ABSTRACT
We designed a scoring system to rank acute care hospital projects and allocate resources between them. The evaluation tool assessed projects on an ordinal scale; the criteria scored were medical interest, feasibility, interest for teaching and research, and compatibility with the hospital's strategy. Clinical and technical projects were ranked separately. In 1994, 25 new projects, representing a total cost of $1.4 million, were reviewed by two independent reviewers. The scores ranged from 30 to 18 over 36. Projects presented by clinical departments scored higher than projects presented by medicotechnical departments.
Subject(s)
Decision Making, Organizational , Decision Support Systems, Management , Financial Management, Hospital , Hospital Departments/economics , Budgets , France , Health Care Rationing/economics , Health Priorities , Institutional Management Teams , Management Audit , Reproducibility of ResultsABSTRACT
Laboratory investigation of the haemostatic system deserves particular procedures in the quality control of analytical variables as well as preanalytical variables. This paper reviews the precautions that have to be taken in the blood prelevement, the transport of the tubes and the performance of the laboratory tests aimed to investigate the haemostatic system in order to obtain reliable results.
Subject(s)
Blood Coagulation Tests/standards , Blood Specimen Collection/standards , Bloodletting/standards , Humans , Indicators and Reagents/standards , Medical Laboratory Science/standards , Quality Control , Reference ValuesABSTRACT
A Hematoma of the right adrenal gland was found by computed tomography and ultrasonography in two 4 year-old boys following a mild traumatism. Such traumatic adrenal hematomas appear to be very rare in children. Their pathogenicity is discussed.
Subject(s)
Adrenal Gland Diseases/etiology , Hematoma/etiology , Tomography, X-Ray Computed , Ultrasonography , Wounds, Nonpenetrating/complications , Adrenal Gland Diseases/diagnosis , Adrenal Glands/injuries , Child, Preschool , Hematoma/diagnosis , Humans , MaleABSTRACT
The purpose of the present study is to determine the physiological and metabolic variations during and after an exhaustive exercise in different thermal conditions (0 degree C and 20 degrees C). For the eleven experimental subjects, the maximal power output is the same at 0 degrees C and 20 degrees C: 330 +/- 30 W (Mean +/- s). The heart rate is lower (bradycardia) at rest, exhaustion, and recovery. However, these differences are only significant (p less than 0.05) at exhaustion. The oxygen consumption and pulmonary ventilation is higher at 0 degree C in comparison with the measurements at 20 degrees C. The blood lactate concentrations are significantly lower at 0 degree C and we observe the inverse phenomenon for the bicarbonates. The bases excess was significant at 4, 6 and 10th minute of recovery time. These values are higher for the measurements taken at 0 degree C. The results have shown that the cold stress after an exhaustive exercise and during recovery, can induce a physiological and metabolic response unlike of those at 20 degrees C.