Measuring the effect of commuting on the performance of the Bayesian Aerosol Release Detector

Early detection of outdoor aerosol releases of anthrax is an important problem. The Bayesian Aerosol Release Detector (BARD) is a system for detecting releases of aerosolized anthrax and characterizing them in terms of location, time and quantity. Modelling a population's exposure to aerosolize...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:BMC medical informatics and decision making 2009-11, Vol.9 Suppl 1 (Suppl 1), p.S7-S7, Article S7
Hauptverfasser: Cami, Aurel, Wallstrom, Garrick L, Hogan, William R
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page S7
container_issue Suppl 1
container_start_page S7
container_title BMC medical informatics and decision making
container_volume 9 Suppl 1
creator Cami, Aurel
Wallstrom, Garrick L
Hogan, William R
description Early detection of outdoor aerosol releases of anthrax is an important problem. The Bayesian Aerosol Release Detector (BARD) is a system for detecting releases of aerosolized anthrax and characterizing them in terms of location, time and quantity. Modelling a population's exposure to aerosolized anthrax poses a number of challenges. A major difficulty is to accurately estimate the exposure level--the number of inhaled anthrax spores--of each individual in the exposed region. Partly, this difficulty stems from the lack of fine-grained data about the population under surveillance. To cope with this challenge, nearly all anthrax biosurveillance systems, including BARD, ignore the mobility of the population and assume that exposure to anthrax would occur at one's home administrative unit--an assumption that limits the fidelity of the model. We employed commuting data provided by the U.S. Census Bureau to parameterize a commuting model. Then, we developed methods for integrating commuting into BARD's simulation and detection algorithms and conducted two studies to measure the effect. The first study (simulation study) was designed to assess how BARD's detection and characterization performance are impacted by incorporation of commuting in BARD's outbreak-simulation algorithm. The second study (detection study) was designed to measure the effect of incorporating commuting in BARD's outbreak-detection algorithm. We found that failing to account for commuting in detection (when commuting is present in simulation) leads to a deterioration in BARD's detection and characterization performance that is both statistically and practically significant. We found that a simplified approach to accounting for commuting in detection--simplified to maintain tractability of inference--nearly fully restored both detection and characterization performance of BARD detector. We conclude that it is important to account for commuting (and mobility in general) in BARD's simulation algorithm. Further, the proposed method for incorporating commuting in BARD's detection algorithm can successfully perform the necessary correction in the detection algorithm, while preserving BARD's practicality. In our future work, we intend to further study the problem of the trade-off between running time and accuracy of the computation in BARD's version that includes commuting and ultimately find the best such trade-off.
doi_str_mv 10.1186/1472-6947-9-S1-S7
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2773922</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>21451065</sourcerecordid><originalsourceid>FETCH-LOGICAL-b548t-8f345be733db365196df62303f074b5980300b88140227b1e4955e1f46f60d813</originalsourceid><addsrcrecordid>eNqNkktv1TAQhS0EoqXwA9igiAWsAh6_vUEqbXlIRUhcWCLLyR23qZL41k6Q-u9xeq9KiwCxsjXn89HM8RDyFOgrAKNeg9CsVlbo2tYrqFf6Htm_qd2_dd8jj3K-oBS04fIh2QNrLBgK--T7J_R5Tt14Vk3nWGEI2E5VDFUbh2Gelnocr6UNphDT4McWF30pvfVXmDs_VoeYYo599QX7YofVMU7FJqbH5EHwfcYnu_OAfHt38vXoQ336-f3Ho8PTupHCTLUJXMgGNefrhisJVq2DYpzyQLVopDWUU9oYA4IyphtAYaVECEIFRdcG-AF5s_XdzM2A6xbHKfnebVI3-HTlou_cXWXszt1Z_OGY1twyVgyOtwZNF_9icFcp8bglXrfE66xbgVvpYvNy10eKlzPmyQ1dbrHv_Yhxzk5zAUwy4IV88U-SgZDKCPlfIFC1gM9_Ay_inMYSu7MlNgYAqkCwhdryYTlhuBkRqFt26o9DPbsd7q8XuyXiPwGhCMdN</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>902221116</pqid></control><display><type>article</type><title>Measuring the effect of commuting on the performance of the Bayesian Aerosol Release Detector</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>PubMed Central Open Access</source><source>Springer Nature OA Free Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>SpringerLink Journals - AutoHoldings</source><creator>Cami, Aurel ; Wallstrom, Garrick L ; Hogan, William R</creator><creatorcontrib>Cami, Aurel ; Wallstrom, Garrick L ; Hogan, William R</creatorcontrib><description>Early detection of outdoor aerosol releases of anthrax is an important problem. The