913 resultados para Uses of Epidemiology


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We have explored the threshold of tolerance of three unrelated cell types to treatments with potential cytoprotective peptides bound to Tat(48-57) and Antp(43-58) cell-permeable peptide carriers. Both Tat(48-57) and Antp(43-58) are well known for their good efficacy at crossing membranes of different cell types, their overall low toxicity, and their absence of leakage once internalised. Here, we show that concentrations of up to 100 microM of Tat(48-57) were essentially harmless in all cells tested, whereas Antp(43-58) was significantly more toxic. Moreover, all peptides bound to Tat(48-57) and Antp(43-58) triggered significant and length-dependent cytotoxicity when used at concentrations above 10 microM in all but one cell types (208F rat fibroblasts), irrespective of the sequence of the cargo. Absence of cytotoxicity in 208F fibroblasts correlated with poor intracellular peptide uptake, as monitored by confocal laser scanning fluorescence microscopy. Our data further suggest that the onset of cytotoxicity correlates with the activation of two intracellular stress signalling pathways, namely those involving JNK, and to a lesser extent p38 mitogen-activated protein kinases. These responses are of particular concern for cells that are especially sensitive to the activation of stress kinases. Collectively, these results indicate that in order to avoid unwanted and unspecific cytotoxicity, effector molecules bound to Tat(48-57) should be designed with the shortest possible sequence and the highest possible affinity for their binding partners or targets, so that concentrations below 10 microM can be successfully applied to cells without harm. Considering that cytotoxicity associated to Tat(48-57)- and Antp(43-58) bound peptide conjugates was not restricted to a particular type of cells, our data provide a general framework for the design of cell-penetrating peptides that may apply to broader uses of intracellular peptide and drug delivery.

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PURPOSE OF REVIEW: Clinical trials of CCR5 antagonists attest to their efficacy and tolerance in HIV treatment. However, there has been debate on their long-term safety because of the role of CCR5 in innate immunity. This review highlights gaps in our understanding of epidemiology of infections that are modulated by CCR5, in particular, in HIV-infected individuals. RECENT FINDINGS: In the mouse model, CCR5 has a role in the response against pathogens as diverse as Toxoplama gondii, West Nile virus, Mycobacterium tuberculosis, herpes simplex virus, Trypanosoma cruzi, Cryptococcus neoformans, Chlamydia trachomatis, Listeria, and plasmodia. In human cohorts, individuals carrying the defective CCR5Delta32 allele present an increased susceptibility to flavivirus (West Nile virus and tickborne encephalitis virus). The selective pressures that led to the spread of loss-of-function CCR5 mutations in humans (CCR5Delta32), and in mangabeys (CCR5Delta24) are not understood. SUMMARY: The recent availability of CCR5 antagonists has raised concern that genetic, biological, or chemical CCR5 knockout, although beneficial against some pathogens (i.e. HIV), could be deleterious for other processes implicated in pathogen response. The consequences of long-term pharmaceutical intervention on CCR5 should be carefully assessed through rigorous postmarketing surveillance.

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Quand un vent de changement souffle sur une ville, comment les quartiers qui la composent résistent-ils ? Le Maupas, une portion de la ville de Lausanne, présente les signes précurseurs d'un quartier en voie de gentrification. L'adoption dans cette recherche d'une approche praxéologique des espaces publics urbains implique une définition de ce phénomène, capable de rendre compte de ses caractéristiques dynamique et processuelle. Il s'agit d'étudier l'impact des aménagements urbains et de leurs usages. Je propose ici de recourir à des éléments en rapport avec la culture, la mobilité et la convivialité, afin de fournir un éclairage sur les tendances que peut prendre le quartier du Maupas. Ces tendances ne s'accomplissent pas sans quelques résistances explicites et tacites capables de contrecarrer, ou du moins ralentir la reclassification en cours. « Le Maupas » is part of the city of Lausanne. Because of some precursory signs, this neighbourhood is considered to be in the process of gentrification. This article deals with a praxeologic approach. It involves a dynamic conception of the urban public spaces and of gentrification. Studying the culture, the mobility and the conviviality features of « le Maupas », I try to highlight how social uses of urban settings manage resistance to change.

