scholarly journals Clinical data management A Review of Current Practice in Australia

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Lauren Houston ◽  
Yasmine Probst

The practice of clinical data management (CDM) in Australia has seen and continues to experience tremendous growth. As such, this article reviews the current practice of CDM in Australia. The article addresses the history of the profession and provides insight into the difference between the sectors, the evolving role, ongoing requirements for training and education, and an overview of the regulations and how these impact the Australian CDM landscape. Current practice of CDM in Australia differs considerably between industry, academic, and non-profit sectors though the uniform regulatory requirements are provided nationwide. This has raised challenges for mostly academic, non-profit, and small-scale trials which are more likely to lack access to resources, facilities, management, and funding. Australian clinical data managers are required to have formal skills related to data, technology, security, and project management, though they are also expected to operate at the highest levels of excellence across all areas of their diverse roles. It is only in recent years that CDM has evolved to a stronger focus on data quality. Regardless of these challenges, clinical data managers have played, and continue to play, a key role in Australian biomedical research. They have provided guidance on data collection, processing, and management procedures to ensure that studies achieve high quality outcomes. However, more research is needed to develop specific CDM training courses to help Australian clinical data managers to meet a standard of knowledge, education, and experience to be officially recognised as a profession.

2019 ◽  
Vol 19 (4) ◽  
pp. 78-90
Author(s):  
Theresa McCulla

In 1965, Frederick (Fritz) Maytag III began a decades-long revitalization of Anchor Brewing Company in San Francisco, California. This was an unexpected venture from an unlikely brewer; for generations, Maytag's family had run the Maytag Washing Machine Company in Iowa and he had no training in brewing. Yet Maytag's career at Anchor initiated a phenomenal wave of growth in the American brewing industry that came to be known as the microbrewing—now “craft beer”—revolution. To understand Maytag's path, this article draws on original oral histories and artifacts that Maytag donated to the Smithsonian Institution's National Museum of American History via the American Brewing History Initiative, a project to document the history of brewing in the United States. The objects and reflections that Maytag shared with the museum revealed a surprising link between the birth of microbrewing and the strategies and culture of mass manufacturing. Even if the hallmarks of microbrewing—a small-scale, artisan approach to making beer—began as a backlash against the mass-produced system of large breweries, they relied on Maytag's early, intimate connections to the assembly-line world of the Maytag Company and the alchemy of intellectual curiosity, socioeconomic privilege, and risk tolerance with which his history equipped him.


Author(s):  
Hariyadi DM ◽  
Athiyah U ◽  
Hendradi E ◽  
Rosita N ◽  
Erawati T ◽  
...  

The prevention of Diabetic Mellitus (DM) and its complications is the main aim of this study, in addition to the training of lotion foot care application and the development of small scale industry. The research team delivered knowledge in the form of training on Diabetic Mellitus, healthy food, treatment and prevention of complications, and small-scale production of cosmetic products. The aim of this study was to determine the correlation between training on diabetic and lotion foot care application as preventive measures against diabetic complications on the patient's blood glucose levels in the community of residents in Banyuurip Jaya, Surabaya. It was expected from this training that the knowledge of the residents increases and people living with diabetic undergo lifestyle changes and therefore blood sugar levels can be controlled. The parameters measured in this research were blood glucose levels, the anti diabetic drug types consumed, and compliance on diabetics. This study used the data taken from 60 patients with DM over a period of one month. Questionnaires and log books was used to retrieve data and changes in blood glucose levels in diabetic patients. The results showed the demographic data of patients with type 2 diabetic of 85% female and 15% male, with the range of patients aged of 61-70 years of 46.67% and had history of diabetic (90%). The history of drugs consumed by respondents was anti diabetic drugs such as metformin (40%), glimepiride (33.37%) and insulin (6.67%). In addition, the increased knowledge of DM patients after being given the training compared to before training was shown in several questions in the questionnaire. A statistical analysis using t-test analyzed a correlation between training provided in order to enhance understanding of the patient, as well as correlation with blood glucose levels. A paired T-test showed that there was a relationship between the knowledge of trainees before and after training (p less than 0.05). An interesting result was that there was no relationship between blood glucose levels before and after training provided (p> 0.05).


2019 ◽  
Vol 10 (1) ◽  
pp. 23-37
Author(s):  
Natalie Binczek

Der deutsche Barockdichter Georg Philipp Harsdörffer skizziert eine Theorie der Emblematik, die vor allem dessen Anwendungsvielfalt hervorhebt. Er hebt dabei besonders den Unterschied zwischen buchinterner und buchexterner Verwendung auf, indem er sich nicht nur für die Aufnahme der Embleme in Büchern, sondern auch auf Geschirr und Tapeten ausspricht. Der Beitrag liest Harsdörffers extensive Überlegungen nicht nur als Beiträge zur Theorie und Geschichte der Embleme als ›Sinn-Bilder‹, sondern auch als Beitrag zur Designgeschichte. German Baroque poet Georg Philipp Harsdörffer delineates a theory of emblematics that clearly sets itself apart from other contemporary theories, especially by its versatility. In particular, the author negates the difference between internal and external usage of emblems in books not only by promoting the incorporation of emblems into printed works but also by supporting their depiction on dishes and tapestries. This article strives to read Harsdörffer’s extensive thoughts on the matter of emblems not simply as another work on the theory and history of emblematics but rather as a contribution to design history as well


1990 ◽  
Vol 22 (3-4) ◽  
pp. 139-144 ◽  
Author(s):  
S. Iwai ◽  
Y. Oshino ◽  
T. Tsukada

Although the ratio of sewer systems to population in Japan has been improving in recent years, the construction of sewer systems in small communities such as farming or fishing villages, etc. had lagged behind that of urban areas. However, construction of small-scale sewer systems in farming and fishing villages has been actively carried out in recent years. This report explains the history of the promotion of small-scale sewer systems, why submerged filter beds are being employed in many cases, and introduces the design, operation and maintenance of representative waste-water treatment plants in farming and fishing villages which incorporate de-nitrogen and dephosphorization.


