Clinical Brief Visceral Leishmaniasis (VL) is an endemic disease in the north eastern part of Ind... more Clinical Brief Visceral Leishmaniasis (VL) is an endemic disease in the north eastern part of India and caused by Leishmania donovani. Infection begins in the macrophages at the inoculation site (sand fly bite) and disseminates throughout the mononuclear phagocyte system. It usually presents as a febrile illness with reticuloendothelial involvement in the form of splenomegaly and hepatomegaly. Common hematological features include anemia, neutropenia, eosinopenia with relative lymphocytosis and monocytosis. 1 REPORT OF CASES Case 1 A 7-year-old boy presented with intermittent fever and anorexia for 1 month. He had developed red spots over his body alongwith passage of blood mixed stool for 7 days prior to hospitalization. Physical examination revealed pallor, generalized lymphadenopathy and petechiae. The systemic examination was remarkable for hepatomegaly and splenomegaly (Table 1). Laboratory investigations showed anemia, leucopenia and thrombocytopenia. The bone marrow examination revealed a myeloid/erythroid ratio of 1:2 with depressed thrombopoiesis. Numerous histiocytes were observed exhibiting prominent hemophagocytosis (Fig. 1). Some histiocytes had intracytoplasmic Leishmania donovani (LD) bodies.
Effective use of Electronic Health Records (EHRs) applications by Symbiosis Centre of Health Care... more Effective use of Electronic Health Records (EHRs) applications by Symbiosis Centre of Health Care (SCHC) for 23,782 students and employees) has resulted in efficient data management & information dissemination without errors & delay during hospitalization. The EHR [1] was evaluated by healthcare & paramedical staff for Use & Outcome. The Use is studied for ease of use, security, flexibility, reliability, efficiency, service response, technical support, ability to make changes and overall satisfaction. Outcome was evaluated in terms of reduced human errors, workload of doctors, time saved in data management, automated reports generation & independent data submission. The experience of using the system for 6 months had a composite score for logistic use and outcome were 63.6 % and 60.4 % respectively. It assists in reducing turnaround time (TAT), decision making, medical audit, faster processing of insurance claims, improved time saving, reduced errors & effective data flow that eased health insurance system.
Clinical Brief Visceral Leishmaniasis (VL) is an endemic disease in the north eastern part of Ind... more Clinical Brief Visceral Leishmaniasis (VL) is an endemic disease in the north eastern part of India and caused by Leishmania donovani. Infection begins in the macrophages at the inoculation site (sand fly bite) and disseminates throughout the mononuclear phagocyte system. It usually presents as a febrile illness with reticuloendothelial involvement in the form of splenomegaly and hepatomegaly. Common hematological features include anemia, neutropenia, eosinopenia with relative lymphocytosis and monocytosis. 1 REPORT OF CASES Case 1 A 7-year-old boy presented with intermittent fever and anorexia for 1 month. He had developed red spots over his body alongwith passage of blood mixed stool for 7 days prior to hospitalization. Physical examination revealed pallor, generalized lymphadenopathy and petechiae. The systemic examination was remarkable for hepatomegaly and splenomegaly (Table 1). Laboratory investigations showed anemia, leucopenia and thrombocytopenia. The bone marrow examination revealed a myeloid/erythroid ratio of 1:2 with depressed thrombopoiesis. Numerous histiocytes were observed exhibiting prominent hemophagocytosis (Fig. 1). Some histiocytes had intracytoplasmic Leishmania donovani (LD) bodies.
Effective use of Electronic Health Records (EHRs) applications by Symbiosis Centre of Health Care... more Effective use of Electronic Health Records (EHRs) applications by Symbiosis Centre of Health Care (SCHC) for 23,782 students and employees) has resulted in efficient data management & information dissemination without errors & delay during hospitalization. The EHR [1] was evaluated by healthcare & paramedical staff for Use & Outcome. The Use is studied for ease of use, security, flexibility, reliability, efficiency, service response, technical support, ability to make changes and overall satisfaction. Outcome was evaluated in terms of reduced human errors, workload of doctors, time saved in data management, automated reports generation & independent data submission. The experience of using the system for 6 months had a composite score for logistic use and outcome were 63.6 % and 60.4 % respectively. It assists in reducing turnaround time (TAT), decision making, medical audit, faster processing of insurance claims, improved time saving, reduced errors & effective data flow that eased health insurance system.
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