Effective communication and collaboration among healthcare professionals are crucial for delivering high-quality patient care.Interdepartmental miscommunication poses a significant challenge to healthcare systems,pote...Effective communication and collaboration among healthcare professionals are crucial for delivering high-quality patient care.Interdepartmental miscommunication poses a significant challenge to healthcare systems,potentially undermining the quality of healthcare services provided.In the same manner,communication barriers between referring physicians and radiologists can specifically affect radiology services and patient outcomes.This article attempts to put the spotlight on the ever-present chronic challenges of this issue and prompt readers to recognize the relevant potential pitfalls in their daily clinical practice.Practical solutions are explored and proposed,which should be tailored to the specific needs and issues that each individual institution may face.展开更多
Background: Justification is the process of weighing the potential benefit of the exposure against potential detriment for that individual. Its role has been largely delegated to imaging professionals. Nevertheless, j...Background: Justification is the process of weighing the potential benefit of the exposure against potential detriment for that individual. Its role has been largely delegated to imaging professionals. Nevertheless, justification process involves referring physicians, radiographers and radiologists. Objective: To assess the knowledge of referring physicians regarding justification of irradiating examinations in medical imaging at the university-affiliated hospitals in Yaoundé Cameroon. Materials and Methods: A questionnaire (18 questions) based on the French guide for the proper use of medical imaging tests in relation to the justification of irradiating examinations, was self-administered to 151 referring physicians in Yaounde (Cameroon) between October 2012 and January 2013. The pre-tested questionnaire was completed in the presence of the investigator. A scoring system was then adopted with a total of 15 points from the level of knowledge on justification which could be classified as satisfactory or not. Results: Referring physicians were 75 (49.7%) GPs, 53 (35.1%) residents and 23 (15.2%) specialists. Knowledge on justification was unsatisfactory for 79.5% of referring physicians with no significant difference in terms of professional experience (p = 0.95) or specialty (p = 0.119). The concepts of “useful exam” and “justified exam” were not known by 113 (74.8%) and 95 (62.9%) practitioners. MRI was selected as irradiating by 62 (41.1%), SPECT and PET-scan as non-radiating examinations by 98 (64.9%) and 115 (76.1%) participants. The main reasons for repeating a giving radiology exam were: unsatisfactory interpretation, unknown of where it was performing and poor quality exam respectively for 23 (15.2%), 37 (24.5%) and 43 (28.5%) referring physicians. Justification was the responsibility of the referring physician alone for 57% of respondent. Only 11 clinicians knew the reference of “Justification-Optimization-Limitation” to radiation protection. Conclusion: The knowledge of physicians on radiating展开更多
"The Silk Road Economic Belt and the 21stCentury Maritime Silk Road"（referring to the One Belt and One Road）is a high-level and all-dimensional grand strategy,carrying the overall objective and the lofty m..."The Silk Road Economic Belt and the 21stCentury Maritime Silk Road"（referring to the One Belt and One Road）is a high-level and all-dimensional grand strategy,carrying the overall objective and the lofty mission of full-range opening-up,overall development,and national rejuvenation,the propelled process of which is also the process for China to go to the world.The One Belt and One Road is the strategic roadmap for China from a regional country to become a world major country under the new situation,with distinct Chinese characteristics of opening and inclusiveness,peaceful development and展开更多
The purpose of our Quality Improvement (QI) project was to evaluate the effectiveness of radiology-led didactics on efficiency and ordering practices in the emergency department. Residents of the emergency medicine (E...The purpose of our Quality Improvement (QI) project was to evaluate the effectiveness of radiology-led didactics on efficiency and ordering practices in the emergency department. Residents of the emergency medicine (EM) program at Downstate Medical Center/Kings County Hospital (postgraduate years 1 - 4) participated in a didactic lecture series during the first two months of the 2013 academic year. Two fifteen-minute lectures with a question and answer session were designed to focus on radiation risk, American College of Radiology (ACR) appropriateness criteria and the department of radiology’s policies. A short survey questionnaire that included questions on ACR appropriateness criteria, radiology experiences and opinions/attitudes regarding radiology was distributed and analyzed before and after the didactic series. The average score for the knowledge-based technical questions on ACR appropriateness criteria was 60.5% initially and 76.4% post-lecture with an overall improvement of 25%, which was statistically significant (p < 0.0001). Following a short didactic lecture series, EM residents showed significant improvement of their knowledge of appropriate image utilization on the post-lecture survey. This highlights the need for dedicated radiology-led lecture series for EM residents. This type of program could be implemented yearly and expanded to other departments to promote interdepartmental commuication, increases radiology awareness, improves ordering practices and encourages appropriate imaging utilization.展开更多
