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Survey on reporting of epithelial cells in urine sediment as part of external quality assessment programs in Brazilian laboratories. 作为巴西实验室外部质量评估项目一部分的尿液沉积物上皮细胞报告调查。
IF 3.3 3区 医学
Biochemia Medica Pub Date : 2021-06-15 DOI: 10.11613/BM.2021.020711
José A T Poloni, Adriana de Oliveira Vieira, Caroline R M Dos Santos, Ana-Maria Simundic, Liane N Rotta
{"title":"Survey on reporting of epithelial cells in urine sediment as part of external quality assessment programs in Brazilian laboratories.","authors":"José A T Poloni,&nbsp;Adriana de Oliveira Vieira,&nbsp;Caroline R M Dos Santos,&nbsp;Ana-Maria Simundic,&nbsp;Liane N Rotta","doi":"10.11613/BM.2021.020711","DOIUrl":"https://doi.org/10.11613/BM.2021.020711","url":null,"abstract":"<p><strong>Introduction: </strong>Epithelial cells (ECs) are structures regularly observed during urine microscopy analysis. The correct identification of EC subtypes can be useful since renal tubular epithelial cells (RTECs) are clinically relevant. We investigate the urinary ECs report and the judgement of its clinical importance by Brazilian laboratories.</p><p><strong>Materials and methods: </strong>A survey with four questions was made available to participants of the Urinalysis External Quality Assessment Program (EQAP) from Controllab. Laboratories composed 3 groups: (1) differentiating ECs subtypes: \"squamous\", \"transitional\" and \"RTECs\"; (2) differentiating ECs subtypes: \"squamous\" or \"non-squamous\" cells; (3) without ECs subtype identification. Participants did not necessarily answer to all questions and the answers were evaluated both within the same laboratory's category and within different categories of laboratories.</p><p><strong>Results: </strong>A total of 1336 (94%) laboratories answered the survey; Group 1, 119/140 (85%) reported that ECs differentiation is important to the physician and 62% want to be evaluated by EQAP, while in Group 3, 455/1110 (41%) reported it is useful to them, however only 25% want be evaluated by EQAP. Group 2 laboratories 37/51 (73%) reported that the information is important, but only 13/52 (25%) are interested in an EQAP with differentiation of the 3 ECs subtypes.</p><p><strong>Conclusion: </strong>Most of the laboratories do not differentiate ECs in the three subtypes, despite the clinical importance of RTECs. Education of laboratory staff about the clinical significance of urinary particles should be considered a key priority.</p>","PeriodicalId":9021,"journal":{"name":"Biochemia Medica","volume":"31 2","pages":"020711"},"PeriodicalIF":3.3,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8183119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39242074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The missing slope: paradoxical shortening of activated partial thromboplastin time in a patient on unfractionated heparin therapy. 缺失的斜率:矛盾缩短激活部分凝血活酶时间的病人在非分割肝素治疗。
IF 3.3 3区 医学
Biochemia Medica Pub Date : 2021-06-15 DOI: 10.11613/BM.2021.021003
Ivana Lapić, Ana Lončar Vrančić, Désirée Coen Herak, Dunja Rogić
{"title":"The missing slope: paradoxical shortening of activated partial thromboplastin time in a patient on unfractionated heparin therapy.","authors":"Ivana Lapić,&nbsp;Ana Lončar Vrančić,&nbsp;Désirée Coen Herak,&nbsp;Dunja Rogić","doi":"10.11613/BM.2021.021003","DOIUrl":"https://doi.org/10.11613/BM.2021.021003","url":null,"abstract":"<p><p>This case report describes false shortening of activated partial thromboplastin time (aPTT) due to erroneous optical reading of the clotting point in the presence of unfractionated heparin (UFH), and a biphasic waveform. Activated partial thromboplastin time performed on a coagulometer with photo-optical detection yielded an ambiguous clotting curve characterized by an early and steady decrease in light transmittance throughout the whole measuring range, with the clotting point read at 65 seconds. Further