Defining the Medical Imaging Requirements for a Rural Health Center 1st Edition by Cari Borrás – Ebook PDF Instant Download/DeliveryISBN: 9811016134, 9789811016134
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ISBN-10 : 9811016134
ISBN-13 : 9789811016134
Author: Cari Borrás
This book presents the patient management challenges that rural health centers face, and establishes the criteria for the type of medical imaging services that should be available in such facilities. To make the work of the center’s health practitioners more effective and efficient, the book assesses what health conditions may require medical attention in those centers. Information is provided on how to use basic imaging modalities, such as radiography and ultrasound, emphasizing the need for thoughtful service planning, careful equipment and imaging protocol selection, continuous staff training, and the implementation of quality control programs. The book is also a valuable resource for those physicians, medical physicists and service engineers who provide virtual and physical consultations to meet these needs. Rural health centers are established to prevent patients from being forced to travel to distant urban medical facilities. To manage patients properly, rural health centers should be part of regional and more complete systems of medical health care installations in the country on the basis of a referral and counter-referral program. Thus, the centers should have the infrastructure needed to transport patients to urban hospitals when they need more complex health care. The coordination of all the activities is possible only if rural health centers are led by strong and dedicated managers.
Defining the Medical Imaging Requirements for a Rural Health Center 1st table of contents:
1 Characteristics of a Rural Health Center
Abstract
References
2 Medical Imaging Needs in a Rural Health Center from a Clinical Point of View
Abstract
2.1 Introduction
2.2 Chest Diseases
2.2.1 Viral Lower Respiratory Infections (Common Cold)
2.2.2 Bronchiectasis
2.2.3 Pulmonary Emphysema (Bullous)
2.2.4 Pneumothorax
2.2.5 Tuberculosis (TB)
2.2.6 Pleural Effusion
2.3 Musculoskeletal Conditions
2.3.1 Trauma
2.3.2 Degenerative Osteoarthritis of Spine
2.4 Acute Abdominal Pain
2.4.1 Right Hypochondria Pain
2.4.2 Acute Abdominal Distention with or Without Pain
2.4.2.1 Paralytic Ileus
2.4.3 Diarrhea
2.4.4 Right Iliac Fossa Pain
2.4.5 Splenomegaly
2.5 Urinary Tract Imaging
2.5.1 Kidney Stones
2.6 Pregnancy
2.6.1 Gestational Age and Fetal Functions
2.6.2 Pregnancy Management
2.6.3 Ectopic Pregnancy
2.7 Gynecological Problems not Related to Pregnancy
2.7.1 Normal Uterus Size
2.7.2 Uterine Myomatosis
2.7.3 Ovarian Cysts and Tumors
References
Medical Imaging Modalities
3 Medical Imaging Equipment Characteristics at the Health Center Level: Overview
Abstract
3.1 Assessment of the Challenge
3.2 Contribution of Health Technologies
3.3 Medical Imaging as a Desirable Technology
3.4 Partnerships for Acquiring Imaging Technologies
3.5 Conclusions
References
4 Technical Specifications of Medical Imaging Equipment
Abstract
4.1 Technical Specifications of Ultrasound Units
4.1.1 Ultrasound Equipment
4.1.1.1 Selection of Equipment
4.1.2 General Considerations for All Equipment
4.1.2.1 Clinical Applications for Which the Equipment May Be Used
4.1.2.2 Transducer/Probe Required
4.1.2.3 Scanning Capabilities Required
4.1.2.4 Physical Features
4.1.3 Measurement/Analysis Features
4.1.4 Ultrasound Settings
4.1.5 Annotation and Documentation
4.1.5.1 Display and Annotation
4.1.5.2 Documentation
4.1.6 Safety and Quality Assurance
4.1.6.1 Ultrasound Bioeffects and Safety
4.1.6.2 Quality Assurance
4.1.7 Equipment Trials and Training
4.1.8 Equipment Review and Replacement
4.1.9 Conclusion
4.2 Technical Specifications of X-Ray (Planar Radiography) Units
4.2.1 X-Ray Equipment
4.2.2 Image Processing
