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8,p=0.39). No evidence for a difference in the risk of disability progression was observed.
In treated patients with SPMS, high-efficacy therapy is superior to low-efficacy therapy in reducing relapses in patients with active, but not those with inactive, SPMS. However, more potent therapies do not offer an advantage in reducing disability progression in this patient group.
This study provides class III evidence that high-efficacy therapy is superior to low-efficacy therapy in reducing relapses in patients with active SPMS whilst we did not find a difference in disability progression between patients treated with high- and low-efficacy therapy.
This study provides class III evidence that high-efficacy therapy is superior to low-efficacy therapy in reducing relapses in patients with active SPMS whilst we did not find a difference in disability progression between patients treated with high- and low-efficacy therapy.In 2008, the American Cancer Society endorsed computed tomography colonography (CTC) to virtually visualize the large intestine and help diagnose atypical pathological features of the colon. Virtual navigation through the colon provides the physician an increased opportunity to locate abnormalities without the risks associated with traditional colonoscopy. This article discusses why patients undergo CTC, how the examination is performed, and how patients should prepare. Although CTC primarily is used for the detection of polyps and cancerous tumors, the examination can benefit any patient who requires a minimally invasive alternative to a traditional colonoscopy.Radionuclide therapies have shown to be an effective treatment for certain types of cancer and other disorders. When determining the appropriate course of treatment, various factors are considered. This article discusses indications and procedures for certain radionuclide therapies including radioiodine for thyroid disorders, radioimmunotherapy, theranostics, and radioembolization for hepatocellular carcinoma.Artificial intelligence (AI) is a rapidly growing profession that shows continued promise for diagnostic imaging in various disciplines, including dermatology and pathology. The benefits of AI, however, extend beyond the imaging department as radiation oncology departments begin to automate labor-intensive treatment planning processes. Given the increase in interest and research concerning AI, radiologic technologists must become familiar with AI terminology, current and potential applications, challenges, and patient perspectives.
To investigate the level of noise that magnetic resonance (MR) technologists are exposed to during daily tasks, and prevalence of hearing loss among MR technologists.
Decibel levels at the scanner control panel were measured and recorded at clinical facilities. A survey was distributed to MR technologists, which included questions about demographics, workplace habits, and self-reported hearing loss.
Technologists are exposed to decibel levels higher than U.S. government recommended occupational limits; however, these are for very short periods, resulting in an average projected 8-hour noise dose of 1.68%. Statistical analysis of survey results showed no association between time spent working in an MR imaging department (
= .111); however, results did show an association between entering the scan room during image acquisition and hearing loss (
= .005).
At times, technologists are exposed to decibel levels exceeding the U.S. Occupational Safety and Health Administration and the U.S. Food and Drug Administration recommended limits; however, the average findings indicate that there is a low risk of hearing damage from working at the control panel. Statistical analysis revealed an association between entering the scan room and hearing loss; therefore, individuals entering the scan room for any reason should be wearing hearing protection, even for short periods.
Risks of exposure to high occupational decibel levels should be monitored continually. This study provides a foundation for future research studies, such as longitudinal analysis of hearing loss in MR technologists.
Risks of exposure to high occupational decibel levels should be monitored continually. This study provides a foundation for future research studies, such as longitudinal analysis of hearing loss in MR technologists.
To illustrate the need for further research dedicated to the development of clinical leadership competencies in the medical imaging curriculum.
Online journals and literature were searched to acquire published peer-reviewed articles associated with leadership, clinical competency, and curriculum design.
Studies related to leadership, mentoring, and clinical competency were found in allied health and medical imaging literature. However, few empirical studies addressed the development of clinical leadership and competency in the field of medical imaging.
The development and integration of clinical leadership competencies into the medical imaging curriculum are vital to the profession's progression. Although medical imaging faculty and clinical staff practice clinical leadership throughout the performance of their duties, there is no formalized integration of these competencies in the medical imaging curriculum. Using components of distributed leadership and mentoring while situating these competencies in the educational construct of experiential learning will allow medical imaging students to meet the health care industry's needs and more fully participate in the practice of clinical leadership.
There is an opportunity to explore the development of clinical leadership competencies that align with mentoring practices and the enhancement of clinical competency in medical imaging students.
