Journal articles: 'Diagnostic institution'

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Waterman, A. W. "Diagnostic Systems." Proceedings of the Institution of Mechanical Engineers, Part F: Journal of Rail and Rapid Transit 203, no. 2 (July 1989): 137–38. http://dx.doi.org/10.1243/pime_proc_1989_203_221_02.

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A seminar on ‘Diagnostic Systems’ was organized by the Railway Division of the Institution of Mechanical Engineers and jointly sponsored by the Institution of Electrical Engineers: it was held in London on 27 October 1988.

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Myalkina, E. V. "Diagnostics of the education quality in the higher educational institution." Vestnik of Minin University 7, no. 3 (August 10, 2019): 4. http://dx.doi.org/10.26795/2307-1281-2019-7-3-4.

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Introduction: the problem of diagnostics of the quality of education at a higher education institution is becoming increasingly relevant in the conditions of the need to fulfill the criteria for the effectiveness of higher education institutions, the introduction of new generation standards in higher education institutions and the modernization of the educational program management system. Diagnostics of the quality of education is considered as an important process that ensures a steady position of the university in the educational services market, the growth of indicators for the admission campaign, the increase of reputational capital. Diagnostics of the quality of education makes it possible to identify significant factors in determining the prospects for the development of a university, having a significant impact on the performance indicators of a university and characterizing the results achieved and the resources used.Materials and Methods:the article discusses the system for the quality of education evaluation at Minin University, it describes its key components, reveals the elements of the diagnostic complex and their systemic interconnection. The characteristics of the elements of the diagnostic complex describes in detail the issue of improving the efficiency of the university in terms of the implementation of the management model of the main professional educational programs, the description of the diagnostic procedure for each category of participants in the educational process is presented.Results:the author describes the methodology and the main stages of diagnosing the quality of education at the university using the example of Minin University, gives integrated assessment criteria and their relationship with other elements of the monitoring system and evaluating the quality of education at the university, lists the effects of introducing a comprehensive system for diagnosing the quality of educational activities.Discussion and Conclusions:in the final part of the article, the possibilities of further improving the system of assessment of the quality of education in the educational system of higher education are considered. Arguments about the need to further expand the range of issues raised by the diagnostic process are made; the ratio of the existing positions of the university to the requirements of the legislation is made.

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Raab, Stephen S., Frederick A. Meier, Richard J. Zarbo, D. Chris Jensen, Kim R. Geisinger, Christine N. Booth, Uma Krishnamurti, Chad H. Stone, Janine E. Janosky, and Dana M. Grzybicki. "The “Big Dog” Effect: Variability Assessing the Causes of Error in Diagnoses of Patients With Lung Cancer." Journal of Clinical Oncology 24, no. 18 (June 20, 2006): 2808–14. http://dx.doi.org/10.1200/jco.2005.04.3661.

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Purpose The frequency of diagnostic error in patients who have a lung mass and a pathology specimen is as high as 15%. This study examined the role of inter-pathologist agreement in identifying the cause of error in these patients. Methods Pathologists from six institutions reviewed the slides of 40 patients who had a pulmonary specimen false-negative diagnosis. The initial assessment of error cause arose from cytologic-histologic correlation slide review of discrepant diagnostic samples in patients who had both a bronchial brushing cytologic and surgical specimen. The cause of error was attributed either to clinical sampling (diagnostic material obtained in one but not the other sample) or interpretation (pathologist failed to identify the salient diagnostic features). The pairwise kappa (κ) statistic was used to calculate interobserver agreement between the review and original diagnoses and between the separate review diagnoses. Results The pairwise κ statistic ranged widely from −0.154 to 1.0, and the pairwise κ statistic of the slides from one institution was undetermined because that institutional pathologist never made the assessment that error was secondary to interpretation. Agreement for observers within the same institution was better than agreement between observers from different institutions. Conclusion Pathologists exhibit poor agreement in determining the cause of error for pulmonary specimens sent for cancer diagnosis. We developed a psychosocial hypothesis (the “Big Dog” Effect) that partially explains biases in error assessment. This lack of agreement precludes confident targeting of these errors for quality improvement interventions with prospects of success across a variety of institutions.

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Segota, Doris, Ana Diklic, and Slaven Jurkovic. "Establishment of local diagnostic reference levels for typical radiography examinations in the west region of Croatia." Nuclear Technology and Radiation Protection 34, no. 1 (2019): 102–6. http://dx.doi.org/10.2298/ntrp180831015s.

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Majority of health institutions in Croatia do not have medical physicists in diagnostic radiology. Regarding this, in the west region of Croatia collaboration between public health institution and University Hospital Rijeka was initiated in 2015. Quality Assurance program was implemented in these public health institutions during 2015 and 2016 and the next step was to assess patient doses for the most frequent X-ray examinations. This included five public health institutions: 1 university hospital, 1 general hospital, 1 special hospital, 2 public health institutions with 13 facilities. The aim of this study was to carry out assessment of patient doses and to establish local diagnostic reference levels of entrance surface air kerma for every institution for six most frequent X-ray examinations. Also, local diagnostic reference levels for the whole west region of Croatia were established and compared with the national diagnostic reference levels and latest published data. Median entrance surface air kerma values for thorax PA, thorax LAT, cervical spine AP, thoracic spine AP, lumbar spine AP, pelvis AP and sinuses are 0.14 mGy, 0.50 mGy, 0.52 mGy, 1.50 mGy, 2.52 mGy, 2.03 mGy, and 1.03 mGy, respectively. Diagnostic reference levels proposed for our region were comparable with other studies.

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Pendergrast, Jacob M., and Brandon Zagorski. "Hospital Demand for Blood Components in Ontario Correlates with Selected Diagnostic and Procedural Activities." Blood 120, no. 21 (November 16, 2012): 4272. http://dx.doi.org/10.1182/blood.v120.21.4272.4272.

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Abstract Abstract 4272 Introduction: Demand for blood components in Canada is a significant and growing contributor to health care spending, but the drivers of this demand remain poorly characterized. While most institutions do not routinely monitor the transfusion requirements of individual diagnoses and procedures, an institution's overall demand for blood components and the types of clinical activities it provides are both well documented. Development of an institution-level inferential model may allow for more accurate demand forecasting for blood components. Methods: Hospital shipments of all blood components from Canadian Blood Services (red blood cells, platelets, plasma and cryoprecipitate) in the province of Ontario during the period 2006–2009 were merged with institution-level administrative data containing hospital characteristics and selected diagnostic and procedural codes as obtained from inpatient and ambulatory clinical databases maintained by the Canadian Institute for Health Information. Simple linear correlation and several nested multivariable linear regression models were fitted and compared. Results: From 2006–2009, our sample included 137 healthcare facilities, representing approximately 1.4 million units of RBCs, 400 000 units of plasma, 166 000 doses of platelets (defined as either one pool of whole blood-derived platelets or a single apheresis platelet), and 20 000 units of unpooled cryoprecipitate. Institutional demand for these blood components correlated with both hospital-level characteristics and diagnostic and procedural activity data. Institutional demand for red blood cells correlated most strongly with visits for cirrhosis and chemotherapy. Demand for plasma correlated most strongly with visits for cirrhosis and cardiac surgery procedures. Demand for platelets correlated most strongly with bone marrow and solid organ transplant procedures. Demand for cryoprecipitate correlated most strongly with visits for valvular heart disease and cardiac procedures. The strength of these correlations generally remained stable over the four years of analysis, during which time demand for red blood cells and platelets increased, demand for plasma decreased, and demand for cryoprecipitate remained stable. Conclusions: In the largest province of Canada, institutional demand for blood components correlate strongly with disease burden measured by diagnostic and procedural codes contained within administrative data. Disclosures: Pendergrast: Canadian Blood Services: Research Funding. Zagorski:Canadian Blood Services: Research Funding.

