DICOM V3.0--the CEN trial implementation

1994 ◽  
Author(s):  
Peter F. Jensch ◽  
Andrew J. Hewett ◽  
Emmanuel Cordonnier ◽  
Rudy A. Mattheus
Keyword(s):  
Trial Implementation

scholarly journals Beyond the lessons learned from the Covid19 pandemic: Opportunities to optimize clinical trial implementation in oncology

ESMO Open ◽  
2021 ◽  
pp. 100237
Author(s):  
Luis Castelo-Branco ◽  
Ahmad Awada ◽  
George Pentheroudakis ◽  
Jose Luis Perez-Garcia ◽  
Joaquin Mateo ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Lessons Learned ◽  
Trial Implementation

scholarly journals One Possible Future for Resident Hours: Interns' Perspective on a One-Month Trial of the Institute of Medicine Recommended Duty Hour Limits

2009 ◽  
Vol 1 (2) ◽  
pp. 185-187 ◽  
Author(s):  
Stephanie Tessing ◽  
Andria Amendt ◽  
Jeanine Jennings ◽  
Joanna Thomson ◽  
Katherine A. Auger ◽  
...  
Keyword(s):  
Residency Education ◽  
Institute Of Medicine ◽  
Work Intensity ◽  
Pediatric Residency ◽  
The Hours ◽  
Resident Duty ◽  
Education Needs ◽  
Attending Physicians ◽  
Additional Reduction ◽  
Trial Implementation

Abstract Background In December 2008, the Institute of Medicine (IOM) released the report of a consensus committee recommending added limits on resident duty hours. Methods Perceptions of interns participating in a 1-month trial implementation of the IOM-recommended duty hour limits in one large pediatric residency program during March 2009 were aggregated. Results Interns experienced benefits from the shift-based schedule, including reduced hours and more nights at home. These were accompanied by shortcomings of the new schedule, most prominently increased intensity during the hours worked, weaknesses in sign-outs and handing off of tasks, and inability to know and “own” all patients on the interns' team. The experiment also changed the role and the level of engagement expected from attending physicians. Conclusions The trial implementation of the IOM-recommended limits highlighted that to adapt to additional reduction in hours, residency education needs a significant culture change, including better sign-outs, improved organization of bedside and didactic education, and attention to the added work intensity of a team-based model with daily admissions. Ultimately this may require an adjustment in residents' workload and different expectations and models of support from attending physicians.

scholarly journals The feasibility of implementation of ultrasound equipment standards set by United Kingdom professional bodies

Ultrasound ◽  
2017 ◽  
Vol 25 (1) ◽  
pp. 25-34
Author(s):  
Nicholas J Dudley ◽  
Debbie Harries ◽  
Jessica Wardle
Keyword(s):  
United Kingdom ◽  
Theoretical Basis ◽  
The United Kingdom ◽  
Measurement Protocol ◽  
Automated Measurements ◽  
Application Specific ◽  
Theoretical Considerations ◽  
Automated Methods ◽  
Limiting Values ◽  
Trial Implementation

Introduction The Royal College of Radiologists and the Society and College of Radiographers in the United Kingdom published ‘Standards for the provision of an ultrasound service’, including application-specific limiting values for resolution and penetration. No measurement methods were detailed. We aimed to explore a possible theoretical basis for the standards and to develop a measurement protocol. Methods Since application-specific standards fail to account for probes of different frequencies used for similar applications and no evidence for the standards was provided, we developed generic standards based on theoretical considerations. In a trial implementation of the published standards, automated measurements were made on four recently purchased scanners with a total of eight probes, results being assessed against the standards. Measurements were made on 15 modern probes and used to develop our generic standards. Results Automated measurements showed less inter- and intra-observer variability than manual/visual measurements. Four new ultrasound scanners with a total of eight probes all failed to meet the published axial and lateral resolution standards; three failed to meet the penetration standard. Our generic standards were tested on 15 probes, four probes failing to meet the revised standards. Conclusions Automated methods are essential for measurements against standards. New generic standards with a theoretical basis have been proposed. Further work is required to refine standards and methods and to determine the appropriate contributions of objective and subjective equipment selection methods.

Thinking on the College English Curriculum (2004) and the Multimedia-Aided Teaching in College English

2011 ◽  
Vol 217-218 ◽  
pp. 1839-1843
Author(s):  
Wen Hui Wang ◽  
Xin Sheng Zou
Keyword(s):  
National Curriculum ◽  
Colleges And Universities ◽  
Ministry Of Education ◽  
Top Down ◽  
College English ◽  
English Curriculum ◽  
School Based ◽  
Trial Implementation

College English Curriculum (2004) (CE Curriculum hereafter) is issued by China’s Ministry of Education. As a top-down document, it acts as a guide for colleges and universities nation-wide to formulate a school-based curriculum in the light of their specific circumstances. Compared with the previous counterparts, it is a more balanced and democratic national curriculum. Although the present curriculum is for trial implementation, the course rationale is sound and the curriculum is of greater flexibility.

scholarly journals Cost-effectiveness evaluation for pricing medicines and devices: A new value-based price adjustment system in Japan

2020 ◽  
Vol 36 (3) ◽  
pp. 270-276
Author(s):  
Takeru Shiroiwa
Keyword(s):  
Cost Effectiveness ◽  
Evaluation System ◽  
Price Adjustment ◽  
Effectiveness Evaluation ◽  
Government Documents ◽  
Academic Review ◽  
Adjustment System ◽  
The Cost ◽  
Trial Implementation ◽  
New System

ObjectivesIn Japan, a new cost-effectiveness evaluation system for medicine and medical device pricing was employed in April 2019 after a trial implementation. This study describes the discussions held from April 2016 to March 2019 concerning the newly introduced system.MethodsUsing published government documents, discussions with stakeholders, and the minutes of the Chuikyo committee meetings, the following issues are addressed: (i) the results of the trial implementation and (ii) an overview of the newly introduced system.ResultsDuring the trial implementation, thirteen products were evaluated and their prices adjusted. The process of the new system—which was to be implemented in FY 2019—takes about 15–18 months to complete after listing of the target products by the National Health Insurance. The target products are selected principally based on sales volume, degree of innovation (premium), and disclosure of rationale for price setting. First, a manufacturer submits the cost-effectiveness data, which is then reviewed by the Center for Outcomes Research and Economic Evaluation for Health (C2H) in collaboration with academics. The results of the cost-effectiveness evaluation are not considered during the decision-making process concerning the product's listing. The price adjustment system is similar to value-based pricing (VBP); hence, the new system can be considered as VBP adjustment.ConclusionCost-effectiveness evaluation can help promote both technological innovation and sustainability of the healthcare system. We need to create a greater capacity for enhancing this academic review system.

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