The effects of transport by pneumatic tube system on blood cell count,erythrocyte sedimentation and coagulation tests

Introduction:

Today, the pneumatic tube transport system (PTS) is used frequently because of its advantages related to timing and speed. However, the impact of various types of PTS on blood components is unknown. The aim of this study was to examine the influence of PTS on the quality of routine blood cell counts, erythrocyte sedimentation, and certain blood coagulation tests.

Materials and methods:

Paired blood samples were obtained from each of 45 human volunteers and evaluated by blood cell count, erythrocyte sedimentation, and several coagulation tests, including prothrombin time (PT) and activated partial thromboplastin time (aPTT). Blood samples were divided into 2 groups: Samples from group 1 were transported to the laboratory via the PTS, and samples from group 2 were transported to the laboratory manually. Both groups were evaluated immediately by the tests listed above.

Results:

The blood sample test results from groups 1 and 2 were evaluated and compared. No statistically significant differences were observed (P = 0.069–0.977).

Conclusion:

The PTS yielded no observable effects on blood cell counts, erythrocyte sedimentation, or PT and aPTT test results. We concluded that the PTS can be used to transport blood samples and yield reliable results for blood cell counts, erythrocyte sedimentation, and several coagulation tests.     

Croatian Society of Medical Biochemistry and Laboratory Medicine: national recommendations for venous blood sampling

Phlebotomy is one of the most complex medical procedures in the diagnosis, management and treatment of patients in healthcare. Since laboratory test results are the basis for a large proportion (60–80%) of medical decisions, any error in the phlebotomy process could have serious consequences. In order to minimize the possibility of errors, phlebotomy procedures should be standardised, well-documented and written instructions should be available at every workstation. Croatia is one of the few European countries that have national guidelines for phlebotomy, besides the universally used CLSI (Clinical Laboratory Standards Institute) H3-A6 Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture; approved Standard-Sixth Edition (CLSI, 2007) and WHO (World Health Organization) guidelines on drawing blood: best practices in phlebotomy (WHO, 2010). However, the growing body of evidence in importance of preanalytical phase management resulted in a need for evidence based revision and expansion of existing recommendations.The Croatian Society for Medical Biochemistry and Laboratory Medicine, Working Group for the Preanalytical Phase issued this recommendation. This document is based on the CLSI guideline H3-A6, with significant differences and additional information.     

Redefinition of gestational diabetes mellitus: implications for laboratory practice in Croatia

An increasing prevalence of gestational diabetes has become a very challenging task in prenatal care worldwide. International Association of Diabetes and Pregnancy Study Groups (IADPSG) has recently issued recommendations on the diagnosis and classification of hyperglycaemia in pregnancy. These recommendations, the first to provide harmonised, evidence-based criteria for the diagnosis and classification of diabetes in pregnancy, are currently being discussed and accepted worldwide by the relevant authorities. As the acceptance of the proposed criteria has major implications for both clinical and laboratory settings, a concerted action towards necessary changes in practice has to be carefully planned and adjusted to national health-care specificities.IADPSG criteria have been strongly advocated by the Croatian Perinatology Society, resulting in a new strategy for the detection and diagnosis of hyperglycaemic disorders in pregnancy.To address the respective laboratory requirements, in April 2012, the Croatian Chamber of Medical Biochemists appointed a Working Group to provide a standardised procedure for the diagnosis of gestational diabetes, applicable to all laboratories involved in prenatal care, in both primary and specialised health-care facilities.In this paper we discuss key laboratory-related issues regarding succesful implementation of the IADPSG criteria in Croatia.     

Book Reviews

Abstract

Bard, Chantal, Fleury, Michelle, and Hay, Laurette (Eds.). Development of eye-hand coordination across the life span. Columbia: University of South Carolina Press, 1990. Pp. xii, 384. Figures, tables, references. Reviewed by Kathi Kamm, Indiana University.     

JROTC as a Substitute for PE: Really?

