – partisans in a study were found to perceive significantly less bias in a host they perceive as like-minded.

Consistent with a hostile media effect, issue partisans perceived less bias in opinionated news hosts whose viewpoints cohered with their own than did non-partisans and especially partisans on the opposing side of the issue. In most cases, these partisan differences were as big as—if not bigger than—the differences seen in response to non-opinionated news, indicating that even blatant deviations from journalistic norms do not quell partisan selectivity in news perceptions, at least when it comes to perceived bias in the host of opinionated programs.

While partisans can agree on the bias of a particular source, the reasons for that bias appears to account for the difference; that is, consumers on both sides of an issue may see bias in a particular story, but are more likely to attribute that story to a host they perceive as hostile to their own particular cause.

Partisanship

All of these explanatory mechanisms are influenced by partisanship. From the first studies, the hostile media effect has required an audience of partisans, with stronger beliefs correlating with stronger manifestations of the effect. Increasing devotion to a particular side of an issue leads to increasing levels of biased information processing, whether out of protection of personal values or a strong sense of group affiliation.

Relative hostile media effect

Early hostile media effect studies measured perceptions of a media message designed to be unbiased. As ideologically diversified news outlets became more commonplace, later experiments began to use messages that were less objective. They found that while partisans on both sides of an issue recognized the bias, the group the message opposed perceived a greater degree of bias than the group the message supported. This variation is referred to as the relative hostile media effect, and has been demonstrated in media coverage of the use of primates for lab testing. Gunther et al. said, "the relative hostile media effect occurs when individuals with different attitudes toward the issue exhibit significantly different evaluations of the same media content.”

In fact, as Glass et al. noted in a 2000 study, "partisans tend to see objectively biased articles as 'even-handed' if the bias impugns the opposition group." The study measured the responses of pro-choice and pro-life voters, finding that "people with more extreme views on abortion sometimes evaluate biased news articles as being fair, but only when the opposing side is being gored."

The effect appears to exist more among conservatives than liberals, according to multiple studies. When randomly assigned either a clip from Comedy Central's The Daily Show (liberal), or a similar program from Fox News (conservative), conservatives perceived significantly more bias in the program than liberal subjects. It is entirely possible that the "relative hostile media effect," in this case, is a function of preconceived biases related to the program itself, rather than the content. In a 1998 study, Dalton et al., found that newspaper readers were best able to detect the partisan stands of their newspapers when the newspaper sent a clear and unambiguous political signal; otherwise, individual partisanship predominated in judgments. Unsurprisingly, studies related to media content that is strictly opinionated – that is, media content that is not intended to be unbiased – have shown that partisans are quite capable of identifying bias in those conditions.

Media literacy

Studies have been conducted to determine whether media literacy – competency in analyzing and evaluating messages from mass media – might affect a media consumer's HME, thus far to limited results. In a 2014 study, participants watched a Media Literacy PSA prior to watching manipulated television programs, then asked to rate their perceptions of the relative hostility of the media afterwards. The effects were strong in some areas but less so in others. "Given that the digital media environment allows individuals to select their own media content – and people tend to choose what they find more credible – in some cases a news media literacy message may spur further selection into agreeable political enclaves, now seen as even more credible, and contribute to rising political polarization" (26). Besides media literacy messages, empathy was introduced to news messages to see whether the emotion can reduce HME. People were found to perceive higher levels of media favorability toward their personal position, but not a reduction in media hostility toward the opposing side.

Moderators

Reach

Gunther and Schmitt attempted to discern why in some cases research subjects faulted ambiguous, contradictory information, and supported it in other cases. One conclusion they suggested was the reach of the publication – that is, the hostile media effect is likely to emerge when participants are estimating the effects on others of mass media with a large reach, but biased assimilation would occur when the participants are judging media with lower reach (in this case, a research report that presumably reaches only people in a particular field).

Involvement

Hansen and Kim found that involvement is positively correlated with hostile media effect; that is, the effect increases as individuals become more involved with the issue. The study also found a significant effect that emerged with those who have low involvement. Other studies have found high correlations of the effect in value-relevant involvement and in affective involvement.

Social identity

Social identity theory suggests that media coverage of an ego-involving issue will activate group identity and increase the salience of the issue among members of a group that champions a particular political or social cause. This in turn triggers self-categorization processes, as ingroup members differentiate themselves from their counterparts in the outgroup, seeking to elevate their self-esteem by viewing the ingroup as superior to the disliked outgroup on core dimensions. When exposed to controversial media coverage that contains unfavorable depictions of the ingroup, group members, concerned about the perceived inaccuracy of the portrayals and convinced that the portrayals undermine the group's legitimacy in the larger society, cope by derogating media coverage, viewing it as hostilely biased. In this way, they reduce the symbolic threat and restore valued social self-esteem.

