Establishing a Benchmark Treatment Termination Rate in a Multicenter Radiation Medicine Department

Purpose – to summarize historical data on the formation and development of Radiology Department of O. O. Bogomolets National Medical University. Materials and methods. The paper deals with the analysis of pupblicly available literature sources and archival data concerming the history of Radiology Department, establishing scientific school of development of methodological approaches to teaching Radiology at the university. Results and discussion. Over the century of its existence, Radiology and Radiation Medicine Department of O. O. Bogomolets National Medical University along with the staff members, including different generations of teachers, scientists and physicians, have been focused to present key directions and priorities in diagnostic radiology, radiation therapy and radiation medicine in the educational process, research and clinical activities and make those be significantly in line with the trends of radiological research development in the world. Conclusions. The department is the basic one among the radiology departments of medical universities in Ukraine; it is in charge of teaching and learning activities as well as management of radiological service in the country. Domestic radiology and radiation medicine have always been distinguished by a combination of own glorious traditions in the development of diagnostic radiology issues and therapy striving to follow in the footsteps of world scientific, clinical and diagnostic thought.

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WE-C-214-02: Six-Sigma Tools for a “No-Fly”Patient Safety Oriented, Quality-Checklist Driven, Paperless Multi-Center Radiation Medicine Department

Medical Physics ◽

10.1118/1.3613333 ◽

2011 ◽

Vol 38 (6Part32) ◽

pp. 3807-3807

Author(s):

A Kapur ◽

L Potters ◽

L Brewster Mallalieu

Keyword(s):

Patient Safety ◽

Six Sigma ◽

Medicine Department ◽

Radiation Medicine ◽

Quality Checklist

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Six sigma tools for a patient safety-oriented, quality-checklist driven radiation medicine department

Practical Radiation Oncology ◽

10.1016/j.prro.2011.06.010 ◽

2012 ◽

Vol 2 (2) ◽

pp. 86-96 ◽

Cited By ~ 26

Author(s):

Ajay Kapur ◽

Louis Potters

Keyword(s):

Patient Safety ◽

Six Sigma ◽

Medicine Department ◽

Radiation Medicine ◽

Quality Checklist

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Clinical presentations and hemodynamic patterns in subclavian steal S. Cencetti, S. Bacalli, A. Montigiani, A. Caneschi, L. Colzi, A.M. Buccheri, A. Lagi. Stroke Unit, General Medicine Department, S.Maria Nuova Hospital. Firenze, Italy

European Journal of Ultrasound ◽

10.1016/s0929-8266(97)90054-9 ◽

1997 ◽

Vol 5 ◽

pp. 22

Keyword(s):

Stroke Unit ◽

General Medicine ◽

Medicine Department ◽

Subclavian Steal ◽

Clinical Presentations

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Presence and Persistence of Sleep-Related Symptoms and Suicidal Ideation in Psychiatric Inpatients

Crisis ◽

10.1027/0227-5910/a000279 ◽

2014 ◽

Vol 35 (6) ◽

pp. 398-405 ◽

Cited By ~ 17

Author(s):

Michael R. Nadorff ◽

Thomas E. Ellis ◽

Jon G. Allen ◽

E. Samuel Winer ◽

Steve Herrera

Keyword(s):

