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1

R. Rajan and Paul Rajan Rajkumar. "Diagnostic Laboratories - Are These Radiation Safe?" Journal of Multidisciplinary Research in Healthcare 3, no. 2 (April 10, 2017): 99–127. http://dx.doi.org/10.15415/jmrh.2017.32010.

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The demand for Diagnostic Centers in India is propelled by changes in culture, increase in population, rise in infectious disease, increase in healthcare expenditure and rising adoption of preventive health check-ups. The Private diagnostic market in India has limited number of organized players and the overall market is driven by unorganized laboratories. The Diagnostic Imaging equipments such as X-ray, CT (Computed Tomography) Scanner and BMD (Bone Mineral Densitometer) need to be handled with utmost care as they have human made ionizing radiation exposure risks. India is one of the largest consumers of refurbished diagnostic imaging equipments and the beneficiaries include Diagnostic Centers, Corporate Hospitals and Chain of Diagnostic Laboratories. The Atomic Energy Regulatory Body (AERB) in India regulates the usage of diagnostic imaging equipments by evolving policies and procedures to be strictly followed by Diagnostic Centers for containing excessive radiation. The changes in procurement policy made by AERB in September 2015 have restricted importing of used diagnostic imaging equipments up to a maximum of 7 years. This regulatory change has triggered a research question, Diagnostic Laboratories - Are these Radiation Safe? This research was conducted with the objective of assessing whether diagnostic centers follow the best practices mandated by AERB. The researcher has conducted a very structured assessment on AERB compliance using 7 different parameters namely, Regulatory, Layout Engineering, Technician Competency, Human Safety, Operations Knowhow, Radiation Exposure Monitoring and Top Management Commitment. This study was conducted in 192 diagnostic centers across multiple cities in Tamil Nadu, with a structured questionnaire contained 34 questions. Based on the responses received on the actual practices followed by diagnostic centers to contain Radiation risk, Radiological Compliance Index (RCI) was estimated. The analysis has revealed that Top Management Commitment was very low with a RCI score of 2.02 (Moderate Presence of AERB recommended best practices) and Operations “Know-Know” was high with a score of 4.40 (High Presence of AERB recommended best practices). The comparative analysis of RCI between National Accreditation Board for testing and Laboratories (NABL) accredited (RCI Score 3.19) and Non NABL (RCI Score 3.18) diagnostic centers has indicated that the accreditation did not significantly influence the compliance. The Pearson correlation co-efficient has established moderately positive correlation with Revenue (+ 0.321) & Patient Queue size (+0.293) on RCI. This study has concluded with sufficient evidence and analysis that Private Diagnostic Centers need to focus on appointing Radiation Safety Officer, monitoring radiation exposure dosage, periodical equipment service, continuous training of their staff and periodical QA tests for equipment fitness in order to achieve significant regulatory compliance maturity levels. This research has further recommended similar research in private diagnostic laboratories in other states in India and comparative analysis of compliance to AERB guide lines between Government Hospitals and Private Diagnostic Centers.
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Haideri, Aiman Noor, Amber Sani, Aymen Azhar, Muhammad Khalil, and Ihsan Ul Haq. "Management of COVID-19 in Different Countries." Global Immunological & Infectious Diseases Review VI, no. II (December 30, 2021): 10–18. http://dx.doi.org/10.31703/giidr.2021(vi-ii).02.

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Covid-19 is a category B type infection, but it has created a serious threat across the globe because the pandemic spread more quickly than any other in history. Before the spring festival, the epidemic in China just begun. Different measures, including mobilization of health care workers, building new hospitals and imposing the lockdown, were undertaken to minimize the spread. In South Korea, the measures were implemented under strong and coordinated government leadership. The developing countries, including India and Iran, have taken the steps like travel limitations, specified hospitals, testing laboratories, quarantine facilities, awareness campaigns and lockdown, which aided a great deal in taking the flooding tide of diseases back to a controllable level. Also, educational institutions, industrial establishments and hospitality services for other patients were suspended for the sake of critically ill Covid-19 patients.
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Haideri, Aiman Noor, Amber Sani, Aymen Azhar, Muhammad Khalil, and Ihsan Ul Haq. "Management of COVID-19 in Different Countries." Global Immunological & Infectious Diseases Review VI, no. I (December 30, 2021): 10–18. http://dx.doi.org/10.31703/giidr.2021(vi-i).02.

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Covid-19 is a category B type infection, but it has created a serious threat across the globe because the pandemic spread more quickly than any other in history. Before the spring festival, the epidemic in China just begun. Different measures, including mobilization of health care workers, building new hospitals and imposing the lockdown, were undertaken to minimize the spread. In South Korea, the measures were implemented under strong and coordinated government leadership. The developing countries, including India and Iran, have taken the steps like travel limitations, specified hospitals, testing laboratories, quarantine facilities, awareness campaigns and lockdown, which aided a great deal in taking the flooding tide of diseases back to a controllable level. Also, educational institutions, industrial establishments and hospitality services for other patients were suspended for the sake of critically ill Covid-19 patients.
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Koteswara Rao, Pagolu, and Raghava Rao T. "Institutional capacity of health care institutes for diagnosis and management of common genetic diseases - A study from a north coastal district of Andhra Pradesh." Journal of Community Medicine and Health Solutions 2, no. 1 (June 28, 2021): 007–13. http://dx.doi.org/10.29328/journal.jcmhs.1001008.

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Background: In India, the genetic disease is a disregarded service element in the community health- protection system. This study aims to gauge the accessibility of services for treating genetic disorders and also to evaluate the practices on deterrence and management services in the district health system. Methods: A cross-sectional survey of selected health amenities from 454 medical officers (MO’s), 94 accredited social health activist (ASHAs) workers, 86 multipurpose health assistant-female (MPHA-F), 34 multipurpose health assistant-male (MPHA-M), 14 multipurpose health supervisors-female (MPHS-F), 10 multipurpose health supervisors-male (MPHS-M), 6 multipurpose health extension officer/ community health officer (MPHEO/CHO), 10 public health nurse (PHN), 45 lab technicians (LT’s) working in the government health sector and 254 in the private health sector, 409 nursing staff working in the government health sector and 995 in the private health sector, 15 primary health centers (PHC’s), 4 community health centers (CHC’s), 1 district government hospital (DGH), 3 referral hospitals (RH’s). From the side of private health institutions 25 corporate hospitals (CH’s), 3 medical colleges (MC’s), and 25 diagnostic laboratories (DL’s) were conducted. Results: The findings show that adequate staff was in place at more than 70% of health centers, but none of the staff have obtained any operative training on genetic disease management. The largest part of the DH’s had rudimentary infrastructural and diagnostic facilities. However, the greater part of the CHC’s and PHC’s had inadequate diagnostic facilities related to genetic disease management. Biochemical, molecular, and cytogenetic services were not available at PHC’s and CHC’s. DH’s, RH’s, and all selected medical colleges were found to have offered the basic Biochemical genetics units during the survey. In 24% of CH’s, the basic biochemical units are available and 32% (8 out of 25) of DL’s have the advanced biochemical genetics units by study. Molecular genetics units were found to be available in 28% (7 out of 25) of DL’s during the study. About 6 (24%) diagnostic centers of cytogenetic laboratories were located in the Visakhapatnam district under the private sector. Conclusion: The district health care infrastructure in India has a shortage of basic services to be provided for the genetic disorder. With some policy resolutions and facility strengthening, it is possible to provide advanced services for a genetic disorder in the district health system.
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Kukanur, F. Sneha, G. Naveen, N. Ashwin Chitrabanu, B. M. Prashant, R. Meghana, and V. N. Venkatesh. "Magnitude, Seasonal-variation, Serological and Hematological Profile of Dengue in a Tertiary Teaching Hospital, Karwar, India." Journal of Pure and Applied Microbiology 15, no. 4 (September 30, 2021): 1892–97. http://dx.doi.org/10.22207/jpam.15.4.10.

