Effectiveness and uptake of screening programmes for coronary heart disease and diabetes:a realist review of design components used in interventions

Objective - To evaluate behavioural components and strategies associated with increased uptake and effectiveness of screening for coronary heart disease and diabetes with an implementation science focus. Design - Realist review. Data sources - PubMed, Web of Knowledge, Cochrane Database of Systematic Reviews, Cochrane Controlled Trials Register and reference chaining. Searches limited to English language studies published since 1990. Eligibility criteria - Eligible studies evaluated interventions designed to increase the uptake of cardiovascular disease (CVD) and diabetes screening and examined behavioural and/or strategic designs. Studies were excluded if they evaluated changes in risk factors or cost-effectiveness only. Results - In 12 eligible studies, several different intervention designs and evidence-based strategies were evaluated. Salient themes were effects of feedback on behaviour change or benefits of health dialogues over simple feedback. Studies provide mixed evidence about the benefits of these intervention constituents, which are suggested to be situation and design specific, broadly supporting their use, but highlighting concerns about the fidelity of intervention delivery, raising implementation science issues. Three studies examined the effects of informed choice or loss versus gain frame invitations, finding no effect on screening uptake but highlighting opportunistic screening as being more successful for recruiting higher CVD and diabetes risk patients than an invitation letter, with no differences in outcomes once recruited. Two studies examined differences between attenders and non-attenders, finding higher risk factors among non-attenders and higher diagnosed CVD and diabetes among those who later dropped out of longitudinal studies. Conclusions - If the risk and prevalence of these diseases are to be reduced, interventions must take into account what we know about effective health behaviour change mechanisms, monitor delivery by trained professionals and examine the possibility of tailoring programmes according to contexts such as risk level to reach those most in need. Further research is needed to determine the best strategies for lifelong approaches to screening.

Efficacy and safety of second-generation antipsychotic long-acting injections (SGA LAIs) in maintenance treatment of bipolar disorder:protocol for a systematic review and meta-analysis

INTRODUCTION: Bipolar disorder requires long-term treatment but non-adherence is a common problem. Antipsychotic long-acting injections (LAIs) have been suggested to improve adherence but none are licensed in the UK for bipolar. However, the use of second-generation antipsychotics (SGA) LAIs in bipolar is not uncommon albeit there is a lack of systematic review in this area. This study aims to systematically review safety and efficacy of SGA LAIs in the maintenance treatment of bipolar disorder. METHODS AND ANALYSIS: The protocol is based on Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) and will include only randomised controlled trials comparing SGA LAIs in bipolar. PubMed, EMBASE, CINAHL, Cochrane Library (CENTRAL), PsychINFO, LiLACS, http://www.clinicaltrials.gov will be searched, with no language restriction, from 2000 to January 2016 as first SGA LAIs came to the market after 2000. Manufacturers of SGA LAIs will also be contacted. Primary efficacy outcome is relapse rate or delayed time to relapse or reduction in hospitalisation and primary safety outcomes are drop-out rates, all-cause discontinuation and discontinuation due to adverse events. Qualitative reporting of evidence will be based on 21 items listed on standards for reporting qualitative research (SRQR) focusing on study quality (assessed using the Jadad score, allocation concealment and data analysis), risk of bias and effect size. Publication bias will be assessed using funnel plots. If sufficient data are available meta-analysis will be performed with primary effect size as relative risk presented with 95% CI. Sensitivity analysis, conditional on number of studies and sample size, will be carried out on manic versus depressive symptoms and monotherapy versus adjunctive therapy.

Knowledge transfer in website design:exploring the processes and benefits of design collaboration for non-creative Micros

This thesis explores the interaction between Micros (<10 employees) from non-creative sectors and website designers ("Creatives") that occurred when creating a website of a higher order than a basic template site. The research used Straussian Grounded Theory Method with a longitudinal design, in order to identify what knowledge transferred to the Micros during the collaboration, how it transferred, what factors affected the transfer and outcomes of the transfer including behavioural additionality. To identify whether the research could be extended beyond this, five other design areas were also examined, as well as five Small to Medium Enterprises (SMEs) engaged in website and branding projects. The findings were that, at the start of the design process, many Micros could not articulate their customer knowledge, and had poor marketing and visual language skills, knowledge core to web design, enabling targeted communication to customers through images. Despite these gaps, most Micros still tried to lead the process. To overcome this disjoint, the majority of the designers used a knowledge transfer strategy termed in this thesis as ‘Bi-Modal Knowledge Transfer’, where the Creative was aware of the transfer but the Micro was unaware, both for drawing out customer knowledge from the Micro and for transferring visual language skills to the Micro. Two models were developed to represent this process. Two models were also created to map changes in the knowledge landscapes of customer knowledge and visual language – the Knowledge Placement Model and the Visual Language Scale. The Knowledge Placement model was used to map the placement of customer knowledge within the consciousness, extending the known Automatic-Unconscious -Conscious model, adding two more locations – Peripheral Consciousness and Occasional Consciousness. Peripheral Consciousness is where potential knowledge is held, but not used. Occasional Consciousness is where potential knowledge is held but used only for specific tasks. The Visual Language Scale was created to measure visual language ability from visually responsive, where the participant only responds personally to visual symbols, to visually multi-lingual, where the participant can use visual symbols to communicate with multiple thought-worlds. With successful Bi-Modal Knowledge Transfer, the outcome included not only an effective website but also changes in the knowledge landscape for the Micros and ongoing behavioural changes, especially in marketing. These effects were not seen in the other design projects, and only in two of the SME projects. The key factors for this difference between SMEs and Micros appeared to be an expectation of knowledge by the Creatives and failure by the SMEs to transfer knowledge within the company.

