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An analysis of occupational factors related to shoulder discomfort in diagnostic medical sonographers and vascular technologists.

https://arctichealth.org/en/permalink/ahliterature125036
Source
Work. 2012;42(3):355-65
Publication Type
Article
Date
2012
Author
Shawn C Roll
Kevin D Evans
Cristina D Hutmire
Joan P Baker
Author Affiliation
Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA. sroll@usc.edu
Source
Work. 2012;42(3):355-65
Date
2012
Language
English
Publication Type
Article
Keywords
Adult
Canada
Cumulative Trauma Disorders - epidemiology
Female
Human Engineering
Humans
Male
Medical Laboratory Personnel - psychology
Middle Aged
Musculoskeletal Diseases - epidemiology
Musculoskeletal System - injuries
Occupational Health Services - utilization
Professional Competence
Questionnaires
Radiology Information Systems - manpower
Shoulder Pain - epidemiology - psychology
Ultrasonography - adverse effects
United States
Vascular Surgical Procedures - manpower
Workload - psychology
Abstract
Three-fourths of diagnostic medical sonographers (DMS) and vascular technologists (VT) experiencing discomfort due to job demands indicate having discomfort in the shoulder region. An analysis of factors related to shoulder discomfort highlighted salient factors requiring further investigation and intervention.
The respondents were a convenient sample of DMS and VT that answered a survey, hosted on a secure website.
The responses of 2,163 DMS and VT from a survey of a representative sample were analyzed to determine personal factors, work demands, and workstation design characteristics of those experiencing discomfort in the shoulder region. Frequencies and response distributions were calculated and cross tabulation with chi-square analysis was completed.
A majority of respondents with shoulder discomfort have co-morbid reports of discomfort in other locations. While overall sonographer discomfort is linked to age and years of experience, shoulder discomfort was also noted to be linked to specific workstation characteristics. A lack of adjustability in equipment, picture archiving and communication system (PACS) workstations, and positions required to complete bedside exams contributes to discomfort due to sustained and repetitive shoulder abduction and twisting of the neck and trunk.
There is a need for studies investigating redesign of equipment and workstations or interventions with DMS and VT specifically focused on improving adjustability and improved positioning of sonographers in order to reduce shoulder discomfort while performing job demands.
PubMed ID
22523028 View in PubMed
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An inventory of United States and Canadian growth record sets: preliminary report.

https://arctichealth.org/en/permalink/ahliterature220916
Source
Am J Orthod Dentofacial Orthop. 1993 Jun;103(6):545-55
Publication Type
Article
Date
Jun-1993
Author
W S Hunter
S. Baumrind
R E Moyers
Author Affiliation
University of Western Ontario, London.
Source
Am J Orthod Dentofacial Orthop. 1993 Jun;103(6):545-55
Date
Jun-1993
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Archives
Canada
Cephalometry
Child
Child, Preschool
Cleft palate
Dental Models
Dental Records
Directories as Topic
Female
Humans
Longitudinal Studies
Male
Maxillofacial Development
Radiography, Dental
Radiology Information Systems
United States
Abstract
A listing and description of longitudinal craniofacial growth record sets currently extant on the North American continent is provided. An argument is made for the preservation of these resources and for the generation of a pooled or shared image base of duplicate craniofacial physical records. This is a preliminary report and is assumed to be incomplete. In an effort to improve our accuracy and completeness, we invite corrections and additions.
PubMed ID
8506817 View in PubMed
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Are the creation and maintenance of databases in healthcare worthwhile? An example of a unique, population-based, radiation therapy database.

