70-year old female patient with mismatch between hematocrit and hemoglobin values: the effects of cold agglutinin on complete blood count

Introduction:

There are a number of pre-analytical and analytical factors, which cause false results in the complete blood count. The present case identifies cold agglutinins as the cause for the mismatch between hematocrit and hemoglobin values.

Materials and methods:

70-year old female patient had a history of cerebrovascular diseases and rheumatoid arthritis. During routine laboratory examination, the patient had normal leukocyte and platelet counts; however, the hemoglobin (Hb: 105 g/L) and hematocrit (HCT: 0.214 L/L) results were discordant. Hemolysis, lipemia and cold agglutinin were evaluated as possible reasons for the mismatch between hematocrit and hemoglobin values.

Results:

First blood sample was slightly hemolysed. Redrawn sample without hemolysis or lipemia was analyzed but the mismatch became even more distinct (Hb: 104 g/L and HCT: 0.08 L/L). In this sample, the titration of the cold agglutinin was determined and found to be positive at 1:64 dilution ratios. After an incubation of the sample at 37°C for 2 hours, reversibility of agglutination was observed.

Conclusion:

We conclude that cold agglutinins may interfere with the analysis of erythrocyte and erythrocyte-related parameters (HCT, MCV, MCH and MCHC); however, Hb, leukocyte and platelet counts are not affected.     

Competing Values Framework and its impact on the intellectual capital dimensions: evidence from different Portuguese organizational sectors

Organizational culture and intellectual capital (IC) have been important topics in the current organizational literature. However, few studies have analysed the correlations between these constructs. From this evidence, the main goal of the present study is to examine the correlation between the perceptions of organizational culture and the perception of IC measures. A sample consisting of 401 workers from the technological, health and services sector responded to the Organizational Culture Assessment Instrument and the Intellectual Capital Scale. Results show that the Competing Values Framework dimensions (clan, adhocracy, hierarchy and market cultures) are correlated with the three IC dimensions studied (customer, structural and human capital). Our results also show that the culture explained variance varies across organizational sectors. The current study provides an initial contribution to the investigation of the correlation between perceived organizational culture and IC measures. The discussion and analysis ends with an integrated framework with practical implications for management, followed by suggestions and guidelines for future studies.     

Religious education,communal identity and national politics in the Muslim world

This article discusses models for religious education in school in (parts of) the Muslim world and the implied relation between self and other, confessional and national identity. The question of how current models and discussions respond to globalized issues in education is also discussed. The last part of the article identifies triggering factors behind some recent attempts at establishing more inclusive ways of teaching about religion and ethics in school.     

EFFECTS OF ATTENTION TO CAMPAIGN COVERAGE ON POLITICAL TRUST

This study examines whether or not attention to campaign newsinfluences political trust. It also explores whether politicaltrust predicts attention to campaign news, and whether the mechanismof influence between attention to campaign news and politicaltrust differs across educational levels. Political trust wasoperationalized as trust in government. The 1992 American NationalElection Survey data were used. Results of two-stage least squaresanalysis show that attention to television campaign coveragereduced trust in government, while a low level of trust in governmentincreased attention to newspaper campaign coverage. More importantly,the mechanism of influence between political trust and attentionto campaign coverage differed across educational levels. Amongthe less educated, attention to campaign coverage on televisionled to lower levels of trust. Among the more educated, a lowlevel of trust in government increased attention to campaigncoverage. The findings also indicate that the types of media(television vs. newspapers) matter when it comes to media effectson political trust, Implications of findings on the relationshipsbetween the concepts of political trust, vigilant skepticism,education, and media use are discussed.     

An Autoethnographical Study of Culture,Power, Identity and Art Education in Post‐Colonial South Korea

This article reflects my experiences of learning art in the 1970s and 1980s and my teaching career in school art education in twenty‐first century South Korea. This autobiographical reflection shows how I have struggled with my identity as an art teacher in the post‐colonial context of Western influences on Korean society since World War II. There has been greater tension and a greater struggle for different values, practices and identities when new values and practices have been introduced into the particular socio‐cultural context of South Korea. My struggles with particular kinds of pedagogic identity valued within the rapidly changing political, economic and cultural context of Western influences on Korean art education demonstrate the hidden structural mechanism of the relationship between culture, power and identity in the post‐colonial world of globalisation. This study as an autoethnographical research provides critical insights into how identities are produced by pedagogic discourses and practices of art education that are constructed through the specific systems of practice and language which transmit and regulate such identities and values.     

CICBS: a methodology and a framework for measuring and managing intellectual capital of cities. A practical application in the city of Mataró

The governments of cities have to make important decisions on the future of their communities. In the past, the vision, objectives, and goals of cities have been determined mainly by considering tangible assets as the main factors of a city's prosperity. However, in the knowledge economy, the role of intangible assets in wealth creation has become fundamental. As a result, a framework of intangible assets that allows navigation from the present reality to the future vision has become an urgent need for all cities. The paper has two well-defined parts. In the first part, it develops a specific methodology and framework for measuring and managing the intellectual capital of cities. In the second part, the study deals with the practical application of this model of intellectual capital in cities with the specific case of the city of Mataró, providing some details of the first cities’ intellectual capital report.     

Knowledge sharing in a multi-cultural setting: a case study

Organizational culture has been shown to influence the success of knowledge management practices. Hofstede's theory specifies that organizational culture is not independent of national culture. A case study of an international subsidiary was conducted to explore the extent to which knowledge sharing is dependent on national culture. Results indicate that language differences can create knowledge blocks, and cross-cultural differences can explain the direction of knowledge flows.     

元极学发展了传统的天人合一观

论述了元极学的人天整体观是对传统的天人合一观的发展和元极图是人天运化的全息模型。