Sequential Isolation of Essential Oils Repellent to the Red Palm Weevil Rhynchophorus ferrugineus Olivier (Coleoptera: Curculionidae).

The push-pull approach using semiochemicals in pest control requires both an attractant and a repellent. Many previous studies have arbitrarily tested one or more known insect repellents or plant essential oils (EOs) hoping to find repellents of an insect pest. We used a comprehensive approach that synergistically tests in the field numerous natural volatiles from commercial EOs to identify repellents of the red palm weevil Rhynchophorus ferrugineus (Coleoptera: Curculionidae), a worldwide pest of palms and date palms. Volatiles from 79 EOs in slow-release devices were divided into five groups and tested in traps with attractive pheromone compared to traps with pheromone alone. EO-treatment groups exhibiting repellency due to significant trap shutdown, were further subdivided into subgroups of four EOs each and tested further. Two groups of four EOs (cypress, desert wormwood, elemi, and Eucalyptus citriodora) and (niaouli, nutmeg, oregano, and orange sweet), or their corresponding mixtures of major volatiles, caused pheromone trap reductions of up to 92%. Further tests showed that seven of the eight EOs are similarly repellent as the corresponding subgroup. This systematic approach of successively testing sub-fractions of EOs in the field for trap shutdown should be useful to identify repellents of other insect pests of crops.

Prototype Implementation of a Digitizer for Earthquake Monitoring System.

A digitizer is considered one of the fundamental components of an earthquake monitoring system. In this paper, we design and implement a high accuracy seismic digitizer. The implemented digitizer consists of several blocks, i.e., the analog-to-digital converter (ADC), GPS receiver, and microprocessor. Three finite impulse response (FIR) filters are used to decimate the sampling rate of the input seismic data according to user needs. A graphical user interface (GUI) has been designed for enabling the user to monitor the seismic waveform in real time, and process and adjust the parameters of the acquisition unit. The system casing is designed to resist harsh conditions of the environment. The prototype can represent the three component sensors data in the standard MiniSEED format. The digitizer stream seismic data from the remote station to the main center is based on TCP/IP connection. This protocol ensures data transmission without any losses as long as the data still exist in the ring buffer. The prototype was calibrated by real field testing. The prototype digitizer is integrated with the Egyptian National Seismic Network (ENSN), where a commercial instrument is already installed. Case studies shows that, for the same event, the prototype station improves the solution of the ENSN by giving accurate timing and seismic event parameters. Field test results shows that the event arrival time and the amplitude are approximately the same between the prototype digitizer and the calibrated digitizer. Furthermore, the frequency contents are similar between the two digitizers. Therefore, the prototype digitizer captures the main seismic parameters accurately, irrespective of noise existence.

Patient-level performance evaluation of a smartphone-based malaria diagnostic application.

BACKGROUND: Microscopic examination is commonly used for malaria diagnosis in the field. However, the lack of well-trained microscopists in malaria-endemic areas impacted the most by the disease is a severe problem. Besides, the examination process is time-consuming and prone to human error. Automated diagnostic systems based on machine learning offer great potential to overcome these problems. This study aims to evaluate Malaria Screener, a smartphone-based application for malaria diagnosis. METHODS: A total of 190 patients were recruited at two sites in rural areas near Khartoum, Sudan. The Malaria Screener mobile application was deployed to screen Giemsa-stained blood smears. Both expert microscopy and nested PCR were performed to use as reference standards. First, Malaria Screener was evaluated using the two reference standards. Then, during post-study experiments, the evaluation was repeated for a newly developed algorithm, PlasmodiumVF-Net. RESULTS: Malaria Screener reached 74.1% (95% CI 63.5-83.0) accuracy in detecting Plasmodium falciparum malaria using expert microscopy as the reference after a threshold calibration. It reached 71.8% (95% CI 61.0-81.0) accuracy when compared with PCR. The achieved accuracies meet the WHO Level 3 requirement for parasite detection. The processing time for each smear varies from 5 to 15 min, depending on the concentration of white blood cells (WBCs). In the post-study experiment, Malaria Screener reached 91.8% (95% CI 83.8-96.6) accuracy when patient-level results were calculated with a different method. This accuracy meets the WHO Level 1 requirement for parasite detection. In addition, PlasmodiumVF-Net, a newly developed algorithm, reached 83.1% (95% CI 77.0-88.1) accuracy when compared with expert microscopy and 81.0% (95% CI 74.6-86.3) accuracy when compared with PCR, reaching the WHO Level 2 requirement for detecting both Plasmodium falciparum and Plasmodium vivax malaria, without using the testing sites data for training or calibration. Results reported for both Malaria Screener and PlasmodiumVF-Net used thick smears for diagnosis. In this paper, both systems were not assessed in species identification and parasite counting, which are still under development. CONCLUSION: Malaria Screener showed the potential to be deployed in resource-limited areas to facilitate routine malaria screening. It is the first smartphone-based system for malaria diagnosis evaluated on the patient-level in a natural field environment. Thus, the results in the field reported here can serve as a reference for future studies.

