The document outlines the vision, mission, values and goals of the CCHE Clinical Lab over the next five years. The lab aims to provide world-class diagnostic and support services to the Children's Cancer Hospital Egypt (CCHE) and become a leading regional laboratory. It currently has various specialized units and plans to expand its testing capabilities and automation. The number of tests performed is expected to increase by 20% annually through improved efficiency and expanded services.
The Experience of The Psycho- oncology department at the Children Cancer Hosp...Mohammad ElShami
The psycho-oncology department at the Children Cancer Hospital Egypt 57357 has been operating since 2007. It aims to provide psychological support to patients, families, and staff dealing with cancer. The department has grown significantly over time and now includes psychiatrists, psychologists, and other staff. It provides a wide range of services including crisis intervention, counseling, support groups, and staff training. Statistics show it has helped thousands of patients and families and also conducted research and training activities. The department aims to continue being internationally recognized for its high quality psychosocial oncology care.
The Children's Cancer Hospital Egypt 57357 aims to be a leading pediatric oncology hospital that provides compassionate, innovative care regardless of patients' backgrounds. Its mission is to cure children with cancer and improve their quality of life through outstanding, cost-effective treatment and by setting national standards for care, education, technology and research. It also strives to be an international leader in cancer care and support a dedicated staff. Donating supports the hospital's work in giving hope to children and developing into a globally recognized hospital, helping it continue its operations and cure more children so they can return to their normal lives. Key donation programs include sponsoring individual patients to cover their treatment costs.
This document provides an overview of family medicine in Canada. It discusses the history and development of family medicine as a specialty. It outlines the education and training process, which includes four years of medical school, core rotations in various specialties, and a 2-3 year residency program in family medicine. The document also discusses the scope of practice of family physicians and their important role as primary care providers who work closely with various specialists.
This internship summary provides details of the student's 180-hour internship with the forensic pathology department at Greenville Memorial Hospital under the supervision of Dr. James Fulcher. The internship involved assisting with autopsies, weighing and photographing bodies, conducting research projects, giving tours, and cleaning autopsy rooms. The student gained hands-on experience performing brain removals and other autopsy procedures while enhancing their knowledge of human anatomy and disease processes. They completed three research projects on various forensic pathology cases and topics. Overall, the internship provided valuable learning experiences and skills development in forensic pathology.
The document discusses the career paths and responsibilities of physicians and surgeons. It begins with an overview of the educational requirements, which include four years of undergraduate education, four years of medical school, and 3-8 years of internship and residency training. Physicians diagnose and treat illnesses and injuries by examining patients, ordering tests, prescribing medications, and providing preventive care advice. Surgeons perform similar duties but specialize in operating on patients to treat diseases and injuries. The career offers high growth potential and salaries, though it requires many years of education and training.
Three hour slide deck for basics of palliative care including what is palliative care, symptom management (pain, dyspnea, nausea, constipation), goals-of-care, family meetings, comfort care, and issues around artificial nutrition.
Seminar on ethics committee, cultural concernsPriyanka Tambe
This document discusses ethics committees, cultural concerns, and truth telling in medical research and patient care. It provides details on the roles and responsibilities of ethics committees in ensuring ethical and lawful experimentation. It describes how cultural barriers like language and religion can impact patient care, and the importance of understanding different cultures. The document also discusses the ethics of truth telling patients their diagnosis and errors, exceptions for patients who don't want information or those who may harm themselves, and allowing patients to plan for receiving bad news.
The Experience of The Psycho- oncology department at the Children Cancer Hosp...Mohammad ElShami
The psycho-oncology department at the Children Cancer Hospital Egypt 57357 has been operating since 2007. It aims to provide psychological support to patients, families, and staff dealing with cancer. The department has grown significantly over time and now includes psychiatrists, psychologists, and other staff. It provides a wide range of services including crisis intervention, counseling, support groups, and staff training. Statistics show it has helped thousands of patients and families and also conducted research and training activities. The department aims to continue being internationally recognized for its high quality psychosocial oncology care.
The Children's Cancer Hospital Egypt 57357 aims to be a leading pediatric oncology hospital that provides compassionate, innovative care regardless of patients' backgrounds. Its mission is to cure children with cancer and improve their quality of life through outstanding, cost-effective treatment and by setting national standards for care, education, technology and research. It also strives to be an international leader in cancer care and support a dedicated staff. Donating supports the hospital's work in giving hope to children and developing into a globally recognized hospital, helping it continue its operations and cure more children so they can return to their normal lives. Key donation programs include sponsoring individual patients to cover their treatment costs.
This document provides an overview of family medicine in Canada. It discusses the history and development of family medicine as a specialty. It outlines the education and training process, which includes four years of medical school, core rotations in various specialties, and a 2-3 year residency program in family medicine. The document also discusses the scope of practice of family physicians and their important role as primary care providers who work closely with various specialists.
This internship summary provides details of the student's 180-hour internship with the forensic pathology department at Greenville Memorial Hospital under the supervision of Dr. James Fulcher. The internship involved assisting with autopsies, weighing and photographing bodies, conducting research projects, giving tours, and cleaning autopsy rooms. The student gained hands-on experience performing brain removals and other autopsy procedures while enhancing their knowledge of human anatomy and disease processes. They completed three research projects on various forensic pathology cases and topics. Overall, the internship provided valuable learning experiences and skills development in forensic pathology.
The document discusses the career paths and responsibilities of physicians and surgeons. It begins with an overview of the educational requirements, which include four years of undergraduate education, four years of medical school, and 3-8 years of internship and residency training. Physicians diagnose and treat illnesses and injuries by examining patients, ordering tests, prescribing medications, and providing preventive care advice. Surgeons perform similar duties but specialize in operating on patients to treat diseases and injuries. The career offers high growth potential and salaries, though it requires many years of education and training.
