Introduction: This work calculate the costs of provided services in a laboratory by adopting the ABC method and the chosen structure as example is the biochemistry laboratory of Aristide Le Dantec hospital Aristide in Dakar (Senegal). Abstract: In the care of patients, medical analyzes are essential evidences to confirm a diagnosis. In Senegal, in 2005 and according to the National Health Accounts, Medical Biologys pending were estimated at 4.5 billion franc CFA. Unlike drugs, very few studies have been conducted to assess the cost of medical biology acts in the care of patients. It is for this reason that we decided to determine the cost of these acts performed in the laboratory of Biochemistry, Aristide Le Dantec Hospital, Dakar, Senegal (National Referral hospital). This study was conducted over a period of three (3) months. This is a retrospective cross sectional study in analytical target on the calculation of the cost of Biochemistry examinations. The method used is the ABC method based on the identification of all activities for the determination of product costs. The target was the director of the hospital administration.
Methicillin-resistant Staphylococcus aureus (MRSA), one of the major concerns of nosocomial infections, is particularly alarming due to its association with multiple resistance to other antibiotics. The prevalence of MRSA infections varies from 5% to more than 50%, depending on the characteristics and size of the hospitals. This book explores the prevalence and risk factors of MRSA bacteraemia in a teaching hospital. the prevalence was 40.4 (95%CI:31.0, 50.0)The duration of hospitalisation before isolation of MRSA, age of patients, patients on ventilation and had taken antibiotics were the significant risk factors. This book should give useful information to professionals who involved in the management of patients in the hospital particularly the patients with nosocomial infection.
Confirmed HIV positive patients who presented at the University College Hospital within the period of October 2008 to September 2009, were examined for KS. The pattern of presentation was described and the diagnosis of AIDS-KS confirmed histologically. To document the possible association of risk factors, a control group of HIV positive patients without KS, age and sex matched was recruited. Their clinical, immunological and virological characteristics were compared. The presence of HHV-8 infection was detected immunohistochemically using the HHV8 LANA1 (orf 73, clone13B10) antibody. Thirteen patients with AIDS-KS were recruited during the study period. The prevalence of AIDS-KS in Ibadan is 0.5% and the male: female ratio was 1.2:1. There was no statistical difference between the case and control groups’ number of lifetime sexual partners (P=0.61), history of STD (p=0.39), CD4 count (p=0.70) and HIV-1 viral load (p=0.20). All the patients presented with multiple sites of involvement. All the AIDS-KS tissue sections indicated a positive stain for the HHV-8 antigen (p=0.001) while the non-KS tissue sections were negative.
In the recent years the increased use of disposable material and the presence of dreaded disease like Hepatitis B and AIDS, it is of utmost importance to take care of the infected and hazardous waste to save the mankind from disaster. The Health care institutions or hospitals, which are responsible for care of morbid population, are emitting voluminous quantity of rubbish, garbage and Bio Medical Waste matter each day from wards, operation theatre and outpatient areas. Proper management of hospital waste is essential to maintain hygienic, aesthetics, cleanliness and control of environmental pollution. The greatest risk of Biomedical waste is from infectious and sharp components of the waste, because health care workers, and people associated with handling waste are often getting needle prick injuries and can contract HIV/AIDS, hepatitis B and C.
We obtained secondary data from the HIV/AIDS Monitoring Program at the Builsa District hospital, in which HIV patients were enrolled and their CD4 cell counts were being regularly monitored and thus generating repeated measures of CD4 counts. We could not tell whether patients on treatment increases or decreases in CD4 counts over time. The study was to investigate whether treatment and some social-economic factors influenced patients CD4 count after a period of treatment. Profile analysis was used to study the pattern of change in the CD4 count. Mixed effects modeling approach was also used for modeling the CD4 counts of the patients and to describe the relationship
The chapters presented in this book deal with the various aspects of cancer patients' satisfaction with nursing care. By understanding potential predictors of cancer patients’ satisfaction with nursing care, the quality of nursing services in patients’ perception view could be improved and meet patients’ need. The hospital administration could use the patients’ view to evaluate, reward and reinforce their staff’s moral, because patient satisfaction survey is an instrumental component in hospital’s quality of care monitoring, in relation to cost and services. Finally, measuring patients’ satisfaction is also quite significant for marketing purpose for government and private hospitals.
There is a wide availability of HIV/AIDS care services in Uganda, including counseling, testing, and treatment. These services are provided by both the public and the private sectors. In 2008, the country had approximately 121,218 people with HIV/AIDS receiving antiretroviral therapy, and the target for the year 2011/12 was to increase this figure. This involves ambitious expansion. Nonetheless, there are few assessments of how the process of scale-up of HIV/AIDS care affects quality, efficiency and cost effectiveness. Quality of care has an important bearing on client satisfaction, a key aspect of health care delivery. Client satisfaction can determine if a client seeks medical advice and care and adheres to prescribed treatment. Dissatisfaction can have terrible consequences, like patients not following treatment regimens. Little information is available on satisfaction among clients who receive HIV/AIDS care in Uganda, comparing public and private health facilities. It was necessary to find out the situation in each, and the perceived quality of care. This study measured client satisfaction in Kabale district where HIV/AIDS prevalence is about 10%.
