Abstract
The case presentation of K kingae osteoarthritis used here illustrates technological and procedural advances in microbiological diagnostics and communication. These activities are active in the sense that molecular developments are driving rapid diagnoses and that rapidly communicated results have t...
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PMID: 21090051
PDF is available here.
Abstract
Administration of sedation/anesthesia for patients undergoing uncomfortable or painful interventions outside the operating room is an expanding practice involving a wide variety of practitioners. With a growing emphasis on cost, efficiency, and patient satisfaction, propofol alone or in combination...
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PMID: 20531171
PDF is available here.
Abstract
Early laboratory diagnosis is critical for the optimal management of human malaria, particularly following the introduction of relatively expensive, artemisinin-combination therapies (ACT). The performance of the laboratories and the quality of malaria diagnosis have recently been assessed in 36 hea...
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PMID: 20406579
PDF is available here.
Abstract
Although home-based HIV VCT has the potential to enhance VCT uptake in developing countries, insufficient data exist to recommend large-scale implementation of home-based HIV testing. Further studies are needed to determine if home-based VCT is better than facility-based VCT in improving VCT uptake....
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PMID: 20614446
PDF is available here.
Abstract
On the basis of working materials of the Novosibirsk regional consultative and diagnostic center, the prognostic significance of functional diagnosis methods and consultative care was demonstrated. It was found that methods of echocardiography are important in forecasting the prevalence of ischemic...
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PMID: 20499695
PDF is available here.
Abstract
After the loss of funding, there was a 31% decrease in the number of specimens submitted from practitioners in private practice, with the greatest drop noted in submissions from endodontists. CONCLUSION: Despite the immediate decrease in the number of biopsies submitted after the introduction of fee...
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PMID: 20695080
PDF is available here.
Abstract
Although critical for good case management and the monitoring of health interventions, the health-laboratory services in sub-Saharan Africa are grossly compromised by poor infrastructures and a lack of trained personnel, essential reagents and other supplies. The availability and quality of diagnost...
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PMID: 19583914
PDF is available here.
Abstract
Drugs costs were the principal component of the total direct medical cost, and it increased 40 times when a biological therapy is used. Complete economic evaluation studies are necesary to estimate the viability and clinical relevance of biological therapy for early rheumatoid arthritis....
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PMID: 19753838
PDF is available here.
Abstract
Citizens are increasingly crossing borders within the European Union (EU). Europeans have always been free to travel to receive care abroad, but if they wished to benefit from their statutory social protection scheme, they were subject to their local or national legislation on social protection. Thi...
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PMID: 19188459
PDF is available here.
Abstract
We hypothesize that the prevalence of unknown heart failure in diabetic patients aged 60 years and over is relatively high (15% or more) and that a cost-effective strategy can be developed to detect heart failure in these patients. The strategy is expected to include some signs and symptoms (such as...
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PMID: 20025758
PDF is available here.
Abstract
The evolution of the multidisciplinary approach to the management of chronic conditions is a reflection of how medicine has evolved from a singular to a plural effort recognising the complex causations and consequences of such disorders. This thinking should not be confined to tertiary centres alone...
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PMID: 19647693
PDF is available here.
Abstract
The major demographic characteristics among 2,676 VCT clients were: 41.1% were in the age range 20 to 30 years; 73.1% were males; and 67.1% had attained the level of junior high school education. The primary information source for VCT services was mass media like television (TV) and newspaper in 88....
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PMID: 19196456
PDF is available here.
Abstract
I think public funding of testing for genital chlamydia and other asymptomatic STIs should be expanded and integrated with HIV testing programs in Japan. Recently, there is the problem of the shortage of OB/GY doctors and clinics. This might influence the accessibilities of STIs testing and treatmen...
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PMID: 19177749
PDF is available here.
Abstract
In the first 12 months after diagnosis, children with all JIA disease subtypes consume large, but highly variable quantities of health service resources. Individual patient costs are required to reflect the wide variation in cost between patients and allow appropriate recouping of costs for contract...
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PMID: 18417528
PDF is available here.
Abstract
This report of MRI of the human lung using hyperpolarized helium demonstrates the feasibility of long distance gas transport from Germany to Australia. This will help to facilitate research and clinical application of this innovative functional lung imaging technique....
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PMID: 18494950
PDF is available here.
Abstract
There has been a significant increase in the use of radiological services in the past 30 years. There are many reasons for this, but one has received little attention: the increased role of patient autonomy in healthcare. Patients demand x rays, CT scans, MRI, and positron emission tomography scans....
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PMID: 18511617
PDF is available here.