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Airborne particles can come from a variety of sources and contain variable chemical constituents. Some particles are formed by natural processes, such as volcanoes, erosion, sea spray, and forest fires, while other are formed by anthropogenic processes, such as industrial- and motor vehicle-related combustion, road-related wear, and mining. In general, larger particles (those greater than 2.5 μm) are formed by mechanical processes, while those less than 2.5 μm are formed by combustion processes. The chemical composition of particles is highly influenced by the source: for combustion-related particles, factors such as temperature of combustion, fuel type, and presence of oxygen or other gases can also have a large impact on PM composition. These differences can often be observed at a regional level, such as the greater sulphate-composition of PM in regions that burn coal for electricity production (which contains sulphur) versus regions that do not. Most countries maintain air monitoring networks, and studies based on the resulting data are the most common basis for epidemiology studies on the health effects of PM. Data from these monitoring stations can be used to evaluate the relationship between community-level exposure to ambient particles and health outcomes (i.e., morbidity or mortality from various causes). Respiratory and cardiovascular outcomes are the most commonly assessed, although studies have also considered other related specific outcomes such as diabetes and congenital heart disease. The data on particle characteristics is usually not very detailed and most often includes some combination of PM2.5, PM10, sulphate, and NO2. Other descriptors that are less commonly found include particle number (ultrafine particles), metal components of PM, local traffic intensity, and EC/OC. Measures of association are usually reported per 10 μg/m3 or interquartile range increase in pollutant concentration. As the exposure data are taken from regional monitoring stations, the measurements are not representative of an individual's exposure. Particle size is an important descriptor for understanding where in the human respiratory system the particles will deposit: as a general rule, smaller particles penetrate to deeper regions of the lungs. Initial studies on the health effects of particulate matter focused on mass of the particles, including either all particles (often termed total suspended particulate or TSP) or PM10 (all particles with an aerodynamic diameter less than 10 μm). More recently, studies have considered both PM10 and PM2.5, with the latter corresponding more directly to combustion-related processes. UFPs are a dominant source of particles in terms of PNC, yet are negligible in terms of mass. Very few epidemiology studies have measured the effect of UFPs on health; however, the numbers of studies on this topic are increasing. In addition to size, chemical composition is of importance when understanding the toxicity of particles. Some studies consider the composition of particles in addition to mass; however this is not common, in part due the cost and labour involved in such analyses.

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BACKGROUND: Previous studies on childhood cancer and nuclear power plants (NPPs) produced conflicting results. We used a cohort approach to examine whether residence near NPPs was associated with leukaemia or any childhood cancer in Switzerland. METHODS: We computed person-years at risk for children aged 0-15 years born in Switzerland from 1985 to 2009, based on the Swiss censuses 1990 and 2000 and identified cancer cases from the Swiss Childhood Cancer Registry. We geo-coded place of residence at birth and calculated incidence rate ratios (IRRs) with 95% confidence intervals (CIs) comparing the risk of cancer in children born <5 km, 5-10 km and 10-15 km from the nearest NPP with children born >15 km away, using Poisson regression models. RESULTS: We included 2925 children diagnosed with cancer during 21 117 524 person-years of follow-up; 953 (32.6%) had leukaemia. Eight and 12 children diagnosed with leukaemia at ages 0-4 and 0-15 years, and 18 and 31 children diagnosed with any cancer were born <5 km from a NPP. Compared with children born >15 km away, the IRRs (95% CI) for leukaemia in 0-4 and 0-15 year olds were 1.20 (0.60-2.41) and 1.05 (0.60-1.86), respectively. For any cancer, corresponding IRRs were 0.97 (0.61-1.54) and 0.89 (0.63-1.27). There was no evidence of a dose-response relationship with distance (P > 0.30). Results were similar for residence at diagnosis and at birth, and when adjusted for potential confounders. Results from sensitivity analyses were consistent with main results. CONCLUSIONS: This nationwide cohort study found little evidence of an association between residence near NPPs and the risk of leukaemia or any childhood cancer.

