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NEPHROPATHOLOGY CONSULTATION VIA DIGITIZED IMAGES

ANNALS OF THE NEW YORK ACADEMY OF SCIENCES-SERIES 1992年第1期670卷 281-292页

作者： CRONENBERGER, JH HSIAO, H FALK, RJ JENNETTE, JC University of North Carolina at Chapel Hill School of Medicine Chapel Hill North Carolina 27599

Investigations into a digitized image communications system were prompted by a need to bring expert consultation to physicians in community practice. Pathologists desired the capability to concomitantly view, annotate, and discuss images with referring physicians at distant sites. Methods included evaluation of the human and procedural domain into which the system was to be integrated. The GDCN computer consultation system has the consultant nephropathologist first evaluate the processed biopsy slides, digitize representative images, transmit them with the diagnosis to referring nephrologist, and, finally, conduct an interactive consultation and review of the biopsy and case. Image resolution and compression variables must be set for each individual medical consulting application. For the GDCN, it was found that the 640 x 496 x unlimited color with compression ratios not exceeding 1:32 are acceptable. An obvious improvement of this computerized system over the noncomputerized review sessions is the ability to immediately share and discuss a new image that had not been previously sent. In the old noncomputerized consultation, only images that had been mailed could be discussed. The computerized sessions allow transmission (10 sec) of a new image that the consultation might demand. The computerized sessions also provide the ability to show the referring nephrologist an area of biopsy interest that the pathologist had not previously transmitted. Biopsy slides can be viewed during the consultation, an area digitized, and that image transmitted to the nephrologist during the consultation. Hardware and costs for the sending station were: [table: see text] This system far exceeds the requirements for this particular application; however, it is sufficient to support future, higher-technology computer applications. If necessary, this same system could be used with a less expensive computer, a less expensive camera, software compression, and a single monitor. These alteration

关键词：活组织检查计算机通信网络/经济学计算机通信网络/仪器和设备计算机通信网络/组织和管理图像处理计算机辅助/经济学图像处理计算机辅助/仪器和设备图像处理计算机辅助/方法肾疾病/病理学肾脏病学/组织和管理病理学临床/组织和管理转诊和会诊/组织和管理远程医学人类

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French gynecologic cytology

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CLINICS IN LABORATORY MEDICINE 1999年第4期19卷 877-+页

作者： Cochand-Priollet, B Vacker-Lavenu, MC Hop Lariboisiere Dept Pathol F-75010 Paris France

Diagnostic scheme may be developed on a national or global level, but may be varied depending on the local conditions. In this article, the differences between French and North American gynecologic cytology are discussed. This article emphasizes the training, diagnostic, technologic, and regulatory differences that exist in France. By studying such differences, local practices can learn potential benefits and why their currently used systems may be optimal.

关键词：法国生殖器疾病女(雌)性/病理学妇科学/经济学妇科学/组织和管理妇科学/标准病理学临床/经济学病理学临床/组织和管理病理学临床/标准阴道涂片/经济学阴道涂片/标准女(雌)性人类

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Collaborative care in the United Kingdom

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PRIMARY CARE 1999年第2期26卷 411-+页

作者： Jenkins, GC Counselling Primary Care Staines TW18 4DG England

It is estimated that in 1999, psychological counselors will work in over half of all general practices (primary care physician partnerships) in the United Kingdom. The history of the growth of counseling in general practice is, in many ways, typical of the British way of doing things. Ad hoc arrangements at a personal level, in which individual general practices let a counselor, of ten a social worker, colleague, or personal friend, see those patients who had a variety of problems the primary care physician felt unskilled to handle, characterized many of the early reports of General Practice Counseling.(2,3,26) From provisional data available from the first ever National Survey of general practice counselors,(29) it seems that most counselors are women (87%), with an average age of 48 years;all but a tiny handful have recognizable counselling or psychotherapy qualifications. Fifty percent usually possess a British Association for Counseling Recognized Certificate and Diploma, 25% possess additional counselling and psychotherapy qualifications, and 13% possess qualifications at a Masters level. The counselors surveyed come from many backgrounds, including social work, teaching, and nursing, and they work between 5 to 30 hours a week in general practice. As more research studies are published in the United Kingdom, their work, along with other members of the primary care teams (doctors, nurse practitioners, health visitors, psychotherapists, social workers, and others), is becoming increasingly valued by their fellow primary care team members, and by the patients they see who are referred to them by their primary care colleagues.(4,21,24)