A related potential moderator is the outgroup membership of the message source. Reid found that more politically extreme Democratic students perceived less bias when a polemical assault on their group was attributed to a Democratic (ingroup) organization, but detected more bias when the attack was ascribed to a pro-Republican outgroup.

Mediators

Perloff identified four factors as the reasons those individuals with strong attitudes towards a particular issue, as well as high involvement, might perceive hostile media bias: selective recall, which causes partisans to focus more on contradictory information; selective categorization, in which partisans categorize more content as unfair to their position than fair; different standards, in which partisans classify more of the content that reflects positively on their position as accurate, and information that reflects negatively as inaccurate; and prior beliefs about media bias, in which partisans judge media content unfairly based on a generalized negative set of beliefs about the media in general.

Hostile media online

Research around HME in the digital age is still in relative infancy. Partisan users of online media have abilities to interact with the mass media in a way they have never before. Some may attribute the effects of hostile media in the future to issue-specific social media messages, for example. Relative effects may be higher, however, in the digital media future:

Partisans on both sides could easily agree that a series of posts is biased in one ideological direction, but those whose political ox is being gored should be more likely to presume bias and hostile intent. More generally, anecdotal evidence suggests that individuals perceive that social media messages have strong effects, frequently perceiving that negative communications will have deleterious influences on online third persons.

Indeed, news audiences were found to perceive malicious intent based on their personal political stance, contributing to hostile perceptions with Facebook news messages.

Consequences

Persuasive press inference

Gunther and Chia invoked the concept of persuasive press inference in a 2001 study, in which individuals form impressions of the direction or slant of news coverage, extrapolate that news in general resembles the news stories they personally viewed, assume that high-reach news influences the public, and therefore presume that public opinion corresponds with the perceived directionality of news. Therefore, those partisans who begin with the belief in a hostile media will conclude that public opinion is opposed to their particular cause. Research for this hypothesis has produced mixed results.

It is not clear if the hostile media effect translates into real-world effects. Some research has explored the ways in which individuals take action to "'correct' perceived 'wrongs'" created by a perceived hostile media depiction of the individuals' group. This research has suggested that these individuals effectively feel disenfranchised, and may react by "defying the dominant public opinion climate, even engaging in undemocratic actions, and other times adopting a more passive approach, withdrawing from functional political or social activities."

Motivated fake news perception

Tsang has revealed that the hostile media perception can be applied to a fake news context. Partisans from opposing sides were found to perceive the exact same news message to be fake to significantly varying degrees.

Sectarian violence

From Wikipedia, the free encyclopedia
 
Sectarian battle between Sunnis and Twelver Shias at the Battle of Chaldiran (Ottoman and Safavad wars)

Sectarian violence and/or sectarian strife is a form of communal violence which is inspired by sectarianism, that is, discrimination, hatred or prejudice between different sects of a particular mode of an ideology or different sects of a religion within a nation/community. Religious segregation often plays a role in sectarian violence.

Concept

According to the Stockholm International Peace Research Institute:

Traditionally, sectarian violence implies a symmetrical confrontation between two or more non-state actors representing different population groups.

Sectarian violence differs from the concept of race riot. It may involve the dynamics of social polarization, the balkanization of a geographic area along the lines of self-identifying groups, and protracted social conflict.

Some of the possible enabling environments for sectarian violence include power struggles, political climate, social climate, cultural climate, and economic landscape.

Among Buddhists

In Japan

In the Japanese Middle Ages, different Buddhist sects had private armies that frequently clashed. See Buddhism and violence and warrior monks.

Among Christians

Catholic-Eastern Orthodox

Although the First Crusade was initially launched in response to an appeal from Byzantine Emperor Alexios I Komnenos for help in repelling the invading Seljuq Turks from Anatolia, one of the lasting legacies of the Crusades was to "further separate the Eastern and Western branches of Christianity from each other."

European wars of religion

The Battle of the White Mountain in Bohemia (1620)—one of the decisive battles of the Thirty Years War

Following the onset of the Protestant Reformation, a series of wars were waged in Europe starting circa 1524 and continuing intermittently until 1648. Although sometimes unconnected, all of these wars were strongly influenced by the religious change of the period, and the conflict and rivalry that it produced. According to Miroslav Volf, the European wars of religion were a major factor behind the "emergence of secularizing modernity".

