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Frequency-hopping optical orthogonal codes with arbitrary time-blank patterns.

We investigate a general scheme of frequency-hopping optical orthogonal codes with a specified distance between adjacent frequency symbols and propose a novel code that allows time blanks between adjacent frequency symbols in code sequences. A time blank represents the absence of frequency symbols in code sequences and makes no interference with frequency components. The insertion of time-blank patterns can provide ample scope to generate much more code sequences than the conventional codes lacking in time-blank patterns, and we show this by constructing an algorithm to generate the proposed code. The performance analysis demonstrates that its performance is superior to that of the conventional codes in terms of the bit error rate. We also derive the upper bound on the proposed code set.

Journal Article↗

Low-density parity-check codes for volume holographic memory systems.

We investigate the application of low-density parity-check (LDPC) codes in volume holographic memory (VHM) systems. We show that a carefully designed irregular LDPC code has a very good performance in VHM systems. We optimize high-rate LDPC codes for the nonuniform error pattern in holographic memories to reduce the bit error rate extensively. The prior knowledge of noise distribution is used for designing as well as decoding the LDPC codes. We show that these codes have a superior performance to that of Reed-Solomon (RS) codes and regular LDPC counterparts. Our simulation shows that we can increase the maximum storage capacity of holographic memories by more than 50 percent if we use irregular LDPC codes with soft-decision decoding instead of conventionally employed RS codes with hard-decision decoding. The performance of these LDPC codes is close to the information theoretic capacity.

Journal Article↗

Beyond a code of ethics for bioengineers: the role of ethics in an integrated compliance program.

Developing a code of ethics for biomedical engineering professionals is a very important first step in clarifying their professional obligations and in helping to establish and maintain their professional autonomy. However, it is only that--a first step. Unless ways can be found to bring the principles contained in this code to bear on the everyday decision making of these professionals, this code will have little practical influence. One effective way to bring a code of ethics to bear on decision making is to integrate it into organizational compliance programs. Such programs often have company-specific codes of ethics attached to them, and these company-specific codes can either include the principles contained in the professional code of ethics or reference the code by title. After defining what I take to be the challenge of compliance, I consider four (4) roles that codes of ethics and ethics generally can play in helping to create and sustain programs at the organizational level that integrate ethics and compliance and thereby aim to make a practical difference in the everyday decision making of bioengineering professionals. These four roles include: framing the program, grounding the standards, achieving critical distance, and creating and sustaining an ethical organizational culture.

Biomedical Engineering↗

Improving the E coding of hospitalizations for injury: do hospital records contain adequate documentation?

OBJECTIVES: Incomplete external cause of injury (E) coding limits the usefulness of hospital discharge data sets for injury surveillance and research. Hospital medical records were examined to determine whether they contained adequate cause of injury documentation to allow for more complete E coding of injury discharges. METHODS: Medical records for a sample of discharges involving a principal diagnosis of injury from the Uniform Hospital Discharge Data Set for Rhode Island were selected. We assigned E codes to these discharges and compared our E codes with those of the discharge data set. RESULTS: Documentation of cause of injury in the medical records was sufficient to allow assignment of a specific E code to 70% of the injuries for which no E codes or vague E codes were submitted on the Uniform Hospital Discharge Data Set. It was estimated that specific cause of injury documentation is available in the medical records of 80% of all injury discharges in Rhode Island; for approximately 90%, an E code describing at least the broad cause of injury could be assigned. CONCLUSIONS: Rates of E coding can be substantially increased by making better use of existing documentation in medical records.

Abstracting and Indexing↗

Radiofrequency ablation of hepatocellular carcinoma: therapeutic response using contrast-enhanced coded phase-inversion harmonic sonography.

