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Department of Haematology
Notes

Full blood counts are performed on automated equipment and provide haemoglobin concentration, red cell indices, white cell count (with a differential count) and platelet count.
The presence of abnormal white cell and red cell morphology is flagged by the analysers.
Blood films may be inspected to confirm and interpret abnormalities identified by the cell counter, or to look for certain specific haematological abnormalities.
Grossly abnormal FBC results and abnormal blood films will be phoned through to the requestor.
There is no need to request a blood film to obtain a differential white count. It is, however, important that clinical details are provided to allow the laboratory to decide whether a blood film, in addition to the automated analysis, is required.
Under some circumstances a differential is not routinely performed, e.g. pre-op, post-op, antenatal and postnatal requests.
Full Blood Counts are performed at CGH and GRH
See also: Reticulocyte Count

The FBC comprises the following tests
Standard

Haemoglobin (Hb)
White Blood Count (WBC)
Platelet Count (Plt)
Red Cell Count (RBC)
Haematocrit (HCT)
Mean Cell Volume - Red cell (MCV)
Mean Cell Haemoglobin (MCH)

Differential White Cell Count (where applicable)

Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils

And if appropriate

Blood Film

Sample Requirements
2ml or 4ml EDTA sample or a Paediatric 1ml EDTA sample.

 

Sample Storage and Retention

Pre analysis storage: do not store, send to laboratory within 4 hours.
Sample retention by lab: EDTA samples are retained for a minimum of 48 hours at 2-10°C
Transport of samples may affect sample viability, i.e. FBC results will degenerate if exposed to high temperatures, such as prolonged transportation in a hot car in summer.

This test can be added on to a previous request as long as there is sufficient sample remaining and the sample is less than 24 hours old.
Turnaround Times

Clinical emergency: 30 mins
Other urgent sample: 60 mins
Routine: within 2 hours

Reference Ranges


If references ranges are required for paediatric patients please contact the laboratory for these.

Parameter Patient Reference Range Units Haemoglobin Adult Male 130 - 180 g/L   Adult Female 115 - 165 g/L Red Cell Count Adult Male 4.50 - 6.50 x10^12/L   Adult Female 3.80 - 5.80 x10^12/L Haematocrit Adult Male 0.40 - 0.54 L/L   Adult Female 0.37 - 0.47 L/L Mean Cell Volume Adult 80 - 100 fL Mean Cell Haemoglobin Adult 27 - 32 pg White Cell Count Adult 3.6 - 11.0 x10^9/L Neutrophils Adult 1.8 - 7.5 x10^9/L Lymphocytes Adult 1.0 - 4.0 x10^9/L Monocytes Adult 0.2 - 0.8 x10^9/L Eosinophils Adult 0.1 - 0.4 x10^9/L Basophils Adult 0.02 - 0.10 x10^9/L Platelet Count Adult 140 - 400 x10^9/L


 




 

What is SDLC?
SDLC is a process followed for a software project, within a software organization. It consists of a detailed plan describing how to develop, maintain, replace and alter or enhance specific software. The life cycle defines a methodology for improving the quality of software and the overall development process.
The following figure is a graphical representation of the various stages of a typical SDLC.

A typical Software Development Life Cycle consists of the following stages −
Stage 1: Planning and Requirement Analysis
Requirement analysis is the most important and fundamental stage in SDLC. It is performed by the senior members of the team with inputs from the customer, the sales department, market surveys and domain experts in the industry. This information is then used to plan the basic project approach and to conduct product feasibility study in the economical, operational and technical areas.
Planning for the quality assurance requirements and identification of the risks associated with the project is also done in the planning stage. The outcome of the technical feasibility study is to define the various technical approaches that can be followed to implement the project successfully with minimum risks.
Stage 2: Defining Requirements
Once the requirement analysis is done the next step is to clearly define and document the product requirements and get them approved from the customer or the market analysts. This is done through an SRS (Software Requirement Specification) document which consists of all the product requirements to be designed and developed during the project life cycle.
Stage 3: Designing the Product Architecture
SRS is the reference for product architects to come out with the best architecture for the product to be developed. Based on the requirements specified in SRS, usually more than one design approach for the product architecture is proposed and documented in a DDS - Design Document Specification.
This DDS is reviewed by all the important stakeholders and based on various parameters as risk assessment, product robustness, design modularity, budget and time constraints, the best design approach is selected for the product.
A design approach clearly defines all the architectural modules of the product along with its communication and data flow representation with the external and third party modules (if any). The internal design of all the modules of the proposed architecture should be clearly defined with the minutest of the details in DDS.
Stage 4: Building or Developing the Product
In this stage of SDLC the actual development starts and the product is built. The programming code is generated as per DDS during this stage. If the design is performed in a detailed and organized manner, code generation can be accomplished without much hassle.
Developers must follow the coding guidelines defined by their organization and programming tools like compilers, interpreters, debuggers, etc. are used to generate the code. Different high level programming languages such as C, C++, Pascal, Java and PHP are used for coding. The programming language is chosen with respect to the type of software being developed.
Stage 5: Testing the Product
This stage is usually a subset of all the stages as in the modern SDLC models, the testing activities are mostly involved in all the stages of SDLC. However, this stage refers to the testing only stage of the product where product defects are reported, tracked, fixed and retested, until the product reaches the quality standards defined in the SRS.
Stage 6: Deployment in the Market and Maintenance
Once the product is tested and ready to be deployed it is released formally in the appropriate market. Sometimes product deployment happens in stages as per the business strategy of that organization. The product may first be released in a limited segment and tested in the real business environment (UAT- User acceptance testing).
Then based on the feedback, the product may be released as it is or with suggested enhancements in the targeting market segment. After the product is released in the market, its maintenance is done for the existing customer base.Video link:Embedded video link:Link: https://projects.invisionapp.com/d/main#/console/20294675/458743820/preview 

