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[en] This is the third of a series of articles on the planning and building of a new radiology department or the extension of an old one, of interest to anyone who is planning any part of a hospital, particularly in the detailed information about the planning process and the part to be played by hospital staff during the subsequent building and commissioning. (author)
[en] The use of accelerators for medical applications has evolved from initial experimentation to turn-key devices commonly operating in hospitals. New applications are continuously being developed around the world, and the hadrontherapy facilities of the newest generation are placed at the frontier between industrial production and advanced R&D. An introduction to the different medical application accelerators is followed by a description of the hadrontherapy facilities, with special emphasis on CNAO, and the report closes with a brief outlook on the future of this field
[en] Purpose: To identify the personal and professional development characteristics amongst a group of qualified radiographers, employed in the South West Region. Methods: A survey design was employed to explore the characteristics relating to personal and professional development. Group interviews were conducted with both diagnostic and therapeutic radiographers, employed in a part-time capacity, in four hospitals situated outside the South West Region. These interviews were analysed, and the emergent themes used to design a structured questionnaire. The Society of Radiographers’ database was used to access members in the South West Region. In February 1999, 926 questionnaires were administered via the post to access the target population of both full- and part-time members. Results: An overall response rate of 50% was obtained. Analysis of the questionnaires revealed that full-time radiographers spent more hours engaged in personal and professional development, and attended more study days, than their part-time counterparts. Furthermore, part-timers were more likely to opt for less formal courses than their full-time colleagues. A number of other personal and professional characteristics were also identified which would appear to be common to both full- and part-time practitioners. Conclusions: A proportion of radiographers employed in a part-time capacity are either not fully accessing the opportunities to become involved in personal and professional development, or these opportunities do not exist. Part-timers have unique personal and professional development requirements, and should therefore be considered separately to their full-time colleagues. Managers, radiographers and education providers should consider these findings in their quest for more effective continuing professional development.
[en] Picture Archiving and Communication System (PACS) is difficult to implement in the best of situations, but evidence is growing that the benefits are significant. The aims of this study are to analyze the current status of full PACS and establish successful installation standard of dental PACS. Materials and Methods were based on the investigation of current working status and installation standard of PACS, and observation of variable issues to installation of dental PACS. By September 30, 2004, full PACS implementations in their facilities were 88.1% in specialized general hospitals (37 installations out of total 42 hospitals), 59.8% in general hospitals (144 installations out of total 241 hospitals), 12.3% in medical hospitals (116 installations out of total 941 hospitals) and 3.6% in dental hospitals (4 installations out of total 110 hospitals). Only 4 university dental hospitals currently have installed and are operating full PACS. Major obstacle to wide spread of dental PACS is initial high investments. Clinical environments of dental PACS differed from medical situation. Because of characteristic dental practice, the initial investments for dental PACS are generally much greater than those of medical PACS. Also new economic crisis makes users scruple. The best way to overcome these limitations is to establish an economic installation standard for dental PACS. Also the clear technical communication between the customer and the supplier before both sides are committed to the obstacles are critical to its success.
[en] In June 2005 a Complex Operating Unit of Interventional Radiology (COUIR), consisting of an outpatient visit service, an inpatient admitting service with four beds, and a day-hospital service with four beds was installed at our department. Between June 2005 and May 2008, 1772 and 861 well-screened elective patients were admitted to the inpatient ward of the COUIR and to the Internal Medicine Unit (IMU) or Surgery Unit (SU) of our hospital, respectively, and treated with IR procedures. For elective patients admitted to the COUIR's inpatient ward, hospital stays were significantly shorter and differences between reimbursements and costs were significantly higher for almost all IR procedures compared to those for patients admitted to the IMU and SU (Student's t-test for unpaired data, p < 0.05). The results of the 3-year activity show that the activation of a COUIR with an inpatient admitting service, and the better organization of the patient pathway that came with it, evidenced more efficient use of resources, with the possibility for the hospital to save money and obtain positive margins (differences between reimbursements and costs). During 3 years of activity, the inpatient admitting service of our COUIR yielded a positive difference between reimbursements and effective costs of Euro 1,009,095.35. The creation of an inpatient IR service and the admission of well-screened elective patients allowed short hospitalization times, reduction of waiting lists, and a positive economic outcome.
[en] The issue of age difference in hospital admission should be given special attention since it affects the structure of hospital care and treatments. Patients of different age groups should be given different priority in service provision. Due to crucial time and limited resources, health care managers need to make wise decisions in identifying priorities in age of admission. This paper aimed to propose a construction of a daily composite hospital admission index (CHAI) as an indicator that captures relevant information about the overall performance of hospital admission over time. It involves five different age groups of total patients admitted to seven major public hospitals in the Klang Valley, Malaysia for respiratory and cardiovascular diseases for a period of three years, 2008 - 2010. The criteria weights were predetermined by aggregating the subjective weight based on rank ordered centroid (ROC) method and objective weight based on entropy - kernel method. The highest and lowest scores of CHAI were marked, while the groups of patients were prioritized according to the criteria weight ranking orders. (author)
[en] Background and purpose: The scope and effect of radiation oncology (RO) outreach activities within centralized radiotherapy (RT) systems is poorly defined. The purpose of this study was to describe the outreach activities of Ontario’s regional cancer centres, and to explore the relationship between radiation oncology (RO) outreach clinics and rates of radiotherapy (RT) utilization at hospitals without RT on site (HWOS-RT).
[en] The aims of the present survey were to determine whether differences existed between male and female dentists in Saudi Arabia in career development, positions occupied within their employment, and to analyze the effect of different variables on their career development in some of the provinces in Saudi Arabia. A self-conducted questionnaire was distributed among male and female dentists, general practitioners as well as specialists, working at several governmental hospitals in Saudi Arabia. The questionnaires consisted of 40 questions in the format of multiple choices and yes/no answer. Data were analyzed by gender with the significant difference level set at (P < 0.05). The response rate was 40.8% of which 51.9% were females and 48.1% males with 70% of them below 45 years of age. No significant difference was found between males and females in having higher education or additional degrees. The specialty that was highly reported among females was pedodontics and in males, orthodontics. Males were more likely to hold authorized administrative positions (63%), while females held administrative positions which were internally arranged by their departments (57%). Eighty-three percent of female respondents thought that there was favouritism towards males in appointment to administrative positions, while only 5.5% of male respondents reported that there was favouritism to females in occupying the same positions. There was no significant difference between male and female dentists in Saudi Arabia with respect to job opportunities, working hours and relationships with their colleagues. In addition, there is evidence of an intensifying determination of female dentists in Saudi Arabia, to pursue their chosen career while coping with the diverse demands of being a professional, a wife and mother. (author)
[en] The aim of this study is to get the necessary data and to establish a direction as the guideline for the diagnostic radiology department planning and design by the analysis of it's scale in general hospital. The size of diagnostic radiology department was calculated as follows, from the relation the number of beds and X-ray rooms. R = 0.0162B R = Number of X-ray rooms B Number of beds. The planning of the radiology department size should be considered not in the way only to provide the optimal size but in the way how it will correspond to the change of the departments, namely in the meaning of Life-cycle of Radiology Department
[en] Hospital activities generate multiple quantities of effluents as function of numerous factors suchas number of beds, existent of general services, number and type of wards and blocks, number of inpatients and outpatients, etc (Oliveira et al., 2018).