The ALPHA program. Agenda for Leadership in Programs for Healthcare Accreditation.
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The generation of new knowledge and the application of that knowledge to benefit mankind are both essential for the land grant university system to maintain viability into the next century. Sources and availability of funding also will dictate both basic and applied approaches. Federal funding initiatives will continue to emphasize competitive grants, hence, more basic research. State and private funding, conversely, often dictate an emphasis on application. Although most universities will continue to conduct more fundamental and applied research, the proper ratio will vary among institutions. The ratio will be influenced by a number of factors, including the philosophy of the institution, age and expertise of the faculty, promotion and tenure requirements, and funding sources.
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The need for, and specific objectives of, a clinical internship for biomedical engineering students are discussed in Part I. Through such an internship, participants can gain an appreciation for the role that engineers can play in quantifying and automating medical procedures. They also learn about the organizational structure of a clinical facility, the regulations, safety standards and accreditation requirements imposed on the health care industry, and the technological needs as envisioned by medical personnel. Finally, students become familiar with information flow in a medical facility, the units, codes and standards used to report diagnostic information, and current technology utilized in health care delivery, especially its limitations.
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Response to terrorism and mass casualty incidents has become a focal point for many public service agencies. Public health agencies and the emergency response community must work together to effectively and efficiently respond to any future incidents. Historically, collaboration has been a challenge since these agencies have functioned independently from one another, maintaining separate infrastructures that are not adequately interoperable. This article will summarize the consensus achieved during a meeting of multidisciplinary stakeholders held to discuss linkages between acute care, emergency medical services, and public health. The relevancy of these findings to public health, as well as the benefits from development of an interoperable infrastructure to public health, will be opined.
Thirty-one seminars have been held in the 16 years since 1981. A principal interest from the beginning was the genetics of cancer, well before this subject became widely popular. This interest arose in part because of marked binational differences in type-specific cancer rates, such as the very low rates among Japanese for Hodgkin's disease in the young, testicular cancer, Ewing's sarcoma, superficial spreading melanoma, chronic lymphocytic leukemia, and Wilms' tumor (half the U.S. frequency). Three seminars were devoted to the seeming reciprocal relationship between B-cell lymphoma (low in Japan) and certain autoimmune diseases (high in Japan), which is perhaps similar in origin to the male/female differences in the rates for these diseases. A seminar on Li-Fraumeni syndrome led to the recognition of cases among Japanese pedigrees brought to the meeting, and generated a study of its occurrence in Japanese families with adrenocortical carcinoma in a child. Another seminar revealed a marked clustering of rare cancers in Werner's (premature aging) syndrome in Japan, and led to a binational study and analysis of case-reports worldwide. Three seminars on pathology heightened appreciation of the importance of subclassifying cancer by subsite and subtype for racial and other comparisons. Four seminars on biostatistics in cancer research generated a substantial exchange of specialists and trainees in this field.
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