Cost effectiveness in routine radiological investigations.
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Biomedical subjects
Publications and source records attributed to J M Kitonyi.
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The thymus in the paediatric chest will often give radiological appearances of very intriguing nature. It is known to react dramatically to stress factors such as infection or trauma. Gross hypertrophy following atrophy has been documented in many cases. In this paper the author scrutinizes one hundred anteroposterior chest radiographs of children under the age of five years suspected of having chest infection. Thymocardiac ratio is determined. It is concluded that in children under five years, the thymus generally decreases in size with age and that often the thymus will undergo atrophy as a primary response to infection.
While Diagnostic Radiology has become increasingly indispensible in sound clinical patient management the cost and maintenance of radiological equipment has continued to soar, reaching almost unaffordable levels in developing countries. As an attempt to provide some measure of remedy to the above problem, the World Health Organization in the early 80's introduced the basic radiological system (BRS) concept. The BRS is supposed to meet such criteria as being relatively cheap, of low maintenance cost easy operability and suitable in rural areas where electrical power supply may not be constant. In addition it should be able to perform 80% of all conventional radiological examinations. In this paper the author gives a critical account of the BRS experience in Kenya. Proposals for possible future considerations and modifications in order to achieve near ideal BRS X-ray machine are also advanced.
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