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Mooney, Graham. "Diagnostic Spaces." Social Science History 33, no. 3 (2009): 357–90. http://dx.doi.org/10.1017/s0145553200011020.

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For nine weeks during the 1866 cholera epidemic, the registrar general for England and Wales published details of more than 13,000 deaths in London. Although the names of the deceased and the informant were withheld, all other information available from the death certificate was reproduced in the capital city's Weekly Returns, including registration district and subdistrict, precise address (house number and street, or institution), sex, age (sometimes down to hours for infants), occupation, cause(s) of death, and duration of final illness. Since historians’ access to original death certificates in England and Wales is restricted, this source presents an opportunity to analyze systematically the practice of cause of death certification in the middle of the nineteenth century, albeit during a period of mortality crisis. Variability of diagnostic “depth”—that is, the listing of multiple causes and duration of final illness—is considered for three major causes: cholera, diarrhea, and respiratory tuberculosis. Deaths in workhouses and general hospitals were chronically underdocumented compared to home deaths. This finding supports the notion that the institutionalization of sickness in the nineteenth century was accompanied by a loss of the “patient narrative” and also points to the entrenchment of institutional cultures of record keeping and administration.

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Brauchli, Kurt, Hermann Oberli, Nina Hurwitz, Klaus-Dieter Kunze, Gunter Haroske, Gernot Jundt, Gerhard Stauch, et al. "Diagnostic telepathology: long-term experience of a single institution." Virchows Archiv 444, no. 5 (May 1, 2004): 403–9. http://dx.doi.org/10.1007/s00428-004-0980-x.

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Lapochkina, A. "EDUCATIONAL INSTITUTION BRAND MANAGEMENT." Management of the Personnel and Intellectual Resources in Russia 9, no. 3 (July 23, 2020): 40–43. http://dx.doi.org/10.12737/2305-7807-2020-40-43.

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The reputation of any organization is an important asset in which they invest the money they value, thanks to which you can attract more customers and set a higher price in the markets for goods and services. In the article, we will analyze the components of the brand of the educational institution, the main stages of its formation, diagnostic and promotion tools, we will also consider how to measure the effectiveness of this process, we will offer a number of universal indicators that can be taken as a basis for organizing this work in any educational institution. The relevance of this topic is caused by increasing competition between educational institutions for applicants. The choice of an educational institution is based on the established reputation of an educational institution in the educational services market. The conscious policy of the institution regarding the formation and development of its own brand becomes important.

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Krauss, Elliot A., Megan Mahon, Jean M. Fede, and Lanjing Zhang. "Application of the Bethesda Classification for Thyroid Fine-Needle Aspiration: Institutional Experience and Meta-analysis." Archives of Pathology & Laboratory Medicine 140, no. 10 (October 1, 2016): 1121–31. http://dx.doi.org/10.5858/arpa.2015-0154-sa.

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Context.—Fine-needle aspiration (FNA) biopsies have been an important component in the preoperative evaluation of thyroid nodules. Until the introduction of the Bethesda System for Reporting Thyroid Cytopathology (BSRTC) in 2008, individual institutions had developed their own diagnostic categories. The BSRTC proposed 6 categories in an attempt to standardize reporting of thyroid FNA. Objective.—To present a 15-year experience of thyroid FNA at one institution, including data before and after introduction of the BSRTC. The risk of malignancy is compared with the meta-analysis of high-quality published data. Data Sources.—Data sources were PubMed, a manual search of references, and institutional data. Conclusions.—The diagnostic categories developed at our institution were similar to those proposed by the BSRTC, with best fit into the 6 categories easily accomplished and reported in the final 2 years of the study. Significant differences were noted in the frequencies of cases in diagnostic categories Benign (II; P = .003), Suspicious for follicular neoplasm/Follicular neoplasm (IV; P < .001), and Malignant (VI; P = .003) after the introduction of the BSRTC. Eighteen published articles met the criteria for inclusion in the meta-analysis. The risk of malignancy in each category in our institution was similar to that determined in the meta-analysis, except for Insufficient for diagnosis (I; 20% versus 9%–14%). Meta-analysis showed an overlapping 95% CI of risk of malignancy between Atypia of undetermined significance/Follicular lesion of undetermined significance (III; 11%–23%) and Suspicious for follicular neoplasm/Follicular neoplasm (IV; 20%–29%), suggesting similar risks of malignancy. The use of newer molecular tests for these indeterminate cases may further refine risk assessment.

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Awomolo, Adeola, Kristy Palomares, Guadalupe Herrera Garcia, Todd Rosen, Christina Duzyj, and Elena Ashkinadze. "Trends in invasive prenatal diagnostic testing at a single institution." Prenatal Diagnosis 38, no. 10 (July 31, 2018): 735–39. http://dx.doi.org/10.1002/pd.5290.

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Kociolek, Larry K. "Strategies for Optimizing the Diagnostic Predictive Value of Clostridium difficile Molecular Diagnostics." Journal of Clinical Microbiology 55, no. 5 (March 8, 2017): 1244–48. http://dx.doi.org/10.1128/jcm.00147-17.

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ABSTRACT Because nucleic acid amplification tests (NAATs) do not distinguish Clostridium difficile infection (CDI) and asymptomatic C. difficile carriage, the diagnostic predictive value of NAATs is limited when used in patients with a low probability of CDI. In this issue of the Journal of Clinical Microbiology , Truong et al. (J. Clin. Microbiol., 55:1276–1284, 2017, https://doi.org/10.1128/JCM.02319-16 ) report significant reductions in hospital-onset CDI and oral vancomycin utilization at their institution following implementation of a novel intervention that leveraged their clinical bioinformatics resources to prevent C. difficile testing of stools from patients without clinically significant diarrhea and in patients with recent laxative use.

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Kociolek, Larry K., Preeta K. Kutty, Philip M. Polgreen, and Susan E. Beekmann. "Healthcare provider diagnostic testing practices for identification of Clostridioides (Clostridium) difficile in children: an Emerging Infections Network survey." Infection Control & Hospital Epidemiology 40, no. 3 (February 15, 2019): 276–80. http://dx.doi.org/10.1017/ice.2018.347.

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AbstractObjective:To characterize healthcare provider diagnostic testing practices for identifying Clostridioides (Clostridium) difficile infection (CDI) and asymptomatic carriage in children.Design:Electronic survey.Methods:An 11-question survey was sent by e-mail or facsimile to all pediatric infectious diseases (PID) members of the Infectious Diseases Society of America’s Emerging Infections Network (EIN).Results:Among 345 eligible respondents who had ever responded to an EIN survey, 196 (57%) responded; 162 of these (83%) were aware of their institutional policies for CDI testing and management. Also, 159 (98%) respondents knew their institution’s C. difficile testing method: 99 (62%) utilize NAAT without toxin testing and 60 (38%) utilize toxin testing, either as a single test or a multistep algorithm. Of 153 respondents, 10 (7%) reported that formed stools were tested for C. difficile at their institution, and 76 of 151 (50%) reported that their institution does not restrict C. difficile testing in infants and young children. The frequency of symptom- and age-based testing restrictions did not vary between institutions utilizing NAAT alone compared to those utilizing toxin testing for C. difficile diagnosis. Of 143 respondents, 26 (16%) permit testing of neonatal intensive care unit patients and 12 of 26 (46%) treat CDI with antibiotics in this patient population.Conclusions:These data suggest that there are opportunities to improve CDI diagnostic stewardship practices in children, including among hospitals using NAATs alone for CDI diagnosis in children.

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Feingold, Daniel L., Emmanouil P. Pappou, and Steven A. Lee-Kong. "Diagnostic Modalities in Gastrointestinal Bleeding." Clinics in Colon and Rectal Surgery 33, no. 01 (January 2020): 005–9. http://dx.doi.org/10.1055/s-0039-1693440.