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Dengue viral infection is the most widely spread arbo-viral disease in Indian subcontinent. High index of clinical suspicion especially during its peak season can be rewarding in diagnosing as well as early case management of anticipated DHF and DSS cases. To estimate the magnitude, seasonal-variation, serological as well as hematological aspects of dengue cases. This was a prospective observational study held in Microbiology and Hematology laboratories of our hospital for duration of one year from July-2019 to June-2020. All the suspected dengue cases were subjected to NS1-antigen, IgM and IgG antibody detection. The samples were also tested for platelet count, total count, haematocrit as well as hemoglobin estimation. All 1,550 dengue suspected cases were subjected to serological testing, among which 157 (10.1%) were positive. The most affected populations were the adult male. As the study was conducted for one year, we could observe the seasonal trend which peaked during post-monsoon. Out of 157 cases, 81.5%, 0.6% and 17.8% were determined as primary, secondary and old dengue cases respectively. There was a significant association between NS1 antigen and fever of </= 5 days duration with ‘p’ value< 0.00001. Thrombocytopenia, leucopenia and increased haematocrit were witnessed in 15.9%, 28.6% and 35% respectively. Our study shows that we had a high magnitude of primary cases that are prone to secondary dengue infection which might have a catastrophic effect giving rise to DHF, DSS or SD.
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Rani, Rekha, Maruti Sinha, Ratnaboli Bhattacharya, Ridhima Gupta, and Gurcharan Kaur. "Intra uterine insemination: Limitations in a tertiary care hospital." Asian Journal of Medical Sciences 7, no. 1 (August 28, 2015): 76–81. http://dx.doi.org/10.3126/ajms.v7i1.12614.

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Aims and Objectives: Infertile couples need expert guidance to be able to choose an appropriate therapy relevant to their sub-fertility where one in seven couples have infertility. The present study has been designed to study the clinical effectiveness of IUI in enhancing pregnancy rates in cases of unexplained infertility and to compare it with other modalities of expectant treatment. We enumerate our experience with IUI at Kasturba Hospital with a special effort to assess any limitations in performing this procedure in tertiary care centres like ours.Materials and Methods: This was a prospective study with observational analysis of data on sub fertile couples who underwent COH and IUI as a part of the management protocol in our hospital- Kasturba Hospital, New Delhi. The period of study extended from 2007 to 2014. Infertility work up of all the registered couples was done on a standard investigation protocol. The male partner was also assessed by a detailed history and semen analysis.Results: Average females were less than 30 years of age at 48.1% Majority of couples were having primary infertility (82.28%) whereas only 17.72% had secondary infertility. Pregnancy rates achieved with single IUI (22.55%) was more than that achieved in double IUI (11.11%). Pre rupture IUI resulted in higher pregnancy rates (23.08%) than post rupture ones (15.12%). Out of pregnancies that occurred from IUI cycles, term deliveries were 21.52% and there were 6.33% spontaneous miscarriages. Only 2.53% had twin pregnancies.Conclusion: In a resource deprived country like India where low per capita income make IVF-ET an unaffordable option to most of the patients, IUI has found wide acceptance with much lower costs. However the biggest limitation in offering IUI is that most of the tertiary care centres in India are yet to eqiup itself with standard IUI Laboratories to thus make Intra Uterine insemination widely available at affordably low cost.Asian Journal of Medical Sciences Vol.7(1) 2015 76-81
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Alvarez-Uria, Gerardo, Raghuprakash Reddy, Srinivasulu Reddy, Praveen K. Naik, and Manoranjan Midde. "Evaluation of a Low-Cost Strategy for Enumerating CD4 Lymphocyte Absolute Count and Percentage Using the FACSCalibur Flow Cytometer in HIV-Infected Patients from a Resource-Limited Setting." ISRN AIDS 2012 (October 23, 2012): 1–4. http://dx.doi.org/10.5402/2012/494698.

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Enumeration of CD4 lymphocytes is essential for the clinical management of HIV-infected patients, but it can be difficult to afford in developing countries. In this study we evaluated a reagent reduction strategy for reducing the cost of enumerating CD4 cell absolute count and percentage using the FACSCalibur flow cytometer (Becton Dickinson). We compared the protocol recommended by the manufacturer with a protocol that used half of the usual amount of CD3/CD4/CD45 monoclonal antibody reagent in 100 samples from HIV-infected patients in a rural hospital in India. The concordance correlation coefficient between the two protocols was 0.976 for CD4 cell count and 0.984 for CD4 cell percentage. We did not find significant bias when performing Deming regression or Bland-Altman analysis. Sensitivity and specificity were 97% and 98.5% for identifying patients with less than 200 CD4 cells/μL, 98.1% and 93.8% for identifying patients with less than 350 CD4 cells/μL, and 100% and 94.7% for identifying patients with less than 25% CD4 cells, respectively. This reagent reduction strategy can be used for reducing the cost of enumerating CD4 lymphocytes in high-volume laboratories from resource-limited settings.
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MITRA, Roma, and Apaar DHINGRA. "Health Sector and Application of Big Data: A Case Study of India." Central European Review of Economics and Management 6, no. 1 (March 27, 2022): 45–65. http://dx.doi.org/10.29015/cerem.923.

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Aim: The paper aims to study and present the case study of the health sector of India. The paper also aims to identify the opportunities for the application of Big data in the health sector. The major stakeholders of the system viz. doctors, hospitals, clinics, insurance companies, pharmaceutical companies, research, and development organizations, industries manufacturing medical instruments, laboratories, medical data analysts, and many more are utilizing big data and predictive analytics in their critical decision making. The predicted revenue was expected to reach 280 billion by 2020 as per the statistics given by the Indian Brand Equity Foundation. Research methods: A critical review has been conducted using electronic sources between 2015 and 2020, limited to English language articles and reports published from 2015 onwards. The reviews will be classified to identify the opportunities for future application of Big Data. Conclusions: The paper presents a trend in the use of Big Data Analysis in the health sector. The paper also explores and identifies the areas of future application of big data to increase the efficacy of the system. Originality/value of the article: This is an original piece of article in the context of India in terms of documenting the big data applications in the health sector and identifying the opportunities for the future application of the same. Implications of the research: This research holds a significant contribution towards the implications of the application of Big Data in the health sector. The newly identified areas of the health sector, which can be improved by using the big data analytics, are important for the policy makers of the organizations, including the Government. Limitations of the research: The research has been conducted based on the secondary data, which area available in the public domain. However, due to COVID 19, there could have been more innovations in the health sector in terms of using the big data, which may not have been published or are available in the public domain. Also, collection of the primary data in terms of an interview with the administrators/management can be explored in the future study.
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Kumar, Vinod, and Bijoy Kumar Panda. "CAN COST OF PHARMACOLOGICAL THROMBOLYTIC THERAPY BE A MEDICATION MANAGEMENT STRATEGY FOR ACUTE CORONARY SYNDROME?" Asian Journal of Pharmaceutical and Clinical Research 10, no. 3 (March 1, 2017): 363. http://dx.doi.org/10.22159/ajpcr.2017.v10i3.16308.

