Publications by authors named "M Kulshrestha"
Background: The National Quality Assurance Standards (NQAS) have been developed keeping in specific requirements for public health facilities as well global best practices. Standards are primarily meant for providers to assess their quality for improvement through predefined standards and to bring up their facilities for certification.
Objectives: To study the effect of National Accreditation Board for Hospitals (NABH)-recommended training on patient care standards based on NQAS guidelines.
Article Synopsis
- Clinical biochemistry analyzers are crucial for disease diagnosis, but purchasing decisions often focus only on the initial costs, neglecting the total cost of ownership.
- A new method was developed to calculate cost-per-reportable-test (CPRT) by including all hidden and fixed expenses, making it easier to compare financial results of different analyzer bids.
- This approach revealed that costs for maintenance-free reagent rental bids were 47.4% lower than previous purchase-based costs, highlighting significant savings and more accurate comparisons among analyzers.
Article Synopsis
- Chronic kidney disease (CKD) often coexists with diabetes, anemia, and uremia, presenting challenges in monitoring HbA1c levels.
- A study conducted at Dr. Ram Manohar Lohia Institute analyzed HbA1c values in 127 non-dialysis CKD patients using two methods: turbidimetric inhibition immunoassay (TINIA) and high-pressure liquid chromatography (HPLC).
- Results showed TINIA was unable to detect HbA1c in 21.26% of patients, particularly anemic ones, and generally produced lower values than HPLC, especially in diabetic patients.