scholarly journals Current status and potential perspectives in classical radiotherapy technology

2004 ◽  
Vol 57 (5-6) ◽  
pp. 241-248
Author(s):  
Kata Dabic-Stankovic ◽  
Jovan Stankovic ◽  
Ljiljana Radosevic-Jelic
Keyword(s):  
Radiation Therapy ◽  
Developed Countries ◽  
Current Status ◽  
Growing Up ◽  
Record System ◽  
Radiation Technology ◽  
The Usa ◽  
Ct And Mri

Introduction and potentials of classical radiotherapy After purchase of radiotherapy equipment in 2003, classic radiation therapy in Serbia will reach the highest world level. In order to define the highest standards in radiation technology, we analyzed the current status and potential perspectives of radiation therapy. Technological levels of radiotherapy in developed countries An analysis of present situation in the USA, assumed as the most developed in the world, was done. Available data, collected in the last 3 years (equipment assortment, therapy modalities, workload and manpower) for 284 radiotherapy centers, out of potential 2050, were analyzed. Results were presented as crude percentage and mached to point current status. Results of analysis and discussion The analysis showed that CLINAC accelerators are the most popular (82.7%), as well as, ADAC (43.7%) and Focus (CMS) (27.4%) systems for therapy planning. Movement towards virtual simulation is evident (59.3%), although classic ?simulation? is not fully eliminated from the radiotherapy chain. The most popular brachytherapy afterloader is Microselectron HDR (71%). About 64.4% centers use IMPAC communication/verification/record system that seems more open than Varis. All centers practice modern radiotherapy modalities and techniques (CFRT, IMRT, SRS/SRT, TBI, IORT, IVBHRT, HDR BHRT, etc.). CT and MRI availability is out of question, but PET is available in 3% of centers, however this percentage is rapidly growing. Up to 350 new patients per year are treated by one accelerator (about 35 pts. a day). Centers are relatively small and utilize 2-3 accelerators on average. Average FTE staffing norm is 4 radiation oncologists, 2-3 medical radiotherapy physicists, about 3 certified medical dosimetrists and about 6 radiotherapy technologists. Technological aspects and conclusion In the past 5 years relative stagnation in classic radiotherapy has been observed. In spite of substantial investments in technology and consequent improvements, as well as wide introduction of computers in radiotherapy, radiotherapy results have not changed significantly. Vendor development strategies do not point that this trend will change in the next 5 years. On the other hand, wide introduction of the PET in each radiotherapy chain ring (diagnostics, planning, follow-up), could improve results (local and regional control, as well as quality of patients' life).

scholarly journals Radiation therapy for hepatocellular carcinoma: current status and perspectives from our experience

2011 ◽  
pp. 257-264
Author(s):  
Wei Jiang ◽  
Zhao-chong Zeng
Keyword(s):  
Hepatocellular Carcinoma ◽  
Radiation Therapy ◽  
Wide Spectrum ◽  
Distant Metastases ◽  
Current Status ◽  
Radiation Technology ◽  
Tumor Thrombosis ◽  
Liver Cancers ◽  
Advanced Stages ◽  
Promising Treatment

Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide and is accompanied by a poor prognosis. We had reported that radiation therapy has great potential, in a wide spectrum of primary liver cancers, fromlocal advanced stage of the disease to the more advanced stages, with regional nodal metastases, tumor thrombosis, and for palliation of distant metastases. Following the initial observation that HCC is radiosensitive and with the development of radiation technology, radiotherapy has become a feasible and promising treatment modality for HCC, particularly for advanced forms of the disease. Here, we review the substantial amount of available data on radiotherapy for HCC, report on the current status of this application of radiotherapy, and propose future avenues of research.