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ABSTRACTObjectives: In Indian health-care system with delayed access to a minimum number of catheter laboratories and rarity of insurance benefits, prehospitaland in-hospital thrombolytic has become the choice for patients with acute coronary syndrome (ACS), where many patients bear the economicburden of pharmacological thrombolytic. The present study was carried out to evaluate the pattern of prescribing of pharmacological thrombolyticagents in hospitalized ACS patients and associated cost burden.Methods: A prospective observational cohort study of prescription was conducted for in-patient admitted to intensive care unit for thrombolytic andantithrombotic drug utilization pattern. The direct cost analysis was performed from patient’s perspective where a direct cost was calculated usingpharmacy bills. All other cost was assumed to be same.Results: Data of 288 patients were collected from which 108 (37.5%) patients were ST-elevation myocardial infarction (STEMI) and 180 (62.5%)patients were non-STEMI. The mean number of drugs prescribed was 11±2 which constitutes a mean of 3.1±0.7 reperfusion drugs. 59% of patientswere prescribed with enoxaparin (0.6 ml/seconds route) for the mean duration of 4 days. The average prescription cost for ACS admission was aroundRs.7159.5±5137.2 (Rs.1101-Rs.22202). The average cost of pharmacological thrombolytic therapy was Rs.4557±3468.3 (Rs. 23-Rs.12542). The meancost of pharmacological thrombolytic therapy was found to be 63% of the total direct cost of drugs borne by the patient. The cost of therapy waspositively correlated with duration of stay (p=0.000) and insignificantly correlated with a number of drugs.Conclusion: Antiplatelets were the most preferred followed by anticoagulants. The mean number of drugs per encounter was high but was rationalas per standard guidelines. The mean cost for pharmacological reperfusion therapy was found to be more than half of mean prescription cost for themanagement of ACS.Keywords: Acute coronary syndrome, Thrombolytic therapy, Cost, Medication management.
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Cortelyou-Ward, Kendall, Timothy Rotarius, Aaron Liberman, and Antonio Trujillo. "Hospital In-house Laboratories." Health Care Manager 29, no. 1 (January 2010): 4–10. http://dx.doi.org/10.1097/hcm.0b013e3181cd8a94.

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11

Thakur, Singh. "Total quality management, laboratory accreditation and external quality assessment schemes." Jugoslovenska medicinska biohemija 23, no. 3 (2004): 311–15. http://dx.doi.org/10.2298/jmh0403311t.

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Two contradictory pressures, ?high quality? and ?cost reduction? require the clinical laboratories to adopt effective management techniques such as Total Quality Management (TQM). It is not merely a management process for quality improvement in all spheres of industrial functioning but also a management philosophy for overall organization development. TQM has been adopted by many health care organizations including clinical laboratories in the developed world. In the developing countries, however, majority are still using the traditional frame work of quality management. Through the concept of Quality Assurance (QA) and Quality Control (QC) in health care laboratories in India is more than two decades old, it developed in a highly unequal plane and still faces multi factorial problems. External QA/ Proficiency Testing (PT) is used to compare performance of laboratories. This is recently made mandatory for accreditation process in India. Unfortunately only <10% of laboratories participate in EQA programs possibly due to high cost. Professional bodies/Institutions (ACBI, IAPM, ISHTM-AIIMS EHPT) and Government of India are working hard to make EQA Programs available at reasonable cost. National Board of Testing and Calibration Laboratories (NABL) has been setup by Department of Science and Technology, Government of India which has started accreditation of clinical laboratories since 1999. So for 33 laboratories (0.17%) has been accredited and almost the same number of applications are in process. The program is voluntary at the beginning, may be made mandatory later. We see a Herculean task ahead for NABL but they are doing a good job at low cost similar to international organization like ACP. The formation of laboratory policy with quality control as its integral part is very imperative in achieving, total quality management of clinical laboratories in India.
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Pang, Catherine Y., and J. Michael Swint. "Forecasting staffing needs for productivity management in hospital laboratories." Journal of Medical Systems 9, no. 5-6 (December 1985): 365–77. http://dx.doi.org/10.1007/bf00992574.

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Hamid Abu Bakar, Abdul, Ismail Lukman Hakim, Siong Choy Chong, and Binshan Lin. "Measuring supply chain performance among public hospital laboratories." International Journal of Productivity and Performance Management 59, no. 1 (December 8, 2009): 75–97. http://dx.doi.org/10.1108/17410401011006121.

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PurposeThe purpose of this paper is to investigate the efficiency levels of the decision‐making units within the public hospital laboratories in using their supply chain towards meeting the satisfaction of doctors.Design/methodology/approachData were collected from two senior laboratory administrators and 30 doctors of two hospital laboratories in Malaysia using two sets of structured questionnaires, which comprised of two dimensions, i.e. doctor satisfaction dimension (DSD) and supply chain inputs (SCI). The dimensions of DSD and SCI were developed and that SCI has been relabeled as hospital laboratory inputs (HLI) to suit the nature of current study. The resulting data were positioned on an importance‐performance matrix. By using the data envelopment analysis software, the efficient frontier for both hospital laboratories was calculated under different scenarios.FindingsResults reveal that one of the laboratories satisfies doctors efficiently using the present levels of HLI for each scenario while the other failed.Research limitations/implicationsThe paper focuses only on two hospital laboratories.Practical implicationsThe findings offer insights on the important dimensions of DSD and HLI that the hospital laboratories should concentrate on when measuring doctor satisfaction through the utilization of resources they possess. This will undoubtedly lead to better hospital‐doctor‐patient relationships.Originality/valueMany prior supply chain studies have focused on patient satisfaction. This paper is probably one of the first attempts that comprehensively examines satisfaction from the perspective of doctors.
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Mahmood, Shaikh. "Health care and hospital management in India." Journal of Management Research and Analysis 7, no. 3 (September 15, 2020): 136. http://dx.doi.org/10.18231/j.jmra.2020.032.

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Sengupta, Sharmila, Kalisvar Marimuthu, Andrew Stewardson, Stephan Harbarth, Amanda Durante, and Sanjeev Singh. "Challenges in Identification of Candida auris in Hospital Laboratories: Comparison Between HIC and LMIC." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s158. http://dx.doi.org/10.1017/ice.2020.681.