HIV/AIDS has long-lasting social and economic consequences on the affected persons. Although the use of highly active antiretroviral therapy (HAART) in HIV-infected persons prolongs both the time of progression to AIDS and the survival time, HAART is often associated with many challenges which include complex dosage regimens, pill burden, drug fatigue and food restrictions. In addition to these challenges are other drug-related problems (DRPs) encountered by some patients on HAART that include frequently reported risks of significant metabolic and biochemical complications. This book provides an evaluation of the biochemical profiles of HIV/AIDS patients on HAART for two to eight years as well as the impact of pharmacist’s intervention in reducing HAART related problems and improving the patients’ quality of life in HIV/AIDS care centre in Nigeria. Included in the assessment is the effect of pharmacy order form used across the country to prescribe medications for the patients on the incidence of DRPs. This book will be very useful to medical doctors, nurses, pharmacists and other healthcare professionals involved in the management of HIV/AIDS as well as healthcare policy makers
It is an undeniable fact that Mother-to-Child Transmission (MTCT) of HIV/AIDS accounts for the highest single mode of infection in children (UNAIDS, 1998). But, are pregnant women aware of the possibility of Preventing Mother-to-Child Transmission (PMTCT) of HIV/AIDS; are they Willing-to-Pay (WTP) for PMTCT of HIV/AIDS; and how much are they willing to pay? Using Ghana as a case study, this book employs the Contingent Valuation Method (CVM) to provide answers to these and other questions…
Hospitals are the integral parts of complete healthcare system so it is very important to understand the functions & day to day operations of hospitals/ healthcare providers. The main aim of this book is to give the clear, practical & brief understanding of hospital departmental functions like: Out Patient Department, Patient Flow, Front Desk/Reception, In-Patient Department, Medical Laboratory, Waste Management, Kitchen/Dietary services, Housekeeping, CSSD/TSSD, Infection Control, Laundry Services, Medical Record Department,Gas Manifold Department, Radiology, Casualty/ Emergency ,ICU/ICCU, Rehabilitation Department, Store & Purchase Department, Operation Theater, Marketing Department, Human Resource & more. I am sure this Hospital Management Training Report book will help students, teachers & researchers from the Health & Hospital Management, Health Service Administration, Health Information Management etc to enable the understanding of Hospital functions.
Early HIV diagnosis has two major advantages: prevention of the progression of HIV infection through early initiation of antiretroviral medication; and reduction of the risk of HIV transmission. Despite these advantages, many individuals do not obtain an HIV test. African-born immigrants in the United States (U.S) are often diagnosed at a late stage of the HIV infection, and are more likely than the US-born persons to enter HIV care with advanced HIV. This unique epidemiological profile notwithstanding, few academic literatures exist on the HIV testing patterns of African immigrants in the U.S. U.S. surveillance reports often marginalize African-born immigrants and cluster them with U.S. born blacks. This book models a research framework to reach this marginalized, hard-to-reach immigrant population. Through a survey methodology, the book elucidated the HIV testing behaviors of African immigrants. Findings expounded in this book point in many directions for consideration by health professionals and by the African immigrant community. Interventions to enhance awareness of HIV risk and to expand HIV testing to meet the exact needs of this group of immigrants appears to be needed.
With over 450 full colour images, ABC of Dermatology is a practical guide to identification, recognition, treatment and management of common dermatological conditions encountered within primary care, walk-in centres, and the emergency room and within patients admitted to hospital with medical/surgical conditions. Fully updated with new developments and treatments, this sixth edition provides expanded coverage of psoriasis, eczema, inflammatory dermatoses and drug photosensitivity. It also includes improved coverage of the management of onychomycosis, scabies and lice, and hair and scalp, and new content on biological treatments, lymphoedema, community acquired MRSA, pityriasis rosea, immune reconstitution syndrome and antifungal drugs. ABC of Dermatology is the ideal learning partner and resource for GPs, family physicians, junior doctors, medical students and primary care health professionals.
The global AIDS epidemic continues to grow and there is concerning evidence that some countries are seeing resurgence in new HIV infection rates which were previously stable or declining. Quality of life in persons living with HIV/ AIDS is a salient issue in care and management. Theory and research suggest that educational interventions to improve Quality of life in HIV/AIDS patients may be most effective when they are personalized and effectively compelling, when they provide models of desired behaviors, and when they are linked to social and cultural narratives. The current book describes quality of life among HIV/AIDS and effect of educational intervention on improving status of their health. This book would be useful to academicians and researchers who are interested in promotion of quality of life of patients in relation to HIV/IDS. This would also be helpful to policy makers and health managers engaged in HIV/IDS patients.
Oral health care is an integral part of medical care. This is particularly apparent when patients seeking oral health care presents with systemic illness or disabilities. It is now most important for the safety of the patient and the success of the treatment for the dentist to identify patients with systemic illness. The incidence of dental patients with significant medical finding is surprisingly high. Identification of the medical conditions in these patients is critical. Inappropriate identification through improper history taking and interpretation can create ineffective or even detrimental oral health care treatment. A routine initial history taking and physical evaluation is essential for all dental patients because even apparently healthy patient may on evaluation be found to have historic or examination finding of sufficient significance to cause dentist to reevaluate the plan of treatment, modify a medication or even defer a particular treatment until additional diagnostic data is available.It has been said that – “Dentist are now concerned not with treatment of teeth in patients but treatment of patients who have teeth”. (Morris, 1967)