Archiving System Research Articles

Pengembangan Sistem Informasi Arsip Surat Berbasis Website di Desa Hegarmanah

The new archiving system in Hegarmanah Village, in operation for one year, is currently limited to storing formal letters. It does not yet cover incoming and outgoing letters or memos, is not integrated with Gmail, and lacks alternatives for server disruptions. Web- based technology facilitates secure and efficient archive storage. This research aims to address the shortcomings of the letter archiving system in Hegarmanah Village by adding memo features, integrating the application with Gmail, and providing alternatives during server disruptions. The goal is to enhance the efficiency and effectiveness of archive management in the village, including disposition notifications and minimizing the impact of server disruptions. The system analysis and design utilize Object-Oriented Analysis and Design (OOAD) and the Rational Unified Process (RUP) model, which includes initiation, design, construction, and deployment. The system is designed using Unified Modeling Language (UML), incorporating Use Case, Class Diagram, Activity Diagram, and Sequence Diagram to create an efficient archiving system in Hegarmanah Village. Based on the research and design of the Archiving Information System in Hegarmanah Village, the archiving system now includes the management of general letters and memos, expanding its archiving functions. Letter disposition is equipped with notifications integrated with Gmail, enabling the village head and staff to receive information more quickly. Additionally, an import file feature is provided as an alternative during server disruptions, allowing data to continue functioning and be imported once the server is restored, ensuring operational continuity.

Looking for the direction of thought and practice in Polish archival studies: futurology or forecasting?

ABSTRACT Futurology raises many questions and divides opinion. In this article, I attempt to answer two questions in relation to futurology and Polish archival science: what were the subjects of futurology’s predictions and did it make sense to go beyond the horizon of the present? So far scientists have not given an unequivocal answer as to whether futurology has any real legitimacy, which does not change the fact that we predict and we will predict, sometimes providing our proceedings through research and sometimes not. My intention was to look at the predictions made in relation to archives over the century. Subjects that have been particularly susceptible to the construction of visions of the future have been analyzed and these are: the archival workforce; the accessibility of archives; the archival information system (informativeness); computerization; informatization; and the functions of archives. The argument is based on a chronological discussion of each of these themes, which made it possible to observe when each given theme was particularly popular and whether perceptions of them were changing among successive generations of archivists. Finally, I have attempted to answer the question: have Polish archivists’ predictions come true?

Digitalization Of Accounting: Accountant Profession in Facing Challenges of Era 5.0

This study aims to determine how the accounting profession responds to the issue of digitalization. This study uses a qualitative research method with a case study design. Data collection was conducted through interviews at one of the Public Accounting Firms in Malang. The findings in this study are concerned about client data leaks that affect trust in digital systems, especially in the use of Audit Tools and Linked Archive System (ATLAS) in their work, significant benefits in the efficiency and accuracy of accounting work through the use of technology, and threats to the accounting profession due to automation and the increasing risk of cybercrime. The results of this study itself offer strategic insights into dealing with changes in the landscape of the accounting profession, including strengthening data security, adapting skills, and developing policies that support digital transformation.

Image-Guided Musculoskeletal Interventional Radiology in the Personalised Management of Musculoskeletal Tumours.

Musculoskeletal image-guided interventional radiology plays a key role in diagnosing and treating a range of conditions. Recent advances have yielded a wide variety of procedures that can be applied selectively and enable the personalisation of patient care. This review aims to outline the indications, applications, and techniques of subspecialist musculoskeletal oncology interventional procedures that were used at our tertiary referral centre with a focus on how these may be used to personalise patient management. The applications of a range of diagnostic and therapeutic image-guided interventional procedures including different methods of bone and soft tissue sampling, ablation, and augmentation procedures across different types of patients and pathologies are reviewed. To supplement the reviewed literature, we included our own experience and radiology images retrospectively collected from our Picture Archiving and Communication System (PACS). We demonstrate how the range of musculoskeletal image-guided interventions provide flexibility in the diagnosis and management of different tumours across different patient populations. This study provides the musculoskeletal interventional radiologist with insight into how to appropriately utlilise different techniques to optimise the diagnosis, treatment and palliation of tumours.

Visceral fat as the main tomographic risk factor for COVID-19 mortality.

