The Blended Academic & Community Breast Imaging Practice.

In this paper, we provide a brief overview of the history, organizational structure, and current operational state of our blended academic and community-model breast service. We review the challenges inherent to governance and management of a "matrix" organization practice model such as ours, and discuss the ways in which the leadership of our evolving blended practice are addressing those challenges collaboratively.

Playing Well With Others: The Challenge of Academic and Community Radiology Practice Integration.

OBJECTIVE. In this article, we review models for clinical integration across the full spectrum of radiologic services in merged health systems that include both academic and community practice components. We also discuss the issues involved in the integration of disparate practice models and reward systems for both the community radiology group and the academic faculty practice group. CONCLUSION. Although we see advantages to the current trends in mergers and acquisitions within academic radiology, it remains to be seen whether academic and community practice radiology groups can truly work and play well together.

Mandatory Assignment of Modified Wells Score Before CT Angiography for Pulmonary Embolism Fails to Improve Utilization or Percentage of Positive Cases.

OBJECTIVE: The objective of our study was to determine the impact of embedding a pretest probability rule that is required during the computerized physician order-entry (CPOE) process on the appropriateness of CT angiography (CTA) of the pulmonary arteries for the diagnosis of pulmonary embolism (PE) in the emergency department (ED). MATERIALS AND METHODS: Data were obtained from the electronic medical records of all adults who visited the ED from October 17, 2010, through October 17, 2012 (n = 96,507). The primary outcome was the appropriateness of pulmonary CTA. Logistic regression was used to test whether rates of appropriate use, overuse, and underuse of pulmonary CTA improved significantly after the implementation of the decision support tool when controlling for other patient characteristics. RESULTS: Pulmonary CTA was appropriately used in 67.2% of patients with a modified Wells score of ≥ 4, a positive d-dimer test result, or both. CTA was overused in 19.3% of patients and underused in 13.5% of patients. Each additional month after the start of the intervention was associated with a 4-percentage point increase in the odds that the modified Wells score would indicate CTA had been used appropriately (odds ratio [OR] = 1.04; 95% CI, 1.01-1.07) and significantly lowered the odds of overuse of CTA (OR = 0.93; 95% CI, 0.90-0.96) based on the modified Wells score. These changes were not associated with any significant alteration in the level of CTA utilization or the positivity rate. CONCLUSION: The addition of a mandatory field in the CPOE record was associated with a significant improvement in the appropriate ordering of pulmonary CTA but did not change the PE positive rate or CTA utilization. It seems likely that physicians gradually inflated the modified Wells scores in spite of the fact that a threshold modified Wells score was not required to perform pulmonary CTA.

Bats from the Municipal Park Fazenda Lagoa do Nado, Belo Horizonte, Brazil / Levantamento da quiropterofauna do Parque Municipal Fazenda Lagoa do Nado, Belo Horizonte, MG, Brasil

The present work presents the results of a bat inventory held in the Municipal Park Fazenda Lagoa do Nado, located in Belo Horizonte, Minas Gerais. The forest fragment has approximately 311.000m2. The fragment is composed from Cerrado vegetation and a riparian forest that surrounds a lake of 22.000m2, that is formed by the damming of three springs. There is also a secondary dry forest with exotic species of Eucalyptus spp. Between march 2011 to april 2011, 169 bats were captured using mist nets, representing eight species of two families Phyllostomidae (seven species) and Vespertilionidae (one species). The species Artibeus lituratus (Olfers, 1818) was the most abundant, indicating its high resistance to fragmentation.

O presente trabalho reúne os resultados do inventário de quirópteros realizados no Parque Municipal Fazenda Lagoa do Nado, localizado no município de Belo Horizonte, Minas Gerais. O fragmento florestal possui aproximadamente 311.000 m2, é composto por vegetação de Cerrado e por uma mata ciliar que circunda uma lagoa de 22.000 m2 formada pelo represamento de três nascentes. No entanto, também ocorre uma floresta secundária seca em crescimento com grande número de espécies exóticas de Eucaliptus spp. Entre março de 2011 e abril de 2011, 169 morcegos foram capturados utilizando redes de neblina, representando oito espécies de duas famílias, Phyllostomidae (sete espécies) e Vespertilionidae (uma espécie). A espécie Artibeus lituratus (Olfers, 1818) foi a mais abundante, indicando sua alta resistência à fragmentação.

Bats from the Municipal Park Fazenda Lagoa do Nado, Belo Horizonte, Brazil / Levantamento da quiropterofauna do Parque Municipal Fazenda Lagoa do Nado, Belo Horizonte, MG, Brasil

The present work presents the results of a bat inventory held in the Municipal Park Fazenda Lagoa do Nado, located in Belo Horizonte, Minas Gerais. The forest fragment has approximately 311.000m2. The fragment is composed from Cerrado vegetation and a riparian forest that surrounds a lake of 22.000m2, that is formed by the damming of three springs. There is also a secondary dry forest with exotic species of Eucalyptus spp. Between march 2011 to april 2011, 169 bats were captured using mist nets, representing eight species of two families Phyllostomidae (seven species) and Vespertilionidae (one species). The species Artibeus lituratus (Olfers, 1818) was the most abundant, indicating its high resistance to fragmentation.

O presente trabalho reúne os resultados do inventário de quirópteros realizados no Parque Municipal Fazenda Lagoa do Nado, localizado no município de Belo Horizonte, Minas Gerais. O fragmento florestal possui aproximadamente 311.000 m2, é composto por vegetação de Cerrado e por uma mata ciliar que circunda uma lagoa de 22.000 m2 formada pelo represamento de três nascentes. No entanto, também ocorre uma floresta secundária seca em crescimento com grande número de espécies exóticas de Eucaliptus spp. Entre março de 2011 e abril de 2011, 169 morcegos foram capturados utilizando redes de neblina, representando oito espécies de duas famílias, Phyllostomidae (sete espécies) e Vespertilionidae (uma espécie). A espécie Artibeus lituratus (Olfers, 1818) foi a mais abundante, indicando sua alta resistência à fragmentação.