With Fred Elizalde in England, 1928

2019 ◽  
pp. 177-204
Author(s):  
Ate van Delden
Keyword(s):  
The Philippines ◽  
Growing Up ◽  
Dance Music ◽  
Short Trip ◽  
British Music ◽  
The Usa ◽  
Jazz Band

From Basque descent and growing up in the Philippines, Fred Elizalde was an advanced composer and orchestra leader. He had worked in the USA and was familiar with the quality of its dance music and jazz, which he wanted to bring to London and then develop further. He managed to get a contract with the Savoy Hotel, London's top hotel, and in order to fulfil his ambition he hired Americans including Rollini and Bobby Davis. Rollini was featured on most of Elizalde's records, both with the full orchestra and with a jazz band, sometimes using American arrangements. The public's reaction was generally positive, but the band's broadcasts were not always well received. Elizalde defendedhis approach to his management and with initial success. During a short trip home Rollini marries Dixie. His popularity among British music lovers grows further and Melody Maker, a major magazine, asks him to write articles about his music.

scholarly journals Radiation therapy for hepatocellular carcinoma: current status and perspectives from our experience

2011 ◽  
Vol 3 (4) ◽  
pp. 257
Author(s):  
Wei Jiang ◽  
Zhao-chong Zeng
Keyword(s):  
Hepatocellular Carcinoma ◽  
Radiation Therapy ◽  
Wide Spectrum ◽  
Distant Metastases ◽  
Current Status ◽  
Radiation Technology ◽  
Tumor Thrombosis ◽  
Liver Cancers ◽  
Advanced Stages ◽  
Promising Treatment

Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide and is accompanied by a poor prognosis. We had reported that radiation therapy has great potential, in a wide spectrum of primary liver cancers, fromlocal advanced stage of the disease to the more advanced stages, with regional nodal metastases, tumor thrombosis, and for palliation of distant metastases. Following the initial observation that HCC is radiosensitive and with the development of radiation technology, radiotherapy has become a feasible and promising treatment modality for HCC, particularly for advanced forms of the disease. Here, we review the substantial amount of available data on radiotherapy for HCC, report on the current status of this application of radiotherapy, and propose future avenues of research.

scholarly journals The opioid epidemic: helping rheumatologists prevent a crisis

RMD Open ◽  
2019 ◽  
Vol 5 (2) ◽  
pp. e001029 ◽  
Author(s):  
Anne-Priscille Trouvin ◽  
Francis Berenbaum ◽  
Serge Perrot
Keyword(s):  
Developed Countries ◽  
European Federation ◽  
French Society ◽  
Risk Of Death ◽  
Number Of Patients ◽  
Opioid Intoxication ◽  
The Usa ◽  
American Society ◽  
Strong Opioids

An endemic increase in the number of deaths attributable to prescribed opioids is found in all developed countries. In 2016 in the USA, more than 46 people died each day from overdoses involving prescription opioids. European data show that the number of patients receiving strong opioids is increasing. In addition, there is an upsurge in hospitalisations for opioid intoxication, opioid abuse and deaths in some European countries. This class of analgesic is increasingly used in many rheumatological pathologies. Cohort studies, in various chronic non-cancer pain (CNCP) (osteoarthritis, chronic low back pain, rheumatoid arthritis, etc), show that between 2% and 8% of patients are treated with strong opioids. In order to help rheumatologists prescribe strong opioids under optimal conditions and to prevent the risk of death, abuse and misuse, recommendations have recently been published (in France in 2016, the recommendations of the French Society of Study and Treatment of Pain, in 2017, the European recommendations of the European Federation of IASP Chapters and the American Society of International Pain Physicians). They agree on the same general principles: opioids may be of interest in situations of CNCP, but their prescription must follow essential rules. It is necessary to make an accurate assessment of the pain and its origin, to formulate therapeutic objectives (pain, function and/or quality of life), to evaluate beforehand the risk of abuse and to get a specialised opinion beyond a certain dose or duration of prescription.

The quality of care in outpatient primary care in public and private sectors in Malaysia

2019 ◽  
Author(s):  
May Chien Chin ◽  
Sheamini Sivasampu ◽  
Nilmini Wijemunige ◽  
Ravindra P Rannan-Eliya ◽  
Rifat Atun
Keyword(s):  
Primary Care ◽  
Public Sector ◽  
Private Sector ◽  
Clinical Care ◽  
Developed Countries ◽  
Prescribing Practices ◽  
Public And Private ◽  
The Public ◽  
The Usa