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AbstractA variety of diagnostic modalities is available to assist in the evaluation of patients presenting with acute gastrointestinal (GI) bleeding. This article reviews some older technologies like colonoscopy, nuclear scintigraphy, and conventional angiography and will also review the newest additions to the lower GI bleeding diagnostic toolbox, which are video capsule endoscopy and computed tomography (CT) angiography. The management algorithm used at a given institution depends on the available expertise and resources.

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Mimura, Toshiki, Michio Kaminishi, and Michael A. Kamm. "Diagnostic Evaluation of Patients with Faecal Incontinence at a Specialist Institution." Japanese Journal of Gastroenterological Surgery 38, no. 5 (2005): 482–89. http://dx.doi.org/10.5833/jjgs.38.482.

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Lombardi, Luciano, and Attilio Orazi. "Electron Microscopy in an Oncologic Institution. Diagnostic Usefulness in Surgical Pathology." Tumori Journal 74, no. 5 (September 1988): 531–35. http://dx.doi.org/10.1177/030089168807400506.

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A retrospective survey of all electron microscopic (EM) examinations of surgical pathology specimens obtained at the Istituto Nazionale Tumori of Milan over a 5-year period (1981-1985) was carried out. During this time a total of 259 cases were examined: for 97 (38%) electron microscopy provided a substantial diagnostic contribution, whereas in 151 (58%) it confirmed the previous light microscopic diagnosis. In our experience, EM was most useful for diagnosing selected cases of cutaneous malignant melanoma predominantly metastatic, rhabdomyosarcoma, neuroblastoma and poorly differentiated neuroepithelial tumors and less helpful in the further analysis of cases of malignant mesothelioma, Ewing's sarcoma, leiomyosarcoma and fibrohistiocytic malignancies. In cases of well-differentiated neuroepithelial tumors, such as carcinoids, EM data was essentially confirmatory of (immuno)-histochemical findings.

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Mimura, Toshiki, Michio Kaminishi, and Michael A. Kamm. "Diagnostic Evaluation of Patients with Faecal Incontinence at a Specialist Institution." Digestive Surgery 21, no. 3 (2004): 235–41. http://dx.doi.org/10.1159/000079493.

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Cho, Junhun, Seung Eun Lee, and Yoon-La Choi. "Diagnostic Value ofMDM2andDDIT3FluorescenceIn SituHybridization in Liposarcoma Classification: A Single-Institution Experience." Korean Journal of Pathology 46, no. 2 (2012): 115. http://dx.doi.org/10.4132/koreanjpathol.2012.46.2.115.

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Hamdani, Fatima E., Malek Masmoudi, Ahmad Al Hanbali, Fatima Bouyahia, and Abdellah Ait Ouahman. "Diagnostic and modeling of elderly flow in a French healthcare institution." Computers & Industrial Engineering 112 (October 2017): 675–89. http://dx.doi.org/10.1016/j.cie.2017.05.009.

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Ohlms, Laurie A., Trevor McGill, and Gerald B. Healy. "Malignant Laryngeal Tumors in Children: A 15-Year Experience with Four Patients." Annals of Otology, Rhinology & Laryngology 103, no. 9 (September 1994): 686–92. http://dx.doi.org/10.1177/000348949410300905.

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Malignant laryngeal neoplasms in children are uncommon and present diagnostic and therapeutic challenges. A 15-year retrospective review of laryngeal tumors at our institution identified four patients with malignant neoplasms. These children, 7 months to 16 years of age, were treated for squamous cell carcinoma, choriocarcinoma, rhabdomyosarcoma, and primitive neuroectodermal tumor. This report details these cases, emphasizing diagnostic approaches, treatment decisions (medical oncologic management, surgical resection), and rehabilitation measures for postlaryngectomy communication. A multi-institutional pediatric head and neck tumor registry would be a useful reference to assist with individual treatment decisions.

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Contreras-Loya, David, Octavio Gómez-Dantés, Esteban Puentes, Francisco Garrido-Latorre, Manuel Castro-Tinoco, and Germán Fajardo-Dolci. "Waiting times for surgical and diagnostic procedures in public hospitals in Mexico." Salud Pública de México 57, no. 1 (January 7, 2015): 29. http://dx.doi.org/10.21149/spm.v57i1.7400.

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Objective. A retrospective evaluation of waiting times for elective procedures was conducted in a sample of Mexican public hospitals from the following institutions: the Mexican Institute for Social Security (IMSS), the Institute for Social Security and Social Services for Civil Servants (ISSSTE) and the Ministry of Health (MoH). Our aim was to describe current waiting times and identify opportunities to redistribute service demand among public institutions. Materials and methods. We examined current waiting times and productivity for seven elective surgical and four diagnostic imaging procedures, selected on the basis of their relative frequency and comparability with other national health systems. Results.Mean waiting time for the seven surgical procedures in the three institutions was 14 weeks. IMSS and ISSSTE hospitals showed better performance (12 and 13 weeks)than the MoH hospitals (15 weeks). Mean waiting time for the four diagnostic procedures was 11 weeks. IMSS hospitals (10 weeks) showed better average waiting times than ISSSTE (12 weeks) and MoH hospitals (11 weeks). Conclusion. Substantial variations were revealed, not only among institutions but also within the same institution. These variations need to be addressed in order to improve patient satisfaction.

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Hufnagel, Beth, Timothy Slater, Grace Deming, Jeff Adams, Rebecca L. Adrian, Christine Brick, and Michael Zeilik. "Pre-course Results from the Astronomy Diagnostic Test." Publications of the Astronomical Society of Australia 17, no. 2 (2000): 152–55. http://dx.doi.org/10.1071/as00152.

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AbstractWe present selected results from the January 1999 semester pre-course administration of the Astronomy Diagnostic Test (ADT), a research-based, multiple-choice instrument that assesses student knowledge and understanding about selected concepts in astronomy. The ADT is valid for undergraduate non-science majors taking an introductory astronomy course. This paper briefly summarises the development and validation processes, which included pre-course administration to 1557 students in 22 classes attending 17 various post-secondary institutions across the USA in the January 1999 semester. Two interesting results of the ADT's pre-course administration are (1) the average class score of the ADT is about the same (32%) regardless of type of post-secondary institution or class size and (2) there is a significant gender difference, with women scoring an average of 28% and men 38%, with the standard errors both less than 1%. The current version of the ADT (Version 2 dated 21 June 1999) and a comparative by-class database is available to astronomy instructors at the (USA) Association of Astronomy Educators' and the National Institute for Science Education's (NISE) WebPages.

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Naftel, Robert P., Emily Tubergen, Chevis N. Shannon, Kimberly A. Gran, E. Haley Vance, W. Jerry Oakes, Jeffrey P. Blount, and John C. Wellons. "Parental recognition of shunt failure: a prospective single-institution study." Journal of Neurosurgery: Pediatrics 9, no. 4 (April 2012): 363–71. http://dx.doi.org/10.3171/2011.12.peds11291.

