Uniform Coding System Research Articles

Evaluation of fruit detachment forces and related characteristics reveals differential fruit detachments at developmental stages and cultivar differences in cashew

Cashew is an edible tree nut with great nutritional and industrial importance. Cashew fruit is unique because the true fruit (nut) grows attached to a swollen flower pedicel known as a hypocarp or cashew apple. The fruit detachment force (FDF), a quantitative measurement of the detachment of fruits from the stalk, is considered as an important parameter for the evaluation of the harvesting efficiency of machines, and the cultivar's potential for machine harvesting, and tolerances to biotic and abiotic stresses. There have been no studies on the evaluation of FDFs in cashew to date. In the current study, we investigated the detachment forces of fruits at ten different stages of development according to the BBCH (Biologische Bundesanstalt, Bundessortenamt und Chemische Industrie) scale, a uniform coding system for different growth or phenological stages (701, 703, 705, 707, 709, 811, 813, 815, 817, 819) in ten cashew cultivars. Fruit weight (FW), FDF/FW ratio, and fruit firmness (FF) for different fruit development stages and fruit stalk scar area (SSA) of matured (819 stage) fruits were also studied. FDF, FW, FDW/FW and FF varied significantly at the different stages of fruit development among the studied cultivars. The FDF increased from 701 to 709 stages and then decreased from 709 to 819 stages in all the studied cultivars. The FDW/FW ratio reduced with the development and maturity of the fruit. In matured fruits (811–819 stages), FW and FF showed significant negative (p value = 0.028) and positive (p value = 0.015.) correlations, respectively, with the FDF. In contrast, the SSA had no significant influence on the FDFs. As the FDF has direct implications on the fruit removal efficiency, the results of this study will be useful for designing harvesting machines, screening genotypes for stress tolerance, and identifying the optimal harvesting stage in cashew.

Summary of Known U.S. Injuries and Fatalities Involving Livestock Waste Storage, Handling, and Transport Operations: 1975-2019.

Approximately ten cases were documented annually over the 44-year period; 48% were in the last decade and 28% were in the last three years, primarily due to more aggressive surveillance and on-line access to incident reports. A total of 389 incidents involving 459 individuals were documented, of which 59% were fatal; >85% of the victims were male, with an average age of 37. 49 rescue incidents involved a total of 119 secondary victims, indicating that approximately 26% of the victims were secondary victims, including first responders. 20% of all victims, when age was known, were children or youth under the age of 21. There is limited published research exploring the frequency and causes of livestock waste-related fatalities and injuries among farm operators and workers. While there has been ongoing surveillance of mortality and morbidity involving agricultural confined space-related incidents, such as grain storage facilities, few resources have been invested in estimating the frequency of livestock waste-related incidents, which are often reported as primarily involving confined spaces. Existing surveillance efforts have historically underreported fatal cases, injuries, and near misses and misclassified these incidents as non-farm related. For nearly 40 years, the Purdue Agricultural Confined Spaces Incident Database (PACSID) has been used to document agricultural confined space-related incidents, of which manure storage and handling activities have accounted for 22% of the cases documented. The specific goal of this study was to address the gap in the current understanding of the frequency and severity of injuries associated with livestock waste storage, handling, and transport by: (1) developing a consistent way to identify, document, and code these cases; (2) summarizing all known U.S. cases, both fatal and non-fatal, currently documented in the PACSID; (3) identifying the most significant risks contributing to livestock waste storage, handling, and transport-related incidents; and (4) providing evidence-based recommendations and mitigation strategies to enhance the effectiveness of current injury prevention measures. The PACSID and other sources were mined for relevant data, and an aggressive effort was made to document additional cases through a variety of surveillance methods. A total of 459 individual U.S. cases from the study period (1975 to 2019) were identified, coded using a uniform coding system, and summarized. Overall, cases were documented in 43 states, with 66% (302 cases) documented in heavily agricultural and, more specifically, historically strong dairy production states. Of the cases reviewed, 59% were fatal, males ages 21 to 30 and dairy farm workers were identified as high-risk populations, 20% were identified as under the age of 21, and 49 incidents involved multiple victims. Farm injury data limitations and underreporting were problematic, especially during the early years of the study period. However, the findings provide a foundation for recommending safer workplace safety and health practices, evaluating existing engineering and regulatory standards, assessing the impacts of current injury prevention efforts, and redesigning farm safety programs, especially those targeting livestock workers, to reduce the frequency and severity of these incidents.