Bayesian Aerosol Release Detector (BARD) is a system for detecting releases of aerosolized anthrax and characterizing them in terms of location, time and quantity. Modelling a population's exposure to aerosolized anthrax poses a number of challenges. A major difficulty is to accurately estimate the exposure level--the number of inhaled anthrax spores--of each individual in the exposed region. Partly, this difficulty stems from the lack of fine-grained data about the population under surveillance. To cope with this challenge, nearly all anthrax biosurveillance systems, including BARD, ignore the mobility of the population and assume that exposure to anthrax would occur at one's home administrative unit--an assumption that limits the fidelity of the model. We employed commuting data provided by the U.S. Census Bureau to parameterize a commuting model. Then, we developed methods for integrating commuting into BARD's simulation and detection algorithms and conducted two studies to measure the effect. The first study (simulation study) was designed to assess how BARD's detection and characterization performance are impacted by incorporation of commuting in BARD's outbreak-simulation algorithm. The second study (detection study) was designed to measure the effect of incorporating commuting in BARD's outbreak-detection algorithm. We found that failing to account for commuting in detection (when commuting is present in simulation) leads to a deterioration in BARD's detection and characterization performance that is both statistically and practically significant. We found that a simplified approach to accounting for commuting in detection--simplified to maintain tractability of inference--nearly fully restored both detection and characterization performance of BARD detector. We conclude that it is important to account for commuting (and mobility in general) in BARD's simulation algorithm. Further, the proposed method for incorporating commuting in BARD's detection algorithm can successfully perform the necessary correction in the detection algorithm, while preserving BARD's practicality. In our future work, we intend to further study the problem of the trade-off between running time and accuracy of the computation in BARD's version that includes commuting and ultimately find the best such trade-off.</description><identifier>ISSN: 1472-6947</identifier><identifier>EISSN: 1472-6947</identifier><identifier>DOI: 10.1186/1472-6947-9-S1-S7</identifier><identifier>PMID: 19891801</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Aerosols - analysis ; Algorithms ; Anthrax ; Bayes Theorem ; Biosurveillance - methods ; Census of Population ; Computer Simulation ; Disease ; Disease Outbreaks - prevention &amp; control ; Environmental Monitoring ; Humans ; Influenza ; Methods ; Models, Biological ; Mortality ; Postal codes ; Sensitivity analysis ; Simulation ; Studies ; Transportation</subject><ispartof>BMC medical informatics and decision making, 2009-11, Vol.9 Suppl 1 (Suppl 1), p.S7-S7, Article S7</ispartof><rights>2009 Cami et al; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2009 Cami et al; licensee BioMed Central Ltd. 2009 Cami et al; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b548t-8f345be733db365196df62303f074b5980300b88140227b1e4955e1f46f60d813</citedby><cites>FETCH-LOGICAL-b548t-8f345be733db365196df62303f074b5980300b88140227b1e4955e1f46f60d813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2773922/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2773922/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19891801$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cami, Aurel</creatorcontrib><creatorcontrib>Wallstrom, Garrick L</creatorcontrib><creatorcontrib>Hogan, William R</creatorcontrib><title>Measuring the effect of commuting on the performance of the Bayesian Aerosol Release Detector</title><title>BMC medical informatics and decision making</title><addtitle>BMC Med Inform Decis Mak</addtitle><description>Early detection of outdoor aerosol releases of anthrax is an important problem. The Bayesian Aerosol Release Detector (BARD) is a system for detecting releases of aerosolized anthrax and characterizing them in terms of location, time and quantity. Modelling a population's exposure to aerosolized anthrax poses a number of challenges. A major difficulty is to accurately estimate the exposure level--the number of inhaled anthrax spores--of each individual in the exposed region. Partly, this difficulty stems from the lack of fine-grained data about the population under surveillance. To cope with this challenge, nearly all anthrax biosurveillance systems, including BARD, ignore the mobility of the population and assume that exposure to anthrax would occur at one's home administrative unit--an