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XIAP prevents apoptosis by binding to and inhibiting caspases, and this inhibition can be relieved by IAP antagonists, such as Smac/DIABLO. IAP antagonist compounds (IACs) have therefore been designed to inhibit XIAP to kill tumor cells. Because XIAP inhibits postmitochondrial caspases, caspase 8 inhibitors should not block killing by IACs. Instead, we show that apoptosis caused by an IAC is blocked by the caspase 8 inhibitor crmA and that IAP antagonists activate NF-kappaB signaling via inhibtion of cIAP1. In sensitive tumor lines, IAP antagonist induced NF-kappaB-stimulated production of TNFalpha that killed cells in an autocrine fashion. Inhibition of NF-kappaB reduced TNFalpha production, and blocking NF-kappaB activation or TNFalpha allowed tumor cells to survive IAC-induced apoptosis. Cells treated with an IAC, or those in which cIAP1 was deleted, became sensitive to apoptosis induced by exogenous TNFalpha, suggesting novel uses of these compounds in treating cancer.

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Työn tavoitteena oli kartoittaa metsäteollisuuden tuotantolaitoksissa syntyvän lentotuhkan laadun vaikutusta hyötykäyttökohteisiin. Hyötykäyttökohteista tarkasteltiin tuhkien soveltumista maarakentamiseen, päällystettyyn- ja peitettyyn rakenteeseen, pelto- ja puutarhakäyttöön, maisemointiin ja viherrakentamiseen sekä metsäkäyttöön. Tuhka-analyysien tietojen perusteella tuhkalle määritettiin mahdollinen hyötykäyttökohde verrattaessa niitä lainsäädännönasettamiin raja-arvoihin jokaisessa hyötykäyttökohteessa. Lisäksi tarkasteltiinmahdollisia esteitä tuhkan käytölle tietyissä hyötykäyttökohteissa sekä pyrittiin saamaan tuhkalle järkevämpi loppusijoituspaikka kuin kaatopaikka. Kirjallisuusosaan on koottu metsäteollisuudessa käytössä olevat polttomenetelmät sekä poltettavat raaka-aineet. Eri polttojakeiden tuhkien koostumuksista on tehty yhteenveto kirjallisuudesta löytyvien tietojen perusteella. Lisäksi kirjallisuusosassa on esitetty lentotuhkan fraktiointimenetelmiä sekä eri hyötykäyttökohteet ja niiden vaatimukset lentotuhkalta. Kokeellisessa osassa on vertailtu olemassa olevien tuhkanäytteiden haitta-aineiden pitoisuuksia eri hyötykäyttökohteiden vaadittuihin raja-arvoihin. Tähän työhön valittiin viisi eri metsäteollisuuden tuotantolaitosta Suomesta ja niille jokaiselle pyrittiin löytämään parhaiten soveltuva loppukäyttö. Metsäteollisuuden tuotantolaitoksilla poltetaan useita eri polttojakeita. Lisäksi polttoainekoostumus ja -määrä vaihtelevat vuositasolla. Tämä vaikuttaa tuhkan laatuun ja vaikeuttaa tuhkan hyödyntämistä eri hyötykäyttökohteissa. Jokaiselle tuhkan eri hyötykäyttökohteelle on säädetty omat raja-arvonsa, joka rajoittaa tuhkan hyötykäyttöä. Tällä hetkellä tuhkaa hyödynnetään eniten metsälannoitteena, jolloin puuaineksen mukana poistuneet ravinteet saadaan palautettua takaisin luontoon. Myös tuhkan hyödyntäminen maarakentamisessa on järkevää, koska silloin korvataan maa-ainesta tuhkalla ja vältytään kaatopaikkasijoittamiselta. Yleisesti pelto- ja puutarhakäyttöä ajatellen raja-arvot ovat liian tiukat metsäteollisuuden lentotuhkalle.