In the St. Bartholomew's Day massacre followers of the Roman Catholic Church killed up to 30,000 Huguenots (French Protestants) in mob violence. The massacres were carried out on the national day celebrating Bartholomew the Apostle. Pope Gregory XIII sent the leader of the massacres a Golden Rose, and said that the massacres "gave him more pleasure than fifty Battles of Lepanto, and he commissioned Giorgio Vasari to paint frescoes of it in the Vatican". The killings have been called "the worst of the century's religious massacres", and led to the start of the fourth war of the French Wars of Religion.

Northern Ireland

A modern Protestant mural in Belfast celebrating Oliver Cromwell and his activities

Since the 16th century there has been sectarian conflict of varying intensity between Roman Catholics and Protestants in Ireland. This religious sectarianism is connected to a degree with nationalism. Northern Ireland has seen inter-communal conflict for more than four centuries and there are records of religious ministers or clerics, the agents for absentee landlords, aspiring politicians, and members of the landed gentry stirring up and capitalizing on sectarian hatred and violence back as far as the late 18th century.

William E.H. Lecky, an Irish historian, wrote in 1892 that, "If the characteristic mark of a healthy Christianity be to unite its members by a bond of fraternity and love, then there is no country where Christianity has more completely failed than Ireland".

Steve Bruce, a sociologist, wrote;

The Northern Ireland conflict is a religious conflict. Economic and social considerations are also crucial, but it was the fact that the competing populations in Ireland adhered and still adhere to competing religious traditions which has given the conflict its enduring and intractable quality. Reviewers agreed "Of course the Northern Ireland conflict is at heart religious".

John Hickey wrote;

Politics in the North is not politics exploiting religion. That is far too simple an explanation: it is one which trips readily off the tongue of commentators who are used to a cultural style in which the politically pragmatic is the normal way of conducting affairs and all other considerations are put to its use. In the case of Northern Ireland the relationship is much more complex. It is more a question of religion inspiring politics than of politics making use of religion. It is a situation more akin to the first half of seventeenth century England than to the last quarter of twentieth‑century Britain.

The period from 1969 to 1998 is known as "The Troubles", a period of frequent violence and tense relations between Northern Ireland's communities. About one in eight females and one in five males in Northern Ireland identified themselves as belonging to no religion. However, people of no religion and non-Christian faiths are still considered as belonging to one of the two "sects" along with churchgoers. People of no religion are less likely to support the main, constitution-oriented main political parties, or more likely to support a more neutral political party such as the Alliance Party of Northern Ireland.

About two-thirds of people with no religion tend to think of themselves as neither unionist or nationalist, although a much higher percentage of those with no religion tend to think of themselves as unionist than nationalist.

For people who describe themselves as Protestant or Roman Catholic, a small majority of them appear to favour one of the two main political parties on either side: the Democratic Unionist Party or the Ulster Unionist Party for Protestants; and Sinn Féin or the Social Democratic and Labour Party for Roman Catholics. In each case, the percentage in the Northern Irish Life & Times Survey in 2015 was 57%. Roman Catholics are more likely to reject the label British (59%) than Protestants are to reject the label Irish (48%).

Protestants are more likely to consider the British identity as the 'best' single way to describe themselves, at 67%, with Roman Catholics close behind at 63% who consider the best single way to describe themselves as Irish. There is an equal level of support for the more neutral Northern Irish identity, with 25% of people from each religion likely to choose that label as the best description. Over a third of people with no religion prefer to be described as Northern Irish.

There are organizations dedicated to the reduction of sectarianism in Northern Ireland. The Corrymeela Community (in Ballycastle, County Antrim), operates a retreat centre on the northern coast of Northern Ireland to bring Catholics and Protestants together to discuss their differences and similarities. The Ulster Project works with teenagers from Northern Ireland and the United States to provide safe, non-denominational environments to discuss sectarianism in Northern Ireland. These organizations are attempting to bridge the gap of historical prejudice between the two religious communities.

Although state schools in Northern Ireland are non-denominational, most Catholic parents still send their children to specifically Catholic schools or Irish-language medium schools, thus ensuring that state school students are almost wholly Protestant. There are some integrated schools and the Society of Friends (Quakers) have long been an advocate of co-education in terms of religion, operating the Friends' School in Lisburn (first established in 1774).

Yugoslav wars

Howard Goeringer criticizes both the "Catholic Pope and the Orthodox Patriarch" for failing to condemn the "deliberate massacre of men, women and children in the name of 'ethnic cleansing' as incompatible with Jesus' life and teaching."

