Evaluation of the national tuberculosis surveillance system in Ireland before and after incorporation into a web-based system

Author(s):  
Katerina Chaintarli
2011 ◽  
Vol 50 (01) ◽  
pp. 39-47 ◽  
Author(s):  
U. Nestle ◽  
K. Scheidhauer ◽  
C. Puskas ◽  
E. Ballek ◽  
K. Hohloch ◽  
...  

Summary Aim: Although predictive factors (PF) for conventional lymphoma therapy are established and frequently used in clinical practice and medical research, the PF for radioimmunotherapy (RIT) have not been fully defined until now. The aim of this multicenter evaluation is to prove the feasibility of the multicenter web-based data collection and to preliminary explore imaging findings and prediction of therapy response in patients with follicular lymphoma (FL) following radioimmuno therapy (RIT) with 90Y-ibritumomab tiuxetan. Patients, methods: We retrospectively analyzed and correlated clinical and imaging data (CT and FDG-PET) before and after RIT as documented by the RIT-Network. Evaluation of treatment response was done on both patient and lesion basis. Every measurable lesion was analyzed in terms of standardized uptake value (SUV), volume (CT and PET) and response. PF were identified using a uni- and multivariate model. A web-based system was used for the documentation and evaluation of clinical and imaging data. Results: 16 patients with at least one PET before and after RIT were eligible for analysis. Concerning response three months postRIT, 5 patients achieved a CR, 6 patients a PR and 4 patients remained with NC. A total of 159 lesions were measured (mean 10 ± 8). In the multivariate model the log lesion volume (p < 0.0001), the total (p = 0.03) and maximum lesion volume (p = 0.05) were predictors for response (CR + PR). Concerning the lesional CR initial small lesion volume (p = 0.009) and its high metabolic activity (p = 0.01) were identified as predictors. The web-based system showed no major disturbances allowing secure data transfer and central image interpretation in a reasonable time. Conclusion: The use of a web-based multicenter archiving system for clinical and imaging data is technically feasible in a multicenter setting and allows a central analysis. This preliminary analysis suggests that FDG-PET may predict the likelihood of response to RIT.


2021 ◽  
Author(s):  
Hee Seong Jeong ◽  
David Michael O'Sullivan ◽  
Dae Hyoun Jeong ◽  
Sae Yong Lee

ABSTRACT Context: There is a shortage of Taekwondo epidemiology studies since the rule changes introduced by World Taekwondo in 2017. Objective: To describe injury and illness patterns at the Muju 2017 World Taekwondo Championships (WTC) following the implementation of the web-based surveillance system by World Taekwondo. Design: Prospective cohort study. Setting: All injuries and illnesses were recorded during the 2017 WTC using a web-based system developed by the International Olympic Committee. Patients or Other Participants: 971 athletes who participated in the 2017 WTC. Main Outcome Measure(s): A profiles and mechanisms of injury and illness in the 2017 WTC. Results: We analyzed total 131 injuries and 26 illnesses, corresponding to an overall clinical incidence of 13.5 ((95% confidence interval (CI): 11.2–15.8)) injuries and 2.7 (95% CI: 1.6–3.7) illnesses per 100 athletes, and an overall incidence rate of 19.3 (95% CI: 16.0–22.6) injuries and 3.8 (95% CI: 2.4–5.3) illnesses per 1,000 athlete-days, respectively. Most injuries occurred in the lower extremities (46.6%, n=61), of which knee injuries were most frequent (19.8%, n=26). Among the head and trunk injuries (29.8%, n=39), face injuries (22.1%, n=29) were most frequent, whereas among upper extremity injuries (23.7%, n=31), finger injuries (6.1%, n=8) were most frequent. Contusions (33.6%, n=44) were the most frequent injury type, followed by fractures and ligament ruptures/sprains. The most common injury mechanism was in contact with another athlete (74.0%, n=97), whereas the least common was concussions (n=5). The major affected system was the respiratory system (30.8%, n=8), with major symptoms being pain (42.3%, n=11) and fever (26.9%, n=7). Environmental factors were the most common cause of illness (57.7%, n=15). Conclusion: The web-based surveillance system used at the 2017 WTC revealed that 13.5/100 athletes (77.8/1,000 athlete-exposures, 13.9/1000 minute-exposures) had new or recurrent injuries, whereas 2.7/100 athletes became ill.


