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Linko, Solveig. "Measurement tools for quality assurance in medical laboratories". Helsinki : University of Helsinki, 2003. http://ethesis.helsinki.fi/julkaisut/laa/kliin/vk/linko/.
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Ruzicka, Anna, e Michael Kjelland. "LED-lampors härdningseffekt på komposit - En laborativ studie". Thesis, Malmö universitet, Odontologiska fakulteten (OD), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-19829.
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Syfte: Att undersöka och jämföra effekten av olika LED-lampor genom mätning av konversionsgrad, härdningsdjup och mikro-hårdhet på en universal nano-komposit. Detta utifrån frågeställningarna: - Stämmer härdningslampornas verkliga irradians överens med den som uppges i produktdatabladen?- Kan härdningsprocessen effektiviseras genom att ljushärda med högre irradians och kortare härdningstid?Material & Metod: Materialegenskaperna - konversionsgrad, härdningsdjup och mikro-hårdhet mättes för kompositen Filtek Supreme XTE (3M ESPE) med fem LED-härdningslampor och olika härdningstider (kort, medellång, lång tid). LED-lamporna som användes i studien var L.E.Demetron II (Kerr), Mini LED (Satelec), D-Light Pro (GC), Epilar Deepcure-S (3M ESPE) och Flashmax P3 (CMS Dental). LED-lampornas spektralfördelning erhölls med en CCD-spektrometer (Avantes Inc.) kopplad till en integrerande sfär (Gooch & Housego) med en fiberoptisk kabel (Avantes Inc.). Data analyserades med ensidig och tvåsidig variansanalys (ANOVA-test) följt av Tukey-test. Resultat: En kort härdningstid och en härdning med låg irradians gav en lägre konversionsgrad, härdningsdjup och mikro-hårdhet jämfört med härdning med längre tid och hög irradians.Slutsats: Härdningslampornas verkliga irradians överensstämmer med irradiansen som uppges i produktdatabladen. En tillräcklig polymerisering uppnås med alla härdningslampor vid samtliga härdningstider. Härdningsprocessen kan effektiviseras och/eller förbättras genom att tillföra mer energi på kortare tid. Att förlänga härdningstiden utöver tillverkarens rekommendationer har en positiv effekt på materialegenskaperna – ökad konversionsgrad, härdningsdjup och mikro-hårdhet.Aim: To investigate and compare the effect of different LED curing devices by measuring degree of conversion, curing depth and micro-hardness of a universal nanocomposite, based on the questions:- Does the actual irradiance of the curing lamps match the one specified in the product data sheets?- Can the curing process be done more efficiently by light curing with a higher irradiance and a shorter curing time?Materials & Methods: The material properties degree of conversion, curing depth and microhardness were measured for the Filtek Supreme XTE (3M ESPE) composite with different LEDs and after curing at different curing times (short, medium, long). The light curing units used in the study were L.E.Demetron II (Kerr), Mini LED (Satelec), D-Light Pro (GC), Epilar Deepcure-S (3M ESPE) and Flashmax P3 (CMS Dental). The spectral irradiance of the LEDs was obtained with a CCD spectrometer (Avantes Inc.) connected to an integral sphere (Gooch & Housego) with a fiber optic cable (Avantes Inc.). Data were analyzed with one- and two-way ANOVA test followed by Tukey test. Results: Short curing times and low irradiance results in lower values of the material properties compared to longer curing times and higher irradiance.Conclusion: The actual irradiance of the curing lamps is consistent with that stated in the product data sheets. Sufficient polymerization was achieved with all curing lamps at all curing times. The curing process can be made more efficient and/or be improved by adding more energy in less time. Extending the curing time has a positive effect on the material properties – an increased degree of conversion, depth of cure and micro-hardness.
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Hillen, Florian S. M. Massachusetts Institute of Technology. "Does management matter in scientific laboratories? : evidence from Harvard Medical School". Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/117888.
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Thesis: S.M. in Technology and Policy, Massachusetts Institute of Technology, School of Engineering, Institute for Data, Systems, and Society, Technology and Policy Program, 2018.Thesis: S.M., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 2018.
Cataloged from PDF version of thesis.
Includes bibliographical references (pages 89-91).
The high quality of modern medical care is built upon the creation of scientific knowledge generated from medical research. While the role of management practices has been rigorously explored across various industries, little is known about management in medical research. I collected data surveying principal investigators of medical research laboratories at the Harvard Medical School to examine the relationship of management practices and research outputs. I find that principal investigators with more effective management practices are associated with higher-impact research (measured by citations). This effect is stronger and more significant in younger compared to older laboratories and remains robust after using different controls. This study helps to increase the understanding of management in a scientific setting and should start a new discussion about the relevance of management in medical research.
by Florian Hillen.
S.M. in Technology and Policy
S.M.
4
Moraba, MM, e JSJ Odendaal. "Methodology of presenting analytical quality assurance courses for medical technologists". Medical Technology SA, 2005. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1000983.
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A survey on the quality of service provided by state laboratories in the Limpopo Province was conducted during the period 2000
2002. The focus was on accuracy and precision. The service quality evaluation was based on standard deviation index, % deviation
and % clinically rejectable results. The scores obtained were evaluated in terms of internationally pre determined cut off limits.
Education and training were cited by 97% of the interviewees as the major contributory factors to the poor performance.
Subsequent to the discussion, a course in quality assurance was designed, presented and evaluated, as above. Although the post
intervention performance results did not meet the international performance standard at the given time yet; they were much closer to
norm and significantly better than the pre course performance results.
The conclusion is that newly designed course will contribute in reaching the international cut off standard for clinical laborato
ries.
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Ngcwangu, Sakiwo. "Investigating a business model for implementing pathology services within the public sector". Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1013368.
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As the business evolves, organisations are faced with challenges as today’s customers have changed, and demand a value for the products and services purchased. Customer satisfaction is a key factor to business excellence. The health sector and its service providers are faced with such demands, having to ensure customer satisfaction with limited resources. The aim of the study was to investigate a business model that could be implemented within the public sector to render pathology services. Particular reference was given to the National Health Laboratory Service as a provider of choice for rendering medical laboratory services within public health institutions and related departments. The data has been collected using a self constructed questionnaire which has been distributed to the NHLS centers within the Nelson Mandela Metropolitan Municipality. 45 percent of the employees, in the region took part in the survey. The study tested the perceptions of the respondents with respect to the business model, specifically the determinants of a business model and its effects. The results of the empirical study revealed that a relationship exists between the business model, its determinants and customer satisfaction. Correlation analysis was done between the business model, customer relation management, continuous improvement, talent management, business process reengineering and customer satisfaction. Conclusions and recommendations have been drawn from the study. The NHLS needs to change its approach to business, invest in people education, training and development, improve its communication strategies with customers and realign its processes in order to maintain business excellence and provide a better service within the public sector
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Moore-Cribb, Patricia. "A study of multiskilling needs of clinical laboratories within northeast Wisconsin". Online version, 1998. http://www.uwstout.edu/lib/thesis/1998/1998moorecribbp.pdf.
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Chang, Tien-yew Josiah. "Clinical trial laboratory services : industry demands and cost variation /". View the Table of Contents & Abstract, 2001. http://sunzi.lib.hku.hk/hkuto/record/4268552.
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Magny, Eric. "Informatisation de l'archivage des dossiers d'exploration immunochimique avec numérisation des documents techniques". Paris 5, 1996. http://www.theses.fr/1996PA05P162.
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Treber, Jaret Scott. "From Lancents to Laboratories: Medical Schools, Physicians, and Healthcare in the United States from 1870 to 1940". Diss., Tucson, Arizona : University of Arizona, 2005. http://etd.library.arizona.edu/etd/GetFileServlet?file=file:///data1/pdf/etd/azu%5Fetd%5F1281%5F1%5Fm.pdf&type=application/pdf.
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Phipps, Amber Rose. "Strategies to Retain Employees in Clinical Laboratories". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2752.
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With 30 million citizens gaining access to U.S. healthcare through the Affordable Care Act by 2016, healthcare managers need preanalytic employees to ensure quality healthcare services can be provided. The purpose of this qualitative single case study explored strategies used to retain preanalytic employees. The target population consisted of 10 clinical laboratory managers in a single community-based clinical laboratory in the mid-southern United States, selected because of prior success in improved employee retention strategies. The conceptual framework grounding this study was the theory of work adjustment. Data triangulation occurred from using semistructured interviews and company documents. All interpretations from the data were subjected to member checking to ensure the trustworthiness of findings. Using the modified van Kaam method for data analysis, 3 themes included increasing employee training to enhance their roles as stakeholders, provide employee recognition and reward programs, and emphasizing to managers the importance of quality patient care. The application of the findings may contribute to social change by providing healthcare managers with new insights and strategies to retain preanalytic employees, reduce organizational costs associated with recruiting, replacing, and training of new employees, and potentially trained staff that provide quality healthcare services to community citizens.
