Laboratory Quality Control For All Can This Be Achieved?

Laboratory quality control for all. Can this be achieved?

Visiting hospitals in Africa and meeting with clinicians, pathologists, and laboratory directors, it rapidly becomes apparent that confidence in any diagnostic services is lacking. Clinicians cite many reasons. Some days complete blood cell counts and chemistries are available, while on other days, because there are no reagents available, physicians have no results to guide treatment for their ...

Primary care oncology: essential if high quality cancer care is to be achieved for all.

MDS 3.0: can this release be all things to all people?

The 4-part presentation of the Minimum Data Set (MDS) 3.0 by Saliba and colleagues1e4 redefines how we think about residents in the nursing home and how we document their needs. The MDS 3.0 brings significant improvements to the previous version, and harmoniously makes an attempt to be all things to all people. It is a monumental effort. It is a document to record care needs, identify diagnoses...

Chronic dizziness: can this be psychiatric?

To the Editor—In a recent article ‘Diagnosing the cause of vertigo: a practical approach’,1 Dr Lee has outlined a sound and practical approach to dealing with dizziness and vertigo. However, I would like to point out that dizziness is actually a much more common symptom than true vertigo. About 80% of complainants referring to dizziness do not have a ‘spinning’ sensation. In Chinese, ‘dizziness...

Diabetes in prison: can good diabetic care be achieved?

OBJECTIVE To investigate the clinical characteristics and metabolic control of diabetic patients given structured diabetic care in prison. DESIGN Survey of diabetic men serving prison sentences during a 22 month period in a large British prison. SETTING HM Prison, Walton, Liverpool. SUBJECTS 42 male diabetic prisoners, of whom 23 had insulin dependent and 19 non-insulin dependent diabetes...