5 key insights: making data good for society

How do we unlock data’s potential, ensuring it works effectively, efficiently and fairly within our organisations? The Data Management Specialist Group summarises a recent event focused on helping data practitioners and leaders develop their skills and teams.

APP-guided assessment of acetabular defects in hip revision arthroplasty: a structured approach to a complex situation

Introduction Acetabular defect recognition and classification remains a challenging field of practice for orthopedic surgeons. Recently, the Acetabular Defect Classification (ADC) has been introduced to provide a reliable, reproducible and intuitive classification system. In order to improve ease of use and efficiency of the ADC, a browser-based application has been created. We hypothesized that the ADC application can improve rating performance of non-specialists (medical students) to achieve good inter- and intra-rater agreement and will compare favorable to the results of specialists (experienced surgeons) without the help of the application. Materials and methods The ADC is based on the integrity of the acetabular rim and the supporting structures. It consists of four main types of defects ascending in severity. These defects are further subdivided in A–C, narrowing down defect location. 80 randomized radiographs were graded according to ADC by three non-specialists (medical students) with help of the ADC application and by three specialists (orthopedic surgeons) without help of the application to evaluate the difference in inter-rater agreement between groups. To account for intra-rater agreement, the rating process was repeated after a reasonable wash-out period. Results Inter-rater and intra-rater agreement within the non-specialist group rated lower when compared to the specialist group while still falling into the good agreement range. The student group presented with k values of 0.61 for inter-rater agreement and 0.68 for intra-rater agreement, while the surgeon group displayed k values of 0.72 for inter-rater agreement and 0.83 for intra-rater agreement. Conclusion The app-guided assessment of acetabular defects offers a promising innovative approach to simplify complex situations. It makes the challenging field of acetabular revision arthroplasty more approachable especially for less experienced surgeons and offers insight and guidance in the planning stage as well as intra-operative setting.

Short-term Safety Evaluation of Resident-performed Intravitreal Injection

Purpose: This study evaluated the short-term safety of resident-performed intravitreal injections.Methods: We retrospectively reviewed the medical records of 503 patients (503 eyes) treated for the first time in our hospital from January 2018 to October 2020 via intravitreal bevacizumab, ranibizumab, aflibercept, or triamcinolone acetonide injections by residents or retina specialists. In terms of short-term ophthalmic complications, patients were followed-up 1 day, 1 week, and 1 month after injection.Results: A total of 503 eyes of 503 patients were included. Intravitreal injections were given to 211 and 292 eyes by residents (the resident group) and retina specialists (the retina specialist group), respectively. There were no between-group differences in baseline characteristics except in terms of the indications for injection. Intraocular pressure elevation >5 mmHg occurred in two eyes (0.95%) in the resident group and five (1.71%) in the retina specialist group, but the difference was not statistically significant. Subconjunctival hemorrhage occurred in 29 eyes (13.74%) of the resident group and 32 eyes (10.96%) of the retina specialist group; again, the difference was not statistically significant. No case of noninfectious endophthalmitis occurred in the resident group but two (0.68%) cases occurred in the retina specialist group; again, the difference was not significant. There were two (0.95%) cases of infectious endophthalmitis in the resident group and one (0.34%) case in the retina specialist group; again, the difference was not significant. No corneal erosion, traumatic lens damage, vitreous hemorrhage, or retinal tearing or detachment were noted in either group.Conclusions: Resident-performed intravitreal injections appear to be safe.

From Gold Coins to Cryptocurrencies: A History of Money In 10 Minutes

The BCS Financial Services Specialist Group compresses over 2,000 years of history and explains how we moved from using gold coins to being on the brink of governments issuing their own central bank digital currencies.

The Power of Data: Fixing Banking and the Climate

Ed Evans FBCS has been following developments in data and energy. He details a presentation given to the Data Management Specialist Group by Gavin Starks, CEO of Icebreaker One and one of the architects of open banking and open energy.