Author(s):  
Abubakar Bello Bada

Web-based applications have become the new way for people to interact, be it work or business. Users always expect a fast response from the applications. The performance of web-based applications has always been a critical non-functional requirement. A better performing web-based system leads to better user experience which leads to repeated visits and in turn more revenues. Performance problems can bring all kinds of undesired consequences like bad reputation, loss of revenue and low productivity especially in an e-commerce system. Recent advancement leads to mobile device proliferation, increase in traffic volumes and richer content, which all increase application delivery challenges. Users not only expect fast application response time, but also expect higher throughput. In this work an e-commerce system is created, a performance tuning up was done on it to reduce the number of HTTP requests made and also reduce the size and number of pages and images in the system. Other ways of performance optimization were also considered. The system's performance was tested before and after performance tuning up, a load test was also done for 3000, 5000 and 10000 concurrent users. The results were compared to see the effect of the performance optimization techniques used.


2018 ◽  
Vol 146 (14) ◽  
pp. 1756-1762 ◽  
Author(s):  
K. Chaintarli ◽  
S. Jackson ◽  
S. Cotter ◽  
J. O'Donnell

AbstractWe evaluated and compared the completeness, timeliness, simplicity, usefulness and flexibility between the former National Tuberculosis (TB) Surveillance System (NTBSS) and the newer Computerised Infectious Disease Reporting System (CIDR). Completeness was assessed by examining the field completion of key variables and median time from diagnosis to notification was calculated to evaluate timeliness. Differences between the two systems on completeness and timeliness were statistically assessed usingχ2and Wilcoxon rank-sum test, respectively. An online questionnaire on simplicity, flexibility and usefulness was sent to key stakeholders. Time and diagnosis-related variables were more complete in NTBSS, while variables on drug susceptibility, HIV and laboratory tests were more complete in CIDR (P< 0.05). The median time notification interval increased significantly in CIDR (P< 0.05). Stakeholders thought that CIDR is simpler (37.5%), more useful (41.7%) and more flexible (29.2%) than NTBSS. This study demonstrated that CIDR did not improve data completeness and decreased timeliness of notification. Simplicity, usefulness and flexibility were improved but qualitative methods should be applied to further explore these results.


Sensi Journal ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. 236-246
Author(s):  
Ilamsyah Ilamsyah ◽  
Yulianto Yulianto ◽  
Tri Vita Febriani

The right and appropriate system of receiving and transferring goods is needed by the company. In the process of receiving and transferring goods from the central warehouse to the branch warehouse at PDAM Tirta Kerta Raharja, Tangerang Regency, which is currently done manually is still ineffective and inaccurate because the Head of Subdivision uses receipt documents, namely PPBP and mutation of goods, namely MPPW in the form of paper as a submission media. The Head of Subdivision enters the data of receipt and mutation of goods manually and requires a relatively long time because at the time of demand for the transfer of goods the Head of Subdivision must check the inventory of goods in the central warehouse first. Therefore, it is necessary to hold a design of information systems for the receipt and transfer of goods from the central warehouse to a web-based branch warehouse that is already database so that it is more effective, efficient and accurate. With the web-based system of receiving and transferring goods that are already datatabed, it can facilitate the Head of Subdivision in inputing data on the receipt and transfer of goods and control of stock inventory so that the Sub Head of Subdivision can do it periodically to make it more effective, efficient and accurate. The method of data collection is done by observing, interviewing and studying literature from various previous studies, while the system analysis method uses the Waterfall method which aims to solve a problem and uses design methods with visual modeling that is object oriented with UML while programming using PHP and MySQL as a database.


2011 ◽  
Vol 25 (6) ◽  
pp. 794-800 ◽  
Author(s):  
Han-Joo Lee ◽  
Katy Goudarzi ◽  
Brian Baldwin ◽  
David Rosenfield ◽  
Michael J. Telch

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