Harbour Square at the CCP Complex

By Jeffrey V. de Guzman


We had the chance to visit this gimmick place along Manila Bay during the conduct of refresher course on malaria microscopy last June 2010.  We had a dinner at Dencio’s, one of the food and bar establishments located inside the place.  Offering a student meal promo, we chose to eat there so that we can save our dinner allowances that night.  But unfortunately, we were not able to avail the said budget meal because the waiter told us that the promo is for students only and we don’t have any student ID to show them.  Some of us still tried to convince them that we were students. But we were not successful, may be because of our obvious greying hair and wrinkling face.  So we looked and smiled at each other until finally deciding to stay just to show the people inside that we can afford such fine dining.

We all had the chance to browse the menu, and we looked at each other once again.  May be you can imagine our reactions.  A single meal would cost us one week of our allowance.  We laughed and joked about it while inside.  We planned to escape one by one but no one dared to initiate.  So we just decided to order  three dishes for the seven of us, a soup (with extra “sabaw”),” sisig na bangus”, and “kangkong” (which costs a bundle when bought from the market).  And we just asked for the service water for our drinks.  A big thanks to the rice and “sabaw” for our hunger was satisfied.

Nonetheless, we enjoyed our stay because we were laughing and joking all the time.  It was a funny and unforgettable experience of the seven medical technologists who were trying to save but ended up spending more.

  

NEW CONTRIBUTOR!

Image from www.dental.ufl.edu 

First off, I want to thank you for checking my blog and taking your time to read through the articles that have been posted so far. As I try to keep you abreast with the current malaria situation in the Philippines, our blog is not limited only to that scope. This blog is also intended for other research and clinical scientists to share their thoughts and experiences in and out of the laboratory.

With that, I would like to introduce our newest contributor. He is a research scientist in a cellular microbiology laboratory at the University of Florida Emerging Pathogens Institute. He also happens to be my youngest brother and shares the same nickname as mine. He graduated with a degree in Public Health from University of the Philippines (UP) Manila and pursued his masters in Medical Science at the Kyungpook National University School of Medicine in South Korea.

Through this blog he wishes to reach out and share his research experiences. Let's all welcome Jeff.


Get to know him more: click here>>>

Reagent Strips

By Jeffrey V. de Guzman

Routine chemical examination of the urine has changed dramatically since the early days of urine testing, owing to the development of the reagent strip method for chemical analysis.  Reagent strips currently provide a simple, rapid means for performing 10 medically significant chemical analyses, including pH, protein, glucose, ketones, blood, bilirubin, urobilinogen, nitrite, leukocytes, and specific gravity.

Testing methodology consists of dipping the strip completely, but briefly, into a well-mixed urine specimen; removing excess urine by touching the edge of the strip to the container .  Even though this is a simple procedure, improper technique can result in errors.

In addition to the use of correct testing technique, performance of quality control and care of reagent strips must be observed in order to guarantee quality patient care.  All clinical laboratories must have a quality assurance program in place.  Quality assurance program includes procedures for quality control of specimen collection and handling, reagents and test performance, instrument calibration and maintenance, reporting of results, personnel performance and requirements, safety, and documentation that the program is being followed.

Reagent strips must be protected from deterioration caused by moisture, volatile chemicals, heat, and light.  Strips are packaged in opaque containers with desiccant, and when not in use, these bottles should be stored tightly closed in a cool area.  Bottles should not be opened in the presence of volatile fumes.  All bottles are stamped with an expiration date that represents the functional life expectancy of the chemical pads.  This date must be honoured even if there is no noticeable deterioration of the reagents.

Unexpired strips should be tested for chemical reactivity with controls of known negative and abnormal concentrations.  Distilled water is not recommended for use as a negative control because reagent strip chemical reactions are designed to perform at an ionic concentration consistent with urine.  Additional or confirmatory procedures employing different chemical principles must be available for the substances being tested by reagent strip and should be used when questionable results are obtained or, in some instances, to confirm all positive results.

Observing all these procedures in routine urinalysis produces a win win situation between the laboratory and the patients.  Our business is to provide a quality health care for our patients.  But still, some laboratories do not comply with all these standards.  An example of such violations is the cutting of reagent strips into halves.

To quote one of their reason, “We cut urine strips into halves since cut and whole strips will produce equal results, thus minimizing our costs and consequently the charge to our patients”.

I’m sure you are scratching your head right now.  And if you happen to be the inspector, what would be your answer to this?

Reference: Susan King Strasinger: Urinalysis and body fluids.F.A. Davis Company, 1997

Malaria Microscopy Quality Assurance

An overview of the Malaria Microscopy Quality Assurance in the Philippines based from the Department of Heath - Malaria Control Program Manual of Procedures.

Presentation prepared by Jocelyn Rosete Pascua

An Overview of the Malaria Microscopy Quality Assurance in the Philippines -

An Overview of Diagnostic Methods in Malaria


An Overview of Diagnostic Methods in Malaria -
Related Posts Plugin for WordPress, Blogger...

Followers

Running A Web Design Business

You can run your own web design business from home, from a cafe or from a beach, all you need is a computer and an internet connection.