OBJECTIVE: This study was performed to evaluate the usefulness of contrast-enhanced coded phase-inversion harmonic sonography in assessing the therapeutic response of percutaneous radiofrequency ablation in patients with hepatocellular carcinoma. SUBJECTS AND METHODS: Sixty-seven patients with a total of 107 examinations on 91 hepatocellular carcinoma nodules underwent coded harmonic angio, a technique of coded phase-inversion harmonic sonography, using the IV microbubble contrast agent Levovist before and after percutaneous radiofrequency ablation. The intratumoral blood vessels and tumor parenchymal stain were detected in the early arterial phase and the late vascular phase, respectively. The results of contrast-enhanced imaging with coded harmonic angio were compared with those of three-phase dynamic CT. RESULTS: Before treatment, all examined 107 hepatocellular carcinoma nodules were found to be hypervascular on contrast-enhanced imaging with coded harmonic angio. After radiofrequency ablation, contrast-enhanced coded harmonic angio detected persistent signal enhancement in 41 examined nodules (38.3%), whereas this technique showed no intratumoral enhancement in the remaining 66 (61.7%) examined nodules. Compared with dynamic CT, the sensitivity, specificity, and diagnostic accuracy of contrast-enhanced coded harmonic angio were 95.3%, 100%, and 98.1%, respectively. With contrast-enhanced coded harmonic angio, we found that it was difficult to identify the safety margin that can be detected on dynamic CT. CONCLUSION: Contrast-enhanced imaging with coded harmonic angio may provide an alternative approach that has high diagnostic agreement with dynamic CT in assessing the therapeutic effect of radiofrequency ablation in hypervascular hepatocellular carcinomas, in spite of having limitations in identifying the safety margin.

Aged↗

Double-coding test: a new paper-and-pencil measure of eye-hand coordination.

The present research presents the development of a new paper-and-pencil coding task that may find a variety of uses in the psychological assessment of cognitive processes. The aim of the new test, named the Double-coding Test, was to create a more complex task than the previous coding tests. This new task requires two different coding processes before marking the correct sign in the appropriate space. To validate this new double-coding task it was administered along with the Coding B subtest of the Wechsler Intelligence Scale for Children-Revised and the d2 Test. Also for validation the new test was administered to a clinical group of children having Attention Deficit/Hyperactivity Disorder. A sample of normal children is presented for five different ages from 8 and 13 years. Analysis showed that the Double-coding Test differentiates between clinical group and normal children more effectively than does the WISC-R Coding B subtest or the d2 Test. Suggestions are offered for use of the Double-coding Test.

Attention Deficit Disorder with Hyperactivity↗

Coding observational data: a software solution.

The analysis of observational data, particularly from social interactions, is often made difficult by the process of transcribing the verbal and behavioral interactions, having observers code on the transcriptions, and then transferring those codes to a statistical analysis program. The advent of computer-aided coding schemes has, to some extent, eliminated this laborious and time-consuming process. However, existing programs may not fulfill the needs of all of the researchers interested in this methodology, and furthermore, the expense of current systems may put these tools out of reach for some. The Observational Data Coding System (ODCS) software package presented here is a flexible coding tool designed to make efficient the process of coding observational data. A control panel allows the researcher to customize the program and coding system to suit his or her research questions. A variety of media (including video, audio, image, and text) can be read directly into the Windows-based program; trained observers can then code a variety of factors via buttons on the screen while the file is playing. An example of using the program to analyze conversation is provided. ODCS is a flexible, free tool for the coding of observational data.

Adult↗

Variable diversity joining recombination: nonhairpin coding ends in thymocytes of SCID and wild-type mice.

Initiation of V(D)J recombination results in broken DNA molecules with blunt recombination signal ends and covalently sealed (hairpin) coding ends. In SCID mice, coding joint formation is severely impaired and hairpin coding ends accumulate as a result of a deficiency in the catalytic subunit of DNA-dependent protein kinase, an enzyme involved in the repair of DNA double-strand breaks. In this study, we report that not all SCID coding ends are hairpinned. We have detected open Jdelta1 and Ddelta2 coding ends at the TCRdelta locus in SCID thymocytes. Approximately 25% of 5'Ddelta2 coding ends were found to be open. Large deletions and abnormally long P nucleotide additions typical of SCID Ddelta2-Jdelta1 coding joints were not observed. Most Jdelta1 and Ddelta2 coding ends exhibited 3' overhangs, but at least 20% had unique 5' overhangs not previously detected in vivo. We suggest that the SCID DNA-dependent protein kinase deficiency not only reduces the efficiency of hairpin opening, but also may affect the specificity of hairpin nicking, as well as the efficiency of joining open coding ends.