2019 ◽  
Vol 14 (3) ◽  
pp. 160-172 ◽  
Author(s):  
Aynaz Nourani ◽  
Haleh Ayatollahi ◽  
Masoud Solaymani Dodaran

Background:Data management is an important, complex and multidimensional process in clinical trials. The execution of this process is very difficult and expensive without the use of information technology. A clinical data management system is software that is vastly used for managing the data generated in clinical trials. The objective of this study was to review the technical features of clinical trial data management systems.Methods:Related articles were identified by searching databases, such as Web of Science, Scopus, Science Direct, ProQuest, Ovid and PubMed. All of the research papers related to clinical data management systems which were published between 2007 and 2017 (n=19) were included in the study.Results:Most of the clinical data management systems were web-based systems developed based on the needs of a specific clinical trial in the shortest possible time. The SQL Server and MySQL databases were used in the development of the systems. These systems did not fully support the process of clinical data management. In addition, most of the systems lacked flexibility and extensibility for system development.Conclusion:It seems that most of the systems used in the research centers were weak in terms of supporting the process of data management and managing clinical trial's workflow. Therefore, more attention should be paid to design a more complete, usable, and high quality data management system for clinical trials. More studies are suggested to identify the features of the successful systems used in clinical trials.


2019 ◽  
Vol 14 (1) ◽  
pp. 10-23 ◽  
Author(s):  
Aynaz Nourani ◽  
Haleh Ayatollahi ◽  
Masoud Solaymani Dodaran

Background:A clinical data management system is a software supporting the data management process in clinical trials. In this system, the effective support of clinical data management dimensions leads to the increased accuracy of results and prevention of diversion in clinical trials. The aim of this review article was to investigate the dimensions of data management in clinical data management systems.Methods:This study was conducted in 2017. The used databases included Web of Science, Scopus, Science Direct, ProQuest, Ovid Medline and PubMed. The search was conducted over a period of 10 years from 2007 to 2017. The initial number of studies was 101 reaching 19 in the final stage. The final studies were described and compared in terms of the year, country and dimensions of the clinical data management process in clinical trials.Results:The research findings indicated that none of the systems completely supported the data management dimensions in clinical trials. Although these systems were developed for supporting the clinical data management process, they were similar to electronic data capture systems in many cases. The most significant dimensions of data management in such systems were data collection or entry, report, validation, and security maintenance.Conclusion:Seemingly, not sufficient attention has been paid to automate all dimensions of the clinical data management process in clinical trials. However, these systems could take positive steps towards changing the manual processes of clinical data management to electronic processes.


2019 ◽  
pp. 217-220
Author(s):  
Eduardo Briceño-Souza ◽  
◽  
Nina Méndez-Domínguez ◽  
Ricardo j Cárdenas-Dajda ◽  
Walter Chin ◽  
...  

Diving as a method of fishing is used worldwide in small-scale fisheries. However, one of the main causes of morbidity and mortality among fishermen is decompression sickness (DCS). We report the case of a 46-year-old male fisherman diver who presented with chronic inguinal pain that radiated to the lower left limb. Living and working in a fishing port in Yucatan, he had a prior history of DCS. A diagnosis of avascular necrosis in the left femoral head secondary to DCS was made via analysis of clinical and radiological findings. The necrosis was surgically resolved by a total hip arthroplasty. Dysbaric osteonecrosis is a more probable diagnosis. In this region fishermen undergo significant decompression stress in their daily fishing efforts. Further studies regarding prevalence of dysbaric osteonecrosis among small-scale fisheries divers are needed. In a community where DCS is endemic and has become an epidemic, as of late, the perception of this health risk remains low. Furthermore, training and decompression technique are lacking among the fishing communities.


Author(s):  
Simon Kirchin

This chapter introduces the distinction between thin and thick concepts and then performs a number of functions. First, two major accounts of thick concepts—separationism and nonseparationism—are introduced and, in doing so, a novel account of evaluation is indicated. Second, each chapter is outlined as is the general methodology, followed, third, by a brief history of the discussion of thick concepts, referencing Philippa Foot, Hilary Putnam, Gilbert Ryle, and Bernard Williams among others. Fourth, a number of relevant contrasts are introduced, such as the fact–value distinction and the difference between concepts, properties, and terms. Lastly, some interesting and relevant questions are raised that, unfortunately, have to be left aside.


2019 ◽  
Vol 4 (2) ◽  
pp. 74-90
Author(s):  
Mara Soledad Segura ◽  
Alejandro Linares ◽  
Agustn Espada ◽  
Vernica Longo ◽  
Ana Laura Hidalgo ◽  
...  

Since 2004 and for the first time in the history of broadcasting in the region, a dozen Latin American countries have acknowledged community radio and television stations as legal providers of audiovisual communication services. In Argentina, a law passed in 2009 not only awarded legal recognition to the sector, it also provided a promotion mechanism for community media. In this respect, it was one of the most ambitious ones in the region. The driving question is: How relevant are public policies for the sustainability of community media in Argentina? The argument is: even though the sector of community media has developed and persisted for decades in illegal conditions imposed by the state, the legalization and promotion policies carried out by the state from the perspective of human rights in a context of extreme media ownership concentration have been critical to the growth and sustainability of non-profit media.


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