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- Thalmann, R., et al.
(författare)
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Key comparison EURAMET.L-K8.2013 calibration of surface roughness standards
- 2016
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Ingår i: Metrologia. - 0026-1394 .- 1681-7575. ; 53:1A
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Tidskriftsartikel (refereegranskat)abstract
- The key comparison EURAMET.L-K8.2013 on roughness was carried out in the framework of a EURAMET project starting in 2013 and ending in 2015. It involved the participation of 17 National Metrology Institutes from Europe, Asia, South America and Africa representing four regional metrology organisations. Five surface texture standards of different type were circulated and on each of the standards several roughness parameters according to the standard ISO 4287 had to be determined. 32 out of 395 individual results were not consistent with the reference value. After some corrective actions the number of inconsistent results could be reduced to 20, which correspond to about 5% of the total and can statistically be expected. In addition to the material standards, two softgauges were circulated, which allow to test the software of the instruments used in the comparison. The comparison results help to support the calibraton and measurement capabilities (CMCs) of the laboratories involved in the CIPM MRA.
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- Johanson, Per, 1963, et al.
(författare)
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ST-segment analyses and residual thrombi in the infarct-related artery: a report from the ASSENT PLUS ST-monitoring substudy
- 2004
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Ingår i: Am Heart J. - 1097-6744. ; 147:5, s. 853-8
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Evolution of the ST segment during ST-elevation myocardial infarction (STEMI) has been shown to yield more information on prognosis than widely used invasive measurements. With continuous ST monitoring, even very occasional dynamic changes can be analyzed. We have recently suggested that ST variability during the reperfusion-phase is of prognostic importance. We wanted to further investigate this and relate it to angiographic findings. METHODS: A total of 177 patients with STEMI were examined in the ST-monitoring substudy of the ASessment of the Safety and Efficacy of a New Thrombolytic (ASSENT) PLUS trial, comparing dalteparin with heparin as adjunctive therapy to t-PA. Patients underwent 24 hours of ST monitoring. These recordings were blindly analyzed by 2 independent observers. A coronary angiogram was performed on days 4 to 7, also blindly evaluated by 2 persons. RESULTS: Occurrence of ST re-elevations during and after the reperfusion-phase was significantly associated with residual thrombi and TIMI-flow in the infarct-related artery. Patients without any ST re-elevations showed a thrombus in only 5% of cases, as compared with 86% of patients with prolonged (lasting >30 minutes) ST re-elevations. In a multivariate comparison including baseline-data and treatment, most information on persistence of thrombi was contributed by the presence of any ST re-elevations (odds ratio, 5.8; 95% CI, 1.3-26). CONCLUSION: ST re-elevations during the first day of an acute myocardial infarction are associated with residual thrombi in the infarct-related artery even 4 to 7 days after the STEMI.
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- Tavakol, P, et al.
(författare)
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Effects of outsourcing magnetic resonance examinations from a public university hospital to a private agent
- 2011
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Ingår i: Acta radiologica (Stockholm, Sweden : 1987). - : SAGE Publications. - 1600-0455 .- 0284-1851. ; 52:1, s. 81-85
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Tidskriftsartikel (refereegranskat)abstract
- Sometimes the measures taken to make a radiology department more effective, such as prioritizing the workload and keeping equipment running for as many hours as staffing permits, are not enough. In such cases, outsourcing radiological examinations is a potential solution for reducing waiting times. Purpose To investigate differences in waiting time, quality and costs between magnetic resonance (MR) examinations performed in a university hospital and examinations outsourced to private service. Material and Methods We retrospectively selected a group of consecutive, outsourced MR examinations ( n = 97) and a control group of in-house MR examinations, matched for type of examination. In each group there were referrals that had a specified preferred timeframe for completion. We measured the percentage of cases in which this timeframe was met and if it was not met, how many days exceeded the preferred time. In referrals without a specified preferred timeframe, we also calculated the waiting time. Quality standards were measured by the percentage of examinations that had to be re-done and re-assessed. Finally, we calculated the cumulative costs, taking into account the costs for re-doing and re-assessing examinations. Results There was no statistically significant difference between the groups, in either the number of examinations that were not performed within the preferred time or the number of days that exceeded the preferred timeframe. For referrals without a preferred timeframe, the waiting time was shorter for outsourced examinations than those not outsourced. There were no differences in the number of examinations that had to be re-done, but more examinations needed to be re-assessed in the outsourced group than in the in-house group. The calculated costs for outsourced examinations were lower than the costs for internally performed examinations. Conclusion Outsourcing magnetic resonance examinations may be an effective way of reducing a radiology department's workload. Ways in which to reduce the additional costs incurred for re-assessment of outsourced examinations must be investigated further.
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