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Background:Candida auris is an emerging nosocomial fungal pathogen causing invasive illness and outbreaks worldwide. A major issue regarding C. auris is that it can be misidentified unless appropriate technology is used. We conducted a survey of available methods for identification of C. auris in 21 hospital laboratories in India regarding their protocols for prevention of C. auris infection. Methods: The survey was an adaptation of a similar survey conducted for the Connecticut Laboratory Response Network in 2017. We mailed the survey to 30 microbiologists and ID physicians, and 21 of them from 12 states responded. All respondents were from private acute-care and teaching hospitals. The responses were analyzed and compared to the Connecticut study. Results: Of 21 hospitals, 19 (90.5%) can identify C. auris in house. Also, 18 (85.7%) have identified C. auris in the past 18 months. Species level identification was done only for blood cultures in all hospitals. Only 5 (26%) laboratories speciated Candida spp isolated from other sites such as respiratory and urinary specimens. Automated systems were used like Vitek 2 in 16 (84.2%), Phoenix BD in 2(10.5%) and Microscan in 1(5.26%) laboratory. MALDI-TOF MS and PCR for identification were used in 2 laboratories. Antifungal susceptibility testing is done in-house in 19 (90.5%) laboratories. Only 10 (52.6%) responding hospitals from India had infection prevention protocols for C. auris, and 9 (47.4%) of them isolated patients. The major challenges for infection prevention with C. auris are absence of screening in high-risk patients (66.7%), misidentification by automated systems (84.2%), and inability to speciate from nonsterile sites underestimates the prevalence (100%). Conclusions: There is an urgent need to enhance the capacity of hospital laboratories to detect C. auris early, and to implement infection prevention measures. In both studies early detection is the key and as suggested by the US authors, challenges can be overcome through collaboration between hospitals and referral laboratories when resources are limited. This optimizes laboratory capacity and prevents global spread through colonized patients. The limitation of this study is that data from public hospitals are unknown and larger studies are needed.Funding: NoneDisclosures: None
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Karthiyayini, Nagarajan, C. Rajendran, and Munusamy Kumaravel. "Importance-performance analysis (IPA) for testing – and calibration – laboratories in India." Benchmarking: An International Journal 25, no. 4 (May 8, 2018): 1232–44. http://dx.doi.org/10.1108/bij-12-2016-0190.

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Purpose The purpose of this paper is to formulate the strategy for improving the laboratory practices to enhance customer satisfaction by analyzing the performance of critical factors of IS/ISO/IEC 17025 (2005) laboratory accreditation and the importance attached by the quality/technical managers in the accredited Indian testing/calibration laboratories. Design/methodology/approach The perceptions of the critical factors of laboratory accreditation and the importance attached by the quality/technical managers in their organizations have been collected and analyzed to develop an importance-performance analysis (IPA) model to enhance the customer satisfaction. Findings Findings report that the performance of the critical factors and the importance assigned to them are not the same. There exist gaps between the performance and importance which need to be measured and analyzed by the management to strive toward continual improvement to enhance the customer satisfaction through the accredited testing and calibration services. Research limitations/implications This study is restricted to 54 responses out of 150 which were sent (i.e. about 36 percent response rate) to capture the perspectives of the quality/technical managers. Practical implications This study would enable the accredited laboratories to analyze the gap in performance and the importance assigned to critical factors through the feedback from the quality/technical managers. By analyzing the strengths and weaknesses in the accredited testing/calibration laboratories, managerial decisions and strategic plans can be proposed to gain greater insights into benchmarking improvement of the laboratory quality management system with the existing resources to strive toward customer satisfaction. Originality/value This paper proposes IPA as a tool to assess the gap between the importance and performance of critical factors of accredited testing and calibration laboratories in India.
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Roy, Santanu, and Parthasarathi Banerjee. "Developing regional clusters in India: The role of national laboratories." International Journal of Technology Management and Sustainable Development 6, no. 3 (December 6, 2007): 193–210. http://dx.doi.org/10.1386/ijtm.6.3.193_1.

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Haralur, Satheesh B., Ali S. Al-Qahtani, Marie M. Al-Qarni, Rami M. Al-Homrany, Ayyob E. Aboalkhair, and Sujatha S. Madalakote. "The Dental Solid Waste Management in Different Categories of Dental Laboratories in Abha City, Saudi Arabia." Open Dentistry Journal 9, no. 1 (December 31, 2015): 449–54. http://dx.doi.org/10.2174/1874210601509010449.

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Aim: To study the awareness, attitude, practice and facilities among the different categories of dental laboratories in Abha city.Materials and Methods:A total of 80 dental technicians were surveyed in the study. The dental laboratories included in the study were teaching institute (Group I), Government Hospital (Group II), Private Dental Clinic (Group III) and Independent laboratory (Group IV). The pre-tested anonymous questionnaire was used to understand knowledge, attitude, facilities, practice and orientation regarding biomedical waste management.Results:The knowledge of biomedical waste categories, colour coding and segregation was better among Group I (55-65%) and Group II (65-75%). The lowest standard of waste disposal was practiced at Group IV (15-20%) and Group III (25-35%). The availability of disposal facilities was poor at Group IV. The continuous education on biomedical waste management lacked in all the Groups.Conclusion: The significant improvement in disposal facilities was required at Group III and Group IV laboratories. All dental technicians were in need of regular training of biomedical waste management.Clinical Significance: The dental laboratories are an integral part of dental practice. The dental laboratories are actively involved in the generation, handling and disposal of biomedical waste. Hence, it is important to assess the biomedical waste management knowledge, attitude, facilities and practice among different categories of dental laboratories.
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Sahu, KrishnaKumar, ManishKumar Manar, and ShivendraKumar Singh. "Hospital waste management in nonteaching hospitals of Lucknow City, India." Journal of Family Medicine and Primary Care 3, no. 4 (2014): 393. http://dx.doi.org/10.4103/2249-4863.148122.

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Gupta, Saurabh, and Ram Boojh. "Report: Biomedical waste management practices at Balrampur Hospital, Lucknow, India." Waste Management & Research 24, no. 6 (December 2006): 584–91. http://dx.doi.org/10.1177/0734242x06068342.

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Fournier, Pierre-Edouard, Sophie Edouard, Nathalie Wurtz, Justine Raclot, Marion Bechet, Christine Zandotti, Véronique Filosa, Didier Raoult, and Florence Fenollar. "Contagion Management at the Méditerranée Infection University Hospital Institute." Journal of Clinical Medicine 10, no. 12 (June 15, 2021): 2627. http://dx.doi.org/10.3390/jcm10122627.

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The Méditerranée Infection University Hospital Institute (IHU) is located in a recent building, which includes experts on a wide range of infectious disease. The IHU strategy is to develop innovative tools, including epidemiological monitoring, point-of-care laboratories, and the ability to mass screen the population. In this study, we review the strategy and guidelines proposed by the IHU and its application to the COVID-19 pandemic and summarise the various challenges it raises. Early diagnosis enables contagious patients to be isolated and treatment to be initiated at an early stage to reduce the microbial load and contagiousness. In the context of the COVID-19 pandemic, we had to deal with a shortage of personal protective equipment and reagents and a massive influx of patients. Between 27 January 2020 and 5 January 2021, 434,925 nasopharyngeal samples were tested for the presence of SARS-CoV-2. Of them, 12,055 patients with COVID-19 were followed up in our out-patient clinic, and 1888 patients were hospitalised in the Institute. By constantly adapting our strategy to the ongoing situation, the IHU has succeeded in expanding and upgrading its equipment and improving circuits and flows to better manage infected patients.
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Misal, Rohit Gopal. "Advanced Hospital Management System." International Journal for Research in Applied Science and Engineering Technology 10, no. 6 (June 30, 2022): 319–23. http://dx.doi.org/10.22214/ijraset.2022.43686.