Field- and Laboratory-derived Power-Cadence Profiles in World-Class and Elite Track Sprint Cyclists.

Previous investigations comparing Torque-Cadence (T-C) and Power-Cadence (P-C) profiles derived from seated and standing positions and field and laboratory conditions are not congruent with current methodological recommendations. Consequently, the aim of this investigation was to compare seated and standing T-C and P-C profiles generated from field and laboratory testing. Thirteen world-class and elite track sprint cyclists (n = 7 males, maximal power output (Pmax) = 2112 ± 395 W; n = 6 females, Pmax = 1223 ± 102 W) completed two testing sessions in which field- and laboratory-derived T-C and P-C profiles were identified. Standing P-C profiles had significantly (p < 0.05) greater Pmax than seated profiles, however there were no significant differences in optimal cadence (Fopt) between seated and standing positions. Pmax and Fopt were significantly lower in field-derived profiles in both positions compared to laboratory-derived profiles. However, there was no significant difference in the goodness-of-fit (R2) of the P-C profiles between laboratory (0.985 ± 0.02) and field-testing (0.982 ± 0.02) in each position. Valid T-C and P-C profiles can be constructed from field and laboratory protocols; however, the mechanical variables derived from the seated and standing and field and laboratory profiles cannot be used interchangeably. Both field and laboratory-derived profiles provide meaningful information and provide complementary insights into cyclists' capacity to produce power output.

Physiological characteristics and performance of a world-record breaking tower runner.

This study reports the physiological and performance profiles of a world-class tower runner during a 6-week period surrounding a successful Guinness World Record (WR) attempt, and discusses the efficacy of a tower running specific field test. The world-ranked number 2 tower runner completed four exercise tests [laboratory treadmill assessment (3 weeks before the WR attempt), familiarisation to a specific incremental tower running field test (1 week before), tower running field test (1 week after), and tower running time trial (TT) (3 weeks after)] and the WR attempt within 6-week period. Peak oxygen consumption (VO2peak) during the laboratory test, field test, and TT were 73.3, 75.5 and 78.3 mL·kg-1·min-1, respectively. The VO2 corresponding to the second ventilatory threshold was 67.3 mL·kg-1·min-1 (89.1% of VO2peak), identified at stage 4 (tempo; 100 b·min-1), during the field test. The duration of the TT was 10 min 50 s, with an average VO2 of 71.7 mL·kg-1·min-1 (91.6% of VO2peak), HR of 171 b·min-1 (92% of peak HR), vertical speed of 0.47 m·s-1, and cadence was 117 steps·min-1. A world-class tower runner possesses a well-developed aerobic capacity. A specific, field-based test revealed greater VO2peak than a laboratory test, indicating a need for sport-specific testing procedures.

Identification of the Trail Pheromone of the Pavement Ant Tetramorium immigrans (Hymenoptera: Formicidae).

