ABSTRACT
Background: Adoption of the LIMS (laboratory information management system) serves varied purposes in the diagnostic laboratory and might take a very lengthy period for its implementation. But, without controls being put in place, it can create a barrier to the project’s execution and prevent it from being finished on time. Methods: A WhatsApp group with 22 members, including lab technicians, heads of lab sections, a billing manager, an operations assistant manager, an assistant nursing caretaker, and administrative staff, was created. The assistant operations manager posted the daily pending report status in the WhatsApp group to help the lab team ratify, correct, and complete the assignments. To track pending report closures in real-time, the WhatsApp group mediated weekly follow-ups. The laboratory services department head informed the team monthly on the project’s status. The nonparametric Wilcoxon rank test and paired student t-test were performed to compare pre and post-survey responses before and after the seven-month intervention period. Results: The non-parametric Wilcoxon rank test and paired t-test results of the post-test demonstrated that the participant’s answer had improved significantly since the pre-test. The questionnaire showed that participants liked the new WhatsApp control mechanism. The number of pending reports reduced from 4,000 to 240 in seven months, a statistically significant decrease at a p value of 0.01. This supports the newly implemented WhatsApp control. Conclusions: Based on this interventional study, WhatsApp-based controls can be employed in conjunction with more conventional ways to regulate process outcomes during LIMS adoption.
ABSTRACT
Adenoid cystic carcinoma (ACC) is an uncommon malignant neoplasm usually confined to the salivary glands, lungs, and breasts. Primary cutaneous adenoid cystic carcinoma (PCACC) is an extremely rare entity with solitary cases reported at sites away from the scalp and chest. Hence, one must follow the multidisciplinary approach to exclude any primary ACC elsewhere in the body. We report a rare case of PCACC arising from the skin of the left lower limb in a 55-year-old woman with a history of recurrent swelling, clinically diagnosed as a metastatic tumor.
Subject(s)
Crime Victims/rehabilitation , Female , Human Rights , Humans , India , Male , Torture/legislation & jurisprudenceABSTRACT
Three patients with multiple myeloma were treated with recombinant alpha-interferon (r IFN-alpha 2b Intron AR) along with combination chemotherapy i.e. melphelan and prednisolone. In one case it was given as an initial therapy, while the other two patients had refractory and relapsing disease respectively. IFN-alpha 2b was given in the dose of 2 x 10(6) Mu/m2 by subcutaneous injection thrice in a week for six months in two patients and for three months in one patient. All three patients experienced improvement in bone pains; partial response with reduction in the paraprotein level was seen in one patient; while there was no radiological, biochemical or haematological improvement in two patients. Side effects noted were flu like syndrome in all three patients and urticaria in one patient. They were treated symptomatically and did not require cessation of interferon therapy.