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Meiklejohn, Barbara A. "Ektachem evaluation /". Online version of thesis, 1985. http://hdl.handle.net/1850/9634.
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Close, Koenig Tricia. "Betwixt and between : production and commodification of knowledge in a medical school pathological anatomy laboratory in Strasbourg (mid-19th century to 1939)". Strasbourg, 2011. https://publication-theses.unistra.fr/public/theses_doctorat/2011/CLOSE_KOENIG_Tricia_2011.pdf.
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En croisant l'histoire médicale et l'histoire économique, notamment pour saisir et comprendre la production et la commercialisation des analyses médicales de laboratoires, cette thèse rend visible les aspects monétaires et économiques en jeu dans la recherche, l'enseignement et les pratiques médicales et scientifiques. L'émergence des analyses médicales de laboratoire en tant qu'unités économiques, dans un cadre théorique d'économie de la connaissance, est ainsi étudiée à partir d'une étude de cas, l'histoire d'un laboratoire d'anatomie pathologique à la Faculté de médecine de Strasbourg. Cet étude associe une analyse longue durée de la circulation des matériaux, des savoirs et des pratiques en anatomie pathologique à une micro-histoire d'un laboratoire dans l'entre-deux-guerres. Ce travail décrit et contextualise la diversification des activités de laboratoire quand un service commercial est associé à la recherche et à l'enseignement, comme ce fut le cas pour le diagnostic des cancers suite à la création des Centres Anticancéreux en France. Le marché des analyses de laboratoires médicaux ne correspond pas aux modèles économiques des entreprises scientifiques, médicales, ou commerciales : le laboratoire de l'Institut d'Anatomie Pathologique, entre science et service, était une entité commune à la Faculté de médecine et à l'hôpital, avec des pratiques de production et de commercialisation, des échanges académiques et commerciaux, des produits matériels et intellectuels, des rétributions sous formes d'honoraires et d'actes tarifés. Nous présentons ainsi une histoire économique d'une discipline dans laquelle l'argent n'était pas, du moins ouvertement, visibleBy superposing medical history and economic history of medical lab services, this thesis reveals economic dynamics to be integral to medical and scientific research, teaching, and practice. The emergence of medical lab analyses as medical and economic entities within a theoretical framework of knowledge-based economies is achieved with a case study of Strasbourg's medical school Institut d'Anatomie Pathologique laboratories. A long duree historical analysis of material circulation, collection, and practices in pathological anatomy is intersected with a micro-history of the laboratories in the interwar period. The description and contextualization of a diversification of laboratory activities when research and teaching activities were complemented with commercial laboratory services, notably for the diagnosis of cancer, are portrayed with supply and demand dynamics and following the creation of the Centres Anticancéreux in France. The market for clinical laboratory work does not wholly fit (classic) models of scientific, medical, or commercial entreprises; the laboratory at the Institut d’Anatomie Pathologique was between science and service, institutional settings between medical school and hospital, practices between knowledge production and commercialization, exchanges between academic moral economies and commerical economies, products between material and intellectual, income between honorariums and fees. This thesis engages with and promotes an economic history of medicine in which money was not (openly) visible
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De, Waal-Miller Cornelia. "Determination of reference ranges for selected clinical laboratory tests for a medical laboratory in Namibia using pre-tested data". Thesis, Cape Peninsula University of Technology, 2015. http://hdl.handle.net/20.500.11838/1507.
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Thesis submitted in fulfillment of the requirements of the degree
Master of Technology: Biomedical Technology
in the Faculty of Health and Wellness Sciences
at the Cape Peninsula University of Technology
2015Aim: The aim of the study was to compile pre-tested laboratory results stored in the laboratory database of the Namibia Institute of Pathology (NIP). The study also aimed to assess the usefulness and validity of using retrospective laboratory results of different patients in varying degrees of health and which were produced using various methods in different laboratories in Namibia. Methods: 254,271 test results (female: 134,261, male = 117,091, unknown gender= 2,919) consisting of Haemoglobin, serum Urea, serum Creatinine, plasma Glucose (fasting and random), serum Cholesterol, serum Triglycerides and serum Uric Acid was extracted from NIP Laboratory Information System over a period of four years and of the 13 different regions of Namibia were analyzed.. Each data set was sorted in ascending order and outliers were eliminated using SPSS Box plot function. Data available for analysis were Haemoglobin: 18,999 (male = 7,716, female = 11,283, serum Urea: 8,111 (male = 3,836, female=4.275), serum Creatinine: 8,794 (male=4,099, female= 4,506), plasma Glucose: 78,106 (fasting=32,591, random=45,515), serum Cholesterol: 48,354 (male=24,815, female=23,539), Serum Triglycerides: 22,138 (male=9,291, female=12,847) serum Uric Acid: 37,389 (male=18,972, female=18,427). Results of tests were also analysed according to the 13 regions in Namibia. Outliers were removed using the Box plot function of SPSS and statistics were calculated for each of the parameters. Tables and histogram as well as percentile ranges (2.5th -97.5th and 5th -95th) were determined for each parameter. Results: Non-parametric percentile ranges were as follows: Haemoglobin (2.5-97.5: M=6.64-16.9, F=7.81-15.2 and 5-95: M=7.39-16.3, F=8.48-14.7) g/L, Urea (2.5-97.5: 1.3- 9.1, 5-95:1.6-8.4) mmol/L, Creatinine (2.5-97.5: M=37-141, F=33-103 and 5-95: M=43- 133, F=39-117) μmol/L, Glucose (2.5-97.5: fasting=3.4-9.5, random=3.7-7.1 and 5-95: fasting=3.9-9.1, random 4-6.9) mmol/L, Cholesterol (2.5-97.5: M=2.6-6.9, F=2.8-7.0 and 5- 95: M=2.9-6.1, F=3.1-6.2) mmol/L, Triglyceride (2.5-97.5: 0.39-2.72 and 5-95: 0.46-2.5) mmol/L and Uric Acid (2.5-97.5: M=0.21-0.62, F=0.17-0.51 and 5-95: M=0.24-0.58, F=0.19-0.48) mmol/L. Conclusion: A statistically significant difference between the mean values of the study and the mean values of NIP reference range was detected and differences between these values and reference values in the region were observed. More work needs to be done to improve the data extraction process, data selection criteria and improvement of statistical analysis. If these can be addressed, it can be stated that using patient laboratory data values is a relatively easy and cost effective method of establishing laboratory and population specific reference values if skewness and kurtosis of the distribution are not too large.
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Katungire, Tsitsi. "An exploratory study of factors affecting the availability of laboratory consumables at state-owned medical laboratories in Harare Province, Zimbabwe". University of the Western Cape, 2011. http://hdl.handle.net/11394/5367.
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Magister Public Health - MPHThe Zimbabwean government recognizes the critical role laboratories play in ensuring the health of the nation. Well-resourced and functioning laboratories are the sine qua non of effective diagnosis, treatment and clinical monitoring of medical problems such as HIV/AIDS, tuberculosis and malaria. In Zimbabwe, frequent unavailability of essential laboratory reagents and consumables have been reported but less well-reported are the factors associated with these "stockouts" at medical laboratories. Applying qualitative research methodologies, this study sought to explore the bottlenecks to the availability of laboratory consumables at state-owned medical laboratories in Harare Province. Semi-structured interviews were used to elicit stakeholders' perspectives and experiences with regard to the availability of laboratory consumables. These were complemented by observation of procurement, supply and distribution processes and individual follow-up interviews in 7 facilities where medical laboratory scientists were purposively selected. Rigour was ensured through data-source triangulation, provision of thick descriptions of the setting, maintaining an audit trail and transcribing data verbatim. Data analysis identified recurring themes and key suggestions made by respondents. A complex web of economic, human resources and supply chain factors affect laboratory commodity availability in Harare. Salient factors negatively affecting commodity availability included inadequate funding, human resources, poor communication and coordination among stakeholders, lack of transport, long lead times and limited inventory management skills. A comprehensive approach to resolving the challenge is warranted through advocating for more funding, complementing donor efforts on staff retention, improved coordination and collaboration among stakeholders and re-designing the laboratory supply chain. Further research would assist in determining ways of efficiently utilizing the limited available resources.