Abstract In Malaysia, first-contact, primary care is provided by parallel public and private sectors, which are completely separate in organization, financing and governance. As the country considers new approaches to financing, including using public schemes to pay for private care, it is crucial to examine the quality of clinical care in the two sectors to make informed decisions on public policy. This study intends to measure and compare the quality of clinical care between public and private primary care services in Malaysia and, to the extent possible, assess quality with the developed economies that Malaysia aspires to join. We carried out a retrospective analysis of the National Medical Care Survey 2014, a nationally representative survey of doctor–patient encounters in Malaysia. We assessed clinical quality for 27 587 patient encounters using data on 66 internationally validated quality indicators. Aggregate scores were constructed, and comparisons made between the public and private sectors. Overall, patients received the recommended care just over half the time (56.5%). The public sector performed better than the private sector, especially in the treatment of acute conditions, chronic conditions and in prescribing practices. Both sectors performed poorly in the indicators that are most resource intensive, suggesting that resource constraints limit overall quality. A comparison with 2003 data from the USA, suggests that performance in Malaysia was similar to that a decade earlier in the USA for common indicators. The public sector showed better performance in clinical care than the private sector, contrary to common perceptions in Malaysia and despite providing worse consumer quality. The overall quality of outpatient clinical care in Malaysia appears comparable to other developed countries, yet there are gaps in quality, such as in the management of hypertension, which should be tackled to improve overall health outcomes.

Effect of country image and materialism on the quality evaluation of Korean products

2019 ◽  
Vol 32 (2) ◽  
pp. 386-405 ◽  
Author(s):  
Byoungho Ellie Jin ◽  
Naeun Lauren Kim ◽  
Heesoon Yang ◽  
Minji Jung
Keyword(s):  
Product Quality ◽  
Online Survey ◽  
Quality Evaluation ◽  
Developed Countries ◽  
Country Image ◽  
Content Type ◽  
The Usa ◽  
Managerial Implications ◽  
The Impact

Purpose It is critical to understand how global consumers evaluate the quality of Asian products while marketing Asian products in the global marketplaces. The purpose of this paper is to examine the impact of Korea’s macro and micro country image and global consumers’ materialism level on the quality evaluation of Korean cosmetics among consumers in four countries. Design/methodology/approach Data from 900 participants were collected from consumers aged 20 or older living in economically developed countries (the USA and France) and economically developing countries (China and Vietnam) via professional online survey firms. Multiple regression analyses were used to analyze the data. Findings Along with the direct effect of macro and micro country image and materialism on product quality evaluation, a moderating effect of materialism and the respective country was discovered. Subsequently, the effect of macro country image on quality evaluation was found to be only significant in the USA and France and not in China and Vietnam. In contrast, the impact of micro country image was robust across all four countries. Furthermore, the effect of materialism on product quality was significant only in Vietnam. This implies that materialistic consumers in emerging markets might have favorable perceptions regarding the quality of Korean cosmetics. Originality/value This study advances country image research by providing new theoretical and managerial implications for countries whose image is less distinctive with respect to the effective marketing of products by the destination countries’ development status and consumers’ familiarity.

Staffing and Funding of Consultationliaison Psychiatry Services in Australia and New Zealand

1994 ◽  
Vol 28 (3) ◽  
pp. 398-404 ◽  
Author(s):  
Graeme C. Smith ◽  
Peter M. Ellis ◽  
Vaughan J. Carr ◽  
Warwick K. Ashley ◽  
Helen M. Chesterman ◽  
...  
Keyword(s):  
New Zealand ◽  
Clinical Activity ◽  
Psychiatry Training ◽  
Training Experience ◽  
General Hospitals ◽  
Referral Rates ◽  
Staffing Levels ◽  
The Usa

The aim of the study was to establish the current and desired levels of staffing and funding of the 52 consultation-liaison (C-L) psychiatry training units in Australian and New Zealand general hospitals. Administration of a questionnaire and follow-up verification provided data on referral rates, existing and preferred staffing levels, and staff workloads. The referral rates and staffing levels in most cases fall below those quoted for Europe and the USA, and those considered optimal by the respondents. This, together with the large variation in referral rates and workload, has implications for the type of clinical activity conducted and quality of the training experience in different units.

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