https://arctichealth.org/en/permalink/ahliterature128345
Source
Healthc Q. 2012;15(4):71-7
Publication Type
Article
Date
2012
Author
Stewart M Jackson
Scott Tyldesley
Barbara Baerg
Ivo A Olivotto
Author Affiliation
Radiation Therapy Program of the British Columbia Cancer Agency, and the University of British Columbia, Vancouver, British Columbia.
Source
Healthc Q. 2012;15(4):71-7
Date
2012
Language
English
Publication Type
Article
Keywords
British Columbia - epidemiology
Clinical Protocols
Databases, Factual
Delivery of Health Care
Health Services - utilization
Humans
Neoplasms - epidemiology - radiotherapy
Practice Guidelines as Topic
Prospective Studies
Quality Assurance, Health Care
Radiology Information Systems - organization & administration
Randomized Controlled Trials as Topic
Abstract
A population-based prospective database targeting 15 key radiation therapy (RT) features was initiated in British Columbia in 1984. This 25-year outcome report assessed the utility of the database and demonstrated that such a database can be used to (1) describe population-based utilization of a health service, (2) inform treatment policy recommendations, (3) inform system planning and resource allocation, (4) audit regional and individual oncology practices, (5) assess whether new observations from randomized trials have been translated into population health gains and (6) produce peer-reviewed publications. Health system managers and researchers could benefit from the development and support of such databases.
PubMed ID
23803407 View in PubMed
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Choosing networks for picture archiving and communication systems and teleradiology.

https://arctichealth.org/en/permalink/ahliterature68870
Source
J Telemed Telecare. 2003;9 Suppl 1:S27-9
Publication Type
Article
Date
2003
Author
I H Monrad Aas
Jonn Terje Geitung
Author Affiliation
The Work Research Institute, Oslo, Norway. mon-a@online.no
Source
J Telemed Telecare. 2003;9 Suppl 1:S27-9
Date
2003
Language
English
Publication Type
Article
Keywords
Computer Communication Networks - organization & administration
Decision Making
Hospital Shared Services - organization & administration
Humans
Norway
Radiology Information Systems - organization & administration
Research Support, Non-U.S. Gov't
Teleradiology - organization & administration
Abstract
Qualitative interviews were performed with 26 resource persons with experience of picture archiving and communication systems and teleradiology. The results reported here concern the different types of networks there was interest in establishing. Eight types of networks were considered to be of interest. The two main reasons for wanting the networks were related to clinical communication and improved exploitation of resources. Use of such networks means cooperation across organizational boundaries. Networks can play an organizational role and this raises questions concerning the future organization of radiology services.
PubMed ID
12952712 View in PubMed
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A comparison of film-screen, CR and DR: a community hospital time-motion study.

https://arctichealth.org/en/permalink/ahliterature182212
Source
Radiol Manage. 2003 Nov-Dec;25(6):38-42
Publication Type
Article
Author
Mitesh Mehta
Trevor Lee
Author Affiliation
St. Joseph's Health Centre, Toronto, Ontario, Canada. mehtam@stjoe.on.ca
Source
Radiol Manage. 2003 Nov-Dec;25(6):38-42
Language
English
Publication Type
Article
Keywords
Ankle - radiography
Efficiency, Organizational - statistics & numerical data
Humans
Ontario
Prospective Studies
Radiographic Image Enhancement
Radiography, Thoracic - statistics & numerical data
Radiology Department, Hospital - organization & administration - statistics & numerical data
Radiology Information Systems - utilization
Technology, Radiologic - standards
Time and Motion Studies
X-Ray Intensifying Screens
Abstract
The purpose of this study was to compare technologist efficiency for conventional radiography, computed radiography (CR) and direct radiography (DR) for two types of general x-ray examinations. The study was performed at St. Joseph's Health Centre, in Toronto, Canada. The study spanned eight calendar months. Two views of the chest and three views of the ankle were chosen as representative examinations for analysis. Patient examination times were recorded on the radiology information system for both types of studies for conventional radiography, CR and DR. There was a significant difference in average time of examination for all three types of imaging formats for chest studies and between conventional radiography and CR or DR for ankle radiographs. There was no significant difference between examination times for ankle studies when CR and DR were compared. The median time of examination of the chest was 18 minutes, eight minutes and six minutes for conventional radiography, CR and DR respectively. The median time of examination for ankle radiographs were 22 minutes, seven minutes and five minutes for conventional radiography, CR and DR respectively. Technologists efficiency is significantly improved with the implementation of a DR system and CR system when compared to conventional radiography. DR may not deliver significant improvements in efficiencies for certain types of examinations.
PubMed ID
14699926 View in PubMed
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Cross-organizational workflow in radiology: an empirical study of the quality of shared metadata elements in Region Västra Götaland, Sweden.

