Recommendations for the application and follow-up of quality controls in medical laboratories

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.     

A stigma power perspective on digital government service avoidance

The digital-by-default policy for government services implemented in many European countries can pose challenges to marginalized citizens, such as people with disabilities. Prior research on electronic inclusion and the digital divide has mainly considered technology-related concerns, such as Internet anxiety, preventing people with disabilities from using digital government services. Yet, these concerns may insufficiently account for the fact that people with disabilities may suspect that governments provide new services only to reduce costs and forgo the need for more meaningful social change. Therefore, we draw from stigma power theory to understand how perceptions of stereotyping and discrimination contribute to the avoidance of digital government services among people with disabilities. Our results indicate that overcoming underutilization of digital government services among people with disabilities requires a holistic approach by addressing technology-related as well as stigma-related concerns.     

The impact of cultural,ethnic, and national variables on attitudes towards the disabled in Israel: A review

Studies in Israel relating to attitudes of various ethnic, cultural and religious groups towards the disabled were reviewed. The results indicate that although there were differences in attitudes towards the disabled, these differences appear to be a function of interaction effects between many other variables and not necessarily only related to ethnic, cultural, and religious affiliation.     

Warm,sunny days

Each change in the seasons brings a certain sense of excitement. Perhaps, after a long, cold winter, the most pleasant change of all is when the signs of Spring begin to appear: warm, windy weather; tiny shoots of green peeking through the melting snow; budding trees and bushes; the first robin; rainstorms and puddles; and a chance to go outside to fly a kite or throw a paper glider into the air.... Then, finally,warm, sunny days to let us know that Spring is really here!     

Young people’s perceptions of relationships and sexual practices in the abstinence-only context of Uganda

The Ugandan government has been criticised on several grounds for its abstinence-only policies on sexuality education directed towards young people. These grounds include the failure to recognise the multiple realities faced by young people, some of whom may already be sexually active. In the study reported on this paper, students’ perceptions of relationships and sexual practices were analysed to obtain an understanding of how young people construct and negotiate their sexual agency in the context of abstinence-only messages provided in Ugandan secondary schools and at the wider community level. Ten in-depth interviews and six focus group discussions were conducted with students aged 15–19 years (N = 55) at an urban co-educational secondary school. Data were transcribed verbatim and analysed using grounded theory. Findings show that students engage in sexual activity despite their belief that contraception is ineffective and their fears for the consequences. Students’ age, gender, financial capital and perceived sexual desire further increase risk and vulnerability. To improve their effectiveness, school-based sexuality education programmes should support students to challenge and negotiate structural factors such as gender roles and sociocultural norms that influence sexual practices and increase vulnerability and risk.