scholarly journals Best Practice Guideline – DEGUM Recommendations on Breast Ultrasound – Part I – Examination technique, DEGUM ultrasound criteria, and documentation

2021 ◽  
Author(s):  
Werner Bader ◽  
Claudia Maria Vogel-Minea ◽  
Jens-Uwe Blohmer ◽  
Volker Duda ◽  
Christian Eichler ◽  
...  
Keyword(s):  
Practice Guideline ◽  
Working Group ◽  
Best Practice ◽  
Interdisciplinary Communication ◽  
German Society ◽  
Breast Ultrasound ◽  
Practice Recommendations ◽  
Expert Working Group ◽  
A Current

AbstractFor many years, breast ultrasound has been used in addition to mammography as an important method for clarifying breast findings. However, differences in the interpretation of findings continue to be problematic 1 2. These differences decrease the diagnostic accuracy of ultrasound after detection of a finding and complicate interdisciplinary communication and the comparison of scientific studies 3. In 1999, the American College of Radiology (ACR) created a working group (International Expert Working Group) that developed a classification system for ultrasound examinations based on the established BI-RADS classification of mammographic findings under consideration of literature data 4. Due to differences in content, the German Society for Ultrasound in Medicine (DEGUM) published its own BI-RADS-analogue criteria catalog in 2006 3. In addition to the persistence of differences in content, there is also an issue with formal licensing with the current 5th edition of the ACR BI-RADS catalog, even though the content is recognized by the DEGUM as another system for describing and documenting findings. The goal of the Best Practice Guideline of the Breast Ultrasound Working Group of the DEGUM is to provide colleagues specialized in senology with a current catalog of ultrasound criteria and assessment categories as well as best practice recommendations for the various ultrasound modalities.

scholarly journals Development of a Best Practice Statement on the Use of Ankle-Foot Orthoses Following Stroke in Scotland

2010 ◽  
Vol 34 (3) ◽  
pp. 245-253 ◽  
Author(s):  
Roy Bowers ◽  
Karyn Ross
Keyword(s):  
Health Service ◽  
Working Group ◽  
Best Practice ◽  
Foot Orthoses ◽  
Ankle Foot Orthoses ◽  
Expert Working Group ◽  
Health Service Quality ◽  
The Impact ◽  
Successes And Challenges

A National Health Service Quality Improvement Scotland (NHS QIS) scoping exercise in 2007 identified the use of ankle-foot orthoses (AFOs) following stroke as a clinical improvement priority, leading to the development of a best practice statement (BPS) on AFO use after stroke. This paper outlines the development process of the BPS which is available from NHS QIS. The authors were involved as part of a working group that included practitioners from the fields of orthotics, physiotherapy, stroke nursing and bioengineering, staff of NHS QIS and a patient representative. In consultation with an NHS QIS health services researcher, the authors undertook a systematic literature review to evidence where possible the recommendations made in the BPS. Where evidence was unavailable, consensus was reached by the expert working group. As the BPS was designed for the non-specialist and non-orthotic practitioner the authors also developed educational resources which were included within the BPS to aid the understanding of the principles underpinning orthotic design and prescription. The BPS has been widely distributed throughout the health service in Scotland and is available electronically at no cost via the NHS QIS website. As part of an ongoing evaluation of the impact of the BPS on the quality of orthotic provision, NHS QIS has invited feedback regarding successes and challenges to implementation.

scholarly journals Pilot study for the registry of complications in rheumatic diseases from the German Society of Surgery (DGORh): evaluation of methods and data from the first 1000 patients

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e015987 ◽  
Author(s):  
Tanja Kostuj ◽  
Stefan Rehart ◽  
Ronald Matta-Hurtado ◽  
Christoph Biehl ◽  
Roland E Willburger ◽  
...  
Keyword(s):  
Pilot Study ◽  
Rheumatic Diseases ◽  
Best Practice ◽  
German Society ◽  
National Registry ◽  
Practice Recommendations ◽  
Different Types ◽  
Relevant Variables ◽  
Surgical Treatments ◽  
Descriptive Statistical Analysis

ObjectiveMost patients suffering with rheumatic diseases who undergo surgical treatment are receiving immune-modulating therapy. To determine whether these medications affect their outcomes a national registry was established in Germany by the German Society of Surgery (DGORh). Data from the first 1000 patients were used in a pilot study to identify relevant corisk factors and to determine whether such a registry is suitable for developing accurate and relevant recommendations.Design and participantsData were collected from patients undergoing surgical treatments with their written consent. A second consent form was used, if complications occurred. During this pilot study, in order to obtain a quicker overview, risk factors were considered only in patients with complications. Only descriptive statistical analysis was employed in this pilot study due to limited number of observed complications and inhomogeneous data regarding the surgery and the medications the patients received. Analytical statistics will be performed to confirm the results in a future outcome study.ResultsComplications occurred in 26 patients and were distributed equally among the different types of surgeries. Twenty one of these patients were receiving immune-modulating therapy at the time, while five were not. Infections were observed in 2.3% of patients receiving and in 5.1% not receiving immunosuppression.ConclusionsDue to the low number of cases, inhomogeneity in the diseases and the treatments received by the patients in this pilot study, it is not possible to develop standardised best-practice recommendations to optimise their care. Based on this observation we conclude that in order to be suitable to develop accurate and relevant recommendations a national registry must include the most important and relevant variables that impact the care and outcomes of these patients.

