ANNUAL PROGRESS REPORT 2009€¦ · i annual progress report 2009
Annual Report 2009 - CardioNetworks · Welcome to the third annual report of Cardionetworks. Since...
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Cardionetworks Annual Report 2009
Because medical knowledge should be free
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2 The Cardionetworks Foundation | Annual Report 2009 The Cardionetworks Foundation | Annual Report 2009 3
1 A full list of the foundation websites is given on page 9 2 120,000 unique visits leading to 1.2 million pageviews logged in 20083 GoogleAnalytics pageviews
Welcome to the third annual report of Cardionetworks. Since its inception in 2007, the goal of the Cardionetworks Foundation has been to provide free and open access to unbiased and up-to-date medical knowledge to the global medical community. The non-profit organization enjoys a significant international online presence from its base in The Netherlands.
The foundation publishes and maintains a series of websites offering physicians invaluable, reliable and up-to-date information on certain specialized subjects.1 Our websites are published under a creative commons license, allowing free, global access without login or registration.
We are delighted that the number of visitors to Cardionetworks websites continues to increase. Over 310,000 unique visits to our websites were logged in 2009; more than twice the number recorded during the previous year.2 In total more than 1.8 million pageviews3 were logged last year, and the average time each visitor spent on the website was more than 4.38 minutes.
Our global reach now extends to 178 countries, and we are particularly proud that increasing numbers of our visitors are located in developing countries. This suggests that we are achieving our goal of making high quality medical information available to those with limited resources.
As well as increasing visitor numbers, 2009 has seen other important progress within our foundation. Professor Hein JJ Wellens, an internationally-renowned cardiologist and co-founder of modern electrophysiology, has agreed to collaborate with ECGpedia on an
ongoing basis. He will be available to interpret difficult ECG traces, and has generously agreed to make his ECG archive available to users of ECGpedia.
The online “De Voogt Archive” has been extended and now contains more than 2,350 ECGs generously provided by Willem de Voogt, MD, PhD. In an ongoing project that will run for several years, these ECGs are being embedded within case reports and explanatory text will be made available online.
The fundraising campaign of 2009 was successful, and as a result we enjoy the knowledge that server costs are covered for the coming few years; guaranteeing the medium-term future of Cardionetworks. Additional funds were used in 2009 to expand and increase the quality of the website content, and to move all websites to two stable, dedicated servers with hourly backups.
Our future plans focus on continuing to increase the quality of our current websites. ECGpedia will be expanded, while the sites PCIpedia and Echopedia will be further developed.
None of the achievements of this year, or during the lifetime of Cardionetworks, would have been possible without the tremendous efforts of the many volunteers who have helped in the process. As always, the foundation board is grateful for all the work and time that have been freely given to make this project such a success.
Wishing you health and every success in 2010
Jonas de Jong, MD Ivo van der Bilt, MDMartijn Meuwissen, MD, PhDCardionetworks foundation board
Message from the Founda-tion Board
Donationsn As a charitable enterprise, we rely entirely on the generosity of our supporters to allow us to continue in our work.
n To join our growing list of supporters please contact [email protected] to discuss the best way to contribute.
n Every donation is used to further promote free global access to vital medical information and resources. Thank you for your generosity.
Our global reach now extends to 178 countries, and we are particularly proud that increasing numbers of our visitors are located in developing countries
The Cardionetworks Foundation | Annual Report 2009 3
n The Cardionetworks Foundation is a non-profit organization founded in 2007 and based in The Netherlands.
n Our goals are ‘to improve medical knowledge, especially in the field of cardiology, and to provide access to this knowledge by facilitating publications in digital or other form, amongst other means by building and maintaining websites.’
n As a not-for-profit organization, all revenues are spent in the pursuit of this cause.
n We manage around 30 specialized websites, providing high quality and up-to-date information freely to physicians all around the world.
n Our websites are all published under a creative commons license and the information is accessible without login or registration.
n We subscribe to the HONcode principles of the Health On the Net Foundation.