Four species of Tetramorium pavement ants are known to guide foraging activities of nestmates via trail pheromones secreted from the poison gland of worker ants, but the trail pheromone of T. immigrans is unknown. Our objectives were to (1) determine whether poison gland extract of T. immigrans workers induces trail-following behavior of nestmates, (2) identify the trail pheromone, and (3) test whether synthetic trail pheromone induces trail-following behavior of workers. In laboratory no-choice bioassays, ants followed poison-gland-extract trails farther than they followed whole-body-extract trails or solvent-control trails. Gas chromatographic-electroantennographic detection (GC-EAD) analyses of poison gland extract revealed a single candidate pheromone component (CPC) that elicited responses from worker ant antennae. The CPC mass spectrum indicated, and an authentic standard confirmed, that the CPC was methyl 2-methoxy-6-methylbenzoate (MMMB). In further laboratory no-choice bioassays, ants followed poison-gland-extract trails (tested at 1 ant equivalent) and synthetic MMMB trails (tested at 0.35 ant equivalents) equally far, indicating that MMMB is the single-component trail pheromone of T. immigrans. Moreover, in laboratory two-choice bioassays, ants followed MMMB trails ~ 21-times farther than solvent-control trails. In field settings, when T. immigrans colonies were offered a choice between two paper strips treated with a synthetic MMMB trail or a solvent-control trail, each leading to an apple bait, the MMMB trails efficiently recruited nestmates to baits.

Full-field sensitivity threshold and the relation to the oxygen metabolic retinal function in retinitis pigmentosa.

PURPOSE: The aim of our study was to evaluate retinal function with white light dark-adapted full-field sensitivity threshold (FST) and find possible correlations with metabolic function measured with retinal oximetry (RO) in patients with retinitis pigmentosa (RP). METHODS: In this prospective observational study (BASEC 2020-00,122), FST and RO measurements were performed on 66 RP eyes (33 subjects, 12♀ 21♂) aged between 18 and 80 years (mean 43.2 years); all eyes were graded for disease severity. Main outcome parameters were white FST thresholds using the Diagnosys Espion system with the ColorDomeTM LED full-field stimulator (Diagnosys LLC, Lowell, MA) as well as the main RO parameters: the mean arterial (A-SO2; %), venular (V-SO2; %) oxygen saturation, their difference (A-V SO2; %), and the corresponding mean diameters of the peripapillary retinal arterioles (D-A; µm) and venules (D-V; µm) recorded with the oxygen saturation tool of the Retinal Vessel Analyser (RVA; IMEDOS Systems UG, Jena, Germany). In addition, semi-automated kinetic perimetry (V4e, III4e, I4e, III3e isopters, Octopus 900®, Haag-Streit AG Bern, Switzerland) was performed and included in the linear mixed-effects models analysis calculated with SPSS®. RESULTS: Neither the oxygen saturation parameters (p > 0.21) nor the D-A and D-V (p > 0.13) showed significant correlations with the FST. However, when compared systematically with the visual field (VF) areas of the different isopters, RO parameters V-SO2 (p = 0.024) and A-V SO2 (p < 0.02) showed significant correlations. Furthermore, both V-SO2 and A-V SO2 showed gradual changes with more pronounced impairment in oxygen metabolic function in advanced stages of RP when analyzed in subgroups of disease severity grades. CONCLUSION: In contrast to standardized VF parameters, white dark-adapted FST appears not to correlate with retinal oxygen metabolic function measured with RO in patients with RP, suggesting that the two examinations may capture unrelated aspects of the retinal pathological process. However, RO showed a significant association with standardized VF testing parameters and may, therefore, offer an alternative outcome measure for interventional trials.

Reduction of biofilm accumulation by constant and alternating potentials in static and dynamic field experiments.

The application of electric fields to conductive coatings is an environmentally friendly way to reduce biofilm formation. In particular alternating potentials (APs) have received increasing attention in recent studies. Here, an electrochemical rotating disk setup for dynamic field exposure experiments was developed to study how APs alter the attachment of fouling organisms in a multispecies ocean environment. A specific focus of the device design was proper integration of the potentiostat in the strongly corroding saltwater environment. The effect of APs on the accumulation of fouling organisms in short term field exposures was studied. Potentials on conductive gold surfaces were periodically switched between -0.3 V and 0.3 V or between -0.8 V and 0.6 V at a frequency of 0.5 Hz. APs were capable of significantly reducing the attachment of marine fouling organisms compared with the conductive samples immersed at open circuit potentials.