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Thomas, Lee Carolyn. "Genetic methods for rapid detection of medically important nosocomial bacteria". Connect to full text, 2007. http://hdl.handle.net/2123/3575.
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Thesis (M. Sc. Med.)--University of Sydney, 2007.Title from title screen (viewed 15 October 2008). Submitted in fulfilment of the requirements for the degree of Master of Science in Medicine to the Discipline of Medicine, Faculty of Medicine. Includes bibliographical references. Also available in print form.
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Delpino, Rossana. "De lo inconmensurable a lo mensurable : proceso dialéctico desde el imaginario al proyecto del edificio Richards Medical Research Laboratories 1957-1964". Doctoral thesis, Universitat Politècnica de Catalunya, 2016. http://hdl.handle.net/10803/398914.
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This dissertation analyses Louis Kahn’s independent work until 1957 period in which he designed the Richards Medical Research Laboratories at the University of Pennsylvania. The Richards Medical Research Laboratories marks the creator’s moment par excellence where he discovers the fundamentals that will become trademark of his work and influence as well the architecture of his time. In order to understand the genesis of the Richards Medical Research Laboratories and find the underlying substrates that originate the project I have traced an imaginary section-cut to the timeline until 1957. The present thesis approach comes from two moments: the immeasurable and measurable, that is, from the world of ideas to the world of tangible objects. And from these two moments this thesis tries to open another space for the unsayable to appear in order to comprehend the significance of the Richards Medical Research laboratories in Kahn's work and in his time.
Kahn’s creative process follows a path going from the incommensurable (the idea), to the measurable (the building), and goes back to the incommensurable (transcendence departing from the building). Accordingly this thesis is divided in two fundamental parts the first one titled “From the Incommensurable to the Measurable” and a second part titled “From the Measurable to the Incommensurable”.
In the first part “From the Incommensurable to the Measurable” the thesis presents the relationships that builds Khan’s “imaginario” establishing connections between his ideas through Kahn’s own writings, professional relationships, trips, and the city and then relating these elements with the same period’s own and referential projects. In this first part of the thesis ideas are the real protagonists therefore texts takes over images.
In the second part of the thesis “From the Measurable to the Incommensurable” the main topic centers on the Richard’s Laboratories and the Biology Laboratories. The focus of the second part will be Kahn’s Richard’s laboratories and earlier projects therefore the materiality of the architectural project becomes protagonist. In the Laboratories Kahn identifies, names, and makes clear the empty space as the organizer of architecture, structure, and installations. Through this empty space as organizer it is possible to individualize the service space with the same bluntness as the architectonic spaces through the use of monumental scale and showing how it works as if it were enormous industrial machinery.
Departing from the Richards Medical Research Laboratories building Kahn discovered the fundamentals of his own work because through this building he could synthetize in a project the search of years of work and at the same time the architecture could sediment the legacy of history through his travels, relationship with his own time, and his own experience with the city. On the other hand the building works as a manifesto of Kahn’s architecture because with the Laboratories the architect sets the foundations of his work obliterating the legacy of modern architecture. Kahn will work on a solid architecture instead of a fine and diaphanous architecture offering a juxtaposition of walls and then carving them very carefully. Through this organization Kahn operates a series of almost sculptured wall opening in order to create light effect a light that will be sifted and filtered to convert it into a surreal light.
The intention of this thesis is to analyze the different levels of the incommensurable and the measurable in its different approximations of the psyche to the matter and vice-versa in order to make them resonate in the incommensurable level which is the one of transcendence; a transcendence achieved through a building and its impact through time making the building itself the embodiment of Louis Kahn legacy to his time and the history of architecture.El presente trabajo se desarrolla en el periodo inicial de la obra independiente de Louis Kahn hasta el año 1957, cuando realizó el edificio Richards Medical Research Laboratories en la Universidad de Pensilvania. Este edificio marca el momento creador por excelencia, donde descubre ciertos fundamentos que se repetirán luego en su obra posterior y en otros proyectos de su tiempo. Por este motivo se establece un corte en la línea del tiempo hasta el 1957, para entender cómo se gesta la obra y encontrar los substratos subyacentes que conforman el proyecto. La aproximación viene desde dos momentos, que son lo inconmensurable y lo mensurable, es decir desde el mundo de las ideas hasta lo tangible, intentando abrir otro espacio para que lo indecible aparezca y podamos comprender la trascendencia del este edificio en la obra de Kahn y en su tiempo. De esta forma, el trabajo se divide en dos momentos importantes, que se instauran a partir de las palabras de Kahn al referirse al proceso creativo en su trabajo. Este proceso es el paso de lo inconmensurable (la idea), a lo mensurable (el edificio), para volver a ser inconmensurable (trascendencia a partir del edificio). De esta forma abordamos el trabajo en dos partes fundamentales, una denominada de lo ‘inconmensurable a lo mensurable’, y la otra de lo ‘mensurable a lo inconmensurable’. En el primer caso, de lo inconmensurable a lo mensurable, aparecen relaciones que construyen el imaginario de Kahn desarrollando puentes entre sus ideas a través de sus escritos, relaciones profesionales, viajes, la ciudad, relacionándolos con sus proyectos que trabaja en este tiempo y los proyectos que cita como referentes de su obra. En este momento los textos poseen mayor extensión que las imágenes, siendo el ámbito de las ideas las que tendrán protagonismo. Ya en la parte de lo mensurable a lo inconmensurable, tratara principalmente del proyecto de los laboratorios Richards y el laboratorio de Biología que aparecen como extensión del primero. En esta etapa el análisis de los proyectos anteriores, y fundamentalmente del los laboratorios será lo primordial, por este motivo, el proyecto ahora tendrá mayor preeminencia que el texto. En este edificio identifica, nombra y hace explícito el espacio vacío como articulador de la arquitectura, la estructura y las instalaciones. De esta forma, fue posible la individualización de los espacios de servicio con la misma contundencia que aparecen los espacios arquitectónicos, a una escala monumental y mostrando su funcionamiento, como si se tratara de una enorme máquina industrial. Creemos que a partir del edificio Richards, Kahn descubrió el fundamento de su obra, ya que pudo sintetizar en el proyecto, toda la búsqueda de años de trabajo, así como, al mismo tiempo, pudo sedimentar el legado de la historia por medio de sus viajes, las relaciones con su tiempo, y su experiencia con la ciudad. Por otro lado este edificio funciono como un manifiesto de su propia arquitectura, ya que funda las bases de su trabajo, obliterando el aporte de la arquitectura moderna. Kahn va a trabajar una arquitectura solida en vez de una arquitectura diáfana y fina, proponiendo una yuxtaposición de camadas de muros sucesivos, trabajando cuidadosamente la horadación de los mismos. Por medio de esta disposición, opera una serie de procedimientos de apertura del muro de forma casi escultórica, para conseguir efectos de luz, la cual al ser tamizada y filtrada, se convierte en una luz irreal. Lo que se pretende es que del análisis de las esferas de lo inconmensurable y de lo mensurable, en sus diversas aproximaciones de la psique a la materia o vice versa, es que logren resonar la ultima esfera inconmensurable, que es la trascendencia a partir del edificio y sus impactos en su tiempo, siendo este el gran legado de Louis Kahn a su tiempo y a la historia de la arquitectura
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Fernandez, Jérôme. "L'exercice libéral de la biologie médicale : aspects législatifs et réglementaires". Montpellier 1, 1993. http://www.theses.fr/1993MON11109.
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Chang, Tien-yew Josiah, e 張添佑. "Clinical trial laboratory services: industry demands and cost variation". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B42685527.
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Lecroart, Isabelle. "Rapports entre les directeurs de laboratoires d'analyses médicales et les caisses primaires d'assurance maladie : l'application de la convention nationale". Bordeaux 2, 1994. http://www.theses.fr/1994BOR2P060.
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Jönsson, Claudia. "Prestandaundersökning av den patientnära analysmetoden Biosynex® D-dimer via jämförelse med den laborativa analysmetoden STA-Liatest® D-Di PLUS". Thesis, Linnéuniversitetet, Institutionen för kemi och biomedicin (KOB), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-85649.