Coding practice in national and regional kidney biopsy registries

BackgroundKidney biopsy registries all over the world benefit research, teaching and health policy. Comparison, aggregation and exchange of data is however greatly dependent on how registration and coding of kidney biopsy diagnoses are performed. This paper gives an overview over kidney biopsy registries, explores how these registries code kidney disease and identifies needs for improvement of coding practice.MethodsA literature search was undertaken to identify biopsy registries for medical kidney diseases. These data were supplemented with information from personal contacts and from registry websites. A questionnaire was sent to all identified registries, investigating age of registries, scope, method of coding, possible mapping to international terminologies as well as self-reported problems and suggestions for improvement.ResultsSixteen regional or national kidney biopsy registries were identified, of which 11 were older than 10 years. Most registries were located either in Europe (10/16) or in Asia (4/16). Registries most often use a proprietary coding system (12/16). Only a few of these coding systems were mapped to SNOMED CT (1), older SNOMED versions (2) or ERA-EDTA PRD (3). Lack of maintenance and updates of the coding system was the most commonly reported problem.ConclusionsThere were large gaps in the global coverage of kidney biopsy registries. Limited use of international coding systems among existing registries hampers interoperability and exchange of data. The study underlines that the use of a common and uniform coding system is necessary to fully realize the potential of kidney biopsy registries.

Coding in medically assisted reproduction: the status of the implementation of the Single European Code for reproductive cells and tissues†

STUDY QUESTIONTo evaluate the implementation of the coding systems in medically assisted reproduction (MAR) centres in the European Union (EU).SUMMARY ANSWEROur data show that a significant number of MAR centres use the Single European Code (SEC), but it also shows certain limitations to the coding.WHAT IS KNOWN ALREADYTraceability and identification of tissue and cells used for clinical application are extremely important as it is one of the key aspects of quality and safety both for the donors and the recipients. Patients as well as tissues and cells move across the European continent and far beyond, hence a uniform coding system was very much needed. The coding of tissues and cells from human origin was already embedded in the EU directives 2004/23/EC. The use of the Single European Code (SEC) on tissues and cells was enforced in 2017 for tissues and cells distributed within the EU or exported from the EU. The SEC ensures standardization within the EU, allowing the integration of the two existing codes (ISBT-128 and Eurocode) within the SEC structure. Likewise, in the MAR field, the SEC was launched in order to ensure the traceability of reproductive tissues and cells. Gametes and embryos from partner donation as well as reproductive cells and tissues of allogeneic donation were excluded from the SEC as long as they remain in the centre of origin.STUDY DESIGN, SIZE, DURATIONA cross-sectional survey aimed to gain insight into the use of SEC by MAR centres was conducted between 5 November and 15 December 2018.PARTICIPANTS/MATERIALS, SETTING, METHODSThe online survey was distributed among the ESHRE members.MAIN RESULTS AND THE ROLE OF CHANCEThe survey results highlight the strengths and weaknesses in the practical use of the SEC. The data from the survey showed that the SEC code is something that is known in the MAR field. Our data showed that over half of the respondents were using the SEC in their centre. On the other hand, there is also criticism about the use of SEC in MAR, especially that the added value for traceability and identification in ART is found to be rather limited.LIMITATIONS, REASONS FOR CAUTIONThe survey response rate was rather low (4.84%). The view of the use of SEC discussed in this paper still provides insight into the use of the SEC in several MAR centres.WIDER IMPLICATIONS OF THE FINDINGSThe survey highlights some knowledge gaps concerning coding. This information can be used to develop tools to increase knowledge of the SEC.STUDY FUNDING/COMPETING INTEREST(S)There was no external funding for this study. The authors declare that they have no conflict of interest.TRIAL REGISTRATION NUMBERN/A.