Risk Factor ◽

Suicidal Ideation ◽

Inpatient Treatment ◽

Improve Method ◽

Sleep Problems ◽

Psychiatric Inpatients ◽

Poor Sleep ◽

Treatment Termination ◽

Suicidal Patients ◽

The Relationship

Background: Although sleep is an important risk factor for suicidal behavior, research has yet to examine the association between sleep problems and suicidality across the course of inpatient treatment. This study examined the relationship among sleep-related symptoms and suicidal ideation across inpatient treatment. Aims: To examine whether poor sleep at admission longitudinally predicts less improvement in suicidal ideation over the course of treatment. Further, to examine whether suicidal ideation is reduced in patients whose sleep does not improve. Method: The study utilized the Beck Depression Inventory (BDI)-II, which contains items measuring depressive symptoms, sleep-related symptoms, and suicidal ideation. The study sample consisted of 1,529 adult psychiatric inpatients. Patients were assessed at admission, biweekly, and at treatment termination. Results: Admission fatigue, loss of energy, and change in sleep pattern were associated with higher levels of suicidal ideation at admission and discharge. Fatigue at admission predicted suicidal ideation at termination independent of admission depression and suicidal ideation. Individuals whose sleep did not improve over the course of treatment had significantly higher suicidal ideation scores at termination relative to those whose sleep symptoms improved, after controlling for sleep, depression, and suicidal ideation scores at admission. Conclusion: These findings suggest that persistence of sleep-related symptoms warrants clinical attention in the treatment of suicidal patients.

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KEJANG SEBAGAI MANIFESTASI NEUROLOGI DARI LEUKOSTASIS

Callosum Neurology ◽

10.29342/cnj.v3i3.69 ◽

2020 ◽

Vol 3 (3) ◽

pp. 127-131

Author(s):

Eric Hartono Tedyanto ◽

Ni Komang Sri Dewi Untari

Keyword(s):

Lymphoblastic Leukemia ◽

Clinical Manifestations ◽

Emergency Situation ◽

Early Mortality ◽

Brain Cells ◽

Trigger Factors ◽

Medicine Department ◽

Adult Age ◽

Patient Morbidity ◽

Laboratory Results

ABSTRAK Latar Belakang: Secara klinis, leukostasis didiagnosa pada pasien leukemia dengan hasil laboratorium hiperleukositosis (>100.000 u/L) disertai manifestasi respiratorik, neurologis, atau renal. Insidensi hiperleukositosis pada Leukemia Limfoblastik Akut (LLA) usia dewasa 10-30%, jarang pada wanita, dan jarang menyebabkan leukostasis. Laporan Kasus: Seorang wanita berusia 20 tahun dikonsulkan dari bagian penyakit dalam dengan kejang umum tonik-klonik. Hasil laboratorium menunjukkan leukosit 134.500 u/L, hasil EKG menunjukkan iskemik miokardium. Diskusi: Leukostasis jarang terjadi pada pasien leukemia. Leukostasis menyebabkan aliran oksigen dalam darah menuju sel menjadi inadekuat, termasuk salah satunya aliran darah yang menuju sel otak. Hipoksia jaringan otak merupakan salah satu faktor pemicu terjadinya kejang. Kesimpulan: Leukostasis merupakan suatu keadaan emergensi yang dapat meningkatkan morbiditas dan mortalitas pasien. Tujuan tatalaksana penyakit adalah mengurangi mortalitas dini, termasuk tatalaksana kejang, yang merupakan salah satu menifestasi klinis leukostasis. Kata kunci: kejang, leukostasis, leukemia. ABSTRACT Background: Clinically, leukostasis is diagnosed in patients with leukemia with laboratory results of hyperleukocytosis (> 100,000 u / L) followed by respiratory, neurological, or renal manifestations. The incidence of hyperleukocytosis in Acute Lymphoblastic Leukemia (LLA) is 10-30% of adult age, rare in women, and rarely causes leukostasis. Case Report: A 20th-years-old woman was consulted from an Internal Medicine Department with a tonic-clonic general seizure. Laboratory results showed that leukocytes were 134,500 U / L and ECG results showed an ischemic myocardium. Discussion: Leukostasis rarely occurs in leukemic patients. Leukostasis causes the flow of oxygen in the blood to the cells to be inadequate, including the blood flow to brain cells. Brain tissue hypoxia is one of the trigger factors for seizures. Conclussion: Leukostasis is an emergency situation that can increase patient morbidity and mortality. The aim of disease management is to reduce early mortality, including management of seizures, which is one of the clinical manifestations of leukostasis. Keywords: seizure, leukostasis, leukemia.

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