The American College Of Chest Physicians Lung Cancer Guidelines has recommended using radial endobronchial ultrasound (EBUS) as an adjunct imaging modality for patients with peripheral lung nodules, where expertise and equipment are available.
In the scaling-up of cervical cancer screening services in Thailand, although the capacity to conduct technical analysis existed in the Health Ministry, research institutes and even in peripheral health facilities, this expertise was not consulted in devising the ambitious campaign.
On the other hand, even though they contribute only sporadically, peripheral members provide bug reports, suggestions and critical expertise that are fundamental for innovation [10].
Positive outcomes are facilitated if the center of ECMO expertise assists in the training of peripheral hospitals in providing the initial training and support of such staff.
The treatment philosophy advocating early open complete ligament reconstruction of the central pivot and peripheral lesions is based on the recommendations and expertise of one of the senior authors.
With the development of various new tools and peripheral devices and the accumulation of experience and expertise in ESD, colorectal ESD is gradually coming into widespread use in Japan.
In the context of the shortage of oncologists, the mobile oncology team has made it possible to maintain cancer care services in the eight peripheral hospitals, with the same level of medical expertise as that provided in the reference center.
Specifically, DoCoMo said it intends to "integrate Pioneer's in-car navigation telematics technologies and related peripheral development capabilities with [its own] mobile cloud expertise to make a full-scale entry into the field of intelligent transport systems (ITS)".
Peripheral blood smear is highly reliable, species specific, requires expertise and is time consuming.
Capacities needed for service provision, including clinical, scientific, and administrative expertise, are likely to be rare at peripheral levels of the health system.