Three hour slide deck for basics of palliative care including what is palliative care, symptom management (pain, dyspnea, nausea, constipation), goals-of-care, family meetings, comfort care, and issues around artificial nutrition.
Seminar on ethics committee, cultural concernsPriyanka Tambe
This document discusses ethics committees, cultural concerns, and truth telling in medical research and patient care. It provides details on the roles and responsibilities of ethics committees in ensuring ethical and lawful experimentation. It describes how cultural barriers like language and religion can impact patient care, and the importance of understanding different cultures. The document also discusses the ethics of truth telling patients their diagnosis and errors, exceptions for patients who don't want information or those who may harm themselves, and allowing patients to plan for receiving bad news.
The program was made possible by South Nassau's affiliation with the Mount Sinai Health System, which provided the 30 graduate medical education slots for use at South Nassau.
SHARE Presentation: Palliative Care for Womenbkling
Dr. Michael Pearl discusses supportive palliative care for women with cancer, how it differs from hospice care, and the New York Palliative Care Information Act. Dr. Michael Pearl is Professor and Director of the Division of Gynecologic Oncology in the Department of Obstetrics, Gynecology and Reproductive Medicine at Stony Brook University Hospital.
This study assessed the knowledge of pediatric nurses regarding pulse oximetry at B.P. Koirala Institute of Health Sciences in Nepal. The study found that most nurses felt they needed more training on pulse oximetry. While most nurses knew what a pulse oximeter measures, few understood how it works or could interpret oxygen saturation readings in clinical scenarios. The results indicate a lack of basic knowledge about pulse oximetry principles among pediatric nurses. Improving education programs and ongoing training for healthcare providers was recommended.
Palliative care focuses on reducing the intensity and severity of symptoms from disease to improve quality of life. It is provided by an interdisciplinary team and addresses physical, emotional, and spiritual needs through pain and symptom management. Palliative care can be provided alongside curative treatment from the time of diagnosis for diseases like cancer, organ failure, Alzheimer's, and AIDS. Radiotherapy can help manage bone metastases, spinal cord compression, and other symptoms in palliative care.
The document discusses the role of nurses in improving patient safety in colorectal surgery. It emphasizes that patient safety should be the top priority and is a shared responsibility. The Enhanced Recovery After Surgery (ERAS) program plays an important role in pre-operative patient safety, focusing on goals like reduced fasting and avoidance of unnecessary interventions. Proper pre-operative stoma site marking by nurses is also discussed as an important way to reduce postoperative complications. Overall, the document stresses the importance of multidisciplinary teamwork and a holistic, patient-centered approach to ensure high quality, safe care.
This study examined the impact of a text messaging intervention on quality of life in 396 diabetes patients in eastern Nepal. The intervention provided health education via mobile phone over 6 months. Patients received SMS with diabetes management information and strategies to improve adherence and prevent complications. Knowledge about diabetes increased significantly after the education program. The study found that mobile health services can help increase treatment adherence and quality of life for people with diabetes.
Oncologia medicală este specialitatea care se ocupă cu studiul apariţiei şi dezvoltării neoplaziilor maligne, urmărind depistarea, diagnosticul, tratamentul cât şi evoluţia posterapeutică a pacienţilor.
This document discusses the need for greater ethics in laboratory medicine in developing countries. It notes that doctors often order tests casually and without medical necessity, and corporate hospitals promote excessive testing for financial gain. This leads to decreased quality of care and unhealthy competition. While regulations have prevented unethical experiments on animals, many invasive and unnecessary tests are performed on humans without proper consent. The document calls for more accountability, such as having accreditation organizations assess medical necessity and quality of testing. It emphasizes the importance of patient consent, confidentiality, and establishing standards to ensure ethical and safe practices in medical laboratories.
Dr David Maltz: The challenge of length of stayNuffield Trust
In this slideshow, Dr David Maltz, of The Oak Group, explores the challenge of length of stay and opportunities for improvement.
Dr Maltz spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September 2014.
The study aimed to assess the effectiveness of an educational intervention program in improving nurses' knowledge of life support measures like basic life support (BLS) and advanced life support (ALS). 24 nurses participated in a one-day training program that included lectures, demonstrations and practice. Tests before and after the program showed a significant increase in knowledge in several key areas, such as chest compression techniques and protocols. The nurses found the program very useful for improving their emergency response skills.
Why do older people get stuck in hospital? - Elderly care conference 2015, Ma...Browne Jacobson LLP
Older people are more likely to get stuck in hospitals for several reasons: they are more prone to illness which requires hospital care, they are less likely to recover fully to independence, and they often require more care arrangements to be made upon discharge. Frailty, assessed using a frailty index measuring health deficits, is independently associated with risks of death, longer hospital stays, and increased likelihood of discharge to a nursing home rather than home. Identifying frailty and implementing targeted interventions could help address challenges with older patients experiencing delays in discharge from hospitals.
This document discusses the role of nurse practitioners in healthcare. It begins by defining advanced practice nurses, which includes nurse practitioners, clinical nurse specialists, certified nurse midwives, and certified nurse anesthetists. It then provides statistics on the number of each type of advanced practice nurse. The history and development of the nurse practitioner role is summarized, noting their increasing independence and scope of practice similar to primary care physicians. Outcomes research is highlighted showing nurse practitioners can effectively treat most patients and have equal or better health outcomes compared to physicians.
