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Implementation and Scale Up of Point of Care (POC) Diagnostics in Resource-Limited Settings

Implementation and Scale Up of Point of Care (POC) Diagnostics in Resource-Limited Settings
Author: Tivani Mashamba-Thompson
Publisher:
Total Pages: 154
Release: 2020-10-13
Genre:
ISBN: 9783039431700

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Scale up and implementation of new point-of-care (POC) diagnostics is a global health priority to enable the adoption of new evidence-based POC diagnostics and to replicate and extend the reach of POC diagnostics. Global private and public sector agencies have significantly increased their investment in the development of POC diagnostics to meet the unmet needs of patients in resource-limited settings, particularly disease burdened settings with limited access to laboratory infrastructure. However, previous research has demonstrated that the availability of health technologies in these settings does not always guarantee patient-centered outcomes. The applicability, effectiveness and sustainability of diagnostic technologies is affected by the involvement of all stakeholders during planning and implementation, which must be relevant to each specific context and sensitive to local culture. Factors such as infrastructure, resources, values and characteristics of participants can influence the implementation, scalability and sustainability of health interventions such as POC diagnostics. This book, "Implementation and Scale up of Point of Care (POC) Diagnostics in Resource-Limited Settings", presents literature reviews and primary research studies focusing on the implementation and scale up of POC diagnostics in resource-limited settings.


Revolutionizing Tropical Medicine

Revolutionizing Tropical Medicine
Author: Kerry Atkinson
Publisher: John Wiley & Sons
Total Pages: 768
Release: 2019-05-23
Genre: Science
ISBN: 1119282659

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A comprehensive resource describing innovative technologies and digital health tools that can revolutionize the delivery of health care in low- to middle-income countries, particularly in remote rural impoverished communities Revolutionizing Tropical Medicine offers an up-to-date guide for healthcare and other professionals working in low-resource countries where access to health care facilities for diagnosis and treatment is challenging. Rather than suggesting the expensive solution of building new bricks and mortar clinics and hospitals and increasing the number of doctors and nurses in these deprived areas, the authors propose a complete change of mindset. They outline a number of ideas for improving healthcare including rapid diagnostic testing for infectious and non-infectious diseases at a point-of-care facility, together with low cost portable imaging devices. In addition, the authors recommend a change in the way in which health care is delivered. This approach requires task-shifting within the healthcare provision system so that nurses, laboratory technicians, pharmacists and others are trained in the newly available technologies, thus enabling faster and more appropriate triage for people requiring medical treatment. This text: Describes the current burden of communicable and non-communicable diseases in low- to middle-income countries throughout the world Describes the major advances in healthcare outcomes in low-to middle-income countries derived from implementation of the United Nations/World Health Organisation’s 2000 Millennium Development Goals Provides a review of inexpensive rapid diagnostic point-of-care tests for infectious diseases in low-resource countries, particularly for people living in remote rural areas Provides a review of other rapid point-of-care services for assessing hematological function, biochemical function, renal function, hepatic function and status including hepatitis, acid-base balance, sickle cell disease, severe acute malnutrition and spirometry Explores the use of low-cost portable imaging devices for use in remote rural areas including a novel method of examining the optic fundus using a smartphone and the extensive value of portable ultrasound scanning when x-ray facilities are not available Describes the use of telemedicine in the clinical management of both children and adults in remote rural settings Looks to the future of clinical management in remote impoverished rural settings using nucleic acid identification of pathogens, the use of nanoparticles for water purification, the use of drones, the use of pulse oximetry and the use of near-infrared spectroscopy Finally, it assesses the potential for future healthcare improvement in impoverished areas and how the United Nations/World Health Organization 2015 Sustainable Development Goals are approaching this. Written for physicians, infectious disease specialists, pathologists, radiologists, nurses, pharmacists and other health care workers, as well as government healthcare managers, Revolutionizing Tropical Medicine is a new up-to-date essential and realistic guide to treating and diagnosing patients in low-resource tropical countries based on new technologies.


