Registration System Research Articles

Analysis of conditions related to diabetic foot in the pre and post COVID-19 pandemic in Brazil

With the COVID-19 pandemic, an exacerbation of hospitalizations due to diabetic foot was noted in Brazil, which was due to the loss of access to primary health care by the population, especially the most economically disadvantaged in a country with a vast continental extension and very unequal, economically. We carried out an observational, retrospective and descriptive analysis of hospital data on hospitalization for diabetic foot treatment, using SIH/SUS and DataSUS between 2015 and 2023. Mortality, length of stay, costs, nature of care and demographic distribution of procedures were analyzed. During the period, 196,523 hospitalizations were recorded for the treatment of complicated diabetic foot. In addition, 5,711 cases of deaths were associated with a fatality rate of 0.54%. In relation to financial expenditure, the Northeast Region stood out with the highest expenditure rate. The most socially vulnerable regions had higher hospitalization and mortality rates, although there was little change in financial resources during the pre- and post-pandemic period. This situation highlights the need to promote greater regional equity in indicators and access to health to minimize preventable problems such as UPD. Situations such as the one experienced in the COVID-19 pandemic served to highlight the shortcomings of the country's health system and how the health-disease process is strongly linked to local socioeconomic conditions, making it necessary to promote collective health measures aimed at minimizing disparities regions in Brazilian territory. The lack of data collected by the health event registration system in the country constitutes a limitation in the present study, which makes us suggest greater rigor and diversity in the collection of information in order to better translate the reality of the data presented here.

Cohort Study in Outcome and One-Year Mortality of Acute Stroke Patient in Academic Hospital Universitas Gadjah Mada

Background: Stroke is still becoming one of the most common non-communicable diseases in Indonesia. Sample Registration System survey in 2016 showed that in Indonesia stroke has become the most common cause of death at all age, about 19.9%. 4 Research conducted by Novbakht found that age, sex, BMI, type of stroke, family history of stroke, hyperlipidaemia, diabetes, and severity of stroke was related and increased the mortality rate. 6 Academic Hospital Universitas Gadjah Mada had not conducted this type of research, so that researcher wanted to know the one-year mortality rate after stroke, factors that related to mortality, and to improve the quality of stroke treatment at Academic Hospital Universitas Gadjah Mada.Objective: To know one-year mortality rate in acute stroke patients in Academic Hospital Universitas Gadjah Mada by looking for the acute stroke characteristic, outcome of stroke patients, and risk factors that cause mortality in stroke patients.Method: This is an analytic research using retrospective cohort study through data collection of acute stroke patients (patients with <5 days stroke onset) during July 2019 until June 2022 then we followed up the condition in the first year after stroke by using medical records, direct examination, or via telephone or video call. Mortality rates were assessed one year after stroke and the predictors of death were evaluated using the cox proportional hazard model.Result: One-year mortality after stroke in our study were related to age (>67 years old) (OR=2,29; 95% CI 1,18-4,46; p=0,015) and the severity of stroke was related to higher NIHSS score (NIHSS score during admission 16-42, (OR=38,49; 95% CI 8,92-166,0; p<0,001)) and ICU admission ((OR=8,01; 95% CI 4,03-15,90; p<0,001)). Conclusion: An association was found between stroke severity and one-year outcomes of acute stroke patients with old age (>67 years), high NIHSS scores, and ICU admissions

Life expectancy at birth and life disparity: an assessment of sex differentials in mortality in India

This study aims to examine the sex differentials in life expectancy at birth and life disparity, and to estimate the age-specific contribution of the differences for India and its major states. Life dispari-ty measures the variation in the distribution of deaths, and life expectancy at birth measures the average length of life. Complete life tables generated from death rates and abridged life tables of the Sample Reg-istration System in India from 1970–1975 to 2006–2010 were used to fulfill the research goals. Stepwise replacement algorithm was used for the decomposition of sex differences in life expectancy at birth and in life disparity. The results indicate that the increase in life expectancy at birth and decline in life disparity was higher for females. The sex differential was more prominent in urban areas than in rural areas. A ma-jority of the states in India experienced changes in the direction and magnitude of sex differentials in life expectancy at birth and life disparity from 1970–1975 to 2006–2010. The sex differentials in life expec-tancy at birth and life disparity in 1970–1975 were primarily attributed to child mortality, whereas the sex differentials in recent decades were attributed to adult mortality.        