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Object Because there is no gold standard for preoperative diagnosis of shunt failure, understanding the sensitivity, specificity, and predictive values of symptoms, signs, and diagnostic tests enables practitioners to make logical clinical decisions. Parents of children with shunts undergo educational instruction to enable them to recognize shunt failure. The authors prospectively investigated parental ability to recognize shunt failure. Methods Data were prospectively collected on 205 consecutive encounters in 153 children with shunted hydrocephalus presenting to the emergency department or clinic, or as an inpatient consultation, to the Children's Hospital of Alabama between April and October 2010. Regardless of the complaint, all parents were asked if they believed the shunt was in failure. Six children were excluded from analysis because a parental response was lacking. Using the Shunt Design Trial definitions, shunt failure was diagnosed intraoperatively or ruled out if the child did not undergo shunt revision within 1 week of presentation. Sensitivity, specificity, predictive values, and accuracy were calculated using the parental response and shunt failure diagnosis. Secondarily, parents were compared based on their experience with shunt failure in their children; experienced parents were defined as having experienced at least 3 shunt failures. Post hoc analysis evaluated diagnostic test characteristics among hydrocephalus causes and compared parental recognition of shunt failure to head CT and shunt series diagnostic test characteristics. Parents also completed a standardized shunt failure survey regarding their shunt teaching education and symptom tracking. Results Children enrolled were a mean age of 6.9 years old, 92 (46%) of the encounters were with male patients, and most patients were Caucasian (69%) and had undergone an average of 2.8 previous shunt revisions. Seventy-one children (36%) were diagnosed with shunt failure. Parental response diagnostic test characteristics were: positive predictive value (PPV) of 41%, negative predictive value (NPV) of 79%, sensitivity of 83%, specificity of 34%, and accuracy of 52% for shunt failure. Sixty-three parents were considered experienced and responded with a PPV of 29%, NPV of 92%, sensitivity of 94%, specificity of 23%, and accuracy of 41%. One hundred thirty-six parents were considered inexperienced and responded with a PPV of 48%, NPV of 75%, sensitivity of 80%, specificity of 41%, and accuracy of 57%. When statistically compared, experienced parents had significantly lower PPV (29% vs 48%, respectively; p = 0.035) and accuracy (41% vs 57%, respectively; p = 0.049) than inexperienced parents. On post hoc analysis, parental recognition of shunt failure was inferior to head CT and shunt series diagnostic tests with a lower specificity (20% vs 88%, respectively; p < 0.0005), PPV (44% vs 84%, respectively; p < 0.0005), NPV (61% vs 85%, respectively; p = 0.006), and accuracy (47% vs. 85%, respectively; p < 0.0005). Conclusions The overall parental response had the greatest value in ruling out shunt failure, reflected in the high NPV, particularly in experienced parents. The head CT and shunt series provide more favorable diagnostic test characteristics than the parental response. Although educational interventions have decreased shunt-related deaths, parents have difficulty differentiating shunt failure from alternative diagnoses.

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Larraín, Demetrio, Francisco Suárez, Hernán Braun, Javier Chapochnick, Lidia Diaz, and Iván Rojas. "Thoracic and diaphragmatic endometriosis: Single-institution experience using novel, broadened diagnostic criteria." Journal of the Turkish-German Gynecological Association 19, no. 3 (August 6, 2018): 116–21. http://dx.doi.org/10.4274/jtgga.2018.0035.

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Imisairi, A. H., A. N. Hisham, T. W. J. Lennard, R. D. Bliss, B. J. Harrison, and M. Perini. "ES08 DIAGNOSTIC AND THERAPEUTIC STRATEGIES OF ADRENOCORTICAL CARCINOMA-A 3-INSTITUTION EXPERIENCE." ANZ Journal of Surgery 77, s1 (May 2007): A22. http://dx.doi.org/10.1111/j.1445-2197.2007.04118_8.x.

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Kane, Shubhada V., and Tanvi Paliwal Sharma. "Cytologic diagnostic approach to poorly differentiated thyroid carcinoma: A single-institution study." Cancer Cytopathology 123, no. 2 (December 29, 2014): 82–91. http://dx.doi.org/10.1002/cncy.21500.

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Perminova, Elena Vitalievna. "Organization of the work of the medical laboratory service in accordance with the requirements of the standard GOST ISO 15189–2015 «Medical laboratories. Particular requirements for quality and competence»." Spravočnik vrača obŝej praktiki (Journal of Family Medicine), no. 12 (December 12, 2020): 15–22. http://dx.doi.org/10.33920/med-10-2012-02.

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Clinical laboratory diagnostics is a medical specialty, which is based on in vitro diagnostic studies of biomaterial obtained from an individual. At the present stage, there are three main types of organization of the laboratory research process — a laboratory service as part of a medical and preventive institution, a centralized laboratory where biomaterials are delivered for research from various healthcare institutions, as well as mobile laboratories that allow conducting the research directly at the patient’s bedside. This discipline involves the use of a wide variety of diagnostic research methods and the use of a huge number of specific techniques. Their list should include carrying out hematological, microbiological, virological, immunological, serological, parasitic, and biochemical studies. Also, when organizing laboratory diagnostic activities, a number of other studies (cytological, histological, toxicological, genetic, molecular biological, etc.) are provided. A laboratory report is formulated after obtaining clinical data and comparing them with the obtained test results. The quality of laboratory tests is ensured through the systematic implementation of internal laboratory control, as well as participation in a national program for external quality assessment. The activities of the clinical diagnostic laboratory should be organized in accordance with the requirements of the standard GOST R ISO 15189–2015 «Medical laboratories. Particular requirements for quality and competence», which is based on the provisions of two more fundamental standards — ISO 9001 and ISO 17025, and adds a number of special requirements related to medical laboratories.

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Kann, Benjamin H., Daniel F. Hicks, Sam Payabvash, Amit Mahajan, Justin Du, Vishal Gupta, Henry S. Park, et al. "Multi-Institutional Validation of Deep Learning for Pretreatment Identification of Extranodal Extension in Head and Neck Squamous Cell Carcinoma." Journal of Clinical Oncology 38, no. 12 (April 20, 2020): 1304–11. http://dx.doi.org/10.1200/jco.19.02031.

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PURPOSE Extranodal extension (ENE) is a well-established poor prognosticator and an indication for adjuvant treatment escalation in patients with head and neck squamous cell carcinoma (HNSCC). Identification of ENE on pretreatment imaging represents a diagnostic challenge that limits its clinical utility. We previously developed a deep learning algorithm that identifies ENE on pretreatment computed tomography (CT) imaging in patients with HNSCC. We sought to validate our algorithm performance for patients from a diverse set of institutions and compare its diagnostic ability to that of expert diagnosticians. METHODS We obtained preoperative, contrast-enhanced CT scans and corresponding pathology results from two external data sets of patients with HNSCC: an external institution and The Cancer Genome Atlas (TCGA) HNSCC imaging data. Lymph nodes were segmented and annotated as ENE-positive or ENE-negative on the basis of pathologic confirmation. Deep learning algorithm performance was evaluated and compared directly to two board-certified neuroradiologists. RESULTS A total of 200 lymph nodes were examined in the external validation data sets. For lymph nodes from the external institution, the algorithm achieved an area under the receiver operating characteristic curve (AUC) of 0.84 (83.1% accuracy), outperforming radiologists’ AUCs of 0.70 and 0.71 ( P = .02 and P = .01). Similarly, for lymph nodes from the TCGA, the algorithm achieved an AUC of 0.90 (88.6% accuracy), outperforming radiologist AUCs of 0.60 and 0.82 ( P < .0001 and P = .16). Radiologist diagnostic accuracy improved when receiving deep learning assistance. CONCLUSION Deep learning successfully identified ENE on pretreatment imaging across multiple institutions, exceeding the diagnostic ability of radiologists with specialized head and neck experience. Our findings suggest that deep learning has utility in the identification of ENE in patients with HNSCC and has the potential to be integrated into clinical decision making.

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Karugu, Kahihu Peter, Wachira D. Muturi, and Stephen M. A. Muathe. "Market Risks, Firms’ Size and Financial Performance: Reality or Illusion in Microfinance Institutions in Kenya." International Journal of Economics and Finance 12, no. 11 (October 28, 2020): 118. http://dx.doi.org/10.5539/ijef.v12n11p118.