Rwandan genocide

The majority of Rwandans, and Tutsis in particular, are Catholic, so shared religion did not prevent genocide. Miroslav Volf cites a Roman Catholic bishop from Rwanda as saying, "The best cathechists, those who filled our churches on Sundays, were the first to go with machetes in their hands". Ian Linden asserts that "there is absolutely no doubt that significant numbers of prominent Christians were involved in sometimes slaughtering their own church leaders." According to Volf, "what is particularly disturbing about the complicity of the church is that Rwanda is without doubt one of Africa’s most evangelized nations. Eight out of ten of its people claimed to be Christians."

When the Roman Catholic missionaries came to Rwanda in the late 1880s, they contributed to the "Hamitic" theory of race origins, which taught that the Tutsi were a superior race. The Church has been considered to have played a significant role in fomenting racial divisions between Hutu and Tutsi, in part because they found more willing converts among the majority Hutu. The Organisation of African Unity (OAU) report on the genocide states,

In the colonial era, under German and then Belgian rule, Roman Catholic missionaries, inspired by the overtly racist theories of 19th century Europe, concocted a destructive ideology of ethnic cleavage and racial ranking that attributed superior qualities to the country's Tutsi minority, since the missionaries ran the colonial-era schools, these pernicious values were systematically transmitted to several generations of Rwandans...

The Roman Catholic Church argues that those who took part in the genocide did so without the sanction of the Church. Although the genocide was ethnically motivated and religious factors were not prominent, Human Rights Watch reported that a number of religious authorities in Rwanda, particularly Roman Catholic, failed to condemn the genocide publicly at the time.

Some Christian leaders have been convicted by the International Criminal Tribunal for Rwanda for their roles in the genocide. These include Rwandan Roman Catholic priests and nuns as well as a Seventh-day Adventist Church pastor.

Scotland

Scotland, which is very close to Northern Ireland, suffers from a spill-over of sectarianism, largely owing to the Troubles in Northern Ireland as many people, particularly in the West of Scotland, have links to Northern Ireland by genealogy or immigration.

Scotland's two largest and best supported football clubs—Glasgow Rangers, which, for many generations, has largely been identified with Protestants and unionism, and Glasgow Celtic, which, since its founding in the late 19th century, has been identified with Roman Catholics and Irish nationalism or republicanism—both subscribe, with varying degrees of success, to government initiatives and charities like the Nil by Mouth campaign are working in this area.

Celtic previously sent letters to every season ticket holder reminding supporters that no form of sectarianism is welcome at Celtic Park. Rangers' anti-sectarian policy is called Follow With Pride.

Among Muslims

Sectarian violence between the two major sects of Islam, Shia and Sunni, has occurred in countries like Pakistan, Iraq, Afghanistan, Bahrain, Lebanon etc. This violent conflict has roots in the political turmoil arising out of differences over the succession to Muhammad. Abu Bakr, a companion of Muhammad, was nominated by Umar and elected as the first Sunni Rightly Guided Caliph. However another group felt that Ali, the cousin and son-in-law of Muhammad, had been designated by Muhammad and is considered by Shia as the first Imam.

According to Sunnis, Abu Bakr was followed by Umar as caliph of the Rashidun Caliphate, then by Uthman ibn Affan and finally by Ali. Ali's right to rule was challenged by Muawiyah bin Abu Sufian, governor of Syria, who believed that Ali should have acted faster against the murderers of Uthman. The situation deteriorated further when many of those responsible for the death of Uthman rallied behind Ali. However, later on, both the parties agreed to have some one as a judge between them. This led to the separation of an extremist group known as Kharijites from Ali's army, which pronounced the judgement belonged to God alone. A member of this group later assassinated Ali. By breaching, Hasan-Muawiyah Treaty, Muawiyah appointed his son Yazid as his successor. The credentials and rule of Yazid were challenged by Ali's son Hussein ibn Ali (and grandson of Muhammad). A battle at Karbala in Iraq led to the martyrdom of Hussein and dozens of others from Ahl al-Bayt (the members of the family of Muhammad).

This tragic incident created deep fissures in the Muslim society. The conflict that had started at a political plane intervened with the dogma and belief systems. Those who consider Ali to be the true heir to the Muhammad are known as "Shia" referring to Shian-e-Ali. The other Muslims are known as "Sunni" meaning "followers of the Traditions of The Prophet".

In Iraq

In February 2006, a full-scale civil war erupted in Iraq, when violence between the two Muslim rival sects erupted. It has left tens of thousands to hundred thousands of people dead and dozens of mosques and homes destroyed.