Nathan Goldstein-Palliative care making the case jewishhome
Palliative care aims to improve quality of life for patients with serious illnesses and their families. Nathan Goldstein argues that hospital-based palliative care is growing in the US for four key reasons: 1) It improves clinical quality by better managing pain and symptoms. 2) It better aligns with patient and family preferences for comfort and honest discussions. 3) It is well-suited to address the growing population of older adults with multiple chronic conditions. 4) It can reduce costs by facilitating decisions to leave the hospital or withhold treatments not achieving patient goals.
Ortopedia şi traumatologia este specialitatea care se ocupă cu depistarea, diagnosticarea, tratarea şi recuperarea afecţiunilor congenitale şi dobândite, traumatice şi netraumatice, ale aparatului locomotor.
1. As surgeons age, their physical, cognitive, and technical skills gradually decline which can increase surgical risks and complications for older patients. Several studies show increased postoperative morbidity and mortality for elderly patients operated by older surgeons.
2. Valid assessment methods of aging surgeons are needed to objectively measure physical, cognitive, and technical skills to ensure patient safety and identify surgeons who may need retraining or early retirement.
3. Properly planned retirement allows aging surgeons to continue contributing to the medical community through teaching, mentoring, and non-clinical roles that utilize their experience and knowledge.
This document provides details of a 27-year-old pregnant woman's case. She presented with progressive lower limb weakness and was initially diagnosed with possible spinal cord compression or transverse myelitis. Further MRI scans revealed an intradural mass at C7. After delivery, she was scheduled for laminectomy and tumor excision but was undecided on the operation. She was discharged without surgery and never returned for follow up. Barriers to her care included her low socioeconomic status, lack of understanding of her illness, and lack of continuity of care. The document emphasizes the importance of a holistic and patient-centered approach to care.
This document discusses the importance of sentimental items and family through three stories about losing a scarf, phone, and mother. Each story emphasizes the warmth, safety, and hope provided by these things rather than their material value. The document concludes by expressing a commitment to fighting cancer in memory of a brother and mother lost to the disease, and encourages support for a hospital.
The document discusses the role of clinical pharmacists in pediatric oncology in Egypt. It describes the clinical pharmacy program that has been implemented across several hospitals in Egypt. The program provides comprehensive pharmaceutical services including IV preparation, dispensing, patient education and monitoring. Statistics on pharmacy activities and services provided are presented. The challenges faced and the positive impact of clinical pharmacy services on outcomes such as mortality, costs and medication errors are highlighted.
The program was made possible by South Nassau's affiliation with the Mount Sinai Health System, which provided the 30 graduate medical education slots for use at South Nassau.
SHARE Presentation: Palliative Care for Womenbkling
Dr. Michael Pearl discusses supportive palliative care for women with cancer, how it differs from hospice care, and the New York Palliative Care Information Act. Dr. Michael Pearl is Professor and Director of the Division of Gynecologic Oncology in the Department of Obstetrics, Gynecology and Reproductive Medicine at Stony Brook University Hospital.
This study assessed the knowledge of pediatric nurses regarding pulse oximetry at B.P. Koirala Institute of Health Sciences in Nepal. The study found that most nurses felt they needed more training on pulse oximetry. While most nurses knew what a pulse oximeter measures, few understood how it works or could interpret oxygen saturation readings in clinical scenarios. The results indicate a lack of basic knowledge about pulse oximetry principles among pediatric nurses. Improving education programs and ongoing training for healthcare providers was recommended.
Palliative care focuses on reducing the intensity and severity of symptoms from disease to improve quality of life. It is provided by an interdisciplinary team and addresses physical, emotional, and spiritual needs through pain and symptom management. Palliative care can be provided alongside curative treatment from the time of diagnosis for diseases like cancer, organ failure, Alzheimer's, and AIDS. Radiotherapy can help manage bone metastases, spinal cord compression, and other symptoms in palliative care.
The document discusses the role of nurses in improving patient safety in colorectal surgery. It emphasizes that patient safety should be the top priority and is a shared responsibility. The Enhanced Recovery After Surgery (ERAS) program plays an important role in pre-operative patient safety, focusing on goals like reduced fasting and avoidance of unnecessary interventions. Proper pre-operative stoma site marking by nurses is also discussed as an important way to reduce postoperative complications. Overall, the document stresses the importance of multidisciplinary teamwork and a holistic, patient-centered approach to ensure high quality, safe care.
This study examined the impact of a text messaging intervention on quality of life in 396 diabetes patients in eastern Nepal. The intervention provided health education via mobile phone over 6 months. Patients received SMS with diabetes management information and strategies to improve adherence and prevent complications. Knowledge about diabetes increased significantly after the education program. The study found that mobile health services can help increase treatment adherence and quality of life for people with diabetes.
Oncologia medicală este specialitatea care se ocupă cu studiul apariţiei şi dezvoltării neoplaziilor maligne, urmărind depistarea, diagnosticul, tratamentul cât şi evoluţia posterapeutică a pacienţilor.
This document discusses the need for greater ethics in laboratory medicine in developing countries. It notes that doctors often order tests casually and without medical necessity, and corporate hospitals promote excessive testing for financial gain. This leads to decreased quality of care and unhealthy competition. While regulations have prevented unethical experiments on animals, many invasive and unnecessary tests are performed on humans without proper consent. The document calls for more accountability, such as having accreditation organizations assess medical necessity and quality of testing. It emphasizes the importance of patient consent, confidentiality, and establishing standards to ensure ethical and safe practices in medical laboratories.
Dr David Maltz: The challenge of length of stayNuffield Trust
In this slideshow, Dr David Maltz, of The Oak Group, explores the challenge of length of stay and opportunities for improvement.
Dr Maltz spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September 2014.