Medical Biosensors for Point of Care (POC) Applications

Medical Biosensors for Point of Care (POC) Applications
Author: Roger J Narayan
Publisher: Woodhead Publishing
Total Pages: 316
Release: 2016-08-21
Genre: Medical
ISBN: 0081000782

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Medical Biosensors for Point of Care (POC) Applications discusses advances in this important and emerging field which has the potential to transform patient diagnosis and care. Part 1 covers the fundamentals of medical biosensors for point-of-care applications. Chapters in part 2 go on to look at materials and fabrication of medical biosensors while the next part looks at different technologies and operational techniques. The final set of chapters provide an overview of the current applications of this technology. Traditionally medical diagnostics have been dependent on sophisticated technologies which only trained professionals were able to operate. Recent research has focused on creating point-of-care diagnostic tools. These biosensors are miniaturised, portable, and are designed to be used at the point-of-care by untrained individuals, providing real-time and remote health monitoring. Provides essential knowledge for designers and manufacturers of biosensors for point-of-care applications Provides comprehensive coverage of the fundamentals, materials, technologies, and applications of medical biosensors for point-of-care applications Includes contributions from leading international researchers with extensive experience in developing medical biosensors Discusses advances in this important and emerging field which has the potential to transform patient diagnosis and care


Point-of-care testing

Point-of-care testing
Author: Peter Luppa
Publisher: Springer
Total Pages: 445
Release: 2018-07-18
Genre: Medical
ISBN: 3662544970

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The underlying technology and the range of test parameters available are evolving rapidly. The primary advantage of POCT is the convenience of performing the test close to the patient and the speed at which test results can be obtained, compared to sending a sample to a laboratory and waiting for results to be returned. Thus, a series of clinical applications are possible that can shorten the time for clinical decision-making about additional testing or therapy, as delays are no longer caused by preparation of clinical samples, transport, and central laboratory analysis. Tests in a POC format can now be found for many medical disciplines including endocrinology/diabetes, cardiology, nephrology, critical care, fertility, hematology/coagulation, infectious disease and microbiology, and general health screening. Point-of-care testing (POCT) enables health care personnel to perform clinical laboratory testing near the patient. The idea of conventional and POCT laboratory services presiding within a hospital seems contradictory; yet, they are, in fact, complementary: together POCT and central laboratory are important for the optimal functioning of diagnostic processes. They complement each other, provided that a dedicated POCT coordination integrates the quality assurance of POCT into the overall quality management system of the central laboratory. The motivation of the third edition of the POCT book from Luppa/Junker, which is now also available in English, is to explore and describe clinically relevant analytical techniques, organizational concepts for application and future perspectives of POCT. From descriptions of the opportunities that POCT can provide to the limitations that clinician’s must be cautioned about, this book provides an overview of the many aspects that challenge those who choose to implement POCT. Technologies, clinical applications, networking issues and quality regulations are described as well as a survey of future technologies that are on the future horizon. The editors have spent considerable efforts to update the book in general and to highlight the latest developments, e.g., novel POCT applications of nucleic acid testing for the rapid identification of infectious agents. Of particular note is also that a cross-country comparison of POCT quality rules is being described by a team of international experts in this field.


Point of Care Ultrasound E-book

Point of Care Ultrasound E-book
Author: Nilam J Soni
Publisher: Elsevier Health Sciences
Total Pages: 793
Release: 2019-04-26
Genre: Medical
ISBN: 0323544711

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Compact, hand-carried ultrasound devices are revolutionizing how healthcare providers practice medicine in nearly every specialty. The 2nd Edition of this BMA-award-winning text features all-new chapters, a greatly expanded video library, and new review questions to keep you fully up to date with the latest technology and its applications. Helps you interpret findings with a peer-reviewed, online video library with more than 1,000 ultrasound videos of normal and pathologic findings. These videos are complemented by anatomical illustrations and text descriptions to maximize learning. Offers new online resources, including over 60 clinical cases and review questions in every chapter. Features fully updated content throughout, plus all-new chapters on hemodynamics, transesophageal echocardiography, transcranial Doppler ultrasound, pediatrics, neonatology, and 2nd/3rd trimester pregnancy. Shares the knowledge and expertise of expert contributors who are internationally recognized faculty from more than 60 institutions. Recipient of British Medical Association’s President's Choice Award and Highly Commended in Internal Medicine at the BMA Medical Book Awards 2015 (first edition).