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The fibrinogen degradation product D-dimer is released in plasma during fibrinolysis. D-dimer analysis is mainly ordered for the exclusion of venous thromboembolism (VTE) in combination with a pre-test probability (PTP) score. D-dimer below 0,5 mg/L fibrinogen equivalent units (FEU) and a low PTP rules out VTE. D-dimer analysis contributes to the reduction of invasive and expensive imaging analyses, such as ultrasound and computed tomography. The Blekinge region primary care used a qualitative D-dimer point of care test (POCT) whose performance the clinical chemistry of Blekinge hospital had no insight into. The aim of the study was to investigate whether the qualitative D-dimer POCT was an adequate complement to the quantitative method used in the hospital laboratory. Fifty patients, whose blood samples arrived the laboratory in tubes with sodium citrate- and ethylenediaminetetraacetic acid (EDTA) additives, were chosen for the study. Citrate plasma was analyzed with the D-dimer laboratory method. Plasma and whole blood were analyzed with the D-dimer POCT. Quantitative results were converted to qualitative based on the cutoff value 0,5 mg/L FEU. POCT performance was computed and compared with the manufacturer’s specified values. A potential difference between the methods was evaluated with a Chi-squared test. A survey was performed where open care units answered questions regarding D-dimer POCT. The POCT performance was slightly lower than the manufacturer’s specifications. No statistically significant difference was seen between the methods. However, there were several sources of error with the latter. Some open care units mentioned weak lines in the reading area due to blood interference.Vid fibrinolys av blodkoagel frisätts fibrinnedbrytningsprodukten D-dimer. D-dimeranalyser utförs främst för uteslutning av venös tromboembolism (VTE) i kombination med ett poängsystem för preanalytisk sannolikhet (PTP) för VTE. D-dimerhalter under 0,5 mg/L fibrinogenekvivalenta enheter (FEU) och en låg PTP utesluter med stor säkerhet VTE. Använd på rätt sätt bidrar D-dimeranalysen till att minimera onödiga invasiva och dyra undersökningar som ultraljud och datortomografi. I region Blekinge används en kvalitativ, patientnära analysmetod (PNA) för D-dimer vars prestanda Blekingesjukhusets laboratorium för klinisk kemi inte har någon insyn i. Studiens syfte var att undersöka om den kvalitativa PNA-metoden för D-dimer utgjorde ett lämpligt komplement till den kvantitativa metod som utfördes på klinisk kemi. Femtio patienter vars blodprov anlände laboratoriet i provrör med tillsats av natriumcitrat respektive etylendiamintetraättiksyra (EDTA) blev utvalda att delta i studien. D-dimer analyserades i citratplasma med laboratoriets analysmetod varefter plasma och tillhörande EDTA-blod analyserades med PNA-metoden. Kvantitativa resultat konverterades till kvalitativa efter beslutsvärdet 0,5 mg/L FEU. PNA-prestandan beräknades och jämfördes med tillverkarens angivna motsvarigheter. Med ett chi-squaretest undersöktes en eventuell signifikant skillnad mellan metodresultaten. En undersökning utfördes där regionens öppenvårdsenheter svarade på diverse frågor kring PNA-metoden. PNA-metodens beräknade prestanda var något lägre än tillverkarens. Ingen statistiskt signifikant skillnad förekom mellan laboratoriets metod och PNA-metoden, däremot fanns det flera potentiella felkällor hos den senare. Några öppenvårdsenheter vittnade om svåravlästa avläsningsområden på grund av blodinterferens.
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Edman, Agnes. "Optiska Time-of-Flight sensorer kan användas för att mäta steghöjd och stegbredd under gång : En utvärdering av sensorer i en laborativ och reell miljö". Thesis, Umeå universitet, Institutionen för tillämpad fysik och elektronik, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-135939.
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In some medical cases it is of interest to study a persons gait. This can be done in several different ways, both simple and advanced. A project has been done at the department Medicinsk Teknik - Forskning och Utveckling at the University Hospital of Umeå. In that project a system with optical triangulation sensors was created to easily measure a persons step width and step height. It was found that the sensors had limitations, in particular with sample frequency, and it was therfore of interest to test new sensors for this application. The goal with this project was to evaluate two sensors, VL53L0X and VL6180, and investigate if they can be used to measure step width and step hight. A system was built to communicate with and read data from the sensors. The sensors were then tested both in a laborative and real environment. With good reflection both VL6180 and VL53L0X show good precision in the range of interest. The sensors has the resolution of millimeters. VL6180 works better at really close distances but has a much shorter maximum range, about 18 cm, and lower maximum sample frequency, under 43 Hz. VL53L0X was tested up to 70 cm and 50 Hz. To be able to measure step width from the ankle, a very high sample frequency is needed to get the right amount of data when the legs pass eachother. If the sensors can be used in that way has not been confirmed. When placed higher on the persons leg, VL6180 can be used to measure step width and VL53L0X can be used to measure both step width and step height.Inom sjukvården kan det i vissa fall vara intressant att studera en persons gång. Detta kan göras mer eller mindre avancerat och av olika anledningar som för diagnostik eller uppföljning efter ingrepp. Det har tidigare skapats ett mätsystem för mätning av gångparametrar på avdelningen Medicinsk teknik - Forskning och Utveckling vid Norrlands Universitetssjukhus. I det arbetet testades optiska sensorer som använder en triangulerande metodik. Den existerande tekniken hade dock begränsningar i sitt mätutförande vilket ledde till ett behov av att ersätta dessa med en ny typ av sensor. Målet med det här arbetet var därför att utvärdera två andra sensorer, VL6180 och VL53L0X, och undersöka om de kan användas för mätning av stegbredd och steghöjd. Ett mätsystem skapades i för att kommunicera med och samla in data från sensorerna. Därefter utfördes tester, främst laborativa tester med även ett test med den ena sensorn i reell miljö på testperson. Båda sensorerna visar på bra precision och linjäritet på de intressanta avstånden och ger resultat med en upplösning på hela millimetrar. VL6180 opererar bättre på väldigt nära håll men har en begränsning i att det maximala mätavståndet ligger kring 18 cm och den maximala samplingsfrekvensen under 43 Hz. Den frekvensen går att programmera men är instabil. För att kunna placera sensorerna nere vid vristen vid breddmätning krävs en mycket hög samplingsfrekvens för att få in tillräckligt med mätdata. VL53L0X kan komma upp i en en samplingsfrekvens på 50 Hz men det på bekostnad av sämre precision än vid lägre frekvenser. Huruvida VL6180 och/eller VL53L0X kan placeras vid vristen har inte bekräftats. VL53L0X testades med testperson och fungerade då för höjdmätning och breddmätning vid vaden. VL6180 bedöms kunna användas som sensor för mätning av stegbredd och VL53L0X för mätning av stegbredd och steghöjd.
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Adamtey, Ronald. "Devolution and deconcentration in action : a comparative study of five Municipal Health Directorates in Ghana". Thesis, University of Sussex, 2012. http://sro.sussex.ac.uk/id/eprint/39583/.
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Decentralisation policies have been adopted by most countries in Sub-Saharan Africa in the expectation of improved service provision. The benefits expected are two-fold: a) decentralisation will lead to better coordination and collaboration between different parts of the state at the local level and b) decentralisation will lead to increased consultation and responsiveness of local governments to their citizens. In this thesis I seek to explain why these benefits are realised in some contexts and not others. In most parts of Sub-Saharan Africa, the predominant form of decentralisation is a combination of devolution and deconcentration. Often these two policies are ambiguous and sometimes contradictory. What are the processes through which such mixed systems work? This thesis attempts to understand how mixed systems of devolution and deconcentration work in practice through a comparative study of Five Municipal Health Directorates in Ghana. The study explores the three sets of relationships that are critical for decentralisation to work well in such mixed systems a) between the Health Directorate and the District Assembly administration, b) between the Health Directorate and the elected members of the District Assembly and c) between the Health Directorate and selected civil society organisations working on health. The work is based on detailed qualitative interviews in the five municipalities. The main finding is that informal ties between the Health Directorate and the three sets of actors mentioned above are helpful in explaining why coordination and consultation seem better in some municipalities than others. Four kinds of ties are found to be important: ethnic/tribal links, family/kinship/neighbourhood relations, political party affiliations, and old-school networks. These ties between Municipal Health Directorates and senior officers of the Municipal Assemblies were found to facilitate Municipal Health Directorates' access to District Assemblies' Common Fund, which was controlled by the Municipal Assemblies. The existence of these ties between Municipal Health Directorates and elected Assembly members of Municipal Assemblies were found to enhance the quality of Municipal Health Directorates' policies and helped to gain public support. Finally, such ties between Municipal Health Directorates and leaders of selected Civil Society Organisations that mobilised around HIV and AIDS programmes were found to facilitate implementation of Municipal Health Directorates' policies around HIV and AIDS. The thesis' contribution is that it shows that informal linkages between different local bodies and between local government and civil society organisations seem important for improved coordination and collaboration among various actors, and better consultation with elected representatives of citizens and leaders of CSOs for effective service delivery at the local level.