https://arctichealth.org/en/permalink/ahliterature115234
Source
Acta Radiol. 2013 Jul;54(6):676-83
Publication Type
Article
Date
Jul-2013
Author
Lars Lindsköld
Mikael Wintell
Lars Edgren
Peter Aspelin
Nina Lundberg
Author Affiliation
Division of Medical Imaging and Technology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute, Stockholm.
Source
Acta Radiol. 2013 Jul;54(6):676-83
Date
Jul-2013
Language
English
Publication Type
Article
Keywords
Humans
Medical Records Systems, Computerized - organization & administration
Radiology Department, Hospital - organization & administration
Radiology Information Systems - organization & administration
Semantics
Sweden
Systems Integration
Workflow
Abstract
Challenges related to the cross-organizational access of accurate and timely information about a patient's condition has become a critical issue in healthcare. Interoperability of different local sources is necessary.
To identify and present missing and semantically incorrect data elements of metadata in the radiology enterprise service that supports cross-organizational sharing of dynamic information about patients' visits, in the Region Västra Götaland, Sweden.
Quantitative data elements of metadata were collected yearly from the first Wednesday in March from 2006 to 2011 from the 24 in-house radiology departments in Region Västra Götaland. These radiology departments were organized into four hospital groups and three stand-alone hospitals. Included data elements of metadata were the patient name, patient ID, institutional department name, referring physician's name, and examination description.
The majority of missing data elements of metadata was related to the institutional department name for Hospital 2, from 87% in 2007 to 25% in 2011. All data elements of metadata except the patient ID contained semantic errors. For example, for the data element "patient name", only three names out of 3537 were semantically correct.
This study shows that the semantics of metadata elements are poorly structured and inconsistently used. Although a cross-organizational solution may technically be fully functional, semantic errors may prevent it from serving as an information infrastructure for collaboration between all departments and hospitals in the region. For interoperability, it is important that the agreed semantic models are implemented in vendor systems using the information infrastructure.
PubMed ID
23528568 View in PubMed
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Current status of national eHealth and telemedicine development in Finland.

https://arctichealth.org/en/permalink/ahliterature158008
Source
Stud Health Technol Inform. 2008;134:199-208
Publication Type
Article
Date
2008
Author
Jarmo Reponen
Ilkka Winblad
Päivi Hämäläinen
Author Affiliation
FinnTelemedicum, University of Oulu and Raahe Hospital, Finland. jarmo.Reponen@oulu.fi
Source
Stud Health Technol Inform. 2008;134:199-208
Date
2008
Language
English
Publication Type
Article
Keywords
Finland
Health Care Surveys
Humans
Medical Records Systems, Computerized - organization & administration
Public Health
Public Health Informatics - organization & administration
Questionnaires
Radiology Information Systems
Telemedicine - organization & administration
Teleradiology - organization & administration
Abstract
This eHealth paper shows the results of a survey produced by FinnTelemedicum, Centre of Excellence for Telehealth at the University of Oulu and STAKES (National Research and Development Centre for Welfare and Health development in Finland) under assignment of the Finnish Ministry of Social Affairs and Health. The survey shows the status and trends of the usage of eHealth applications in the Finnish health care in 2005. The results are compared to an earlier survey made in 2003. The 2005 survey included all service providers in public and private medical services: hospital districts or central hospitals for secondary/tertiary care, primary health care centers and a sample of private sector service providers. The results show that the usage of eHealth applications has greatly progressed throughout the entire health care delivery system. The current wide utilization of the eHealth applications in Finnish health care forms a solid basis for developing future eHealth services. Finland has taken the initiative to build a national archive for electronic health data with citizen access by 2011.
PubMed ID
18376047 View in PubMed
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Decision criteria and characteristics of Norwegian general dental practitioners selecting digital radiography.