Purpose: Even though physical education (PE) is an evidence-based strategy for providing and promoting physical activity, alternative programs such as the Junior Reserve Officer Training Corps (JROTC) are commonly substituted for PE in many states. The purpose of this study was to compare student physical activity and lesson contexts during high school PE and JROTC sessions. Method: The System for Observing Fitness Instruction Time was used to assess PE and JROTC sessions (N = 38 each) in 4 high schools that provided both programs. Data were analyzed using t tests, negative binomial regression, and logistic regression. Results: Students engaged in significantly more moderate-to-vigorous physical activity during PE than during JROTC sessions and they were significantly less sedentary. Significant differences between the 2 program types were also found among lesson contexts. Conclusions: PE and JROTC provide substantially different content and contexts, and students in these programs engage in substantially different amounts of moderate-to-vigorous physical activity. Students in JROTC, and perhaps other alternative programs, are less likely to accrue health-supporting physical activity and engage in fewer opportunities to be physically fit and motorically skilled. Policies and practices for providing substitutions for PE should be carefully examined.     

Effects of Various Knee Angle and Foot Spacing Combinations on Performance in the Vertical Jump

Abstract

Thirty young adult males performed the vertical jump (jump and reach) at knee angles of 65, 90, and 115 degrees while using lateral and anterior-posterior foot spacings of 0, 5, 10, and 15 inches. The preliminary position was held momentarily before jumping, and every subject jumped three times at each of the 48 combinations of knee angles and foot spacings. The average of the three jumps was considered the subject's score for each preliminary stance. The results revealed that: (a) knee angle, lateral foot spacing, and anterior posterior foot spacing exert independent effects on vertical jumping performance; and (b) the most effective preliminary stance seems to be one in which the knee angle is approximately 115° with the feet spread from 5 to 10 inches laterally and slightly in excess of 5 inches anteriorly-posteriorly.     

Age Differences in Children's Ability to Model Motor Behavior

Abstract

In order to investigate the effects of modeling behavior for seven- and nine-year-old children, 30 seven-year-old and 30 nine-year-old females were randomly assigned within age level to three groups. These groups differed according to whether a model was presented at the beginning, midway, or not at all during 12 trials on the stabilometer. Both age groups were found to be similar in performance in the no model condition and, for both age groups, the beginning model condition was found to facilitate performance. However, the introduction of the model after six trials had a detrimental effect on the performance of younger children but facilitated older children's performance. These findings were interpreted in light of a likely increase in the processing capacity of nine year olds as well as an increase in the number of movement schemes that were previously stored in the older girls.     

Effect of Divided Attention on Children's Rhythmic Response

Abstract

The purpose of this study was to examine the role of selective attention in rhythmic response of children. A motor rhythmic response of grade 2 (N = 30) and grade 4 (N = 29) boys was examined with respect to the sensory modality of a secondary stimulus input. It is thought that the information processing capacity of children, as manifested in the processes of selective attention, may be a factor in the developmental changes in motor skill learning and performance. Using a rhythmic analysis system, subjects in each grade level performed ten blocks of five trials in one of three groups: control, audio interference, and visual interference. Output from a dual-channel recorder was scored to give time and space errors (AE and CE). Performance variation (VE) was calculated from the error scores. Multivariate analysis of variance revealed significantly better performance by the grade 4 subjects. The treatment conditions did not significantly impair performance as measured by CE error scores. The audio input resulted in significantly less consistent temporal performance (VE).     

The Health Risks of Doping during the Cold War: A Comparative Analysis of the Two Sides of the Iron Curtain

This article compares East Germany's Cold War-era approach to doping to that of the USA's in terms of their respective impacts on medical risk. Although deserving of criticism on many levels, the GDR doping programme featured a number of safeguards designed to minimise medical dangers. Unlike their East German counterparts, American governmental units were not directly involved in the administration of performance-enhancing substances. The US approach to doping was not ideal in terms of medical risk, however. As a result of the country's regulatory approach to doping, the country's athletes frequently turned to black market sources for doping agents. It was also relatively common for American athletes to use performance-enhancing drugs without the benefit of medical supervision. The US approach to doping was in these ways inferior to that of East Germany's on the subject of medical risk.