Uniform Registration Research Articles

Comprehensive Surveillance of Dance Injuries a Proposal for Uniform Reporting Guidelines for Professional Companies

Varying methods of injury definition, data collection and interpretation of findings complicate analysis of results from epidemiological studies of sport and dance injuries. Comparison between studies is therefore difficult. Researchers have suggested adoption of uniform methodology for injury definition and reporting. This paper outlines a suggested comprehensive injury reporting system for professional dance companies. Components of a comprehensive injury surveillance system include: 1. pre-season screening of intrinsic risk factors, 2. extrinsic risk factor tracking, and 3. injury occurrence reporting system. Dance screens provide healthy baseline data, uncover existing pathology, and help define population characteristics. Extrinsic risk factor tracking includes quantification of exposure to specific environment, equipment, and technique demands. Exposure may be delineated as activity (number of performance, class, and rehearsal events) or time (hours of participation in dance activities) based. These exposure measures are then incorporated into incidence calculations, enabling injury rate comparison between populations. Standardized injury definitions are proposed to facilitate the comparison of injury rates. We propose defining “injury” as any physical complaint sustained by a dancer resulting from performance, rehearsal, or technique class. Injury is further delineated in the following ways: 1. physical complaint injury, 2. medical injury, 3. time-loss injury, and 4. financial injury. Coding by severity, injury type, location, tissue, activity, and style of dance and choreography is also included. We hope this may ultimately result in uniform injury registration for dancers of all ages and levels. Adoption of a common system should result in improved understanding of injury incidence and risk factors with potential to increase the effectiveness of injury prevention interventions and rehabilitation.

Professionalisering van verpleeghuiszorg

One of the goals of the Nijmegen University Network of Nursing Homes is to develop an uniform registration system for patients’ characteristics. In a survey among eight institutions, the following results were found: Het UVNN werkt aan uniformering van de registratie van cliëntgegevens. Uit inventarisatie onder de acht verpleeghuisinstellingen blijkt dat:

Placement of probes in electrostimulation and biofeedback training in pelvic floor dysfunction

We examined the positioning of five commonly used probes in electrostimulation and biofeedback training. Ultrasound and MRI were used to evaluate the position of these probes in two multiparous women, in reference to pelvic floor anatomy. From caudal to cranial we identified the anal external sphincter, puborectal muscle, and levator group. Positioning of probes varied considerably: the recording plates are situated from 1 cm caudal to 6 cm cranial of the puborectal muscle. Most probes stretched, due to a relatively large diameter, the vagina wall, anal external sphincter, or puborectal muscle beyond physiological proportions. On straining, all probes were pushed upwards into the rectum. The positioning of all examined probes varied considerably. Hence it is not likely that these probes give a reliable and uniform registration of muscular activity of the pelvic floor function or are all optimal for electrostimulation.

World association for the advancement of veterinary parasitology (WAAVP): Second edition of guidelines for evaluating the efficacy of anthelmintics in swine

Guidelines are provided for evaluating the efficacy of anthelmintics in swine which, in conjunction with other sets of guidance such as those of the International Cooperation on Harmonization of Technical Requirements for Registration of Veterinary Medicinal Products (VICH GL7 and VICH GL16), should encourage the adoption of uniform registration requirements globally. Testing of efficacy should be carried out according to the principles of "Good Clinical Practice" (VICH GL9, 2000). Data obtained according to these guidelines should be internationally acceptable for the registration of anthelmintics for swine. Further, the use of the guidelines should expedite development, government review, and approval of anthelmintics for swine, as well as contribute towards reducing costs and the number of experimental animals used for drug testing.

Transplant International adopts the policy of a uniform clinical trial registration

