In the process of reconstruction and extension of highways,the most important thing is to ensure that the overall level of the widening of interchanges is comprehensively improved to ensure safe traffic.However,due to...In the process of reconstruction and extension of highways,the most important thing is to ensure that the overall level of the widening of interchanges is comprehensively improved to ensure safe traffic.However,due to the heavy and difficult tasks in the widening of interchanges,higher requirements are put forward for the construction quality of the project.In the actual construction of the project,it is necessary to actively analyze and explain the specific construction of the interchange widening project to ensure that the improvement level of the interchange widening in highway reconstruction and extension project is effectively upgraded.This paper gives a detailed introduction to the main construction technology for interchange widening project,clarifies the technical points of safety and guaranteed access,and proposes corresponding safeguard measures to ensure the comprehensive upgrade of the construction quality and standard of interchange widening in highway reconstruction and extension.展开更多
Given the increasing complexity of cancer care,multidisciplinary tumor boards have become essential in daily clinical oncology practice.The Project Extension for Community Healthcare Outcomes(ECHO)initiative developed...Given the increasing complexity of cancer care,multidisciplinary tumor boards have become essential in daily clinical oncology practice.The Project Extension for Community Healthcare Outcomes(ECHO)initiative developed an innovative telementoring model using a"hub and spoke"design consisting of a team of experts(hub)that offers a full service to multiple participants(the spokes)during regularly scheduled sessions discussing patients'clinical cases.The Alexander Fleming Cancer Institute in Buenos Aires was the first hub in Latin America to implement Project ECHO for gastrointestinal tumors.In our 3-year experience,80 patients from 37 centers were evaluated within Project ECHO and a range of three to five cases were discussed in each meeting.From our perspective,the impact of this novel approach was a remarkable strategy to reduce care disparities by equalizing access to high-quality medical knowledge in a multidisciplinary environment for medical discussions.Additionally,it was shown to have a cost-effective impact directly on the patients and the local health system,since relevant costs were saved after unnecessary treatments,studies and travel expenses were avoided.展开更多
文摘In the process of reconstruction and extension of highways,the most important thing is to ensure that the overall level of the widening of interchanges is comprehensively improved to ensure safe traffic.However,due to the heavy and difficult tasks in the widening of interchanges,higher requirements are put forward for the construction quality of the project.In the actual construction of the project,it is necessary to actively analyze and explain the specific construction of the interchange widening project to ensure that the improvement level of the interchange widening in highway reconstruction and extension project is effectively upgraded.This paper gives a detailed introduction to the main construction technology for interchange widening project,clarifies the technical points of safety and guaranteed access,and proposes corresponding safeguard measures to ensure the comprehensive upgrade of the construction quality and standard of interchange widening in highway reconstruction and extension.
文摘Given the increasing complexity of cancer care,multidisciplinary tumor boards have become essential in daily clinical oncology practice.The Project Extension for Community Healthcare Outcomes(ECHO)initiative developed an innovative telementoring model using a"hub and spoke"design consisting of a team of experts(hub)that offers a full service to multiple participants(the spokes)during regularly scheduled sessions discussing patients'clinical cases.The Alexander Fleming Cancer Institute in Buenos Aires was the first hub in Latin America to implement Project ECHO for gastrointestinal tumors.In our 3-year experience,80 patients from 37 centers were evaluated within Project ECHO and a range of three to five cases were discussed in each meeting.From our perspective,the impact of this novel approach was a remarkable strategy to reduce care disparities by equalizing access to high-quality medical knowledge in a multidisciplinary environment for medical discussions.Additionally,it was shown to have a cost-effective impact directly on the patients and the local health system,since relevant costs were saved after unnecessary treatments,studies and travel expenses were avoided.