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The purpose of the study was to investigate on Market risk, Firms’ size and financial performance, Reality or illusion in microfinance institution. The study employed positivism philosophy and used explanatory non–experimental research designs. The targeted population was all the thirteen registered Deposit Taking microfinance institutions in Kenya and census approach was used. The study used secondary data which was collected from MFIs annual audited financial reports for the period between 2014 and 2018 using data collection instruments. The study was anchored on two theories namely Dynamic Capabilities theory and Modern Portfolio Theory. Diagnostic tests were applied to test on multicollinearity, autocorrelation, heteroscedasticity, normality test, and stationarity. Panel data multiple regression analysis was used to analyze the collected data and the results presented using figures and tables. The results indicated that firm’s size has a significant moderating effect on the relationship between market risk and financial performance of microfinance institutions. The study recommended that the CEOs of microfinance Institution should employ mechanism of identifying the optimal firm size that organization needs to operate in to achieve better financial performance.The purpose of the study was to investigate on Market risk, Firms’ size and financial performance, Reality or illusion in microfinance institution. The study employed positivism philosophy and used explanatory non–experimental research designs. The targeted population was all the thirteen registered Deposit Taking microfinance institutions in Kenya and census approach was used. The study used secondary data which was collected from MFIs annual audited financial reports for the period between 2014 and 2018 using data collection instruments. The study was anchored on two theories namely Dynamic Capabilities theory and Modern Portfolio Theory. Diagnostic tests were applied to test on multicollinearity, autocorrelation, heteroscedasticity, normality test, and stationarity. Panel data multiple regression analysis was used to analyze the collected data and the results presented using figures and tables. The results indicated that firm’s size has a significant moderating effect on the relationship between market risk and financial performance of microfinance institutions. The study recommended that the CEOs of microfinance Institution should employ mechanism of identifying the optimal firm size that organization needs to operate in to achieve better financial performance.

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Dashkova, E. S., and N. V. Dorokhova. "Experience in building and managing a labor protection system in a health care institution." Proceedings of the Voronezh State University of Engineering Technologies 80, no. 2 (October 2, 2018): 328–34. http://dx.doi.org/10.20914/2310-1202-2018-2-328-334.

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Management of the occupational safety system in all organizations, as well as in health care institutions, should be devoid of formalism, which is now extremely rare and is represented only by isolated practices in some organizations, which confirms the relevance of their study and generalization of experience. For the analysis of experience of management of system of labor protection the operating normative legal base of Federal, branch, regional levels, and also data of the reporting of the Voronezh regional clinical consultative and diagnostic center concerning labor protection and safety was used. The study of the experience of management of the occupational safety system in the Voronezh regional clinical consultative and diagnostic center revealed the stages of its formation, the structure of the current occupational safety system and its regulatory framework. The process of building the occupational safety system in the Voronezh regional clinical consultative and diagnostic center was carried out in two stages. The first stage is the creation of a structure for labor protection. The second stage is the systematization of labor protection activities and the expansion of the local regulatory framework. The study of the authors allowed to draw the following conclusions: there are no cases of occupational injuries and occupational diseases in the Voronezh regional clinical consultative and diagnostic center; the medical establishment is actively and continuously involved in the contest for best organization of work on labor protection, gets the prizes. Voronezh regional clinical consultative and diagnostic center has a large number of diplomas, valuable gifts for work in the field of labor protection. The authors concluded that the study approach to the management of labor protection system in the Voronezh regional clinical consultative and diagnostic center devoid of formalism, is positive and can be used in other organizations regardless of their industry sector.

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Kononenko, Liliia. "The opportunities of social diagnostic methods’ application in modern pedagogical practice." IMAGE OF THE MODERN PEDAGOGUE 1, no. 3 (June 16, 2021): 38–42. http://dx.doi.org/10.33272/2522-9729-2020-3(198)-38-42.

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The attempt to expand the traditional academic ideas about diagnostics in social work has been made, in particular the selection of social diagnostic methods, the purposes of their application, professional situations and focus groups in which these methods can be applied.The research determines the opportunities of application social diagnostics in pedagogical practice, to identify the optimal methods of social diagnostics and the conditions in which it is advisable to apply this type of diagnostic by professional participants of the educational process.Other methods have been proposed in addition to the classic list of social diagnostic methods, such as interlocution, interviews and surveys of all types; they are unpopular in modern social and socio-pedagogical work, but due to their accessibility, validity, ease of processing and in formativeness can be used even by recent graduates. These include a genogram, a family sociogram, as well as an eco-map, the map of social environment and the map of social contacts.The viability of applying social diagnostic methods in a teacher’s daily practice for preventing, revealing and solving social problems has been determined.During the investigation, the author concludes that social diagnostic is the most significant technique among many universal ones that a social worker/social pedagogue can use in his/her work. The optimal location for diagnostic work is an educational institution. It provides quick access to the client base with the widest range, allows you to work with clients in the system of social relations, enables diagnostic work with less motivational pressure, covers relationships with parents/families and facilitates their involvement in preventive work

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Thomas, Dana B., and David E. Newman-Toker. "Diagnosis is a team sport – partnering with allied health professionals to reduce diagnostic errors." Diagnosis 3, no. 2 (June 1, 2016): 49–59. http://dx.doi.org/10.1515/dx-2016-0009.

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Abstract: Diagnostic errors are the most common, most costly, and most catastrophic of medical errors. Interdisciplinary teamwork has been shown to reduce harm from therapeutic errors, but sociocultural barriers may impact the engagement of allied health professionals (AHPs) in the diagnostic process.: A qualitative case study of the experience at a single institution around involvement of an AHP in the diagnostic process for acute dizziness and vertigo. We detail five diagnostic error cases in which the input of a physical therapist was central to correct diagnosis. We further describe evolution of the sociocultural milieu at the institution as relates to AHP engagement in diagnosis.: Five patients with acute vestibular symptoms were initially misdiagnosed by physicians and then correctly diagnosed based on input from a vestibular physical therapist. These included missed labyrinthine concussion and post-traumatic benign paroxysmal positional vertigo (BPPV); BPPV called gastroenteritis; BPPV called stroke; stroke called BPPV; and multiple sclerosis called BPPV. As a consequence of surfacing these diagnostic errors, initial resistance to physical therapy input to aid medical diagnosis has gradually declined, creating a more collaborative environment for ‘team diagnosis’ of patients with dizziness and vertigo at the institution.: Barriers to AHP engagement in ‘team diagnosis’ include sociocultural norms that establish medical diagnosis as something reserved only for physicians. Drawing attention to the valuable diagnostic contributions of AHPs may help facilitate cultural change. Future studies should seek to measure diagnostic safety culture and then implement proven strategies to breakdown sociocultural barriers that inhibit effective teamwork and transdisciplinary diagnosis.

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Tyumaseva, Z. I., I. L. Orehova, V. G. Valeeva, A. A. Salamatov, and E. V. Kalugina. "The institution of Tutoring in Health-Preserving: Risk and Sustainability Factors." Education and science journal 20, no. 9 (December 4, 2018): 139–57. http://dx.doi.org/10.17853/1994-5639-2018-9-139-157.

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. Introduction. Nowadays, specialists of different scientific directions note the growing trend in the deterioration of physical and mental health of younger generation, largely resulting from the health cost of education. In this regard, it is important to develop the institution of tutoring as a pedagogical innovation, which will ensure the formation of a healthy, active, purposeful and responsible personality, who can successfully live in a rapidly changing world.The aim of the article was to identify the factors, which have to be taken into consideration, when organising and implementing master’s education in the direction “Health-Preserving Tutor”.Methodology and research methods. Leading methodological approaches, when studying future tutors’ readiness for health-preserving activities, were anthropological, personality-oriented and environmental. The authors designed the programme of complex diagnostics “Harmony”, which included the following methodologies: evaluation of satisfaction with physical condition (according to Giesener Beschwerdebogen, GBB); self-evaluation of mental state (H. J. Eysenck); “Value orientations” (M. Rokich); the Social Readjustment Rating Scale (T. Holmes, R. Rage); questionnaires “Need for tension in terms of health” (Z. I. Tyumaseva, A. A. Tsygankov, I. L. Orekhova) and “The level of development of recreational activity” (G. V. Valeeva, V. S. Misharina).Results and scientific novelty. The structure and the concepts of “tutoring” and “tutoring support in health-preserving” were specified. The components of the tutors’ readiness for health-preserving activity were revealed: psycho-emotional, psycho-physical, cognitive and value-motivational. In the course of pedagogical experiment, the factors of risks and sustainability, which influence the formation of tutors’ readiness for health-preserving activity, were identified. A diagnostic program was developed to identify the factors.Practical significance. The developed diagnostic tool can be employed when assessing the level of readiness formation for health-preserving activity among students and tutors. The materials of the research can be useful to specialists, who are engaged in vocational training of tutors, as well as to teachers, heads of educational organisations and undergraduates of pedagogical higher education institutions.