Obesity is a risk factor for COVID-19 mortality; a BMI >35 increases the risk of death up to 12-fold; two previous studies have examined the association between visceral fat quantified by tomography and the risk of severe COVID-19, but not its association with mortality. Examine whether tomographic findings differentiated data from patients who died of COVID-19 pneumonia from those who survived in a cohort of patients at a tertiary hospital. This was a case-control study (1:1) in which we recruited data from patients at a tertiary care hospital in Mexico. Cases (N = 213) were data from patients with COVID-19 pneumonia discharged due to death, and controls (N = 216) were data from patients discharged due to improvement. All had chest computed tomography (CT) scans in the Picture Archiving and Communication System (PACS) platform. Multivariate analysis was used to identify tomographic variables associated with mortality, and odds ratios were calculated. As tomographic variables, we refer to the total severity score, the total percentage of pulmonary involvement, the pattern of involvement, the location of the lesions, and subcutaneous and visceral fat. A total of 429 sets of data from Mexican patients were analyzed, with an overall age of 57 years (18-93). Sixty-three percent were male, and arterial hypertension was the most common comorbidity in 48.3 %. An odds ratio (OR) of 8.79 (95 % CI 1.44-53.73) was found for visceral fat and mortality; the rest of the tomographic variables did not show a statistically significant association. Visceral fat was the most significant tomographic risk factor for mortality in patients with COVID-19 pneumonia.

Investigation of Road Traffic Accident Trauma Cases: Occurrence and Diagnosis in Jeddah, Saudi Arabia

Objectives: Road traffic accidents (RTAs) are a leading cause of emergency department admissions, and Jeddah City is no exception. In this study, we conducted a comparative analysis of male and female patients who sustained injuries in RTAs, considering factors such as age, site of injury, and the optimal diagnostic modality, computed tomography (CT) or X-ray radiography (XR), depending on the nature of the injury. Methods: Data was collected retrospectively from the Picture Archiving and Communication System (PACS) at the Radiology Department of King Fahad General Hospital (KFGH). Collected data included patient demographics, injury locations, the initial diagnostic modality employed and its findings, and any subsequent diagnostic modality used, if necessary. We investigated the appropriateness of the initial diagnostic modality for each type of injury by comparing the diagnoses obtained from the first modality with those of the second modality. Results: Data from 200 patients (83.5% males; 16.5% females) was collected. Patients were categorized into four age groups: 16–23, 24–30, 31–60, and > 60 year old groups, accounting for 28.5%, 32%, 36%, and 3.5% of patients, respectively. The most common site of injury was polytrauma with 101 cases (50.5%), followed by head and spine injuries in 64 (32%) and 17 cases (8.5%), respectively. Notably, CT was the most commonly used first diagnostic modality, employed in 88.5% of cases, all cases of polytrauma injuries, and the majority of head (93.8%), spinal (56.3%), and facial (71.4%) injuries. Whereas radiography was primarily used for chest, lower, and upper limb injuries. Conclusions: Based on our findings, we recommend CT as the initial diagnostic modality for patients with polytrauma, spinal injuries, and head injuries resulting from RTAs. However, radiography remains a valuable diagnostic tool when transporting patients to a radiology department or for follow-up purposes.

Evaluation of Pedicle Screw Position on Computerized Tomography Using Three-Dimensional Reconstruction Software.

Background and Objectives: Recent advances in intraoperative navigation systems have improved the accuracy of pedicle screw placement in spine surgery. However, many hospitals have limited access to these advanced technologies due to resource constraints. In such settings, postoperative computed tomography (CT) evaluation remains crucial for assessing screw placement and related potential complications. Metal artifacts in CT scans often compromise the diagnostic accuracy. This study aimed to develop and validate three-dimensional (3-D) reconstruction software to enhance screw localization accuracy and facilitate its practical clinical application. Materials and Methods: This study included two phases: 3-D software development utilizing specific threshold values of Hounsfield units for titanium screws followed by internal validation. For validation, fifty pedicle screws were inserted into porcine lumbar vertebrae with random violation (superior, inferior, medial, or lateral). Three fellowship-trained surgeons evaluated screw positions using both conventional CT bone window settings and the developed software. Additional clinical validation involving 386 pedicle screws from cervical to lumbar spine was performed by two surgeons. Results: The software demonstrated significantly higher specificity (83% vs. 63%) and positive predictive value (96% vs. 91%) compared to conventional CT bone window settings, while maintaining 100% sensitivity and negative predictive value. Interobserver reliability was excellent for both methods (0.961 for bone window vs. 0.990 for software). In clinical validation, the software showed superior intraobserver (0.83 vs. 0.74) and interobserver reliability (0.855 vs. 0.513) compared to picture archiving and communication system (PACS) workstation evaluation. Conclusions: The developed software provides improved accuracy and reliability in pedicle screw position evaluation through distinct screw outline visualization and metal artifact reduction. Its equipment-independent nature and cost-effectiveness make it particularly valuable for clinical implementation.