Cardionetworks in brief
Our goals are to improve medical knowledge, especially in the field of cardiology, and to provide access to this knowledge by facilitating publications in digital or other form
2 The Cardionetworks Foundation | Annual Report 2009
CardioNetworks websites are powered by green energy from NaturEnergie AG
The Academic Medical Center in Amsterdam, The Netherlands
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The Cardionetworks Foundation | Annual Report 2009 54 The Cardionetworks Foundation | Annual Report 2009
There is a continued increase in visitor numbers to
both the English and Dutch versions of ECGpedia
(en.ECGpedia.org and nl.ECGpedia.org).
The majority of visitors (59.8% and 75.3% for
en.ECGpedia.org and nl.ECGpedia.org, respectively)
located the site through a search engine. A
variety of search terms were used to locate the
site, including “qtc calculator”, “intraventricular
conduction”, “idioventricular rhythm”, and “lbbb”,
demonstrating the genuine need for this service.
A total of 75.7% of visitors were new to
en.ECGpedia.org and 53.6.7% were new to
nl.ECGpedia.org during 2009, suggesting that our
marketing efforts during this year were successful.
These figures also indicate the presence of a
substantial pre-existing user-base for both
language versions.
Visitor statistics en.ecgpedia.orgMap Overlay Jan 1, 2009 - Jan 1, 2010
Comparing to: Site
Visits1 50,366
114,765 visits came from 178 countries/territoriesSite Usage
Visits114,765% of Site Total:
100.00%
Pages/Visit5.01Site Avg:
5.01 (0.00%)
Avg. Time on Site00:04:38Site Avg:
00:04:38 (0.00%)
% New Visits75.91%Site Avg:
75.73% (0.24%)
Bounce Rate49.87%Site Avg:
49.87% (0.00%)
Country/Territory Visits Pages/Visit Avg. Time onSite
% New Visits Bounce Rate
United States 50,366 3.99 00:03:21 82.61% 55.28%
United Kingdom 10,562 5.34 00:04:46 74.27% 45.58%
Netherlands 5,773 6.83 00:04:45 70.59% 41.04%
Canada 4,738 4.47 00:03:44 81.19% 51.46%
Australia 4,132 4.95 00:05:34 78.90% 45.84%
India 2,822 5.16 00:06:32 73.28% 45.29%
Germany 2,816 5.21 00:04:05 75.25% 52.59%
Philippines 1,807 4.11 00:05:01 86.83% 54.73%
Taiwan 1,568 3.83 00:04:52 60.40% 53.95%
1 Google Analytics
The geographical distribution of visitors to en.ECGpedia.org is shown in the map. The majority of users continue to be based in English-speaking countries (60.8% of site visits were from the US, UK, Canada or Australia in 2009).
Visitors from countries such as India, the Philippines and Taiwan represent a significant proportion of our users.
4 The Cardionetworks Foundation | Annual Report 2009
Visitor statistics traditionally show a summer and Christmas / Holiday season dip
nl.ecgpedia.orgVisitors Overview Jan 1, 2009 - Jan 1, 2010
Comparing to: Site
0
2,000
4,000
0
2,000
4,000
Jan 1 - Jan 3 Mar 1 - Mar 7 May 3 - May 9 Jul 5 - Jul 11 Sep 6 - Sep 12 Nov 8 - Nov 14
Visitors
110,981 people visited this site
196,601 Visits
110,981 Absolute Unique Visitors
1,228,115 Pageviews
6.25 Average Pageviews
00:05:44 Time on Site
39.20% Bounce Rate
53.62% New Visits
Technical Profile
Browser Visits % visits
Internet Explorer 169,188 86.06%
Firefox 18,562 9.44%
Safari 5,259 2.67%
Chrome 2,577 1.31%
Opera 504 0.26%
Connection Speed Visits % visits
DSL 90,313 45.94%
T1 42,133 21.43%
Cable 38,903 19.79%
Unknown 22,468 11.43%
Dialup 2,735 1.39%
2 Google Analytics
Visitors to en.ECGpedia.org
en.ecgpedia.orgVisitors Overview Jan 1, 2009 - Jan 1, 2010
Comparing to: Site
0
1,500
3,000
0
1,500
3,000
Jan 1 - Jan 3 Mar 1 - Mar 7 May 3 - May 9 Jul 5 - Jul 11 Sep 6 - Sep 12 Nov 8 - Nov 14
Visitors
87,681 people visited this site
114,765 Visits
87,681 Absolute Unique Visitors
574,927 Pageviews
5.01 Average Pageviews
00:04:38 Time on Site
49.87% Bounce Rate
75.73% New Visits
Technical Profile
Browser Visits % visits
Internet Explorer 71,813 62.57%
Firefox 30,333 26.43%
Safari 6,992 6.09%
Chrome 3,019 2.63%
Opera 2,022 1.76%
Connection Speed Visits % visits
Unknown 40,661 35.43%
DSL 25,213 21.97%
Cable 25,166 21.93%
T1 20,878 18.19%
Dialup 2,338 2.04%
2 Google Analytics
Visitors to nl.ECGpedia.org