Global Dermatology and Telemedicine, An Issue of Dermatologic Clinics , E-Book

Global Dermatology and Telemedicine, An Issue of Dermatologic Clinics , E-Book
Author: Victoria Williams
Publisher: Elsevier Health Sciences
Total Pages: 177
Release: 2020-12-04
Genre: Medical
ISBN: 0323835554

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This issue of Dermatologic Clinics, guest edited by Drs. Victoria Williams and Carrie Kovarik, will cover a number of important topics in Global Dermatology and Telemedicine. This issue is one of four each year selected by long-time series Consulting Editor, Dr. Bruce Thiers. Topics discussion include, but are not limited to: Patterns of Skin Disease in the Context of a High Prevalence HIV Population in Botswana; Telemedicine and Community Health Projects in Asia; Utilizing Technology for Dermatology Care in Tajikistan: A Health Systems Perspective; Community Outreach Projects to Increase Dermatology Education and Access to Care in Argentina; Challenges and Successes of Dermatology Training Programs in Africa; Developing an Electronic Platform for Global Dermatology Mentorship and Collaboration; Novel Diagnostics for Kaposi Sarcoma and Other Skin Diseases in Resource Poor Settings; Implementing a Locally Made Low-Cost Intervention for Wound and Lymphedema Care in Western Kenya; Challenges of Managing Skin Disease in Migrants and Refugees; Factors Affecting Quality of Life for People Living with Albinism in Botswana; and Integration of Management Strategies for Neglected Tropical Diseases Affecting the Skin


Biodesign

Biodesign
Author: Stefanos Zenios
Publisher: Cambridge University Press
Total Pages: 779
Release: 2010
Genre: Medical
ISBN: 0521517427

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Recognize market opportunities, master the design process, and develop business acumen with this 'how-to' guide to medical technology innovation. Outlining a systematic, proven approach for innovation - identify, invent, implement - and integrating medical, engineering, and business challenges with real-world case studies, this book provides a practical guide for students and professionals.


Global Point of Care

Global Point of Care
Author: Gerald J. Kost
Publisher:
Total Pages:
Release: 2014-07
Genre:
ISBN: 9781594251726

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P5 eHealth: An Agenda for the Health Technologies of the Future

P5 eHealth: An Agenda for the Health Technologies of the Future
Author: Gabriella Pravettoni
Publisher: Springer Nature
Total Pages: 191
Release: 2019-11-29
Genre: Psychology
ISBN: 3030279944

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This open access volume focuses on the development of a P5 eHealth, or better, a methodological resource for developing the health technologies of the future, based on patients’ personal characteristics and needs as the fundamental guidelines for design. It provides practical guidelines and evidence based examples on how to design, implement, use and elevate new technologies for healthcare to support the management of incurable, chronic conditions. The volume further discusses the criticalities of eHealth, why it is difficult to employ eHealth from an organizational point of view or why patients do not always accept the technology, and how eHealth interventions can be improved in the future. By dealing with the state-of-the-art in eHealth technologies, this volume is of great interest to researchers in the field of physical and mental healthcare, psychologists, stakeholders and policymakers as well as technology developers working in the healthcare sector.


A Practical Guide to Global Point-of-Care Testing

A Practical Guide to Global Point-of-Care Testing
Author: Mark Shephard OAM
Publisher: CSIRO PUBLISHING
Total Pages: 488
Release: 2016-11-01
Genre: Medical
ISBN: 1486305202

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Point-of-care testing (POCT) refers to pathology testing performed in a clinical setting at the time of patient consultation, generating a rapid test result that enables informed and timely clinical action to be taken on patient care. It offers patients greater convenience and access to health services and helps to improve clinical outcomes. POCT also provides innovative solutions for the detection and management of chronic, acute and infectious diseases, in settings including family practices, Indigenous medical services, community health facilities, rural and remote areas and in developing countries, where health-care services are often geographically isolated from the nearest pathology laboratory. A Practical Guide to Global Point-of-Care Testing shows health professionals how to set up and manage POCT services under a quality-assured, sustainable, clinically and culturally effective framework, as well as understand the wide global scope and clinical applications of POCT. The book is divided into three major themes: the management of POCT services, a global perspective on the clinical use of POCT, and POCT for specific clinical settings. Chapters within each theme are written by experts and explore wide-ranging topics such as selecting and evaluating devices, POCT for diabetes, coagulation disorders, HIV, malaria and Ebola, and the use of POCT for disaster management and in extreme environments. Figures are included throughout to illustrate the concepts, principles and practice of POCT. Written for a broad range of practicing health professionals from the fields of medical science, health science, nursing, medicine, paramedic science, Indigenous health, public health, pharmacy, aged care and sports medicine, A Practical Guide to Global Point-of-Care Testing will also benefit university students studying these health-related disciplines.