Sistem Informasi Arsip Terpadu LPP TVRI Stasiun Kalimantan Selatan

The research discusses the development of an Information System for LPP TVRI StasiunKalimantan Selatan, which faces challenges such as paper shortages, stationery conservation,and direct mail delivery, leading to delays in mail validation when officials are on business trips.To address these issues, the development of an internal mail management system is consideredcrucial to enhance service efficiency at TVRI Stasiun Kalimantan Selatan. The objective of thisdevelopment is to build an Integrated Archive System for LPP TVRI Stasiun Kalimantan Selatan.The method used in the system development is the waterfall method. The results fromimplementing this system show that mail management has become more efficient. In conclusion,this system facilitates TVRI Stasiun Kalimantan Selatan in managing incoming and outgoing mail,thereby improving services more effectively and quickly..

Formation of the market of software medical devices in the Russian Federation in 2007–2024: Practical results

According to the recommendations of The International Medical Device Regulators Forum (IMDRF), software intended for medical purposes falls under the category of medical devices (MD). In recent years, in Russia, a great deal of systematic work has been carried out to establish normative regulations and processes for controlling the efficiency and safety ofsoftware as medical devices (SaMD) and its subsequent state registration. Objective. The analysis of current procedures and results of state registration of SaMD in the Russian Federation in 2007–2024. Materials and methods. A systematic search of information on the software registered in Russia as MD was carried out. For this, the state registry of MD of the Federal Service for Surveillance in Healthcare of Russia (Roszdravnadzor) was used. 157 records of marketing authorizations (MA) issued between 01. 01. 2007 and 30. 07. 2024 were found. Results. 25.5 % of MAs were issued for radiological information systems, including image archiving and communication systems (PACS-systems). For SaMD with artificial intelligence technologies – 24.2 % MAs. 13.4 % of MAs were issued for laboratory information systems and 4.5 % for medical information systems of medical organizations. The “Other software” group accounted for 32.5 %, it included telemedicine solutions, software for planning surgeries, etc. More than 50 % of Mas for SaMD was issued for Russian-based developers. Half of SaMD was registered as the 2nd class of potential risk application (50 %), 17 % as the class 2b, and 18 % as the lowest 1st class of potential risk. 15 % of SaMD were of the maximum 3rd class of the potential risk of application, and most of them were SaMD with artificial intelligence (AI) technologies. Conclusion. In Russia, a system of independent testing and state registration of SaMD has been built and has been working reliably for many years, allowing manufacturers to bring to the market the most diverse products, including innovative AI-based MD. Russian development companies are gradually increasing their market share compared to foreign producers.

RADHawk-an AI-based knowledge recommender to support precision education, improve reporting productivity, and reduce cognitive load.

Using artificial intelligence (AI) to augment knowledge is key to establishing precision education in modern radiology training. Our department has developed a novel AI-derived knowledge recommender, the first reported precision education program in radiology, RADHawk (RH), that augments the training of radiology residents and fellows by pushing personalized and relevant educational content in real-time and in context with the case being interpreted. To assess the impact on trainees of an AI-based knowledge recommender compared to traditional knowledge sourcing for radiology reporting through reporting time, quality, cognitive load, and learning experiences. A mixed methods prospective study allocated trainees to intervention and control groups, working with and without access to RH, respectively. Validated questionnaires and observed and graded simulated picture archiving and communication system (PACS)-based reporting at the start and end of a month's rotation assessed technology acceptance, case report quality, case report time and sourcing time, cognitive load, and attitudes toward modified learning strategies. Non-parametric regression analyses and Mann-Whitney tests were used to compare outcomes between groups, with significance set at P<0.05. The intervention group (n=28) demonstrated astatistically significant reduction in the case report time by -162s per case (95%CI -275.76s to -52.40s) (P-value = 0.002) and an increase of 14% (95%CI 8.1-19.8%) (P-value <0.001) in accuracy scores compared to the control group (n=29) at the end of the rotation. The intervention group also showed lower levels of mental demand (P=0.030) and experienced less effort (P=0.030) and frustration (P=0.030) while reporting. Additionally, >78% of the intervention group gave positive ratings on RH's effectiveness, increase in productivity, job usefulness, and ease of use. Eighty-nine percent of participants in the intervention group requested access to RH for their next rotation. This study demonstrates that RH, as the first reported AI-derived knowledge recommender for radiology education, significantly reduces reporting time and improves reporting accuracy while reducing overall workload and mental demand for radiology trainees. The high acceptance among trainees suggests its potential for supporting self-directed learning. Further testing of a larger external cohort will support more widespread implementation of RH for precision education.

