Portable and Secure Medical Data Management System (semester?), IPRO 304: Portable and Secure Medical Data Management System IPRO 304 IPRO Day Presentation Sp06

The goal of this project is to design software to support the secure use of portable memory as a medium for transferring secure data. Envision yourself carrying around sensitive data (e.g., passwords, account numbers) on a flash drive that: 1. is secure from unauthorized access, and 2. will not attack another machine on installation (e.g., with a virus). A flash drive is initialized to contain user data as well as an application that allows these data to be manipulated in a consistent way by various entities. Depending on the entity, different data are visible and changeable.Deliverables for IPRO 304: Portable and Secure Medical Data Management System for the Fall 2006 semeste

Portable and Secure Medical Data Management System (semester?), IPRO 304

The goal of this project is to design software to support the secure use of portable memory as a medium for transferring secure data. Envision yourself carrying around sensitive data (e.g., passwords, account numbers) on a flash drive that: 1. is secure from unauthorized access, and 2. will not attack another machine on installation (e.g., with a virus). A flash drive is initialized to contain user data as well as an application that allows these data to be manipulated in a consistent way by various entities. Depending on the entity, different data are visible and changeable.Deliverables for IPRO 304: Portable and Secure Medical Data Management System for the Fall 2006 semeste

Portable and Secure Medical Data Management System (semester?), IPRO 304: Portable and Secure Medical Data Management System IPRO 304 Final Report Sp06

The goal of this project is to design software to support the secure use of portable memory as a medium for transferring secure data. Envision yourself carrying around sensitive data (e.g., passwords, account numbers) on a flash drive that: 1. is secure from unauthorized access, and 2. will not attack another machine on installation (e.g., with a virus). A flash drive is initialized to contain user data as well as an application that allows these data to be manipulated in a consistent way by various entities. Depending on the entity, different data are visible and changeable.Deliverables for IPRO 304: Portable and Secure Medical Data Management System for the Fall 2006 semeste

Portable and Secure Medical Data Management System (semester?), IPRO 304: Portable and Secure Medical Data Management System IPRO 304 Poster Sp06

The goal of this project is to design software to support the secure use of portable memory as a medium for transferring secure data. Envision yourself carrying around sensitive data (e.g., passwords, account numbers) on a flash drive that: 1. is secure from unauthorized access, and 2. will not attack another machine on installation (e.g., with a virus). A flash drive is initialized to contain user data as well as an application that allows these data to be manipulated in a consistent way by various entities. Depending on the entity, different data are visible and changeable.Deliverables for IPRO 304: Portable and Secure Medical Data Management System for the Fall 2006 semeste

Portable and Secure Medical Data Management System (semester?), IPRO 304: Portable and Secure Medical Data Management System IPRO 304 Abstract Sp06

The goal of this project is to design software to support the secure use of portable memory as a medium for transferring secure data. Envision yourself carrying around sensitive data (e.g., passwords, account numbers) on a flash drive that: 1. is secure from unauthorized access, and 2. will not attack another machine on installation (e.g., with a virus). A flash drive is initialized to contain user data as well as an application that allows these data to be manipulated in a consistent way by various entities. Depending on the entity, different data are visible and changeable.Deliverables for IPRO 304: Portable and Secure Medical Data Management System for the Fall 2006 semeste

Diagnostic challenges of tubercular lesions of breast

INTRODUCTION: Tuberculosis (TB) in the developing countries presents with both pulmonary and extrapulmonary manifestations. Breast TB, however, remains a rare presentation. Its importance lies in the fact that it may mimic malignancy or present as inflammatory lump/abscess. AIMS AND OBJECTIVE: The aim of the present study is to highlight the importance of breast TB and its diagnostic challenges. MATERIALS AND METHODS: It was a retrospective study conducted at a tertiary care hospital, over 2 years between 2013 and 2015 during which eight cases of breast lesions were diagnosed as of tubercular origin. RESULTS: Granulomas were seen in five cases while three cases revealed only few epithelioid cells, and necrosis was seen in all cases on fine-needle aspiration cytology. Histopathological evaluation was available in six out of the eight cases, while acid–fast bacilli were positive in three cases, the characteristic granulomas were seen in all the six cases evaluated. CONCLUSION: Significance of TB breast lies in the fact that it may masquerade as breast malignancy or pyogenic abscess. India is a developing country where TB is endemic, a high index of suspicion should be expressed in evaluating breast masses, and TB should be considered in the differential diagnosis