Based on a review of the theories on meaning in the field of philosophy, semantics and pragmatics, this paper suggests that language meaning, subject to constant change in real communication,is a concept different fro...Based on a review of the theories on meaning in the field of philosophy, semantics and pragmatics, this paper suggests that language meaning, subject to constant change in real communication,is a concept different from relatively static sense and reference which are mutual inter-dependent to each other. Sense and reference constitute the personal images of any given words.Three sources of meaning are elaborated: the dictionary sense, the personal images of any given words, and the dynamic context.A combination of traditional semantic meaning and dynamic pragmatic meaning analysis is suggested through examining the meaning derivation process in the cases of the use of referring expressions in definite, indefinite descriptions, and incomplete sentences.展开更多
Talking about and referring to others is a fundamentally human activity that relies on the meaningful use of referring expressions for interlocuters to be able to identify the specific individual( s) being spoken of. ...Talking about and referring to others is a fundamentally human activity that relies on the meaningful use of referring expressions for interlocuters to be able to identify the specific individual( s) being spoken of. With a primary focus on practices for referring to third parties,the broad aim of this paper is to show that whilst the selection of referring expression is based on complex,deeply social and cultural conventions,it is also a highly systematic and orderly activity. More specifically,this paper explores an interactional 'puzzle' contained in a single piece of data,in which a daughter — in conversation with her mother — refers to her father( her mother's ex-husband) in three different ways in quick succession. In doing so,we illustrate the potential interactional import of referring expressions for accomplishing social action beyond indexing an individual. In analysing this single case,one procedure for doing conversation analytic work is also illustrated. That is,in contrast to building and analysing collections,this paper draws on and applies what is already known from previous conversation analytic literature about practices for referring to persons. In analysing one fragment in which reference to a third party is made,we will review the fundamentals of the organisation of person reference in English.展开更多
similar acupuncture techniques, both ofwhich were well recorded in the 《YellowEmperor’s Internal Classic》, referring totreatment of disease of one (left or right)side of the body by puncturing points on theopposite...similar acupuncture techniques, both ofwhich were well recorded in the 《YellowEmperor’s Internal Classic》, referring totreatment of disease of one (left or right)side of the body by puncturing points on theopposite (right or left) side. The chapter" On the Official Puncturing" in the book《The Miraculous Pivot》said that Ju--cimeant needling acupoints on the right sidewhen the disease was on the left side of thebody, and vice versa. Therefore, it is a kindof intersection method for selection ofacupoints in treatment of diseases. It was al-so written in the chapter " On ContralateralPuncture" in 《Plain Questions》 that need-展开更多
When referring to job recruitment,the most pops as always belong to the fields with high-technology and difficulties,such as finance,IT, biological technology,environment and so on,so that those people with some myste...When referring to job recruitment,the most pops as always belong to the fields with high-technology and difficulties,such as finance,IT, biological technology,environment and so on,so that those people with some mysterious or complicated jobs,like actuary,investment analyst,ocean scholar,would gain more admirers and respect from the society.Whereas,as for some traditional occupations,the symbol of labor-intensive makes society ignore the creativity and talent of the designers,which is also needed to be recognized and admitted.展开更多
文摘Effective communication and collaboration among healthcare professionals are crucial for delivering high-quality patient care.Interdepartmental miscommunication poses a significant challenge to healthcare systems,potentially undermining the quality of healthcare services provided.In the same manner,communication barriers between referring physicians and radiologists can specifically affect radiology services and patient outcomes.This article attempts to put the spotlight on the ever-present chronic challenges of this issue and prompt readers to recognize the relevant potential pitfalls in their daily clinical practice.Practical solutions are explored and proposed,which should be tailored to the specific needs and issues that each individual institution may face.
