Abnormal gel flotation in a patient with apperant pneumonia diagnosis: a case report

Introduction:

Serum blood collection tubes with separator gel are widely used by many laboratories for chemistry analyses. We describe a case of a primary blood collection tube filled with blood sample and a floating separator gel.

Materials and methods:

The blood sample was collected from a 51 years old female in intensive care unit with the diagnosis of pneumonia into a BD Vacutainer SST tube (Becton Dickinson, NJ, USA) containing serum separator gel and conveyed to the core laboratory of Marmara University Hospital within 30 minutes from collection. Sample was immediately centrifuged at room temperature at 1500 × g for 10 minutes.

Results:

The analyses revealed a highly increased total protein concentration of 145 g/L (reference interval 64–83 g/L). The nephelometric analyses showed an elevated serum IgG concentration of 108 g/L (reference interval 6.5–16 g/L) and IgG lambda monoclonal band was determined by serum immunofixation electrophoresis.

Conclusion:

Limitation of the separator gel tubes in patients with a high plasma density and its possible effects on test results and laboratory costs should be remembered. The clinical diagnosis stated in the information system should also reveal known comorbid conditions besides the apparent admission reason. This information would avoid resampling, additional testing, and communication efforts with the clinicians.     

Relationship satisfaction among Turkish and British adults

We tested three theories (adult attachment, autonomy/relatedness, and gender roles) to understand relationship satisfaction among 150 British and 170 Turkish adults, all involved in romantic relationships. Avoidance, relatedness, autonomy–relatedness, and masculinity mediated the relationship between culture and romantic relationship satisfaction. Additionally, as anticipated, Turkish participants scored lower on relationship satisfaction and autonomy whereas British participants scored lower on avoidance and relatedness. Contrary to expectation, gender role differences (differences between masculinity and femininity) in the United Kingdom were not significantly smaller than in Turkey. It is concluded that adult attachment provides a useful framework for understanding country-level differences.     

Effect of animated and interactive video variations on learners' motivation in distance Education

Education and Information Technologies - One of the objectives of this research is to develop and validate the Instructional Material Motivation Scale for Single-Use (IMMS-SU) instrument in the...     

Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders

Objective: This prospective randomized clinical trial was conducted to evaluate the necessity of drainage after total thyroidectomy or lobectomy for benign thyroidal disorders. Methods: A total of 116 patients who underwent total thyroidectomy or lobectomy for benign thyroidal disorders were randomly allocated to be drained or not. Operative and postoperative outcomes including operating time, postoperative pain assessed by visual analogue scale (VAS), total amount of intramuscular analgesic administration, hospital stay, complications, necessity for re-operation and satisfaction of patients were all assessed. Results: The mean operating time was similar between two groups (the drained and non-drained groups). The mean VAS score was found to be significantly low in the non-drained group patients in postoperative day (POD) 0 and POD 1. The mean amount of intramuscular analgesic requirement was significantly less in the non-drained group. One case of hematoma, two cases of seroma and three cases of transient hypoparathyroidism occurred in the non-drained group, whereas one case of hematoma, two cases of seroma, two cases of wound infections and two cases of transient hypoparathyroidism occurred in the drained group. No patient needed re-operation for any complication. The mean hospital stay was significantly shorter and the satisfaction of patients was superior in the non-drained group. Conclusion: These findings suggest that postoperative complications cannot be prevented by using drains after total thyroidectomy or lobectomy for benign thyroid disorders. Furthermore, the use of drains may increase postoperative pain and the analgesic requirement, and prolong the hospital stay. In the light of these findings, the routine use of drains might not be necessary after thyroid surgery for benign disorders.     

Considered evaluation of clinical placements in a new medical school

This article suggests that quality assessment in the UK has been largely set apart from learning and teaching and reports on a pilot project at the Hull York Medical School which attempted to integrate students’ evaluation of their clinical placements into the curriculum. It outlines the operational demands of this integrated method and compares the student experience of different evaluation methods. It argues that, when properly prepared and considered, evaluation can help students to practise useful skills and suggests that integrating this type of evaluation into the curriculum could be a step towards encouraging academic staff to engage with quality processes.     

Families as Educators for Global Citizenship: Five conundrums of intentional socialization

An international multidisciplinary Symposium on ‘Families as Educators for Global Citizenship’ was held in Budapest in December 1994, jointly convened by the Institute of Family & Environmental Research (London) and the Hungarian Sociological Association.

We based our work on two propositions: first, that families everywhere socialize their offspring for the norms and behaviour valued in their social systems; and second, that there are major changes going on a ‘global’ scale which are relevant to current socialization practices. We asked how changes in global culture and values impact on families and how families are responding. In the light of the importance of these questions and the sparseness of reliable answers, we suggest the need for research on families and the teaching/learning of social values: 1. How do families actually teach values: how much of it is intentional instruction, how much inadvertent teaching, as in association with language teaching and non‐intentional modelling ?

2. How do families reconcile their local traditional values with those emerging as part of global culture (i.e. the humanistic values of universal human rights, gender equity, respect for the environment, non‐violent conflict resolution and diversity).

3. How are personal identities formed which incorporate a global dimension, and how are conflicts in multiple identities (local, national, regional global) managed?

It is recognized that at present it is probably a minority interest to undertake intentional socialization for global values. However, we suggest that it will be increasingly recognized as important. For families seeking to instill such values, a number of conundrums are apparent. We have identified five for preliminary analysis.