investigations included measurement of aPTT by means of a mechanical clot detection method as well as determination of another heparin-sensitive coagulation assay, that is thrombin time (TT), both being unmeasurably prolonged (> 150 seconds). Communication with clinicians revealed that the patient was on continuous UFH therapy and had an underlying sepsis, with highly elevated C-reactive protein (289 mg/L). The aPTT measurements requested at three timepoints later during the same day revealed gradual aPTT shortening and unveiled a peculiar biphasic waveform pattern. In this case, unmeasurably prolonged aPTT due to UFH therapy was masked by a biphasic aPTT curve pattern making only the first slope of the biphasic waveform visible within the measuring range. The early decrease in plasma light transmittance mimicked optical changes related to clot formation, thus causing erroneous optical reading and yielding a falsely shortened aPTT. This case emphasizes that such a pattern should be carefully inspected, especially when a combination of a critically ill condition and UFH therapy is present, in order to prevent erroneous reporting of aPTT and potential adverse effects on patient care.</p>","PeriodicalId":9021,"journal":{"name":"Biochemia Medica","volume":"31 2","pages":"021003"},"PeriodicalIF":3.3,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8183121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39242077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recommendations for the application and follow-up of quality controls in medical laboratories. 对医学实验室质量控制的应用及跟踪的建议。
IF 3.3 3区 医学
Biochemia Medica Pub Date : 2021-06-15 Epub Date: 2021-04-15 DOI: 10.11613/BM.2021.020501
Jean-Marc Giannoli, Stéphanie Albarede, Thierry Avellan, Jean-Pierre Bouilloux, Régine Cartier, Richard Cohen, Nathalie Colard, Luc Essemilaire, Jean-Louis Galinier, Mathieu Kuentz, Mickaël Paris, Henri Portugal, Florian Scherrer, Jean-Pascal Siest, Anne Vassault, Jean-Michel Vialle
{"title":"Recommendations for the application and follow-up of quality controls in medical laboratories.","authors":"Jean-Marc Giannoli,&nbsp;Stéphanie Albarede,&nbsp;Thierry Avellan,&nbsp;Jean-Pierre Bouilloux,&nbsp;Régine Cartier,&nbsp;Richard Cohen,&nbsp;Nathalie Colard,&nbsp;Luc Essemilaire,&nbsp;Jean-Louis Galinier,&nbsp;Mathieu Kuentz,&nbsp;Mickaël Paris,&nbsp;Henri Portugal,&nbsp;Florian Scherrer,&nbsp;Jean-Pascal Siest,&nbsp;Anne Vassault,&nbsp;Jean-Michel Vialle","doi":"10.11613/BM.2021.020501","DOIUrl":"https://doi.org/10.11613/BM.2021.020501","url":null,"abstract":"<p><p>This is a translation of the paper \"Recommendations for the application and follow-up of quality controls in medical biology laboratories\" published in French in the journal Annales de Biologie Clinique (Recommandations pour la mise en place et le suivi des contrôles de qualité dans les laboratoires de biologie médicale. Ann Biol Clin (Paris). 2019;77:577-97.). The recommendations proposed in this document are the result of work conducted jointly by the Network of Accredited Medical Laboratories (LABAC), the French Society of Medical Biology (SFBC) and the Federation of Associations for External Quality Assessment (FAEEQ). The different steps of the implementation of quality controls, based on a risk analysis, are described. The changes of reagent or internal quality control (IQC) materials batches, the action to be taken in case of non-conform IQC results, the choice of external quality assessment (EQA) scheme and interpretation of their results as well as the new issue of analyses performed on several automatic systems available in the same laboratory are discussed. Finally, the concept of measurement uncertainty, the robustness of the methods as well as the specificities of near-patient testing and rapid tests are described. These recommendations cannot apply for all cases we can find in medical laboratories. The implementation of an objective alternative strategy, supported with documented evidence, might be equally considered.</p>","PeriodicalId":9021,"journal":{"name":"Biochemia Medica","volume":"31 2","pages":"020501"},"PeriodicalIF":3.3,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38933069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Comparison of hyaluronic acid in patients with rheumatoid arthritis, systemic sclerosis and systemic lupus erythematosus. 类风湿性关节炎、系统性硬化症和系统性红斑狼疮患者透明质酸的比较。