Advantages and disadvantages of technological implementation in archive systems

Background of the study: In the rapidly developing digital era, the implementation of technology in archival systems has become inevitable. Archive systems are no longer limited to storing physical documents on shelves or filing cabinets, they have evolved into complex and integrated digital systems. Purpose: This research aims to investigate the benefits and disadvantages of implementing technology in archive systems. Method: This research uses a Systematic Literature Review (SLR) approach to identify and analyze relevant articles about the implementation of technology in archive systems. This research is limited to articles published in the last five years in the Scopus database. Findings: The findings of this research reveal that the implementation of technology in archive systems provides significant benefits in terms of efficiency and information accessibility. However, it also presents risks and challenges such as high implementation costs, vulnerability to information security breaches, and risk of data loss. Conclusion: Although the implementation of technology in archival systems promises many benefits, organizations must carefully consider the associated risks and challenges. By better understanding the implications of these steps, organizations can make better decisions in their records management.

Dedicated software to harmonize the follow-up of oncological patients

ObjectiveTo test and evaluate a sofware dedicated to the follow-up of oncological CT scans for potential use in the Radiology department. Materials and methodsIn this retrospective study, 37 oncological patients with baseline and follow-up CT scans were reinterpreted using a dedicated software. Baseline CT scans were chosen from the imaging reports available in our PACS (picture archiving and communicatin systems). Follow-up interpretations were independently assessed with the software. We evaluated the target lesion sums and the tumor response based on RECIST 1.1 (Response Evaluation Criteria in Solid Tumors). ResultsThere was no significant difference in the target lesion sums and the tumor response assessments between the PACS data and the imaging software. There was no over or underestimation of the disease with the software. There was a sigificant deviation (progression versus stability) in three cases. For two patients, this difference was related to the evaluation of the response of non-target lesions. The difference in the third patient was due to comparison with a previous CT scan than to the baseline exam. There was a miscalculation in 13 % of the reports and in 28 % of the cases the examination was compared to the previous CT scan. Finally, the tumor response was not detailed in 43 % of the follow-up reports. ConclusionThe use of dedicated oncology monitoring software could help in reducing intepretation time and in limiting human errors.

Comparison of multi-phase contrast-enhanced T1-weighted volumetric interpolated breath-hold examination and fat-suppressed T2-weighted combined with diffusion-weighted magnetic resonance imaging in anal fistula evaluation.

Anal fistula is a common anorectal disorder that significantly diminishes the quality of life for affected patients. Accurate preoperative evaluation of the fistula's traits is essential for customizing surgical strategies, improving patient outcomes, and reducing the likelihood of the disease returning. This study aimed to evaluate the diagnostic accuracy of multi-phase contrast-enhanced fat-suppressed T1-weighted imaging using three-dimensional gradient echo sequence volumetric interpolated breath-hold examination (CE-FS-T1-3D-VIBE) and fat-suppressed T2-weighted imaging combined with diffusion-weighted imaging (FS-T2WI-DWI) sequence in delineating the characteristics of anal fistulas. A case-control study of 168 patients with anal fistula was conducted through the picture archiving and communication systems (PACS; diagnostic imaging workstation). Imaging evaluations were performed using both multi-phase CE-FS-T1-3D-VIBE and FS-T2WI-DWI imaging on a Siemens 3.0T magnetic resonance imaging system (Skyra 3.0T superconducting type). The efficacy of each imaging modality in depicting the clarity, number, and positioning of the internal openings, as well as the identification of primary and secondary fistulas and abscesses, was independently evaluated in a blinded manner by two senior diagnostic radiologists, each with over a decade of experience. Statistical analyses were performed using χ2 test. Comparative analysis of the FS-T2WI-DWI and multi-phase CE-FS-T1-3D-VIBE sequences for diagnosing internal and primary fistula tract clarity demonstrated a significant superiority of the multi-phase CE-FS-T1-3D-VIBE sequence in delineating internal clarity (P=0.013) and primary fistula tract clarity (P<0.001). The multi-phase CE-FS-T1-3D-VIBE sequence demonstrated superior accuracy over the FS-T2WI-DWI sequence in depicting localization of internal openings [86.31% vs. 77.38%, 95% confidence interval (CI): 0.307-0.959, P=0.034], as well as delineation of the secondary tracts (88.69% vs. 80.95%, 95% CI: 0.293-1.001, P=0.048). Despite the increased accuracy of the multi-phase CE-FS-T1-3D-VIBE sequence, no difference was observed between the two imaging techniques regarding the accuracy in determining the number of internal openings, the quantity of primary fistulas, and the classification of anal fistulas. This study elucidates that the multi-phase CE-FS-T1-3D-VIBE imaging sequence potentially represents a more effective noninvasive alternative for the precise evaluation of the positioning and clarity of the internal opening, as well as the delineation of primary and secondary fistula tracts in anal fistula patients, compared to the FS-T2WI-DWI sequence. This enhanced diagnostic capability underscores the utility of multi-phase CE-FS-T1-3D-VIBE in improving the clinical management of anal fistulas.