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Grassi, Junior Rino. "Adequa????o de sistemas de gest??o de custos em centro de diagn??stico m??dico : um estudo explorat??rio como apoio a est??gios evolutivos em seus neg??cios". FECAP - Faculdade Escola de Com??rcio ??lvares Penteado, 2007. http://132.0.0.61:8080/tede/handle/tede/447.
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Previous issue date: 2007-10-18Companies working in the health area are facing countless economic and financial difficulties, mainly during the last decade, generating studies concerning the cost management. Health companies generate high technological products and services. The focus, based on the cost management for these companies is relevant and a fundamental tool for the decision centers (managers and directors) because they must cope with planning necessities as well as performing and execution evaluation, to achieve sustainable results. This work was focused on cost management, verifying its applicability in a Medical Diagnostic Center. The methodology is based on a case study, containing documental and in-depth analysis of a company in the health area, where the evolutionary cycle of the organization and its systems was studied and a model for management and cost determination, as well as results and performance for business unities was done. These elements allow serving, at the same time, both the decision making by managers and senior management, giving support and evaluating their business strategies.
As in??meras dificuldades de ordem econ??mico-financeira a que est??o sujeitas empresas da ??rea da sa??de, principalmente na ??ltima d??cada, estimulam os estudos a respeito da gest??o de custos. As organiza????es da sa??de geram produtos e servi??os de alto conte??do tecnol??gico. O enfoque baseado na gest??o custos em organiza????es de sa??de, como decorr??ncia, passa a ter relev??ncia, como ferramenta fundamental aos centros de decis??es (gestores e dirigentes), uma vez que devem atender ??s necessidades de planejamento, execu????o e avalia????o de desempenho, para o desenvolvimento sustent??vel de seus neg??cios. Este estudo focou a gest??o de custos, verificando sua aplicabilidade em um Centro de Diagn??stico M??dico. A metodologia est?? fundamentada no estudo de caso, contendo an??lise documental e de profundidade de uma organiza????o existente no setor, onde se tra??ou o ciclo evolutivo dessa organiza????o e de seus sistemas e, conclusivamente, desenvolveu um modelo de gest??o e apura????o de custos, resultados e desempenho por unidades de neg??cios, cujos elementos permitem atender ao mesmo tempo, tanto a tomada de decis??o por gestores visando melhorar o desempenho em suas ??reas de atua????o como da alta dire????o apoiando e avaliando suas estrat??gias de neg??cios.
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Miallaret, Sophie. "Dynamic Monitoring Measures". Thesis, Université Clermont Auvergne (2017-2020), 2019. http://www.theses.fr/2019CLFAC091.
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Les mesures sont des actes quotidiens, elles nous donnent beaucoup d'informations et permettent de prendre des décisions. L'analyse des mesures peut nous permettre d'en apprendre plus sur notre environnement, mais l'erreur d'une mesure peut avoir des conséquences importantes dans certains domaines. Dans une première partie, nous proposons, grâce à l'étude de mesures d'analyses sanguines réalisées au CHU de Clermont-Ferrand, une procédure permettant de détecter les dérives des analyseurs de laboratoires de biologie médicale, se basant sur les mesures d'analyses de patients. Après une analyse descriptive des données, la méthode mise en place, utilisant des méthodes de détection de ruptures de séries temporelles, est testée pour des simulations de ruptures représentant des décalages, des imprécisions ou des dérives d'analyseurs pour différents paramètres biologiques mesurés. La méthode est adaptée pour deux scénarios : lorsque l'on connaît ou non le service hospitalier des patients. L'étude est complétée par une analyse de l'impact de l'incertitude de mesure sur les analyses des patients. Dans une seconde partie nous étudions des mesures de formes de cendres volcaniques réalisées au Laboratoire Magmas et Volcans de l'Université Clermont Auvergne, dans le but de déterminer un lien entre les lieux de collecte et les formes des particules. Après avoir montré la dépendance entre ces paramètres, nous proposons, grâce une méthode de classification, un regroupement des particules représentant différentes populations dépendantes de la distance entre les lieux de collecte et le cratère du volcanThe measures are daily actions, they give us a lot of information and allow us to make decisions. The analysis of measures can allow us to learn more about our environment, but the error of a measure can have important consequences in certain areas. In a first part, we propose, thanks to the study of blood test measurements carried out at the CHU of Clermont-Ferrand, a procedure for detecting deviations from medical biology laboratory analyzers based on patient analysis measurements. After a descriptive analysis of the data, the method put in place, using methods of detection of breaks of time series, is tested for simulations of breaks representing offsets, imprecision or drifts of machine for different measured biological parameters. The method is adapted for two scenarios: when the patient's hospital service is known or not. The study is supplemented by an analysis of the impact of measurement uncertainty on patient analyses. In a second part we study measurements of volcanic ash forms made at “Laboratoire Magmas et Volcans” of the Clermont Auvergne University, in order to determine a link between the collection locations and the forms of the particles. After showing the dependence between these parameters, we propose, using a classification method, a grouping of particles representing different populations depending on the distance between the collection locations and the volcano crater
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Mução, Juanita da Rocha. "Resíduos de serviços de saúde em laboratórios de ensino da Universidade Católica do Salvador: uma proposta de gerenciamento". Universidade Catolica de Salvador, 2017. http://ri.ucsal.br:8080/jspui/handle/prefix/439.
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Os resíduos gerados pelo homem representam um dos maiores problemas da atualidade. O descarte inadequado desses resíduos provoca sérias e danosas consequências à saúde pública e ao meio ambiente. Nesse contexto, incluem-se os resíduos de serviços de saúde (RSS), que são aqueles gerados em todos os serviços relacionados ao atendimento à saúde humana ou animal. Percebendo a relevância desse tema ambiental, o presente trabalho teve como objetivo principal apresentar uma proposta de Gerenciamento de Resíduos de Serviço de saúde para os resíduos gerados nos Laboratórios de Ensino da Universidade Católica do Salvador (UCSAL) – Campus de Pituaçu. A metodologia utilizada foi a pesquisa bibliográfica e estudo de caso a partir da pesquisa de campo e da pesquisa-ação nos Laboratórios de ensino da área de saúde da UCSAL. Os instrumentos para a coleta de dados foram visitas aos laboratórios, questionários estruturados e fechados. Durante as visitas e levantamento de dados, observou-se que há geração de resíduos dos grupos A, B, D e E – não há geração do grupo C. Os Laboratórios de ensino produzem em média 6,5 kg de resíduos sólidos por semana, dos quais < 1% são RSS. As informações foram obtidas a partir de um diagnóstico de 22 semanas, através da identificação e quantificação desses resíduos. Nessa perspectiva, entende-se que é indispensável a elaboração do PGRSS na tratativa dos RSS, porque através dele é possível disponibilizar informações para o gestor dos Laboratórios de Ensino da Universidade e por ser uma exigência legal a ser atendida para assegurar proteção ao meio ambiente, resguardando os trabalhadores da área e a população como um todo. O processo de construção da gestão de resíduos em universidades é complexo e exige um esforço sistêmico e integrado de toda a comunidade acadêmica, sendo necessária uma educação técnica e ambiental que aborde o gerenciamento de RSS, com treinamento e capacitação de todos os colaboradores que trabalham nesses setores.
Waste generated by man represents one of the biggest problems today. Improper disposal of these wastes causes serious and damaging consequences to public health and the environment. In this context, health care waste (RSS), which is generated in all services related to the care of human or animal health, is included. Realizing the relevance of this environmental theme, the main objective of this work was to present a proposal for the Management of Health Care Waste for waste generated in the Teaching Laboratories of the Catholic University of Salvador (UCSAL) - Campus de Pituaçu. The methodology used was the bibliographical research and case study from the field research and action research in the teaching laboratories of the health area of UCSAL. The instruments for data collection were laboratory visits, structured and closed questionnaires. During the visits and data collection, it was observed that there is generation of waste from groups A, B, D and E - there is no generation of group C. The teaching laboratories produce on average 6.5 kg of solid waste per week, of which <1% are RSS. The information was obtained from a diagnosis of 22 weeks, through the identification and quantification of these residues. In this perspective, it is understood that it is essential to prepare the PGRSS in the RSS discussion, because through it is possible to make information available to the University Labs' manager and because it is a legal requirement to be met to ensure protection of the environment, protecting the workers of the area and the population as a whole. The process of building waste management in universities is complex and requires a systemic and integrated effort of the entire academic community, requiring a technical and environmental education that addresses the management of RSS, with training and qualification of all employees working in these Sectors.
