Urine is commonly used for diagnostic testing and monitoring disease. Proper collection and preservation of urine specimens is important to avoid preanalytical errors. There are various urine collection methods depending on the test and patient, including random, first morning, and timed collections. Preservatives like boric acid and hydrochloric acid are often used to maintain specimen stability, though some tests require no preservative. Careful instruction of patients and labeling of specimens is necessary when collecting 24-hour urine samples.
An absolute eosinophil count is a blood test that measures the number of one type of white blood cells called eosinophils.
Eosinophils become active when you have certain allergic diseases, infections, and other medical conditions.
An absolute eosinophil count is a blood test that measures the number of one type of white blood cells called eosinophils.
Eosinophils become active when you have certain allergic diseases, infections, and other medical conditions.
I have listed out the LE cells structure and Microscopical examinaton of LE CELLS, Difference between tart cells and le cells, clinical symptoms and diagnostic procedure.
Erythrocyte Sedimentation Rate (ESR), a lecture for medical lab technicians at Baquba Technical Institute, Middle Technical University. All theoretical and practical notes about the test.
I have listed out the LE cells structure and Microscopical examinaton of LE CELLS, Difference between tart cells and le cells, clinical symptoms and diagnostic procedure.
Erythrocyte Sedimentation Rate (ESR), a lecture for medical lab technicians at Baquba Technical Institute, Middle Technical University. All theoretical and practical notes about the test.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
1. Dr. K. Selvakumar
M.Sc., M.Phil., Ph.D., MBA (HM)
Consultant Biochemist
Billroth Hospitals & Kauvery Hospital
Urine PreservativesUrine Preservatives
2. Urine has a long history as a specimen for
analysis in clinical laboratories. After blood, urine
is the most commonly used specimen for
diagnostic testing, monitoring of disease status
and detection of drugs.
3. As with all clinical laboratory specimens,
preanalytical error in urine specimens is
often difficult to detect.
4. Types of Urine Collection Methods
Urine specimens may be collected in a variety of
ways according to the type of specimen required,
the collection site and patient type.
Randomly Collected Specimens are not
regarded as specimens of choice because of the
potential for dilution of the specimen when
collection occurs soon after the patient has
consumed fluids.
5. First Morning Specimen is the specimen of choice for
urinalysis and microscopic analysis, since the urine is
generally more concentrated.
Midstream Clean Catch Specimens are strongly
recommended for microbiological culture and antibiotic
susceptibility testing because of the reduced incidence of
cellular and microbial contamination.
6. Timed Collection Specimens - quantitative measurement
of certain analytes, including those subject to diurnal
variation.
Analytes commonly tested using timed collection include
creatinine, urea, potassium, sodium, uric acid,
cortisol, calcium, citrate, amino acids, catecholamines,
metanephrines, vanillylmandelic acid (VMA),
5-hydroxyindoleacetic acid, protein, oxalate,
copper,17-ketosteroids, and 17-hydroxysteroids.
7. Collection from Catheters (e.g. Foley catheter)using a
syringe, followed by transfer to a specimen tube or cup.
Alternatively, urine can be drawn directly from the
catheter to an evacuated tube using an appropriate
adaptor.
8. Supra-pubic Aspiration may be necessary when a non-
ambulatory patient cannot be catheterized or where there
are concerns about obtaining a sterile specimen by
conventional means.
9. Pediatric Specimens present
many challenges. For infants
and small children, a special
urine collection bag can be
adhered to the skin surrounding
the urethral area.
11. Collection and Transport Guidelines
All urine collection and/or transport containers should be clean and free
of particles or interfering substances.
The collection and/or transport container should have a secure lid and
be leak-proof. Leak-proof containers reduce specimen loss and risk of
healthcare worker exposure to the specimen while also protecting the
specimen from contaminants.
The use of containers that are made from break-resistant plastic is
strongly recommended.
12. • The container material should not leach interfering substances into the
specimen.
• Specimen containers must not be re-used.
13. Preservatives Used for Urine Collection
• The stability of some of the components excreted in the urine are
affected by the change in pH that occurs in the collected sample.
• Urine pH often becomes more alkaline upon collection due to the
presence and ongoing metabolism of bacteria and viable cells that are
excreted.
• Certain analytes are better suited for a pH that is closer to what is found
within the urinary system, while others require a more acidic pH to
minimize the deterioration of the desired measurands.
• The importance of such preservatives is stressed when collecting a 24-
hour urine sample to minimize the degradation associated with variable
handling and storage conditions.
14. Commonly used preservatives
Boric acid, hydrochloric acid, acetic acid, and oxalic
acid. Certain buffers and bicarbonate salts may also be
used for specific measurands.
Laboratories need to evaluate the effectiveness and
potential interference of preservatives.
Coordinators of urine sample collection need to
educate patients as to the safe and effective handling of the
preservatives when providing urine collection instructions.
15. Instructions to Patient:
The 24-hour collection container may contain chemicals (as a
preservative) that are hazardous. DO NOT urinate directly into the
container. Collect urine in a clean, dry vessel and carefully pour the urine
into the 24-hour collection container.
Follow your physician’s advice regarding any food, drink or drugs
before and during collection.
Empty your bladder completely upon awakening and discard this urine.
This is your start date and time. Write it on your paperwork and/or the
collection container.
16. • Collect all urine for the next 24 hours. The last urine collected should be
that voided upon awakening the second day, at the same time as the
start time.
(For Eg : Sample started at 8.00 AM. The patients should void the urine at 8.00 AM
and discard it, after that all the urine should be collected and poured / stored in a
container till the next 8.00 AM.)
• Recap the collection container carefully and completely.
• Return the collection container to the laboratory as soon as possible.
• Note: Some urine tests require that the 24-hour urine collection be
refrigerated during collection. Kindly instruct the patient accordingly.
17. Important Points for Lab Staff
It is necessary to measure the total volume excreted in a 24-hour period,
a strictly timed 24-hour specimen is required, because many soluble
substances exhibit diurnal variations.
Collect the specimen in one or more disposable, wide-mouthed, clean
plastic container(s) with a plastic lid large enough to hold about 3 L.
Amber-colored containers may be required for light-sensitive analytes.
Copper |
Determine if the collection will require a preservative, ensuring the
collection container has the appropriate preservative, at the correct
concentration, along with a warning label indicating the preservative in use.
18. Label the collection container including the patient identification (name and
hospital number), test(s) required, and preservative used.
The start date and time plus the finish date and time should be recorded on
container sticker
If a preservative is required, the patient must be advised to collect the urine in a
separate clean container and then carefully transfer the urine to the collection
container that will be transported to the laboratory. (Comment: Assume that all
preservatives are hazardous).
Instruct the patient (or nurse) to collect all voided urine during the 24-hour
collection period and add it to the collection container.
The collection should end exactly 24 hours. Record the ending date and time on
the collection container and on the laboratory requisition.
Carefully seal the cap tightly so as to avoid leak