National Resource for Infection Control – Technical Issues Sue Wiseman 1, Gawesh Jawaheer 2, Faiza Hansraj 2, Patty Kostkova 2 Jane Mani-Saada 3 1 Department of Health, U.K. 2 City eHealth Research Centre (CERC) City University, London, U.K. 3 HPA

2/9 How does NRIC fit in? NeLI (National electronic Library of Infection) NRIC (National Resource for Infection Control) TII (Training In Infection) AR (Antibiotic Resistance – Bugs & Drugs)

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4/9 Navigation Tree - Ongoing Comprehensive A – Z Comprehensive A – Z Conferences Conferences Settings Settings Clinical Practice Clinical Practice Modes of Transmission Modes of Transmission Diseases / Organisms Diseases / Organisms Policy / Guidance Policy / Guidance FAQs FAQs

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9/9 User feedback on NRIC "Looks as if it might be a useful resource and I have sent a link to my local colleagues." - Theresa Holmes, 1st November 2005 "Looks as if it might be a useful resource and I have sent a link to my local colleagues." - Theresa Holmes, 1st November 2005 "I've just had a quick look at your site for the first time and I'm very impressed! I can certainly see that it will be of great help to me and I look forward to seeing its continued development." - Pat Billups, 29th September 2005 "I've just had a quick look at your site for the first time and I'm very impressed! I can certainly see that it will be of great help to me and I look forward to seeing its continued development." - Pat Billups, 29th September 2005 "Just found this site and it is fabulous. Many thanks" – Anonymous Hospital Antibiotic Pharmacist, 1st September 2005 "Just found this site and it is fabulous. Many thanks" – Anonymous Hospital Antibiotic Pharmacist, 1st September 2005 "Million thanks for developing this site, what a wonderful idea ! and what a great layout too. This is marvellous." - Anonymous, 20th August 2005 "Million thanks for developing this site, what a wonderful idea ! and what a great layout too. This is marvellous." - Anonymous, 20th August 2005 "Just to say I am very impressed with your web-site. It is much appreciated to be able to access relevant literature with ease. Thank you and well done" - Jeff Scott, Nurse Consultant in Health Protection, HPA, 4th August 2005 "Just to say I am very impressed with your web-site. It is much appreciated to be able to access relevant literature with ease. Thank you and well done" - Jeff Scott, Nurse Consultant in Health Protection, HPA, 4th August 2005 "I think this site is a great idea as it will prove so useful." - Kirstine Brooker, Infection Control Nurse, 4th June 2005 "I think this site is a great idea as it will prove so useful." - Kirstine Brooker, Infection Control Nurse, 4th June 2005 “Many thanks for these newsletters – I find them to be useful in my everyday work.” Tim Durell, Norfolk, 3 rd November 2006 “Many thanks for these newsletters – I find them to be useful in my everyday work.” Tim Durell, Norfolk, 3 rd November 2006

10/9 New features – New services Monthly eNewsletter – site updates sent by to over 1200 professionals – SUBSCRIBE NOW Monthly eNewsletter – site updates sent by to over 1200 professionals – SUBSCRIBE NOW New graphical look – Feb 07 issue New graphical look – Feb 07 issue Survey of the content & alert service – Feb 07 issue Survey of the content & alert service – Feb 07 issue Conferences/Grants/Meetings Conferences/Grants/Meetings promote your events through NRIC promote your events through NRIC subscribe to alerts relevant to your profession (launch March 07) subscribe to alerts relevant to your profession (launch March 07) Online submission of new resources Online submission of new resources is your paper on NRIC? Submit it in 1 minute is your paper on NRIC? Submit it in 1 minute Earn CPD points by online submission of Reviewers Assessments – Automated system to be piloted Earn CPD points by online submission of Reviewers Assessments – Automated system to be piloted Personalised Content Alerts to your interest/profession – launch March 07 Personalised Content Alerts to your interest/profession – launch March 07 Weblog evaluation – keyword searches – gaps analysis - ongoing Weblog evaluation – keyword searches – gaps analysis - ongoing

11/9 Access to NRIC

12/9 Time spent & pages viewed Average time spent per session Average no. pages viewed per session NeLI01: NRIC02: Bugs & Drugs 01:222.75

13/9 Do we know what users want? Starting from the home page a user would have to access at least three pages to view any of the documents held in the library. bookmarking pages or entering further into the site via search engines OR Having NeLI set as the Home Page OR …. ??? Access Logs of the NeLI August 2003 to April 2004

14/9 NRIC Access by Region

15/9 Results : Most common topics viewed (All users) All Users Top 10 topic pages % Users Meningitis2.82% HIV2.72% Tuberculosis2.68% Tinea2.55% Antimicrobial Resistance and Healthcare Associated Infection 1.93% Staphylococcus aureus 1.85% Chlamydia1.83% Parvovirus1.73% Helicobacter1.69% Salmonella1.68%