Anatomy and Pathologies of the Spinous Process.

The spinous processes act as a lever for attachments of muscles and ligaments. Spinal imaging is commonly performed as a diagnostic test for pain and radiculopathy. A myriad of incidental or unexpected findings, both potentially asymptomatic and symptomatic, may be encountered during the interpretation of these images, which commonly comprise radiographs, Computed Tomography (CT) and Magnetic Resonance Imaging (MRI). Isolated lesions of the spinous process, although less common, are some of the lesions that may be encountered and can present a diagnostic dilemma. These can range from congenital abnormalities, traumatic lesions, neoplasms and lesions of inflammatory, infective and metabolic aetiology. The literature specifically reviewing these lesions is sparse. The article reviews a range of pathologies affecting the spinous process, along with their pertinent imaging features, based on isolated pathologies of spinous process lesions identified on imaging by the authors at a tertiary orthopaedic centre over a 10-year period. A search on the hospital Picture Archive and Communication System (PACS) and Radiology Information System (RIS) was performed using the keyword "spinous process" and a list of the isolated pathologies of the spinous process based on the imaging reports was compiled for the purpose of this narrative review. It is important that radiologists consider these lesions when they are identified on routine imaging of the spine.

Digital Archives Management in the Public Sector: A Bibliometric Study

This study examined development trends in digital archives management within government agencies using a bibliometric approach, covering the period from 2001 to 2023. The bibliometric approach was applied to examine publication patterns from 170 articles sourced from the Scopus database, filtered based on specific criteria. The analysis integrates qualitative and quantitative assessments to identify influential works and emerging themes in the field. The study revealed a notable growth in scholarly interest, with publications increasing from 10 in 2022 to 17 in 2023. The United States emerged as the leading contributor in both publication output and citation impact. Among journals, Government Information Quarterly (355 citations), The Electronic Library (144 citations), and Records Management Journal (180 citations) were identified as highly influential. Keyword network analysis highlighted key research directions centered on leveraging technology for digital archives management. Dominant themes included “records management,” “e-government,” and “blockchain,” reflecting a focus on optimizing archival practices and ensuring secure, interoperable systems. Future research should explore integrating blockchain with e-government frameworks to enhance records management security and developing interoperable electronic archive systems. The study underscores the importance of a collaborative, multidisciplinary approach involving archivists, technologists, and policymakers to foster innovation and address challenges in digital archives management.

Formiranje novih pravaca historiografije: Aktuelna konceptualizacija modernosti

The article deals with the modern problems of archival science, historiography, source studies in the post-Soviet space of science of the Russian Federation, summarizes the results of the science of the past century, determines the prospects of future relevant concept ology of modernity. The author examines the state of archival affairs in the Republic of Kalmykia on the problems of regional history, shows the main characteristics of modern historical science in the region, legitimate interests in the development of archeography. For the first time in the history of the state, a systemic failure of archival science as a form of manifestation of record keeping, the need to rebuild the archival system is shown, the urgency of the problem of the unified state archival fund (EGAF) is indicated: its formation, formation, preservation, responsibility for its preservation. One of the features of archival funds is their classification, the modern correct structure of preservation and their origin allows us to determine the place and their role in the history of the archival service, to show their genres and fields of knowledge. The author emphasizes the importance and world practice of modern archival science in the field of cognitive space, opens up the possibility of analyzing new facts in the history of Russian statehood, concluding that the actualization translation concluding that the actualization of modern conceptology makes it possible to form new directions in the science of historical knowledge of the past. With the historical development, the problems of knowledge aimed at its humanization are increasingly being considered.