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Amb aquesta recerca es pretén donar veu a un tipus d‘investigació científica articulada a partir de les excursions científiques i que actualment està quasi en desús. Els integrants del GEiEG que es dedicaven a l'arqueologia havien de compaginar aquesta afició amb la professió i la majoria no havien estat formats en història, sinó que la seva era una formació autodidacta. Diversos personatges relacionats amb el món cultural gironí dels anys 30 foren qui van posar en marxa la investigació arqueològica. Amb aquest treball es vol recuperar un episodi de la història de l‘arqueologia gironina, molt poc investigat i quasi oblidat i directament vinculat amb el context històric i social de la Segona República. Concretament hem investigat la formació de la Secció d‘Arqueologia del GEiEG, com es va anar creant, qui la formava, com van anar dotant-la de bibliografia bàsica sobre arqueologia, el local que tenien, la seva col•lecció, les seves publicacions. Hem volgut veure què va passar amb el fons arqueològic, si les col•leccions que formaven el fons foren entregades intactes, si hi havien altres col•leccions privades dins aquest fons. Volíem saber si totes les peces provenien del GEiEG o d‘altres fonts. També volíem saber si els altres socis tenien col•leccions privades. Per una altra banda també volíem estudiar i investigar la creació de la col•lecció de peces arqueològiques anteriors a la formació del grup, així com veure qui eren les persones interessades en l‘arqueologia. I finalment volíem conèixer els usos del fons des de la seva donació fins els nostres dies. Alhora ens ha permès veure com des de les comarques s‘intentaven realitzar troballes al marge de Barcelona i com es van localitzar important jaciments de Girona i els seus voltants a partir de les excursions científiques i les sortides del GEiEG

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Following 15 years of experimental studies, tumor immunotargeting using monoclonal antibodies directed against tumor associated antigens shows now important monoclonal antibodies directed against tumor associated antigens shows now important clinical developments. This is mainly due to encouraging therapeutic results which have obtained using humanized antibodies such as the anti-CD20 rituximab in follicular B lymphomas and the anti-DrbB2 herceptin in breast carcinomas. Thanks to genetic engineering it is possible to graft variable or hypervariable regions from murine antibodies to human IgG, and even to obtain fully human antibodies by using either transgenic mice containing a large part of the human repertoire of human IgG, or selection of human antibody fragments expressed by phages. Radiolabeling of antibodies played a major role to demonstrate the tumor immunotargeting specificity and remains attractive for the diagnosis by immunoscintigraphy as well as for the treatment by radioimmunotherapy of some cancers. In this review, the current results and the prospects of diagnostic and therapeutic uses of anti-tumor antibodies and their fragments will be described. Concerning diagnosis, 123-iodine or 99m-technetium labeled Fab fragments allowed very demonstrative tumor images but this technique has a limited effect upon the therapeutic attitude. Immuno-PET (positron emission tomography) could enhance the sensitivity of this imaging method. Radio-immunoguided surgery and immunophotodetection are attractive techniques still under evaluation. Concerning therapy, 131-iodine labeled anti-CD20 antibodies gave spectacular results in non-Hodgkin's B lymphomas. In solid tumors which as less radiosensitive, radioimmunotherapy could concern small tumors and need the use of two-steps targeting and/or alpha emitters radioisotopes. Some other strategies will be described such as bispecific antibodies directed against tumors and immune effector cells, some antibody fragments expressed on T cells called T-bodies or some biological studies using intrabodies. Published data and works in progress demonstrate that immunotargeting of tumors will have a growing place in the treatments of cancer patients.