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Rachet, Bernard. "Étude internationale de cohorte sur les risques de cancer parmi les personnels des laboratoires de recherche biomédicale et agronomique : résultats et développements méthodologiques sur les effets de latence et dose-réponse". Lyon 1, 2000. http://www.theses.fr/2000LYO1T054.
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Kuzio, Sylvain. "Automatisation et optimisation de l'activité biologie moléculaire d'un laboratoire d'analyses de biologie médicale". Bordeaux 2, 2000. http://www.theses.fr/2000BOR28732.
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Al, Hassani Mattar S. S. "Development of a System Based Approach for Strategic Implementation of Occupational Health and Safety Practices in Health Care Organizations". Thesis, University of Bradford, 2010. http://hdl.handle.net/10454/4884.
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This thesis aims at investigating the importance of effective implementation of health safety and
hygiene legislations and practices in Health Care delivery systems. A new System Based
Approach for Strategic Implementation of Occupational Health & Safety Practices is proposed in
this thesis. The underlying principle of the approach is based on involvement and inputs from staff
and management rather than by pre-specified requirements and objectives. Furthermore, the
development process is a closed loop process that provides a mechanism for continuously
evaluating system performance and monitoring activities that have considerable impact on health
and safety practices. A case study was conducted in the medical laboratories of five major
hospitals in the Emirate of Abu Dhabi. Data were collected through questionnaires, staff
interviews, and reviewing laboratory safety reports compiled over a three years period. The main
conclusions from this study are:
1. The proposed approach has proven to be useful in analyzing existing health and safety
systems. The methodology and tools proved to be instrumental in defining inefficiencies and
determining the status of the Health & Safety policies & practices in the selected medical
laboratories.
2. Effective implementation of the proposed approach has shown improvements in
productivity, operational cost, service quality, staff and management satisfaction.
3. The case study has demonstrated that a developing country such the UAE, with no
previously existing Health & Safety legislation and little risk prevention culture, can rapidly and
effectively introduce effective industry specific H&S by adopting an integrated systems based
approach.
4. UAE has highly advanced and economically developing base, there is a general
willingness at senior level within the UAE to achieve high levels of competence and standards in
all industrial sectors.
5. CAP is a system based management tool which has been implemented globally, but only
limited in the gulf region; CAP has been implemented by the author and colleges within Zayed
Military Hospital between 2003-2007.
29
Morandi, Pierre-Alain. "Programmes d’évaluation externe de la qualité : étude rétrospective de l’évolution de la qualité des résultats d’analyses de biologie clinique dans trois pays européens". Thesis, Lyon 1, 2010. http://www.theses.fr/2010LYO10262/document.
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L’évaluation externe de la qualité (EEQ) est un outil indispensable qui permet au laboratoire d’analyse de biologie clinique de surveiller la qualité de ses analyses. Une analyse rétrospective sur 391 893 résultats appartenant à sept analytes fréquemment dosés (glucose, calcium, triglycérides, créatine kinase, hémoglobine, HbA1c et protéines urinaires) a été réalisée sur une période de douze ans, de 1996 à 2007. Pour trois analytes, les résultats accumulés par trois Centres européens suisse, français et belge organisant des EEQ ont été comparés. Une approche statistique simple non paramétrique a été utilisée afin de calculer les performances (CV % et pourcentages de résultats conformes interlaboratoires) en incluant tous les résultats des EEQ, y compris les valeurs aberrantes. Le travail a permis de calculer les performances des appareils en fonction des analytes, de comparer les performances entre les Centres et entre deux types d’utilisateurs – les laboratoires professionnels et les cabinets médicaux – et, enfin, de calculer l’évolution des performances dans le temps. Il en ressort que les performances entre les Centres sont comparables et les appareils des laboratoires professionnels obtiennent de meilleures performances par rapport aux petits analyseurs utilisés dans les cabinets médicaux.Concernant les POCT, les performances ne dépendent pas du type d’utilisateur mais du type de POCT : certains obtiennent des performances comparables aux appareils de laboratoire, d’autres inférieures. Globalement, une amélioration des performances est mesurée pour les deux types d’utilisateurs, pour la plupart des appareils et pour tous les analytesThe external quality assessment (EQA) is an essential tool that allows medical laboratories to supervise the quality of their analyses. A retrospective analysis on 391.893 results originating from seven frequently measured analytes (glucose, calcium, triglycerides, creatine kinase, haemoglobin, HbA1c, and urinary proteins) was performed over a twelveyear period, from 1996 to 2007. For three analytes, the results accumulated by three European Centres – Swiss, French, and Belgian – organising EQA surveys were compared. A simple non-parametrical statistical approach was used to calculate the performances (inter-laboratory CV% and percentage of correct results) in order to include all EQA results, even aberrant values. The work allowed to calculate the performances of devices for the different analytes, to compare performances among the Centres and among two types of users – professional laboratories and medical offices – and, finally to calculate the evolution of performances over time. It turns out that performances among the Centres are comparable and that professional laboratory devices obtained better performances as compared with small laboratory devices used in medical offices. Concerning POCT devices, performances are not linked to the type of user but to the POCT type : certain types reach the same performances as laboratory devices, while others are below. A general improvement of performances is measured for both types of users, for most devices, and for all the analytes
30
Al, Hassani Mattar Saeed S. "Development of a System Based Approach for Strategic Implementation of Occupational Health and Safety Practices in Health Care Organizations". Thesis, University of Bradford, 2010. http://hdl.handle.net/10454/4884.
Texto completo da fonteResumo:
This thesis aims at investigating the importance of effective implementation of health safety and hygiene legislations and practices in Health Care delivery systems. A new System Based Approach for Strategic Implementation of Occupational Health & Safety Practices is proposed in this thesis. The underlying principle of the approach is based on involvement and inputs from staff and management rather than by pre-specified requirements and objectives. Furthermore, the development process is a closed loop process that provides a mechanism for continuously evaluating system performance and monitoring activities that have considerable impact on health and safety practices. A case study was conducted in the medical laboratories of five major hospitals in the Emirate of Abu Dhabi. Data were collected through questionnaires, staff interviews, and reviewing laboratory safety reports compiled over a three years period. The main conclusions from this study are: 1. The proposed approach has proven to be useful in analyzing existing health and safety systems. The methodology and tools proved to be instrumental in defining inefficiencies and determining the status of the Health & Safety policies & practices in the selected medical laboratories. 2. Effective implementation of the proposed approach has shown improvements in productivity, operational cost, service quality, staff and management satisfaction. 3. The case study has demonstrated that a developing country such the UAE, with no previously existing Health & Safety legislation and little risk prevention culture, can rapidly and effectively introduce effective industry specific H&S by adopting an integrated systems based approach. 4. UAE has highly advanced and economically developing base, there is a general willingness at senior level within the UAE to achieve high levels of competence and standards in all industrial sectors. 5. CAP is a system based management tool which has been implemented globally, but only limited in the gulf region; CAP has been implemented by the author and colleges within Zayed Military Hospital between 2003-2007.
31
Ghanem, Filho Omar Amin. "Proposta de melhoria na cadeia de valor envolvendo laboratórios de análises clínicas privados e o serviço médico". Universidade do Estado de Santa Catarina, 2007. http://tede.udesc.br/handle/handle/2147.