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Maltsev, E. G., and S. L. Sobakin. "THE USE OF INTELLIGENT SYSTEMS IN THE TREATMENT AND DIAGNOSTIC PROCESS OF A TYPICAL MULTIDISCIPLINARY MEDICAL INSTITUTION." Innovatics and Expert Examination, no. 3(28) (December 25, 2019): 100–112. http://dx.doi.org/10.35264/1996-2274-2019-3-100-112.

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The treatment and diagnostic process, its tasks, parameters, evaluation criteria are considered. The basic medical technologies used in the provision of medical care to patients are defined. It is shown that increasing the efficiency of the treatment and diagnostic process is achieved through the use of modern information technologies and intelligent systems. The problem of optimization of medical and diagnostic process is formulated, criteria of efficiency of application of intellectual systems in the main directions of rendering medical care are defined. Set the main methodological approaches to the use of intelligent systems in the medical diagnostic process multidisciplinary medical institution, defined the performance indicators for multidisciplinary hospitals. The practical significance of the application of modern information technologies and intelligent systems in the treatment and diagnostic process is shown.

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Izosimov, D. V. "THE ESSENCE OF PEDAGOGICAL DIAGNOSTICS AND STIMULATION IN THE EDUCATIONAL ENVIRONMENT OF A MILITARY HIGHER INSTITUTION." Современная высшая школа инновационный аспект, no. 4 (2020): 126–33. http://dx.doi.org/10.7442/2071-9620-2020-12-4-126-133.

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The main aspects of the university educational environment are viewed. The basic notions are studied, various scientific points of view regarding educational environment peculiarities are presented. This notion development is described. The essence of educational environment in modern pedagogy is analyzed. Important characteristics of educational environment including variability and integrity are highlighted. In addition, the essence of pedagogical diagnostics and the stages of its development are discussed. The recognition character of diagnostic activity and the levels of its implementation are revealed, the objects of diagnostics are listed. The concept of pedagogical stimulus is considered; its essence, the main characteristics and basic functions of pedagogical stimulation are studied in detail. The paper defines the limits of the use of pedagogical stimulus in practice. In addition, the methods of pedagogical stimulation that affect the success of pedagogical work are described in detail.

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Lawrence, Jesse D., Chad Tuchek, Aaron A. Cohen-Gadol, and Raymond F. Sekula. "Utility of the intensive care unit in patients undergoing microvascular decompression: a multiinstitution comparative analysis." Journal of Neurosurgery 126, no. 6 (August 2016): 1967–73. http://dx.doi.org/10.3171/2016.5.jns152118.

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OBJECTIVEUse of the ICU during admission to a hospital is associated with a significant portion of the total health care costs for that stay. Patients undergoing microvascular decompression (MVD) for cranial neuralgias are routinely admitted postoperatively to the ICU for monitoring. The primary purpose of this study was to compare complication rates of patients with and without a postoperative ICU stay following MVD. The secondary intents were to identify predictors of complications, to analyze variables of health care resource utilization, and to estimate the cost of postoperative management.METHODSThe authors performed a retrospective comparative analysis of consecutive patients undergoing MVD at 2 institutions. A total of 199 patients without a postoperative ICU stay from Institution A and 119 patients with an ICU stay from Institution B were reviewed. Inclusion criteria included any adult (i.e., 18 years of age or older) undergoing MVD for trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia, or geniculate neuralgia. Patients with incomplete medical records were excluded. Medical comorbidities, intraoperative variables, complications, postoperative interventions, and variables indicating health care resource utilization were reviewed.RESULTSThe study compared 190 patients without a postoperative ICU stay from Institution A with 90 patients with an ICU stay from Institution B. Seven patients without an ICU stay and 5 patients with an ICU stay experienced complications after surgery (p = 0.53). Multivariate analysis identified coronary artery disease to be a predictor of complications (p = 0.037, OR 6.23, 95% CI 1.12–34.63). Patients from Institution A without a postoperative ICU stay had a significantly shorter length of stay, by approximately 16 hours (p < 0.001), and received less postoperative imaging (p < 0.001, OR 14.39, 95% CI 7.75–26.74) and postoperative diagnostic testing (p < 0.001) than patients from Institution B with an ICU stay. Estimated cost savings in patients without an ICU stay and 1 less day of inpatient recovery was calculated as $1400 per patient.CONCLUSIONSSelective versus routine use of ICU care as well as postoperative imaging and diagnostic testing may be safe after MVD and can lead to a reduction in overall health care costs.

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Plotnikov, Vladimir V., Alexey S. Sklyarov, Elena N. Tovancheva, and Tauzhan M. Klimenko. "Features of sociological diagnostics of russian police and its media representation in the aspect of improving management quality." LAPLAGE EM REVISTA 7, Extra-D (July 10, 2021): 91–98. http://dx.doi.org/10.24115/s2446-622020217extra-d1071p.91-98.

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The article considers theoretical and applied assessment of Russian police sociological diagnostics. In Russian society there is a problem of improving efficiency of internal affairs bodies management system, overcoming formalism, voluntarism, bureaucratization and other negative effects. In this article there are analyzed the general theoretical aspects of sociological diagnostics integration into the management practice of internal affairs bodies, the possibilities and limitations of quantitative and qualitative methodology of empirical analysis. The police is treated as a local and integrated institution of the institutional system, simultaneously represented in the social consciousness by the means of traditional and new media resources. The article presents the results of research investigation and methodological-oriented empirical study aimed at evaluating the effectiveness of internal affairs bodies management system, as well as searching for weaknesses of sociological diagnostic system. The conclusion is formulated as follows: the symbiosis of quantitative and qualitative empirical sociology (based on theoretical and methodological constructs of positivism and phenomenology) allows establishment of feedback with the controlled object.

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Wang, Congli, Varsha Manucha, Michael J. Carrozza, and Yajue Huang. "Diagnostic Efficacy of Transthoracic and Transbronchial Fine Needle Aspiration: A Single Institution Experience." Journal of the American Society of Cytopathology 2, no. 1 (October 2013): S53—S54. http://dx.doi.org/10.1016/j.jasc.2013.08.147.

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Dinora, Devin, Tyler Bosley, Joshua J. Elder, and Kyle A. Franco. "Pediatric Sinusoidal Obstruction Syndrome (SOS) Diagnostic Criteria Comparison in a Single Pediatric Institution." Biology of Blood and Marrow Transplantation 26, no. 3 (March 2020): S148—S149. http://dx.doi.org/10.1016/j.bbmt.2019.12.680.

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Klein, S. V., H. Afridi, D. Agarwal, B. F. Coughlin, and L. H. Schielke. "CT directed diagnostic and therapeutic pericardiocentesis: 8-year experience at a single institution." Emergency Radiology 11, no. 6 (July 16, 2005): 353–63. http://dx.doi.org/10.1007/s10140-004-0389-5.