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The goal of this dissertation is to find and provide the basis for a managerial tool that allows a firm to easily express its business logic. The methodological basis for this work is design science, where the researcher builds an artifact to solve a specific problem. In this case the aim is to provide an ontology that makes it possible to explicit a firm's business model. In other words, the proposed artifact helps a firm to formally describe its value proposition, its customers, the relationship with them, the necessary intra- and inter-firm infrastructure and its profit model. Such an ontology is relevant because until now there is no model that expresses a company's global business logic from a pure business point of view. Previous models essentially take an organizational or process perspective or cover only parts of a firm's business logic. The four main pillars of the ontology, which are inspired by management science and enterprise- and processmodeling, are product, customer interface, infrastructure and finance. The ontology is validated by case studies, a panel of experts and managers. The dissertation also provides a software prototype to capture a company's business model in an information system. The last part of the thesis consists of a demonstration of the value of the ontology in business strategy and Information Systems (IS) alignment. Structure of this thesis: The dissertation is structured in nine parts: Chapter 1 presents the motivations of this research, the research methodology with which the goals shall be achieved and why this dissertation present a contribution to research. Chapter 2 investigates the origins, the term and the concept of business models. It defines what is meant by business models in this dissertation and how they are situated in the context of the firm. In addition this chapter outlines the possible uses of the business model concept. Chapter 3 gives an overview of the research done in the field of business models and enterprise ontologies. Chapter 4 introduces the major contribution of this dissertation: the business model ontology. In this part of the thesis the elements, attributes and relationships of the ontology are explained and described in detail. Chapter 5 presents a case study of the Montreux Jazz Festival which's business model was captured by applying the structure and concepts of the ontology. In fact, it gives an impression of how a business model description based on the ontology looks like. Chapter 6 shows an instantiation of the ontology into a prototype tool: the Business Model Modelling Language BM2L. This is an XML-based description language that allows to capture and describe the business model of a firm and has a large potential for further applications. Chapter 7 is about the evaluation of the business model ontology. The evaluation builds on literature review, a set of interviews with practitioners and case studies. Chapter 8 gives an outlook on possible future research and applications of the business model ontology. The main areas of interest are alignment of business and information technology IT/information systems IS and business model comparison. Finally, chapter 9 presents some conclusions.

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BACKGROUND: Increasing incidence of head and neck cancer (HNC) in young adults has been reported. We aimed to compare the role of major risk factors and family history of cancer in HNC in young adults and older patients. METHODS: We pooled data from 25 case-control studies and conducted separate analyses for adults ≤45 years old ('young adults', 2010 cases and 4042 controls) and >45 years old ('older adults', 17 700 cases and 22 704 controls). Using logistic regression with studies treated as random effects, we estimated adjusted odds ratios (ORs) and 95% confidence intervals (CIs). RESULTS: The young group of cases had a higher proportion of oral tongue cancer (16.0% in women; 11.0% in men) and unspecified oral cavity / oropharynx cancer (16.2%; 11.1%) and a lower proportion of larynx cancer (12.1%; 16.6%) than older adult cases. The proportions of never smokers or never drinkers among female cases were higher than among male cases in both age groups. Positive associations with HNC and duration or pack-years of smoking and drinking were similar across age groups. However, the attributable fractions (AFs) for smoking and drinking were lower in young when compared with older adults (AFs for smoking in young women, older women, young men and older men, respectively, = 19.9% (95% CI = 9.8%, 27.9%), 48.9% (46.6%, 50.8%), 46.2% (38.5%, 52.5%), 64.3% (62.2%, 66.4%); AFs for drinking = 5.3% (-11.2%, 18.0%), 20.0% (14.5%, 25.0%), 21.5% (5.0%, 34.9%) and 50.4% (46.1%, 54.3%). A family history of early-onset cancer was associated with HNC risk in the young [OR = 2.27 (95% CI = 1.26, 4.10)], but not in the older adults [OR = 1.10 (0.91, 1.31)]. The attributable fraction for family history of early-onset cancer was 23.2% (8.60% to 31.4%) in young compared with 2.20% (-2.41%, 5.80%) in older adults. CONCLUSIONS: Differences in HNC aetiology according to age group may exist. The lower AF of cigarette smoking and alcohol drinking in young adults may be due to the reduced length of exposure due to the lower age. Other characteristics, such as those that are inherited, may play a more important role in HNC in young adults compared with older adults.

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A partir d'una aproximació a les dades estadístiques aparegudes en dues enquestes recents sobre el coneixement, l'ús i la configuració de les identitats lingüístiques en els joves, s'analitza la influència de l'escola en la reproducció lingüística d'una llengua minoritzada. S'observa que, mentre que el sistema educatiu té una gran importància en la reproducció dels coneixements tant orals com escrits de la llengua, disminueix la seva influència en la determinació dels usos lingüístics en llengua catalana, així com és nul el seu efecte en la configuració de la identitat lingüística catalana dels joves. A partir d'aquesta constatació, s'analitzen les possibles causes i es proposen alternatives que plantegen la configuració de la identitat lingüística dels joves com un projecte de futur.