The study aimed to assess the effectiveness of an educational intervention program in improving nurses' knowledge of life support measures like basic life support (BLS) and advanced life support (ALS). 24 nurses participated in a one-day training program that included lectures, demonstrations and practice. Tests before and after the program showed a significant increase in knowledge in several key areas, such as chest compression techniques and protocols. The nurses found the program very useful for improving their emergency response skills.
Why do older people get stuck in hospital? - Elderly care conference 2015, Ma...Browne Jacobson LLP
Older people are more likely to get stuck in hospitals for several reasons: they are more prone to illness which requires hospital care, they are less likely to recover fully to independence, and they often require more care arrangements to be made upon discharge. Frailty, assessed using a frailty index measuring health deficits, is independently associated with risks of death, longer hospital stays, and increased likelihood of discharge to a nursing home rather than home. Identifying frailty and implementing targeted interventions could help address challenges with older patients experiencing delays in discharge from hospitals.
This document discusses the role of nurse practitioners in healthcare. It begins by defining advanced practice nurses, which includes nurse practitioners, clinical nurse specialists, certified nurse midwives, and certified nurse anesthetists. It then provides statistics on the number of each type of advanced practice nurse. The history and development of the nurse practitioner role is summarized, noting their increasing independence and scope of practice similar to primary care physicians. Outcomes research is highlighted showing nurse practitioners can effectively treat most patients and have equal or better health outcomes compared to physicians.
Nathan Goldstein-Palliative care making the case jewishhome
Palliative care aims to improve quality of life for patients with serious illnesses and their families. Nathan Goldstein argues that hospital-based palliative care is growing in the US for four key reasons: 1) It improves clinical quality by better managing pain and symptoms. 2) It better aligns with patient and family preferences for comfort and honest discussions. 3) It is well-suited to address the growing population of older adults with multiple chronic conditions. 4) It can reduce costs by facilitating decisions to leave the hospital or withhold treatments not achieving patient goals.
Ortopedia şi traumatologia este specialitatea care se ocupă cu depistarea, diagnosticarea, tratarea şi recuperarea afecţiunilor congenitale şi dobândite, traumatice şi netraumatice, ale aparatului locomotor.
1. As surgeons age, their physical, cognitive, and technical skills gradually decline which can increase surgical risks and complications for older patients. Several studies show increased postoperative morbidity and mortality for elderly patients operated by older surgeons.
2. Valid assessment methods of aging surgeons are needed to objectively measure physical, cognitive, and technical skills to ensure patient safety and identify surgeons who may need retraining or early retirement.
3. Properly planned retirement allows aging surgeons to continue contributing to the medical community through teaching, mentoring, and non-clinical roles that utilize their experience and knowledge.
This document provides details of a 27-year-old pregnant woman's case. She presented with progressive lower limb weakness and was initially diagnosed with possible spinal cord compression or transverse myelitis. Further MRI scans revealed an intradural mass at C7. After delivery, she was scheduled for laminectomy and tumor excision but was undecided on the operation. She was discharged without surgery and never returned for follow up. Barriers to her care included her low socioeconomic status, lack of understanding of her illness, and lack of continuity of care. The document emphasizes the importance of a holistic and patient-centered approach to care.
This document discusses the importance of sentimental items and family through three stories about losing a scarf, phone, and mother. Each story emphasizes the warmth, safety, and hope provided by these things rather than their material value. The document concludes by expressing a commitment to fighting cancer in memory of a brother and mother lost to the disease, and encourages support for a hospital.
The document discusses the role of clinical pharmacists in pediatric oncology in Egypt. It describes the clinical pharmacy program that has been implemented across several hospitals in Egypt. The program provides comprehensive pharmaceutical services including IV preparation, dispensing, patient education and monitoring. Statistics on pharmacy activities and services provided are presented. The challenges faced and the positive impact of clinical pharmacy services on outcomes such as mortality, costs and medication errors are highlighted.
- 57357 Hospital is located in Cairo, Egypt and is one of the largest specialized children's cancer hospitals in the world.
- The hospital was founded in memory of 13 children who died of cancer in a single day. It opened in 2007 with 30 beds and has since expanded to 185 beds with plans for 365 beds.
- The hospital sits on 69,000 square meters and cost 300 million pounds to build. It has departments for radiation and chemotherapy, a blood bank, laboratories, an operating room, and pharmacy.
Anatomy, physiology, pathophysiology of the lymphatic system, lymphedema definition, differential diagnosis and presentations, staging, contraindications and precautions for decongestive therapy (MLD/CDT)
Skills Lab is a 3-month training program that helps unemployed young graduates develop soft skills to increase their employability. After the first 3 months, all participants had jobs, and 6 months later 64% still had jobs. The program's success is attributed to individual counseling, a learning community, training tailored for real life, strong company partnerships, and a passionate team. Skills Lab is seeking funding to expand and go online.
Think you can easily spot a sociopath? Think again. Sociopaths aren’t always the stereotypical “serial killer type” you might be thinking of. These individuals come in all shapes and sizes.
Your best friend, significant other, roommate, or family member could be hiding a dark secret. Instant Checkmate compiled the 11 signs of a sneaky sociopath. Ready to learn more? Run a background check on them today at www.InstantCheckmate.com!
This document is a collection of 12 photo credits from various photographers. It concludes by inviting the reader to create their own presentation using Haiku Deck on SlideShare.
This company presentation provides an overview of NeoGenomics and their cancer genetic testing services. Some key points:
- NeoGenomics is a fast-growing cancer genetics lab that services oncologists, pathologists, and hospitals through strategic partnerships and a tech-only model.
- They have an experienced management team with experience at large cap labs and offer the most comprehensive cancer testing menu in the industry.
