Requirements for enrichment tools

This report gives a high level overview of requirements for Enrichment tools in the Openlaws.eu project. Openlaws.eu aims to initiate a platform and develop a vision for Big Open Legal Data (BOLD): an open framework for legislation, case law, and legal literature from across Europe

Analysis of legal networks

This report describes the main electronically available sources of law in the three target countries of the Openlaws.eu project: Austria, the Netherlands and the United Kingdom, plus those of the EU. It describes their strengths and weaknesses in terms of available data, formats and licensing. Since the world is dynamic, especially that of electronic data, the document was originally set up as a set of spreadsheets and a web site that is easier to maintain and update. This deliverable contains a snapshot of the status of these documents at the end of December 2014

Experiences, adherence and satisfaction with a combined exercise and dietary intervention for patients with ovarian cancer undergoing chemotherapy:A mixed-methods study

Objective: This study examined experiences, adherence and satisfaction with a combined exercise and dietary intervention in patients with ovarian cancer and their healthcare professionals (HCPs) as part of the randomized PADOVA trial. Methods: A mixed-methods approach was used in 24 patients with ovarian cancer receiving first-line chemotherapy who were randomly allocated to a combined exercise and dietary intervention or usual care with counseling sessions post-treatment. Qualitative data on intervention experiences, adherence and satisfaction was collected using semi-structured interviews with patients and their HCPs (n = 18 physical therapists; n = 5 dietitians). Quantitative data on adherence and satisfaction was collected to provide context to qualitative data. Results: Exercise relative dose intensity ranged from 36 to 100% (median 72%) and patients attended 33–133% (median 100%) of the prescribed dietary counseling sessions. Patients appreciated guidance on exercise and nutrition and perceived benefits including improved physical fitness, quality of life, peer support and recovery after surgery and/or chemotherapy cycles. Both patients and HCPs were satisfied with the intervention and perceived that participation exceeded prior expectations. Median patient satisfaction score with the intervention was 8.5 out of 10. Suggestions for improving the intervention included further personalization of the number, content and scheduling of the sessions to preferences of patients and HCPs. Patients in the usual care group reported counseling sessions post-chemotherapy to be too little too late. Conclusions: Patients with ovarian cancer adhered well to the intervention. Numerous perceived benefits of the intervention were reported by patients and HCPs. Good adherence and positive experiences support successful implementation in clinical practice

BOLD Vision 2020:Designing a vision for the future of Big Open Legal Data

The vision of openlaws.eu is to make access to justice easier for citizens, business- es and legal experts. For this purpose, an innovative legal information platform has been designed by the openlaws.eu project, considering the needs of various stakeholder groups as well as the latest developments in technology and our information society. Access to justice is a fundamental problem in the European Union. There are over 500 million citizens and over 21 million businesses who live, work and operate in 28 jurisdictions, written in 24 official languages. A common market cannot work without a legal system as a basis. Legal information is a public good and it is the duty of governments and the EU to inform citizens and business about the law. In a democracy and under the rule of law everybody should know legislation and case law – or at least have access to it. Legal tech is a new terms for new technology that can be applied to legal information in order to create better access and better understanding of the law. However, just because things can be done, does not mean automatically that they are done. Financial and organisational restrictions and the lack of competency can be a deal-breaker for innovation. Open data, open innovation and open source software can be a potential solution to this problem, especially when combined to one coherent ecosystem. openlaws.eu has developed a prototype platform upon these new open concepts. The application and implementation of some of the features of this innovative legal cloud service indicate where the road of “Big Open Legal Data” can lead us in the upcoming years. The project team envisages an environment, where a “social layer” is put on top of the existing “institutional layer”. Citizens, businesses and legal experts can actively collaborate on the basis of primary legislation and case law. Linked and aggregated legal data provide a solid basis. Such information can then be represented in traditional and more innovative ways. Text and data mining as well as legal intelligence help to process large amounts of legal information automatically, so that experts can focus on the more complicated questions. In the next five years more and more legal data will be opened up, not only because of the PSI Directive, but also because it is in the best interest of governments. As a result, we anticipate that more legal tech start-ups will emerge, as already happened during the past two years. They will apply innovative concepts and new technology on existing legal information and create better access to justice in the EU, in Member States and in the world

Oral Nutrition as a Form of Pre-Operative Enhancement in Patients Undergoing Surgery for Colorectal Cancer:A Systematic Review

Background: Nutritional status has major impacts on the outcome of surgery, in particular in patients with cancer. The aim of this review was to assess the merit of oral pre-operative nutritional support as a part of prehabilitation in patients undergoing surgery for colorectal cancer. Methods: A systematic literature search and meta-analysis was performed according to the Preferred Reporting of Systematic Reviews and Meta-Analyses (PRISMA) recommendations in order to review all trials investigating the effect of oral pre-operative nutritional support in patients undergoing colorectal surgery. The primary outcome was overall complication rate. Secondary outcomes were incision infection rate, anastomotic leakage rate, and length of hospital stay. Results: Five randomized controlled trials and one controlled trial were included. The studies contained a total of 583 patients with an average age of 63y (range 23-88y), of whom 87% had colorectal cancer. Malnourishment rates ranged from 8%-68%. All investigators provided an oral protein supplement. Overall patient compliance rates ranged from 72%-100%. There was no significant reduction in the overall complication rate in the interventional groups (odds ratio 0.82; 95% confidence interval 0.52-1.25). Conclusion: Current studies are too heterogeneous to conclude that pre-operative oral nutritional support could enhance the condition of patients undergoing colorectal surgery. Patients at risk have a relatively lean body mass deficit (sarcopenia) rather than an absolute malnourished status. Compliance is an important element of prehabilitation. Targeting patients at risk, combining protein supplements with strength training, and defining standardized patient-related outcomes will be essential to obtain satisfactory result