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Abstract: Advanced Hospital Management System provides the benefits of streamlined operations, enhanced administration & control, superior patient care, strict cost control and improved profitability. IHMS is powerful, flexible, and easy to use and is designed and developed to deliver real conceivable benefits to hospitals. More importantly it is backed by reliable and dependable support. The project 'Advanced Hospital Management System' is based on the database, object oriented and networking techniques. As there are many areas where we keep the records in database for which we are using MY SQL software which is one of the best and the easiest software to keep our information. This project uses JAVA as the front-end software which is an Object-Oriented Programming and has connectivity with MY SQL. Advanced Hospital Management System is custom built to meet the specific requirement of the mid and large size hospitals across the globe. All the required modules and features have been particularly built to just fit in to your requirement This package has been widely accepted by the clients in India and overseas. Not stopping only to this but they are highly satisfied and appreciating. Entire application is web based and built on 3 tier architecture using the latest technologies. The sound database of the application makes it more users friendly and expandable. The package is highly customizable and can be modified as per the needs and requirements of our clients. Prolonged study of the functionalities of the hospital and its specific requirement has given it a wonderful shape both technically and usability wise. It covers all the required modules right from Patient Registration, Medicine details, Doctor, Wards, , Admin, Store, Patient appointment, bill payment, record modification, discharge details etc.
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Gupta, Ashok K., H. R. Bhojwani, Rajindar Koshal, and Manjulika Koshal. "Managing the process of market orientation by publicly funded laboratories: the case of CSIR, India." R&D Management 30, no. 4 (October 2000): 289–96. http://dx.doi.org/10.1111/1467-9310.00182.

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Jones, Bruce A., Molly K. Walsh, and Stephen G. Ruby. "Hospital Nursing Satisfaction With Clinical Laboratory Services: A College of American Pathologists Q-Probes Study of 162 Institutions." Archives of Pathology & Laboratory Medicine 130, no. 12 (December 1, 2006): 1756–61. http://dx.doi.org/10.5858/2006-130-1756-hnswcl.

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Abstract Context.—Monitoring customer satisfaction is an important and useful quality improvement tool and is required of most clinical laboratories in the United States. Objective.—To survey the level of nursing satisfaction with hospital clinical laboratory services. Design.—Participating laboratories provided information regarding laboratory demographics and practices. These laboratories then surveyed hospital nursing personnel regarding their level of satisfaction with defined aspects of laboratory service. Setting.—College of American Pathologists Q-Probes laboratory quality improvement study in 162 hospital laboratories. Main Outcome Measures.—Nursing overall satisfaction score (ranging from 1, not satisfied, to 5, very satisfied) and satisfaction scores for 13 specific aspects of clinical laboratory services. Results.—One hundred sixty-two institutions submitted data from a total of 7033 nursing surveys. The overall satisfaction score for all institutions ranged from 2.5 to 4.6. The median overall score for all participants was 3.9 (10th percentile, 3.2; 90th percentile, 4.2). Nursing personnel were most satisfied with the accuracy of test results, phlebotomy courtesy toward patients and nursing staff, and notification of abnormal results. They were least satisfied with stat test turnaround time, laboratory management responsiveness and accessibility, phlebotomy responsiveness to service requests, and routine test turnaround time. The most important aspect of laboratory service reported by nursing personnel was stat test turnaround time. Conclusions.—Most nursing personnel are satisfied with the clinical laboratory services that are provided to the patients in their care. Although test result accuracy is very highly regarded, there is room for improvement in several aspects of service, particularly in test turnaround time and laboratory management accessibility and responsiveness.
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Mukherjee, Kanchan, and PeriasamyKaruppiah Amarnath Babu. "Economic evaluation of hospital management information systems in Tamil Nadu, India." International Journal of Medicine and Public Health 4, no. 3 (2014): 269. http://dx.doi.org/10.4103/2230-8598.137715.

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Jones, J., P. Ashford, D. Asher, J. Barker, L. Lodge, M. Rowley, J. Staves, T. Coates, and J. White. "Guidelines for the specification, implementation and management of information technology systems in hospital transfusion laboratories." Transfusion Medicine 24, no. 6 (December 2014): 341–71. http://dx.doi.org/10.1111/tme.12159.

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Uddin, Zahava, and Robert A. Bear. "Public-Private Management Partnerships in the Canadian Environment: Options for Medical Imaging." Healthcare Management Forum 10, no. 3 (October 1997): 52–54. http://dx.doi.org/10.1016/s0840-4704(10)60964-7.

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Health services restructuring demands that hospitals consider innovative ways of providing patient care, including services within the clinical support departments such as medical imaging, diagnostic laboratories and pharmacy. This Brief Report describes the result of work carried out at St. Michael's Hospital to explore options for public-private management partnerships within the Department of Medical Imaging. Various partnership models and opportunities for cost containment, revenue generation and strategic positioning are discussed.
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Akpan, Emma, Surajudeen Abiola Abdulrahman, and Nne Pepple. "Comparison of the Level of Adherence to Laboratory Quality Management System between Public and Private Secondary Health Facilities in Southern Nigeria." Global Journal of Health Science 12, no. 12 (October 19, 2020): 27. http://dx.doi.org/10.5539/gjhs.v12n12p27.

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BACKGROUND: To achieve improved health outcomes of HIV positive patients receiving ART services, quality laboratory services must form an essential part of the services provided. The aim of this study was to compare service quality by assessing the level of adherence to quality system essentials (QSEs) in laboratory services delivered by public and private health institutions in Southern Nigeria. METHODS: This was an analytical cross-sectional study conducted among 50 health facilities&rsquo; laboratories in 5 Southern States (Akwa Ibom, Anambra, Cross River, Edo and Rivers) of Nigeria. Randomly selected sample of secondary health facilities&rsquo; laboratories (ten per state, and a total of 25 public and 25 private health facilities) receiving equal level of support from the same USAID/PEPFAR implementing partner and had been providing ART services to clients for a minimum of one year, were included in the study. Quarterly Internal quality audit was conducted in the ART Laboratory section of the selected health facilities spanning July 2015 to September 2016. 200 audit reports were checked, cleaned, and analyzed using SPSS version 23. We analyzed changes in mean performance scores over time across 6 quality management essentials using Repeated Measures ANOVA. Results were considered significant at P&lt;0.05. RESULTS: The result of the study showed that the private health facilities laboratory achieved a significantly higher improvement in Facility and Safety score over time (p=0.019) compared to public health facilities. Overall, temporal improvements were recorded in all facilities in three out of the six QSEs (document and record, p=0.045; organization and personnel, p=0.020; equipment, p&lt;0.001) and total laboratory quality score (p=0.004). But there was no significant quarterly difference in performances on QSEs between public and private health facilities laboratories. CONCLUSION: Our findings indicate that despite receiving the same level of external support, private hospital laboratories adhere better to the quality standards on Facility and safety than public hospital laboratories in Southern Nigeria.
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Hanumantha Rao, P. "Hospital waste management system — a case study of a south Indian city." Waste Management & Research: The Journal for a Sustainable Circular Economy 27, no. 4 (May 26, 2009): 313–21. http://dx.doi.org/10.1177/0734242x09104128.