Warfarin toxicity: do discharge ICD-10 codes and yellow cards accurately identify serious adverse drug reactions?

Focal points: ICD-10 codings and spontaneous yellow card reports for warfarin toxicity were compared retrospectively over a one-year period Eighteen cases of ICD-10 coded warfarin toxicity were identified from a total of 55,811 coded episodes More than three times as many ADRs to warfarin were found by screening ICD-10 codes as were reported spontaneously using the yellow card scheme Valuable information is being lost to regulatory authorities and as recognised reporters to the yellow card scheme, pharmacists are well placed to report these ADRs, enhancing their role in the safe and appropriate prescribing of warfarin

Technology of Storage and Processing of Electronic Documents with Intellectual Search Properties

The technology of record, storage and processing of the texts, based on creation of integer index cycles is discussed. Algorithms of exact-match search and search similar on the basis of inquiry in a natural language are considered. The software realizing offered approaches is described, and examples of the electronic archives possessing properties of intellectual search are resulted.

Analysis and Coordination of Expert Statements in the Problems of Intellectual Information Search

* This work was financially supported by RFBF-04-01-00858.

Semantic Description of Web Services and Possibilities of BPEL4WS

The using of the upsurge of semantics web technologies gives a possibility for an increasing of the flexibility, extensibility and consistency of the existent industrial standards for modeling of web services. In the paper the types of semantic description of web services and the degree of their realization in BPEL4WS (Business Process Execution Language for Web Services) respectively on the abstract and executable level are treated. The methods for using of BPEL4WS for the purposes of semantic web services in the direction of their semi-automatic integration are suggested.

Synthesis Methods of Multiple-valued Structures of Language Systems

The basic construction concepts of many-valued intellectual systems, which are adequate to primal problems of person activity and using hybrid tools with many-valued of coding are considered. The many-valued intellectual systems being two-place, but simulating neuron processes of space toting which are different on a level of actions, inertial and threshold of properties of neurons diaphragms, and also modification of frequency of following of the transmitted messages are created. All enumerated properties and functions in point of fact are essential not only are discrete on time, but also many-valued.

A Metaontology for Medical Diagnostics of Acute Diseases. Part 1. An Informal Description and Definitions of Basic Terms

The aim of this article is to describe formally a metaontology for medical diagnostics of acute diseases in the language of applied logic. The article includes an informal description of the metaontology, and the part of its model which contains the definitions for basic terms of knowledge and situations and also their integrity restrictions in the form of ontological agreements.

Methodology for Language Analysis and Generation in Closed Domains: Pharmaceutical Leaflet

The best results in the application of computer science systems to automatic translation are obtained in word processing when texts pertain to specific thematic areas, with structures well defined and a concise and limited lexicon. In this article we present a plan of systematic work for the analysis and generation of language applied to the field of pharmaceutical leaflet, a type of document characterized by format rigidity and precision in the use of lexicon. We propose a solution based in the use of one interlingua as language pivot between source and target languages; we are considering Spanish and Arab languages in this case of application.

The Design and Analysis of Context-Aware, Secure Workflow Systems

Workflows are set of activities that implement and realise business goals. Modern business goals add extra requirements on workflow systems and their management. Workflows may cross many organisations and utilise services on a variety of devices and/or supported by different platforms. Current workflows are therefore inherently context-aware. Each context is governed and constrained by its own policies and rules to prevent unauthorised participants from executing sensitive tasks and also to prevent tasks from accessing unauthorised services and/or data. We present a sound and multi-layered design language for the design and analysis of secure and context aware workflows systems.

Dimensioning RS codes for mitigation of phase noise induced cycle slips in DQPSK systems

We present a semi-analytical method for dimensioning Reed-Solomon codes for coherent DQPSK systems with laser phase noise and cycle slips. We evaluate the accuracy of our method for a 28 Gbaud system using numerical simulations.

Information Technologies for the Preservation of Language Heritage

In this paper we try to present how information technologies as tools for the creation of digital bilingual dictionaries can help the preservation of natural languages. Natural languages are an outstanding part of human cultural values and for that reason they should be preserved as part of the world cultural heritage. We describe our work on the bilingual lexical database supporting the Bulgarian-Polish Online dictionary. The main software tools for the web- presentation of the dictionary are shortly described. We focus our special attention on the presentation of verbs, the richest from a specific characteristics viewpoint linguistic category in Bulgarian.

Bilingual Corpus - Digital Repository for Preservation of Language Heritage

The article briefly reviews bilingual Slovak-Bulgarian/Bulgarian-Slovak parallel and aligned corpus. The corpus is collected and developed as results of the collaboration in the frameworks of the joint research project between Institute of Mathematics and Informatics, Bulgarian Academy of Sciences, and Ľ. Štúr Institute of Linguistics, Slovak Academy of Sciences. The multilingual corpora are large repositories of language data with an important role in preserving and supporting the world's cultural heritage, because the natural language is an outstanding part of the human cultural values and collective memory, and a bridge between cultures. This bilingual corpus will be widely applicable to the contrastive studies of the both Slavic languages, will also be useful resource for language engineering research and development, especially in machine translation.

Online Dictionary - Tool for Preservation of Language Heritage

The paper aims to represent a bilingual online dictionary as a useful tool helping preservation of the natural languages. The author focuses on the approach that was taken to develop compatible bilingual lexical database for the Bulgarian-Polish online dictionary. A formal model for the dictionary encoding is developed in accordance with the complex structures of the dictionary entries. These structures vary depending on the grammatical characteristics of Bulgarian headwords. The Web-application for presentation of the bilingual dictionary is also describred.