assumption that limits the fidelity of the model. We employed commuting data provided by the U.S. Census Bureau to parameterize a commuting model. Then, we developed methods for integrating commuting into BARD's simulation and detection algorithms and conducted two studies to measure the effect. The first study (simulation study) was designed to assess how BARD's detection and characterization performance are impacted by incorporation of commuting in BARD's outbreak-simulation algorithm. The second study (detection study) was designed to measure the effect of incorporating commuting in BARD's outbreak-detection algorithm. We found that failing to account for commuting in detection (when commuting is present in simulation) leads to a deterioration in BARD's detection and characterization performance that is both statistically and practically significant. We found that a simplified approach to accounting for commuting in detection--simplified to maintain tractability of inference--nearly fully restored both detection and characterization performance of BARD detector. We conclude that it is important to account for commuting (and mobility in general) in BARD's simulation algorithm. Further, the proposed method for incorporating commuting in BARD's detection algorithm can successfully perform the necessary correction in the detection algorithm, while preserving BARD's practicality. In our future work, we intend to further study the problem of the trade-off between running time and accuracy of the computation in BARD's version that includes commuting and ultimately find the best such trade-off.</description><subject>Aerosols - analysis</subject><subject>Algorithms</subject><subject>Anthrax</subject><subject>Bayes Theorem</subject><subject>Biosurveillance - methods</subject><subject>Census of Population</subject><subject>Computer Simulation</subject><subject>Disease</subject><subject>Disease Outbreaks - prevention &amp; control</subject><subject>Environmental Monitoring</subject><subject>Humans</subject><subject>Influenza</subject><subject>Methods</subject><subject>Models, Biological</subject><subject>Mortality</subject><subject>Postal codes</subject><subject>Sensitivity analysis</subject><subject>Simulation</subject><subject>Studies</subject><subject>Transportation</subject><issn>1472-6947</issn><issn>1472-6947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkktv1TAQhS0EoqXwA9igiAWsAh6_vUEqbXlIRUhcWCLLyR23qZL41k6Q-u9xeq9KiwCxsjXn89HM8RDyFOgrAKNeg9CsVlbo2tYrqFf6Htm_qd2_dd8jj3K-oBS04fIh2QNrLBgK--T7J_R5Tt14Vk3nWGEI2E5VDFUbh2Gelnocr6UNphDT4McWF30pvfVXmDs_VoeYYo599QX7YofVMU7FJqbH5EHwfcYnu_OAfHt38vXoQ336-f3Ho8PTupHCTLUJXMgGNefrhisJVq2DYpzyQLVopDWUU9oYA4IyphtAYaVECEIFRdcG-AF5s_XdzM2A6xbHKfnebVI3-HTlou_cXWXszt1Z_OGY1twyVgyOtwZNF_9icFcp8bglXrfE66xbgVvpYvNy10eKlzPmyQ1dbrHv_Yhxzk5zAUwy4IV88U-SgZDKCPlfIFC1gM9_Ay_inMYSu7MlNgYAqkCwhdryYTlhuBkRqFt26o9DPbsd7q8XuyXiPwGhCMdN</recordid><startdate>20091103</startdate><enddate>20091103</enddate><creator>Cami, Aurel</creator><creator>Wallstrom, Garrick L</creator><creator>Hogan, William R</creator><general>BioMed Central</general><general>BioMed Central Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7SC</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AL</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>L7M</scope><scope>LK8</scope><scope>L~C</scope><scope>L~D</scope><scope>M0N</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20091103</creationdate><title>Measuring the effect of commuting on the performance of the Bayesian Aerosol Release Detector</title><author>Cami, Aurel ; Wallstrom, Garrick L ; Hogan, William R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b548t-8f345be733db365196df62303f074b5980300b88140227b1e4955e1f46f60d813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aerosols - analysis</topic><topic>Algorithms</topic><topic>Anthrax</topic><topic>Bayes Theorem</topic><topic>Biosurveillance - methods</topic><topic>Census of Population</topic><topic>Computer Simulation</topic><topic>Disease</topic><topic>Disease Outbreaks - prevention &amp; control</topic><topic>Environmental Monitoring</topic><topic>Humans</topic><topic>Influenza</topic><topic>Methods</topic><topic>Models, Biological</topic><topic>Mortality</topic><topic>Postal codes</topic><topic>Sensitivity analysis</topic><topic>Simulation</topic><topic>Studies</topic><topic>Transportation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cami, Aurel</creatorcontrib><creatorcontrib>Wallstrom, Garrick L</creatorcontrib><creatorcontrib>Hogan, William R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Computer and Information Systems Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Computing Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer Science Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>ProQuest