- NeoGenomics has demonstrated a proven track record of consistent growth over the last 10 years with 65% CAGR in revenue and test volume.
- Their focus for 2015 includes expanding next generation sequencing, developing a prostate cancer liquid biopsy test, launching new products, and growing their clinical trials business
Oncology Discoveries, University of Chicagouchicagotech
The University of Chicago Comprehensive Cancer Center (UCCCC) uses cooperative, multidisciplinary initiatives to support innovative cancer research. It has over 320 active clinical trials spanning various phases, as well as core facilities that support research efforts. Research is organized into six scientific programs, including Molecular Mechanisms of Cancer and Hematopoiesis and Hematological Malignancies. These programs work to define the genetic causes of cancer and develop targeted therapies through translational research that moves between basic science and clinical applications. Representative technologies described include methods for inhibiting cancer metastasis and developing novel antibodies.
Specialized oncology reference laboratory providing the latest testing technologies, global/tech-only options, and interactive education to the pathology community
Offer the complete spectrum of diagnostic services through nationwide network of laboratories
Dedicated to providing superior service, faster turn-around times, and complete attention to the needs of our clients and their patients
UCSF Informatics Day 2014 - Robert Nussbaum, "The Genomic Medicine Initiative...CTSI at UCSF
- The Genomic Medicine Initiative is an interdepartmental, interdisciplinary effort at UCSF established to create infrastructure allowing the use of genomics in research, clinical trials, and patient care.
- It aims to enhance genomics education and harness campus expertise to efficiently serve UCSF needs through specialized laboratories, collaborations, and an online course.
- The initial components include targeted cancer sequencing through the Clinical Cancer Genetics Laboratory, whole exome and genome sequencing for undiagnosed diseases through the IHG Genomics Services Laboratory, and a collaboration with UCLA for joint variant analysis.
Next Generation Companion Diagnostics; Adoption, Drivers, and Moderators of N...Andrew Aijian
Analysis and synthesis of a pulse survey conducted across >140 oncologists, pathologists, and lab directors regarding current adoption and trends associated with emerging oncology biomarkers and companion diagnostics (CDx), with an emphasis on next-generation sequencing (NGS)-based CDx.
NeoGenomics is a fast growing cancer genetics lab servicing Oncologists, Pathologists and Hospitals. This is August 2014 Company Overview Presentation.
Laboratory Services provides a comprehensive range of diagnostic testing and clinical and consultative services .
Medicare Part B (Medical Insurance) covers medically necessary clinical diagnostic laboratory services that are ordered by your doctor or practitioner.
Laboratory tests include certain blood tests, urinalysis, tests on tissue specimens, and some screening tests. They must be provided by a laboratory that meets Medicare requirements.
Routine Laboratory Investigations discusses the need for and types of laboratory investigations that can be performed. It covers classifications of tests based on where they are done, their sensitivity and specificity, and frequency of use in dental practice. Commonly used hematological investigations include complete blood count, erythrocyte sedimentation rate, bleeding time, and clotting time. Tests of blood glucose levels are among the most frequently used serum chemistry investigations. The document emphasizes correctly interpreting results in the context of a patient's history and clinical findings.
Alison Davies- NHS Blood and Transplant H&I Placement Presentation .pptxalisondavies2002
NHS Blood and Transplant- Barnsley provides blood and transplantation services to the NHS in the UK. They are responsible for managing the donation, storage and transplantation of organs, blood, blood components, tissues, stem cells and bone marrow. They also undertake laboratory testing to support solid organ and hematopoietic stem cell transplantation, offer clinical advice for donor selection, and produce test results to begin transplant processes and treatments.
The Histocompatibility and Immunogenetics department performs immunogenetics testing for autoimmune diseases and drug hypersensitivities associated with Human Leukocyte Antigen genes. They are responsible for HLA typing of transplant patients and donors through techniques like polymerase chain reaction and next-generation sequencing.
Overview Radboudumc Center for Proteomics, Glycomics and Metabolomics april 2015Alain van Gool
An overview of the proteomics, glycomics and metabolomics expertise and capabilities within the Translational Metabolic Laboratory of the Radboudumc. We're interested in collaboration with academic and industrial partners, either bilateral or as part of multi-partner consortia.
Routine Laboratory Investigations discusses the need for and types of laboratory investigations that can be performed. It covers classifications of tests based on where they are done, their sensitivity and specificity, and frequency of use in dental practice. Commonly used hematological investigations include complete blood count, erythrocyte sedimentation rate, bleeding time, and clotting time. Tests of blood glucose levels are among the most frequently used serum chemistry investigations. The document emphasizes correctly collecting and handling specimens, as well as accurately interpreting results in the clinical context.
Bharat Naik is an experienced medical technologist and laboratory manager seeking a management position. He has over 20 years of experience as a clinical lab technologist and 7 years of management experience. He has extensive technical expertise in areas like medical microbiology, clinical chemistry, hematology, immunohaematology, cytogenetics, and quality control. Naik has a PhD in medical science and is certified in New York, Canada, and India. His resume demonstrates a track record of leading laboratories and ensuring compliance with regulations.
Detail-orientated and efficient Medical Lab Technician with 5 years
career experience in medical laboratory environments. Exhibits
excellent communication and analytical thinking abilities
CLinical Research Office at Ponce Health Sciences Foundation/Ponce Research I...Dr. Roberto Torres
The Clinical Research Office at PHSU. Innovating Research and Clinical Trials in Puerto Rico. Learn about our capabilities, Moffitt Cancer Center Collaboration, and the Puerto Rico Clinical Trials Network.
