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  • Articles: DFG German National Licenses  (3)
  • Telemedicine  (2)
  • 05.70.Fh  (1)
  • 1
    ISSN: 1438-1435
    Keywords: Ultrasound ; Telemedicine ; Feasibility ; Managed care
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This study was conducted to compare the diagnosis made during real-time review of remote ultrasound video transmitted over a citywide fiberoptic network to the diagnosis made after the radiologist viewed the filmed ultrasound examination. An ultrasound machine was connected to the citywide fiberoptic network and then to our hospital network. Diagnoses made on the basis of 827 obstetric and gynecologic ultrasound examinations performed 7 miles from our institution on patients who underwent direct real-time monitoring via a fiberoptic network were compared with the diagnoses rendered on the real-time assessment. Referring physician satisfaction and network-related problems were monitored. Over a period of 19 months, 630 obstetric and 197 pelvic ultrasound examinations were performed and monitored. The diagnosis made on realtime remote monitoring by the ultrasound radiologist was similar to the diagnosis rendered after review of filmed examinations in all cases. The method was well received by both patients and referring clinicians. There was no fiberoptic network-related downtime. Diagnostic impressions made during remote real-time review are reliable; remote real-time video/voice technology can replace direct hands-on manipulation of the ultrasound transducer by the radiologist for review of remote ambulatory care obstetric and gynecologic ultrasound examinations.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1438-1435
    Keywords: Ultrasound ; Telemedicine ; Feasibility ; Managed care ; Financial analysis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We present a cost comparison of contracts to provide obstetric and gynecologic ultrasound (US) services to a managed care provider group (MCPG) and discuss the long-term implications of off-site monitoring of US procedures by video/voice technology to radiologists in competing for managed care contracts. During a 19-month period, 1,741 ultrasound examinations were performed for a MCPG in a clinic located 7 miles from our institution. The costs of different arrangements to provide this service and a 5-year cost analysis are provided. Based on the reported obstetric and gynecologic US caseload, annualized first year cost to the MCPG under the current contract was $183,945, compared with $252,000 under a prior contract. Without a contract, the cost would be $325,907. Our analysis shows that the use of the citywide fiberoptic network for remote monitoring of US examinations enables US radiologists to compete for managed care contracts and provides cost savings to payors.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    The European physical journal 322 (1985), S. 647-653 
    ISSN: 1434-601X
    Keywords: 05.70.Fh ; 11.20.Fm ; 24.60.-k
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract Using only the close connection between the bound-state properties of a potential and its scattering phase shifts, a limiting excitation energy of a finite nucleus is predicted. Calculations for208Pb give its value as 8.2 MeV/A. The excitation-energy dependence of the level-density parameter is also discussed and the connection with astrophysical calculations of stellar collapse rates is indicated.
    Type of Medium: Electronic Resource
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