title: Performance of a fast-track pathway for giant cell arteritis in Waikato, Aotearoa New Zealand

authors: van Dantzig, Philippa

subjects: Data analytics

abstract: Giant cell arteritis (GCA) is the most common primary vasculitis in adults over 50 years of age. To facilitate early diagnosis and reduce harms from corticosteroids and temporal artery biopsies, fast-track pathways have been established. We review the benefits of the fast-track pathway set up in Waikato, Aotearoa New Zealand.  methods: Patients were collected prospectively as part of the fast-track pathway from 2014 to 2022. Their records were then reviewed retrospectively to collect data on clinical features, investigations and treatment.  results: There were 648 individual patients over the study period who had a colour Doppler ultrasound (CDUS) of the temporal arteries. There were 17 true positive CDUS, giving a sensitivity of 10.3% (95% confidence interval [CI] 6.3–15.5%) and specificity of 99.8% (95% CI 99.1–100%). Patients with GCA and a positive scan had significantly fewer steroids than those with GCA and a negative scan (p=0.0037). There were 376 patients discharged after a CDUS who did not have a diagnosis of GCA, resulting in reduced corticosteroid and temporal artery biopsy exposure.  conclusions: This is a real-life study that reflects the benefits of fast-track pathways in Aotearoa New Zealand to patients and healthcare systems. It also shows the effect of corticosteroids on positive CDUS, an important consideration when setting up an fast-track pathway.

text: Performance of a fast-track pathway for giant cell arteritis in Waikato, Aotearoa New Zealand Giant cell arteritis (GCA) is the most common primary vasculitis in adults over 50 years of age. To facilitate early diagnosis and reduce harms from corticosteroids and temporal artery biopsies, fast-track pathways have been established. We review the benefits of the fast-track pathway set up in Waikato, Aotearoa New Zealand.  methods: Patients were collected prospectively as part of the fast-track pathway from 2014 to 2022. Their records were then reviewed retrospectively to collect data on clinical features, investigations and treatment.  results: There were 648 individual patients over the study period who had a colour Doppler ultrasound (CDUS) of the temporal arteries. There were 17 true positive CDUS, giving a sensitivity of 10.3% (95% confidence interval [CI] 6.3–15.5%) and specificity of 99.8% (95% CI 99.1–100%). Patients with GCA and a positive scan had significantly fewer steroids than those with GCA and a negative scan (p=0.0037). There were 376 patients discharged after a CDUS who did not have a diagnosis of GCA, resulting in reduced corticosteroid and temporal artery biopsy exposure.  conclusions: This is a real-life study that reflects the benefits of fast-track pathways in Aotearoa New Zealand to patients and healthcare systems. It also shows the effect of corticosteroids on positive CDUS, an important consideration when setting up an fast-track pathway.

year: 2024-03-22

title: An open-source toolkit for mining Wikipedia

authors: Milne, David N.

subjects: Annotation

abstract: The online encyclopedia Wikipedia is a vast, constantly evolving tapestry of interlinked articles. For developers and researchers it represents a giant multilingual database of concepts and semantic relations, a potential resource for natural language processing and many other research areas. This paper introduces the Wikipedia Miner toolkit, an open-source software system that allows researchers and developers to integrate Wikipedia's rich semantics into their own applications. The toolkit creates databases that contain summarized versions of Wikipedia's content and structure, and includes a Java API to provide access to them. Wikipedia's articles, categories and redirects are represented as classes, and can be efficiently searched, browsed, and iterated over. Advanced features include parallelized processing of Wikipedia dumps, machine-learned semantic relatedness measures and annotation features, and XML-based web services. Wikipedia Miner is intended to be a platform for sharing data mining techniques. Annotation; Disambiguation; Ontology extraction; Semantic relatedness; Toolkit; Wikipedia

text: An open-source toolkit for mining Wikipedia The online encyclopedia Wikipedia is a vast, constantly evolving tapestry of interlinked articles. For developers and researchers it represents a giant multilingual database of concepts and semantic relations, a potential resource for natural language processing and many other research areas. This paper introduces the Wikipedia Miner toolkit, an open-source software system that allows researchers and developers to integrate Wikipedia's rich semantics into their own applications. The toolkit creates databases that contain summarized versions of Wikipedia's content and structure, and includes a Java API to provide access to them. Wikipedia's articles, categories and redirects are represented as classes, and can be efficiently searched, browsed, and iterated over. Advanced features include parallelized processing of Wikipedia dumps, machine-learned semantic relatedness measures and annotation features, and XML-based web services. Wikipedia Miner is intended to be a platform for sharing data mining techniques. Annotation; Disambiguation; Ontology extraction; Semantic relatedness; Toolkit; Wikipedia

year: 2013

title: He huringa āhuarangi, he huringa ao: A changing climate, a changing world

authors: Awatere, S

subjects: climate change adaptation

abstract: Iwi/hapū (tribe/subtribe) governance institutions are increasingly asserting their rangatiratanga (autonomy) to manage climate change risks and meet the well-being of whānau (family)/ hapū/iwi. Howevere, there is a shortange of specific guidance for whānau/hapū/iwi with respect to climate change adaptation and mitigation. We provide a commentary about risk and uncertainty, knowledge gaps, and options for climate change mitigation and adaptation for whānau/hapū/iwi.

text: He huringa āhuarangi, he huringa ao: A changing climate, a changing world Iwi/hapū (tribe/subtribe) governance institutions are increasingly asserting their rangatiratanga (autonomy) to manage climate change risks and meet the well-being of whānau (family)/ hapū/iwi. Howevere, there is a shortange of specific guidance for whānau/hapū/iwi with respect to climate change adaptation and mitigation. We provide a commentary about risk and uncertainty, knowledge gaps, and options for climate change mitigation and adaptation for whānau/hapū/iwi.

year: 2021-10