https://arctichealth.org/en/permalink/ahliterature52328
Source
Dentomaxillofac Radiol. 2001 Jul;30(4):197-202
Publication Type
Article
Date
Jul-2001
Author
A. Wenzel
A. Møystad
Author Affiliation
Department of Oral Radiology, Royal Dental College, Faculty of Health Sciences, University of Aarhus, Denmark.
Source
Dentomaxillofac Radiol. 2001 Jul;30(4):197-202
Date
Jul-2001
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Attitude of Health Personnel
Choice Behavior
Computer Systems - economics
Costs and Cost Analysis
Decision Making
Female
General Practice, Dental
Group Practice, Dental
Humans
Logistic Models
Male
Middle Aged
Norway
Private Practice
Questionnaires
Radiation Dosage
Radiography, Dental, Digital
Radiology Information Systems
Sex Factors
Time Factors
X-Ray Film
Abstract
OBJECTIVES: To evaluate Norwegian general dental practitioners' decision criteria and characteristics for choosing digital radiographic equipment. METHODS: A questionnaire was sent to all dental practitioners in Norway (n = 3940). They were categorised on the basis of their responses as either a 'digital radiography' (DR) or 'non-digital radiography' (non-DR) dentist. Demographic, clinical, and electronic technology variables were recorded. Dentists ranked on a six-point scale their reasons for choosing or not choosing digital radiography. Their responses were analysed by logistic regression. RESULTS: Two thousand, one hundred and ninety-nine dentists (56%) replied. Three hundred and nine (14%), (219 men, 86 women and four not stated) had chosen to use digital radiography. The logistic regression analysis revealed that gender, age and years in dentistry were not significant factors in determining their decision, whereas working in a private or group practice was. The number of computers in the practice was the most important of the electronic technology variables. The non-DR dentists strongly agreed that 'digital radiography is too expensive' and were 'satisfied with film'. The DR dentists strongly agreed that the 'use of chemicals can be avoided', 'patient dose is reduced', and 'archiving is facilitated'. CONCLUSION: Working in a private or group practice or using multiple computers were significant factors in choosing digital radiography.
PubMed ID
11681480 View in PubMed
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[Digital imaging system are rapidly introduced in Swedish departments of radiography. This calls for new strategic planning]

https://arctichealth.org/en/permalink/ahliterature68913
Source
Lakartidningen. 2000 Oct 11;97(41):4600-1
Publication Type
Article
Date
Oct-11-2000
Author
S. Laurin
K A Norberg
Author Affiliation
Bild- och funktionsdiagnostiskt centrum (BFC), röntgenavdelningen, Universitetssjukhuset i Lund. sven.laurin@drad.lu.se
Source
Lakartidningen. 2000 Oct 11;97(41):4600-1
Date
Oct-11-2000
Language
Swedish
Publication Type
Article
Keywords
Clinical Competence
English Abstract
Humans
Physician's Practice Patterns
Questionnaires
Radiographic Image Enhancement - economics - standards - trends
Radiographic Image Interpretation, Computer-Assisted - standards
Radiology Department, Hospital - organization & administration
Radiology Information Systems - standards - trends
Sweden
Teleradiology - economics - standards - trends
X-Ray Film
Abstract
Diagnostic radiology in Sweden is changing rapidly to digital (filmless) technique. The advantages are more rapid delivery of radiologic service, better working conditions and less negative effects on the environment. Teleradiology is also facilitated. The Swedish Board of Health and Welfare has investigated the speed with which this change is taking place. In 1998, 26 of the 118 departments of diagnostic radiology had already turned digital; it is estimated that in the near future at least five departments will become fully digital each year. For planning purposes, less emphasis should be put on the supply of radiographic film, and more on telecommunications, computer hardware and digital storage.
PubMed ID
11107746 View in PubMed
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[Digital radiology systems in Scandinavia are gaining ground. Standards for telemedicine were required at a congress]

https://arctichealth.org/en/permalink/ahliterature69003
Source
Lakartidningen. 1994 Jun 15;91(24):2433-5
Publication Type
Article
Date
Jun-15-1994
Author
S. Olsson
H. Pettersson
Author Affiliation
Röntgendiagnostiska kliniken, Universitetssjukhuset, Lund.
Source
Lakartidningen. 1994 Jun 15;91(24):2433-5
Date
Jun-15-1994
Language
Swedish
Publication Type
Article
Keywords
Congresses
Radiology Information Systems - standards - trends
Sweden
Telemedicine - standards - trends
PubMed ID
8052034 View in PubMed
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43 records – page 1 of 5.