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Clinical laboratory science [journal]
- Monitoring the direct thrombin inhibitors. [Journal Article]
- Clin Lab Sci 2013; 26(1):54-7.
- Monitoring the anti-Xa anticoagulants, from heparin to eliquis. [Journal Article]
- Clin Lab Sci 2013; 26(1):48-53.
- Monitoring Coumadin-the original oral anticoagulant. [Journal Article]
- Clin Lab Sci 2013; 26(1):43-7.
- Anticoagulant therapy overview. [Journal Article]
- Clin Lab Sci 2013; 26(1):39-42.
- Some basic points concerning meta-analysis. [Journal Article]
- Clin Lab Sci 2013; 26(1):30-8.
Multiple studies have been performed on a variety of substances, often producing contradictory results. Meta-analysis has provided a means of evaluating these disparate results, combining them into a summary statistic. Using continuous data for baseline and one sample point, several studies were evaluated to achieve a single result, demonstrating the meta-analysis evaluation process.
- Development and feasibility of an electronic white blood cell identification trainer. [Journal Article, Research Support, Non-U.S. Gov't]
- Clin Lab Sci 2013; 26(1):23-9.
A prototype computer-based training tool to improve WBC identification skills was developed. Students were assigned to complete five simulated WBC differentials but were allowed ample free time to use the tool at will to complete additional cases and to use the software in two alternative learning modes. The assignment was made at the end of the traditional WBC differential training activities in the first semester of hematology in the clinical laboratory science curriculum. The tool recorded usage data during the one month that students had access. Student performance was compared to the consensus results from an expert panel of hematology instructors. Usage tracking data was extracted and reviewed. The performance data indicated that students varied in WBC identification skill on the assignment. The usage tracking data showed that students used the tool only slightly more than the assigned cases and did not use alternative learning modes. Data from the expert panel indicated that the experts varied greatly in the number of discrepancies from the consensus opinion. Item analysis indicated the cell types that were most problematic. The prototype experience prompted the creation of a revised subsequent version of the trainer that is now being evaluated in our CLS program. The new trainer is web-based offering personal computer and mobile device access.
- The pathology of alcohol use and abuse. [Journal Article]
- Clin Lab Sci 2013; 26(1):15-22.
Alcohol is the most widely abused substance in the United States and its pathology is responsible for more pathological conditions than all other forms of drug use combined. Alcohol dependence is associated with a number of adverse individual and societal consequences and high rates of morbidity and mortality. Alcohol use and abuse have a significant pathological effect on the brain, fetus, liver, heart, pancreas, and immune system. Cancer risks have also been attributed to alcohol use and abuse. Assessing acute and chronic alcohol consumption is critical to effective treatment but unfortunately currently available clinical laboratory testing procedures lack the ability to inform alcohol treatment providers about use and abuse.
- Recruitment and retention strategies for hospital laboratory personnel in urban and rural settings. [Journal Article]
- Clin Lab Sci 2013; 26(1):10-4.
Laboratory directors and administrators play vital roles in the recruitment and retention processes of their employees. A total of 71 laboratory directors from hospitals across 51 counties in Tennessee responded to questionnaires regarding recruitment and retention strategies. Respondents reported strategies for recruitment and retention, which were agreed to be effective by management. Overall, these major strategies were consistent regardless of geographic location and limited differences were noted with regard to urban-rural locations. The findings that varied significantly between urban and rural locations included: 1) rural employees needed additional supervision; 2) rural hospitals relied on local residents more so than urban hospitals; 3) rural laboratory administrators noted more limited access to resources; and the 4) lower effectiveness of recruitment agencies and family relocation programs for rural hospitals. This is significant given the disparities often associated with rural areas, and the potential to develop more successful recruitment and retention strategies for those areas. Active managers in clinical laboratory science programs in the hospital setting should note effective strategies for both, recruitment and retention of personnel, and note the potential impact of geography on such processes.
- Value of clinical laboratory services in health care. [Journal Article]
- Clin Lab Sci 2013; 26(1):8-9.
- Scope of practice. [Journal Article]
- Clin Lab Sci 2013; 26(1):4-7.
The current economic and regulatory healthcare climate benefits from the roles described for medical laboratory scientists and technician. These roles achieve high quality, cost-effective assessment, diagnosis, treatment, and prevention of disease to meet the needs of a changing healthcare environment.