The development of math skills from grades 1 to 12: Novel findings using person-oriented approach.

The development of math skills is widely studied, but there is a lack of longitudinal studies investigating person-oriented developmental patterns of math skills. The present study aims to describe profiles of students with various calculation and word-problem solving skills from Grades 1 to 9, as well as the developmental trajectories of these profiles, how profiles are related to students' further educational pathways, and whether having a specific skill profile in Grade 9 is related to the results of math and language exams at the end of Grade 12. The sample included 1,023 Estonian students who completed calculation and word-problem solving tests in Grades 1, 3, 6, and 9 (ages 6-16 years old). Educational pathway information and results of the math and language exam in Grade 12 were retrieved from the Estonian Education Information System's registry. Socioeconomic status was determined via parental education level. Overall, results indicated that math skills were positively interrelated between the school years. However, person-oriented approach demonstrated that less than half of students tended to stay in a similar profile from Grades 1 to 9. This suggests that, in terms of math skills, most students have diverse developmental trajectories from elementary school through the end of middle school. Profiles were also related to further educational pathways and high school exam results. This study complements previous variable-oriented research to provide unique and valuable information regarding the development of math skills. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

A Framework to Support the Standardized Management of Real-World Data.

Relying on our experience on the development of data registration and management systems for clinical and biological data coming from patients with hematological malignancies, as well as on the design of strategies for data collection and analysis to support multi-center, clinical association studies, we designed a framework for the standardized collection and transformation of clinically relevant real-world data into evidence, to meet the challenges of gathering biomedical data collected during daily clinical practice in order to promote basic and clinical research.

Women in public spaces: Perceptions and initiatives to promote gender equality

Despite the abundant scientific literature on gender equality, there is a ‘gap’ in women's representativeness in public spaces. This gap is addressed in this article, which investigates how the perception and use of public spaces by their female users should influence their planning, design, management, and uses. The objectives are, thus, to: identify the main characteristics of public spaces; analyse the differences in their perception and use according to gender; and propose measures to render them more inclusive. A dashboard that includes a set of indicators enables the demographic, economic, social and cultural characterization of users, and how they perceive and use these spaces. Portal da Amazónia provides a framework to promote the achievement of gender equality objectives. The data collected and its monitoring should support the implementation of the set of measures proposed, aimed at: participation as a form of belonging; autonomy, diversity and integration; vitality of the surroundings; safety and citizenship; and language and symbolic representation. It is also proposed the implementation of a digital user registration system to monitor use and satisfaction with public spaces (once these measures have been put into practice - which can be generalised to other public spaces in different locations and urban realities.

Design of a Web-Based Information System for New Student Registration in Vocational High Schools

Design of a Web-Based Information System for New Student Registration in Vocational High Schools

The Registration of Medical Device in FDA, EU and CDSCO: Overview

This comprehensive summary provides a detailed look into the regulatory processes for registering medical devices in three major jurisdictions: the US Food and Drug Administration (FDA), the European Union (EU), and India's Central Drugs Standard Control Organization (CDSCO). Each regulatory agency plays a crucial role in ensuring the safety, effectiveness, and quality standards of medical devices in their respective markets. The FDA, as the regulatory authority in the United States, has a stringent registration system in place to evaluate and approve medical devices before they can be marketed and sold. Manufacturers must adhere to specific procedures and programs to comply with FDA regulations, which are designed to safeguard patient health and promote innovation in the medical device industry. In the European Union, medical device registration is regulated by the EU's Medicinal Products for Human Use Directive, which sets forth stringent requirements for safety and quality standards. Manufacturers must undergo a thorough review process and obtain a CE Mark certification before their devices can be introduced to the European market. The EU's regulatory framework aims to harmonize standards across member states and ensure consistency in device registration procedures. In India, the CDSCO oversees the registration of medical devices and plays a key role in evaluating the safety and efficacy of products before they can be launched in the Indian market. Manufacturers must comply with CDSCO regulations and submit detailed documentation to demonstrate the safety and performance of their devices.