There is an opportunity to explore the development of clinical leadership competencies that align with mentoring practices and the enhancement of clinical competency in medical imaging students.
To design and evaluate a survey instrument to quantitatively examine radiologic technologists' perception of radiation safety culture.
A survey instrument with determinants related to radiation actions and dimensions of radiation safety (RADS) was designed through a multisequential process involving content and scale validity and internal reliability. A 6-member panel evaluated content validity, and 425 radiologic technologists participated in the study to determine the reliability of the survey instrument items and determinant scales.
The 35-items in the survey instrument were found to be valid (content validity index = 0.995) and reliable (α = .94). Tanespimycin cell line In addition, 10 determinant scales also were found to be reliable (α = .70-.84). The scales included teamwork in imaging, teamwork across imaging stakeholders, questioning attitude, feedback loops, organizational learning, leadership actions, nonpunitive response, error reporting, radiation policy, and overall perception of radiation safety.
The survey iiency can strengthen radiation safety culture in medical imaging.
To review authorship details of Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) conference accepted abstracts for medical imaging and radiation therapy disciplines; identify the Australian or international institutions that submitted abstracts; and to determine the rates of ASMIRT conference abstracts to papers and their citation number.
Retrospective analysis of oral and poster conference abstracts published in the Journal of Medical Radiation Sciences (JMRS) from 2015 through 2017 identified 581 Australian and international abstracts. Of these, 513 Australian abstracts were analyzed using Google Scholar, PubMed, and Google databases. Abstracts were allocated to medical imaging or radiation therapy disciplines. Abstract titles, key words, institutions, and author names were used to search for peer-reviewed papers. Papers were authenticated through open access, publicly available author information, or library access.
During a 3-year period, medical imaging and radiation therapy avengs is a challenging process but essential to sharing medical knowledge and improving clinical practice.
The rate of ASMIRT conference abstract to full publication was at the lower end of reported literature. This finding provides a benchmark for future studies on abstract-to-publication rates in Australia and globally.
The rate of ASMIRT conference abstract to full publication was at the lower end of reported literature. This finding provides a benchmark for future studies on abstract-to-publication rates in Australia and globally.
Previous studies have demonstrated that socioeconomic factors are associated with COVID-19 incidence. In this study, we analysed a broad range of socioeconomic indicators in relation to hospitalised cases in the Paris area.
We extracted 303 socioeconomic indicators from French census data for 855 residential units in Paris and assessed their association with COVID-19 hospitalisation risk.
The indicators most associated with hospitalisation risk were the third decile of population income (OR=9.10, 95% CI 4.98 to 18.39), followed by the primary residence rate (OR=5.87, 95% CI 3.46 to 10.61), rate of active workers in unskilled occupations (OR=5.04, 95% CI 3.03 to 8.85) and rate of women over 15 years old with no diploma (OR=5.04, 95% CI 3.03 to 8.85). Of note, population demographics were considerably less associated with hospitalisation risk. Among these indicators, the rate of women aged between 45 and 59 years (OR=2.17, 95% CI 1.40 to 3.44) exhibited the greatest level of association, whereas population density was not associated. Overall, 86% of COVID-19 hospitalised cases occurred within the 45% most deprived areas.
Studying a broad range of socioeconomic indicators using census data and hospitalisation data as a readily available and large resource can provide real-time indirect information on populations with a high incidence of COVID-19.
Studying a broad range of socioeconomic indicators using census data and hospitalisation data as a readily available and large resource can provide real-time indirect information on populations with a high incidence of COVID-19.
In 1948, Japan started a short-term publicity and enforcement campaign for traffic safety nationwide, and since 1952, the campaign has been conducted twice a year for 10 days. We aimed to quantify the short-term effect of the spring sessions of the campaign, which were conducted in different months in different years, on road fatalities in Japan using data from 1949 to 2019.
We obtained national police data on the monthly number of road deaths and conducted a time series regression analysis with three steps smoothing the long-term patterns with the natural cubic spline function, calculating the ratio of the monthly number of deaths to the corresponding smoothed value, and regressing the ratio on the number of months from January 1949 and the binary variable for the conduct of spring sessions. We repeated the analysis for four subperiods (1949-1964, 1965-1989, 1990-2004 and 2005-2019).
During the study period, there were 632577 road deaths. Our analysis revealed that the spring sessions changed the number of deaths per day by -2.
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