Conformance of the Food Vendor Carts Design to the Prescribed Standards as per Food Safety and Standards Regulations: Assessment from an Urban Area of North India

Background: Food Safety and Standards Authority of India, established under the Food Safety and Standards Act, 2006, is mandated with disseminating evidence-based standards, regulating the manufacture, storage, distribution, sale, and import of street food, for ensuring the availability of safe and wholesome food for human consumption and matters connected in addition to that or incidental to that. Hence, this study was conducted to ascertain the conformance of the design of street food vendor’s carts to the prescribed standards. Methods: We conducted a cross?sectional study in Chandigarh between July 2017 and March 2018 among 400 street food vendors. The primary dependent variable of the study was conformance. The carts were evaluated for their conformance to the standard recommended design based upon a checklist designed using the guidelines of Food Safety and Standards Regulations, 2011. Results: Almost half of the respondents had an experience of 6–15 years (48.5%) and were earning between Rs. 500 and 1000/day (56.3%). The majority of them (95%) were migrants from other states. Only 26.3% were using mobile vending sites. On regression analysis, better cart score was predicted by age, education, increasing experience, higher income, when food was prepared at home only, and with assistance in the form of helpers. Conclusions: This study indicates that although the policy was formulated 8 years back, the standards of street food carts were still below par in Chandigarh. The government should give technical specifications and ensure uniformity at the national level.

Subsidy Strategy of Generic Drug Conformance Assessment Based on Patient Heterogeneity / 中国药房

OBJECTIVE： To consider the heterogeneity of patients’ acceptance of generic drugs， to establish a game decision-making model between pharmaceutical enterprises and the government， and to provide decision-making basis for the government to formulate subsidy policies for the generic drug conformance assessment. METHODS： A two-stage game model was established on the basis of patient heterogeneity under three subsidy strategies： the government does not subsidize， subsidize generic drug companies and subsidize patients. Effects of patient heterogeneity on the decision-making of pharmaceutical enterprises and the government were compared and analyzed under three subsidy strategies. RESULTS： With the increase of patients’ recognition of generic drugs， the market demand for generic drugs is also increasing. The relationship between the market price of generic drugs and government subsidies was negatively correlated when subsidies were given to generic pharmaceutical enterprises， and positively correlated when subsidies were given to consumers. CONCLUSIONS： Government subsidies can increase consumer surplus and social welfare， and the social benefits of government subsidies for patients and generic pharmaceutical enterprises are the same. On the premise of achieving the same social welfare， the government can adopt the strategy of subsidizing generic pharmaceutical enterprises to reduce government expenditure. The form of subsidizing patients is adopted to encourage the generic pharmaceutical enterprises to carry out the generic consistency evaluation.

Metodología para valorar y clasificar herramientas de evaluación de accesibilidad web / Methodology to valuate and classify web accessibility evaluation tools

Resumen Teniendo en cuenta que la accesibilidad Web es el arte de garantizar que los portales de la Internet puedan ser visitados y utilizados de forma satisfactoria por el mayor número posible de personas, es imprescindible evaluar sus contenidos empleando las herramientas adecuadas; por tal razón, esta investigación tiene como objetivo presentar un modelo metodológico para valorar estas herramientas automáticas y seleccionar, entre las existentes, las que tienen más criterios, contemplados en la WCAG 2.0. El modelo propuesto comprende una metodología cíclica y se denomina IPAC, por las siglas en inglés de sus cuatro etapas: Inspect-Plan-Assess-Categorize, que pretenden categorizar y/o recategorizar las herramientas de evaluación de accesibilidad Web, cuyas funciones incorporadas son cambiantes en el tiempo. La validación realizada de este modelo en julio de 2017 de dio como resultado la categorización de las cinco mejores herramientas de licencia libre por cada nivel de conformidad (A, AA y AAA).

Abstract Taking into account that Web accessibility is the art of ensuring that web portals can be visited and used satisfactorily by as many people as possible, it is indispensable to evaluate the Web contents using the appropriate tools, for this reason, this research work aims to present a methodological model to evaluate these automatic tools, and to select between the existing ones, the highest number of criteria (referred to in WCAG 2.0) can be assessed. The proposed model comprises a cyclic methodology and is called IPAC by the acronym in English of its 4 stages (inspect-plan-assess-categorize), the same ones that are intended to categorize and/or recategorize the Web Accessibility assessment tools, whose built-in functions are changed over time. The validation made in July 2017 of this model resulted in the categorization of the 5 best free license tools for each conformance level (A, AA and AAA).

Comparison of Two Biopharmaceutics Classification Systems and Discussion of Their Applications / 中国药学杂志

OBJECTIVE: To compare the difference between two kinds of biopharmaceutics classification systems and their applications. METHODS: Literatures and guidelines on biopharmaceutics classification system(BCS) and biopharmaceutics drug disposition classification system(BDDCS) were collected, the differences in conception, classification criteria, and application were compared, and problems which should be paid attention to in application were summarized. RESULTS:A lot of issues such as solubility, permeability, extent of metabolism and so on are involved in the application of BCS and BDDCS. Different classification criteria may have different results. The recognition for the two kinds of pharmaceutics classification systems by different administration organizations is not yet completely consistent. CONCLUSION:BCS and BDDCS play important roles in understanding the properties of drugs, especially in drug development and evaluation of generic drug conformance, however, the source of data should be identified when quoting the data. Possible risks should be considered for rational use of the data.

Research on the Conformance Test of Health Information Standard in Canada / 医学信息学杂志

〔Abstract〕 Based on the retrieval sources of the official website of Inforway in Canada , Tongfang Knowledge Network and Internet re-sources, by investigating the conformance test of health informatization and health standards conducted by Inforway in Canada , the paper makes a comprehensive analysis of the conformance test of health information standards in Canada from 4 aspects, namely the certification subject, certification object , certification standard , certification process .It aims to provide references for the conformance test of health information standards in China .

Research on the Conformance Test of Health Information Standard in America / 医学信息学杂志

〔Abstract〕 By retrieving the literatures from the official website of ONC , Tongfang Knowledge Network and the Internet , the paper conducts a survey of the conformance test and certification of health information standards in America from certification subject , certifica-tion object, test method and process, certification standard, certification mode and process, etc.It aims to provide a reference for the conformance test of health information standard in China .

Conformance Analysis of Clinical Pathway Using Electronic Health Record Data / 대한의료정보학회지

OBJECTIVES: The objective of this study was to confirm the conformance rate of the actual usage of the clinical pathway (CP) using Electronic Health Record (EHR) log data in a tertiary general university hospital to improve the CP by reflecting real-world care processes. METHODS: We analyzed the application and matching rates of clinicians' orders with predefined CP order sets based on data from 164 inpatients who received appendectomies out of all patients who were hospitalized from August 2013 to June 2014. We collected EHR log data on patient information, medication orders, operation performed, diagnosis, transfer, and CP order sets. The data were statistically analyzed. RESULTS: The average value of the actual application rate of the prescribed CP order ranged from 0.75 to 0.89. The application rate decreased when the order date was factored in along with the order code and type. Among CP pre-operation, intra-operation, post-operation, routine, and discharge orders, orders pertaining to operations had higher application rates than other types of orders. Routine orders and discharge orders had lower application rates. CONCLUSIONS: This analysis of the application and matching rates of CP orders suggests that it is possible to improve these rates by updating the existing CP order sets for routine discharge orders to reflect data-driven evidence. This study shows that it is possible to improve the application and matching rates of the CP using EHR log data. However, further research should be performed to analyze the effects of these rates on care outcomes.