A best practice position statement on the role of the nephrologist in the prevention and follow-up of preeclampsia: the Italian study group on kidney and pregnancy

2017 ◽  
Vol 30 (3) ◽  
pp. 307-317 ◽  
Author(s):  
Giorgina Barbara Piccoli ◽  
◽  
Gianfranca Cabiddu ◽  
Santina Castellino ◽  
Giuseppe Gernone ◽  
...  
2018 ◽  
Vol 16 (4) ◽  
pp. 280-283 ◽  
Author(s):  
Daniele Farneti ◽  
Antonio Schindler ◽  
Bruno Fattori ◽  
Giovanni Ruoppolo ◽  
Marilia Simonelli ◽  
...  

2017 ◽  
Vol 30 (4) ◽  
pp. 619-619
Author(s):  
Gianfranca Cabiddu ◽  
Santina Castellino ◽  
Giuseppe Gernone ◽  
Domenico Santoro ◽  
Gabriella Moroni ◽  
...  

2016 ◽  
Vol 29 (3) ◽  
pp. 277-303 ◽  
Author(s):  
Gianfranca Cabiddu ◽  
Santina Castellino ◽  
Giuseppe Gernone ◽  
Domenico Santoro ◽  
Gabriella Moroni ◽  
...  

2014 ◽  
Vol 1 (1) ◽  
pp. 7
Author(s):  
Bo Redder Mussmann ◽  
Mette Ramsdal Paulsen

Introduction Child abuse imaging differs from general musculoskeletal imaging in that there is exceptional necessity for high quality images. The images are directly involved in legal processes and the child and the family faces major consequences if imaging is sub-optimal. The consequences of misdiagnosis are serious. Should head trauma or fractures be overlooked, or if the radiological diagnosis is uncertain, abused children may be sent home with violent parents or caregivers. Conversely, where no abuse has taken place, but the certainty of the diagnosis is questionable, the unnecessary hospitalization of an innocent family may result. In Southern Denmark approximately 15-20 children per year are examined. The examinations are performed in four different radiology departments throughout the region. Until the autumn of 2012, a variety of imaging protocols and techniques were used in pediatric skeletal surveys. This led to difficulties, because some cases are subject to second opinion report. In many cases, supplemental images or a complete reexamination of the child was required in order to facilitate a second opinion, resulting in unnecessary exposure. Methods An initial consensus meeting with 20 participants was arranged in 2012. Pediatric radiologists, managers and radiographers with special competencies in pediatric radiology attended. Research evidence, cases and clinical experience was discussed. A follow-up meeting was arranged in 2013 with similar participants. This second meeting focused mainly on follow-up skeletal surveys in children <2 years of age Results The first meeting resulted in the agreement on which projections to acquire, image quality criteria, how to cooperate with the parents, radiologic evaluation criteria and the role of the radiographer in imaging the abused child. The second meeting resulted in consensus on the necessary projections required for follow-up skeletal surveys. Conclusion Common protocols for child abuse imaging have been established and fully implemented in the Region of Southern Denmark. Annual meetings have also been established where legal aspects, best practice and best evidence in imaging and cooperation with pediatric departments is discussed.


2019 ◽  
Vol 4 ◽  
pp. 22 ◽  
Author(s):  
Caroline F. Wright ◽  
James S. Ware ◽  
Anneke M. Lucassen ◽  
Alison Hall ◽  
Anna Middleton ◽  
...  

Sharing de-identified genetic variant data via custom-built online repositories is essential for the practice of genomic medicine and is demonstrably beneficial to patients. Robust genetic diagnoses that inform medical management cannot be made accurately without reference to genetic test results from other patients, population controls and correlation with clinical context and family history. Errors in this process can result in delayed, missed or erroneous diagnoses, leading to inappropriate or missed medical interventions for the patient and their family. The benefits of sharing individual genetic variants, and the harms of not sharing them, are numerous and well-established. Databases and mechanisms already exist to facilitate deposition and sharing of de-identified genetic variants, but clarity and transparency around best practice is needed to encourage widespread use, prevent inconsistencies between different communities, maximise individual privacy and ensure public trust. We therefore recommend that widespread sharing of a small number of genetic variants per individual, associated with limited clinical information, should become standard practice in genomic medicine. Information confirming or refuting the role of genetic variants in specific conditions is fundamental scientific knowledge from which everyone has a right to benefit, and therefore should not require consent to share. For additional case-level detail about individual patients or more extensive genomic information, which is often essential for individual clinical interpretation, it may be more appropriate to use a controlled-access model for such data sharing, with the ultimate aim of making as much information available as possible with appropriate governance.


2019 ◽  
Vol 40 (03) ◽  
pp. 214-219
Author(s):  
Dave Fabry

AbstractIn many practices, the role of professional service in the hearing aid delivery process has been obfuscated by the use of bundled pricing models. Emerging direct-to-consumer and third-party administrator hearing aid distribution channels will further challenge practitioners to examine how, and if, they choose to participate with new strategies to increase hearing aid adoption rates. This article focuses on providing a straightforward method for calculating revenue per clinical hour required to maintain quality, professionally driven, and profitable care in the hearing aid diagnostic, selection, fitting, and follow-up process. Furthermore, by measuring the value of clinical service, it uncouples the professional from the technology, and provides a tool for assessing how they can improve clinical efficiencies without compromising best practice or clinical outcomes.


2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Chris Kalinka ◽  
Jeanette Dickson ◽  
Richard Evans ◽  
Edward Morris ◽  
Pamela Parker ◽  
...  

AbstractThis letter to the editor is in response to the consensus statement from the Ultrasound Subcommittee of the European Society of Radiology, the European Union of Medical Specialists (UEMS) Section of Radiology, and the European Federation of Societies for Ultrasound in Medicine and Biology. It highlights the role of the non-medical sonographer in the UK and the evidence underpinning this safe and effective practice.


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