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It is more than 5 years since the prescribed deadline, 30 December 2002, for all categories of towns covered by the Biomedical Waste Management (BMW) Rules 1998 elapsed. Various reports indicate that the implementation of the BMW Rules is not satisfactory even in the large towns and cities in India. Few studies have looked at the `macro system' of the biomedical waste management in India. In this context the present study describes the role of the important stakeholders who comprise the `macrosystem' namely the pollution control board, common waste management facilities, municipal corporation, state government (Directorate of Medical Education and Health Systems Development Project), professional agencies such as the India Medical Association and non-governmental organizations, in the implementation of BMW rules in a capital city of a state in south India. Brief descriptions of the `micro-system' (i.e. biomedical waste management practices within a hospital) of six hospitals of different types in the study city are also presented.
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Das, Saswati, and Bidhan Chandra Koner. "Pre-analytical, analytical, and post-analytical considerations while processing samples of COVID-19 patients: Perspective from a clinical chemistry laboratory in India." Asian Journal of Medical Sciences 11, no. 5 (September 1, 2020): 112–15. http://dx.doi.org/10.3126/ajms.v11i5.29296.

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Background: Since its detection in December 2019 in the city of Wuhan, China, the COVID-19 pandemic has grappled the world. Laboratories have been central in the diagnosis, prognosis and therapeutic monitoring of COVID-19 patients. With this pandemic spreading, laboratory personnel have become vital in the efforts to halt the advance of the virus. Aims and Objective: In this article, we will address various concerns in all the three phases of testing of the COVID-19 blood and serum samples in a clinical chemistry laboratory and discuss the issues pertaining to a resource-limited setting. Materials and Methods: International, national and regional guidelines on bio-safety and operational management available at the time of preparation of this manuscript were analyzed. Additionally, literature search through PubMed was done on the keywords “bio-safety”, “pre-analytical”, “analytical”, “post-analytical” and “COVID-19”. Results: The pre-analytical, analytical, post analytical, general management problems we faced in our laboratory and the best practices that we followed to address the same has been included in this paper. Conclusion: Some unprecedented challenges the laboratories have encountered during this outbreak are maintaining the lab safety of highest standards, management of human resource while sustaining the quality of testing. Laboratories will have to constantly innovate in order to meet the demands of this outbreak.
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Roy, Santanu, and Jay Mitra. "Tacit and explicit knowledge management and assessment of quality performance of public R&D in emerging economies." Journal of Organizational Change Management 31, no. 1 (February 12, 2018): 188–214. http://dx.doi.org/10.1108/jocm-06-2017-0236.

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Purpose The authors investigate the relationship between the structure and the functioning of scientific and technical (S&T) personnel and the quality research and development (R&D) performance output of laboratories functioning under the Council of Scientific and Industrial Research (CSIR), India. The purpose of this paper is to examine how rapid economic and social changes and the demand for better accountability are addressed by public R&D institutions in a specific developing economy. Design/methodology/approach The authors use the functions performed by the S&T personnel as indicators of their tacit knowledge. The authors use data from 27 different CSIR laboratories to analyze the specific functions carried out by knowledge workers (S&T personnel) in order to gauge the internal strengths and weaknesses of individual laboratories in different functional areas. The authors use the following measures to tap the quality R&D performance of these laboratories – number of Indian patents filed and granted, number of foreign patents filed and granted, and the number of published papers figuring among the top 50 CSIR publications in specific research areas over an extended period of 11 years (2003-2004 to 2013-2014). Findings The findings show that there is no readymade formula for identifying improvements in quality performance by a research laboratory, given a particular set of S&T worker profile in terms of the six functions defined in the study. The top-performing laboratories have excellent patent as well as publication record reinforcing the point that innovation encompasses both basic and applied research with success depending upon strategically emphasizing the different components of the innovation process. Research limitations/implications The scope of the present research work is limited by the choice of the quality R&D performance measures adopted in the study that could be further expanded to better tap the social accountability of these public-funded institutions. In addition, inclusion of all CSIR laboratories in the study framework would add value to the study findings. The research highlights the importance of tacit knowledge management and organizational learning as central features of strategic organization development for technology practices incorporating R&D work, the support of pilot plants, experimental field stations, and engineering and design units. Practical implications The paper has particular implications for the leadership and management of public R&D organizations and public policy formulation for innovation in an emerging developing economy context. Originality/value This study extends the extant literature by drawing upon the role of tacit knowledge and organizational learning to inform the empirical research on managing public R&D and the innovations that result from it, in a particular emerging economy context, that is, India.
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de Lorenzi, Caroline, Angèle Gayet-Ageron, Martine Girard-Strohbach, and Laurence Toutous-Trellu. "Tracing partners of patients with syphilis infection remains challenging: experience of Geneva Hospital." International Journal of STD & AIDS 28, no. 11 (January 12, 2017): 1090–97. http://dx.doi.org/10.1177/0956462416688158.

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Syphilis has been reinstated on the list of notifiable diseases in Switzerland since 2006 and the active management of sexual partners is encouraged to avoid reinfection. However, contact tracing has yielded unsatisfactory results and the incidence of syphilis remains important, especially in high-risk populations. The aim of this study was to compare the proportions of notified sexual partners of patients diagnosed with syphilis by the laboratories of Geneva University Hospitals (HUG) with those diagnosed in private laboratories (non-HUG) and to assess the risk factors for no notification to sexual partners. All syphilis cases notified to the Office of the Surgeon General in Geneva (Switzerland) between 1 January 2011 and 31 December 2013 were analysed. The proportions of partner notification (PN) between HUG and non-HUG laboratories were compared by Chi square test and the main risk factors for no notification to sexual partners were assessed by binomial log-linear regression. Among a total of 720 notifications reported, 244 cases were diagnosed with contagious syphilis stages and 263 with non-contagious stages (i.e. successfully treated patients with or late latent cases). Overall, PN was higher among contagious than non-contagious cases (58.4% versus 31.0%; p = 0.030) and it was significantly higher in the non-HUG compared to the HUG group (75.9% versus 50.0%, respectively; p < 0.001). Risk factors independently associated with no notification to sexual partners were the place of diagnosis (risk ratio [RR] 1.66; 95% confidence interval [CI] 1.21–2.27 for HUG versus non-HUG, respectively), age >45 years (RR 1.36; 95% CI: 1.05–1.76) and if the patient had received treatment for syphilis (RR 1.91; 95% CI: 1.38–2.66). Our results illustrate the difficulty of contact tracing in syphilis infection and the necessity to improve this crucial part of sexually transmitted infection management.
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Jabbal, Harmandeep, and Dhirendra Wagh. "Dandy–Walker Syndrome: Management at Acharya Vinoba Bhave Rural Hospital, Wardha, India." International Journal of Recent Surgical and Medical Sciences 03, no. 01 (June 2017): 020–24. http://dx.doi.org/10.5005/jp-journals-10053-0032.