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Chojniak, Rubens, Dominique Piacenti Carneiro, Gustavo Simonetto Peres Moterani, Ivone da Silva Duarte, Almir Galvão Vieira Bitencourt, Valdair Francisco Muglia, and Giuseppe D'Ippolito. "Mapping the different methods adopted for diagnostic imaging instruction at medical schools in Brazil." Radiologia Brasileira 50, no. 1 (February 2017): 32–37. http://dx.doi.org/10.1590/0100-3984.2015.0223.

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Abstract Objective: To map the different methods for diagnostic imaging instruction at medical schools in Brazil. Materials and Methods: In this cross-sectional study, a questionnaire was sent to each of the coordinators of 178 Brazilian medical schools. The following characteristics were assessed: teaching model; total course hours; infrastructure; numbers of students and professionals involved; themes addressed; diagnostic imaging modalities covered; and education policies related to diagnostic imaging. Results: Of the 178 questionnaires sent, 45 (25.3%) were completed and returned. Of those 45 responses, 17 (37.8%) were from public medical schools, whereas 28 (62.2%) were from private medical schools. Among the 45 medical schools evaluated, the method of diagnostic imaging instruction was modular at 21 (46.7%), classic (independent discipline) at 13 (28.9%), hybrid (classical and modular) at 9 (20.0%), and none of the preceding at 3 (6.7%). Diagnostic imaging is part of the formal curriculum at 36 (80.0%) of the schools, an elective course at 3 (6.7%), and included within another modality at 6 (13.3%). Professors involved in diagnostic imaging teaching are radiologists at 43 (95.5%) of the institutions. Conclusion: The survey showed that medical courses in Brazil tend to offer diagnostic imaging instruction in courses that include other content and at different time points during the course. Radiologists are extensively involved in undergraduate medical education, regardless of the teaching methodology employed at the institution.

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Ivanova, Yevgeniya V. "THE EMOTIONAL WELL-BEING OF PRESCHOOL CHILDREN AND PARENTAL RESILIENCE." Vestnik Kostroma State University. Series: Pedagogy. Psychology. Sociokinetics, no. 1 (2020): 96–103. http://dx.doi.org/10.34216/2073-1426-2020-26-1-96-103.

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The article describes the results of the study of the emotional well-being of preschool children and its connection with the parental resilience. An empirical study was conducted on the basis of pre-school institutions in Moscow, using diagnostic methods: tests – for parents and teachers; projective tests – for children whose results were analysed using computer statistical methods in the computational methods of statistical data processing. As a result of the study, the signifi cance of the problem of resilience in the context of modern digital environment and the theoretical concept of «emotional well-being of children» and its components are clarifi ed. A set of diagnostic methods for express diagnostics of the child’s emotional well-being in a preschool educational institution has been selected and modifi ed. Two questionnaires were developed (for parents and for teachers) to assess the emotional well-being of preschoolers. A signifi cant relationship was found between indicators: emotional well-being of preschool children and the parental resilience; features of child-parent relations, features of marital relationships. Using factor analysis, three groups of children with different levels of emotional well-being and three groups of parents with different levels of resilience, with children with low, medium and high levels of emotional well-being, are identifi ed and described.

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Kokovic, Ira, Barbara Jezersek Novakovic, Petra Cerkovnik, and Srdjan Novakovic. "Clonality analysis of lymphoid proliferations using the BIOMED-2 clonality assays: a single institution experience." Radiology and Oncology 48, no. 2 (June 1, 2014): 155–62. http://dx.doi.org/10.2478/raon-2013-0072.

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Abstract Background. Clonality determination in patients with lymphoproliferative disorders can improve the final diagnosis. The aim of our study was to evaluate the applicative value of standardized BIOMED-2 gene clonality assay protocols for the analysis of clonality of lymphocytes in a group of different lymphoid proliferations. Materials and methods. With this purpose, 121 specimens from 91 patients with suspected lymphoproliferations submitted for routine diagnostics from January to December 2011 were retrospectively analyzed. According to the final diagnosis, our series comprised 32 cases of B-cell lymphomas, 38 cases of non-Hodgkin’s T-cell lymphomas and 51 cases of reactive lymphoid proliferations. Clonality testing was performed using the BIOMED-2 clonality assays. Results. The determined sensitivity of the TCR assay was 91.9%, while the sensitivity of the IGH assay was 74.2%. The determined specificity of the IGH assay was 73.3% in the group of lymphomas and 87.2% in the group of reactive lesions. The determined specificity of the TCR assay was 62.5% in the group of lymphomas and 54.3% in the group of reactive lesions. Conclusions. In the present study, we confirmed the utility of standardized BIOMED-2 clonality assays for the detection of clonality in a routine diagnostical setting of non-Hodgkin’s lymphomas. Reactions for the detection of the complete IGH rearrangements and reactions for the detection of the TCR rearrangements are a good choice for clonality testing of a wide range of lymphoid proliferations and specimen types while the reactions for the detection of incomplete IGH rearrangements have not shown any additional diagnostic value

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Zhang, Yapei, Jennifer Arango, Jeffrey Weinreb, and Tamar Hamosh Taddei. "Effect of outside referrals to a tertiary care liver tumor board on diagnostic testing and initial curative therapy." Journal of Clinical Oncology 36, no. 4_suppl (February 1, 2018): 259. http://dx.doi.org/10.1200/jco.2018.36.4_suppl.259.

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259 Background: Hepatocellular carcinoma (HCC) is a complex and unique cancer. Arriving at the optimal treatment plan is best accomplished by a multidisciplinary tumor board (MDTB). We hypothesized that patients referred from outside institutions to our tertiary care center for MDTB review may face disparities in diagnosis and treatment. Methods: We performed chart review of incident HCC cases presented from 2/1/13-2/1/16 at an American College of Surgeons accredited MDTB that convenes weekly at a tertiary care, university-affiliated hospital. We examined variables such as demographics, originating institution, liver disease etiology, location of index imaging, date of first tumor board presentation, diagnostic method (imaging, biopsy, tumor board consensus), BCLC stage at diagnosis, initial treatment, and time to treatment. Results: 167 cases of HCC were referred from 37 outside institutions (outside cases); 127 cases originated from our institution (internal cases). The two groups were comparable in gender distribution, liver disease etiology, and BCLC stage at tumor board presentation. Compared to internal cases, outside cases were diagnosed less often by imaging (47% vs. 77%, p < 0.000001) and more often by biopsy (38% vs. 17%, p < 0.001) or MDTB consensus (16% vs. 6%, p < 0.05). When stratified by BCLC stage, this difference in diagnostic method persisted in early and mid-staged patients (Stages 0, A, B), but not in advanced staged patients. Outside cases were also more likely to receive tumor biopsy (33% vs. 9%, p < 0.05) and less likely to receive initial curative therapy (resection, ablation, transplantation) (22% vs. 32%, p < 0.05). There was no significant difference in time to treatment. Conclusions: Despite similar demographics and disease profiles compared to patients from our tertiary care center, patients referred from outside facilities for MDTB review more often required biopsies or MDTB consensus to diagnose HCC, and were less likely to receive curative therapy. Differences in HCC diagnostic imaging protocols across institutions may help explain these results. Further study will help identify disparities in receipt of curative therapy.

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Tamura, M. "Elimination of Inter-Institutional Discrepancies in Health Check-up Results: Standardization of Diagnostic Decision Level and Uniformity of Examination Data." Methods of Information in Medicine 37, no. 02 (1998): 140–42. http://dx.doi.org/10.1055/s-0038-1634510.

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AbstractIn Japan, more people are taking AMHTS and the number of medical institutions where it is provided is also increasing. AMHTS is expected to continue to expand in scope and importance from now on. People do not necessarily take AMHTS at the same medical institutions year after year. For AMHTS to be truly useful from the viewpoint of preventive medicine and be able to continue its development, it is imperative that the level of diagnosis be standardized and the compatibility of examination data be established among different institutions.The Japan Society of MHTS is conducting pilot studies of reversed quality control (RQC) as part of its activities with the aim of clearly understanding inter-institution gaps regarding AMHTS and to establish uniformity in examination data.