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Previous issue date: 2007-06-26Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
In the current organizational environment, successful companies are adapting their products to the needs of their customers, developing relationships with them while seeking differentials, and laboratory medicine is no exception. However, it can be observed that many private clinical analysis laboratories are located far from their medical clients, which can harm the quality and precision of laboratory and clinical diagnoses and lead to a reduction in competitiveness, productivity, innovation and the search for excellence in these laboratories. In this context, relationship marketing can be considered an adequate path for meeting the needs of doctors and providing clinical analysis laboratories with the opportunity of breaching the limits between the organization and the customers, thus creating and sharing values with its customers and partners; resulting in a long term relationship. Within this perspective, this dissertation presents a conceptual basis of relationship marketing, exposes the data obtained through a multi-case study conducted with the customer service managers and clinical analysis laboratory leaders. Interpretation of the results obtained is performed through the conversion analysis technique. The main conclusions of this work highlight the need for improving the value chain involving private clinical analysis laboratories and the medical service through the use of relationship marketing tools able to provide laboratories with a competitive advantage that will both maintain and differentiate them in the market
No ambiente organizacional de hoje as empresas bem sucedidas estão adaptando seus produtos às necessidades de seus clientes, relacionando-se com eles e buscando diferenciais, da mesma forma que ocorre na medicina laboratorial. Porém, percebe-se que muitos laboratórios de análises clínicas privados estão bastante distantes de seu cliente médico, o que pode prejudicar a qualidade e a precisão dos diagnósticos laboratoriais e clínicos e diminuir a competitividade, produtividade, inovação e a busca pela excelência nestes laboratórios. Nesse contexto, o marketing de relacionamento pode apresentar-se como um caminho adequado, para atender as necessidades dos médicos e oferecer aos laboratórios de análises clínicas a oportunidade para romper os limites entre a organização e os clientes, criando e compartilhando valores tanto com os clientes como com seus parceiros; induzindo a um relacionamento em longo prazo. Dentro dessa perspectiva, este trabalho de dissertação apresenta a base conceitual do marketing de relacionamento, expõe os dados obtidos por meio de um estudo de multicasos realizado com os gerentes de atendimento e dirigentes dos laboratórios de análises clínicas. A interpretação dos resultados obtidos é realizada por meio da técnica da análise da conversação. As principais conclusões deste trabalho destacam a necessidade da melhoria na cadeia de valor envolvendo os laboratórios de análises clínicas privados e o serviço médico por meio de ferramentas de marketing de relacionamento que poderão oportunizar aos laboratórios a vantagem competitiva para se manterem e diferenciarem-se no mercado
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Monziols, Guillaume. "La dématérialisation de l’accès aux tests génétiques au regard des droits et obligations des partenaires à la relation de soins". Thesis, Montpellier, 2017. http://www.theses.fr/2017MONTD047.
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La dématérialisation de l’accès aux tests génétiques apparaît comme un outil concourant à satisfaire l’ensemble des composantes du droit à la protection de la santé. En effet, en la matière, la spécialisation de la médecine induit une limitation des personnes habilitées à prescrire des tests génétiques. Aussi, la recherche de la meilleure sécurité sanitaire possible pour la réalisation des tests génétiques induit des problématiques d’égal accès aux laboratoires de biologie médicale autorisés à cet effet, mais auxquelles la dématérialisation peut apporter des réponses. Aussi, elle n’apparaît pas être antinomique de l’autonomie des patients, bien qu’elle présente des faiblessesThe dematerialization of access to genetic testing appears to be a tool to satisfy all the aspects of the right to health protection. Indeed, in this field, the specialization of medicine induces a limitation of the numbers of persons entitled to prescribe genetic tests. The quest for the best quality and health security for the realization of the genetic tests induces problems of equal access to the laboratories of medical biology authorized for this purpose, but to which dematerialization can give answers. Also, dematerialization does not appear to be antinomic of patient autonomy, although it presents weaknesses
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Vice, President Research Office of the. "Newswire". Office of the Vice President Research, The University of British Columbia, 2008. http://hdl.handle.net/2429/2661.
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UBC's research community recently received a significant boost in financial support for five research hubs that will join the Centre for Brain Health as newly appointed national Centres of Excellence for Commercialization and Research (CECR).
Two UBC economics professors were recognized with separate Bank of Canada awards: the Research Fellowship 2008 and the Governor's Award.
UBC's Brain Research Centre has recevied $25 million from the Province of BC to establish a new facility focused on translational brain research.
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Tsai, Ya-Wen, e 蔡雅雯. "Proficiency Testing Programs in Medical Laboratories". Thesis, 2010. http://ndltd.ncl.edu.tw/handle/78412479398699383102.
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碩士輔英科技大學
醫事技術系碩士班
98
Proficiency testing (PT) is an integral component for the overall quality system of most clinical laboratories nowadays. It aims to provide insight into the analytical performance for participants and the comparison of results with “peer laboratories”. Moreover, a well-designed PT program will help laboratories to identify problems in routine laboratory work and offer training to staff. Clinical laboratories should take part in the PT program based on its size and purpose. The objective of the study is to measure the effect of PT events in Taiwan with the U.S. and provide suggestion for PT providers and clinical laboratories. Eight routine analytes, including Glucose, Total Protein, Albumin, Urea Nitrogen, Creatinine, Uric Acid, Total Cholesterol and Triglyceride, from TSLM (Taiwan Society of Laboratory Science, TSLM) and CAP (College of American Pathologists, CAP) in 2008 were analyzed to evaluate two leading PT programs around Taiwan and the United States. Descriptive statistics and F-test were applied to test the significance of variance in each method peer group and instrument peer group between two PT providers. In addition, sigma (σ) scale was assessed to investigate the quality in clinical laboratories with a standard of minimum performance of three sigma. F-test revealed that 80% of method peer groups in TSLM were statistically different (p<0.05) from those in CAP. Then, followed by instrument peer group analysis, 50% of subgroups were statistically different. In addition, 52% of method peer groups from TSLM did not reach the minimum standard. However, it indicated 24% of instrument peer groups not reaching the minimum criteria; similar percentages, 29% in method and 20% in instrument peer groups, were shown in CAP peer groups. In TSLM, the limitation of participants should be considered an issue in statistical analysis. The differences of PT programs provided by TSLM and CAP were investigated. Also, the results have disclosed valuable information not only for PT providers, but also for clinical laboratories in choosing an appropriate PT programs based on their demands.
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Huang, An Shi, e 黃安石. "Formaldehyde exposures of medical students in anatomy laboratories". Thesis, 1994. http://ndltd.ncl.edu.tw/handle/36457159128672756304.
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Hsu, Hung-Chang, e 許宏彰. "A Study on the Intention Outsourcing for Medical Laboratories Operating". Thesis, 2008. http://ndltd.ncl.edu.tw/handle/16179549455526991726.
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碩士大葉大學
事業經營研究所碩士在職專班
96
The increasing pressure of hospital management, due to the changing medical en-vironment and the instability of health insurance policy, had resulted in the implementa-tion of business outsourcing strategy by many medical institutes, to pursuit better per-formance management and the ultimate higher profit. Therefore, the outsourcing of medical laboratories has gradually increased and become a trend in response to the changing environment and impact toward hospial. The domestic research regarding the outsourcing of medical businesses mainly fo-cuses on the studies of non-medical and medical affairs, however, little of such studies examine the outsourcing of medical departments. Therefore, it is intriguing to investi-gate the situation of currently rising outsourcing of medical laboratories. The present study aims at examining and understanding the key factors which would affect the strategic decision of medical laboratories outsourcing by investigating the current condition and underlying rationale of implementing medical laboratory out-sourcing, for providing references to hospitals in the strategic decision of medical la-boratory outsourcing. The study inquired the strategic makers of regional hospitals in central Taiwan area for the key elements of medical laboratory outsourcing. The obtained raw data were analyzed by descriptive and deducible statistical methods, including t-test, x2 test, ANOVA and Logistic Regression. Our results demonstrated that the ratio and intention of medical laboratory out-sourcing is reciprocally proportional to the scale of hospitals. A significant difference was observed between the considering factors and the levels of hospitals. Among the business categories in hospitals which had implementing the outsourcing policy, the in-strumental investment, reagent purchase and the cost of human resources are the scopes of outsourcing business with higher intension due to the changing environmental policy and level of impact. Our results also demonstrated that, currently, no hospital had implemented the medical laboratory outsourcing policy. The underlying consideration includes, first of all, the high-tech apparatus required for practice expansion, instrumental renewal and technical requirement; secondly, the strengthened needs of organization learning such as efficiency promotion and personnel training; and thirdly, the stimulation of financial needs. All of the above factors would enhance the hospitals’ intension of implementing outsourcing policy. In summary, after adjusting various influencing factors, the present study con-cluded that the major elements for a hospital to evaluate the implementation of out-sourcing policy are strong needs for technological apparatus and the successful expe-riences from medical laboratory of other hospitals as well as that from other departments in home hospital.
