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Report of the Inter-Society Commission for Heart Disease Resources. Optimal resources for examination of the chest and cardiovascular system. A hospital planning and resource guideline. Radiologic facilities for conventional x-ray examination of the heart and lungs. Catheterization-angiographic Laboratories. Radiologic resources for cardiovascular surgical operating rooms and intensive care units.

This is an updated and expanded planning and oprimal resource guideline for diagnostic examinations of the cardiovascular system. Catheterization-angiographic laboratories are described and detailed specifications given for radiologic and physiologic equipment. Case loads for maintaining safe and effective performance are recommended and complication rates discussed. An optimal location for the laboratory is defined and the status of affiliated laboratories reviewed. Professional staff qualifications, relationships and requirements are enumerated and recommendations are made for organization and administration of the services. There is a protocol for electrical safety and radiation protection and a data base for assessing case loads in hospitals within a community or region. This statement also defines optimal facility and equipment criteria for conventional chest x-rays and radiologic equipment requirements for cardiovascular surgical operating rooms and intensive care units.

Angiocardiography

Multiple resources in divided attention: a cross-modal test of the independence of hemispheric resources.

Dual-task methodology was used to assess a multiple-resources account of information processing in which each cerebral hemisphere is assumed to have access to its own finite amount of attentional resources. A visually presented verbal memory task was paired with an auditory tone memory task, and subjects were paid to emphasize one task more than the other. When subjects were trying to remember tones presented to the right ear, they could trade performance between tasks as a function of the emphasis condition, whereas on left-ear trials they could not. In addition, a control session indicated that stimuli presented to the unattended ear demanded processing resources, even when it was to the detriment of performance. The data support the assumption of independence between the hemispheres' resource supplies.

Attention

A methodology for resource allocation in health care for South Africa. Part IV. Application of South African Health Resource Allocation formula.

The primary concern of this concluding article in a series is the application of the South African Health Resource Allocation (SAHRA) formula proposed in the previous article (SAMJ 1990; 77: 456-459). Target allocations based on this formula are compared with current budgets to estimate the extent of geographical maldistribution of health care resources. Under the present health service structure, the direction of redistribution of these resources should be from the provinces to 'homelands'. A number of refinements to the crude formula, such as the introduction of a more rational regionalisation policy and accounting for the teaching commitments of academic hospitals, are considered and their effects illustrated. Despite data deficiencies and the wide range of possible technical modifications to SAHRA, the concept of basing resource allocation decisions on an internationally applied formula is worthy of public debate.

Education, Medical

Increasing resourcefulness: the key to declining resources.

Nurse executives face many daily issues related to balancing scarce resources with an ever-increasing demand for high quality services and programs. Never before have nursing organizations been faced with such relentless pressure to conserve resources and control costs in the process to meet organizational missions.

Administrative Personnel

Resources and dual-task performance; resource allocation versus task integration.

This study aims at contributing to the explanation of dual-task performance in terms of either resource allocation or of task interference and integration. Twenty-four subjects carried out, single and in combination, a motor interval production task and a perceptual target detection task on the basis of combined memory and display search. The demands of the target detection task were varied by increasing or decreasing the presentation rate of successive search displays. Furthermore, the presentation rate was either constant or variable. The dual-task condition had a negative effect on interval production, the extent of which was unaffected by either rate or variability of display presentation. This means that there was no evidence for synchronizing interval production with display presentation, so that the major opportunity for task integration did not substantiate. It is suggested that the two tasks use different resource pools in addition to a common mechanism, the limited capacity of which causes a general interference in dual-task conditions.

Adolescent

Report of the Inter-Society Commission for Heart Disease Resources. Optimal resources for vascular surgery--a supplement.

This supplement is an updated and expanded planning and optimal resource guideline for vascular surgery. Activities relating to examination and certification in vascular surgery are reviewed and hospital resource requirements are identified for different categories of vascular operations. There is a detailed summary of results of common vascular operations as reported by leading vascular surgeons. The statement will be of value in planning and organizing vascular surgery programs and in assessing the results of vascular operations locally.

Aorta, Abdominal

Report of the inter-Society Commission for Heart Disease Resources. Optimal resources for ultrasonic examination of the heart.

The echocardiographic examination is described and the current status of ultrasound in cardiac diagnosis is summarized. Planning guidelines are provided for hospital based echocardiography laboratories including resource criteria for professional personnel and training, equipment, space, and support systems. Minimal case loads for maintaining quality performance of the examiner are recommended and various administrative patterns for organizing an echocardiography service are discussed. Approaches for establishing professional fees and emerging applications of diagnostic ultrasound in cardiovascular medicine are briefly reviewed. There is a description of the procedure for conducting an adequate echocardiographic examination in children and adults.

Adult

Assessing resources and stress in parents of severely dysfunctional children through the Clarke modification of Holroyd's Questionnaire on Resources and Stress.

The Holroyd (1974) Questionnaire on Resources and Stress (QRS) although clinically useful may be too inclusive and not exclusively relevant to severely dysfunctional individuals. Hitherto, efforts at shortening and psychometrically validating the QRS have met with some success: the shorter forms however still target both mentally and physically handicapped children and are clinically not as useful as the original instrument. The 78-item Clarke modification of the QRS, mainly a subset of the original, was an attempt to remedy these problems. It was validated with mothers and fathers of autistic, mentally retarded, learning-disabled, and asymptomatic children. Good internal consistency, split-half reliability, and coefficient of stability were obtained. Construct and concurrent validities were also acceptable. The questionnaire discriminated best between the two more severely affected groups and the controls. Group differences were found for 8 of its 9 scales and sex of parent differences were found for 3. The Clarke modification of the QRS is recommended for clinical use with parents of children with autism and mental retardation.

Activities of Daily Living

Report of the Inter-Society Commission for Heart Disease Resources. Optimal resource guidelines for radioactive tracer studies of the heart and circulation.

The status of radioactive tracer studies in cardiovascular diagnosis is summarized. Planning guidelines are suggested for a hospital nuclear medical service including a central nuclear medical facility and satellite units, and resource criteria are given for professional personnel including training and duties, equipment, space, and support system. The administrative organization of a nuclear medical service and case loads are discussed. Guidelines for equipment maintenance and quality controls are described.

Cardiovascular Diseases

A methodology for resource allocation in health care for South Africa. Part III. A South African health resource allocation formula.

A formula to calculate the proportion of the public sector budget that should be allocated to various geographical regions of South Africa is described. The formula is broadly classified into curative and preventive components. Using data that are routinely available, indices of need are calculated for each of these components. It is concluded that resource allocation on a macro level should closely approximate regional population distribution if cross-border flow of patients and additional teaching-hospital expenditure are ignored.

Age Factors