A System for Autonomous Seaweed Farm Inspection with an Underwater Robot.

This paper outlines challenges and opportunities in operating underwater robots (so-called AUVs) on a seaweed farm. The need is driven by an emerging aquaculture industry on the Swedish west coast where large-scale seaweed farms are being developed. In this paper, the operational challenges are described and key technologies in using autonomous systems as a core part of the operation are developed and demonstrated. The paper presents a system and methods for operating an AUV in the seaweed farm, including initial localization of the farm based on a prior estimate and dead-reckoning navigation, and the subsequent scanning of the entire farm. Critical data from sidescan sonars for algorithm development are collected from real environments at a test site in the ocean, and the results are demonstrated in a simulated seaweed farm setup.

Reactive-Agility in Touch Plays an Important Role in Elite Playing Level: Reliability and Validity of a Newly Developed Repeated Up-and-Down Agility Test.

Successful athletes are better at performing efficiently than the inferior in particular sports scenarios, while most existing performance tests in the field do not cover the sport-specific context fully. There were two purposes in this study: 1) to evaluate the reliability and validity of a novel Sector Reactive Agility Test (SRAT) which mimicked a reactive-agility defensive scenario in Touch, and 2) to determine the relationships between Touch players' agility and sprint performance. Twenty male Touch players from the elite division and another 20 from the amateur division were invited to participate in this study. They performed SRAT and a 20-m sprint test in two days. Excellent reliability and high precision were found in SRAT (intraclass correlation coefficient [ICC] = 0.97) and 20-m sprint test (ICC = 0.91). The time of completion in SRAT of the elite Touch players (23.93 s) was 2.95 s significantly shorter than that of the amateur players with a large effect size. Elite Touch players also demonstrated moderately faster (0.11 s) than the amateur Touch players in the 20-m sprint test. SRAT demonstrated high test-retest reliability and accuracy in measuring reactive-agility performance in Touch. The minimal detectable changes in SRAT and 20-m sprint test were 1.04 s and 0.13 s respectively. Furthermore, the speed of the 20-m sprint test and playing experience were associated with the time of completion of SRAT, explaining 56% of its variance (p < 0.001). Other factors, such as cognition and the ability to control own central gravity, are deemed possible to influence Touch players' agility. Therefore, SRAT should be adopted in Touch player selection and training monitoring.

Making therapies culturally relevant: translation, cultural adaptation and field-testing of the Thinking Healthy Programme for perinatal depression in China.

BACKGROUND: The prevalence of perinatal depression in China ranges from 15 to 20% and the vast majority of prenatally depressed women do not receive the intervention they require. Recent research evidence shows that evidence based, culturally-adapted psychosocial interventions are effective in reducing mental health problems. The World Health Organization (WHO) has endorsed the Thinking Healthy Programme (THP), which is an evidence based psychosocial intervention that can be delivered by non-mental health specialists. The aim of this study was to translate and adapt THP for the Chinese population and to establish its acceptability when delivered by non-specialists to a group of mothers with perinatal depression. METHODS: The study was conducted in two phases. The THP manual, handbook, and health calendar was translated and adapted based on 8 domains of the Bernal framework (language, metaphors, content, concepts, goals, context, people and methods). Pre-testing was done using cognitive interviewing in the first phase. In second phase of field-testing, THP sessions were delivered to the depressed women by local THP trained nurses. Post intervention, programme survey was used for evaluation. RESULTS: This study showed that the core structure, process and techniques of the THP were culturally compatible with the target Chinese population and did not require major changes. It was found that the adapted version of THP manual, handbook, and health calendar were acceptable, understandable, and culturally relevant to the Chinese women and their family members. Nurses were found as a suitable delivery agent by the mothers and their families. CONCLUSION: The Thinking Healthy Programme is acceptable and transferable to the Chinese cultural and healthcare context and nurses are a suitable delivery agent. The translated and adapted version of THP can be used for further implementation and evaluation studies in the Chinese context. Further evaluation can help establish the effectiveness of the programme and barriers to scale-up in China.