In Pakistan

In Pakistan sectarianism exhibited its first organized nature in early 1980 when two rival organizations were established: Tehrik-e-Jafaria (TFJ) (Organization of the Jafri (Shia) Law) represented Shia communities, and Sipah-e-Sahaba Pakistan (SSP) (Guardian of the Companions of the Prophet) representing Sunnis. The first major incident of this sectarian violence was killing of the Arif Hussain Hussaini, founding leader of TFJ in 1986.

In retaliation Haq Nawaz Jhangvi, founder of the (SSP) was murdered. Since then internecine bloody vendetta has ensued. The focus of this violence has been Kurram, Hangu, Dera Ismail Khan, Bahawalpur, Jhang, Quetta,Gigit- Baltistan and Karachi.

The transformation of the sectarian conflict to a violent civil war in Pakistan coincided[citation needed] with the establishment of the Islamic republic in Iran and promotion of the Sunni religion and its incorporation in the state institutions by General Muhammad Zia-ul-Haq, regime in Pakistan.

The Iranian Revolution was led by Shia clerics, and it influenced Shia communities all over the world. In Pakistan Tehrik-e-Jafaria was established with the demands of enforcing the Sharia Law. This demand was viewed as detrimental by the Sunni religious leaders. In response SSP was established by the Sunni extremist clerics. Many of these clerics had a background in the sectarian strife against the Ahmadis (a heterodox sect considered non-Muslim by majority of the Muslims)

In Somalia

Ahlu Sunna Waljama'a is a Somali paramilitary group consisting of Sufis and moderates opposed to the radical Islamist group Al-Shabaab. They are fighting in order to prevent Wahhabism from being imposed on Somalia and to protect the country's Sunni-Sufi traditions and generally moderate religious views.

In Syria

The Syrian civil war gradually shifted towards a more sectarian nature. Pro-Assad militant groups are largely Shia, while anti-Assad militant groups are Sunni.

In Yemen

In Yemen, there have been many clashes between Sunnis and Shia Houthis. According to The Washington Post, "In today’s Middle East, activated sectarianism affects the political cost of alliances, making them easier between co-religionists. That helps explain why Sunni-majority states are lining up against Iran, Iraq and Hezbollah over Yemen."

Quantum logic gates

Quantum logic gates

INTRODUCTION

Traditional computers are like microscopic cities. The roads of these cities are wires with electricity coursing through them. These roads have lots of gates, known as logic gates, which enable computers to do their job. Like physical gates that allow or block cars, logic gates allow or block electricity. Electricity that goes through the gates represents a “1” of digital data, and blocked electricity is a “0”. Like this, in quantum world there is quantum bits(aka qubit) and quantum gates. In quantum computing the information is encoded in qubits.

A qubit is a two-level quantum system where the two basis qubit states are usually written as |0⟩ (“|⟩” represent Dirac notation) and |1⟩. A qubit can be in state |0⟩, |1⟩ or (unlike a classical bit) in a linear combination of both states. For example one qubit vector presentation is:

|ψ⟩ = α|0⟩ + β|1⟩

where ψ is a qubit and (α, β) is a two-dimensional complex vector with a length of one(also they are complex probability amplitudes).

The name of this phenomenon is superposition.

Unlike many classical logic gates, quantum logic gates are reversible(it means that if I tell you the operation I did and the output of that operation, you can always tell the input of that operation).

SINGLE QUBIT QUANTUM GATES

Now let’s talk about quantum gates which works only with one qubit input value. Now we will use vector representation of |0⟩ and |1⟩.

Hadamard gate(H)

Mathematically Hadamard gate is 2x2 matrix:

matrix and circuit representation respectively

The Hadamard gate acts on a single qubit. It maps the basic states |0⟩ and |1⟩ into exactly equal superposition.

The Hadamard gate also takes a qubit in exactly-equal superposition, and transforms it into a |0⟩ or|1⟩-bit

Remember operations are their own inverse!

Pauli gates (X, Y , Z)

The Pauli gates (X, Y, Z) are the three Pauli matrixes and act on single qubit. The Pauli-X gate is the quantum equivalent of the NOT gate for classical computers with respect to the standard basis |0⟩ and |1⟩. It is sometimes called a bit-flip as it maps |0⟩ to |1⟩ and |1⟩ to |0⟩.

Similarly, the Pauli-Y maps |0⟩ to i|1⟩ and |1⟩ to -i|0⟩.

The Pauli-Z leaves the basic state |0⟩ unchanged and maps |1⟩ to -|1⟩. Due to this nature, the Pauli-Z is sometimes called phase-flip.