Anatomical Variation of the Olfactory Fossa According to Keros and Yenigun Classifications in Karachi, Pakistan.

The goal of our research is to assess the olfactory fossa anatomical variation through Keros and Yenigun classification by computed tomography (CT) scan of paranasal sinuses (PNS), as in order for surgeons to prevent major complications, they must be familiar with its variations in anatomy during functional endoscopic sinus surgery (FESS) related to anterior ethmoidal artery injury, as its course varies with depth and length of the olfactory fossa. At Karachi's Dow University of Health Sciences (DUHS), retrospective research was carried out. From anterior to posterior, sequential coronal and axial pictures were examined, and the existence and location of further anatomical characteristics were documented. A consultant radiologist used the picture archiving and communication system (PACS) software to do the review. The depth of the olfactory fossa and anterior-posterior length were measured. We utilized OpenEpi version 3 to compute the sample size findings. The estimated sample size was calculated as 249 by taking the prevalence of 63.5% for type 2 Keros classification, with a margin of error of 6% and a confidence level. The median length for the olfactory fossa depth (Keros) for the left and right sides were 6.2 (2.2-10.9) mm and 6.0 (2.8-10.4) mm, respectively. The median anteroposterior length of the cribriform plate (Yenigun) for the left and right sides were 11.4 (6.1-19.2) mm and 11.2 (6.0-18.0) mm, respectively. According to Keros Classification, type 2 was observed as the most prevalent category on the right side for both females and males, with 97/122 (79.5%) and 106/127 (83.5%) individuals, respectively. The chi-square test was applied for the analysis of gender and classification. Keros type 2 was observed to be the most prevalent in both males and females. Similarly, type 2 was also seen to be the most prevalent in the Yenigun classification in both genders. No statistical difference was found in both classifications (p = 0.39). In most of the literature, type 2 has been the most commonly dominated type. The reason seems due to the variation in genes and anatomy of the human PNS. Preoperative planning should take the morphological characteristics of the ethmoidal roof into account. Understanding the ethmoidal roof morphology among populations may be improved by looking at bigger patient groups and meta-analyses that compile different study findings on this topic.

How many is enough? Measuring the number of FAST exams needed by emergency medicine trainees to reach competence

BackgroundFor patients with blunt abdominal trauma, the Focused Assessment with Sonography in Trauma (FAST) exam is the initial imaging modality employed to diagnose and risk stratify. A positive FAST exam in this patient population denotes intraperitoneal hemorrhage. In a hemodynamically unstable patient, it necessitates rapid surgical intervention. Ultrasound is highly dependent on the operator’s ability to obtain quality images for interpretation. Failure to obtain adequate images prevents accurate interpretation and reduce its diagnostic accuracy. Previous studies evaluating whether the FAST exam can be improved solely by experience had conflicting results. None of those studies used an objective method to evaluate the FAST exam’s quality. Our study aimed to objectively determine the number of FAST exams required by an emergency medicine (EM) resident to reach sufficient quality for independent scanning.Methods59 first-year EM residents from a single site were included in this study. All FAST exams that were saved in the Qpath archival system by the 59 EM residents, whether the exam was performed for educational or clinical purposes, were reviewed, and scored using a Task-Specific Checklist (TSC) score. This score is an objective way to assess the proficiency and quality of the FAST scan. The TSC was based on whether the imaging of 24 specific anatomic landmarks, split into four anatomic regions, was completed successfully or not. The AEMUS (Advanced EM Ultrasonography) faculty provided feedback to trainees wither electronically via Qpath or at the bedside. According to the quality of ultrasound imaging and competence (QUICK Score), if the average TSC score for the first 10 exams was 18 or higher, the resident was considered an expert. However, if the resident failed to achieve that score, we skipped the first exam performed by the resident and the average score for the second through eleventh exams was then calculated. If the resident did not achieve the desired result, the first and second exams were skipped and the average score for the remaining 10 exams was determined. This sequence was repeated until the resident achieved an average score of 18 or higher on their TSC score.ResultsIn total, 663 FAST scans performed by EM residents were scored. The average number of FAST exams needed for independent scanning is 11.23 (95% CI, 10.6-11.85). 66.1% of enrolled residents achieved an average score of 18 or higher in their first 10 FAST exams, and 33.8% of residents required more than 10 scans. The average scores for the right upper quadrant (RUQ), left upper quadrant (LUQ), pelvic, and subxiphoid views were 5 (95% CI, 4.88–5.1), 4.7 (95% CI, 4.59–4.8), 5.1 (95% CI, 4.96–5.24), and 3.7 (95% CI 3.6–3.8) respectively.ConclusionThis study demonstrated that when constructive feedback on each FAST exam was given, the average first-year emergency medicine resident achieves competency in performing FAST exams independently after completing 10–12 (average of 11.23) FAST exams. Further research is required to validate the findings.