Measuring shared decision making in oncology: Development and first testing of the iSHAREpatient and iSHAREphysician questionnaires.

BACKGROUND: Existing measures to assess shared decision making (SDM) have often been developed based on an ill-defined underlying construct, and many assess physician behaviours only or focus on a single patient-physician encounter. OBJECTIVE: To (a) develop a patient and a physician questionnaire to measure SDM in oncology and (b) determine their content validity and comprehensibility. METHODS: A systematic review of SDM models and an oncology-specific SDM model informed the domains of the SDM construct. We formulated items for each SDM domain. Cancer patients and physicians rated content validity in an online questionnaire. We assumed a formative measurement model and performed online field-testing in cancer patients to inform further item reduction. We tested item comprehension in cognitive interviews with cancer patients and physicians. RESULTS: We identified 17 domains and formulated 132 items. Twelve cancer patients rated content validity at item level, and 11 physicians rated content validity at domain level. We field-tested the items among 131 cancer patients and conducted cognitive interviews with eight patients and five physicians. These phases resulted in the 15-item iSHAREpatient and 15-item iSHAREphysician questionnaires, covering 13 domains. CONCLUSIONS: We thoroughly developed the iSHARE questionnaires. They both assess patient and physician behaviours and cover the entire SDM process rather than a single consultation.

Managing Big Data for Addressing Research Questions in a Collaborative Project on Automated Driving Impact Assessment.

While extracting meaningful information from big data is getting relevance, literature lacks information on how to handle sensitive data by different project partners in order to collectively answer research questions (RQs), especially on impact assessment of new automated driving technologies. This paper presents the application of an established reference piloting methodology and the consequent development of a coherent, robust workflow. Key challenges include ensuring methodological soundness and data validity while protecting partners' intellectual property. The authors draw on their experiences in a 34-partner project aimed at assessing the impact of advanced automated driving functions, across 10 European countries. In the first step of the workflow, we captured the quantitative requirements of each RQ in terms of the relevant data needed from the tests. Most of the data come from vehicular sensors, but subjective data from questionnaires are processed as well. Next, we set up a data management process involving several partners (vehicle manufacturers, research institutions, suppliers and developers), with different perspectives and requirements. Finally, we deployed the system so that it is fully integrated within the project big data toolchain and usable by all the partners. Based on our experience, we highlight the importance of the reference methodology to theoretically inform and coherently manage all the steps of the project and the need for effective and efficient tools, in order to support the everyday work of all the involved research teams, from vehicle manufacturers to data analysts.

Energetics of male field-sport athletes during the 3-min all-out test for linear and shuttle-based running.

PURPOSE: All-out, non-steady state running makes for difficult comparisons regarding linear and shuttle running; yet such differences remain an important distinction for field-based sports. The purpose of the study was to determine whether an energetic approach could be used to differentiate all-out linear from shuttle running. METHODS: Fifteen male field-sport athletes volunteered for the study (means ± SD): age, 21.53 ± 2.23 years; height, 1.78 ± 0.68 m; weight, 83.85 ± 11.73 kg. Athletes completed a graded exercise test, a 3-min linear all-out test and two all-out shuttle tests of varied distances (25 m and 50 m shuttles). RESULTS: Significant differences between the all-out tests were found for critical speed (CS) [F(8.97), p < 0.001), D' (finite capacity for running speeds exceeding critical speed) [F(7.83), p = 0.001], total distance covered [F(85.31), p < 0.001], peak energetic cost ([Formula: see text]) [F(45.60), p < 0.001], peak metabolic power ([Formula: see text]) [F(23.36), p < 0.001], average [Formula: see text] [F(548.74), p < 0.001], maximal speed [F(22.87), p < 0.001] and fatigue index [F(3.93), p = 0.027]. Non-significant differences were evident for average [Formula: see text] [F(2.47), p = 0.097], total [Formula: see text] [F(0.86), p = 0.416] and total [Formula: see text] [F(2.11), p = 0.134]. CONCLUSIONS: The energetic approach provides insights into performance characteristics that differentiate linear from shuttle running, yet surprising similarities between tests were evident. Key parameters from all-out linear and shuttle running appear to be partly interchangeable between tests, indicating that the final choice between linear and shuttle testing should be based on the requirements of the sport.