Increasing concerns about the effects of concealing negative data, the protection of study subjects, selective publication and biased reporting of clinical trials have led to the need to promote transparency. Further to the ongoing consensus on uniform clinical trial registration requirements, Transplant International is adopting the policies proposed by The International Committee of Medical Journal Editors (ICMJE) [1], which has recently been put into effect as a criterion for publishing clinical trials by its member journals. Concurrently, Transplant International will only consider publishing trials that have been registered in a public trials registry. Trials must register at or before patients are enrolled. This applies to clinical trials starting enrolment of patients after 1 January 2006. Trials that started enrolment before this date are required to register by 1 April 2006. We define clinical trials according to ICMJE, as ‘any research project that prospectively assigns human subjects to intervention or comparison groups to study the cause and effect relationship between a medical intervention and a health outcome. Studies designed for other purposes, such as to study pharmacokinetics or major toxicity (e.g. phase I trials), would be exempt’ [2]. Registration must be done at a registry that meets the following minimum criteria: Accessible to the public at no charge. Searchable by standard electronic (Internet-based) methods. Open to all prospective registrants free of charge or at minimal cost. Validates registered information. Identifies trials with a unique number. Includes information on: the investigator(s), research question or hypothesis, methodology, intervention and comparisons, eligibility criteria, primary and secondary outcomes measured, date of registration, anticipated or actual start date, anticipated or actual date of last follow-up, target number of subjects, status (anticipated, ongoing or closed), and funding sources(s). Registries that currently meet these criteria include: The registry sponsored by the U.S. National Library of Medicine (http://www.clinicaltrials.gov). The International Standard Randomised Controlled Trial Number Registry (http://www.controlled-trials.com). The Cochrane Renal Group registry (http://www.cochrane-renal.org/trialsubmissionform.php). The National (U.K.) Research Register (http://www.update-software.com/national/). European Clinical Trials Database (http://eudract.emea.eu.int/).

Trial registry policy: common editorial statement A uniform clinical trial registration policy for journals of kidney diseases, dialysis and transplantation

Trial registry policy: common editorial statement A uniform clinical trial registration policy for journals of kidney diseases, dialysis and transplantation

A Uniform Clinical Trial Registration Policy for Journals of Kidney Diseases, Dialysis and Transplantation

A Uniform Clinical Trial Registration Policy for Journals of Kidney Diseases, Dialysis and Transplantation

A Uniform Clinical Trial Registration Policy for Journals of Kidney Diseases, Dialysis, and Transplantation

A Uniform Clinical Trial Registration Policy for Journals of Kidney Diseases, Dialysis, and Transplantation

Trial registry policy: common editorial statement A uniform clinical trial registration policy for journals of kidney diseases, dialysis and transplantation

Trial registry policy: common editorial statement A uniform clinical trial registration policy for journals of kidney diseases, dialysis and transplantation

Uniform Clinical Trial Registration Policy for Journals of Kidney Diseases, Dialysis, and Transplantation

Medical research can be seriously compromised by the selective publication of clinical trial results. Therefore, it is imperative that information regarding clinical trials be available to the general public. We require, as a condition of consideration for publication, registration in a public

The Registration of Complications in Surgery: A Learning Curve

Registration of complications in surgery is an important method used for quality improvement. Unfortunately many different definitions and classification systems have been used, which influences the interpretation and the outcome of complication registration. Since 1986 complications have been registered on a daily basis in our surgical department. We focus in this article on the influence of changes in interpretation of the definition and registration methods used on the incidence of registered complications. Between 1986 and 1993 complications registered were strictly related to surgical procedures. In the second period, between 1993 and 2001, the interpretation of the definition changed and all adverse events were registered in a patient-centred way, not only related to the surgical procedure. The definition used in both periods did not change. In 1993 we started with the implementation of a fully automated registration system in our surgical department. In the first period 1699 (7%) complications in 24,201 surgical procedures were registered and in the second period 8335 (27%) complications were registered in 31,161 surgical procedures. A dramatic increase in the total number of registered complications was seen with the implementation of a fully automated registration system and a patient-centred way of registering complications. In the context of the evolving discussion of quality of care, a uniform definition and registration system has to be used to assure reliable outcome data in surgery and to form a basis for comparison.

Fundamental classification of perinatal death: Validation of a new classification system of perinatal death

Objective: To validate a newly introduced classification system for the registration of perinatal mortality. Design: Descriptive. Setting: Dutch Healthcare region Delft-Westland-Oostland (DWO). Material and methods: In a 10-years period (1983–1992), all cases of perinatal death with a birthweight above 500 g ( n=239) were included into the study. Six assessors: four gynaecologists and two paediatricians were asked to classify all cases using a classification model proposed by the authors. This model is based on the underlying cause of death using simple principles of obstetrical and neonatal pathology: birth trauma, infection, placenta or cord pathology, pathology of immune tolerance of mother and fetus, congenital malformation of the fetus and complications of a pre-viable delivery. Therefore, we used the term fundamental classification. The six assessors worked independently of each other in classifying all cases of perinatal death, were not involved in the original development of the system and were unaware of the results of the classification of their colleagues. Agreement beyond chance between assessors was calculated using kappa’s coefficient for multiple observers and multiple test results. Results: Overall kappa was 0.70 (95% confidence interval (C.I.) 0.68–0.72). Reproducibility was poor for the categories trauma and unclassifiable, fair for the categories infections and placental/cord pathology, and very good to excellent for the categories maternal immune system pathology, congenital malformations and complications of prematurity. Conclusions: The proposed system showed a good level of agreement and appeared to be simply applicable. It offers a good insight in the underlying cause of death with the possibility for recognising preventive factors in future pregnancies and will enable (inter)national comparisons in causes of perinatal death. A reliable uniform registration of perinatal death based on the underlying causes should be the basis for improvement of the quality of perinatal care.