文摘Background: Justification is the process of weighing the potential benefit of the exposure against potential detriment for that individual. Its role has been largely delegated to imaging professionals. Nevertheless, justification process involves referring physicians, radiographers and radiologists. Objective: To assess the knowledge of referring physicians regarding justification of irradiating examinations in medical imaging at the university-affiliated hospitals in Yaoundé Cameroon. Materials and Methods: A questionnaire (18 questions) based on the French guide for the proper use of medical imaging tests in relation to the justification of irradiating examinations, was self-administered to 151 referring physicians in Yaounde (Cameroon) between October 2012 and January 2013. The pre-tested questionnaire was completed in the presence of the investigator. A scoring system was then adopted with a total of 15 points from the level of knowledge on justification which could be classified as satisfactory or not. Results: Referring physicians were 75 (49.7%) GPs, 53 (35.1%) residents and 23 (15.2%) specialists. Knowledge on justification was unsatisfactory for 79.5% of referring physicians with no significant difference in terms of professional experience (p = 0.95) or specialty (p = 0.119). The concepts of “useful exam” and “justified exam” were not known by 113 (74.8%) and 95 (62.9%) practitioners. MRI was selected as irradiating by 62 (41.1%), SPECT and PET-scan as non-radiating examinations by 98 (64.9%) and 115 (76.1%) participants. The main reasons for repeating a giving radiology exam were: unsatisfactory interpretation, unknown of where it was performing and poor quality exam respectively for 23 (15.2%), 37 (24.5%) and 43 (28.5%) referring physicians. Justification was the responsibility of the referring physician alone for 57% of respondent. Only 11 clinicians knew the reference of “Justification-Optimization-Limitation” to radiation protection. Conclusion: The knowledge of physicians on radiating
文摘"The Silk Road Economic Belt and the 21stCentury Maritime Silk Road"（referring to the One Belt and One Road）is a high-level and all-dimensional grand strategy,carrying the overall objective and the lofty mission of full-range opening-up,overall development,and national rejuvenation,the propelled process of which is also the process for China to go to the world.The One Belt and One Road is the strategic roadmap for China from a regional country to become a world major country under the new situation,with distinct Chinese characteristics of opening and inclusiveness,peaceful development and
文摘The purpose of our Quality Improvement (QI) project was to evaluate the effectiveness of radiology-led didactics on efficiency and ordering practices in the emergency department. Residents of the emergency medicine (EM) program at Downstate Medical Center/Kings County Hospital (postgraduate years 1 - 4) participated in a didactic lecture series during the first two months of the 2013 academic year. Two fifteen-minute lectures with a question and answer session were designed to focus on radiation risk, American College of Radiology (ACR) appropriateness criteria and the department of radiology’s policies. A short survey questionnaire that included questions on ACR appropriateness criteria, radiology experiences and opinions/attitudes regarding radiology was distributed and analyzed before and after the didactic series. The average score for the knowledge-based technical questions on ACR appropriateness criteria was 60.5% initially and 76.4% post-lecture with an overall improvement of 25%, which was statistically significant (p < 0.0001). Following a short didactic lecture series, EM residents showed significant improvement of their knowledge of appropriate image utilization on the post-lecture survey. This highlights the need for dedicated radiology-led lecture series for EM residents. This type of program could be implemented yearly and expanded to other departments to promote interdepartmental commuication, increases radiology awareness, improves ordering practices and encourages appropriate imaging utilization.
文摘Based on a review of the theories on meaning in the field of philosophy, semantics and pragmatics, this paper suggests that language meaning, subject to constant change in real communication,is a concept different from relatively static sense and reference which are mutual inter-dependent to each other. Sense and reference constitute the personal images of any given words.Three sources of meaning are elaborated: the dictionary sense, the personal images of any given words, and the dynamic context.A combination of traditional semantic meaning and dynamic pragmatic meaning analysis is suggested through examining the meaning derivation process in the cases of the use of referring expressions in definite, indefinite descriptions, and incomplete sentences.
文摘Talking about and referring to others is a fundamentally human activity that relies on the meaningful use of referring expressions for interlocuters to be able to identify the specific individual( s) being spoken of. With a primary focus on practices for referring to third parties,the broad aim of this paper is to show that whilst the selection of referring expression is based on complex,deeply social and cultural conventions,it is also a highly systematic and orderly activity. More specifically,this paper explores an interactional 'puzzle' contained in a single piece of data,in which a daughter — in conversation with her mother — refers to her father( her mother's ex-husband) in three different ways in quick succession. In doing so,we illustrate the potential interactional import of referring expressions for accomplishing social action beyond indexing an individual. In analysing this single case,one procedure for doing conversation analytic work is also illustrated. That is,in contrast to building and analysing collections,this paper draws on and applies what is already known from previous conversation analytic literature about practices for referring to persons. In analysing one fragment in which reference to a third party is made,we will review the fundamentals of the organisation of person reference in English.
文摘similar acupuncture techniques, both ofwhich were well recorded in the 《YellowEmperor’s Internal Classic》, referring totreatment of disease of one (left or right)side of the body by puncturing points on theopposite (right or left) side. The chapter" On the Official Puncturing" in the book《The Miraculous Pivot》said that Ju--cimeant needling acupoints on the right sidewhen the disease was on the left side of thebody, and vice versa. Therefore, it is a kindof intersection method for selection ofacupoints in treatment of diseases. It was al-so written in the chapter " On ContralateralPuncture" in 《Plain Questions》 that need-
文摘When referring to job recruitment,the most pops as always belong to the fields with high-technology and difficulties,such as finance,IT, biological technology,environment and so on,so that those people with some mysterious or complicated jobs,like actuary,investment analyst,ocean scholar,would gain more admirers and respect from the society.Whereas,as for some traditional occupations,the symbol of labor-intensive makes society ignore the creativity and talent of the designers,which is also needed to be recognized and admitted.