Cooperative Partnership with Milk Companies Based on Codex Alimentarius in Realizing Food Sovereignty in Indonesia

<p>Government of Indonesia has allocated food sovereignty’s budget through the 2016 state budget (APBN) which places the cooperation of Ministry of Cooperatives and SME’s with Ministry of Agriculture, when developing the farmer cooperatives’ corporatization. Global food sovereignty is contested by: (1) civil society in which one of the actors is cooperatives, (2) the government which is part of the Food and Agriculture Organization of the United Nations (UN FAO), and (3) the global private sector which is part of the World Trade Organization (WTO).This paper analyzes Karya Nugraha Jaya Multipurpose Cooperative in Kuningan (KSU KNJ)’s partnership which supplies 90% of good quality raw milk from its members to PT Ultra Jaya Milk (54%) and Diamond Milk (36%), two business actors who has implemented the WTO’s and FAO’s Codex Alimentarius for the sake of fulfilling food safety standards for worldwide food trade. These international institutions forced to revoke the word ‘mandatory’ and the article on ‘sanctions’ from Indonesia’s Ministry of Agriculture’s regulation if business actors do not enter into partnerships with farmers &amp; cooperatives. This study shows that KSU KNJ, which is one of 9,703 Indonesian agricultural cooperatives, is an aggregator of the milk produced by its members. A strategy is needed to increase the partnership of dairy cooperatives with private companies. The possible seven strategies are: (1) Wait and see first group; (2) Driving group; (3) Chain integration group, (4) Cooperation specialist group; (5) Free specialist group; (6) Diversification cooperation group; and (7) Free cooperation group.</p><p>Keywords: Food sovereignty, codex alimentarius, dairy, cooperatives, partnership</p><p> </p><p><strong>Abstrak</strong></p><p><strong>KEMITRAAN KOPERASI DENGAN PERUSAHAAN SUSU BERDASARKAN </strong><strong>CODEX ALIMENTARIUS DALAM MEWUJUDKAN KEDAULATAN </strong><strong>PANGAN DI INDONESIA</strong></p><p>Pada tahun 2016 Pemerintah Indonesia telah mengalokasikan anggaran kedaulatan pangan melalui APBN yang memposisikan Kemenkop UKM harus bekerjasama dengan Kementerian Pertanian dalam mengembangkan korporatisasi koperasi petani. Kedaulatan pangan telah menjadi isu global karena diperebutkan oleh tiga aktor: (1) Masyarakat sipil yang mana salah satu aktornya adalah koperasi, (2) Pemerintah yang tergabung pada Organisasi Pangan dan Pertanian PBB (UN FAO), dan (3) Swasta global yang tergabung dalam Organisasi Perdagangan Dunia (WTO). Tulisan ini menelaah dan menganalisis kemitraan pada Koperasi Serba Usaha Karya Nugraha Jaya (KSU KNJ) di Kuningan yang memasok 90% susu segar berkualitas dari para anggotanya ke PT Ultra Jaya Milk (54%) dan Diamond Milk (36%), dua pelaku usaha yang sudah menerapkan Codex Alimentarius versi WTO dan FAO demi memenuhi standar keamanan pangan untuk perdagangan dunia. Institusi internasional ini menjadi salah satu acuan bagi Indonesia dalam membuat Peraturan Menteri Pertanian No 33 tahun 2018 yang mencabut kata ‘wajib’ dan pasal ‘sanksi’ jika pelaku usaha tidak melakukan kemitraan dalam dua aturan sebelumnya. Hasil telaah dan analisis menunjukan KSU KNJ yang merupakan salah satu dari 9.703 koperasi pertanian Indonesia telah berperan sebagai agregator produksi susu anggotanya. Diperlukan strategi guna meningkatkan kemitraan koperasi susu dengan perusahaan swasta. Terdapat tujuh strategi tersebut mencakup: (1) Kelompok menunggu dan lihat-lihat dahulu; (2) Kelompok penggerak; (3) Kelompok pengintegrasi rantai, (4) Kelompok spesialis kerja sama; (5) Kelompok spesialis bebas; (6) Kelompok kerja sama diversifikasi; dan (7) Kelompok kerja sama bebas.</p><p>Kata kunci: Kedaulatan pangan, codex alimentarius, susu, koperasi, kemitraan</p>