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Biomedical subjects

T McKeon

Publications and source records attributed to T McKeon.

8 recordsLinked to original sources

Inspection of lead aprons: criteria for rejection.

Lead aprons utilized by personnel performing fluoroscopy are routinely inspected for damage to comply with the requirements of hospital accrediting organizations. Fluoroscopic or radiographic examination of lead aprons may reveal imperfections ranging from small pinholes to large tears. Currently, there are no standards establishing a criteria for acceptance or rejection of lead aprons. As a consequence, many facilities have established arbitrary rejection criteria. Often lead aprons are discarded due to small imperfections, a practice that can become costly to these institutions. We have calculated increases in doses to the whole body for varying sizes of holes, including special consideration of the effects on effective dose equivalent when the hole is over the testes and thyroid. ALARA standards for cost per personsievert averted are used to establish a rational basis for criteria of acceptance or rejection of lead aprons.

Fluoroscopy↗

Trichomonas gallinae in budgerigars and columbid birds in Perth, Western Australia.

OBJECTIVE: To estimate the prevalence of infection with Trichomonas gallinae and other parasites of the alimentary tract in psittacine and columbid birds in Perth and to determine in vitro the effectiveness of drugs commonly recommended for treating trichomoniasis. DESIGN AND PROCEDURES: Samples of crop contents were collected from aviary flocks of budgerigars (Melopsittacus undulatus) and other psittacine and columbid birds in both private and commercial collections in Perth. Similar samples from wild Senegal doves (Streptopelia senegalensis) also were collected. Crop contents were examined and cultured for Trichomonas gallinae and in vitro studies were conducted on the susceptibility of isolates to several drugs used commonly. Other parasites also were detected by faecal examination and/or necropsy. RESULTS: T gallinae was recovered from birds in 1 of 13 private collections of budgerigars (2/289 birds in total). Direct wet-mount examination of crop fluid identified 36.4% of samples at four commercial bird dealers which were later determined by culture to contain T gallinae. The prevalence of T gallinae infection range from 0 to 11.4% in budgerigars. The prevalence of T gallinae infection of wild Senegal doves was 46% and from one flock of racing pigeons was 59%. The in vitro minimum lethal concentrations of metronidazole, dimetridazole and ronidazole ranged from 40 to 96, 30 to 80 and 40 to 92 micrograms/mL respectively for six isolates of T gallinae. Other alimentary parasites detected during the survey included Spironucleus sp (syn. Hexamita sp), coccidia, Ascaridia platycerci and Raillietina sp. CONCLUSIONS: Thirteen budgerigar flocks belonging to members of avicultural societies in Perth had a low prevalence of trichomoniasis and other parasitic infections. The dose rate currently recommended for ronidazole may not result in complete protozoacidal activity against T gallinae infection.

Animals↗

Activity-based management: a tool to complement and quantify continuous quality improvement efforts.

An activity-based cost management system provides a framework to integrate the disciplines of quality and cost management. The integration occurs through the development of performance measures that collectively measure operations with respect to internal and external customers. It is the measurement process that allows management staff to evaluate where they are, determine where they want to be, and set a course of action that closes the gap between the two.

Accounting↗

Performance measurement: integrating quality management and activity-based cost management.

The development of an activity-based management system provides a framework for developing performance measures integral to quality and cost management. Performance measures that cross operational boundaries and embrace core processes provide a mechanism to evaluate operational results related to strategic intention and internal and external customers. The author discusses this measurement process that allows managers to evaluate where they are and where they want to be, and to set a course of action that closes the gap between the two.

Accounting↗

Benchmarks and performance indicators: two tools for evaluating organizational results and continuous quality improvement efforts.

Benchmarks are tools that can be compared across companies and industries to measure process output. The key to benchmarking is understanding the composition of the benchmark and whether the benchmarks consist of homogeneous groupings. Performance measures expand the concept of benchmarking and cross organizational boundaries to include factors that are strategically important to organizational success. Incorporating performance measures into a balanced score card will provide a comprehensive tool to evaluate organizational results.

Consumer Behavior↗

A quality perspective.

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Centers for Medicare and Medicaid Services, U.S.↗