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Haematology Practice In Distressed Economy (Paperback)
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Haematology Practice In Distressed Economy (Paperback)
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Scholarly Research Paper from the year 2010 in the subject Medicine
- Public Health, language: English, abstract: In most countries,
there are likely to be some laboratories with limited resources,
but in economic distressed countries, there are few laboratories
with highly trained technologists and sophisticated equipment. In
these countries therefore, i t is not unusual for laboratory tests
to be carried out by nurses and ordelies in outpatient consulting
rooms, corridors and in rural health centres. Understaffing, poor
morale, inadequate equipment and erratic supplies of reagents are
chronic problems in laboratories in poorer countries and these
factors have a major impact on the range and quality of services
that can be offered. Many smaller laboratories are multifunctional,
performing Haematology, Parasitology, Clinical chemistry and
Bacteriology tests. A blood transfusion service is usually
available at the larger institutions and unless there is a national
blood service, laboratory staff will be responsible for donor
selection, blood collection and issuing of blood. If there is no
organisation of public health laboratories, routine laboratories
will be required to provide high quality health surveillance data
for epidemiological and public health monitoring. In a number of
economically distressed countries, the difficulties are compounded
by the fact that health services are becoming overwhelmed by
expanding epidemics of HIV/AIDS(Human immunodeficiency
virus/Acquired immune deficiency syndrome), tuberculosis and
malaria. Diagnosis and monitoring of these diseases require a
healthy, robust and reliable laboratory service. Thus malaria
diagnosis must be confirmed by a laboratory test because other
disorders can masquerade clinically as malaria. The diagnosis of
tuberculosis may require bone marrow aspiration and culture and
trephine biospy examination, especially in patients who are also
HIV positive because in these cases sputum tests for acid fast
organism
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