Number of internal review cases initiated per 1 000 active PIT and CIT taxpayers, 2019

2021 ◽  
Keyword(s):  
Internal Review

Is Vascularized Composite Allograft Transplantation Experimental or an Accepted Surgical Procedure: Results from a National Survey

2020 ◽  
Vol 36 (04) ◽  
pp. 276-280
Author(s):  
Salih Colakoglu ◽  
Seth Tebockhorst ◽  
David Woodbridge Mathes
Keyword(s):  
Clinical Investigation ◽  
The United States ◽  
Representative Sampling ◽  
Electronic Survey ◽  
Internal Review ◽  
Vascularized Composite Allograft ◽  
American Society ◽  
Question Survey ◽  
Internal Review Board

Abstract Background More than 85 patients have received over 100 hand/arm transplants and more than 35 patients have received full or partial face transplants at institutions around the world. Given over two decades of experience in the field and in the light of successful outcomes with up to 17 years follow up time, should we still consider vascularized composite allograft (VCA) as a research/clinical investigation? We present the results of a nationwide electronic survey whose intent was to gather institutional bias with regard to this question. Methods An 11 question survey that was developed by VCA advisory committee of American Society of Transplantation was sent to all identified Internal Review Board chairs or directors in the United States. Results We received a total of 54 responses (25.3%) to the survey. The majority (78%) of responses came from either the chairperson, director, or someone who is administratively responsible for an IRB. Conclusion Though certainly not an exhaustive investigation into each institution's preference, we present a representative sampling. The results of which favor VCA as an accepted clinical procedure given the appropriate setting. Further research is needed to fully ascertain practices at each individual institution.

scholarly journals Internal review as a means of maintaining quality education in a medical school

1977 ◽  
Vol 52 (6) ◽  
pp. 478-83 ◽  
Author(s):  
H G Levine ◽  
B R Brinkley ◽  
G T Bryan
Keyword(s):  
Medical School ◽  
Quality Education ◽  
Internal Review

scholarly journals The photoplethysmography dictionary: practical guidance on signal interpretation and clinical scenarios from TeleCheck-AF

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
R M J Van Der Velden ◽  
D V M Verhaert ◽  
A N L Hermans ◽  
M Gawalko ◽  
D Duncker ◽  
...  
Keyword(s):  
Heart Rate ◽  
Clinical Scenario ◽  
On Demand ◽  
Practical Guide ◽  
Funding Sources ◽  
Internal Review ◽  
Clinical Scenarios ◽  
Number Of Patients

Abstract Introduction During the coronavirus disease 2019 (COVID-19) pandemic, numerous centres in Europe used on-demand photoplethysmography (PPG) technology to remotely assess heart rate and rhythm in conjunction with teleconsultations within the TeleCheck-AF project. Purpose To develop an educational structured stepwise practical guide on how to interpret PPG signals and to study typical clinical scenarios how on-demand PPG was used in the TeleCheck-AF project. Methods During an online conference, the structured stepwise practical guide on how to interpret PPG signals was discussed and further refined during an internal review process. We provide the number of respective PPG recordings and number of patients managed within a clinical scenario during the TeleCheck-AF project. Results To interpret PPG recordings, we introduce a structured stepwise practical guide and provide representative PPG recordings. In the TeleCheck-AF project, 2522 subjects collected 90.616 recordings. The majority of these recordings was classified by the PPG algorithm as sinus rhythm (57.6%), followed by atrial fibrillation (AF) (23.6%). In 9.7% of recordings the quality was too low to interpret. Other observed rhythms were tachycardia (1.4%), extra systoles (4.7%), bigeminy episodes (1.8%), trigeminy episodes (0.6%) and atrial flutter (0.2%). The most frequent clinical scenario where PPG technology was used in the TeleCheck-AF project was follow-up after AF ablation (1110 patients) followed by heart rate and rhythm assessment around (tele)consultation (966 patients), sometimes including remote PPG-guided adaption of rate or rhythm control. 275 patients were followed around cardioversion, either (semi-)acute or elective. Other possible scenarios are assessment of palpitations, assessment of symptom-rhythm correlation and monitoring during up-titration of heart failure medication. Conclusion We introduce a newly developed structured stepwise practical guide on PPG signal interpretation developed based on presented experiences from TeleCheck-AF. The present clinical scenarios for the use of on-demand PPG technology derived from the TeleCheck-AF project will help to implement PPG technology in the management of arrhythmia patients. FUNDunding Acknowledgement Type of funding sources: None. TeleCheck-AF clinical scenarios Classification of PPG recordings

scholarly journals The photoplethysmography dictionary: Practical guidance on signal interpretation and clinical scenarios from TeleCheck-AF