Specialized oncology reference laboratory providing the latest testing technologies, global/tech-only options, and interactive education to the pathology community
Offer the complete spectrum of diagnostic services through nationwide network of laboratories
Dedicated to providing superior service, faster turn-around times, and complete attention to the needs of our clients and their patients
2023-11-09 HealthRI Biobanking day_Amsterdam_Alain van Gool.pdfAlain van Gool
Examples of lessons learned in Omics-based biomarker studies from myself and colleagues in X-omics and EATRIS, for an audience of biobankers, researchers and diagnostic/clinical chemistry experts.
The document describes a sepsis innovation portfolio comprised of therapeutics, diagnostics, devices, and digital health solutions to transform sepsis diagnosis, treatment, and monitoring. It summarizes several projects, including a portable monitoring system for early sepsis detection using a sensor ring, a rapid diagnostic panel to detect endothelial cell damage and blood biomarkers of sepsis, an ultrasound device to non-invasively monitor lung function and fluid status, a point-of-care diagnostic using whole blood redox measurements, an immunotherapy using interleukin-15 to boost the immune response, and a diagnostic to directly detect microbial DNA and identify antibiotic resistance within 3 hours. The portfolio aims to improve patient outcomes and reduce healthcare costs.
This document provides an overview of laboratory investigations. It begins by outlining the need for lab investigations to supplement clinical findings. It then defines lab investigations and discusses their generic applications and classifications based on location, specificity/sensitivity, and frequency of use in dentistry. The document goes on to cover crucial questions to consider prior to ordering lab tests and provides examples of commonly used hematological, biochemical, microbiological, immunological, and histopathological investigations. It concludes by discussing common clinical scenarios where lab tests are useful.
Similar to Cche clinical lab in five years 7 7-2012 (20)
Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdfDr Rachana Gujar
The "Comprehensive Rainy Season Advisory: Safety and Preparedness Tips" offers essential guidance for navigating rainy weather conditions. It covers strategies for staying safe during storms, flood prevention measures, and advice on preparing for inclement weather. This advisory aims to ensure individuals are equipped with the knowledge and resources to handle the challenges of the rainy season effectively, emphasizing safety, preparedness, and resilience.
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
Can Allopathy and Homeopathy Be Used Together in India.pdfDharma Homoeopathy
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...nirahealhty
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
R3 Stem Cell Therapy: A New Hope for Women with Ovarian FailureR3 Stem Cell
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3. Vision
To be the region`s preferred source of
laboratory services and recognized
internationally as a laboratory providing
world-class scientific services, supporting
the Children Cancer Hospital Egypt
(CCHE) in fulfilling its vision.
2/9/2017 3
4. Our Mission
Provide High quality, integrated laboratory services through the
team efforts of our valued employees. Supporting CCHE in
the accomplishment of all identified missions, goals,
objectives and strategic planning's.
Ensure efficient means exist to produce timely, accurate service,
with maintaining excellence in performance while
continuously striving to improve the quality of patient care we
provide.
Our services will be provided within a professional environment
that is patient focused, caring toward employees, team-
oriented, and upholds the values of Children`s Cancer Hospital
Egypt.
2/9/2017 4
5. Values
The following values will
be the guide to achieve this
vision:
Teamwork
Integrity
Respect
Compassion
Excellence
Innovation
Accountability
Leadership
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6. GENERAL INFORMATION
• The CCH Clinical Lab Dep. located on the
ground floor includes different specialty
units as:
– Clinical Hematology,
– Clinical Chemistry,
– Microbiology (Virology, Bacteriology),
– Immunology,
– Cytology & Cell Culture,
– Flow Cytometry,
– Cytogenetics and
– Molecular Biology,
in addition to the Outpatient specimen
collection site.
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7. The Clinical Laboratory Core Sections
•The Clinical Laboratory Core Sections:
operate Sunday through Thursday, day
shift schedule from 7:00 AM to 5:00 PM,
providing laboratory testing essential to
patient care.
•Outpatient phlebotomy services: Main
service site open Sunday through
Thursday, 6:30:00am until 5:00pm.
2/9/2017 7
8. The Clinical Laboratory Core Sections
•STAT Lab: 24 hours per day, 365
days per year, providing laboratory
testing essential to ICU unit and
emergency cases at night shifts by
on call resident and technician.
•Lab Director, Consultants and
residents are available 24 hours a
day, seven days a week, to aid and
consult.
2/9/2017 8
9. 2/9/2017 9
Lab Organizational
Structure
The Lab is staffed with 6
full time (FT) consultants
and 4 part time (PT)
consultants,
1 (FT) resident and 15
(PT) registrars (on shift
base),
8 FT chemists,
10 FT technicians,
4 (FT) phlebotomists,
7 (FT) secretaries,
4 (FT) porters
10. Laboratory Information System (LIS)
• The lab is fully controlled by
Laboratory Information System
(LIS) which is part of the HIS
• Barcode sample label including
patient data and full patient
demographics
• Direct bidirectional interface with
all major automated analyzers
• This assures
– good lab quality,
– minimize human error,
– speed lab process
2/9/2017 10
11. Lab Setup
• The lab is equipped
with almost 194
different small and large
equipments coming
from at least 65
different manufacturers
represented by 25 local
supplier
2/9/2017 11
12. Scope of services
• We provide laboratory testing
dedicated to pediatric Oncology
service, for initial diagnosis and
follow up of the cases
• we also include all other
categories of our community.
• We aim to serve the medical
community by providing high
quality, integrated laboratory
services through the team efforts
of our valued employees.
2/9/2017 12
14. Routine Activities (Clinical chemistry lab)
• All biochemical tests are performed on any
kind of body fluid, but mostly on serum or
plasma.