The Pauli matrices are involutory, meaning that the square of a Pauli matrix is the identity matrix.

Phase gate (S)

It acts on one qubit, leaves unchanged |0⟩ and transforms |1⟩ into i|1⟩

DOUBLE QUBIT QUANTUM GATES

Before we start working on double quantum gates, we should mention tensor product of two vectors. The tensor product is used to combine quantum states. The combined state of two qubits is the tensor product of two qubits. It is denoted as ⊗, and looks like this:

Controlled NOT gate(CNOT)

One of the most important two-bit logic elements is the controllable NOT gate.

If the first qubit is in the |0⟩ state, then it does not change the second qubit, and if the first qubit is in the |1⟩ state, then it changes the value of the second, converting zero to one and vice versa.

SWAP gate

It acts on 2 qubits and leaves |00⟩ and |11⟩ unchanged and |01⟩ moves to |10⟩ and vice versa

TRIPLE QUBIT QUANTUM GATES

Toffoli gate(CCNOT)

The Toffoli element operates on 3 qubits, it is also called a controlled-controlled NOT (CCNOT) gate. It is universal (universal is an element that can perform any logical function without the help of other elements) for classical calculations but not for quantum computations. He leaves everything up to three cubits unchanged and alone |110⟩ moves to |111⟩ and vice versa. Its matrix will be written like this:

EXTRA: CIRCUIT COMPOSITION

Serially wired gates

Assume that we have two gates A and B, that both act on n qubits. When B is put after A in a series circuit, then the effect of the two gates can be described as a single gate C.

C = B * A

where * is matrix multiplication. The resulting gate C will have the same dimensions as A and B. The order in which the gates would appear in a circuit diagram is reversed when multiplying them together.

For example, putting the Pauli-X gate after the Pauli-Y gate, both of which act on a single qubit, can be described as a single combined gate C:

Parallel wired gates

When connected in parallel, these gates will give you a tensor product. If we connect Paul-Y gate to Paul-X gate in parallel then we get that:

and formula for it will be:


Saturday, May 14, 2022

Medical classification

From Wikipedia, the free encyclopedia

A medical classification is used to transform descriptions of medical diagnoses or procedures into standardized statistical code in a process known as clinical coding. Diagnosis classifications list diagnosis codes, which are used to track diseases and other health conditions, inclusive of chronic diseases such as diabetes mellitus and heart disease, and infectious diseases such as norovirus, the flu, and athlete's foot. Procedure classifications list procedure code, which are used to capture interventional data. These diagnosis and procedure codes are used by health care providers, government health programs, private health insurance companies, workers' compensation carriers, software developers, and others for a variety of applications in medicine, public health and medical informatics, including:

There are country specific standards and international classification systems.

Classification types

Many different medical classifications exist, though they occur into two main groupings: Statistical classifications and Nomenclatures.

A statistical classification brings together similar clinical concepts and groups them into categories. The number of categories is limited so that the classification does not become too big. An example of this is used by the International Statistical Classification of Diseases and Related Health Problems (known as ICD). ICD groups diseases of the circulatory system into one "chapter," known as Chapter IX, covering codes I00–I99. One of the codes in this chapter (I47.1) has the code title (rubric) Supraventricular tachycardia. However, there are several other clinical concepts that are also classified here. Among them are paroxysmal atrial tachycardia, paroxysmal junctional tachycardia, auricular tachycardia and nodal tachycardia.

Another feature of statistical classifications is the provision of residual categories for "other" and "unspecified" conditions that do not have a specific category in the particular classification.

In a nomenclature there is a separate listing and code for every clinical concept. So, in the previous example, each of the tachycardia listed would have its own code. This makes nomenclatures unwieldy for compiling health statistics.

Types of coding systems specific to health care include:

WHO Family of International Classifications

The World Health Organization (WHO) maintains several internationally endorsed classifications designed to facilitate the comparison of health related data within and across populations and over time as well as the compilation of nationally consistent data. This "Family of International Classifications" (FIC) include three main (or reference) classifications on basic parameters of health prepared by the organization and approved by the World Health Assembly for international use, as well as a number of derived and related classifications providing additional details. Some of these international standards have been revised and adapted by various countries for national use.