IF 3.3 3区 医学
Biochemia Medica Pub Date : 2021-06-15 Epub Date: 2021-04-15 DOI: 10.11613/BM.2021.020701
Bogdan Cylwik, Ewa Gruszewska, Ewa Gindzienska-Sieskiewicz, Otylia Kowal-Bielecka, Lech Chrostek
{"title":"Comparison of hyaluronic acid in patients with rheumatoid arthritis, systemic sclerosis and systemic lupus erythematosus.","authors":"Bogdan Cylwik,&nbsp;Ewa Gruszewska,&nbsp;Ewa Gindzienska-Sieskiewicz,&nbsp;Otylia Kowal-Bielecka,&nbsp;Lech Chrostek","doi":"10.11613/BM.2021.020701","DOIUrl":"https://doi.org/10.11613/BM.2021.020701","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the present study was to determine and compare the concentration of hyaluronic acid (HA) in rheumatoid arthritis (RA), systemic sclerosis (SSc) and systemic lupus erythematosus (SLE), and its correlation with parameters of disease activity and duration. The hypothesis was that HA should be increased in rheumatic diseases. We also expected that HA could be a marker of disease activity and inflammation in some of these diseases.</p><p><strong>Materials and methods: </strong>The study group comprised 149 patients with RA, SSc and SLE hospitalized in the Department of Rheumatology and Internal Diseases, Medical University of Bialystok (Bialystok, Poland) and 30 healthy controls. The concentrations of HA, C-reactive protein (CRP) and rheumatoid factor (RF) were measured using Architect ci8200; haemoglobin, platelets on Sysmex XS-800i; and erythrocyte sedimentation rate (ESR) on Sediplus S 2000 analysers. Statistical analysis was performed using Statistica 13.3 PL.</p><p><strong>Results: </strong>Hyaluronic acid was increased in RA, SLE and SSc when compared to controls (P < 0.001, P = 0.011, and P = 0.015, respectively). There were no differences in HA between rheumatic diseases (P = 0.840). Hyaluronic acid positively correlated with SLE activity (P = 0.025). In RA, HA positively correlated with ESR (P = 0.028) and CRP (P = 0.009). However, HA was not found to correlate with the duration of rheumatic diseases.</p><p><strong>Conclusions: </strong>Hyaluronic acid concentration undergoes changes in rheumatic diseases with no difference between RA, SLE and SSc. In RA, HA concentration can be a marker of inflammation, while in SLE patients an indicator of disease activity.</p>","PeriodicalId":9021,"journal":{"name":"Biochemia Medica","volume":"31 2","pages":"020701"},"PeriodicalIF":3.3,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38933071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Order of draw of blood samples affect potassium results without K-EDTA contamination during routine workflow. 在常规工作流程中,在没有K-EDTA污染的情况下,抽取血样的顺序会影响钾检测结果。
IF 3.3 3区 医学
Biochemia Medica Pub Date : 2021-06-15 Epub Date: 2021-04-15 DOI: 10.11613/BM.2021.020704
Şerif Ercan, Bahri Ramadan, Ozan Gerenli
{"title":"Order of draw of blood samples affect potassium results without K-EDTA contamination during routine workflow.","authors":"Şerif Ercan,&nbsp;Bahri Ramadan,&nbsp;Ozan Gerenli","doi":"10.11613/BM.2021.020704","DOIUrl":"https://doi.org/10.11613/BM.2021.020704","url":null,"abstract":"<p><strong>Introduction: </strong>A specific sequence is recommended for filling blood tubes during blood collection to prevent erroneous test results due to carryover of additives. However, requirement of this procedure is still debatable. This study was aimed to investigate the potassium ethylenediaminetetraacetic acid (K-EDTA) contamination in blood samples taken after a tube containing the additive during routine workflow. The study was also carried out to examine the effect of order of draw on potassium results, regardless of K-EDTA contamination.