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AbstractWe discuss 10 cases of Dandy–Walker syndrome that presented between May 2014 and June 2015 at the Department of Neurosurgery and General Surgery in Acharya Vinoba Bhave Rural Hospital, Sawangi (M), Wardha, India. As the definitive surgical treatment protocol is not standardized, we discuss the different techniques used. Combined cystoperitoneal (CP) and ventriculoperitoneal (VP) shunt was done in three cases, two were treated with CP shunt alone, and the remaining five cases were managed with VP shunt.Follow-up showed marked reduction in the head circumference and better motor development, along with alleviation of other neurological symptoms.Seizures, hearing or visual problems, various central nervous system abnormalities, and systemic abnormalities were associated with poor intellectual development and could be used to predict intellectual outcome.Prognosis varies due to several factors, but an early diagnosis and appropriate treatment have a good prognostic value.
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Thokchom, Dr Chito S., Dr Chinglensana Laitonjam, Dr Mackson Nongmaithem, Dr Nejoobala C. Arambam, and Dr Hirina D. Khagokpam. "Management of penetrating cardiac injury in a tertiary hospital in Northeast India." International Journal of Medical Research and Review 8, no. 1 (January 17, 2020): 45–50. http://dx.doi.org/10.17511/ijmrr.2020.i01.07.

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35

Chacko, V., B. Joseph, S. P. Mohanty, and Thomas Jacob. "Management of spinal cord injury in a general hospital in rural India." Spinal Cord 24, no. 5 (October 1986): 330–35. http://dx.doi.org/10.1038/sc.1986.48.

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Kelamane, Santosha Kelamane, Cheruku Mispah, and Sri Sandhya K. "A study on serodiagnosis of scrub typhus in a Teaching Hospital of South India." PERSPECTIVES IN MEDICAL RESEARCH 9, no. 2 (October 15, 2021): 10–14. http://dx.doi.org/10.47799/pimr.0902.03.

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Background: crub typhus is caused by Orientia tsutsugamushi (rickettsial disease) commonly transmitted by the bite of larval chiggers of trombiculid mites. It has been one of the important causes of febrile illness, especially in south India. The clinical diagnosis is difficult owing to the non-specific presentation. We in the current study tried to evaluate the serodiagnosis of scrub typhus with the Weil Felix test and IgM ELISA. Methods: This study was conducted in the Department of Microbiology, Prathima Institute of Medical Sciences, Naganoor, Karimnagar. All the sera samples were subjected to the Weil Felix test using Proteus OX2, OX19, OX-K strain agglutination test, and subsequently, Scrub typhus IgM ELISA test. Results: All the samples were subjected to the Weil Felix test n=4(6.06%) were positive for scrub typhus (OXK antigen) n=11(16.67%) were positive for the spotted group of fever (OX2 antigen) and n=10 (15.15%) were positive of typhus group (OX19 antigen). N=5 sera samples were positive for more than one type of antigens. All the n=66 serum samples were subjected to IgM ELISA for scrub typhus. Out of n=66, only two serum samples (3.03%) were positive by IgM ELISA. Conclusion: Scrub typhus is emerging as an important public health issue. It is one of the important causes of acute febrile illness. Although it is difficult to distinguish scrub typhus based on the clinical symptoms alone a simple test such as Weil Felix was found to be promising in the diagnosis of scrub typhus. ELISA IgM test may be performed additionally in laboratories with adequate facilities. Hence for clinicians, any case with a fever of unknown origin should arouse suspicion of scrub typhus
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Shetty, Omshree, Tanuja Shet, Ramya Iyer, Prachi Gogte, Mamta Gurav, Pradnya Joshi, Nupur Karnik, Trupti Pai, Sridhar Epari, and Sangeeta Desai. "Impact of COVID-19 on quality checks of solid tumor molecular diagnostic testing-A surveillance by EQAS provider in India." PLOS ONE 17, no. 9 (September 22, 2022): e0274089. http://dx.doi.org/10.1371/journal.pone.0274089.

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Background Molecular tests in solid tumours for targeted therapies call for the need to ensure precision testing. To accomplish this participation in the External Quality Assessment Program (EQAS) is required. This evaluates the consistency of diagnostic testing procedures and offers guidance for improving quality. Outbreak of COVID-19 pandemic led to worldwide lockdown and disruption of healthcare services including participation in EQAS.The present study describes the extended scope of EQAS offered byMPQAP (Molecular Pathology Quality Assurance Program), the first proficiency test provider for solid tumor diagnostics in India. The study surveys the preparedness of molecular testing laboratories in routine diagnostics and participation for quality assessment scheme. Methods A documented guideline for measures and precautions to be carried by testing laboratories in performing routine diagnostic tests during the lockdown period were charted and distributed to all MPQAP participant centres. A survey was conducted for MPQAP participants to check whether laboratories were involved in COVID-19 testing and to evaluate the impact of lockdown on the operations of diagnostics procedures. From the acquired response of the survey, 2 cycles out of initially proposed 11 cycles were executed with transformed approach using digital tools and image interpretation modules. Findings Out of 25 solid tumour testing laboratories registered as participants, 15 consented to participate in survey. The summary of survey conveyed the impact of COVID-19onroutine operations of diagnostics tests such as shortcomings in inventory and human resource management. Thirteen participants showed active willingness and consented to participate in EQAS test scheme. Interpretations The survey findings and assessment of EQAS cycles endorsed the quality testing procedures carried by participating laboratories throughout the lockdown. It highlighted the utility of EQAS participation during pandemic along with emphasis on safety measures for continual improvement in quality of diagnostic services.
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Jan Muhammad, Fahmida, Naila Siddiqui, Nusrat Ali, and Shahana Urooj Kazmi. "Analysis of Biosafety Performance in Selected Hospital Medical Laboratories in Karachi, Pakistan." Applied Biosafety 23, no. 1 (December 12, 2017): 39–46. http://dx.doi.org/10.1177/1535676017742378.

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Uddin, Mohammad Nasir, Mohammad Rashedul Islam, and Khadiza Yesmin. "Knowledge on Hospital Waste Management among Senior Staff Nurses Working in a Selected Medical College Hospital of Bangladesh." Journal of Waste Management 2014 (August 17, 2014): 1–5. http://dx.doi.org/10.1155/2014/573069.