Reference classifications

Derived classifications

Derived classifications are based on the WHO reference classifications (i.e. ICD and ICF). They include the following:

  • International Classification of Diseases for Oncology, Third Edition (ICD-O-3)
  • The ICD-10 Classification of Mental and Behavioural Disorders – This publication deals exclusively with Chapter V of ICD-10, and is available as two variants;
    • Clinical descriptions and diagnostic guidelines, also known as the blue book.
    • Diagnostic criteria for research, also known as the green book.
  • Application of the International Classification of Diseases to Dentistry and Stomatology, 3rd Edition (ICD-DA)
  • Application of the International Classification of Diseases to Neurology (ICD-10-NA)
  • EUROCAT is an extension of the ICD-10 Chapter XVII, which covers congenital disorders.

National versions

Several countries have developed their own version of WHO-FIC publications, which go beyond a local language translation. Many of these are based on the ICD:

Related classifications

Related classifications in the WHO-FIC are those that partially refer to the reference classifications, e.g. only at specific levels. They include:

Historic FIC classifications

ICD versions before ICD-9 are not in use anywhere.

ICD-9 was published in 1977, and was superseded by ICD-10. (ICD-10 is due to be replaced by ICD-11 on 1 January 2022.) The International Classification of Procedures in Medicine (ICPM) is a procedural classification that has not updated since 1989, and will be replaced by ICHI. National adaptions of the ICPM includes OPS-301, which is the official German procedural classification.

Other medical classifications

Diagnosis

The categories in a diagnosis classification classify diseases, disorders, symptoms and medical signs. In addition to the ICD and its national variants, they include:

Procedure

The categories in a procedure classification classify specific health interventions undertaken by health professionals. In addition to the ICHI and ICPC, they include:

Drugs

Drugs are often grouped into drug classes. Such classifications include:

National Drug File-Reference Terminology (NDF-RT)

National Drug File-Reference Terminology was a terminology maintained by the Veterans Health Administration (VHA). It groups drug concepts into classes. It was part of RxNorm until March 2018.

Medication Reference Terminology (MED-RT)

Medication Reference Terminology (MED-RT) is a terminology created and maintained by Veterans Health Administration in the United States. In 2018, it replaced NDF-RT that was used during 2005–2017. Med-RT is not included in RxNorm but is included in National Library of Medicine's UMLS Metathesaurus. Prior 2017, NDF-RT was included in RxNorm. The first release of MED-RT was in the spring of 2018.

The United States Food and Drug Administration requires in its Manual of Policies and Procedures (MaPP) 7400.13 dated July 18, 2013 and updated on July 25, 2018 that MED-RT be used for selecting an established pharmacologic class (EPC) for the Highlights of Prescribing Information in drug labeling. Each EPC text phrase is associated with a term known as an EPC concept. EPC concepts use a standardized format derived from the U.S. Department of Veterans Affairs, Veterans Health Administration (VHA) Medication Reference Terminology (MED-RT). Each EPC concept also has a unique standardized alphanumeric identifier code, used as the machine-readable tag for the concept. These codes enable SPL indexing. The exact EPC text phrase used in INDICATIONS AND USAGE in Highlights might not be identical to the wording used to describe the EPC concept, because the standardized language used for the EPC concept might not be considered sufficiently clear to the readers of the labeling. Each active moiety also may be assigned MOA, PE, and CS standardized indexing concepts, which are also linked to unique standardized alphanumeric identifier codes. MOA, PE, and CS standardized indexing concepts may or may not be related to the therapeutic effect of the active moiety for a particular indication, but they should still be scientifically valid and clinically meaningful. Even if the MOA, PE, and CS standardized indexing concepts are not known with certainty to be related to the therapeutic effect, they may still be useful for identifying drug interactions and permitting other safety assessments for a moiety based upon appropriate and relevant considerations, such as enzyme inhibition and enzyme induction. MOA, PE, and CS concepts are maintained in a standardized format as part of the MED-RT hierarchy. https://www.fda.gov/media/86437/download

The United States Food and Drug Administration Study Data Technical Conformance Guide dated July 2020 states, “6.5 Pharmacologic Class 6.5.1 Medication Reference Terminology 6.5.1.1 General Considerations The Veterans Administration’s Medication Reference Terminology (MED-RT) should be used to identify the pharmacologic class(es) of all active investigational substances that are used in a study (either clinical or nonclinical). This information should be provided in the SDTM TS domain when a full TS is indicated. The information should be provided as one or more records in TS, where TSPARMCD= PCLAS. Pharmacologic class is a complex concept that is made up of one or more component concepts: mechanism of action (MOA), physiologic effect (PE), and chemical structure (CS).51 The established pharmacologic class is generally the MOA, PE, or CS term that is considered the most scientifically valid and clinically meaningful. Sponsors should include in TS (the full TS) the established pharmacologic class of all active moieties of investigational products used in a study. FDA maintains a list of established pharmacologic classes of approved moieties.52 If the established pharmacologic class is not available for an active moiety, then the sponsor should discuss the appropriate MOA, PE, and CS terms with the review division. For unapproved investigational active moieties where the pharmacologic class is unknown, the PCLAS record may not be available." https://www.fda.gov/media/136460/download