</p><p><strong>Materials and methods: </strong>In 388 outpatients, to determine the probability of K-EDTA cross-contamination, blood was drawn sequentially into a serum tube, followed by a tube containing K-EDTA, and by another serum tube. In another 405 outpatients, to evaluate the effect of order of draw blood unrelated to K-EDTA contamination, two serum tube were successively collected. Potassium was measured on Cobas 6000 c501 analyser (Roche Diagnostic GmbH, Mannheim, Germany) by indirect ion selective electrode method.</p><p><strong>Results: </strong>Of paired samples collected before and after a K-EDTA tube, 24% had a potassium difference of above 0.3 mmol/L. However, no EDTA contamination was detected in these samples as well as 95% confidence intervals (CI) of limits of agreement for calcium were within the allowable error limits based on reference change values. Interestingly, of blood samples drawn successively, 24% had also a difference greater than 0.3 mmol/L for potassium.</p><p><strong>Conclusion: </strong>Incorrect order of draw using closed blood collection system does not cause K-EDTA contamination, even in routine workflow. However, regardless of K-EDTA contamination, order of draw has significant influence on the potassium results.</p>","PeriodicalId":9021,"journal":{"name":"Biochemia Medica","volume":"31 2","pages":"020704"},"PeriodicalIF":3.3,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38933530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Laboratory professionals' attitudes towards ISO 15189:2012 accreditation: an anonymous survey of three Croatian accredited medical laboratories. 实验室专业人员对ISO 15189:2012认证的态度:对三个克罗地亚认可的医学实验室的匿名调查。
IF 3.3 3区 医学
Biochemia Medica Pub Date : 2021-06-15 DOI: 10.11613/BM.2021.020712
Ivana Lapić, Dunja Rogić, Matea Ivić, Marina Tomičević, Mirjana Mariana Kardum Paro, Lovorka Đerek, Ines Alpeza Viman
{"title":"Laboratory professionals' attitudes towards ISO 15189:2012 accreditation: an anonymous survey of three Croatian accredited medical laboratories.","authors":"Ivana Lapić,&nbsp;Dunja Rogić,&nbsp;Matea Ivić,&nbsp;Marina Tomičević,&nbsp;Mirjana Mariana Kardum Paro,&nbsp;Lovorka Đerek,&nbsp;Ines Alpeza Viman","doi":"10.11613/BM.2021.020712","DOIUrl":"https://doi.org/10.11613/BM.2021.020712","url":null,"abstract":"<p><strong>Introduction: </strong>Effective implementation and continual compliance with ISO 15189:2012 require ongoing commitment and active involvement of laboratory staff. Our aim was to assess attitudes regarding accreditation implementation by conducting a survey in three Croatian accredited medical laboratories.</p><p><strong>Materials and methods: </strong>An anonymous survey consisting of 34 questions was distributed either electronically or in a paper form a week prior to scheduled annual audits. Distributions of answers regarding age, work experience, laboratory workplace, and education level and according to the respective laboratory were compared.</p><p><strong>Results: </strong>The overall response rate was 76% (225/297). Preference towards working in an accredited laboratory and a positive attitude were revealed by 70% and 56% participants, respectively, with better process documentation as the main advantage. Only 14% of responders considered themselves completely familiar with ISO 15189:2012. Total of 68% of responders felt that accreditation increases the usual workload, with excessive paperwork as the main contributor. Half of the responders declared partial agreement that accreditation requirements and expectations were clearly explained and claimed that their suggestions were taken into account only occasionally, which was especially emphasized by technical staff. The vast majority (89%) completely follow the prescribed protocols. Only 27% consider turnaround time monitoring useful. Competence assessment is considered efficient by 41% of responders. The majority (73%) prefer an online audit in times of COVID-19.