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This document gives best practice advice on the planning and design of accommodation for NHS pathology services. It focuses on laboratory-based facilities within acute hospitals, serving acute and primary care needs across a pathology network. It also touches upon point of care testing facilities.
This document gives best practice advice on the design and layout of cancer facilities within acute hospitals, primarily chemotherapy and radiotherapy facilities. Although it is aimed at new builds, the recommendations should be applied, where possible, when existing facilities are being upgraded. It describes a chemotherapy unit for the delivery of intravenous and intrathecal chemotherapy, and a radiotherapy unit for the delivery of external beam radiotherapy (teletherapy), as well as facilities for undertaking unsealed source radiotherapy and sealed source radiotherapy (brachytherapy). It also describes a dedicated out-patients unit (OPU) for cancer patients, although it is acknowledged that some trusts will use a shared out-patients facility. Reference is made to facilities that are not used exclusively by people with cancer but have a particular relevance.
Surgical dermatology is a growing field reflecting the increasing incidence of photodamage and sun-related tumors, whether benign or malignant. These diseases require expert pathological diagnosis -- sometimes interoperatively -- and therefore all it is important to learn not only techniques of lesion removal, but also specimen preparation and histological appearance. Surgical dermatology covers the gamut of surgical skin lesions, clinical features, histologic subtypes, frozen section and permanent section interpretation, and differential diagnosis. Normal variants are covered in depth. Laboratory techniques for frozen, permanent and MOHS fixed tissue preparation are given. There is a very useful section on artifacts and margin control, both of which have important practical implications. Because other dermatopathology texts cover all dermatologic diseases, they do not focus in such depth on the particular problems of technique and recognition proposed by dermatosurgical specimens.
This unique book provides detailed insight into a wealth of expert experience in liver pathology, with an in-depth review of the expertÌs analysis and diagnostic process supported by high-quality color photomicrographs and discussion of the diagnostic principles involved in evaluating these lesions. The diagnostic problems and cases selected show the wide range of specimens seen in liver pathology and address the difficult issues in diagnosis encountered in these lesions. Chapters and cases are authored by many of the leading experts and educators in liver pathology today. Liver Pathology will be essential reading for every pathologist who evaluates liver pathology specimens. In addition it will be a valuable resource for pathology residents and fellows. All Consultant Pathology Titles Provide: Actual consultation cases and expert analysis Expert analysis provides a detailed discussion of the reasoning behind the diagnosis of each case Comprehensive coverage of challenging diagnoses The cases are richly illustrated with high-quality photomicrographs
Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.
This documents contains best practice advice on the design and layout of new cardiac facilities within acute general hospitals, and the recommendations should also be applied when existing facilities are upgraded, where practical. It covers the following facilities: dedicated out-patient units for provision of consultation/examination and patient support/information services; non-invasive investigations units (for example for undertaking ECGs and echocardiography, and analysis of pacemakers and other implantable devices; catheter laboratories and associated facilities; minor cardiac procedures rooms; dedicated day case units (for admission, preparation, recovery and discharge of day patients undergoing invasive procedures; cardiac operating theatres and associated facilities. Key legislation affecting the provision of cardiac facilities is also highlighted. This edition of HBN 28 replaces the 2001 edition (ISBN 0113224559).
Genitourinary Pathology, by Drs. Ming Zhou and Cristina Magi-Galluzzi, a volume in the Foundations in Diagnostic Pathology Series, packs all of today's most essential information on genitourinary pathology into a compact, high-yield format! Well-organized and segmented by type of infectious organism, the book's pragmatic approach complemented by abundant full-color, high-quality photomicrographs and clinical photos, and at-a-glance tables makes it easy to access the information you need to quickly and accurately detect and identify molecular and genetic mechanisms of disease. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Easily review normal histology before examining abnormal findings so you can avoid false positives. Gain a superb visual understanding of important histologic features with hundreds of full-color illustrations representing a wide variety of pathologic lesions. Benefit from the same highly practical format as other titles in this series: consistent headings throughout, summary boxes for pathologic and clinical features, high quality photomicrographs and clinical photos, and a logical organization by type of infectious organism. Avoid incorrect diagnoses with a separate section on artifacts and pitfalls that highlights common problems you may encounter. Get up-to-date, comprehensive coverage of the field, including new renal cell carcinoma subtypes and intraductal carcinoma of the prostate; newer immunohistochemical and molecular markers; and updates to the Gleason Grading system for prostate cancer, Fuhrman Grading system for renal cell carcinoma, and TNM classification for GU malignancies.
Cancer has become a leading cause of death and disability and a serious yet unforeseen challenge to health systems in low-and middle-income countries. A protracted and polarized cancer transition is under way and fuels a concentration of preventable risk, illness, suffering, impoverishment from ill health, and death among poor populations. Closing this cancer divide is an equity imperative. The world faces a huge, unperceived cost of failure to take action that requires an immediate and large-scale global response. Closing the Cancer Divide presents strategies for innovation in delivery, pricing, procurement, finance, knowledge-building, and leadership that can be scaled up by applying a diagonal approach to health system strengthening. The chapters provide evidence-based recommendations for developing programs, local and global policy-making, and prioritizing research. The cases and frameworks provide a guide for developing responses to the challenge of cancer and other chronic illnesses. The book summarizes results of the Global Task Force on Expanding Access to Cancer Care and Control in Developing Countries, a collaboration among leaders from the global health and cancer care communities worldwide, originally convened by Harvard University. It includes contributions from civil society, global and national policy-makers, patients and practitioners, and academics representing an array of fields.