Aerobic Exercise
What it does: Aerobic exercise improves circulation, which results in lowered blood pressure and heart rate, Stewart says. In addition, it increases your overall aerobic fitness, as measured by a treadmill test, for example, and it helps your cardiac output (how well your heart pumps). Aerobic exercise also reduces the risk of type 2 diabetes and, if you already live with diabetes, helps you control your blood glucose.
How much: Ideally, at least 30 minutes a day, at least five days a week.
Examples: Brisk walking, running, swimming, cycling, playing tennis, and jumping rope. Heart-pumping aerobic exercise is the kind that doctors have in mind when they recommend at least 150 minutes per week of moderate activity.
Resistance Training (Strength Work)
What it does: Resistance training has a more specific effect on body composition, Stewart says. For people who are carrying a lot of body fat (including a big belly, which is a risk factor for heart disease), it can help reduce fat and create leaner muscle mass. Research shows that a combination of aerobic exercise and resistance work may help raise HDL (good) cholesterol and lower LDL (bad) cholesterol.
How much: At least two nonconsecutive days per week of resistance training is a good rule of thumb, according to the American College of Sports Medicine.
Examples: Working out with free weights (such as hand weights, dumbbells, or barbells), on weight machines, with resistance bands or through body-resistance exercises, such as push-ups, squats, and chin-ups.
Stretching, Flexibility, and Balance
What they do: Flexibility workouts, such as stretching, don’t directly contribute to heart health. What they do is benefit musculoskeletal health, which enables you to stay flexible and free from joint pain, cramping, and other muscular issues. That flexibility is a critical part of being able to maintain aerobic exercise and resistance training, says Stewart.
“If you have a good musculoskeletal foundation, that enables you to do the exercises that help your heart,” he says. As a bonus, flexibility and balance exercises help maintain stability and prevent falls, which can cause injuries that limit other kinds of exercise.
How much: Every day and before and after another exercise.
Examples: Your doctor can recommend basic stretches you can do at home, or you can find DVDs or YouTube videos to follow (though check with your doctor if you’re concerned about the intensity of the exercise). Tai chi and yoga also improve these skills, and classes are available in many communities.Testing 

 Hemoglobin is an iron-rich protein in red blood cells (RBCs).   The normal hemoglobin range for men is 13.5 to 17.5 gm/dL and 12 to 15.5 gm/dL for women. It is of utmost importance to maintain hemoglobin concentration.  
What you need to know:

What functions does hemoglobin perform in our bodies?
What causes low hemoglobin? 
Symptoms of low hemoglobin 
What are the foods that can increase hemoglobin level? 
Tips to increase your hemoglobin levels

What functions does hemoglobin perform in our bodies? 
Hemoglobin is vital for carrying oxygen from the lungs to tissues and organs. It also transports carbon dioxide from the tissues back to the lungs.
What causes low hemoglobin?

