The purpose of this act is the welfare of the general public of Sri Lanka. This main purpose of the act is not achieved because of the shortcomings of the act. And my resignation is not a sudden decision. I have been observing the conduct of SLMC for five years. Sri Lanka Medical Council receives grievances of patients and can act as a court of inquiry. But two thirds of members of the SLMC are doctors. They are the prosecutors, They are also the judges. They determine the sentence. Tell me if that is reasonable?”
How does it justify the undervaluing of post graduate Qualifications of Non-MBBS Health Professionals through the amendment of Medical Ordinance by giving sole authorization to the PGIM as post qualifying institute
Equity among Health professionals toward patient centred health care service. Consistancy of SLMC is 16 Representatives from a single Trade Union.. How can expect maintaining justice and iquity of other health professionals and right of health seekers other than ensuring the Autonomy of that Trade Union.
Equity among Health professionals toward patient centred health care service. Consistancy of SLMC is 16 Representatives from a single Trade Union.. How can expect maintaining justice and iquity of other health professionals and right of health seekers other than ensuring the Autonomy of that Trade Union.
Hematology Analyzers—From Complete Blood Counts to Cell Morphology
The first group of tests help in making a primary presumptive diagnosis, Treatment and Control of dengue infection. The most important test is complete blood count. With use of complete blood count, the classical dengue triad can be seen, including increased hematocrit (hemoconcentration), atypical lymphocytosis and thrombocytopenia.
Hematology analyzers are used widely in patient and research settings to count and characterize blood cells for disease detection and monitoring. Basic analyzers return a complete blood count (CBC) with a three-part differential white blood cell (WBC) count. Sophisticated analyzers measure cell morphology and can detect small cell populations to diagnose rare blood conditions.
Hematology analyzer technology
The three main physical technologies used in hematology analyzers are: electrical impedance, flow cytometry, and fluorescent flow cytometry. These are used in combination with chemical reagents that lyse or alter blood cells to extend the measurable parameters. For example, electrical impedance can differentiate red blood cells (RBCs), WBCs, and platelets by volume. Adding a nucleating agent that shrinks lymphocytes more than other WBCs makes it possible to differentiate lymphocytes by volume.
Electrical impedance
The traditional method for counting cells is electrical impedance, also known as the Coulter Principle. It is used in almost every hematology analyzer.
Whole blood is passed between two electrodes through an aperture so narrow that only one cell can pass through at a time. The impedance changes as a cell passes through. The change in impedance is proportional to cell volume, resulting in a cell count and measure of volume.
Impedance analysis returns CBCs and three-part WBC differentials (granulocytes, lymphocytes, and monocytes) but cannot distinguish between the similarly sized granular leukocytes: eosinophils, basophils, and neutrophils.
Counting rates of up to 10,000 cells per second can be achieved and a typical impedance analysis can be carried out in less than a minute.
Flow cytometry
Laser flow cytometry is more expensive than impedance analysis, due to the requirement for expensive reagents, but returns detailed information about the morphology of blood cells. It is an excellent method for determining five-part WBC differentials.
A single-cell stream passes through a laser beam. The absorbance is measured, and the scattered light is measured at multiple angles to determine the cell’s granularity, diameter, and inner complexity. These are the same cell morphology characteristics that can be determined manually from a slide.
Fluorescent flow cytometry
Adding fluorescent reagents extends the use of flow cytometry to measure specific cell populations. Fluorescent dyes reveal the nucleus-plasma ratio of each stained cell. It is useful for the analysis of platelets, nucleated RBCs, and reticulocytes.
Proprietary technologies
Manufacturers combine these three technologies with innovative uses of reagents, hydrofluidics, and data analysis tools to produce proprietary methods, each of which has strengths in terms of accuracy, speed, or breadth of parameters.
GMOA is trying to abolish Private Medical Colleges showing their interest on "Quality Health Service" to the patients. But we believe GMOA can do a lot for the “Concept of Quality Health Service” with their existing workforce. Base of Quality service is not totally depending on minority defects of basic education.
• Could you meet your consultant timely?
• Did your medical officer explain your condition to the expected level?
• Did He/She aware about side effects of your drugs?
• How much did you pay for the private consultation?
• Was it affordable or justifiable to everyone who has paid for their “free” education
• Have you seen any practice of “Standard Operating Procedures” among Sri Lankan Medical Officers?
• It is required to sermon a patient at least 20 minute in primary care for providing “Quality Medical Service”. Do you have this experience in our OPD setup?
As health professionals, we have social responsibility to make aware the community on actual “Quality Health Care Service” instead of violating patient’s rights by building up the professional monopoly and thrilling hidden agendas.
Further we do believe “Free Education” should not be violated the right of “Education Freedom”