ECGpedia is helping doctors from around the world taking care of their patients
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The Cardionetworks Foundation | Annual Report 2009 76 The Cardionetworks Foundation | Annual Report 20096 The Cardionetworks Foundation | Annual Report 2009 The Cardionetworks Foundation | Annual Report 2009 7
2005 2006 2007 2008
April 2005First online Dutch ECG
course available at www.drj.nl
February 2006Launch of
ECGpedia.nl
March 2006Launch of
nl.ecgpedia.org
May 2007Founding of the Cardionetworks
Foundation
May 2007Translation of
ECGpedia from Dutch into English initiated. Launch of
en.ecgpedia.org
July 2007A total of 90,000 visits to the Dutch
site and 4,500 to the English site recorded. Google has 673 search-hits
on ‘ECGpedia’.
August 2007Launch of echopedia.org
and PCIpedia.org. Release of new site design.
September 2007Foundation awarded first prize for ‘young talent’ at a Dutch e-learning symposium.
Nov 2007120,000th
visitor logs on to the Dutch
ECG site.
March 2008Conclusion of a successful
fundraising campaign. Premium donations received from Novartis, St. Jude Medical, Philips Medical
and Boston Scientific.
April 2008Launch of
the De Voogt Archive,
an online ECG archive
housing more than 2000
ECGs.
April 20081,000,000th
pageview recorded on ECGpedia
August 2008Martijn
Meuwissen, MD, PhD,
cardiologist, joins the
board of the Cardionetworks
Foundation
Highlights of 2009nOver 1.8 million pageviews from 178 countries logged, with average visit lasting more than 4.38 minutes
nDe Voogt archive expanded to include 2350 ECGs
nMore than 175 case studies with interesting ECGs generously provided by the Echolab of the Academic Medical Centre in Amsterdam
nServer upgraded once more to meet continuing and increasing demands.
Timeline of achievement
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8 The Cardionetworks Foundation | Annual Report 2009 The Cardionetworks Foundation | Annual Report 2009 9
Cardionetworks’ first project was ECGpedia.org, an online electrocardiography course. We have since created, and continue to maintain, around 30 individual websites, all dedicated to improving medical knowledge in the field of cardiology.
We subscribe to the HONcode principles of the Health On the Net Foundation. Much like Wikipedia, from where we take our name, anyone can contribute to the Cardionetworks websites through Mediawiki software. We welcome all improvements to our websites, and ask contributors only to post statements that are true and correct. All edits are screened by physician moderators.
ECGpediaECGpedia is a free electrocardiography (ECG) course and textbook designed for medical professionals such as cardiac care nurses and physicians. It is the primary website of the CardioNetworks Foundation. Since it’s foundation ECGpedia has become an important source of up-to-date information on ECG interpretation.
The website now includes more than 2000 example ECG’s provided by contibutors around the world. Recent additions include case reports by Dr. Alberto Giniger, chief of the Electrophysiology and Arrhythmias Department of the Instituto Cardiovascular de Buenos Aires (ICBA), Argentina.
This year, the English website has been entirely proofread to remove typographical errors. Current efforts are directed towards improvement of the readability of the websites, more interactivity with visitors (quizzes and polls) and the creation of a comprehensive online ECG basics course with exam. In addition, an Iphone App version of the website is being developed.
Echopedia
Echopedia is a free echocardiography textbook, designed for medical professionals such as
cardiologists and echocardiography technicians.The site is still under development. Echopedia now contains more than 900 echocardiogram images from more than 170 cases provided by the AMC Echolab. An overview of all echocardiographic normal values is now presented on the website.
Currently, the biggest challenge for the website include attracting authors to improve the textual content. Even though content is far from complete, Echopedia has seen a strong increase in it’s number of visitors.
