CSF. Fair and Equitable Systems Participates in the development and maintenance of fair, consistent systems for managing waiting times, appointment scheduling and referrals. Participates in the development and maintenance of entry and exit criteria and prioritisation criteria. CSF: Appropriate Locations Works positively and co-operatively towards achieving service goals and contract requirements related to changes in location of service provision such as increased ambulatory care, increased community home-based care, visiting services to rural areas and reduced emphasis on inpatient services. CSF: Efficient Resource Utilisation Uses time and resources effectively, efficiently and productively towards achievement of MidCentral Health's objectives and own KPI's. Maintains comprehensive, accurate and up to date records for all patients. Completes patient reports and dispatches these in a timely manner and according to any contractual requirement. CSF: Integrated Services Actively works towards maximising co-operation between services and with other providers. Recognises linkages between services and takes these into account when considering initiatives within own service. Has an up to date knowledge of relevant disaster plans, the department’s capabilities and responsibilities in the event of disasters, and other related resources in the region. CSF: Statutory Requirements Is aware of and complies with statutory requirements.
CSF. Fair and Equitable Systems Participates, as appropriate, in the development and maintenance of fair, consistent systems for managing waiting lists, waiting times, appointment scheduling and referrals. Participates, as appropriate, in the development and maintenance of entry and exit criteria and prioritisation criteria. CSF: Appropriate Locations Works positively and co-operatively towards achieving service goals and contract requirements related to changes in location of service provision such as increased ambulatory care, increased community home-based care, visiting services to rural areas and reduced emphasis on inpatient services. CSF: Efficient Resource Utilisation Uses time and resources effectively, efficiently and productively towards achievement of MidCentral Health's objectives and own KPI's. Maintains comprehensive, accurate and up to date records for all patients. Completes patient reports and dispatches these in a timely manner and according to any contractual requirement. CSF: Integrated Services Actively works towards maximising co-operation between services and with other providers. Recognises linkages between services and takes these into account when considering initiatives within own service. CSF: Statutory Requirements Is aware of and complies with statutory requirements.
CSF. DHEA in the CSF correlates with circulating DHEA (Xxxxxxxx et al., 2011; Xxxxxx et al., 1996). Brain DHEA has been termed a neurosteroid. Part of neurosteroids may be synthesised de novo in the CNS, but also steroid metabolites may be synthesised in the CNS or transported through the blood brain barrier from the periphery. Although the validity of levels of DHEA in brain has been recently questioned due to the method used (solvolysis) recent studies that used a different analytic method (gas chromatography mass spectrometry) still found high DHEA levels in human brain (Xxxxx-Xxxxxxx et al., 2003). DHEA can then be measured in the periphery from blood, plasma, urine, saliva and these levels correlate with those found in the cerebrospinal and ventricular fluid.
CSF. Oligoclonal immunoglobulin patterns can be seen in both serum and cerebrospinal fluid as faint bands in the gamma zone. They are usually multiple homogeneous, narrow and discrete in appearance. When seen in serum, the bands indicate the presence of immune complexes which are associated with Xxxxxxxx disease or a non-specific early immune response to various disease states. In the cerebrospinal fluid their presence is supportive evidence for the diagnosis of multiple sclerosis (MS) in the proper clinical setting. Oligoclonal bands in serum are not indicative of MS. An oligoclonal pattern in the CSF is present in more than 90% of MS patients at some time during the course of the disease. It may be less sensitive during an initial attack and is not completely specific for MS. High resolution protein electrophoresis is less sensitive than isoelectric electric focusing with IgG immunoblotting for detection of oligoclonal bands.9,10,11,12 Other diseases commonly associated with an oligoclonal pattern include subacute sclerosing panencephalitis and some infections of the central nervous system.13,14 Urine High resolution protein electrophoresis is an excellent analytical technique to gain a broad overview of urine proteins.3,8 Glomerular-type proteinuria, tubular-type proteinuria as well as mixed glomerular-tubular patterns and the various overflow states can be easily distinguished and characterized, thus providing useful information on specific functions within the nephron. The Helena publications, “HIGH RESOLUTION PROTEIN ELECTROPHORESIS, A Clinical Overview with Case Studies” and “Introduction to High Resolution Protein Electrophoresis and Associated Techniques” provide a complete discussion of the uses and interpretation of high resolution protein electrophoresis. To obtain your copy call Helena Laboratories’ Literature Distribution Center using the toll free number listed at right. BIBLIOGRAPHY