3' Untranslated Regions↗

Comparison of transcranial power Doppler and contrast-enhanced color-coded sonography in the identification of intracranial arteries.

Power-based transcranial color-coded sonography and contrast-enhanced transcranial color-coded sonography are ultrasonographic techniques that allow improved visualization of vascular structures. The present study was designed to investigate and compare the diagnostic capacity and applicability of both methods in the assessment of intracranial vessels of the circle of Willis (33 patients) and the vertebrobasilar system (21 patients). Compared to conventional transcranial color-coded sonography, both power-based and contrast-enhanced transcranial color-coded sonography improved the diagnostic sensitivity in identifying peripheral segments and small vessels of the circle of Willis. Contrast-enhanced transcranial color-coded sonography was significantly superior to power-based transcranial color-coded ultrasonography in the depiction of the second segment of the middle cerebral artery (66 of 66 versus 60 of 66, P < 0.005), both segments of the anterior cerebral artery (66 of 66 versus 56 of 66 for the A1 segment, P < 0.005; 61 of 66 versus 44 of 66 for the A2 segment, P < 0.005), the first segment of the posterior cerebral artery (66 of 66 versus 55 of 66, P < 0.005), and the basilar artery using the transtemporal approach (21 of 21 versus 15 of 21, P < 0.05). Using the transforaminal approach contrast-enhanced transcranial color-coded real-time sonography did not increase fine resolution of the vertebrobasilar system compared to power Doppler sonography. In conclusion, contrast-enhanced transcranial color-coded real-time sonography further improves the diagnostic potential of power Doppler sonography in the identification of vascular structures of the circle of Willis. Contrast-enhanced transcranial color-coded sonography and power Doppler sonography are equally effective in visualizing the vertebrobasilar system with branches.

Adult↗

An audit of diagnostic coding in genitourinary medicine clinics. Trent Region Genitourinary Medicine Audit Group.

The KC60 diagnostic code information provides an epidemiological monitor of sexually transmitted infection (STI) and a means of standardizing clinical workload in genitourinary medicine (GUM) departments. We aimed to assess the coding process and its uniformity within the Trent region by means of a confidential self-administered coding exercise with simulated case presentations. The correct coding for STIs ranged from 59.4% to 100% in different scenarios. Difficulty was identified in the coding of vulvitis and balanitis where no organism was isolated, as represented by a wide range of codes. HIV pre-test counselling without testing was coded by only 57.8% of respondents. Over 95% indicated correctly the first hepatitis B vaccine dose but 21% failed to code once only for the course. Coding practice also varied within individual sites with a 21-100% discordance. In parts diagnostic accuracy was good but there were areas of non-uniformity both within sites and cross-regionally. Regional discussions have resulted in increased training opportunities and guidelines have been developed to increase uniformity and achieve consensus in uncertain areas.

Female Urogenital Diseases↗

Characterizing the sparseness of neural codes.

It is often suggested that efficient neural codes for natural visual information should be 'sparse'. However, the term 'sparse' has been used in two different ways--firstly to describe codes in which few neurons are active at any time ('population sparseness'), and secondly to describe codes in which each neuron's lifetime response distribution has high kurtosis ('lifetime sparseness'). Although these ideas are related, they are not identical, and the most common measure of lifetime sparseness--the kurtosis of the lifetime response distributions of the neurons--provides no information about population sparseness. We have measured the population sparseness and lifetime kurtosis of several biologically inspired coding schemes. We used three measures of population sparseness (population kurtosis, Treves-Rolls sparseness and 'activity sparseness'), and found them to be in close agreement with one another. However, we also measured the lifetime kurtosis of the cells in each code. We found that lifetime kurtosis is uncorrelated with population sparseness for the codes we used. Lifetime kurtosis is not, therefore, a useful measure of the population sparseness of a code. Moreover, the Gabor-like codes, which are often assumed to have high population sparseness (since they have high lifetime kurtosis), actually turned out to have rather low population sparseness. Surprisingly, principal components filters produced the codes with the highest population sparseness.