</p><p><strong>Conclusions: </strong>Despite an overall positive attitude towards accreditation, further efforts are needed in providing better education about ISO 15189:2012 for technical staff and modifying formats of competence assessment, in order to achieve better adherence to ISO 15189:2012 requirements.</p>","PeriodicalId":9021,"journal":{"name":"Biochemia Medica","volume":"31 2","pages":"020712"},"PeriodicalIF":3.3,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8183115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39242075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Delayed diagnosis and treatment of extreme hypertriglyceridemia due to rejection of a lipemic sample. 延迟诊断和治疗极端高甘油三酯血症由于排斥血脂样本。
IF 3.3 3区 医学
Biochemia Medica Pub Date : 2021-06-15 Epub Date: 2021-04-15 DOI: 10.11613/BM.2021.021002
Jan Van Elslande, Samira Hijjit, Katrien De Vusser, Michel Langlois, Björn Meijers, Ann Mertens, Bart Van der Schueren, Glynis Frans, Pieter Vermeersch
{"title":"Delayed diagnosis and treatment of extreme hypertriglyceridemia due to rejection of a lipemic sample.","authors":"Jan Van Elslande,&nbsp;Samira Hijjit,&nbsp;Katrien De Vusser,&nbsp;Michel Langlois,&nbsp;Björn Meijers,&nbsp;Ann Mertens,&nbsp;Bart Van der Schueren,&nbsp;Glynis Frans,&nbsp;Pieter Vermeersch","doi":"10.11613/BM.2021.021002","DOIUrl":"https://doi.org/10.11613/BM.2021.021002","url":null,"abstract":"<p><strong>Introduction: </strong>Most laboratories routinely determine haemolysis, icterus and lipemia indices to identify lipemic samples and reject potentially affected results. Hypertriglyceridemia is the most common cause of lipemia and severe hypertriglyceridemia (≥ 11.3 mmol/L) is a major risk factor of acute pancreatitis.</p><p><strong>Laboratory analysis: </strong>A 56-year-old woman attended the outpatient clinic for a follow-up visit 1 month after a kidney transplantation. Her immunosuppressive therapy consisted of corticosteroids, cyclosporine, and mycophenolic acid. The routine clinical chemistry sample was rejected due to extreme lipemia. The comment \"extreme lipemic sample\" was added on the report, but the requesting physician could not be reached. The Cobas 8000 gave a technical error (absorption > 3.3) for the HIL-indices (L-index: 38.6 mmol/L) which persisted after high-speed centrifugation. The patient was given a new appointment 2 days later. The new sample was also grossly lipemic and gave the same technical error (L-index: 35.9 mmol/L).</p><p><strong>What happened: </strong>The second sample was manually diluted 20-fold after centrifugation to obtain a result for triglycerides within the measuring range (0.10-50.0 mmol/L). Triglycerides were 169.1 mmol/L, corresponding to very severe hypertriglyceridemia. This result was communicated to the nephrologist and the patient immediately recalled to the hospital. She received therapeutic plasma exchange the next day and did not develop acute pancreatitis.</p><p><strong>Main lesson: </strong>This case illustrates the delicate balance between avoiding the release of unreliable results due to lipemia and the risk of delayed diagnosis when results are rejected. Providing an estimate of the degree of hypertriglyceridemia might be preferable to rejecting the result.</p>","PeriodicalId":9021,"journal":{"name":"Biochemia Medica","volume":"31 2","pages":"021002"},"PeriodicalIF":3.3,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38932966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Decision support system through automatic algorithms and electronic request in diagnosis of anaemia for primary care patients. 通过自动算法和电子请求的决策支持系统对初级保健患者进行贫血诊断。
IF 3.3 3区 医学
Biochemia Medica Pub Date : 2021-06-15 Epub Date: 2021-04-15 DOI: 10.11613/BM.2021.020702
