Monitoring influenza vaccine effectiveness using the national influenza surveillance system

Background: Flu vaccine composition is reformulated on a yearly basis. As such, the vaccine effectiveness (VE) from previous seasons cannot be considered for subsequent years, and it is necessary to monitor the VE for each season. This study (MonitorEVA- monitoring vaccine effectiveness) intends to evaluate the feasibility of using the national influenza surveillance system (NISS) for monitoring the influenza VE. Material and methods: Data was collected within NISS during 2004 to 2014 seasons. We used a case-control design where laboratory confirmed incident influenza like illness (ILI) patients (cases) were compared to controls (ILI influenza negative). Eligible individuals consisted on all aged individuals that consult a general practitioner or emergency room with ILI symptoms with a swab collected within seven days of symptoms onset. VE was estimated as 1- odds ratio of being vaccinated in cases versus controls adjusted for age and month of onset by logistic regression. Sensitivity analyses were conducted to test possible effect of assumptions on vaccination status, ILI definition and timing of swabs (<3 days after onset). Results: During the 2004-2014 period, a total of 5302 ILI patients were collected but 798 ILI were excluded for not complying with inclusion criteria. After data restriction the sample size in both groups was higher than 148 individuals/ season; minimum sample size needed to detect a VE of at least 50% considering a level of significance of 5% and 80% power. Crude VE point estimates were under 45% in 2004/05, 2005/06, 2011/12 and 2013/14 season; between 50%-70% in 2006/07, 2008/09 and 2010/11 seasons, and above 70% in 2007/08 and 2012/13 season. From season 2006/07 to 2013/14, all crude VE estimates were statistically significant. After adjustment for age group and month of onset, the VE point estimates decreased and only 2008/09, 2012/13 and 2013/14 seasons were significant. Discussion and Conclusions: MonitorEVA was able to provide VE estimates for all seasons, including the pandemic, indicating if the VE was higher than 70% and less than 50%. When comparing with other observational studies, MonitorEVA estimates were comparable but less precise and VE estimates were in accordance with the antigenic match of the circulating virus/ vaccine strains. Given the sensitivity results, we propose a MonitorEVA based on: a) Vaccination status defined independently of number of days between vaccination and symptoms onset; b) use of all ILI data independent of the definition; c) stratification of VE according to time between onset and swab (< 3 and ≥3 days).

Influenza dei fattori di vista nel calcolo delle condizioni di comfort termico in ambienti con impianti radianti

L’obiettivo di questa tesi di Laurea è stato di analizzare gli scambi termici radiativi che si verificano all’interno di una stanza; per eseguire questa analisi si sono calcolati i fattori di vista Fij tra diversi punti (i) definiti tramite una griglia regolare posta all’interno della stanza e le superfici che vi si affacciano (j); tale griglia prevede 25 punti posti a 3 altezze diverse, per un totale di 75 punti. Dalla conoscenza delle temperature superficiali si sono ottenuti i valori di temperatura media radiante nei punti della griglia, e successivamente i valori degli indici di benessere PMV (voto medio previsto) e PPD (percentuale prevista di insoddisfatti), fissando i parametri necessari. Il calcolo dei fattori di vista è stato eseguito tramite il software TRISCO®, dopo averne confrontato i risultati forniti con COMSOL® e dopo aver valutato la correttezza di alcune approssimazioni. Il modello utilizzato nelle simulazioni è costituito da una stanza di 5x5x2,8 m, in cui sono stati fatti variare il numero e la posizione di alcuni elementi caratterizzanti, come finestre e radiatori, oltre a tipologia di elementi scaldanti e posizione e numero di pareti esterne, tramite la variazione delle temperature. In seguito si è analizzata la potenza scambiata per irraggiamento dagli elementi scaldanti, per poter riconoscere gli elementi responsabili dei maggiori contributi; nel caso di pavimento o soffitto radiante si è divisa tale superficie in diverse porzioni per riconoscere le zone della superficie radiante più influenti. I risultati ottenuti mostrano che la presenza di radiatori, finestre o pareti esterne, introducendo elementi di disturbo asimmetrici, forniscono andamenti disuniformi di temperatura e PMV, con l’omogeneità che migliora allontanandosi da tali elementi; impianti a pavimento o soffitto radiante producono risultati decisamente migliori, sia per quanto riguarda i valori assoluti di temperatura e PMV, che nell’omogeneità della relativa distribuzione.

Possible Approaches to Commercializing Applied University Research: a Russian Case Study

This paper discusses the environment around universities in Russia and possible approaches to analyzing and choosing the method for applied research results commercialization as well as selecting promising applied research areas in that environment. Conceptual foundations for decision making during the commercialization and roadmap/action plan creation processes are outlined. These can be useful to both universities for planning their activities aswell as for organizations that plan to cooperate with universities or that are interested in university generated research. This being said, obtained models and used evaluation parameters may be unique and may depend upon the particular project, university, region, and personal preferences of decision makers. Thus, consideration of these parameters and characteristics only has merit when making decisions in the dynamics of change of these parameters. For this purpose statistical information is needed that characterizes the competencies of the research organization (university) inquestion, needs of partner organizations, governmental and societal requirements, and science and technology prospects. After determining the promising research areas it’s time to look at particular projects, which in turn are also characterized by various parameters dependent upon their objectives. Considering the values of these parameters in their dynamics allows control of project parameters in the course of its execution. This in turn allows prediction of negative situations and alleviation of such by setting the target values of parameters and using best practices and standardization of management processes to achieve those values.

Tab. 3: Differentiation of eroded material in the Arctic Russian Seas

Volumes of Holocene (10 000 years) terrigenous sediments and annnal sediment supply in the Laptev Sea were evaluated from average thickness of the Holocene veneer. Volumes of deposits supplied from various sediment sourees and by different proeesses (abrasion of hinterland and island shores, river discharge, eolian input, drifting ice) were diseriminating of deposition in the eoastal zone, at river/sea barrier, and in the shelf basin itself. Accumulation by drifting iee and the role of local sea bottom erosion were also considered. Total amount of sediments transported from the Laptev Sea shelf to Amundsen and Nansen Basins of the Aretie Ocean was compared with other Russian Aretie seas.

Composition of airborne material from yellow snow fallen in the Russian North

Large amounts of dust responsible for bright colors of atmospheric precipitation in the temperate, subpolar and polar zones of the northern hemisphere have been rarely observed. In the twentieth century and in the beginning of the twenty first century in the Northern European Russia such events were not registered up to March 25-26, 2008. At that time in some parts of the Arkhangel'sk region, Komi Republic, and Nenets Autonomous Area atmospheric precipitation as sleet and rain responsible for sand- and saffron colors of ice crust formation on the snow surface was observed. During detailed mineralogical, geochemical, pollen, diatom and meteorological investigations it was established that semidesert and steppe regions of the Northwest Kazakhstan, Volgograd and Astrakhan' regions, and Kalmykia are the main sources of the yellow dust.

Russian defense business directory : St. Petersburg and Leningrad Oblast /

Mode of access: Internet.

Soviet/Russian armor and artillery design practices : 1945-1995.

"MCIA-1141-001-96."

A diary of the Russian revolution,

Mode of access: Internet.

G.B. Pergolesi : vita, opere ed influenza su l'arte (Roma, edizione "musica", 1910) : giudizi della stampa.

Mode of access: Internet.

Muzio Clementi : la sua vita, le sue opere e sua influenza sul progresso dell'arte /

Mode of access: Internet.

The chronicles of Michael Danevitch of the Russian secret service /

The chronicles of Michael Danevitch of the Russian secret service.-- The clue of the dead hand.