Suchergebnisse

Front -- Contents -- Preface -- Introduction -- Chapter 1 -- Chapter 2 -- Chapter 3 -- Chapter 4 -- Chapter 5 -- Chapter 6 -- Chapter 7 -- Part Two -- Introduction -- Chapter 8 -- Chapter 9 -- Chapter 10 -- Chapter 11 -- Chapter 12 -- Part Three -- Chapter 13 -- Chapter 14 -- Chapter 15 -- Epilogue -- Selected Bibliography -- index.

Teleradiology has far-reaching implications for the health of remote and underserved populations. With coordination of radiographic evaluation and diagnosis from a distance, teleradiology has the potential to raise the standard of patient care throughout the world. Perhaps the safest and most cost-effective mode of teleradiology today is telesonography. The current research determined that telesonography improves the standard of care at a rural, government-run primary clinic within the Dominican Republic. The work reported herein is intended to compare the use of telesonography to the current standard of sonographic examination which is referral to government hospital 60km from the clinic. the following research questions were addressed: When compared to the standard of care, (1) To what extent does the use of asynchronous telesonography increase the percentage of received sonographic reports based on the total number of ultrasound referrals (sonographic reports / total number of referrals)? (2) To what extent does the use of asynchronous telesonography increase the rate of successful follow-up visits based on the total number of ultrasound referrals? (3) To what extent does the elapsed time between ultrasound referral and sonographic report delivery decrease with the use of asynchronous telesonography? (4) To what extent does the elapsed time between ultrasound referral and patient follow-up decrease with the use of asynchronous telesonography? Research methodology included randomly assigning 100 patients with clinical indications for sonographic examination into experimental and control groups during a 9-week implementation period. Findings from this study indicate that the implemented telesonography system, along with patient awareness of such a system, while not having an appreciable effect on the time to patient follow-up, provided a 4-fold increase in the proportion of patient follow-ups and a 6-fold increase in the proportion of returned radiological reports, and delivered those reports to the referring physician 6-times faster than in the control group. This study demonstrates the feasibility of utilizing a store-and forward telesonography system within this setting. Additional research focusing on the impact of telesonography on patient outcomes within this setting is recommended. ; Ph. D.

The Clinical Laboratory Improvement Amendments of 1988 regulates every laboratory in the United States. Congress enacted legislation after many stories surfaced about the carelessness of laboratory testing. Of major concern át the time was the false results in Pap testing that caused many deaths. At first, the new regulations met with great opposition from medical groups like the American Medical Association. With high tech advancements in testing equipment and computer science, physician office laboratories found it profitable to operate their own laboratories. The final version of CLIA '88 regulates all laboratories, including physician office laboratories. About 12,000 laboratories were already regulated by the Clinical Laboratory Improvement Act of 1967. Congress concluded that these regulations were weak and covered only a fraction of the nations laboratories. Included in this group regulated by CLIA '67 were laboratories operated by commercial blood banks. These blood banks collect and distribute raw material that is used in research, biopharmaceutical products and testing kits. They are now faced with the increased regulation of CLIA '88 which sets standards on personnel, proficiency testing, quality control programs, documentation, and patient test results. This thesis provides a basic overview into the history of laboratory regulation, the personnel requirements and the cost consideration of implementing CLIA '88. It also provides an analysis on which personnel requirements and cost considerations will apply to the different types of commercial bloodbanks

"The second edition of Doing Ethics in Media continues its mission of providing an accessible but comprehensive introduction to media ethics, with a theoretical grounding in moral philosophy, to help students think clearly and systematically about dilemmas in the rapidly changing media environment. Each chapter highlights specific considerations, cases, and practical applications for the fields of journalism, advertising, digital media, entertainment, public relations, and social media. Six fundamental decision-making questions - the "5Ws and H" around which the book is organized - provide a path for students to articulate the issues; understand applicable law and ethics codes; consider the needs of stakeholders; work through conflicting values; integrate philosophic principles; and pose a "test of publicity." Students are challenged to be active ethical thinkers through the authors' reader-friendly style and use of critical early-career examples. While most people will change careers several times during their lives, all of us are life-long media consumers, and Doing Ethics in Media prepares readers for that task. Doing Ethics in Media is aimed at undergraduate and graduate students studying media ethics in mass media, journalism, and media studies. It also serves students in rhetoric, popular culture, communication studies, and interdisciplinary social sciences. The book's companion website-doingethicsin.media, or www.doingmediaethics.com-provides continuously updated real-world media ethics examples and collections of essays from experts and students. The site also hosts ancillary materials for students and for instructors, including a test bank and instructor's manual"--

"Armed conflicts, natural disasters and environmental degradation result in human misery, and the common response is to want to help. Responding effectively to humanitarian disasters is far from straightforward, however, and relief workers often find themselves in a world of uncoordinated, highly competitive agencies where teh 'why' and 'how' to provide relief is far from clear. Managing Humanitarian Relief is aimed at the relief worker who in the midst of these complex situations is putting together programmes of action to help people in extreme crisis. It provides humanitarian relief managers with a single comprehensive reference for many of the management issues they are likely to encounter in the field. Designed for the generalist and for those in management positions, the book provides enough background for readers to understand the topics quickly and to put them into practice in the field. Its easy-to-use format includes essential information checklists, tables, diagrams, sample forms, and no-nonsense tips from practitioners to help readers in emergency situations. The second edition brings the reader up to date with recent humanitarian reforms; the use of GIS and mobile technologies; funding innovations; economic recovery, cash and vouchers, and microfinance; tents and other temporary constructions and building materials

This expansion of the existing literature on fan discourse analyzes rhetorical form as a tool and constraint. By analyzing the rhetorical forms used to develop the cult neoreligious styles of Twitch Plays Pokémon fan art, I track the evolution of sacrifice as a guiding trope that allows the community to narrativize accidents, make sense of chaos, and respond to the game's overall lack of player agency. Rhetorical forms are reproduced in fan discourse alongside popular community art styles, genres, and rules for speaking. Rhetorical forms are thus both effects of fan discourse and factors in later evolutions for that discourse. Rhetorical criticism will become increasingly more important in the study of sense-making practices in collective participatory media such as Twitch Plays Pokémon.

Job satisfaction is the focus of this study, given its strategic importance, both to generate differentiation and competitive advantages, and to promote better and more sustainable results in organizations. Guided by the Affective Events Theory (AET), the interest is in analyzing the direct and indirect effects of supervisory support and involvement on job satisfaction and highlighting the implications of the academics' emotions for sustainability-related policies and practices in academic environments. The context selected is the higher education (HE) sector in Malaysia for science disciplines, due to its socio-economic relevance and its direct link to the Fourth Industrial Revolution (IR4), as well as to the Sustainable Development Goals (SDGs). A sample of 579 scientists were selected randomly and the analysis was carried out based on partial least squares structural equation modeling (PLS-SEM) methodology. Our results supported the hypotheses postulated in the study and especially highlighted the effects of supervisory support and positive affect on job satisfaction, as well as the effect of interpersonal conflict on negative affect. In terms of implications, policy makers at ministry level are advised to consider introducing directives which promote a climate of emotional safety and trust in academic institutions, to achieve the SDGs more effectively and efficiently. At the university level, and given the relevance of the observed effects, academic leaders are recommended to contemplate improving university environments in some way that reduces levels of negative work events (interpersonal conflict in our case). This is crucial as the negative work events can trigger negative emotions, which in turn cause scientists' job dissatisfaction.