关键词：合作行为咨询/组织和管理效率组织家庭医学/组织和管理大不列颠卫生保健费用/统计学和数值数据精神卫生服务/组织和管理初级卫生保健/组织和管理心理学临床/组织和管理人类

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MEDICAL AND CLINICAL-CHEMISTRY NETWORKS AND BULLETIN BOARDS IN ARGENTINA

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ANNALS OF THE NEW YORK ACADEMY OF SCIENCES 1992年第1期670卷 301-305页

作者： GALANTERNIK, AM MARCH, AD INST INVEST NEUROL RAUL CARREA BUENOS AIRES ARGENTINA

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Centers for education and research in therapeutics

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CLINICAL PHARMACOLOGY & THERAPEUTICS 2000年第2期68卷 109-110页

作者： Reidenberg, MM Cornell Univ Weill Med Coll Dept Pharmacol Div Clin Pharmacol New York NY 10021 USA

Clinical Pharmacology & Therapeutics (2000) 68 , 109–110; doi: 10.1067/mcp.2000.108505

关键词：科学院和研究所药物副反应报告系统信息服务药理学临床/教育药理学临床/组织和管理质量保证卫生保健/组织和管理研究人类

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Focus on: Discovery pathology

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TOXICOLOGIC PATHOLOGY 1999年第4期27卷 471-471页

作者： Cockerell, GL Burkhardt, JE Ryan, AM Pharmacia & Upjohn Inc Worldwide Toxicol Kalamazoo MI 49001 USA

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The field of clinical psychology: A response to Thorne

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JOURNAL OF CLINICAL PSYCHOLOGY 2000年第3期56卷 275-286页

作者： Routh, DK Univ Miami Dept Psychol Coral Gables FL 33124 USA

This article begins with a retrospective review of the editorial written in 1945 by Frederick C. Thorne at the inauguration of his new publication, the Journal of Clinical Psychology. It first considers the predictions made by Thorne about the future of clinical psychology and which of these turned out to be accurate, partially accurate, or inaccurate. At the time, the editorial caused its author to be accused of anti-Semitism and thus got the journal off to a rather bad start, from which it may have recovered only recently. The article then moves on to consider the past, present, and future of the field of clinical psychology from a contemporary vantage-point. (C) 2000 John Wiley & Sons, Inc.

关键词：教育研究生/历史教育研究生/发展趋势偏见心理学临床/历史心理学临床/组织和管理心理学临床/发展趋势出版/历史学会科学/历史学会科学/组织和管理学会科学/发展趋势美国大学/历史大学/发展趋势历史 20世纪人类

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Training the scientist-practitioner for the 21st century: Putting the bloom back on the rose

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JOURNAL OF CLINICAL PSYCHOLOGY 2000年第3期56卷 327-340页

作者： Drabick, DAG Goldfried, MR SUNY Stony Brook Dept Psychol Stony Brook NY 11794 USA

The field of clinical psychology has been characterized over the past five decades as shaped by social, economic, and political forces outside of it. Even before the Boulder Conference. meetings and writings evidenced the underpinnings of the scientist-practitioner model that was to be developed in a welcoming climate (Dosier, 1947;Kubie. 1949;Luchins, 1949). Difficulties in implementation, however, produced a schism between the scientist and practitioner aspects. Our thesis is that the current environment dictated by managed care necessitates a reaffirmation of the scientist-practitioner model. We believe that clinical psychologists are in an unparalleled position to intercede among forces in the current climate because of their sensitivity to clinical and research issues, and we offer suggestions for how clinicians, researchers, and training programs can close the gap between research and practice. (C) 2000 John Wiley & Sons, inc.

关键词：教育研究生/组织和管理教育研究生/发展趋势职业间关系管理医疗规划/经济学管理医疗规划/组织和管理管理医疗规划/发展趋势模型组织管理职业病人关系心理学临床/教育心理学临床/组织和管理心理学临床/发展趋势研究/教育研究/组织和管理美国人类

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