Some common causes of low hemoglobin are:

Substantial blood loss
Deficiency in iron, vitamin B, and folate
Kidney disease
Hypothyroidism
Thalassemia
Lung diseases
Excessive smoking

Any type of blood loss can cause anemia, including blood loss from surgery, heavy menstrual periods, and bleeding in the gastrointestinal tract. 
Symptoms of low hemoglobin
You can detect extremely low hemoglobin levels in your system in a few ways. They include

A fast or irregular heartbeat
Fatigue
Frequent or unexplained bruising
Shortness of breath
Liver and kidney disease
Pale skin and gums
Muscle weakness
Reoccurring headaches
Dizziness
Poor appetite
Anemia in severe cases

Elevated hemoglobin levels are associated with dehydration, heart failure, and chronic lung disease. In some conditions, the bone marrow may not produce enough RBCs, leading to cancers like leukemia, lymphoma, or tumors that spread from other parts of the body into the bone marrow.
What are the foods that can improve your hemoglobin levels?

It is essential to boost your food intake to raise your hemoglobin levels. Here are some foods to increase hemoglobin levels:

Iron-rich foods: Consume iron-rich foods like fish, meat, eggs, soy products, broccoli, green leafy vegetables that include spinach, fenugreek leaves, cauliflower, green peas, cabbage, green beans, nuts and seeds, and peanut butter, to increase your hemoglobin levels.
Vitamin A: It is pertinent to consume vitamin A foods to increase hemoglobin as they absorb more iron. Vitamin A and beta-carotene can help you there. Vitamin A is found in animal food sources, such as fish and liver. Beta-carotene is found in red, yellow, and orange fruits and vegetables.
Folate: Folate is a type of Vitamin B that plays an essential part in hemoglobin production. A shortage of folate can prevent the red blood cells from maturing, leading to anemia. Some good sources of folate include beef, rice, black-eyed peas, kidney beans, lettuce, and peanuts.
Foods rich in vitamin C: A combination of iron and vitamin C can prove to be beneficial. The latter is used for better absorption of iron. Foods rich in vitamin C include oranges, lemon, strawberries, papaya, bell peppers, broccoli, and tomatoes.
Fruits: It is also perfect to have fruits like beetroot, apple, watermelon, papaya, oranges, litchis, kiwis, strawberries, grapefruit, banana, and peach, which can boost hemoglobin levels. Plus, dry fruits, like dates, can increase the number of erythrocytes, thereby increasing hemoglobin levels. They contain iron, vitamin C, vitamin B complex, and folic acid, which helps in the formation of red blood cells. Raisins are also a rich source of iron and copper necessary to form red blood cells.

Avoid iron blockers: Foods that block your body’s ability to absorb iron, such as coffee, tea, alcohol, and aerated drinks, should be avoided.
Tips to increase your hemoglobin levels
Here are some tips to keep in mind to increase your hemoglobin levels:
Switch to brown rice: As a superfood, brown rice can help prevent various diseases related to cholesterol and the gastrointestinal system. It is rich in iron, containing 0.52 milligrams of iron for every 100 grams.
Enjoy dark chocolate: With over 80% of cocoa, dark chocolate naturally improves hemoglobin levels. Plus, it is loaded with minerals, nutrients and antioxidants.
Drink nettle tea: The spice nettle has also proven to be a good source of iron and vitamin B and C. They can also play a part in increasing hemoglobin levels.
 Exercise: Take up moderate to high-intensity exercise to help your body produce more hemoglobin to meet the oxygen demands of your body. 
Stay tuned to the Activ Living Community. Keep up to date with the latest health tips and trends through expert videos, podcasts, articles, and much more in nutrition, fitness, mindfulness, and lifestyle conditions like Asthma, Blood Pressure, Cholesterol, and Diabetes.
 You may also be interested in the following blogs: 

10 Vegetarian Foods That Are Rich In Iron
Want to Add Iron Rich Foods to Add in Your Diet? Check Out These Iron Rich Foods. 

Nutrition information provides insights into the essential nutrients and their quantities found in food, aiding in making informed dietary choices to support health and well-being. 



 






Here's a breakdown of key aspects of nutrition information:


1. What is Nutrition?



Nutrition is the process of taking in food and converting it into energy and other vital nutrients required for life. 



 




It involves the body's ability to ingest, digest, absorb, and utilize nutrients from food for growth, development, and maintaining health. 



 





Essential nutrients include carbohydrates, proteins, fats, vitamins, minerals, dietary fiber, and water. 



 







2. Why is Nutrition Important?








Growth and Development:
Proper nutrition is crucial for the healthy growth and development of children and adolescents. 



 












Health and Well-being:
It supports overall health and well-being, contributing to a strong immune system and reducing the risk of chronic diseases. 



 












Energy:
Nutrients provide the body with the energy it needs to function, move, and perform daily activities. 