16/9 Searching/browsing behaviour

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18/9 Other results Use of NeLI may be linked to Infectious diseases in the news e.g. hits to legionella pages increased during an outbreak in August 2002 Use of NeLI may be linked to Infectious diseases in the news e.g. hits to legionella pages increased during an outbreak in August 2002 Average no. pages accessed per visit = 2.11 Average no. pages accessed per visit = 2.11 Entry page is home page for only 37% sessions so users may be bookmarking or entering via search engines directly to topic pages Entry page is home page for only 37% sessions so users may be bookmarking or entering via search engines directly to topic pages

19/9 Referrers - NRIC No. visitors % visitors No referrer % NRIC % Google % NeLI4826.4% Other Search Engine % DH1732.3% HIS1522.0% NHS website 500.7% % OMNI250.3% HPA60.1% Other2202.9%

20/9 Google, msn searches that led to the AR site between 1 Sep & 31st Jan searches 7161 included the word alcohol 7161 included the word alcohol antibiotic antibiotic 6515 chest 6515 chest 3467 bacteria 3467 bacteria 2085 virus 2085 virus 1852 acne 1852 acne 1149 flu 1149 flu …. And 250 included "cat" …. And 250 included "cat" Some users have an addiction problem: Quit antibiotics Quit working Many users are concerned about animal welfare: Antibiotics in disadvantaged animals information on cat colds Others have an international approach: swedish acne remedy mrsa chinese formula

21/9 Google, msn searches that led to the AR site between 1 Sep & 31st Jan Some are more economically focussed: how to get rid of my acne for free how to get rid of my acne for free easy money from web survey easy money from web survey Some are quite clear on what they think: i dont want to take antibiotics health information makes us ill Some have seemingly unrelated concerns: do i need therapy does male agree to take drugs will it be cold how can i get rid of my junk students attitude towards drugs

22/9 New EU Project: SeaLife Conception and realisation of a Semantic Grid Browser, which links the current Web to the emerging eScience infrastructure Conception and realisation of a Semantic Grid Browser, which links the current Web to the emerging eScience infrastructure Many grids, few users: make Web servers and services accessible to end users Semantic Hyperlinks: use ontologies and background knowledge to map web contents to services Shopping cart: service composition and enactment module Many grids, few users: make Web servers and services accessible to end users Semantic Hyperlinks: use ontologies and background knowledge to map web contents to services Shopping cart: service composition and enactment module Applications: from cells via tissue to patients Evidence-based medicine Patent and literature mining Molecuar biology Applications: from cells via tissue to patients Evidence-based medicine Patent and literature mining Molecuar biology

23/9 BBC News page that shows an article about an outbreak of Polio in Namibia SeaLife Example: News Article linked to Medical Resources

24/9 SeaLife highlights terms from underlying ontology

25/9 SeaLife provides links to NELI, Wikipedia and NaTHNac services.

26/9 SeaLife highlights terms from underlying ontology

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28/9 Users can now access the NaTHNaC pages from NELI site and vice versa

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30/9 New EU Project: eBug DG Sanco grant application no ‘Development and dissemination of a school antibiotic and hygiene education pack and website across Europe (EBug)’ DG Sanco grant application no ‘Development and dissemination of a school antibiotic and hygiene education pack and website across Europe (EBug)’

31/9 Ebug Details Funded by DG SANCO - Budget: mil euro (40% contributed by member states, 60% EC contribution = mil euro) Funded by DG SANCO - Budget: mil euro (40% contributed by member states, 60% EC contribution = mil euro) Coordinated by HPA (Cliodna McNulty) Coordinated by HPA (Cliodna McNulty) Based on the HPA Bug Investigator Project Based on the HPA Bug Investigator Project Associate Partners: Associate Partners: Belgium, UK, France, Spain, Czech Republic, Italy, Greece, Poland, Portugal, Denmark Belgium, UK, France, Spain, Czech Republic, Italy, Greece, Poland, Portugal, Denmark Collaborating Partners: Collaborating Partners: Croatia, Finland, Hungary, Latvia, Lithuania, Luxembourg, Slovakia, Slovenia Croatia, Finland, Hungary, Latvia, Lithuania, Luxembourg, Slovakia, Slovenia External Audit Committee chaired by Herman Goossens (Belgium) External Audit Committee chaired by Herman Goossens (Belgium)

32/9 CeRC (& ex)– Acknowledgements Steve D’Souza Steve D’Souza Gemma Madle Gemma Madle Jane Mani-Saada Jane Mani-Saada Anjana Roy Anjana Roy Sue Wiseman Sue Wiseman Julius Weinberg Julius Weinberg Mike Catchpole Mike Catchpole Faiza Hansraj Faiza Hansraj David Farrell David Farrell Gawesh Jawaheer Gawesh Jawaheer

33/9 Contact Details NeLI: NeLI: NRIC: NRIC: Bugs and Drugs: Bugs and Drugs: TII: TII: SeaLife: SeaLife: E-bug: E-bug: Content Info: Content Info: Strategic Info : Strategic Info : Technical Info : Technical Info : General Info : General Info :