4.2.2.1 Screen Film (SF) Radiography
Film Processing
Darkroom
Daylight Processor
4.2.2.2 Computed Radiography (CR)
4.2.2.3 Direct Digital Radiography (DDR)
4.2.3 Image Display
4.2.3.1 Viewing Radiographic Films (SF Radiography)
4.2.3.2 Viewing Digital Images (CR and DDR Radiography)
4.2.4 Implementation consideration in SF, CR and DDR
Bibliography
Useful Organizational Resources
Planning a Medical Imaging Service
5 Equipment and Physical Infrastructure
Abstract
5.1 Equipment Procurement and Acquisition
5.1.1 Planning of Medical Imaging Services
5.1.2 Equipment Procurement
5.1.2.1 Acquisition Schemes
5.1.2.2 Development/Review of Technical Specifications
5.1.2.3 Warranties and Obsolescence
5.1.2.4 Operation and Service Manuals
5.1.2.5 Accessories and Replacement Parts
5.1.2.6 Software Upgrades
5.1.3 Equipment Acquisition Process
5.1.3.1 Obtaining Authorization from the Regulatory Authorities
5.1.3.2 Clearing Customs
5.1.3.3 Site Preparation
5.1.3.4 Equipment Installation
5.1.4 Evaluation of Costs
5.1.4.1 Capital Costs
5.1.4.2 Installation and Siting Costs
5.1.4.3 Operational Costs
5.1.4.4 Humanpower Costs
5.1.4.5 Hidden Costs
5.1.4.6 Sustainability Considerations
5.2 Capital Costs Versus Quality of Medical Imaging Equipment in Low-Resource Settings
5.2.1 Ultrasound Equipment
5.2.2 The World Health Imaging System—Radiography
5.3 Building Space Requirements
References
6 Basic Training and Continuing Education of Technical Staff in Rural Health Centers
Abstract
6.1 Introduction
6.2 Pre-training Education
6.3 Entry Level Training in Medical Technology
6.4 Entry Level Training in Medical Technology Maintenance at Hub-Level (e.g. Biomedical Technician
6.5 Training for Maintenance of Imaging Equipment
6.6 Entry Level Training on Medical Technology Maintenance at Rural Health Center-Level (e.g. Nurse-
6.7 A Draft Proposal for Basic Training on the Use of the Rural Health Center Imaging Equipment
6.8 Regional Training Centers
6.9 Conclusion
References
7 Tele-Imaging and Networking
Abstract
7.1 Tele-Ultrasound
7.1.1 Introduction
7.1.2 Data Size
7.1.2.1 Still Images
7.1.2.2 Video
7.1.2.3 Effect of Frames Per Second on File Size
7.1.3 Data Transmission Technology and Speed
7.1.4 Practicalities of Tele-Ultrasound
7.2 Tele-Radiology
7.2.1 Introduction
7.2.2 Imaging Equipment
7.2.2.1 Mitigating Factors
7.2.3 Digitizing the Image
7.2.3.1 Digital Image
Computed Radiography
Image Formats
7.2.3.2 DICOM
7.2.3.3 Scanner
7.2.3.4 Photography
7.2.4 Transmitting the Image
7.2.5 Information Security
7.2.6 Power Considerations
7.2.7 Conclusion
References
Operational Considerations
8 Quality Control, Radiation Safety and Maintenance Programs
Abstract
8.1 General Considerations: Concepts and Definitions
8.1.1 Quality Assurance/Quality Control
8.1.2 Acceptance Testing
8.1.3 Commissioning
8.1.4 Preventive Maintenance
8.1.5 Radiation Safety
8.2 Responsibilities
8.3 Specific QC Tests for X-ray Units
8.4 Specific QC Tests for Ultrasound Units
8.5 Maintenance
8.6 Radiation Safety Program
8.6.1 Requirements
8.6.2 Methods for Exposure Reduction
8.6.3 Dosimetry
8.6.3.1 Workers
8.6.3.2 Patients
8.7 Management Considerations
References
9 Patient Referral to Secondary and Tertiary Health Care Levels
Abstract
9.1 General Concepts of Health Care Levels and Integrated Health Services
9.2 Changes in Disease Burden and the Importance of Health Care Level I
9.3 Medical Imaging Referral Guidelines
9.4 Considerations Regarding Patient Referral in Resource-Poor Settings
9.5 Patient Referral to Secondary and Tertiary Health Care Levels: Canadian Experience
References
10 Erratum to: Technical Specifications of Medical Imaging Equipment
Erratum to:Chapter 4 in: C. Borrás (ed.), Defining the Medical Imaging Requirements for a Rural
Recommendations Made by the Participants of the Workshop “Defining the Medical Imaging Requirement
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