Autoconfiguration, registration, and mobility management for pervasive computing

In the vision of pervasive computing, users will exchange information and control their environments from anywhere using various wireline/wireless networks and computing devices. We believe that current protocols, such as DHCP, PPP, and Mobile IP, must be enhanced to support pervasive network access. In particular, this article identifies three fundamental functions: autoconfiguration, registration, and mobility management, that need such enhancements. Realizing that the IP autoconfiguration capabilities must be extended to configure routers and large dynamic networks, we first describe our autoconfiguration solution based on the dynamic configuration and distribution protocol (DCDP). Second, we discuss why providing user-specific services over a common infrastructure needs a uniform registration protocol, independent of the mobility and configuration mechanisms. We present an initial version of the basic user registration protocol (BURP), which provides secure client-network registration and interfaces to AAA protocols such as Diameter. Finally, we discuss the dynamic mobility agent (DMA) architecture, which provides a hierarchical and scalable mobility management framework. The DMA approach allows individual users to customize their own mobility-related features, such as paging, fast handoffs, and QoS support, over a common access infrastructure and to select multiple global binding protocols as appropriate.

The Dutch Uniform Multicenter Registration system for genetic disorders and malformation syndromes.

In medical genetics, several systems are used to classify and code genetic disorders for the purpose of automated registration. In the Netherlands, a genetic diagnosis code system has been developed that links a unique four-digit code to a principal description and all current synonyms. The main goal of this coding system is to enable nationwide uniformity of coding, without losing access to information stored in the past, identified by the ICD/BPA code (the International Classification of Diseases as adapted by the British Paediatric Association) and/or the MIM code (McKusick's classification in Mendelian Inheritance in Man). To this effect, the Dutch diagnosis code is cross-referenced with the 2 pre-existing classification systems. Developments in medical genetics make regular updates of all coding systems necessary. In the Netherlands, new diagnosis codes are assigned centrally to preserve uniformity and distributed periodically to all 8 clinical genetic centers. Diagnosis codes are assigned in numerical order of inclusion, enabling quick and easy updates. It is possible to include subclassifications of disorders according to pattern of inheritance, gene location, and gene mutations and to cover all disorders and disorder subtypes which are not clearly distinguished by the 2 pre-existing classification systems. The architecture of the coding system is suitable for international use. It offers a practical solution for clinical geneticists in need of a coding system suitable for clinical use. The use of the diagnosis code will also facilitate reliable comparison of data and nationwide genetic epidemiological studies.

The Development of a Uniform Registration System for Patients with Burns

The Development of a Uniform Registration System for Patients with Burns

An analysis of the impact of registration factors on turnout in 1992

In 1993 Congress passed and President Clinton signed into law the National Voter Registration Act of 1993. The law contained provisions for uniform mail registration, changes in purge procedures, and changes in some forms of agency registration including motor-voter registration. Using the 1992 National Election Study, I estimate the impact of several of these changes in addition to same-day registration. Same-day registration and motor-voter registration both show strong, positive relationships to turnout, while the results are mixed for mail registration and changed purge procedures.

Multinational Comparison of Diagnostic Procedures and Management of Acute Stroke: The WHO MONICA Study