PCIpediaPCIpedia is a free textbook on intervention cardiology, designed for medical professionals such as cardiologists and cathlab technicians. The site is still under development.
The first batch of coronary angiography cases in now online. Also, a start has been made to introduce visitors to angiographic coronary anatomy and technique. A pocket reference card has been developed and printed to give a quick review of coronary angiographic views.
BrugadaDrugs.org
The Brugada syndrome has been recognized as an important cause of sudden cardiac death in individuals at a relatively young age. Many drugs have been associated with adverse events in Brugada-syndrome patients. These drugs may either induce life-threatening ventricular arrhythmias and/or induce the characteristic Brugada syndrome-linked ECG abnormalities which are associated with poor outcome.
BrugadaDrugs.org provides an overview on the available evidence and expert opinion regarding drug safety in Brugada syndrome. And is the result of a recently performed review of the literature. BrugadaDrugs.org ensures worldwide and up-to-date availability of this knowledge base to physicians and patients. This site was launched by Pieter Postema and is hosted by Cardionetworks.
Resources
Anyone can contribute to CardionNetworks websites. All edits are supervised by physicians.
Offline contentWhile the majority of our effort at Cardionetworks is focused towards delivering high-quality, freely-available medical information over the Internet, we also offer certain information and training offline.
n ECGpedia pocket cards are available and have been proved very popular. Approximately 3000 print copies have been requested to date.
n Live ECGpedia courses have proved very
popular amongst the following groups:
• Dutch medical students
• Anesthetist residents
• General practioners
• Junior doctors
• Anesthesia and internal medicine residents
n A PCIpedia pocket card has been published
n An Echopedia pocket card is under development
www.brugadadrugs.org
www.ecgpedia.nl
www.cardiacintervention.org
www.ecgpedia.org
www.cardiacultrasound.org
www.echopedia.com
www.cardiokennis.nl
www.echopedia.org
www.cardioknowledge.org
www.eppedia.org
www.cardiolinks.org
www.failingheart.org
www.cardiomedia.org
www.failinghearts.org
www.cardionetworks.org
www.heartfailurepedia.org
www.cardiopedia.org
www.medicalslides.org
www.cardiovasculargenetics.org
www.medslides.org
www.cardiovascularsurgery.org
www.mripedia.org
www.casesincardiology.org
www.pcipedia.org
www.cmrpedia.org
www.textbookofcardiology.com
www.congenitalcardiology.org
www.textbookofcardiology.org
www.crmpedia.org
www.thefailingheart.org
Foundation websites
8 The Cardionetworks Foundation | Annual Report 2009 The Cardionetworks Foundation | Annual Report 2009 9
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Scientific Advisory Board
10 The Cardionetworks Foundation | Annual Report 2009 The Cardionetworks Foundation | Annual Report 2009 11
R.B.A. van den Brink, MD, PhD,Cardiologist and Dean of Cardiology, Academic Medical Centre,Amsterdam, The Netherlands
Foundation BoardWe are grateful for the continued involvement and support of our scientific advisory board, a group of outstanding cardiologists wiath impressive credentials and outstanding teaching skills. The members of the scientific advisory board serve as exemplary role models and an invaluable resource to those at an earlier stage in their career.
M.J.M. Cramer, MD, PhD,Associate Professor of Cardiology,University Medical Centre Utrecht,The Netherlands
Prof. A.A. Voors, MD, PhD,Professor of Cardiology,University Medical Centre Groningen,The Netherlands
Prof. A.A.M. Wilde, MD, PhD,Cardiologist and Head of the Department of Cardiology, Academic Medical Centre Amsterdam, The Netherlands
Prof. H.J.J. Wellens, MD, PhD,Emeritus Professor of Cardiology,Cardiovascular Research Institute Maastricht, The Netherlands
Jonas de Jong, MD. Chair Cardiology residentAcademic Medical Centre, University of AmsterdamThe Netherlands
Ivo van der Bilt, MD. SecretaryCardiology resident Academic Medical Centre, University of AmsterdamThe Netherlands
Martijn Meuwissen, MD, PhD. TreasurerCardiologistAcademic Medical Centre, University of AmsterdamThe Netherlands
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12 The Cardionetworks Foundation | Annual Report 2009 The Cardionetworks Foundation | Annual Report 2009 1312 The Cardionetworks Foundation | Annual Report 2009 The Cardionetworks Foundation | Annual Report 2009 13
These are our benefactors:
Volunteers
Our co-workers and volunteers come from across the world
ArgentinaDr Alberto GinigerChief of the Electrophysiology and Arrhythmias Department of the Instituto Cardiovascular de Buenos Aires (ICBA). Provided interesting arrhythmias cases.