The United States Food and Drug Administration publishes a Data Standards Catalog that lists the data standards and terminologies that FDA supports for use in regulatory submissions to better enable the evaluation of safety, effectiveness, and quality of FDA-regulated products. In addition, the FDA has the statutory and regulatory authority to require certain standards and terminologies and these are identified in the Catalog with the date the requirement begins and, as needed, the date the requirement ends, and information sources. The submission of data using standards or terminologies not listed in the Catalog should be discussed with the Agency in advance. Where the Catalog expresses support for more than one standard or terminology for a specific use, the sponsor or applicant may select one to use or can discuss, as appropriate, with their review division. Version 7.0 of the FDA Data Standards Catalog dated 03-15-2021, specifies that MED-RT was a required terminology by the White House Consolidated Health Informatics Initiative in various Federal Register Notices beginning as early as May 6, 2004, for NDAs, ANDAs, and certain BLAs beginning on December 17, 2016, and for certain IND's beginning on December 17, 2017. https://www.fda.gov/media/85137/download

Medical Devices

Other

Library classification that have medical components

ICD, SNOMED and Electronic Health Record (EHR)

SNOMED

The Systematized Nomenclature of Medicine (SNOMED) is the most widely recognised nomenclature in healthcare. Its current version, SNOMED Clinical Terms (SNOMED CT), is intended to provide a set of concepts and relationships that offers a common reference point for comparison and aggregation of data about the health care process. SNOMED CT is often described as a reference terminology. SNOMED CT contains more than 311,000 active concepts with unique meanings and formal logic-based definitions organised into hierarchies. SNOMED CT can be used by anyone with an Affiliate License, 40 low income countries defined by the World Bank or qualifying research, humanitarian and charitable projects. SNOMED CT is designed to be managed by computer, and it is a complex relationship concepts.

ICD

The International Classification of Disease (ICD) is the most widely recognized medical classification. Maintained by the World Health Organization (WHO), its primary purpose is to categorise diseases for morbidity and mortality reporting. However the coded data is often used for other purposes too; including reimbursement practices such as medical billing. ICD has a hierarchical structure, and coding in this context, is the term applied when representations are assigned to the words they represent. Coding diagnoses and procedures is the assignment of codes from a code set that follows the rules of the underlying classification or other coding guidelines. The current version of the ICD, ICD-10, was endorsed by WHO in 1990. WHO Member states began using the ICD-10 classification system from 1994 for both morbidity and mortality reporting. The exception was the US, who only began using it for reporting mortality in 1999 whilst continuing to use ICD-9-CM for morbidity reporting. The US only adopted its version of ICD-10 in October 2015. The delay meant it was unable to compare US morbidity data with the rest of the world during this period. The next major version of the ICD, ICD-11, was ratified by the 72nd World Health Assembly on 25 May 2019, and member countries will be able to begin reporting data recorded using ICD-11 from 1 January 2022.

Comparison

SNOMED CT and ICD are designed for different purposes and each should be used for the purposes for which they were designed. As a core terminology for the EHR, SNOMED CT provides a common language that enables a consistent language that enables a consistent way of capturing, sharing, and aggregating health data across specialties and sites of care. It is highly detailed terminology designed for input not reporting. SNOMED is clinically-based, documents whatever is needed for patient care and has better clinical coverage than ICD. ICD's focus is statistical with less common diseases get lumped together in “catch-all” categories, which result in loss of information. SNOMED CT is used directly by healthcare providers during the process of care, whereas ICD is used by coding professionals after the episode of care. SNOMED CT has multiple hierarchy, whereas there is single hierarchy for ICD. SNOMED CT concepts are defined logically by their attributes, whereas only textual rules and definitions in ICD.

Data Mapping

SNOMED and ICD can be coordinated. The National Library of Medicine (NLM) maps ICD-9-CM, ICD-10-CM, ICD-10-PCS, and other classification systems to SNOMED. Data Mapping is the process of identifying relationships between two distinct data models.

Veterinary medical coding

Veterinary medical codes include the VeNom Coding Group, the U.S. Animal Hospital Codes, and the Veterinary Extension to SNOMED CT (VetSCT).

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