A round table discussion on forensic science in Australia

This manuscript is an edited transcript of a round table discussion held during the Australian New Zealand Forensic Science Society International Symposium held in Sydney in 2010. The discussants covered a variety of topics, including the management of science, the handling of quality issues, and the report on forensic science from the U.S. National Academies of Science National Research Council. This discussion offers a frank account of the current state of Australian forensic service providers. These views are then considered in the context of recent events unfolding in the United Kingdom and in a broader international context. It poses the question, are there lessons to be learned from the Australian experience that would have relevance to other parts of the world

Evaluation of tracheal stenosis: comparison between computed tomography virtual tracheobronchoscopy with multiplanar reformatting, flexible tracheofiberoscopy and intra-operative findings

The aim of the study was to evaluate and compare various helical CT display modes [virtual endoscopy (VE)] and multiplanar reformations (MPR), conventional flexible tracheobronchoscopy (FT) and intra-operative (IO) findings in patients with tracheal stenosis and to analyze the advantage of MPR and VE in diagnosis and treatment planning and in postoperative follow-up. Thirty-seven patients with tracheal stenosis underwent standard neck and chest CT followed by MPR and VE. Results were correlated with the results of FT and IO findings. Thirty-three of the 37 stenoses were correctly graded and measured adequately using VE. Complete correlation among CT, fiberoptic tracheoscopy, and surgery of stenosis grading, stenosis length and length of planned resection segment of the trachea was noted between 33 of 37 patients with tracheal stenosis. Correlation between VE and IO was noted in 35 of 37 patients and between FT and VE was noted in 33 of 37 patients with tracheal stenosis. The sensitivity of VE was 94–97%, specificity was 100% with comparison to IO findings. The sensitivity and accuracy of MPR was 86–89% and specificity was 100% with comparison to FT findings. The results of the study indicate that VE is an excellent, consistent, and objective technique. VE with MPR is very useful in diagnostic evaluation and treatment planning in patients with tracheal stenosis

Hospitals : to the next millennium

Hospitals are changing. Throughout the OECD the hospital, that enduring and pervasive organization which has delivered the vast majority of acute care services for decades, is being reconceptualized. We briefly analyse trends which clearly indicate that the existing concept of the hospital is rapidly coming to an end. The emerging model consists of a core facility comprising only the most acute services, intensive care, operating theatres and an accident and emergency unit, with all other services and units linked by information technology to each other and to the core facility. We explore some of the management challenges confronting those who will be responsible for taking their organization through the transition to the boundaryless hospital arrangement, discuss a number of the existing problems with today's hospitals which the new model has the propensity to resolve, and deal with some of the emerging issues which it brings with it.12 page(s

A Round Table Discussion on forensic science in Australia.

This manuscript is an edited transcript of a round table discussion held during the Australian New Zealand Forensic Science Society International Symposium held in Sydney in 2010. The discussants covered a variety of topics, including the management of science, the handling of quality issues, and the report on forensic science from the U.S. National Academies of Science National Research Council. This discussion offers a frank account of the current state of Australian forensic service providers. These views are then considered in the context of recent events unfolding in the United Kingdom and in a broader international context. It poses the question, are there lessons to be learned from the Australian experience that would have relevance to other parts of the world