Trend analysis of drowning mortality and years of life lost (YLL) in the south of Iran, 2004–2019

Background and Aims: Drowning is defined as a process with consequences ranging from death to survival without continuous injury. This study was conducted to determine the mortality rate and the years of life lost (YLL) due to drowning in Fars Province. Methods: All deaths due to drowning in Fars Province were obtained from the electronic population-based death registration system (EDRS). Crude and age-standardized mortality rate, YLL, and YLL rate data were calculated, and joinpoint regression was used to examine the trend. Results: During the study period (2004–2019), 910 deaths due to drowning occurred in Fars Province. Of these, 80.5% (733 cases) were reported in men and 41.0% (373 cases) were in the age group of 15–29 years. Crude mortality rate had decreasing trends in male and stable trends in female. The total YLL due to drowning during the 16-year study period were 19,583 (0.62 per 1000 people) in men and 4797 (0.15 per 1000 people) in women. According to the joinpoint regression analysis, the 16-year trend of YLL rate due to premature mortality in males was decreasing. The annual percent change (APC) was -6.0% [95% confidence interval (95% CI) -8.4 to -3.5, p < 0.001] and stable trends in female (APC = - 5.4%; 95% CI -11.8 to 1.4, p = 0.108). Conclusion: Although the trend of crude and standardized mortality rates and YLL due to drowning in men decreased during 2004–2019, these trends have been constant in women. Therefore, the need to invest in the implementation and evaluation of drowning prevention interventions cannot be ignored.

National Nursing and Midwifery Commission Act, 2023 in India: Issues and the Way Forward.

With the recent enactment of the National Nursing and Midwifery Commission (NNMC) Act, 2023, significant changes are anticipated in the scope of practice and autonomy for registered nurses and midwives in India. However, alongside these anticipated advancements, concerns have emerged regarding various aspects of the Act, necessitating critical examination. In this article, we aim to explore expected changes in nursing education and service and concerns about the NNMC Act, providing insights into the implications of the NNMC Act on the regulation and advancement of the nursing and midwifery profession in India. The Act is anticipated to introduce uniform standards, implement entry and exit examinations, recognize midwifery as a distinct discipline, and determine the scope of practice for nurses and midwives. Moreover, the implementation of the Nurse Practitioner Program and guidelines for its limited prescribing authority is anticipated. Concerns exist regarding the composition of the commission and board members, adequate stakeholder representation, lacking provisions for ensuring continued competence, working conditions of nurses and midwives, nomenclature, integrating new terms, and clearly defining roles. These concerns emphasize the need for viable career pathways, uniform cadres, and a streamlined registration system, crucial for advancing nursing and midwifery profession in India. The coexistence of concerns and anticipation highlights the complexity of enacting regulatory reforms in nursing and midwifery. Policymakers can lay the foundation for a comprehensive, inclusive regulatory system that promotes excellence in nursing and midwifery practice, ultimately benefiting both healthcare providers and patients.

Foreign experience of providing public services by notaries in the field of state registration of property rights to immovable property

The scientific article is dedicated to highlighting the foreign experience of providing public services by notaries in the field of state registration of real property rights in the following countries: Bulgaria, Belarus, Russia, Poland, Czech Republic, Switzerland, Italy, Spain, Germany, France, USA, Australia, etc. As a result of the study of world experience, it was concluded that in order to effectively protect the rights to real estate of both private owners and the state, it is necessary to create a single registration system that will guarantee the reliability and transparency of the civil turnover of real estate. Ways of implementing foreign experience have been determined in order to improve the activities of the subjects of the public administration of Ukraine regarding the provision of public services by notaries in the field of state registration of property rights to immovable property. Attention is drawn to the fact that the Anglo-American system of registration of deeds regarding real estate objects consists in making an entry in the register at the free choice of the participants of the deed. It would be more appropriate to call this system a document accounting system, since registration is a technical operation. According to Anglo-American rules, the owner is the last bona fide purchaser of real estate. The transfer of ownership occurs as a result of the conclusion of the deed and possession of the object by the transferee. In the USA, the buyer must restore the entire chain of previous documents for the purchase of real estate. The deed can be declared invalid if the persons included or not included in the chain of transactions can assert rights to the real estate object. The lack of legal means is compensated by lawyers and insurance companies that specialize in checking the seller’s rights. Currently, the property loss insurance system is actively developing in the United States of America.