Algorithms↗

Bar code, good for industry and trade--how does it benefit the dentist?

Every dentist who attentively follows the change in product labelling can easily see that the HIBC bar code is on the increase. In fact, according to information from FIDE/VDDI and ADE/BVD, the dental industry and trade are firmly resolved to apply the HIBC bar code to all products used internationally in dental practices. Why? Indeed, at first it looks like extra expense to additionally print a bar code on the packages. Good reasons can only lie in advantages which manufacturers and the trade expect from the HIBC bar code, Indications in dental technician circles are that the HIBC bar code is coming. If there are advantages, what are these, and can the dentist also profit from them? What does HIBC bar code mean and what items of interest does it include? What does bar code cost and does only one code exist? This is explained briefly, concentrating on the benefits bar code can bring for different users.

Dental Equipment↗

Why morphometrics is not special: coding quantitative data for phylogenetic analysis.

Thorpe (1984) and Chappill (1989) argued that selection of a coding method should be [figure: see text] based on the purpose of coding. In our view, the purpose of coding is dictated by the principles of phylogenetic systematics. The foundation of phylogenetic systematics is the observation that monophyletic groups can be recognized if homologous character states, shared evolutionary novelties, can be identified (Hennig, 1966). Unfortunately, characters do not have labels indicating their homology. Instead, a systematist must propose a hypothesis of homology and evaluate its congruence with independent hypotheses based on other traits. In this context, the purpose of coding is to represent those hypotheses. The major obstacle to coding is that the a priori groups under analysis (i.e., taxa) often have ranges of variation that overlap to some degree. This is true whether traits are described qualitatively or quantitatively. One advantage of quantitative description is that it permits a more detailed analysis of how much the ranges of variation overlap. It may seem appropriate to use statistical methods to summarize the amount of overlap and even to decide objectively (on a priori grounds) whether taxa are similar or different. Above, we demonstrated some of the problems resulting from these uses of statistical analysis. In our view, the most important problem is the implication that similarity of the feature across taxa is the basis for inferring homology. The similarity that is relevant to phylogenetic analysis is not proximity in morphospace, but shared novelty. Statistical methods can describe proximity, but they cannot recognize novelty. The method of coding we recommend uses graphical displays of individual values. Coding decisions are based on all of the individuals in each taxon, not on summaries derived from models of expected distributions. Then, the evidence for inferring divergence is independently evaluated for each pair of overlapping taxa. Coding decisions are not based on a priori rules that have no bearing on recognition of evolutionary novelty. This is the same approach that is used to code qualitatively described traits.

Animals↗

Diagnostic codes in dentistry--definition, utility and developments to date.

Diagnostic codes are computer-readable descriptors of patients' conditions contained in computerized patient records. The codes uniquely identify the diagnoses or conditions identified at initial or follow-up examinations that are otherwise written in English or French on the patient chart. Dental diagnostic codes would allow dentists to access information on the types and range of conditions they encounter in their practices, enhance patient communication, track clinical outcomes and monitor best practices. For the profession, system-wide use of the codes could provide information helpful in understanding the oral health of Canadians, demonstrate improvements in oral health, track best practices system-wide, and identify and monitor the progress of high-need groups in Canada. Different systems of diagnostic codes have been implemented by program managers in Germany, the United Kingdom and North America. In Toronto, the former North York Community Dental Services developed and implemented a system that follows the logic used by the Canadian Dental Association for its procedure codes. The American Dental Association is now preparing for the release of SNODENT codes. The addition of diagnostic codes to the service codes already contained in computerized patient records could allow easier analysis of the rich evidence available on the oral health and oral health care of Canadians, thereby enhancing our ability to continuously improve patient care.

Abstracting and Indexing↗

Treatment provider's knowledge of the Health and Disability Commissioner's Code of Consumer Rights.