Kamran Siddiqi,
Anna Volz,
L Armas,
L Otero,
R Ugaz,
E Ochoa,
E Gotuzzo,
F Torrico,
James N Newell,
J Walley,
Mike Robinson,
G Dieltiens and
P Van der Stuyft
Abstract
Clinical audit may drive improvements in the quality of clinical care in resource-poor settings. It is likely to be more effective if integrated within and supported by the local TB programmes. We recommend developing and evaluating an integrated model of quality improvement including clinical audit...
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PMID: 18318698
PDF is available here.
Abstract
The widespread introduction of multidetector computed tomography (MDCT) into mainstream imaging departments has enabled many centres to undertake cardiac MDCT and, in particular, MDCT coronary angiography. This review highlights the areas that need consideration when introducing a new cardiac MDCT s...
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PMID: 18325353
PDF is available here.
Abstract
Following a diagnosis of FMS, a decrease in costs as compared with the predicted trend was observed. In the 4 years after diagnosis, the average difference between the predicted and observed cost was pound66.21 per 6 months per patient. This suggests that making the diagnosis leads to savings and a...
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PMID: 18311794
PDF is available here.
Abstract
I report on research investigating factors associated with participation in mammography screening in Sweden. I conducted semistructured interviews with 32 women aged 40-49 years who attended mammography screening in rural Sweden. Study participants undertook screening in the context of a health syst...
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PMID: 18350420
PDF is available here.
Abstract
We focus on women who have no registered cervical smear during the previous 5 years, their requirements for attendance, and promotive efforts performed. Of the 400 women randomly selected to answer a telephone-based questionnaire about future attendance at cervical cancer screening (CCS), 120 would...
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PMID: 18350423
PDF is available here.
Abstract
Though HIV diagnostic testing services have increasingly become available, counseling services have not expanded commensurately. Further outreach and education is necessary to expand comprehensive HIV VCT services in both urban and rural India....
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PMID: 18941613
PDF is available here.
Abstract
In regard to patient delay, retired female patients experienced shorter delays (OR 0.35, 95% confidence interval (95%CI) 0.13 to 0.98) than employed female patients, while female smokers experienced longer delays (OR 2.42, 95%CI 1.21 to 4.85) than female non-smokers. In regard to doctor delay, femal...
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PMID: 18307790
PDF is available here.
Abstract
Although consumer-driven health plans (CDHPs) have grown dramatically, the question of whether CDHPs have reduced health care costs has not been answered definitively. This article presents what the authors believe to be the first study to analyze a large sample of claims data and to look in detail...
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PMID: 18543833
PDF is available here.
Abstract
Restructuring the health care system and the epidemiological situation associated with tuberculosis result in an increased burden on the bacteriological laboratories (BLs) of tuberculosis facilities. At present, there are no statistical data that enable one to estimate the capacity of a laboratory s...
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PMID: 18710042
PDF is available here.
Abstract
In this study, the authors explored HIV test counselors' perceptions of and experiences working with "difficult" and "good" clients in alternative HIV testing sites. Trained interviewers made field observations and conducted sixteen 60-minute, semistructured interviews with counselors. Counselors re...
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PMID: 18400685
PDF is available here.
Abstract
Up to 90 percent of American hospitals have some type of laboratory outreach program, performing a test here or there for affiliated doctors in a nearby clinic. But a few hospitals have found that a more aggressive outreach program, with a relatively modest investment, can turn a cost center into a...
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PMID: 18286897
PDF is available here.
Cytometry (74 Suppl 1)s1 2008
Abstract
As part of the effort to promote elimination of global health care disparities, this special supplement compiled 19 articles about practical diagnostic cytometry to recognize the recent achievements of laboratory scientists working in the shadow of the HIV/AIDS epidemics in resource limited settings...
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PMID: 18338401
PDF is available here.
Cytometry (74 Suppl 1)s1 2008
Abstract
A successful strategy for developing affordable diagnostics begins with a shift in viewpoint. Diagnostics is a tool for generating clinical information. Amassed experience in different parts of the globe has shown that this process of generating and utilizing clinical information is not only differe...
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PMID: 18271018
PDF is available here.
Abstract
Of all the MRI reports, 17.2 percent had resulted in normal findings; 9.8 percent ordered for examination of headache, and 4.8 percent for lower back pain. CONCLUSION: Unnecessary MRIs are most likely to result in normal finding; although not all the MRI with normal results could be identified as un...
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PMID: 18601795
PDF is available here.
Abstract
The review presenting the most common causes of acute knee hemarthrosis in adults, discuss diagnostic accuracy, advantages and disadvantages as well as cost-effectiveness assessment of physical examination, magnetic resonance imaging and artrhroscopy as diagnostic tools in appraisal of acute injured...
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PMID: 19133435
PDF is available here.