Mortality Rate and Years of Life Lost Due to Breast and Gynecologic Cancers in Southern Iran 2004-2019: A Population-Based Study.

There is an increase in the incidence of breast and gynecologic cancers in Iran during the last three decades. Literature is inadequate about the Years of Life Lost (YLL) attributed to these cancers in Iran. Mortality data due to these cancers amongst females aged >20 yr from 2004 to 2019 was acquired from "Electronic Death Registry System", Fars Province, Iran. Using local health centers' databases and national census reports from 1996 to 2016, the age-standardized incidence rate (ASR) per 100,000 people were estimated. YLLs were calculated using the WHO's 2015 "YLL template". During 2004-2019, 1886 and 829 deaths occurred due to breast and gynecologic cancers, respectively. The ASR due to breast and gynecologic cancers showed a significant increasing trend (P<0.001 for each). The total YLL due to breast, cervical/uterine/vaginal/vulvar, and ovary cancers' deaths in the 16-year period were 33,077, 7,172 and 6,584 yr, respectively. The highest YLLs were observed in 50-59-year-old females, followed by 40-49- and 60-69-year-old females. The 16- year trend of YLL rate due to premature mortality in breast cancer, ovary cancer and cervix cancer was increasing: annual percent change (APC) was 7.6% (95% CI: 5.5-9.7, P<0.001), 19.0% (95% CI: 12.2-26.1, P<0.001) and 9.2% (95% CI: -9.2 to 31.3, P>0.05, respectively. Mortality rate and YLLs due to breast and gynecologic cancers have been increased in southern Iran during the last twenty years. Early detection programs and allocating treatments at early stages should be prioritized.

An LADM-based profile for marine geo-regulation: A case study of China

With the rapid development of the marine economy, the transfer, lease and other transactions of marine use right in China's coastal areas have emerged continuously. At the same time, to promote the effective protection of marine environment and resources, the establishment and reform of marine property rights system has become a very important part. To play the basic role of the market and environmental protection in the utilization of marine resources, it is very important to establish the corresponding property right registration system. In response, the central government has proposed the establishment of a unified registration system for real estate and natural resources nationwide, including in marine areas. Therefore, this study takes China's marine administration as the research object and constructs a conceptual model based on LADM, which serves as an important basis for the subsequent registration system development. Specifically, this study first summarizes the evolution process of China's marine administration system since the founding of China. Secondly, it puts forward the existing marine rights system. Then, based on the LADM standard and the instance-level diagram for marine administration activities, the corresponding LADM-based profile is developed. The core improvement of this model lies in the improved structuring of marine-related rights, restrictions and responsibilities (as well as related source documents), which is an important preparation for the expansion of land information infrastructure to the sea.

Opium and Tobacco Use, and Outcome in COVID-19 Infected Patients: A Cross-Sectional Study