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Chein, Yu-Fen, e 簡毓芬. "The Influence of Quality Management System to the Internal Management of Medical Laboratories". Thesis, 2003. http://ndltd.ncl.edu.tw/handle/16810893922995678584.
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碩士國立雲林科技大學
工業工程與管理研究所碩士班
91
Boosting and continuous improving the qualities at the field of medical treatment is an important subject in recent years. However, the Quality Management Systems in the medical laboratory provide a formal and continuous measurement system in the strategy and effectiveness of laboratory quality. The place of laboratory should continuous improving in providing a precise of examining techniques and to meet the ability of quality requirement. Referring the importance of enhancing medical qualities, this research is focus on how they are affected in the Laboratory Internal Management by the Laboratory Quality Management Systems including the External Quality Control (Medical Examining Association)、Medical Testing Field Certification and CAP Certification, etc. By way of many aspects of information collecting and analyzing, there are 97.5 percent of hospitals at the Department of Health take parts in the Medical Testing Field Certification and 50.48 percent of tested objects admitted that the implement of Medical Testing Field Certification in laboratory had great assistance in enhancing the medical treatment qualities. As to the external quality control, according to the feedback of this research, there were 88 percent of hospitals take parts in the Medical Examining Association and only 46.02 percent of tested objects agreed that the implement of external quality control was useful in enhancing the medical treatment quality. From the other view, 50 percent of hospitals take parts in the CAP Certification, which is an international certification origination, and only 39.97 percent of tested objects agreed that implementing the CAP Certification had benefit in enhancing the medical treatment quality. In general, results of the questionnaires from the hospitals of the Department of Health, Executive Yuan show that the Medical Testing Field Certification has more significant effect than the External of Quality Control and CAP Certification, and is also more public recognized. Nevertheless, the Medical Testing Field Certification is in the phase of beginning and need more endeavors on them. For example, how to improve the abilities of researcher’s research and professional technique by Examining Quality Management System? It is expecting until the public of medical endeavoring together, collaborating on each other and improving the techniques to medical treatment examination then it can reach the patients with a completely and safely medical environment.
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Gates, Kayla. "Evaluation of a system for electronic exchange of laboratory information : a pre-implementation study /". 2004.
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Nunez, Luis A. "Impact of the GPA and prior college experience on the completion of the Navy Medical Laboratory Technician program". Thesis, 2005. http://hdl.handle.net/10945/1723.
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CIVINSThe research literature suggests that GPA, along with previously taken college courses, is a better predictor of success of student graduation than any simple measure. The purpose of this casual comparative study was to investigate whether students with prior college experience selecting a military career were better prepared for challenges in military schools than those students who have had no previous college experience. The research was conducted at the Naval School of Health Sciences in San Diego, California, located on the grounds of Naval Medical Center San Diego, California from May 2004 to August 2005. The questionnaire required students to indicate their responses to three questions. Each student (N=50) from two different classes was administered the questionnaire. The return rate was 100%. The study found that there was no difference in grade point average (GPA) of military students with and without prior college experience who were enrolled in the Navy's Medical Laboratory Technician program from May 2004 to August 2005. It was concluded that Navy's policy on requiring students to have certain college prerequisites may not necessarily impact their success in the MLT program.
CIVINS
US Navy (USN) author
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Su, Yu-Hui, e 蘇瑜惠. "Research on Work Values, Salary, Working environment , and training of Medical Technologists in Laboratories in Taichung Area". Thesis, 2013. http://ndltd.ncl.edu.tw/handle/73474214934858637189.
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碩士朝陽科技大學
企業管理系碩士班
101
Of all the various fears in the long 75 years of human life journey, disease and the fear of facing death exceed all. In the past, medical fears include the threatening of life and the disturbing fear from the lack of information during diagnosis and healing procedures; however, today, due to the cooperation and containment between medical teams, patients should no longer be under the threat of such fear caused by ignorance. Patients are paying customers to hospitals; therefore, making sure patients are treated properly and their rights to knowledge is fulfilled by the proper channels have become the operating goals of hospital managers. In order to implement the above patient rights, the cooperation and containment between hospitals and the both friendly and hostile relationship are necessary. However, medical examiners are no match to physicians in either social status or income. This research focuses on the cultivation of medical examiners, the entering into work field, the pursue of future education, and the contribution to societies. It also studies the view of the public towards it and the effect on its career value. Questionnaires are used to reflect the social values and future expectancy of this career, hoping to faithfully show the far and deep contribution this career has on the society.
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Du, Plessis Louis Stephen. "The design of a new Cancer Research Institute and Laboratories for Durban". Thesis, 2008. http://hdl.handle.net/10413/2334.
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Medical research is not only a necessary part in the quest to improve the quality of life for people by finding new diagnostic procedures and treatment; it is also a multi billion rand endeavour. Africa itself poses a huge challenge in providing facilities to respond to the global network engaged in medical research. South Africa has responded in part to this need, and is a pioneer in medical research for the continent. In essence, the continent not only provides great challenges, but also great opportunities for research. Many of its facilities engage in collaborative research with global institutions, but these established ties do not adequately fulfil the capacity required. In addition to this, the research environment is constantly evolving. Not only is the process constantly changing, but also the environments in which the research is conducted and the attitude as to how research should be conducted. To stay as current in the field of medical research, new institutions need to respond to the technical, practical and philosophical changes in the field. The National Health Laboratory Services, a South African chapter 21 institution involved in research and diagnosis, is the proposed client for the cancer research institute to be designed. It has established research credentials in cancer; pioneering the national cancer register; and has established links to other national organisations, such as the Medical Research Council of South Africa.Thesis (M.Arch.)-University of KwaZulu-Natal, Durban, 2008.
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Wu, Hsien-Cheng, e 吳憲政. "Research on Work Values, Morale, Internal Marketing, Professional Commitment, and Organizational Performance of Medical Technologists in Laboratories in Tainan". Thesis, 2007. http://ndltd.ncl.edu.tw/handle/21466569785269070594.
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碩士南台科技大學
高階主管企管碩士班
95
Questionnaire, which had been drawn from those who work as medical technologists in medical laboratories in Tainan, was implemented as a main insrument in this research. This research is aimed to inquire their cognition in different perspectives namely work values, inner marketing, morale, professional commitment, and organizational performance influences to the performance of medical laboratories. All questionnaires were handed out to collect quantifiable data of cognition. Generally, questionnaire, which had been handed out to those who currently practice as medical technologists in medical laboratories via assistance of laboratory supervisors mainly and regular mail , is defined as a form of data retrieval and analysis in this research. SPSS is implemented as a statistical analysis software in this research. The main implications can be seen : 1. Characters (namely gender, age, marital status, work experience, education, job position, average monthly income and types of medical lab) of medical laboratory technologists partially dominate the influence of work values, internal marketing, morale, professional commitment and organizational performance. 2. Studies in work values, internal marketing, morale, professional commitment and organizational performance apparently relate to one another. 3. The results of multiple and hierarchy reversal analysis are enormously influenced by factors of work values, internal marketing, morale, professional commitment and organizational performance. 4. Different groups of cognition in work values, internal marketing, morale, professional commitment and organizational performance have significantly different results in One-Way ANVOA. In short, this research reveals several suggestions for medical laboratory managers and researchers who are interested in study concerned to this research. Key words: work values, internal marketing, morale, professional commitment, organizational performance
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Kalolella, Admirabilis. "Assessing the handling and processing of specimen in the medical laboratory services in Tanzania". Thesis, 2005. http://hdl.handle.net/10500/904.
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In Tanzania laboratory services were observed to be not providing the quality of services required. It is assumed that the perceived discrepancy between malaria diagnosis and confirming laboratory result might be attributed to incompetence of health personnel.
Objective
The objective of this research was to explore the competence and extend to which health personnel in Muhimbli hospital comply with procedural norms in malaria diagnosis.
Methodology
A quantitative approach of explorative descriptive design was used. A survey was done using observation guidelines based on existing policies and norms. Actual practice of malaria diagnosis compared with the policies and procedural norms.
Result
The data revealed that health personnel are not competence in malaria diagnosis.
Conclusion
Competence of health personnel is important in malaria diagnosis, a special guideline should be developed and in-service training be implemented to minimize errors in reporting for malaria investigation.Health Studies
M. A. (Public Health)
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Marais, Brian. "Quantitative analysis of catecholamines and their metabolites in human urine by gas chromatography - mass spectrometry as a screening method for sympatho - adrenal tumors". Diss., 2008. http://upetd.up.ac.za/thesis/available/etd-02242009-104512.
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