22 research outputs found
Oral abstracts 3: RA Treatment and outcomesO13. Validation of jadas in all subtypes of juvenile idiopathic arthritis in a clinical setting
Background: Juvenile Arthritis Disease Activity Score (JADAS) is a 4 variable composite disease activity (DA) score for JIA (including active 10, 27 or 71 joint count (AJC), physician global (PGA), parent/child global (PGE) and ESR). The validity of JADAS for all ILAR subtypes in the routine clinical setting is unknown. We investigated the construct validity of JADAS in the clinical setting in all subtypes of JIA through application to a prospective inception cohort of UK children presenting with new onset inflammatory arthritis. Methods: JADAS 10, 27 and 71 were determined for all children in the Childhood Arthritis Prospective Study (CAPS) with complete data available at baseline. Correlation of JADAS 10, 27 and 71 with single DA markers was determined for all subtypes. All correlations were calculated using Spearman's rank statistic. Results: 262/1238 visits had sufficient data for calculation of JADAS (1028 (83%) AJC, 744 (60%) PGA, 843 (68%) PGE and 459 (37%) ESR). Median age at disease onset was 6.0 years (IQR 2.6-10.4) and 64% were female. Correlation between JADAS 10, 27 and 71 approached 1 for all subtypes. Median JADAS 71 was 5.3 (IQR 2.2-10.1) with a significant difference between median JADAS scores between subtypes (p < 0.01). Correlation of JADAS 71 with each single marker of DA was moderate to high in the total cohort (see Table 1). Overall, correlation with AJC, PGA and PGE was moderate to high and correlation with ESR, limited JC, parental pain and CHAQ was low to moderate in the individual subtypes. Correlation coefficients in the extended oligoarticular, rheumatoid factor negative and enthesitis related subtypes were interpreted with caution in view of low numbers. Conclusions: This study adds to the body of evidence supporting the construct validity of JADAS. JADAS correlates with other measures of DA in all ILAR subtypes in the routine clinical setting. Given the high frequency of missing ESR data, it would be useful to assess the validity of JADAS without inclusion of the ESR. Disclosure statement: All authors have declared no conflicts of interest. Table 1Spearman's correlation between JADAS 71 and single markers DA by ILAR subtype ILAR Subtype Systemic onset JIA Persistent oligo JIA Extended oligo JIA Rheumatoid factor neg JIA Rheumatoid factor pos JIA Enthesitis related JIA Psoriatic JIA Undifferentiated JIA Unknown subtype Total cohort Number of children 23 111 12 57 7 9 19 7 17 262 AJC 0.54 0.67 0.53 0.75 0.53 0.34 0.59 0.81 0.37 0.59 PGA 0.63 0.69 0.25 0.73 0.14 0.05 0.50 0.83 0.56 0.64 PGE 0.51 0.68 0.83 0.61 0.41 0.69 0.71 0.9 0.48 0.61 ESR 0.28 0.31 0.35 0.4 0.6 0.85 0.43 0.7 0.5 0.53 Limited 71 JC 0.29 0.51 0.23 0.37 0.14 -0.12 0.4 0.81 0.45 0.41 Parental pain 0.23 0.62 0.03 0.57 0.41 0.69 0.7 0.79 0.42 0.53 Childhood health assessment questionnaire 0.25 0.57 -0.07 0.36 -0.47 0.84 0.37 0.8 0.66 0.4
The changing nature of the ITU Plenipotentiary
The Plenipotentiary Conference is the supreme organ of the International Telecommunication Union (ITU). Since the Nairobi Plenipotentiary in 1982, there has been much debate about the role of the Plenipotentiary and even the future of the ITU in the continuing telecommunications revolution. This article explores the major attributes of the Plenipotentiary by comparing the Nairobi Conference with the five post-second world war Plenipotentiaries that preceded it. Criticisms are evaluated and suggestions for improvement are made.Telecommunications policy International Telecommunication Union Organization
Der Internationale Fernmeldeverein. (Dokumente, Vol. 34.) By Gunter B. Krause. (Berlin and Frankfurt: Alfred Metzner Verlag, 1960. pp. 184. DM. 32.)
Traité de Droit Aérien-aéronautique (3d ed.). By Nicolas Mateesco Matte. Montreal: McGill University; Paris: Editions A. Pedone, 1980. Pp. 844.
The Nice ITU plenipotentiary conference
This article surveys the achievements of the 1989 ITU Plenipotentiary, held in Nice. The most important result in the short term was the creation of a Telecommunications Development Bureau (TDB) with a substantial budget, and from a long-range perspective the decision to establish a study group to investigate the ITU's Internal structure could prove most significant. It was also decided to divide the old ITU Convention into a new Convention and a Constitution. Other decisions of the Plenipotentiary, such as increasing the use of official languages, were probably more formal than practical.