Structural and Functional Characterization of the Retinal Effects of Hydroxychloroquine Treatment in Healthy Eyes.

PURPOSE: To evaluate the influence of hydroxychloroquine in visual field and retinal layer thickness. METHODS: This is a retrospective cross-sectional study. Patients taking hydroxychloroquine without signs of hydroxychloroquine retinopathy were included. Optical coherence tomography segmentation was used to obtain the ETDRS map thickness of each retinal layer. Groups were divided into short-term (< 5 years) and long-term (≥5 years) drug use. RESULTS: We included 93 eyes of 93 patients (short-term: 25 eyes; long-term: 68 eyes). The inner nuclear layer (INL) was thinner in the long-term group (32.86 ± 2.12 vs. 34.14 ± 2.37 µm; p = 0.014). Considering long-term cases, the parafoveal ganglion cell layer (GCL) showed an inverse correlation with cumulative dose (r = -0.37; p < 0.001). After adjusting for confounders, parafoveal ganglion cell complex thickness was associated with cumulative dose (ß = -0.239; p = 0.011). The parafoveal outer retina and visual field indices were similar between groups and did not correlate with cumulative dose. CONCLUSION: Hydroxychloroquine leads to progressive thinning of the parafoveal inner retina, particularly the INL and GCL. Visual field indices do not reflect the long-term effects of the drug.

Performance Evaluation of Low-Cost Seismic Sensors for Dense Earthquake Early Warning: 2018⁻2019 Field Testing in Southwest China.

Earthquake Early Warning (EEW) was proved to be a potential means of disaster reduction. Unfortunately, the performance of the EEW system is largely determined by the density of EEW network. How to reduce the cost of sensors has become an urgent problem for building a dense EEW. A low-cost seismic sensor integrated with a Class C MEMS accelerometer was proposed in this paper. Based on minimal structure design, the sensor's reliability was enhanced, while the costs were cut down as well. To fully reveal the performance, ten of the seismic sensors were installed and tested in Sichuan Province, southwest of China from May 2018 to February 2019. The seismic records obtained by the MNSMSs were compared with those by the traditional strong motion seismographs. The records obtained by the MNSMSs have good consistency with the data obtained by the Etnas. The MNSMSs can obtain clear seismic phases that are enough to trigger earthquake detections for EEW. By noise analysis, different channels of the same sensor and different sensors have good consistency. The tested dynamic range (over 87 dB) and useful resolution (over 14.5 bits) are completely in conformity with the designed parameters. Through real field testing, small earthquakes (M 3.1-3.6) can be detected by all three components E-W, N-S, and U-D within 50 km. In all, the low-cost seismic sensor proposed as a high-performance Class C MEMS sensor can meet the needs of dense EEW in terms of noise, dynamic range, useful resolution, reliability, and detecting capabilities.

Development of a New Embedded Dynamometer for the Measurement of Forces and Torques at the Ski-Binding Interface.

In alpine skiing, understanding the interaction between skiers and snow is of primary importance for both injury prevention as well as performance analysis. Risk of injuries is directly linked to constraints undergone by the skier. A force platform placed as an interface between the ski and the skier should allow a better understanding of these constraints to be obtained to thereby develop a more reliable release system of binding. It should also provide useful information to allow for better physical condition training of athletes and non-professional skiers to reduce the risk of injury. Force and torque measurements also allow for a better understanding of the skiers' technique (i.e., load evolution during turns, force distribution between left and right leg…). Therefore, the aim of this project was to develop a new embedded force platform that could be placed between the ski boot and the binding. First, the physical specifications of the dynamometer are listed as well as the measurement scope. Then, several iterations were performed on parametric 3D modeling and finite element analysis to obtain an optimal design. Two platforms were then machined and equipped with strain gauges. Finally, the calibration was performed on a dedicated test bench. The accuracy of the system was between 1.3 and 12.8% of the applied load. These results show a very good linearity of the system, which indicate a great outcome of the design. Field tests also highlighted the ease of use and reliability. This new dynamometer will allow skiers to wear their own equipment while measuring force and torque in real skiing conditions.

