Search

Aims: To evaluate the present status of microbiology laboratory by comparing the test results of investigator with that of laboratory staff for sputum for Acid Fast Bacilli (AFB) withZiehl-NeelsenStaining (Z-N Staining) at primary and secondary level andto assess the present status of a microbiology laboratory for sputum for Acid Fast Bacilli (AFB) withZiehl-NeelsenStaining (Z-N Staining) at tertiary level. Material and Methods: Type of study : Cross sectional, descriptive type of study. Place of study: Department of Microbiology of Dhaka Medical College,Narsingdi Sadar Hospital,Narsingdi,PolashUpzilla Health Complex ,Polash, Narsingdi andDOTS centers. Duration of study: From July, 2007 to June,2008 Method of sampling: Non probability, purposive and convenient sampling Sample Size: Sputum for AFB: 300 sputum samples were collected for detection of AFB by direct Z-N staining, Z-N staining after bleach centrifugation and Auramine phenol staining before implementing SOP. After following SOP 150 sputum samples were collected and tested in direct Z-N method. Results: In the present study, before SOP out of 100 sputum smear at each level, discrepancy was found in 3% cases at primary level, 2% cases at secondary level and 1% case at tertiary level.After following SOP out of 50 sputum smear at each level, discrepancy was reduced to 2% cases at primary level and no discrepancy was found at secondary and tertiary level. Conclusion: Each laboratory must have SOP for laboratory testing to set the minimum acceptable standard for every test in order to improve and maintain the quality of laboratory services. DOI: http://dx.doi.org/10.3329/bjms.v11i1.9824 BJMS 2012; 11(1): 51-56

• It has always seemed strange to me that there are so many regulatory proceedures regarding the interstate transfer of inanimate freight objects, while with all of our sophisticated knowledge there is not one rule, regulation or standard operating procedure for the transfer or sharing of a patient's care between one physician and another. This unfortunate situation may lead to contradictory, confusing physician's statements, orders and diagnoses as well as armies of disenchanted depressed patients with an occasional incontinent medical record clerk who can't decipher the confused record. All of the top-grade medical training institutions in this country teach our students that certain specific medications are indicated for specific diseases. Put more concretely (and using the new math), when patient X develops diseaseY he is treated with white pills and improves; if he has disease Z he gets purple pills and improves; and if patient X is unfortunate enough to develop disease A he gets the two-colored capsule with all its possible side effects, but may, nevertheless, recover. Never did it seem to occur to those in our professioral ranks what would happen if the colored pill or capsule didn't cure the specific condition for which it was manufactured and listed in the PDR as approved by the FDA. The only other thing that is specifically not taught in our medical schools is when to call a consultant. A general unwritten rule does exist, however, in respect to psychiatric consultants, which states such consultation is to be sought only after extreme laboratory testing or in acutely moribund patients due to drug overdose.

MEN and women in gray flannel suits have been taking something of a journalistic trouncing lately. But this has not served to dispel the popular misconception that "public relations" offers a magic formula, that it is a wand which can be passed over a community and will automatically produce favorable attitudes. Public relations is no bag of tricks. It requires careful analysis, planning, and effort, as anyone who has ever served on a public relations committee will attest. In considering the use of public relations in an economic security program, I suggest drawing up a "standard operating procedure" which persons who are working to improve employment standards can tailor to the needs in their own situation. This can consist of five steps, or phases, which a comprehensive PR program should take. If this procedure has any merit, it lies in its flexibilitythat is, it sets forth certain principles for you to follow but at the same time it should enable you to apply them to your particular situations. First, the five steps, which can be summarized by these terms: the goal, the problem, the program, the action, and the evaluation. Let us consider each of these steps and their application in the public relations planning for a particular economic security program. Of course, they have equal application for a general program as well.

Lessons learned by the author as a result of his in-house consulting experience during the last three years are related. The paper proposes a tentative set of internal consulting policies based on ...