CONSERVATION AND ARCHIVING MEDICAL RECORDS IN SELECTED HOSPITALS IN YAOUNDÉ

Introduction: Medical records play an important role in the storage and recall of patient’s information, patient’s follow-up, research, teaching, public health policy making and as a medico-legal tool, but less emphasis has been placed on its role in health care delivery. The objective of the study was to appraise the methods of conservation and archiving of medical records in hospitals in the city of Yaoundé.Methodology: A descriptive cross-sectional study was done in the hospitals of Yaoundé between January to June 2023. The Data which was collected from medical record clerks using a self-administered and pre-tested questionnaire included: The profile of the health institution, personal information of the clerks, strategies put in place for the protection of medical records and obstacles in archiving.Results: Twenty hospitals in the city of Yaoundé participated in the study. The public sector represented 65% of the health facilities, 45% had been existing between 21 and 40 years, with a median of 24.5 years. In 70% of the cases, medical records archiving system had been existing between 1 and 10years. In 65% of cases, the conservation of archived records was mainly done at the different services with the paediatric service being the most represented (16.2%). In 87.5% of cases, the means of archiving used was the paper file classified on shelves (73.5%); of which (52.2%) were archived in alphabetical order. The obstacles to archiving medical records were mainly the lack of qualified personnel (82.4%) and the lack of storage space (80.1%).Conclusion: Many obstacles were observed. These results suggest actions to be generated both by the Cameroonian State and by the leaders of private health facilities in order to improve the management of medical records.

Environmental Life Cycle Assessment of a U.S. Hospital-based Radiology Practice.

Background Climate change, driven primarily by human-induced greenhouse gas (GHG) emissions, poses major risks to human health. Health care contributes 8.5% of GHG emissions in the United States. Purpose To estimate the life cycle environmental impact of diagnostic radiology services within a single academic medical center. Materials and Methods This process-based life cycle assessment (LCA) of a diagnostic radiology department serving adult inpatient, outpatient, and emergency department patients in a U.S. hospital followed International Organization for Standardization (ISO 14040:2006) guidelines. System components included production and distribution of imaging equipment; energy use of imaging equipment, including MRI, CT, radiography and fluoroscopy, and US; production and use of other capital equipment; production of single-use, semidurable, and durable supplies and linens; and production and energy use from onsite data storage. Meters monitored the power usage of selected imaging equipment during April 2023. Modeling assumed an equipment lifespan of 10 years. Results are reported in kilotons of CO2 equivalent (kt CO2e) emissions per scan and over a 10-year period. A sensitivity analysis assessed variability of data. Results Over a decade, these radiology services generated 4.6 kt CO2e GHG emissions, with MRI responsible for 48% (2.2 of 4.6 kt CO2e) and CT responsible for 24% (1.1 of 4.6 kt CO2e) of cumulative emissions. Clinical use of imaging equipment (all modalities) accounted for 54% of departmental GHGs (2.5 of 4.6 kt CO2e). Other notable contributions include the production of imaging equipment (11%, 0.49 of 4.6 kt CO2e), the production and use of picture archiving and communication system workstations (11%, 0.48 of 4.6 kt CO2e), and linens production and laundering (10%, 0.47 of 4.6 kt CO2e). Conclusion Energy consumption from clinical use of imaging equipment accounted for more than 50% of departmental GHG emissions, with MRI and CT equipment as the major emitters. Other notable GHG contributors include the production of imaging equipment, the production and use of picture archiving and communication system workstations, and linens production and laundering. © RSNA, 2024 Supplemental material is available for this article. See also the editorial by Thrall in this issue.