The Health and Disability Commissioner's (HDC) Code of Health and and Disability Consumers' Rights (the Code) defines in law the rights of consumers of health and disability services in New Zealand. In the first few years after the publication health educators, service providers and the HDC extensively promoted the Code. Providers of health and disability services would be expected to be knowledgeable about the areas covered by the Code if it is routinely used in the development and monitoring of treatment plans. In this study knowledge of the Code was tested in a random sample of 217 clinical staff that included medical staff, psychologists and counsellors working in Alcohol and Drug Treatment (A&D) centres in New Zealand. Any response showing awareness of a right, regardless of wording, was taken as a positive response as it was the areas covered by rights rather than their actual wording that was considered to be the important knowledge for providers. The main finding of this research was that 23% of staff surveyed were aware of none of the ten rights in the Code and only 6% were aware of more than five of the ten rights. Relating these data to results from a wider sample of treatment providers raises the possibility that A&D treatment providers are slightly more aware of the content of the Code than a general sample of health and disability service providers however overall awareness of the content of the Code by health providers is very low. These results imply that consumer rights issues are not prominent in the minds of providers perhaps indicating an ethical blind spot on their part. Ignorance of the content of the Code may indicate that the treatment community do not find it a useful working document or alternatively that clinicians are content to rely on their own good intentions to preserve the rights of their patients. Further research will be required to explain this lack of knowledge, however the current situation is that consumers cannot rely on clinicians being aware of the consumer's rights in health and disability services.

Consumer Advocacy↗

[Diagnosis versus code].

BACKGROUND: As a result of information about coding practice in a regional hospital, the Norwegian Board of Health carried out a special supervision of ear, nose and throat (ENT) departments and neurological departments during the autumn of 2003 and the spring of 2004. The aim was to investigate whether there was accordance between information in the patient records and the chosen diagnoses and codes. MATERIAL AND METHOD: Three hospitals were examined. Information in 100 selected patient records from each department was compared with diagnoses and codes. The codes reported to the Norwegian Patient Register (NPR) from two hospitals were compared with codes in the patient records. RESULTS: Incorrect diagnoses had been systematically recorded in one ENT department. Incorrect codes had been recorded in all the departments, especially the neurological departments. Many inconsistencies between codes in the patient records and those reported to NPR were found. INTERPRETATION: Wrong diagnoses were seldom made, but many diagnoses were unprecise because only ICD-10 diagnoses were used. The rules of coding hospital stays were frequently not used. Many of the codes reported to NPR had been altered, without medical basis and without being noted in the patients' records.

Diagnosis-Related Groups↗

A guide to the new office evaluation and management codes for 1992.

The new office evaluation and management codes require an understanding of definitions that have been recently created by the Current Procedural Terminology (CPT) Editorial Panel. Code selection is based on seven components; the three key components are the history, the physical examination and medical decision making. Office visit codes are divided into five levels of visits, based on service. New-patient office visits require all three key components for any level visit; established-patient office visits require only two of the three components. The new office code descriptions were created to assist physicians in code selections. Only when counseling or coordination of care dominates the visit (e.g., more than 50 percent) is time to be considered a controlling factor. Physicians are urged not to code only from time descriptors. The 1992 CPT book will list only the new evaluation and management codes, deleting the old level-of-service codes. Physicians are encouraged to contact local insurance carriers to ensure that they will also be using the new codes in 1992.

Abstracting and Indexing↗

Accuracy and time requirements of a bar-code inventory system for controlled substances.

The effect of a bar-code system on personnel time requirements and data-entry accuracy in an existing automated controlled substances inventory system was determined. In the previous system, technicians used a keyboard and alphanumeric codes to enter into the computer data about the physical transfer of controlled substances among hospital areas. A system for barcode data entry was adapted for use with the existing procedure. After learning to use the bar-code system, four experienced technicians entered data by the keyboard method for eight days and the bar-code method for eight days during a 32-day study period. The amount of time required to enter all transactions and the accuracy of data entry were measured. Mean data-entry times for the keyboard and bar-code methods were not significantly different, most likely because of the greater number of manipulations needed for bar-code data entry. The mean percentage error associated with the bar-code method (0.79%) was significantly less than the error associated with the keyboard method (1.53%). For this particular computer system in which bar-code data entry was adapted to existing procedures, use of bar codes to enter controlled substances inventory data was not substantially faster but was more accurate than a traditional key-board data-entry method.

Drug and Narcotic Control↗