An Industrial Digitalization Platform for Condition Monitoring and Predictive Maintenance of Pumping Equipment.

This paper is concerned with the implementation and field-testing of an edge device for real-time condition monitoring and fault detection for large-scale rotating equipment in the UK water industry. The edge device implements a local digital twin, processing information from low-cost transducers mounted on the equipment in real-time. Condition monitoring is achieved with sliding-mode observers employed as soft sensors to estimate critical internal pump parameters to help detect equipment weasr before damage occurs. The paper describes the implementation of the edge system on a prototype microcontroller-based embedded platform, which supports the Modbus protocol; IP/GSM communication gateways provide remote connectivity to the network core, allowing further detailed analytics for predictive maintenance to take place. The paper first describes validation testing of the edge device using Hardware-In-The-Loop techniques, followed by trials on large-scale pumping equipment in the field. The paper concludes that the proposed system potentially delivers a flexible and low-cost industrial digitalization platform for condition monitoring and predictive maintenance applications in the water industry.

Pilot field testing of the chronic pain classification for ICD-11: the results of ecological coding.

BACKGROUND: A task force of the International Association for the Study of Pain (IASP) has developed a classification of chronic pain for the ICD-11 consisting of seven major categories. The objective was to test whether the proposed categories were exhaustive and mutually exclusive. In addition, the perceived utility of the diagnoses and the raters' subjective diagnostic certainty were to be assessed. METHODS: Five independent pain centers in three continents coded 507 consecutive patients. The raters received the definitions for the main diagnostic categories of the proposed classification and were asked to allocate diagnostic categories to each patient. In addition, they were asked to indicate how useful they judged the diagnosis to be from 0 (not at all) to 3 (completely) and how confident they were in their category allocation. RESULTS: The two largest groups of patients were coded as either chronic primary pain or chronic secondary musculoskeletal pain. Of the 507 patients coded, 3.0% had chronic pain not fitting any of the proposed categories (97% exhaustiveness), 20.1% received more than one diagnosis. After adjusting for double coding due to technical reasons, 2.0% of cases remained (98% uniqueness). The mean perceived utility was 1.9 ± 1.0, the mean diagnostic confidence was 2.0 ± 1.0. CONCLUSIONS: The categories proved exhaustive with few cases being classified as unspecified chronic pain, and they showed themselves to be mutually exclusive. The categories were regarded as useful with particularly high ratings for the newly introduced categories (chronic cancer-related pain among others). The confidence in allocating the diagnoses was good although no training regarding the ICD-11 categories had been possible at this stage of the development.

Development of an LCD-Based Visual Field System.

BACKGROUND: The present study investigated the diagnostic effectiveness of an LCD-based visual field testing system (LVF) in comparison with the standard automated perimetry Humphrey Field Analyzer II-750i (HFA). METHODS: A randomized controlled crossover study was conducted with 202 normal and 128 glaucomatous eyes using both LVF and HFA. The visual field testing systems were compared in terms of mean deviation (MD), pattern standard deviation (PSD), and area under the receiver operating characteristics curve (AUC) of MD and PSD differentiating the normal and glaucomatous eyes. RESULTS: Significant correlations were found between MD measurements from LVF and those from HFA for normal eyes (r = 0.342) and glaucomatous eyes (r = 0.796); slightly higher significant correlations were identified between PSD measurements from LVF and those from HFA for normal eyes (r = 0.363) and glaucomatous eyes (r = 0.828). Furthermore, high AUCs of MD were found as 0.786 for LVF and 0.868 for HFA and AUCs of PSD as 0.913 for LVF and 0.932 for HFA. CONCLUSION: The comparison results of the present study support the competence of LVF compared with HFA in visual field testing for early detection of glaucoma.