The behavior of basic health insurance Organizations after the implementation of Relative Value of Health Services book in Iran: A qualitative study.

Background: Since approximately 45% of basic health insurance (BHI) resources are spent and distributed based on the Relative Value of Health Services (RVHS) book, therefore, any revision in this book will most probably affect the behavior of health insurance organizations. The present study was prospected to determine the effect of revising RVHS on behavior of BHI funds as the main providers of treatment resources. Methods: This is a qualitative study in which data were analyzed using content analysis method. Semi-structured interviews were used to gather the required data. 27 interviewees were chosen using purposive sampling method. Finally, MAXQDA software was used to analyze and code the data. Results: According to the results, revision of RVHS influenced the behavior of health insurance organizations. The most important changes in the behavior of health insurance funds involved the following: formation of a committee for cost management and handling the insurance documents, creating a uniform coding system for health services, redesigning the handling process of documents, increased share of insurance funds from health expenditures, with 300 new services added to basic package and revising the package according to the new version of the book. Furthermore, the rest of the changes included in the global payment method based on the new book, delay in paying claims, increased deductions based on the payment of expensive services on treatment protocols, holding periodic training courses, and teaching the new book as well as the procedures for handling the documents. Conclusion: With regard to the revision of RVHS and considering the incremental approach in revision of relative values, the increased claims of health services delivery centers and delay in payment of these claims were the most important changes in the behavior of health insurance funds. Health policy makers can overcome such issues and provide proper financial conditions through reduction of conversion factor and mobilization of resources. Such policies will open the space for best management of the behaviors affected by revision of relative values.

Phenological growth stages of hemp (Cannabis sativa L.): codification and description according to the BBCH scale

The current paper discusses the characteristics of principal growth stages of hemp (Canabis sativa), provides a brief description of these stages and of the coding system according to the BBCH scale. The growing season of hemp is divided into nine principal growth stages: germination and sprouting (0), leaf development (1), formation of lateral shoots (2), stem elongation (3), inflorescence emergence (5), flowering (6), development of fruit (7), ripening of fruit (8) and senescence (9). The principal growth stages are subdivided into secondary stages based on their main distinctive features. The classification system of hemp growth stages presented in the paper is designed for hemp growers and researchers, including plant breeders, physiologists, entomologists and other agricultural producers. Using the uniform coding system of the phenological stages of hemp is a valuable tool to ensure a more efficient planning and implementation of crop and soil management practices and techniques.

Topography of childhood tumors: pediatric coding system.

The importance of a uniform coding system for cancer research, tumor registry, and exchange of information is recognized. However, tumors arising in children differ from those in adults, resulting in lack of precision when one coding system is used for both. Because the topographic code of the International Classification of Disease for Oncology for adult tumors does not lend itself well to pediatric tumors, the International Society of Paediatric Oncology (SIOP) developed a four-digit topographic coding system particularly adapted to childhood tumors. The four digits correspond to anatomic site, general and specific localization, and tissue of origin. An SIOP pilot study demonstrated the usefulness of this code.

ELECTROCARDIOGRAPHIC CHANGES AFTER GLUCOSE INGESTION.

In order to determine the effect of glucose ingestion on the electrocardiogram, 23 men with coronary heart disease and 30 without known heart disease had electrocardiograms in the fasting state and serial tracings at 30-minute intervals after the administration of 100 Gm. of oral glucose. In both groups the mean changes after glucose ingestion were slight ST-segment depression, a moderate decrease in T-wave amplitude, and a slight increase in heart rate, although individual variability was great. When the electrocardiograms were classified by a uniform coding system, new ST-segment or T-wave classifications were recorded for eight of 23 subjects with coronary heart disease and three of 30 men without known heart disease. Since ST-segment and T-wave changes regularly follow glucose ingestion and are sometimes of sufficient degree to suggest heart disease in apparently normal individuals, electrocardiograms recorded within several hours after glucose administration must be interpreted with caution. Because of the uncertain significance of postprandial ST-segment and T-wave changes, electrocardiograms after glucose ingestion do not appear to be a very useful method for the detection of occult heart disease. Glucose ingestion should be avoided before routine clinical tracings.