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Background. Healthcare wastes include all types of wastes generated by healthcare establishments. Waste disposal problem is growing with an ever-increasing number of hospitals, clinics, and diagnostic laboratories in Bangladesh and also in Faridpur town. Aim and Objective. The outcomes of this study will contribute to increase proper waste management practice among nurses in Bangladesh. Methods. A descriptive type of cross sectional study design was used to assess the level of knowledge regarding hospital waste management among senior staff nurses working in Faridpur Medical College Hospital, Bangladesh. All respondents (n=125) were selected by random sampling. Results. In the answer of knowledge about general waste only 4% (n=5) gave all correct answers. In the answer of knowledge about infectious waste 63.2% (n=79) gave one correct answer, of knowledge about pharmaceutical waste only 8% (n=10) gave all correct answers, and of knowledge about biomedical waste only 7.2% (n=9) gave all correct answers. In the answer of knowledge about color coded bins collecting waste 53.6% (n=67) cannot give any correct answer and only 46.4% (n=58) gave all correct answers and of knowledge about the safe disposal of hospital waste 16% (n=8) could not give any correct answer. However, against all questions were 5 options. Conclusion. Knowledge about hospital waste and its management is very poor among senior staff nurses. As a recommendation to improve this situation continuous training should be made compulsory for healthcare personnel specially staff nurses working in Bangladesh.
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Nyland, Chris, Charmine E. J. Härtel, Thin Vu, and Cherrie Jiuhua Zhu. "Hospital Numerical Flexibility and Nurse Economic Security in China and India." British Journal of Industrial Relations 53, no. 1 (April 8, 2013): 136–58. http://dx.doi.org/10.1111/bjir.12020.

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Mohapatra, Sanjay. "Using Biometrics Devices for Improving Automation in Hospital Management System." International Journal of Healthcare Delivery Reform Initiatives 3, no. 2 (April 2011): 40–48. http://dx.doi.org/10.4018/jhdri.2011040104.

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This study discusses the best practices of a hospital in a semi-urban area in India and how the hospital management system has gained extended use through the usage of bio metrics device. Using the information system, all the stakeholders have benefitted and the monetary benefits have justified IT investment. Integration of information systems with patient care activities has reduced the patient care cost, making it a sustainable investment, making this a benefit to all hospitals.
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Balakumar, Varathagini, Paul Turner, and Siba Paul. "Cross-Sectional Survey of Viral Testing on Nasopharyngeal Aspirates by Laboratories in the UK –." Physician 6, no. 1 (November 27, 2019): c14. http://dx.doi.org/10.38192/1.6.1.c14.

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Acute viral bronchiolitis is the most common cause of hospital admissions among infants in the UK. The diagnosis is primarily clinical with most infants requiring supportive management. RSV is the main cause and routine confirmation has, until recently, been undertaken via nasopharyngeal swabs or aspirates (NPA).
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Hazarika, J., A. C. Sarmah, and M. Das. "An Explorative Study on Biomedical Waste Management in a Psychiatric Hospital of India." Eastern Journal of Psychiatry 13, no. 1-2 (October 13, 2021): 32–36. http://dx.doi.org/10.5005/ejp-13-1--2-32.

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44

Joshi, Divyanshu, Y. P. Monga, Shashank Mishra, Rani Bansal, and Sachin Agrawal. "Management of extra hepatic biliary obstruction, in a rural tertiary care hospital India." International Surgery Journal 8, no. 9 (August 27, 2021): 2711. http://dx.doi.org/10.18203/2349-2902.isj20213601.

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Background: Extra hepatic biliary obstruction (EHBO) is not a rare surgical problem; our experience in managing 36 patients over a period of two years at a tertiary care hospital in a rural setting in India. The objective was to study the etiology and clinical presentation of patients with EHBO, role of various investigative modalities and management strategies in these patients and their outcome.Methods: This was a prospective study conducted between September 2018 to August 2020 in the department of surgery in tertiary care center Subharti medical college (SMC) Meerut. Data was taken in a pre-formed performa and the results were tabulated and analyzed (descriptive analysis).Results: Out of 36 patients, 2 (5.5%) patients underwent choledochoduodenostomy, 1 (2.7%) exploratory laparotomy with CBD exploration with t tube drainage, 1 (2.7%) ERCP with pigtail drainage; 17(47.2%) ERCP (endoscopic retrograde cholangiopancreatography) followed by cholecystectomy, 1 (2.7%) open cholecystectomy with t tube drainage, 4 (11.1%) ERCP alone, 2 (5.5%) hepaticojejunostomy, 1 (2.7%) ERCP followed by diverticulectomy, 2 (5.5%) PTBD (percutaneous transhepatic biliary drainage) followed by a triple bypass surgery, 2 (5.5%) PTBD, 1 (2.7%) pylorus preserving pancreaticoduodenectomy, 1 (2.7%) ERCP with sphincterotomy, 1 (2.7%) PTBD followed by whipples procedure. Patients were followed up and 5 (13.8%) patients had recurrence of the disease.Conclusions: EHBO is a hepatobiliary surgical condition caused by both neoplastic and non-neoplastic etiology. Benign pathologies common in younger patients whereas neoplastic conditions in older age. Ultrasonography is the most common investigative modality followed by ERCP with PTBD/ENBD playing an important role in decompression of biliary obstruction as a palliative measure in advanced malignancies.
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Sarkar, Neelima, Jitendra Manghani, Madhu Chanchlani, and Bharati Soni. "PRIMARY GLAUCOMAS- SCREENING, EVALUATION AND MANAGEMENT IN A TERTIARY CARE HOSPITAL, CENTRAL INDIA." Journal of Evidence Based Medicine and Healthcare 4, no. 36 (May 3, 2017): 2158–63. http://dx.doi.org/10.18410/jebmh/2017/422.

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46

Sharma, Kavya, and Sanjay Zodpey. "Demand and Supply Analysis of Human Resource Capacity for Hospital Management in India." Journal of Health Management 13, no. 2 (June 2011): 155–76. http://dx.doi.org/10.1177/097206341101300203.

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47

Singh, Sanjeev, Unnikrishnan Ananth Govindan, Vinya Unnikrishnan, Vishnu Raghav, and Shijo Thakadiyal. "Economic Burden of Diabetes Management in the University Teaching Hospital in South India." Journal of Health Management 17, no. 4 (December 2015): 487–94. http://dx.doi.org/10.1177/0972063415606320.

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48

Biswas, G., P. Kurkure, S. Banavali, S. Achrekar, P. Kulkarni, R. Bhagwat, and L. Sharma. "Challenges in management of advanced neuroblastoma: Experience at Tata Memorial Hospital, Mumbai, India." Journal of Clinical Oncology 22, no. 14_suppl (July 15, 2004): 8562. http://dx.doi.org/10.1200/jco.2004.22.90140.8562.

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Biswas, G., P. Kurkure, S. Banavali, S. Achrekar, P. Kulkarni, R. Bhagwat, and L. Sharma. "Challenges in management of advanced neuroblastoma: Experience at Tata Memorial Hospital, Mumbai, India." Journal of Clinical Oncology 22, no. 14_suppl (July 15, 2004): 8562. http://dx.doi.org/10.1200/jco.2004.22.14_suppl.8562.

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50

Billore, Shruti, T. C. Kavitha, Namesh Malarout, Ashalata Pati, L. Aswathi Raj, Biju soman, and Rajesh Kamath. "Planning an energy management program based on hospital electricity consumption in a tertiary care hospital in South India." Indian Journal of Public Health Research & Development 9, no. 8 (2018): 344. http://dx.doi.org/10.5958/0976-5506.2018.00744.1.

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