ABSTRACT
El 88,9 por ciento de los ingresos que se producen en la Fundación Hospital Manacor (FHM), desde el Área de Urgencias del Hospital, se adecuan al "Appropriateness Evaluation Protocol" (AEP) como herramienta de valoración de adecuación de ingresos. El ratio marcado por el 11,1 por ciento de ingresos inadecuados sitúa a la FHM por debajo de la media en la bibliografía actual, representada por la realización de un metaanálisis sobre la bibliografía más actualmente representativa del tema. La introducción de herramientas como las que analizan la adecuación de los ingresos en el Área de Urgencias y su utilización como protocolo de actuación ante determinadas situaciones puede ser considerado muy útil. En efecto, en la Fundación Hospital Manacor la introducción de la herramienta AEP ha visto como el porcentaje de urgencias ingresadas desde el Área ha pasado del 17,95 por ciento en el mes de enero del año1999 hasta situarse en el 13,3 por ciento durante el mes de julio del mismo año (AU)
No disponible
Subject(s)
Humans , Hospitalization/statistics & numerical data , Emergency Medical Services/statistics & numerical data , Admitting Department, Hospital/statistics & numerical data , Patient Selection , Referral and Consultation/statistics & numerical data , 51706ABSTRACT
A comparison study about the determination of HbA1c by L-9100 (Merck Hitachi) and HA-8121 (Menarini) was made. HbA1c was measured by high pressure liquid chromatography (HPLC). The within-run imprecision was CV < 3% (for HA-8121) and CV < 4.9% (for L-9100). The between-run imprecision was CV < 1% (for L-9100) and CV < 2% (for HA-121). Analysis of means (Student test) showed that both instruments were statistically different for HbA1Ac measurements (p < 0.001). The results of regression analysis (Passsing-Bablock test) were as follows: y = 0.88x + 0.58 (y = L-9100, r = 0.982, p = 0.005). In conclusion, the results showed that there are statistical differences between both instruments. Regression and correlation was good, but the data also showed that there is a constant and proportional error. We must make a new reference range values.
Subject(s)
Glycated Hemoglobin/analysis , Reagent Kits, Diagnostic , Chromatography, High Pressure Liquid , Humans , Sensitivity and SpecificityABSTRACT
PURPOSE: To evaluate the performance of the Coulter MaxM autoanalyser, based on volume, cell conductivity and laser-beam dispersion, and to assess the automated leucocyte differential count (LDC). MATERIAL AND METHODS: A total number of 2,016 blood samples drawn on tri-K EDTA as anticoagulant were studied. The following data were analysed: 1-Intra- and inter-assay inaccuracy, the findings being expressed as mean and variation coefficient (CV%). 2- Correlation with the results attained with other systems (Coulter STKS and Technicon H1); The Pearson's correlation coefficient was used for this analysis. 3- Assessment of the morphologic suspect warning flags, optic microscope examination being used as reference. 4- Stability of the samples along time; the samples were analysed at 2, 6, 24 and 48 hours after withdrawal, and the Scheffe's test was used for comparison of results. 5- Performance speed. RESULTS: 1- The intra-assay inaccuracy was found acceptable for all the values except the basophil count (CV: 30.8%). The lack of reproducibility for basophil count is similar to that observed in the Coulter STKS system. 2- Correlation: Optimal LDC was found for neutrophils, eosinophils and lymphocytes. Excellent correlation with the Coulter STKS was seen except for haemoglobin, haematocrit and basophil count. The correlation with the Technicon H1 was better then with the STKS, except for basophil and monocyte counts. The correlation with basophil count was low with every system. 3- Warning flags appeared in 13.4% of the samples, the worse results corresponded to basophils, monocytes, stabs and atypical lymphocytes. 4- Samples stored at 4 degrees C for 24 hr had not significant variations in LDC. Those ones stored at 20-25 degrees C only showed significant variations after 24 hr in the monocyte count. 5- The working speed was 60 samples processed and printed in one hour. CONCLUSION: The Coulter MaxM autoanalyser is a useful machine for laboratories and provides a 5-class LDC plus a sound screen for leucocyte morphologic anomalies.
Subject(s)
Blood Cell Count/instrumentation , Automation , Evaluation Studies as Topic , Humans , Reproducibility of Results , Time FactorsABSTRACT
The authors analyze the clinical history of a 13-year-old boy with the diagnosis of Prader-Willi syndrome (PWS), who was studied in the Perinatal Pediatric Neurology and Clinical Genetics outpatient clinics, in the Social Security Arnulfo Arias Madrid Hospital Complex. The authors review the clinical characteristics that help in the diagnosis of PWS, in the neonatal period and therefore increase the rate of early diagnosis.
Subject(s)
Prader-Willi Syndrome/diagnosis , Adolescent , Chromosomes, Human, Pair 15 , Diagnosis, Differential , Humans , Male , Prader-Willi Syndrome/geneticsABSTRACT
The authors analyze the clinical history of a 13-year-old boy with the diagnosis of Prader-Willi syndrome (PWS), who was studied in the Perinatal Pediatric Neurology and Clinical Genetics outpatient clinics, in the Social Security Arnulfo Arias Madrid Hospital Complex. The authors review the clinical characteristics that help in the diagnosis of PWS, in the neonatal period and therefore increase the rate of early diagnosis