2021 ◽  
Author(s):  
Rachel M J van der Velden ◽  
Dominique V M Verhaert ◽  
Astrid N L Hermans ◽  
David Duncker ◽  
Martin Manninger ◽  
...  
Keyword(s):  
Heart Rate ◽  
Review Process ◽  
Clinical Scenario ◽  
On Demand ◽  
Practical Guide ◽  
Internal Review ◽  
Clinical Scenarios ◽  
Number Of Patients ◽  
Practical Guidance

Abstract Aim Within the TeleCheck-AF project, numerous centers in Europe used on-demand photoplethysmography (PPG) technology to remotely assess heart rate and rhythm in conjunction with teleconsultations. Based on the TeleCheck-AF investigator experiences, we aimed to develop an educational structured stepwise practical guide on how to interpret PPG signals and to introduce typical clinical scenarios how on-demand PPG was used. Methods During an online conference, the structured stepwise practical guide on how to interpret PPG signals was discussed and further refined during an internal review process. We provide the number of respective PPG recordings (FibriCheck®) and number of patients managed within a clinical scenario during the TeleCheck-AF project. Results To interpret PPG recordings, we introduce a structured stepwise practical guide and provide representative PPG recordings. In the TeleCheck-AF project, 2522 subjects collected 90616 recordings in total. The majority of these recordings was classified by the PPG algorithm as sinus rhythm (57.6%), followed by AF (23.6%). In 9.7% of recordings the quality was too low to interpret. The most frequently clinical scenarios where PPG technology was used in the TeleCheck-AF project was follow-up after AF ablation (1110 patients) followed by heart rate and rhythm assessment around (tele)consultation (966 patients). Conclusion We introduce a newly developed structured stepwise practical guide on PPG signal interpretation developed based on presented experiences from TeleCheck-AF. The present clinical scenarios for the use of on-demand PPG technology derived from the TeleCheck-AF project will help to implement PPG technology in the management of AF patients.

Internal review systems and administrative justice

2021 ◽  
Author(s):  
Tom Mullen
Keyword(s):  
Decision Making ◽  
Public Administration ◽  
Judicial Review ◽  
Cost Effective ◽  
Administrative Organization ◽  
Initial Decision ◽  
Internal Review ◽  
Administrative Justice

Internal review is a process whereby an administrative organization reconsiders its own decisions. The rationales typically offered for internal review are that it provides a means of challenging administrative decisions which is more accessible, quicker, and more cost-effective than external remedies such as appeals to tribunal and judicial review, and encourages improvement in the quality of initial decision-making in public administration. This chapter reviews the use made of internal review and evaluates the performance of several existing systems of internal review, concluding that they have failed to deliver the benefits claimed for them. Possible reasons for this failure are discussed and suggestions made as to what is required for internal review systems to achieve the aims to providing effective remedies for bad decisions and to contributing to improving initial decision-making.

A Sweeping Internal Review

The Last Card ◽  
2019 ◽  
pp. 130-152
Keyword(s):  
Review Process ◽  
Policy Recommendation ◽  
Deliberative Process ◽  
Review Group ◽  
Internal Review ◽  
New Strategy ◽  
The Status ◽  
High Level

This chapter details the review process mentioned in the previous chapter. It highlights a series of high-level interagency meetings as the members of the review group debated the status of US efforts in Iraq and began formally to consider alternatives. By Thanksgiving of 2006, the review group was wrapping up its work, albeit without a clear policy recommendation, and divergent reviews remained among Bush's advisors. In retrospect, some of the president's advisors now believe that Bush himself was already leaning toward increasing US forces in Iraq as part of a new strategy. At the time, however, many thought the president had not made up his mind and that the deliberative process had simply deadlocked.

Scientific Research Articles

2021 ◽  
pp. 195-219
Author(s):  
John Blake
Keyword(s):  
Community Of Practice ◽  
Scientific Research ◽  
Scientific Writing ◽  
Research Articles ◽  
Common Language ◽  
Systematic Analysis ◽  
Internal Review ◽  
Publication Success ◽  
Scientific Research Articles ◽  
Research Institute

Error-free scientific research articles are more likely to be accepted for publication than those permeated with errors. This chapter identifies, describes, and explains how to avoid 22 common language errors. Scientists need to master the genre of scientific writing to conform to the generic expectations of the community of practice. Based on a systematic analysis of the pedagogic literature, five categories of errors were identified in scientific research articles namely accuracy, brevity, clarity, objectivity, and formality. To gain a more in-depth understanding of the errors, a corpus investigation of scientific articles was conducted. A corpus of 200 draft research articles submitted for internal review at a research institute with university status was compiled, annotated, and analyzed. This investigation showed empirically the types of errors within these categories that may impinge on publication success. In total, 22 specific types of language errors were identified. These errors are explained, and ways for overcoming each of them are described.

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