PhilippinesShayne MoralesCreated illustrations and did a lot of the handwork, adding logos and courtesy notices to images and videos, basic layout improvement.
The NetherlandsPieter Postema: Founder and creator of BrugadaDrugs.orgProf. Hein Wellens: World renowned arrhythmia expert has advised the board on improvement of the website.Prof. Arthur Wilde: Continues to provide arrhythmia cases to the website.
CanadaKatherine Padilla
Administrator
USAKathryn GoldinMeticulously proofread the ECGpedia websites
Benefactors
Make a donationAs a charitable enterprise, we rely entirely on the generosity of our supporters to allow us to continue in our work. To join our growing list of supporters please contact [email protected] to discuss the best way to contribute. Every cent you are able to give helps us further promote free global access to vital medical information and resources. Thank you for your generosity.
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14 The Cardionetworks Foundation | Annual Report 2009
Bank Account 31-12-2008
Refunded payment 2008
Benefactors: Novartis ‘08
14 The Cardionetworks Foundation | Annual Report 2009
Financial report
Revenues Expenses
2000 Contributions 52
26
Computer costs 1801
Office costs 1242
Banking and advisory costs
694
General costs 877
Reservation 5482
Publicity costs 298
Staffing costs 1580
Total 12026 12026
Bank Account 31-12-2009
Balance sheet 2009
12026
6740
Assets Debts
Accounts 6740 Capital
Accounts payable
Total 6740
The Cardionetworks Foundation | Annual Report 2009 15
Our misson:To improve medical knowledge, especially in the field of cardiology, and to provide access to this knowledge by facilitating publications in digital or other form, amongst other by building and maintaining websites.
ContactThe Cardionetworks FoundationPasteurstraat 111079 ER AmsterdamThe Netherlandshttp://[email protected] number NL8179.99.474B01ING Bank account IBAN NL55PSTB0002382426Registered with the Chamber of Commerce Amsterdam KVK 34274298
6740
0
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Benefactors: MSD ‘09 2000
Benefactors: Bost Sci ‘09 2000
Benefactors: Bost Sci ‘08 2000
Benefactors: Medtronic ‘09 2000
Benefactors: Philips ‘08 2000
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Image attributionsLeft to right, top to bottomPage 1: Strato AGPage 2: Naturenergie AG; JoshC@Flickr; JoshC@FlickrPage 4: Image compsoition by [email protected]. Original images: 1#knitted hat by flickrgrit ; 2#el placer de vivir, by xurde ; 3#Malawi girl, by gunnisal ; 4#...and sister, by ;anna]; 5#Day 103, by __multifaceted ; 6#Marbles. Gingee, by entrelac ; 7#Scotia’s eyes, by intrepid lady ; 8#Lelea Letitie, by Mihai ela ; 9#Little girl Matanchery Kochi, by Jules 1405 ; 10#Old Story, by Nascity; 11#Untitled, by Jeannette Leblanc ;12#Man from Malawi, by gunnisal ; 13#Laughing Madhu, by Light and life murali; 14# girl with red flowers, by LindsayStark ; 15#Age shows... by Prashant 16#oLd, by TeLePoTo; 17#I feel so much pain and i’m 10, by ed abella ; 18#day 103 by multifaceted 19#Silence in eyes, by M R Hasan ;20#Geometry, by abrhaaich ; 21#Jaipur0034mono, byRob Cooling22#Blout Out My Darkness, by fatmanwalking 23#Regie-Bolinao nativo, by Glenn Mendoza 4#Untitled, by Mimosa veliu 25#Orphans, by Camera RwandaPage 9: The Anatomy Lesson of dr. Nicholaes Tulp by Rembrandt van Rijn, commons.wikipedia.orgPortrait pictures were provided by the pictured persons.