Contracting-out urban primary health care in Bangladesh: a qualitative exploration of implementation processes and experience

Abstract Background Contracting-out (CO) to non-state providers is used widely to increase access to health care, but it entails many implementation challenges. Using Bangladesh’s two decades of experience with contracting out Urban Primary Health Care (UPHC), this paper identifies contextual, contractual, and actor-related factors that require consideration when implementing CO in Low- and Middle- Income Countries. Methods This qualitative case-study is based on 42 in-depth interviews with past and present stakeholders working with the government and the UPHC project, as well as a desk review of key project documents. The Health Policy Triangle framework is utilized to differentiate among multiple intersecting contextual, contractual and actor-related factors that characterize and influence complex implementation processes. Results In Bangladesh, the contextual factors, both intrinsic and extrinsic to the health system, deeply impacted the CO process. These included competition with other health projects, public sector reforms, and the broader national level political and bureaucratic environment. Providing free services to the poor and a target to recover cost were two contradictory conditions set out in the contract and were difficult for providers to achieve. In relation to actors, the choice of the executing body led to complications, functionally disempowering local government institutions (cities and municipalities) from managing CO processes, and discouraging integration of CO arrangements into the broader national health system. Politics and power dynamics undermined the ethical selection of project areas. Ultimately, these and other factors weakened the project’s ability to achieve one of its original objectives: to decentralize management responsibilities and develop municipal capacity in managing contracts. Conclusions This study calls attention to factors that need to be addressed to successfully implement CO projects, both in Bangladesh and similar countries. Country ownership is crucial for adapting and integrating CO in national health systems. Concurrent processes must be ensured to develop local CO capacity. CO modalities must be adaptable and responsive to changing context, while operating within an agreed-upon and appropriate legal framework with a strong ethical foundation

Community based peer-led TB screening intervention: an innovative approach to increase TB knowledge, presumptive case identification, and referral among sexual minority people in urban Bangladesh

Abstract Introduction One of the contributors to tuberculosis (TB) burden among vulnerable populations, such as sexual minority people, is the delay in case finding and notification. Given their socially excluded, hard-to-reach nature, community-led approaches need to be introduced to facilitate their screening of TB symptoms and their subsequent referral to TB healthcare providers. This article aimed to explore the existing challenges surrounding TB screening and referral, and the implementation facilitators and barriers of the proposed community-based TB screening model for sexual minority people in Dhaka, Bangladesh. Methods This study followed the quasi-experimental design using mixed methods (i.e., qualitative and quantitative) approach. The study participants who were also a part of the community-led TB screening model included sexual minority people enrolled in HIV prevention interventions. In addition to quantitative inquiry, in-depth interviews were conducted on sexual minority people, focus group discussions were also conducted on them and HIV prevention service providers, and key-informant interviews were conducted on service providers, programmatic experts and TB researchers. Data were analyzed using content, contextual and thematic approaches. Results The ‘Six Steps in Quality Intervention Development’ framework was used to guide the development of the community-based TB screening model. In Step 1 (identifying the problem), findings revealed low rates of TB screening among sexual minority people enrolled in the HIV prevention intervention. In Step 2 (identifying contextual factors for change), various individual, and programmatic factors were identified, which included low knowledge, low-risk perception, prioritization of HIV services over TB, and stigma and discrimination towards these populations. In Step 3 (deciding change mechanism), community-based screening approaches were applied, thus leading to Step 4 (delivery of change mechanism) which designed a community-based approach leveraging the peer educators of the HIV intervention. Step 5 (testing intervention) identified some barriers and ways forward for refining the intervention, such as home-based screening and use of social media. Step 6 (collecting evidence of effectiveness) revealed that the main strength was its ability to engage peer educators. Conclusion This study indicates that a community-based peer-led TB screening approach could enhance TB screening, presumptive TB case finding and referral among these populations. Therefore, this study recommends that this approach should be incorporated to complement the existing TB program