Adoption of network and plan-do-check-action in the international classification of disease 10 coding

BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.

A comparative study of seismic provisions between International Building Code 2003 and Uniform Building Code 1997

This study focuses on the comparison of the Uniform Building Code （UBC） 1997 and International Building Code （IBC） 2003 in relation to the seismic design and analysis of special steel moment resisting frame buildings （SMRF）. This paper formulates a numerical study of a steel SMRF building, studied in four different situations, namely： as an office building in San Francisco; as an office building in Sacramento; as an essential facility in San Francisco, and as an essential facility in Sacramento. The analytical results of the model buildings are then compared and analyzed taking note of any significant differences. This case study explores variations in the results obtained using the two codes, particularly the design base shear and drift ratios as they relate to different locations and occupancy use. This study also proves that IBC 2003 is more stringent for the redundancy factor under design category E for the SMRF building, and drift limits for essential facilities.

Seismic performance of high-rise buildings in selected regions in Saudi Arabia according to different seismic codes

The design code for each country is revised and updated based on an expected zone’s seismic intensities,geotechnical site classifications,structural systems,construction materials and methods of construction in order to provide more realistic considerations of seismic demand,seismic response,and seismic capacity.Based on the aforementioned provisions,structures designed according to different seismic codes may yield different performances for the same level of hazard.This study aims to investigate and compare the induced responses related to the earthquake-resistant design of reinforced concrete(RC)buildings according to the Saudi building code(SBC-301),American code(ASCE-7),uniform building code(UBC-97),and European code(EC-8).In order to account for the provision regarding the hazard specification and its effect on the induced seismic responses,four regions in the Kingdom of Saudi Arabia with different seismic levels are selected.The code provisions related to the specification of site classification and its effect on the induced design base shear are investigated as well.Significant differences are observed in the induced responses with the variation in seismic design codes for the considered seismic hazards and site classifications.

A survey of automated International Classification of Diseases coding:development,challenges,and applications

The International Classification of Diseases(ICD)is an international standard and tool for epidemiological in-vestigation,health management,and clinical diagnosis with a fundamental role in intelligent medical care.The assignment of ICD codes to health-related documents has become a focus of academic research,and numerous studies have developed the process of ICD coding from manual to automated work.In this survey,we review the developmental history of this task in recent decades in depth,from the rules-based stage,through the traditional machine learning stage,to the neural-network-based stage.Various methods have been introduced to solve this problem by using different techniques,and we report a performance comparison of different methods on the pub-licly available Medical Information Mart for Intensive Care dataset.Next,we summarize four major challenges of this task:(1)the large label space,(2)the unbalanced label distribution,(3)the long text of documents,and(4)the interpretability of coding.Various solutions that have been proposed to solve these problems are analyzed.Further,we discuss the applications of ICD coding,from mortality statistics to payments based on disease-related groups and hospital performance management.In addition,we discuss different ways of considering and evaluat-ing this task,and how it has been transformed into a learnable problem.We also provide details of the commonly used datasets.Overall,this survey aims to provide a reference and possible prospective directions for follow-up research work.

Dismantling Marchandiomphalina into Agonimia(Verrucariaceae)and Lawreymyces gen.nov.(Corticiaceae):setting a precedent to the formal recognition of thousands of voucherless fungi based on type sequences

Based on an unexpected result of obtaining molecular sequence data from tropical representatives of the genus Normandina,we revised the biological concept of the neotropical taxon Marchandiomphalina foliacea.The obtained data let us conclude that M.foliacea is not a basidiomycete,as originally proposed,but belongs in Verrucariaceae,in the genus Agonimia,including its perithecia which had been identified with the lichenicolous Norrlinia peltigericola.The ITS(and nuLSU)sequences previously obtained from M.foliacea,seemingly confirming its status as a basidiomycete,are from an unmanifested lichenicolous fungus,present also in numerous specimens of Normandina.ITS data suggest the presence of seven lineages that can be recognized at the species level,forming two clusters:one cluster of three lineages found in thalli of M.foliacea,and a second cluster of four lineages found in thalli of Normandina.This pattern is similar to what has recently been found in the basidiomycete genus Cyphobasidium occurring predominantly in Parmeliaceae lichens.We propose the combination of Omphalina foliacea into the genus Agonimia,as Agonimia foliacea(P.M.Jørg.)Lucking&Moncada,comb.nov.,and place Marchandiomphalina in synonymy with Agonimia.To formally recognize the unnamed lichenicolous basidiomycete present in Agonimia and Normandina thalli,we take advantage of provision ICN Art.40.5 in the Code and describe the unmanifested fungus as a new genus,with seven new species,even if no physical type specimens can be preserved(except for the corresponding host lichens which,however,do not show the features of the fungus):Lawreymyces Lucking&Moncada,gen.nov.(Type:L.palicei),with L.bogotensis Lucking&Moncada,sp.nov.,L.columbiensis Lucking&Moncada,sp.nov.,L.confusus Lucking&Moncada,sp.nov.,L,foliaceae Lucking&Moncada,sp.nov.,L.palicei Lucking&Moncada,sp.nov.,L.pulchellae Lucking&Moncada,sp.nov.,and L.spribillei Lucking&Moncada,sp.nov.This opens the door to the formal recognition of thousands of species of voucherless fungi detected through environmental sequencing techniques under the current Code.