Best Practice Options for Hair Removal in Patients with Unwanted Facial Hair Using Combination Therapy with Laser: Guidelines Drawn up by an Expert Working Group

Dermatology ◽  
2010 ◽  
Vol 221 (1) ◽  
pp. 34-42 ◽  
Author(s):  
M. Lapidoth ◽  
C. Dierickx ◽  
S. Lanigan ◽  
U. Paasch ◽  
A. Campo-Voegeli ◽  
...  
Keyword(s):  
Combination Therapy ◽  
Working Group ◽  
Best Practice ◽  
Hair Removal ◽  
Facial Hair ◽  
Expert Working Group

Rules for the Rulemakers

2019 ◽  
Author(s):  
Jeffrey Beck
Keyword(s):  
Working Group ◽  
Best Practice ◽  
Guidance Document ◽  
Practice Recommendations ◽  
The Way

Maximal flexibility of rules, or ease of reuse — choose one. The tighter the rules, the more consistent documents will be and the easier it will be to reuse them, but only if the rules are reasonable enough to be adopted. (If all the data creators ignore the rules, reuse doesn’t get easier.) JATS4R (JATS for Reuse) is a NISO working group devoted to optimizing the reusability of scholarly content by developing best-practice recommendations for tagging content in JATS XML. The group has devoted particular attention to the flexibility/reuse tradeoff for rules on attribute use and controlled values, and we eventually decided that we needed some rules for ourselves, on how to write rules for attributes in our recommendations. In the process of developing our guidance document for writing rules for attribute values in our recommendations, we learned (or at least articulated) some things along the way.

Myocardial perfusion scintigraphy in Germany

2007 ◽  
Vol 46 (02) ◽  
pp. 49-55 ◽  
Author(s):  
W. Burchert ◽  
F. M. Bengel ◽  
R. Zimmermann ◽  
J. vom Dahl ◽  
W. Schäfer ◽  
...  
Keyword(s):  
Nuclear Medicine ◽  
Myocardial Perfusion ◽  
Attenuation Correction ◽  
Working Group ◽  
Primary Care Physicians ◽  
Gated Spect ◽  
Myocardial Perfusion Scintigraphy ◽  
German Society ◽  
University Hospitals ◽  
Perfusion Scintigraphy

SummaryThe working group Cardiovascular Nuclear Medicine of the German Society of Nuclear Medicine (DGN), in cooperation with the working group Nuclear Cardiology of the German Cardiac Society (DGK), decided to conduct a national survey on myocardial perfusion scintigraphy (MPS). Method: A questionnaire to evaluate MPS for the year 2005 was sent. Results: 346 completed questionnaires had been returned (213 private practices, 99 hospitals and 33 university hospitals). MPS of 112 707 patients were reported with 110 747 stress and 95 878 rest studies. The majority (>75%) was performed with 99mTc-MIBI or tetrofosmin. 201Tl stress-redistribution was used in 22 637 patients (20%). The types of stress were exercise in 78%, vasodilation with adenosine or dipyridamol in 21% and dobutamine in 1%. 99.97% of all MPS were SPECT studies. Gated SPECT was performed in 36% of the stress and in 32% of the rest studies. An attenuation correction was used in 21%. 29 institutions (8%) performed gated SPECT (stress and rest) and attenuation correction. 47% of all MPS were requested by ambulatory care cardiologists, 17% by internists, 12% by primary care physicians, 21% by hospital departments and 2% by others. Conclusion: In Germany, MPS is predominantly performed with 99mTc-perfusion agents. The common type of stress is ergometry. Gated SPECT and attenuation correction do not yet represent standards of MPS practice in Germany, which indicates some potential of optimization.

THE ISSUE OF CONTEXT AND SOCIOLOGICAL POETICS OF THE "BAKHTIN'S CIRCLE"

2020 ◽  
pp. 10-18
Author(s):  
Grigorii I. Nesmeyanov ◽  
Keyword(s):  
Discourse Analysis ◽  
Intellectual History ◽  
Literary Theory ◽  
Philosophical Hermeneutics ◽  
Research Fields ◽  
Interdisciplinary Field ◽  
Scientific Disciplines ◽  
Methodological Approaches ◽  
A Current

The article formulates main questions related to the concept of context. The issue of context is considered as a current-day interdisciplinary field of research. There are many definitions of context in dictionaries and in various humanities (including scientific disciplines). In connection with that issue various methodological approaches arise in the humanities, which can be designated by the umbrella term “contextual”. By the example of one of such approaches to the sociological poetics of the “Bakhtin’s circle”, the author substantiates the possibility of creating an interdisciplinary classification of contextual approaches. That classification may include scientific developments of different years and research fields, including: philosophical hermeneutics, a number of approaches to the Russian and foreign literary theory (M.M. Bakhtin, Yu.M. Lotman, B.M. Eichenbaum, F. Moretti, A. Compagnon, etc.), intellectual history, discourse analysis, etc.

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