Enrique Rodriguez-Borja, Adela Pozo-Giraldez, Macarena Díaz-Gimenez, Ausias Hervas-Romero, Africa Corchon-Peyrallo, Inmaculada Vinyals-Bellido, Arturo Carratala Calvo
{"title":"Decision support system through automatic algorithms and electronic request in diagnosis of anaemia for primary care patients.","authors":"Enrique Rodriguez-Borja,&nbsp;Adela Pozo-Giraldez,&nbsp;Macarena Díaz-Gimenez,&nbsp;Ausias Hervas-Romero,&nbsp;Africa Corchon-Peyrallo,&nbsp;Inmaculada Vinyals-Bellido,&nbsp;Arturo Carratala Calvo","doi":"10.11613/BM.2021.020702","DOIUrl":"https://doi.org/10.11613/BM.2021.020702","url":null,"abstract":"<p><strong>Introduction: </strong>An appropriate management of anaemia laboratory tests is crucial for a correct diagnosis and treatment. A non-sequential \"shotgun\" approach (where every anaemia related test is ordered) causes workload and cost increases and could be potentially harmful. We have implemented a Decision Support System through our laboratory information system (LIMS) based on reflexive algorithms and automatic generation of interpretative reports specifically in diagnosis of anaemia for primary care patients.</p><p><strong>Materials and methods: </strong>When a request contained an \"Anaemia Suspicion Study\" profile, more than twenty automatic reflexive rules were activated in our LIMS based upon laboratory results. These rules normally involved the addition of reflexive tests. A final report was automatically generated for each interpretation which was always reviewed for their validity by two staff pathologists. We measured the impact of this system in the ordering of most common anaemia related tests and if a proper treatment was established based on the interpretive report.</p><p><strong>Results: </strong>From all the studies performed, only 12% were positive being \"iron deficiency\" and \"anaemia of chronic disease\" the most frequent causes, 62% and 17%, respectively. Proper treatment was established in 88% of these anaemic patients. Total iron, transferrin, ferritin, folate and vitamin B12 demand decreased substantially after implementation representing a cost reduction of 40% only for these five tests.</p><p><strong>Conclusions: </strong>Our system has easily improved patient outcomes, advising on individual clinical cases. We have also noticeably reduced the number of over-requested tests and laboratory costs.</p>","PeriodicalId":9021,"journal":{"name":"Biochemia Medica","volume":"31 2","pages":"020702"},"PeriodicalIF":3.3,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38933072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Seroprevalence of SARS-CoV-2 infection among children in Children's Hospital Zagreb during the initial and second wave of COVID-19 pandemic in Croatia. 克罗地亚 COVID-19 最初和第二波大流行期间萨格勒布儿童医院儿童感染 SARS-CoV-2 的血清流行率。
IF 3.8 3区 医学
Biochemia Medica Pub Date : 2021-06-15 Epub Date: 2021-04-15 DOI: 10.11613/BM.2021.020706
Jasna Lenicek Krleza, Renata Zrinski Topic, Vladimir Stevanovic, Amarela Lukic-Grlic, Irena Tabain, Zrinjka Misak, Goran Roic, Bernard Kaic, Dijana Mayer, Zeljka Hruskar, Ljubo Barbic, Tatjana Vilibic-Cavlek
{"title":"Seroprevalence of SARS-CoV-2 infection among children in Children's Hospital Zagreb during the initial and second wave of COVID-19 pandemic in Croatia.","authors":"Jasna Lenicek Krleza, Renata Zrinski Topic, Vladimir Stevanovic, Amarela Lukic-Grlic, Irena Tabain, Zrinjka Misak, Goran Roic, Bernard Kaic, Dijana Mayer, Zeljka Hruskar, Ljubo Barbic, Tatjana Vilibic-Cavlek","doi":"10.11613/BM.2021.020706","DOIUrl":"10.11613/BM.2021.020706","url":null,"abstract":"<p><strong>Introduction: </strong>The study aimed to investigate the prevalence and titres of anti-SARS-CoV-2 antibodies in children treated at the Children's Hospital Zagreb in the first and the second wave of the COVID-19 pandemic. Statistical significance of difference at two time points was done to determine how restrictive epidemiological measures and exposure of children to COVID-19 infection affect this prevalence in different age groups.