Background: Individuals with compromised immune systems are more susceptible to novel coronavirus (COVID-19), and data are limited on the relationship between opium and tobacco use and COVID-19 mortality. Objectives: This study aimed to determine the effect of opium and tobacco use, as well as the effect of different consumption intensities of these substances, on the outcomes of patients with COVID-19. Patients and Methods: In this cross-sectional study, 900 patients with a clinical diagnosis of COVID-19 who were referred to Imam Khomeini Hospital in Sari, Iran, were reviewed. Data collection was conducted through the patient information registry system and telephone contact with patients or their companions. Statistical analysis was performed using SPSS 25 software. Chi-Square, Fisher's exact, and Mann-Whitney tests were used for comparisons between groups. A P-value of 0.05 or lower was considered statistically significant. Results: Death and systolic blood pressure were significantly higher (P = 0.023 and P = 0.01, respectively), and erythrocyte sedimentation rate was significantly lower in tobacco smokers (P = 0.046). Additionally, cardiovascular disease, pulmonary disease, and multiple co-morbidities were significantly higher in opioid users (P &lt; 0.001, P = 0.004, and P = 0.014, respectively), and fatigue was significantly lower in the group that did not use opioids (P = 0.009). No statistically significant relationship was found in any of the subgroups of opioid and tobacco users in terms of death or discharge (P &gt; 0.05). Conclusions: In a global context where COVID-19 mutations are prevalent, any amount of tobacco and opium use should be considered a risk factor.

Evaluation of a data-driven youngstock rearing quality system in Dutch dairy herds (2019–2022)

In recent years, the Netherlands exhibited an increased focus on improving youngstock rearing. Several data-driven tools were developed to assess and benchmark calf rearing practices based on key indicators, stimulate farmers to improve their youngstock rearing and reduce calf mortality. KalfOK is such a data-driven tool in which a farm-level overview with 15 indicators of youngstock rearing quality is communicated to participating farmers. In this study we assessed which farm characteristics are associated with A) a continuously high or low KalfOK score and B) frequent usage of KalfOK. Data from KalfOK and the identification and registration system were available for all participating herds over a period between 2019 and 2022 (Dataset A). Additionally, a sample of 324 dairy farmers, randomly selected from the entire Dutch dairy population (Dataset B), participated in a voluntary survey. Multivariable (logistic) regression models were used to A) identify differences in characteristics between farms with a continuously high- and farms with a continuously low KalfOK score and B) assess which farm characteristics were associated with frequent use of the KalfOK report. The results of analysis A showed multiple factors associated with having a low or high KalfOK score, including replacement rate, closed farming system, limited growth in herd size and the region where a farm was located. Sociological factors might also partly explain the difference between high and low scoring farms. Analysis B showed that approximately half of the surveyed farmers indicated that they do not frequently use their KalfOK overview in their calf rearing management. The KalfOK score of farmers who regularly use their KalfOK report was higher – and consequently better - compared to the KalfOK score of farmers who sometimes or never use KalfOK. Additionally, farmers using a milk robot and those discussing KalfOK regularly with their veterinarian, used KalfOK more often. Thirty four percent of the surveyed farmers made adjustments to their youngstock rearing management since the start of participation. The study’s insights into patterns in KalfOK utilization and associations with farm characteristics provide valuable information for ongoing efforts to enhance calf rearing practices via the use of KalfOK. It is important to consider what is needed to convince farmers that do not use the KalfOK tool to frequently start using their KalfOK report. Future research incorporating sociological aspects can provide a more comprehensive understanding of other dynamics influencing calf rearing and contribute valuable insights for enhancing the effectiveness of programs like KalfOK in promoting calf health and welfare.

Enhancing the Implementation of Education Policies for Migrant Children in China

Since the era of reform and opening-up, policies concerning the education of children of migrants have continuously evolved and improved. However, several issues exist in the execution of these policies: additive implementation of policies, ambiguous positioning in policy execution, slow reform of the household registration system, and an imperfect policy supervision mechanism. This paper analyzes these issues from multiple dimensions through literature review and qualitative analysis, and delving into the underlying causes of the problems during policy implementation. Furthermore, based on these causes, a series of recommendations for improvement are proposed, which firstly need to adjust the distribution of interests and enhance the clarity of policy objectives and effectiveness tracking. It also requires the establishment of an efficient supervision system to promote the reform process of the household registration system. In addition, the feasibility of the policy can be increased by strengthening the publicity and promotion of the policy. These recommendations can ensure the effective implementation of education policies concerning children of the migrant population, thereby safeguarding the educational rights of children of migrants.

