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HIS and RIS, which deal with patient nonimaging data management and hospital operation, can be considered components of EMR. An integrated HIS RIS PACS system, which extends the patient data to include imaging, forms the cornerstone of ePR. Existing ePRs are mostly Web-based and have certain commonalties. They have large data dictionaries with time stamped in their contents and can query from

The hormones and adipokines secreted by adipose tissue are also implicated. Both vascular smooth muscle cells and endothelial cells express functional leptin receptors (Gomez-Ambrosi et al., 2006), and leptin at physiological concentrations is a direct,

St. John s is a 224-bed community hospital that performs about 120,000 radiology exam procedures each year. Of those exams, approximately 90% are digitally acquired and stored in a PACS archive server. The archive server is also responsible for prefetching and distributing any current and previous exams. It provides patient location information for automatic image distribution to speci c review WSs located on the hospital s clinical oors. Like all traditional LAN PACS, the archive server is the command center of St. John s PACS. This case study represents the PACS at St. John s as of 2001. Since that time the PACS has been upgraded to a different server and archive con guration. Although this case study may not re ect the performance of current PAC systems, the types of system failure described could happen even with the state-of-the-art technology. The hardware con guration for the archive server consisted of a Sun Ultra2 WS, two-mirrored hard disks, a RAID 4 (redundant array of independent disks) storage system, and an optical disk jukebox with two drives and a single robotic arm. The Sun Ultra2 WS had one 4.1-GB hard disk that contained the system software and the application software for the archive server. Attached to the WS was a separate unit that contained two 4.1-GB mirrored hard disks. This mirrored hard disk device contained mirrored data of the patient and image directories of all the exams stored in the RAID and MOD (magnetic optical disk) jukebox. A third copy of the

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In this section, we summarize the most important ingredients of the linear least squares theory presented in Sections 5.1 1-5.16. Generally, the properties of a linear least squares estimator depend on the statistical properties of the observations. Throughout, the expression for the expectations Ew = X 6 (5.300) is assumed to be correct and the matrix X is assumed to be nonsingular. Then, the general form of the least squares criterion is

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and then the re ectivity of the SBS mirror increases rapidly Finally, the start resonator mirror Mstart is nearly switched off and a giant pulse is emitted out of the SBS resonator between the output coupling mirror M1 and the SBS mirror A smaller re ectivity of the mirror Mstart, Rstart, will lead to a higher pulse energy, and a larger Rstart will lead to a smaller pulse energy More inversion can be built up when the start resonator gets above threshold later If the laser is further pumped after the pulse has been emitted, further Q-switched pulses are generated in the same manner This way a whole burst of Q-switched pulses can be generated In order to switch the laser oscillation from the start to the SBS resonator, a difference in the quality Q between the two resonators is necessary.

There are different possibilities to realize this Q difference in the sf-SBS laser (see Fig 32) One easy and frequently used option is to choose the re ectivity of Mstart smaller than the average re ectivity of the SBS mirror above threshold The optimum value of Mstart can be determined by inserting neutral density lters in front of the mirror (Fig 32b) [19, 20, 27 29] Moreover, the start resonator can be set up unstable (Fig 32a) [18, 30, 31], elements of the start resonator can be slightly misaligned (Fig 32c) [32], or a mode-selecting aperture between SBS mirror and Mstart can be used (Fig 32d) [30] An aberrator also will lead to a higher Q for the phase conjugating SBS resonator than for the start resonator (Fig 32e) [33] The case shown in Fig 3.

w = Re{S}

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2e is realized in every oscillator with an aberrated refractive index pro le of the active laser material Furthermore, absorbing SBS materials like CS2 or acetone will lead to higher losses for the full transmission of the SBS cell in start.

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