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Omokanye, Habeeb K., Sulyman B. Alabi, Saadudeen O. Idris’, Samuel O. Ayodele, Abdulrasheed A. Nasir, Ganiyu A. Salaudeen, Abdul-Rahman O. Afolabi, and David A. Dunmade. "Diagnostic accuracy of flexible fiberoptic laryngoscopy: experience from a tertiary health institution in Nigeria." European Archives of Oto-Rhino-Laryngology 278, no. 8 (April 23, 2021): 2937–42. http://dx.doi.org/10.1007/s00405-021-06824-3.

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Shishkina, E. A., and G. B. Kuandykov. "THE SATISFACTION WITH MEDICAL SERVICES AS AN INDICATOR OF EFFICIENCY OF FUNCTIONING OF MEDICAL INSTITUTION." Sociology of Medicine 16, no. 2 (December 15, 2017): 122–27. http://dx.doi.org/10.18821/1728-2810-2016-16-2-122-127.

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The need in optimization of strategies of activities of various health care structures focuses scientific practical interest to studying a degree of satisfaction of patients with not only received medical care but psychological interactions with specialists, sanitary hygienic, organizational, sociocultural and other characteristics of curative institution. The purpose of study is targeted to corroborate a hypothesis about expediency of involvement of sociological surveys to medical care quality assessment in conditions of practical health care institutions. The article designates theoretical foundation of the problem and expounds results of applied study (questionnaire survey) targeted to evaluate competence and level of professionalism of specialists, benevolence of employees, diagnostic possibilities, sanitary hygienic conditions and also preventive, informational and organizational functioning of institution. On the basis of gender and age-related criteria differences in indices of requirements of respondents were established and their common needs in sphere of supporting physical and social health as well.

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Montgomery, Nathan D., Cherie H. Dunphy, Micah Mooberry, Andrew Laramore, Matthew C. Foster, Steven I. Park, and Yuri D. Fedoriw. "Diagnostic Complexities of Eosinophilia." Archives of Pathology & Laboratory Medicine 137, no. 2 (February 1, 2013): 259–69. http://dx.doi.org/10.5858/arpa.2011-0597-ra.

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Context.— The advent of molecular tools capable of subclassifying eosinophilia has changed the diagnostic and clinical approach to what was classically called hypereosinophilic syndrome. Objectives.— To review the etiologies of eosinophilia and to describe the current diagnostic approach to this abnormality. Data Sources.— Literature review. Conclusions.— Eosinophilia is a common, hematologic abnormality with diverse etiologies. The underlying causes can be broadly divided into reactive, clonal, and idiopathic. Classically, many cases of eosinophilia were grouped together into the umbrella category of hypereosinophilic syndrome, a clinical diagnosis of exclusion. In recent years, an improved mechanistic understanding of many eosinophilias has revolutionized the way these disorders are understood, diagnosed, and treated. As a result, specific diagnoses can now be assigned in many cases that were previously defined as hypereosinophilic syndrome. Most notably, chromosomal rearrangements, such as FIP1L1-PDGFRA fusions caused by internal deletions in chromosome 4, are now known to be associated with many chronic eosinophilic leukemias. When present, these specific molecular abnormalities predict response to directed therapies. Although an improved molecular understanding is revolutionizing the treatment of patients with rare causes of eosinophilia, it has also complicated the approach to evaluating and treating eosinophilia. Here, we review causes of eosinophilia and present a framework by which the practicing pathologist may approach this diagnostic dilemma. Finally, we consider recent cases as clinical examples of eosinophilia from a single institution, demonstrating the diversity of etiologies that must be considered.

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Jha, Sumi, and Karuna Jain. "Organization Development Intervention: A Case of an Educational Institution." Global Business Review 21, no. 3 (June 25, 2018): 725–42. http://dx.doi.org/10.1177/0972150918778946.

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The purpose of the research was to study the intra-organizational trust and organization development intervention process for an educational institution. Researchers started with measuring trust level among respondents as a diagnosis exercise. The practice was initiated with the notion that any organizational intervention will not be successful if participants do not have trust in themselves (intra-organizational trust). Questionnaire measuring three factors of trust, namely, integrity, benevolence and competence, was used to measure the degree of trust among respondents. The finding illustrates differences among four groups of respondents having different trust levels and possible intervention post-diagnosis exercise. There is a shortage of study regarding understanding intervention practices in the higher educational institution. The article presents the diagnostic stage, as well as intervention initiatives, taken.

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Molchanova, Lyudmila, Alesya Kuznetsova, and Elena Nikitina. "Overcoming teacher burnout at special needs educational institutions: resources for reflection and on the meaning of life." E3S Web of Conferences 210 (2020): 18055. http://dx.doi.org/10.1051/e3sconf/202021018055.

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Background. Psychological practice has specified the need to search for resources for overcoming burnout that are reflective and meaningful – that help teachers explore the meaning of their lives – defining corrective and preventive measures for reflective and meaningful regulation. Objective. To study the reflective and meaningful regulation of teacher burnout at special needs educational institution and to evaluate its effectiveness. Design. Twenty teachers from a special needs educational institution in Kursk, Russian Federation, participated in an experimental study. The researchers took measurements at two time points, baseline and follow-up. At baseline, we made a diagnostic assessment of the teachers’ burnout, life principles, and reflectivity and searched for correlations among these indicators. At follow-up, we evaluated the teachers’ burnout after a program of reflective and meaningful training for prophylaxis and overcoming of burnout. Results. We demonstrated empirically that Communicative Reflection, Process of Life, and Locus of Control–Life were personal resources for overcoming teacher burnout at the special needs educational institutions. Conclusion. eflective and meaningful training program for prophylaxis and overcoming of teacher burnout at a special needs educational institution was developed, tested, and found to be effective.

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Chiou, Bo-Lin, Yu-Fu Chen, Hong-Yaw Chen, Cheng-Yen Chen, Shu-Chuan Jennifer Yeh, and Hon-Yi Shi. "Effect of referral systems on costs and outcomes after hip fracture surgery in Taiwan." International Journal for Quality in Health Care 32, no. 10 (September 18, 2020): 649–57. http://dx.doi.org/10.1093/intqhc/mzaa115.

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Abstract Objective To explore the economic burdens of hip fracture surgery in patients referred to lower-level medical institutions and to evaluate how referral systems affect costs and outcomes of hip fracture surgery. Design A nationwide population-based retrospective cohort study. Setting All hospitals in Taiwan. Participants A total of 7500 patients who had received hip fracture surgery (International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) diagnostic codes 820.0 ∼ 820.9 and procedure codes 79.15, 79.35, 81.52, 81.53) performed in 1997 to 2013. Main outcome measures Total costs including outpatient costs, inpatient costs and total medical costs and medical outcomes including 30-day readmission, 90-day readmission, infection, dislocation, revision and mortality. Results The patients were referred to a lower medical institution after hip fracture surgery (downward referral group) and 3034 patients continued treatment at the same medical institution (non-referral group). Demographic characteristics, clinical characteristics and institutional characteristics were significantly associated with postoperative costs and outcomes (P < 0.05). On average, the annual healthcare cost was New Taiwan Dollars (NT$)2262 per patient lower in the downward referral group compared with the non-referral group. The annual economic burdens of the downward referral group approximated NT$241 million (2019 exchange rate, NT$30.5 = US$1). Conclusions Postoperative costs and outcomes of hip fracture surgery are related not only to demographic and clinical characteristics, but also to institutional characteristics. The advantages of downward referral after hip fracture surgery can save huge medical costs and provide a useful reference for healthcare authorities when drafting policies for the referral system.

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Journal articles on the topic 'Diagnostic institution'

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