A survey was conducted to answer two basic questions: 1) What are the medical bacteriology laboratories of Indiana using as criteria for identifying microorganisms? and 2) What is the basis for these criteria? The author developed a questionnaire used as the survey instrument. One hundred fifty questionnaires were mailed to medical laboratories throughout Indiana. Sixty percent of the laboratories responded. This study lists all responses and gives a description and/or evaluation of each procedure.In addition, the researcher discusses some of the factors influencing the type of procedures that are being used. Data collected by this research will be submitted to the biology department at Ball State University to help establish more concrete guidelines that can be used to update course content.

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 2015 / Aim: 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.

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

This thesis has 3 vols. The original Vol. 1 is included here. Vols 2&3 were never digitized but are available for consultation.

abstract / Medical Sciences / Master / Master of Medical Sciences

No description available.

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.

Made available in DSpace on 2015-12-03T18:35:09Z (GMT). No. of bitstreams: 1 Rino_Grassi_Junior.pdf: 826474 bytes, checksum: 884d7007b0292e00a684fb5c4d8bb359 (MD5) Previous issue date: 2007-10-18 / Companies 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.

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.

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.