Innovation of the global international ship registry system: Evolution process and future reforms

The innovation and governance of the global international ship registry system have become key to achieving sustainable development for maritime nations worldwide. For a long time, many maritime nations have chosen to fly flags of convenience for commercial or political reasons, causing major maritime nations to lose effective control over their fleets. To counteract the negative impacts of flags of convenience, major maritime nations have established international ship registry systems. This paper analyzes the development process and basic characteristics of the global international ship registry system, points out the main problems in its implementation, and proposes major directions for innovation and governance of the international ship registry system worldwide. By reviewing the development history of the global international ship registry system, evaluating key issues in its implementation, and constructing future reform and governance directions, this paper aims to provide policy innovation suggestions for the ship registry policy reforms of global maritime nations.

A Federated Registration System for Artificial Intelligence in Health

This Viewpoint discusses a suggested framework of local registries to record and track all health artificial intelligence technologies used in clinical care, with the goal of providing transparency on these technologies and helping speed adoption while also protecting patient well-being.

Study on the Legal Problems of the Exemption System of Personal Bankruptcy

The core of personal bankruptcy is the exemption system, which gives honest and unfortunate debtors a chance to start over and guarantees their basic rights of survival and development, is an important system for maintaining sound socio-economic functioning and for resolving difficult issues of court enforcement, not only in helping natural debtors in debt deadlocks in individual cases, but also in helping markets to recover as quickly as possible, thereby improving the overall well-being of society. However, throughout the world, whether it is a country that has established the personal bankruptcy system for a long time, or a country that is in the initial stage of exploring the personal bankruptcy system, personal bankruptcy exemption, a well-meaning legal system, has inevitably caused some negative effects and hindered the operation of the system as a whole. In order to guarantee the good operation of the personal bankruptcy exemption system in our country, we should establish such systems as the incentive system of the bankruptcy person with good faith and the property registration system to support the operation of the procedure, improve the link between personal bankruptcy exemption and civil law, Civil Procedure Law, company law, etc., in order to guarantee the validity and feasibility of personal bankruptcy exemption system, the procedures of debtor's application, administrator's opinion, Creditor's objection, relief and rescission are detailed.

International experience of legal ensuring the management of Land Cadastres in Ukraine

The article describes the foreign experience of land cadastre management, which is a necessary element for the formation and improvement of the national cadastral accounting system, therefore it is useful for every country to use foreign experience. It has been established that in order to ensure the sustainable development of land relations in Ukraine, it is necessary to improve the current land cadastral system, but in the same way that foreign countries used, being at the same stage of development as Ukraine is now. It is well-founded that the state cadastre system plays an important role in the economy, law and management of the world’s leading countries, so their experience is important, especially since Ukraine does not have sufficient such experience. Moreover, the existing experience is even harmful, because it is built on the Soviet cost model of economic and regulatory assessment of land and technical inventory of buildings. It has been proven that until now, society does not understand the importance of cadastral registration of real estate in accordance with world traditions. The consequences of the state monopoly on land, buildings and structures of Ukraine’s Soviet past are traced in the exclusion of the term «real estate» from official use for many years. Until 1962, there was no cadastre, while the land cadastre of Great Britain has been operating since the middle of the 11th century, Sweden since the 16th century, and Prussia since the 18th century. The land cadastre in most countries of Western Europe serves as the basis for building and maintaining various types of cadastre and is based on land plots. Information systems have a significant effect in this. In most countries, objects of immovable property are firmly connected with the land. In order to solve the question, one should carefully study the original interpretation of the «single object of real estate», which is used in Spain and Great Britain. Apparently, in accordance with the principle of «a single real estate object», sooner or later Ukraine will also come to some certainty. Based on the analysis of world experience in this field, it was established that the registration of land rights occupies one of the main places in the compilation and maintenance of the state land cadastre. However, the domestic land registration system is not perfect and requires the development of adaptation measures to the conditions of the European Union (EU). Based on the legal analysis, it was concluded that the development of the national cadastre is practically in its initial state, which is why the experience of other countries is so important to us.