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Tämän tutkielman tavoitteena oli määrittää uuden markkinan valinnan perusteita teolliselle tuotteelle. Tutkielma keskittyi jo tunnettuihin kansainvälisen markkinavalinnan lähestymistapoihin ja pyrki soveltamaan yhtä menetelmää käytäntöön tutkielman empiria osassa case-tutkimuksen avulla. Tutkimusote oli tutkiva, eksploratiivinen ja perustui sekundääri analyysiin. Käytetyt tiedon lähteet olivat suureksi osin sekundäärisiä tuottaen kvalitatiivista tietoa. Kuitenkin haastatteluita suoritettiin myös. Kattava kirjallisuus katsaus tunnetuista teoreettisista lähestymistavoista kansainväliseen markkinavalintaan oli osa tutkielmaa. Kolme tärkeintä lähestymistapaa esiteltiin tarkemmin. Yksi lähestymistavoista, ei-järjestelmällinen, muodosti viitekehyksen tutkielman empiria-osalle. Empiria pyrki soveltamaan yhtä ei-järjestelmällisen lähestymistavan malleista kansainvälisessä paperiteollisuudessa. Tarkoituksena oli tunnistaa kaikkein houkuttelevimmat maat mahdollisille markkinointitoimenpiteille tuotteen yhdellä loppukäyttöalueella. Tutkielmassa päädyttiin käyttämään ilmastollisia olosuhteita, siipikarjan päälukua sekä siipikarjan kasvuprosenttia suodattimina pyrittäessä vähentämään mahdollisten maiden lukumäärää. Tutkielman empiria-osa kärsi selkeästi relevantin tiedon puutteesta. Siten myös tutkielman reliabiliteetti ja validiteetti voidaan jossain määrin kyseenalaistaa.

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Tämän tutkimuksen tarkoituksena oli selvittää sekä teoreettisen että empiirisen tarkastelun kautta kilpailun analysointia ja kilpailijatiedon merkitystä projektivientiyrityksessä. Tutkimuksessa pyrittiin analysoimaan, kuinka yrityksessä tunnistetaan kilpailijat ja minkä tyyppistä kilpailijatietoa organisaatiossa tarvitaan. Lisäksi pyrittiin haastatteluin selvittämään tärkeimmät käyttökohteet kilpailijatiedolle sekä lähinnä yrityksen sisäiset tietolähteet.Tutkimuksen teoreettisessa osassa pyrittiin antamaan lukijalle käsitteellistä perustaa yrityksen kilpailustrategian muotoutumiselle, kilpailijatiedon merkitykselle sekä hallinnalle informaatiojärjestelmää apuna käyttäen. Näitä tietoja hyödyntäen saatiin kehitettyä empiirisessä osuudessa tietojärjestelmän runko case-yritykseen. Tutkimus toteutettiin lähinnä Pohjoismaisilla teräsrakentamisen markkinoilla toimivaan projektivientiyritykseen. Organisaation kilpailijatiedon hyväksikäytön kriittiseksi tekijäksi osoittautui tiedon tarpeen ja kysynnän määrittely sekä sen vertaaminen nykyisiin jo organisaatiossa oleviin tietoihin. Toisaalta tietoja oli suhteellisen paljon olemassa, mutta se oli aika pienen joukon käytössä. Yrityksessä ei ollut aiemmin tutkittu kilpailijatiedon käyttöä, joten tiedon tarvetta laajemmin ei oltu aiemmin tiedostettu. Koko ajan tulee kuitenkin muistaa, että aikaa kannattaa uhrata vain sellaiseen toimintaan, mikä edistää yrityksen liiketoimintaa. Tältä pohjalta halutaankin ottaa käyttöön paikasta ja ajasta riippumaton informaatiojärjestelmä.Tietojärjestelmästä haluttiin yksinkertainen, jotta sen käyttö ei olisi kellekään kynnyskysymys hyödyllisen tiedon käyttöön. Järjestelmällä halutaan turvata kilpailijatiedon tehokas välittyminen oikeille käyttäjille oikeaan aikaan. Toisaalta järjestelmältä halutaan tutkimuspohjaa esimerkiksi hävittyjen kauppojen analyyseihin, ja näin voidaankin sanoa, että järjestelmä oppii ja opettaa käyttäjiensä välityksellä.