• This large array of tests can be further sub-
categorized into:
– General or routine (e.g., liver and kidney
function tests).
– Special chemistry - such
as electrophoresis
• Clinical endocrinology - study of hormones,
and diagnosis of endocrine disorders.
• Tumor markers.
• Blood gases and Electrolytes.
2/9/2017 14
15. Routine Activities (Hematology Lab)
• Different tests are done for initial
diagnosis as well as follow up of
the patients:
– Bone marrow examination for both
hematological cases as well as for
solid tumors.
– Cytochemical stains are done as
required for proper initial diagnosis.
– CSF and different body fluids cell
count as well as cytomorohologic
examination.
– CBC, ESR, reticulocytic count, and
different coagulation tests
2/9/2017 15
16. Routine Activities (Cytogenetic Lab)
• Conventional karyotyping for all
newly diagnosed cases with
different hematological
malignancies.
• FISH (Fluorescence in situ
hybridization) using a wide panel
of probes for hematological
malignancies for initial diagnosis
and follow up.
• DNA stress test for Fanconi
anemia.
• Conventional karyotyping and FISH
for congenital disorders, eg. DS,
hereditary retinoblastoma, etc.
2/9/2017 16
17. Routine Activities (Molecular Biology Lab)
• Molecular characterization of new Acute
Leukemia cases by detection of fusion
gene transcripts of chromosomal
translocations by RT-PCR.
• Follows-up of certain acute leukemia cases
for MRD detection by Real time-PCR.
• Tissue typing:
• Serological typing.
• Molecular typing: SSP, SSOP by Luminex
technology.
• Variable Number Tandem Repeat (VNTR).
• Flt3 ITD, TPMT genotyping, Factor V
leiden.
• LOH analysis for Wilm's tumor.
2/9/2017 17
18. Routine Activities (Flow Cytometry Lab.)
• Immunophenotypic classification of new
cases with full panel for B, T & Myeloid
markers Using multiparametric flow
cytometry (5 colours, BC FC500)
• Minimal Residual Disease (MRD) evaluation
and study, using multiparametric flow
cytometry (5 colours, BC FC500) which will
be upgraded to Navios FC 6 colours in the
next two weeks and up to 10 colours....
• DNA Index and Cell Cycle Study
• Stem Cell Counting
• Lymphocytes Subsets Study
• Multiple Drug Resistance Study
• PNH Tests
2/9/2017 18
19. Routine Activities (Virology lab.)
• It performs a wide panel of tests
through: Serological and
molecular techniques
• The lab provides a rapid
screening , diagnosis and follow
up of the patients with good
communication between the
physician and the lab, it plays an
important role in ID control at the
hospital.
2/9/2017 19
20. Routine Activities (Bacteriology Lab.)
• The lab Performs the Clinical
Microbiology Service:
– Bacteriology, Mycology, Mycobacteriology,
Parasitology and Serology.
– Routine culture identification, subcultures to
specific media for optimal recovery of
microbes and antibiotic susceptibility of
microbes isolated
– Antibody detection and other techniques.
• Plays an important role in infection
control at the hospital, reporting not
only routine data but also monthly and
yearly statistical data of hospital
infections and when required.
2/9/2017 20
21. Services provided by the CCH Lab
Lab total tests
performed since
opening:
3,364,281 test
2/9/2017 21
1st year
2nd year
3rd year
4th year
5th year
197,149
513,481
682,695
830,944
997,012
Tests/Year
Testst/Year
1st year
2nd year 160%
3rd year 33%
4th year 22%
5th year 20%
24. Diagnostic workup for New Cases
• BM and P.Blood examination including:
– CBC with Diff
– Coagulation screen
– Chemistry profile
– Bone marrow evaluation (Aspiration & Biopsy)
• Morphology
• Cytochemistry
• Immunohistochemistry
• Flow Cytometry in Haematological Malignancies
– Immunophenotypic Study with full panel for B, T & Myeloid markers
– DNA Index
– Flow Cytometry detection of leukaemia associated phenotype
• Cytogenetic Haematological Malignancies
– Conventional karyotyping
– FISH
• Molecular Biology Haematological Malignancies
– RT-PCR for detection of fusion transcripts (of chromosomal translocations)
– RQ-PCR for positive cases
– PCR fot detection of FLT3/ITD in AML cases
• CSF Microscopic Examination
• Other studies as clinically indicated
• HLA typing for high and slandered risk cases (Patients & Siblings)
2/9/2017 24
25. Follow up of ALL Cases
2/9/2017 25
Induction/Consolidation Continuation Reinduction I&II
CBC with Diff Daily or as indicated Every 4w or as indicated
3 – 7 days or as indicated
Coagulation screen As clinically indicated As clinically indicated As clinically indicated
Chemistry Profile As indicated
As indicated As indicated
Bone marrow
evaluation
Day 14
+ day 26
Day 42
W 48
W 120
W 146 (boys)
W 7
W 17
MRD study by
Flow Cytometry
Molecular
FISH
Day 14
+ day 26
Day 42
W 48
W 120
W 146 (boys)
W 7
W 17
CSF Microscopic
Examination
With each intrathecal
treatment
With each intrathecal
treatment & as indicated With each intrathecal
treatment
26. Follow up of ANLL Cases
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Induction I Induction II Consolidation I, II, III
CBC with Diff Daily or as indicated As indicated As indicated
Coagulation screen As clinically indicated As clinically indicated As clinically indicated
Chemistry Profile As indicated
As indicated As indicated
Bone marrow evaluation
MRD by:
Flow Cytometry
Molecular
FISH
Day 22
+At Start of induction II
(does not apply to patients who
begin induction II immediately
following the day 22 evaluation)
End of Induction II
Pre next phase
At the time of count recovery
and every 4 months for 1 year
CSF Microscopic
Examination
As indicated As indicated As indicated
27. Pattern of Paediatric haematological
malignancies
In the last 5 years,
We diagnosed
1700
new Acute
Leukaemia case
0
200
400
600
800
1000
1200
1400
1297
403
ALL
76%
ANLL
24%
2/9/2017 27
29. Scientific Activity
• We do scientific meetings
with all the department`s
staff
• The department is
participating in many of
the committees and
combined clinics weekly
in the hospital
• Training for a science &
pharmacy students from
governmental and private
universities
(30hours/student)
2/9/2017 29
0
10
20
30
40
50
60
70
80
90
Pharmacy
Students
Science
Students
30. Scientific Activity
• Papers and Posters:
– Clinical Significance of Immunophenotypic Markers in
Pediatric T-cell Acute lymphoblastic leukemia. Journal of
The Egyptian National Cancer Institute, Vol.20(2) June,
2008.
