Saturday, July 4, 2009

- Components of Quality of health care.

components of Quality of health care are collected in the word


" Re-cast"
- Interpersonal Relationship which refers to the inter-action between providers and clients, health team and community and in between medical staff.

- Effectivness.

- Efficiency.

- Continuity:- client recieve ccomplete health service without interruption,cessation or unneccessary repetition of diagnosis or treatment.

- Accessibility:- health care must be unrestricted.

- Amenities ( Non medical aspect of Quality) .

- Safety = minimizing risk of danger

( infection,injury,harmfuk side effects)

for both clients & providers.

- Technical compotence = clinical skills.



see you,
Dr Ibrahim

Thursday, July 2, 2009

- Tuberculin non reactors high risk groups.

One of the indications for administration of BCG vaccine is

"Tuberculin non reactors high risk groups"

they are "Dig camp"


- Dangerous group of the community who deal with large number of people transmitting infection to them ..e.g food handlers,teachers,nurses,wet nurses,hair dressers.

- Industrial workers especially exposure to silica dust as T.B follow silicosis as its shadow.

- Geriatric homes .


- Contacts with cases.

- Camps.

- Cases of D.M & chronic debilitating diseases.


- Agricultural workers and farmers.

- Adolescents with symptoms > 4 weeks.


- Medical and Paramedical persons.

- Military groups.

- Malnutrition syndrome.


- People of underdeveloped countries and living in slums.

Sunday, June 28, 2009

- Non typhoidal salmonella.

-Non typhoidal salmonella are bacteria which cause

salmonellosis in human which is a type of

food poisoning...

- While typhoidal salmonella lead to Typhoid

-Non typhoidal salmonella are collected in word


"sect"

- Salmonella Sonnei.

- Salmonella Enteritidis
.

- Salmonella Cholerae suis.

- Salmonella Typhimurium.



See you,

Dr Ibrahim.

Wednesday, June 24, 2009

- causes of re-emerging of T.B.

causes of re-emerging of T.B

Or

why does the burden of T.B increases?!

"Dim shape"


- Demographic changes e.g poor housing and overcrowding.


- Immuno-suppressive drugs.


- Microbial adaptation.

- Multi-drug resistant for T.B.

- Malnutrition.


- Smoking.


- HIV.


- Addiction.


- Increase Prevalence of T.B diagnosis than expected.


- Environmental factors e.g air pollution.

- Decrease Effectiveness of BCG.



see you,

Monday, June 22, 2009

-Triads in medicine.

There are many things in medicine
collected as triads....
  1. Ecological triad ...look here.
  2. Malarial triad...look here.
  3. Beck's triad...look here.
  4. Gradenigo's triad...look here.
  5. Trotter's triad...look here.
  6. Cushing's triad..look here.
  7. classic triad of Henoch–Schönlein purpura...look here.
  8. Virchow's triad....look here.
  9. Charcot's triad.look here.
  10. Atta's triad.look here.
  11. Hutchinson's triad.look here.
  12. Saint's triad.look here.
  13. Whipple's triad.look here.
  14. Anderson's triad.look here.
  15. O'Donoghue's triad.look here.

wait the other triads...

or you can tell us another triad.