</p><p><strong>Materials and methods: </strong>At the first time point (13th to 29th May 2020), 240 samples and in second time point (24th October to 23rd November 2020), 308 serum samples were tested for anti-SARS-CoV-2 antibodies by enzyme-linked immunosorbent assay (ELISA) and electrochemiluminescence immunoassay (ECLIA). Confirmation of results and titre determination was done using virus micro-neutralization test. Subjects were divided according to gender, age and epidemiological history.</p><p><strong>Results: </strong>Seroprevalence of anti-SARS-CoV-2 antibodies differs significantly in two time points (P = 0.010). In first time point 2.9% of seropositive children were determined and in second time point 8.4%. Statistically significant difference (P = 0.007) of seroprevalence between two time points was found only in a group of children aged 11-19 years. At the first time point, all seropositive children were asymptomatic with titre < 8. At the second time point, 69.2% seropositive children were asymptomatic with titre ≥ 8.</p><p><strong>Conclusions: </strong>The prevalence of anti-SARS-CoV-2 antibodies was significantly lower at the first time point than at the second time point. Values of virus micro-neutralization test showed that low titre in asymptomatic children was not protective at the first time point but in second time point all seropositive children had protective titre of anti-SARS-CoV-2 antibodies.</p>","PeriodicalId":9021,"journal":{"name":"Biochemia Medica","volume":"31 2","pages":"020706"},"PeriodicalIF":3.8,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38933532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of single comments left for bioRxiv preprints till September 2019. 截至2019年9月的bioRxiv预印本单评论分析。
IF 3.3 3区 医学
Biochemia Medica Pub Date : 2021-06-15 Epub Date: 2021-04-15 DOI: 10.11613/BM.2021.020201
Mario Malički, Joseph Costello, Juan Pablo Alperin, Lauren A Maggio
{"title":"Analysis of single comments left for bioRxiv preprints till September 2019.","authors":"Mario Malički, Joseph Costello, Juan Pablo Alperin, Lauren A Maggio","doi":"10.11613/BM.2021.020201","DOIUrl":"10.11613/BM.2021.020201","url":null,"abstract":"<p><strong>Introduction: </strong>While early commenting on studies is seen as one of the advantages of preprints, the type of such comments, and the people who post them, have not been systematically explored.</p><p><strong>Materials and methods: </strong>We analysed comments posted between 21 May 2015 and 9 September 2019 for 1983 bioRxiv preprints that received only one comment on the bioRxiv website. The comment types were classified by three coders independently, with all differences resolved by consensus.</p><p><strong>Results: </strong>Our analysis showed that 69% of comments were posted by non-authors (N = 1366), and 31% by the preprints' authors themselves (N = 617). Twelve percent of non-author comments (N = 168) were full review reports traditionally found during journal review, while the rest most commonly contained praises (N = 577, 42%), suggestions (N = 399, 29%), or criticisms (N = 226, 17%). Authors' comments most commonly contained publication status updates (N = 354, 57%), additional study information (N = 158, 26%), or solicited feedback for the preprints (N = 65, 11%).</p><p><strong>Conclusions: </strong>Our results indicate that comments posted for bioRxiv preprints may have potential benefits for both the public and the scholarly community. Further research is needed to measure the direct impact of these comments on comments made by journal peer reviewers, subsequent preprint versions or journal publications.</p>","PeriodicalId":9021,"journal":{"name":"Biochemia Medica","volume":"31 2","pages":"020201"},"PeriodicalIF":3.3,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38941633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
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