 












Disease Prevention:
A balanced diet can help prevent or manage various diseases, including heart disease, diabetes, and certain cancers. 



 












3. Key Nutrients and Their Functions:




Carbohydrates: The body's primary source of energy.
Proteins: Essential for building and repairing tissues, and also provide energy.
Fats: Provide energy, support cell function, and help the body absorb certain vitamins.
Vitamins and Minerals: Crucial for various bodily functions, including immune function, bone health, and nerve function.
Dietary Fiber: Aids in digestion and promotes healthy bowel movements.
Water: Essential for all bodily functions, including hydration and nutrient transport. 



 








4. How to Find Nutrition Information:








Food Labels:
Most packaged foods have nutrition information labels that list key nutrients and their amounts per serving. 



 












Online Resources:
Websites and apps provide nutritional information for various foods and recipes. 



 












Consult Professionals:
Registered dietitians or nutritionists can offer personalized guidance on nutrition needs. 

Use behavioral and environmental prompts to increase desired classroom behaviors. For example, pictorial prompts of students attending in class serve as a reminder of the teacher’s expectations for learning and behavior. Electronic visual aids such as interactive whiteboards and document cameras are helpful for capturing the attention of students with ADHD (Piffner, 2011). 
 
https://www.cliffsnotes.com/study-guides/principles-of-management/the-evolution-of-management-thought/behavioral-management-theory
 
Additionally, the use of tablets and computers may engage students more fully in learning activities.
Priming Procedure: Prime the student before an assignment or lesson byreviewing a list of student-identified privileges or reinforcements that can beearned following a specified work period.
Proximity Control: Teacher proximity is highly effective for helping studentswith ADHD maintain attention. For example, the teacher may move closer to thestudent when giving directions and monitoring seatwork.
Timers: Set a timer to indicate how much time remains in the lesson or workperiod. The timer should be clearly visible so students can check remaining timeand monitor their progress.
 
Wristwatch or Smartphone: Teach the student to use a wristwatch orsmartphone to manage time when completing assigned work. Many watches andsmartphones have built-in timers that can be programmed to beep at set intervals.
Music: Play different levels and tempos of music to help students understand theactivity level appropriate for particular lessons. For example, using quiet classicalmusic for individual learning activities helps block distractions and creates a calmclassroom environment (U.S. Department of Education, 2006).
Children with ADHD require specific and frequent feedback and/or reinforcementimmediately following the demonstration of desired behaviors. When students arelearning new behaviors, it is generally important to reinforce close approximations firstas a way to shape behavior. Once a behavior is established, the frequency ofreinforcement can be gradually decreased. Students with ADHD tend to quickly loseinterest with repetition, so a variety of easy-to-implement reinforcers should beconsidered.Praise, Praise, Praise: Attentiveness and appropriate classroom behavior areprerequisites for learning; therefore, interventions that promote these behaviorsshould be an integral part of the teaching process for all students. When teachersare attentive to positive behavior and specifically praise students for thesebehaviors, they can engage students before their attention drifts while highlightingdesired behavior (U.S. Department of Education, 2006).

Just over 3 billion people are online with an estimated 17 billion connected devices or sensors. [9] That generates a large amount of data which, combined with decreasing costs of data storage, is easily available for use. Machine learning can use this as training data for learning algorithms, developing new rules to perform increasingly complex tasks.
Just over 3 billion people are online with an estimated 17 billion connected devices or sensors.  That generates a large amount of data which, combined with decreasing costs of data storage, is easily available for use. Machine learning can use this as training data for learning algorithms, developing new rules to perform increasingly complex tasks.
Just over 3 billion people are online with an estimated 17 billion connected devices or sensors. [9] That generates a large amount of data which, combined with decreasing costs of data storage, is easily available for use. Machine learning can use this as training data for learning algorithms, developing new rules to perform increasingly complex tasks.
Just over 3 billion people are online with an estimated 17 billion connected devices or sensors. That generates a large amount of data which, combined with decreasing costs of data storage, is easily available for use. Machine learning can use this as training data for learning algorithms, developing new rules to perform increasingly complex tasks.

Education is the transmission of knowledge, skills, and character traits. There are many debates about its precise definition, for example, about which aims it tries to achieve. A further issue is whether part of the meaning of education is that the change in the student is an improvement. Some researchers stress the role of critical thinking to distinguish education from indoctrination. These disagreements affect how to identify, measure, and improve forms of education. The term can also refer to the mental states and qualities of educated people. Additionally, it can mean the academic field studying education.