[A medical test laboratory specialised in pediatrics]. / Un laboratoire d'analyses médicales spécialisé en pédiatrie.

A medical test laboratory in Paris specialises in children's biological samples. Renowned for its practice of collecting samples from children without difficulty and for its medicalised and paediatric interpretation, the laboratory's main objective is to ensure the quality and comfort of the healthcare it provides. A visit alongside the laboratory's founder, a paediatrician-biologist, and a nurse who has chosen to work there.

Valoración de hemoglobina glucosilada en sangre capilar frente a la obtenida en sangre venosa / No disponible

No disponible

QuantiFERON®. Técnica y manipulación de muestras / QuantiFERON®. Sampling technique and handling

Se explica en qué consiste la técnica del QuantiFERON® (principios básicos) y el protocolo de actuación para conseguir que tanto la técnica de extracción como el posterior manejo de las muestras se efectúen de forma correcta, dada su importancia para la efectividad de la prueba. Se trata de detectar la infección por Mycobacterium tuberculosis en el paciente trabajando con resultados objetivos, complementando otros métodos diagnósticos subjetivos (Mantoux, valoración de Rx, clínica del paciente)(AU)

The authors explain the principles and basic concepts which comprise the QuantiFERON® technique, as well as the operating protocol to employ so that both the extraction and posterior handling processes of samples taken are carried out correctly, given their importance for the effectiveness of said test. This technique is used to detect an infection due to the presence of Mycobacterium tuberculosis working with objective results complemented by other subjective diagnostic methods such as Mantoux, Rx evaluation or patient’s clinical record(AU)

Interpreting laboratory values in the rehabilitation setting.

Treating patients in rehabilitation settings is becoming increasingly complex for a variety of reasons, such as the presence of several comorbid conditions, increased age, and earlier discharge from acute care facilities. As a result, careful monitoring and assessment by nurses is essential. Laboratory testing can improve the assessment when nurses are able to recognize when and what should be reported and what types of treatments may be needed. Understanding what laboratory findings should be monitored and what added assessment criteria are necessary can be daunting. Therefore, this article reviews critical laboratory and other assessment findings in light of common health problems faced by patients in rehabilitation settings. A case study is used to highlight the importance of laboratory testing.

Children's knowledge and degree of participation in decision making when undergoing a clinical diagnostic procedure.

Twenty-three children, (6-11 years, 9 boys and 14 girls), admitted to a pediatric day care department for a planned diagnostic procedure were interviewed with the aim of investigating their level of knowledge regarding a current diagnostic procedure, and the level of participation in discussions and decision making relating to their hospitalization. While the children were being interviewed, their attendant parent completed a questionnaire. The children's level of knowledge was documented and graded. The children's statements and their parents' evaluation of the information given to the child were sorted into groups and compared. The children's descriptions of their participation in discussions and decision-making were assessed and summarized. Finally, the children's and their parents' experiences of the children's anxiety and fear before the hospital visit were compared. The children were undergoing different kinds of diagnostic procedures and they had received information from different people. They were prepared for their admission in different ways, and had participated in discussions and decisions to various degrees. Despite this preparation, it would be safe to state that the participants as a group were not very well informed nor did they participate fully. More knowledge is needed regarding how to prepare each child prior to admission, before, during, and after the hospital visit and which additional factors, e.g., trust and a familiar environment, have influence on the child's experience.

The effect of smoking, smoking cessation, and passive smoke exposure on common laboratory values in clinical settings: a review of the evidence.

Evidence now supports that active and passive cigarette smoke exposure increase the risk for disease manifestations and adverse outcomes for patients in acute and critical care settings. By understanding the effect of active and passive smoke exposure on common laboratory tests, nurses in acute and critical care settings can plan essential components of care more accurately. This article addresses the effects of active and passive smoking and cessation on common parameters of hematology, hemostasis, immunology and inflammation, and chemistry laboratory tests.

Laboratory diagnosis and investigation of anaemia.

Anaemia is one of the most common conditions encountered in clinical practice. This article outlines the methods used to investigate anaemia and discusses the significance of laboratory diagnosis in treating this condition.

Os efeitos da música no escolar na punção venosa: estudo preliminar / The effects of the music in the scholar during the veined puncture: study preliminary

Este trabalho foi realizado com o objetivo de observar os efeitos da música no escolar durante a punção venosa na possibilidade de utilizá-la como terapia complementar. Por meio de um estudo caso-controle foram observadas as reações de 30 crianças em idade escolar que necessitavam de punção venosa para coleta de exames laboratoriais sendo que em 15 crianças foi utilizado música e nas outras quinze não, o procedimento habitual da unidade foi mantido. As crianças demonstravam contentamento e vontade de ouvir a música após a explicação do procedimento com música embora não apresentassem alterações estatísticamente significativas, com exceção da Frequência Cardíaca que diminuiu em relação àquelas em que a música não foi usada.Dentre as variáveis analisadas a Tensão Muscular, o Choro e a Agitação ocorreram nos dois grupos (Com e sem música). Os resultados preliminares obtidos mostraram que a música não interfere nas reações esperadas da criança em idade escolar durante a punção venosa mas, acredita-se que foi uma importante experiência para tornar esse procedimento menos "agressivo" e traumático...