Many Canadians are undergoing MRI without screening for endoscopic clips. Although the risks of MRI to patients with endoscopic clips is unclear, the misclassification of some endoscopic clip models and inconsistent protocols for dealing with confirmed endoscopic clips call for further research and unified evidence-based endoscopic clip screening standards.
Substantial advances have been made by the IWA Water Losses Task Force in the last few years in the development of practical water loss management methods, including the benefits of active pressure management, calculation of economic intervention frequency for active leakage control, and economic levels of leakage. This paper reviews experiences to date in introducing and disseminating these advances to Utilities internationally, with particular reference to Australia, Europe, and North America.
Verbal interview is invaluable to endoclip screening, clearing 86% of patients with minimal monetary and time investment. Conversely, the limited availability of endoscopy reports and relevant past imaging somewhat restricts the determination rates of these. New imaging (radiograph or computed tomography) is required <5% of the time, and although costly and associated with patient irradiation, has excellent determination rates (above 96%) when needed.
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