– Prognostic Significance of Absolute Lymphocyte Count in
Pediatric Acute Lymphoblastic Leukemia. (Accepted as a
poster presentation at SIOP,2012).
– Prevalence of FLT3 Internal Tandem Duplication in
Pediatric Patients with Acute Myeloid Leukemia at
Children Cancer Hospital EGYPT (CCHE), poster in the
ASPHO, 23rd annual meeting
– Frequencies of ETV6-RUNX1 gene fusion and secondary
chromosomal abnormalities in pediatric lymphoblastic
leukemia. Poster accepted at SIOP 2012
2/9/2017 30
31. Scientific Activity
• Supervision of:
– Tyrosine hydroxylase expression as a marker of
minimal residual disease and its impact on outcome
of high risk neuroblastoma pediatric patients
following autologous bone marrow transplantation.
(MD Thesis)
– MTHFR C677T, FV leiden, Prothrombin G20210A and
risk of thrombosis in pediatric ALL patients. ( Msc.
Thesis)
– The impact of ABCG2 polymorphism 421 C>Aon the
dose of methtrexate in childhood ALL. ( Msc. Thesis)
2/9/2017 31
32. Scientific Activity
– The effect of genetic variation of vitamin D receptor
on bone mineral density and fracture risk in
pediatric acute lymphoblastic leukemia. ( Msc.
Thesis)
– Disease outcome of newly diagnosed pediatric acute
myeloid leukemia patients treated at Children
Cancer Hospital, Egypt (CCHE) ( Msc. Thesis)
– The effect of Cyclophosphamide-metabolizing
enzyme Cyp2B6 polymorphism on the
pharmacokinetics of Cyclophosphamide. (PhD.
Thesis)
2/9/2017 32
33. Scientific Activity
• Research Project :
–TEL/AML1 gene fusion in Pediatric acute
lymphoblastic leukemia.
–A study for patients with low/special risk
ALL as defined by no evidence of minimal
residual disease early in induction therapy
Based on the RE-ALL-05 protocol study
2/9/2017 33
First I would like to give you a fast hint about the lab
When we started we have the Vision to be the regions preferred source of laboratory services and recognized internationally as a laboratory providing world-class scientific services, supporting the Children Cancer Hospital (CCH) in fulfilling its vision.
Our mission is
High quality, integrated laboratory services through a team efforts
supporting the CCHE in the accomplishment of all identified missions, goals, objectives and strategic planning's.
Ensure efficient means exist to produce timely, accurate, comprehensive and completely validated and verified analytical results for patients.
The Lab will provide Clinical Pathology Support to the CCH by analyzing the cellular and chemical composition of blood and other body fluids.
Maintain excellence in performance while continuously striving to improve the quality of patient care we provide.
Our services will be provided within a professional environment that is patient focused, caring toward employees, team-oriented, and upholds the values of Children Cancer Hospital.
The following values will be the guide to achieve this vision:
Teamwork:
We believe in the vast possibilities achieved by working together.
We put collective goals before personal interests.
We support open communications and cooperation among employees.
Integrity:
We deal with our customers and each other in an honest and straightforward manner.
Respect:
We value the sanctity of life and the dignity of every human being.
We respect individual differences and value diversity.
Compassion:
We care for the whole person regardless of personal circumstances.
Excellence:
We make every effort to provide each patient and customer with services of uncompromising quality. We strive for continuous improvement, recognizing competence and reliability as the foundation of excellence.
Innovation:
We continually look for ways to improve patient care and enhance value to our customers.
We seek to expand our existing knowledge by learning from our failures as well as our successes.
Accountability:
We accept full responsibility for our performance. As a company and as individuals, we are ultimately accountable for all that we do.
Leadership:
We promote competence, courage, confidence, and a desire to exceed expectations as qualities of leadership both as a company and
The CCH laboratories core is located on the ground floor and include different specialty units
In addition, there are Outpatient clinic specimen collection site
Bone Marrow Transplant (BMT) Lab in the 2nd floor.
Stem cell Lab will be established by year 2009
The Clinical Laboratory Core Sections:
Operate Sunday through Thursday, from 8:00 AM to 5:00 PM
Core Sections include:
Clinical Chemistry
Hematology,
Bacteriology,
Mycology,
Virology,
Cytogenetics,
Immunology,
Flow Cytometry,
Molecular Biology,
Other Laboratory Sections:
Outpatient phlebotomy services:
STAT Lab: 24 hours per day, 365 days per year.
The lab is fully controlled with PC based Laboratory Information System
To assure good lab quality, minimize human error, speed lab process
The lab is supplied with almost 191 line item of different small and large equipments coming from at least 65 different manufacturers represented by 25 local supplier