Background and Purpose: In the stroke component of the WHO MONICA Project, community-based registers of acute stroke have been undertaken in 20 populations in Finland, Sweden, Denmark, Germany, Italy, Yugoslavia, Hungary, Poland, Lithuania, Russia and China. This paper reports on diagnostic procedures and management of acute stroke in these populations. Methods: The MONICA stroke registers apply uniform registration procedures and diagnostic criteria. Data for 3 years were pooled and used for cross-sectional comparisons. Longitudinal analyses of the use of computerized tomography (CT) scans and autopsy rates were based on all years up to 1990 for which information was available. The total population in the age range investigated (35–64 years) was 3,250,000. Strokes were also recorded for the 65- to 74-year age range in seven of the 20 populations. Results: In all populations, more than three quarters of all 35- to 64-year-old stroke patients were managed in hospital; in nine populations more than 90% were managed in hospital. The use of CT scans ranged from 0% in Russia to 70–76% in West Germany, Italy, Sweden and two of the 3 Finnish populations. During the mid 1980s, use of CT scan increased rapidly in China (Beijing), Denmark, Finland and Yugoslavia but spread only slowly in Poland, Lithuania and Russia. Autopsy rates varied from 0% in China to 76% in the Hungarian and one of the Russian populations. During the 1980s, autopsy rates were stable in most populations, but declined considerably in Lithuania, Poland and Sweden. Elderly patients (65–74 years) were less often hospitalized in China but this was not the case in European populations. In all populations, CT scan and autopsy were less often performed in older subjects. Conclusions: Large variations exist between countries in the use of diagnostic procedures and the management of acute stroke. Data obtained before the late 1980s permit only very limited multinational epidemiological comparisons of stroke subtypes, but the possibility of making such comparisons is rapidly improving.

Geographic variation in cancer incidence in the USSR: Estimating the proportion of avoidable cancer

Background. The Soviet Union offers a unique frame in which to study geographic variation in cancer incidence because of its uniform registration system of all newly diagnosed cancer cases throughout its 15 republics and 162 oblasts (administrative units). Variation in cancer rates is stronger when examined by oblasts than it is when examined by republics. In 1986, the age-standardized all-site cancer incidence rate for both sexes, in the Soviet republic having the highest overall rate (Russian Soviet Federative Socialist Republic for males, Lithuania for females) was about twice that of the Soviet republic with the lowest all-site cancer rate (Georgia). Within Soviet oblasts (data are from 1979), the ratio of the highest to the lowest rates was about 4 for all sites, 144 for male oesophageal cancer, and 303 for female oesophageal cancer. The excess incidence in the entire USSR compared with the republic having the lowest all-site incidence rate was 59% for males and 49% for females. Conclusion. Although the observed differences between republics or between oblasts are partially due to uneven quality of data recording or to statistical variability related to population sizes, there is a strong geographic variation of cancer incidence rates in the USSR that suggests a potentially important role of environmental factors in cancer etiology.

German drinking water regulations, pesticides, and axiom of concern

The limit value of 0.1 µg/liter for “substances used in plant treatment and pest control including their main toxic degradation products” (PBSM) established in the German Drinking Water Regulations (Trinkwasserverordnung) serves comprehensively to protect drinking water from unexpected toxicological risks and thus corresponds to theaxiom of concern (Besorgnisgrundsatz) contained in §11,2 of the Federal Communicable Disease Control Act (Bundesseuchengesetz), which is an essential cornerstone of the Drinking Water Regulations. Furthermore, precautionary values that are specific to the particular substance and near the valid limit can be found for about 10% of all registered active substances. The goal of the PBSM Recommendations of the Federal Health Office (BGA) issued in July 1989 is to preserve and restore groundwater and drinking water through measures to be taken by the causal party, while reducing consumer health risks to the greatest extent possible. The EC commission's drawbacks on these recommendations and the imminent EC-wide directive for the uniform registration of pesticides being based solely on Article 43 of the European Treaty would seriously endanger this goal. Therefore, a situation threatens in Europe similar to that in the United States, where at least 18 active ingredients have been detected in groundwater in concentrations of up to 1000 times the toxicologically established limits for drinking water.

Interest and possibilities of performing post-operative registration of wound infections in Danish Orthopaedic Departments. A study survey

Surgical wound infections, like other nosocomial infections, represent a considerable burden on both the individual patient and society. As the direct result of the operation is less than optimal, and there is a considerable economic wastage. A questionnaire survey including all 69 surgical departments in Denmark was implemented. The present study indicates interest in continuous post-operative infection surveillance in 81% of the 52 answering Danish surgical departments, where orthopaedic surgery is carried out. Only about the half of the wards had financial possibilities to buy computer hardware and software for continuous registration. In Denmark only between one third and one half of the wards had prior experience with registration systems. None of the wards used the same system, and in a very few cases the registration was continuous, definitions were different and the amount of data registered varied considerably. The survey indicates the importance of establishment of uniform registration criteria and the Danish chief surgeons will accept criteria defined by a working group within the Danish Orthopedic Society. An expanded registration system developed by this working party was preferred over a 'simple' minimum data base system. Most departments wanted local registration only, and doctors and secretaries in unison should perform the daily registration.