Laboratory diagnostics of chronic kidney disease in Croatia: state of the art: On behalf of the joint working group of Croatian society of medical biochemistry and laboratory medicine and Croatian chamber for medical biochemists for laboratory diagnostics in chronic kidney disease

Introduction

Early identification and management of chronic kidney disease (CKD) is highly cost-effective and can reduce the risk of kidney failure progression and cardiovascular disease. In 2014, the Joint Croatian Working Group (JCWG) for laboratory diagnostic of CKD on the behalf of Croatian society of medical biochemistry and laboratory medicine (CSMBLM) and Croatian chamber of medical biochemists (CCMB) conducted a survey across Croatian medical-biochemistry laboratories to assess the current practice in this area of laboratory medicine. The aim of this study was to present the data collected through the survey and to give insight about laboratory diagnostics of chronic kidney disease in Croatia.

Materials and methods

An invitation to participate in the survey was sent to all Croatian medical-biochemistry laboratories (N = 196). The questionnaire was designed in a form of questions and statements, with possible multiple answers, comprising 24 questions.

Results

The response rate was 80/196 (40.8%). 39 answers were from primary medical-biochemistry laboratories. 31/78 (0.40) laboratories measure creatinine with non-standardized method (uncompensated Jaffe method). 58/78 (0.74) of laboratories that measure creatinine do not report eGFR values. Similar number of laboratories (58/80, 0.73) do not measure urine albumin or protein.

Conclusions

There is a large heterogeneity among Croatian laboratories regarding measuring methods, reporting units and reference intervals (cut-off values), both for creatinine and urine albumin or protein. The two key prerequisites for CKD screening, automatic reporting of eGFR and albuminuria or proteinuria assessment, are not implemented nationwide. There is a need for harmonization in laboratory diagnostics of CKD in Croatia.Key words: survey, chronic kidney disease, estimated glomerular filtration rate (eGFR), albuminuria, proteinuria, creatinine, harmonization     

Reflections on Deaf Education: Perspectives of Deaf Senior Citizens

Parents with deaf children face many challenges in making educational choices, developing language and a sense of belonging. Other key aspects of life including concept development and social competency are also critical decision points faced by parents. Developing language, whether it is through spoken or signed modalities, is of utmost importance during the formative years and for many families with deaf children, there are no prior experiences with deafness, American Sign Language, Deaf culture, or the deaf community. This study aims to understand the educational and familial experiences of older deaf citizens by examining the meaning of being deaf and members of biological and cultural families, and the concern for education of young deaf children as constructed by deaf senior citizens from both deaf and hearing families. For the purpose of obtaining both childhood and educational experiences of older deaf citizens and examining what advice they would offer to families of today with deaf children, a qualitative design was implemented in which 13 participants participated in focus group and individual interviews. Themes that emerged from the data include, but are not limited to, community-based learning, the value of communication, involvement with other deaf individuals, importance of family communication and signing, sibling involvement and including deaf children as true members of a family. One recommendation made by the deaf senior adults was that families with deaf children engage with deaf seniors more frequently as a valuable resource.     

Individualized Care in Practice: Communication Strategies of Nursing Aides and Residents in Nursing Homes

Individualizing care in nursing homes can be difficult and complex. The purpose of this study is to characterize the meaning of and experiences with individualized care from the perspectives of both nursing aides and nursing-home residents. Eight focus groups of nursing aides (N =17) and residents (N=15) from two nursing homes generated four dialectical themes related to communication strategies: (a) getting to know versus maintaining a protective distance, (b) mutual respect versus disrespect, (c) avoiding versus addressing conflict, and (d) equity versus perceived favoritism. These findings suggest dialectics in how interpersonal communication affects individualized care from the perspectives of both nursing aides and residents.     

Face it: The Impact of Gender on Social Media Images

Social websites like Facebook enable users to upload self-created digital images; it is therefore of interest to see how gender is performed in this domain. A panel used a literature review of pictorial features associated with gender traits, and a sample of Facebook pictures to assess gender stereotypes present in Facebook images. Traits emerging in greater prominence in pictures of males included active, dominant, and independent. Those prominent with female users included attractive and dependent. These findings generally conform to gender stereotypes found in prior research and extend the research regarding stereotypical gender traits displayed in professional media depictions to self-selected social media displays. They also extend the research on gender differences in impression management generally, in both interpersonal communication and social media, to include gender-specific traits that are part of young mens and women's impression management.     

Rankings,Diversity and the Power of Renewal in Science. A Comparison between Germany,the UK and the US

Rankings are part and parcel of the neoliberal agenda in science aiming at increasing the competitive allocation of funds among universities. This article focuses on the decreasing power of renewal in science as a result of this agenda particularly because of its increasingly consolidated stratification of the academic system into élite and mass institutions. A comparison based on data from the Academic Ranking of World Universities of the Shanghai Jiao Tong University between the less stratified German system, the more strongly stratified British system, and the most strongly stratified, though at its heart still diverse US-American system provides a first test of the hypotheses.     

Biotechnology learning in Slovenian upper-secondary education: gaining knowledge and forming attitudes

Purpose: One area of science that will increasingly influence our society is biotechnology. An increasing number of modern biotechnological applications have provoked consideration of the ethical and social issues; therefore, it is important that the public is well-informed about them. Formal education in upper-secondary schools should help students to become biotechnologically literate citizens. There is little published research data on Slovenian high-school students’ knowledge about and attitudes towards biotechnology, as well a lack of curriculum evaluation data.

Methodology: This study combines two research approaches. The first part is content analysis of current upper-secondary education programmes in Slovenia, in which all curricula were reviewed about 15 selected biotechnological topics. The second part of the research focused on assessing students’ knowledge of traditional and modern biotechnology and exploring their attitudes towards modern biotechnological methods and their products. The sample included 1163 students aged 17–18 from three different types of schools located in 12 different regions of Slovenia. A questionnaire to measure knowledge and attitudes was designed.

Results: The research results revealed that selected biotechnological concepts appeared most frequently in the curri- cula of bio-technical gymnasia. These students also showed the 30 highest level of knowledge and the most positive attitudes. Furthermore, a clear correlation between students’ knowledge of and attitudes towards modern biotechnology was found. On the other hand, no significant differences in attitudes to the state- ments, which dealt with ethics, were found among the students 35 involved in the research.

Conclusion: Biotechnology teaching in upper-secondary education in Slovenia is obviously very diverse and dependent on the programme.     

The Changing Context of Further Educational Provision: fears and expectations of special needs co‐ordinators

ABSTRACT

In this paper we examine how the changing context of further educational provision is influencing the practice of one group of lecturers. These are the ‘special needs’, or ‘learning support’, co‐ordinators, whose responsibilities include supporting students with disabilities or learning difficulties as well as developing skills in staff management and negotiating for resources.