Biological Science Collection</collection><collection>Computer and Information Systems Abstracts – Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Computing Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC medical informatics and decision making</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cami, Aurel</au><au>Wallstrom, Garrick L</au><au>Hogan, William R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Measuring the effect of commuting on the performance of the Bayesian Aerosol Release Detector</atitle><jtitle>BMC medical informatics and decision making</jtitle><addtitle>BMC Med Inform Decis Mak</addtitle><date>2009-11-03</date><risdate>2009</risdate><volume>9 Suppl 1</volume><issue>Suppl 1</issue><spage>S7</spage><epage>S7</epage><pages>S7-S7</pages><artnum>S7</artnum><issn>1472-6947</issn><eissn>1472-6947</eissn><abstract>Early detection of outdoor aerosol releases of anthrax is an important problem. The Bayesian Aerosol Release Detector (BARD) is a system for detecting releases of aerosolized anthrax and characterizing them in terms of location, time and quantity. Modelling a population's exposure to aerosolized anthrax poses a number of challenges. A major difficulty is to accurately estimate the exposure level--the number of inhaled anthrax spores--of each individual in the exposed region. Partly, this difficulty stems from the lack of fine-grained data about the population under surveillance. To cope with this challenge, nearly all anthrax biosurveillance systems, including BARD, ignore the mobility of the population and assume that exposure to anthrax would occur at one's home administrative unit--an assumption that limits the fidelity of the model. We employed commuting data provided by the U.S. Census Bureau to parameterize a commuting model. Then, we developed methods for integrating commuting into BARD's simulation and detection algorithms and conducted two studies to measure the effect. The first study (simulation study) was designed to assess how BARD's detection and characterization performance are impacted by incorporation of commuting in BARD's outbreak-simulation algorithm. The second study (detection study) was designed to measure the effect of incorporating commuting in BARD's outbreak-detection algorithm. We found that failing to account for commuting in detection (when commuting is present in simulation) leads to a deterioration in BARD's detection and characterization performance that is both statistically and practically significant. We found that a simplified approach to accounting for commuting in detection--simplified to maintain tractability of inference--nearly fully restored both detection and characterization performance of BARD detector. We conclude that it is important to account for commuting (and mobility in general) in BARD's simulation algorithm. Further, the proposed method for incorporating commuting in BARD's detection algorithm can successfully perform the necessary correction in the detection algorithm, while preserving BARD's practicality. In our future work, we intend to further study the problem of the trade-off between running time and accuracy of the computation in BARD's version that includes commuting and ultimately find the best such trade-off.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>19891801</pmid><doi>10.1186/1472-6947-9-S1-S7</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1472-6947
ispartof BMC medical informatics and decision making, 2009-11, Vol.9 Suppl 1 (Suppl 1), p.S7-S7, Article S7
issn 1472-6947
1472-6947
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2773922
source MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings
subjects Aerosols - analysis
Algorithms
Anthrax
Bayes Theorem
Biosurveillance - methods
Census of Population
Computer Simulation
Disease
Disease Outbreaks - prevention & control
Environmental Monitoring
Humans
Influenza
Methods
Models, Biological
Mortality
Postal codes
Sensitivity analysis
Simulation
Studies
Transportation
title Measuring the effect of commuting on the performance of the Bayesian Aerosol Release Detector
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T09%3A15%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Measuring%20the%20effect%20of%20commuting%20on%20the%20performance%20of%20the%20Bayesian%20Aerosol%20Release%20Detector&rft.jtitle=BMC%20medical%20informatics%20and%20decision%20making&rft.au=Cami,%20Aurel&rft.date=2009-11-03&rft.volume=9%20Suppl%201&rft.issue=Suppl%201&rft.spage=S7&rft.epage=S7&rft.pages=S7-S7&rft.artnum=S7&rft.issn=1472-6947&rft.eissn=1472-6947&rft_id=info:doi/10.1186/1472-6947-9-S1-S7&rft_dat=%3Cproquest_pubme%3E21451065%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=902221116&rft_id=info:pmid/19891801&rfr_iscdi=true