How to Manage an Effective Laboratory for Science Learning in Schools?

The role of school laboratories is vital in helping junior high school students learn science. Many schools have laboratory facilities but are underutilized. This study aims to optimize the role of school laboratories through action research. In three cycles, the writer carried out the SMP Negeri 2 Metro research and SMP Negeri 6 Metro. The first cycle carried out technical guidance to the laboratory manager. Still, the results were not as expected due to communication problems to understand the principal's importance of incomplete laboratory improvement. The second cycle is carried out by mentoring the laboratory management. This includes the making of the laboratory management, inventory, and labeling, and creating work programs. This cycle two treatment also has not shown the results as expected. The reflection results found that the root of the problem was that the teachers and the laboratory manager believed that practicum activities needed time. So, it had to be carried out outside of class hours to require additional time, effort, and cost. To overcome this problem, in the third cycle, a workshop on making a practicum guide and Standard Operating Procedure (SOP) of practicum was developed according to the lesson schedule, then a trial was conducted. Data collection uses documentary, interview, and Focus Group Discussion (FGD) methods to explore the root of the problem and the solution. Data processing uses a qualitative approach with steps: data collection, selection, and grouping, tabulation, description, interpretation, and conclusions. Based on the results of action research data analysis, it can be concluded: First, management improvement and inventory of laboratory tools and materials as well as making practical SOPs, which are effective in optimizing the role of science laboratories in supporting the learning process; Second, the use of SOP practicum according to the lesson schedule is quite efficient in saving time, effort, and costs. According to the results of this study, it is recommended that for the laboratory to be optimal in supporting learning, laboratory management must be orderly equipped with SOPs, and inventory of tools and materials must be good.

Trichosporon inkin fungemia case report: clinical and laboratory management

Trichosporon species are emerging as opportunistic pathogens that mainly affect immunocompromised patients. Patients with onco-hematological diseases usually present with fungemia by Trichosporon species, especially by T. asahii. Reports of this infection by other species of the genus are uncommon. Thus, in this paper, we present a case of T. inkin fungemia in a 39-year-old female patient with intestinal obstruction and absence of malignant hematological diseases. The late mycological diagnosis, the ineffective control of her pre-existing conditions and consequent failure to start antifungal therapy were the contributing factors for the patient's death.

Laboratory Management in Improving the Tri Dharma of Higher Education in The Department of Mining Engineering

Improving the quality of laboratory services must always be improved in improving the quality of the tri dharma of higher education. Good laboratory management is one of the supporting factors, for that reason, the Department of Mining Engineering manages the laboratory. Laboratory management, in this case, is the laboratory equipment inventory system and laboratory control system. This system will be used to carry out monitoring data on the use of website-based laboratory equipment where the use of laboratory equipment must be carried out systematically. The first step is to create a web system for administration and inventory in the laboratory. In this study, in conducting website-based lab management, it is also necessary to map the problems faced by students in relation to services and supporting infrastructure in the laboratory.

Factors associated with the incidence rate of HIV viral rebound among children and adults receiving antiretroviral therapy in Malawi using the Laboratory Management information System: 2011-2020

Objective: To describe the trends in the incidence rate of HIV VL rebound and assess the factors associated with the incidence rate of HIV VL rebound among the persons receiving ART in Malawi between 2011 and 2020. Methods: We analyzed routinely collected patient-level HIV VL data extracted from the Malawi Laboratory Management Information System (LIMS). We fitted a multivariable Cox regression model of having HIV VL rebound (>1000 copies/mL) using a forward step-wise selection method, with age and sex entered as a priori variables. We presented both crude and adjusted hazard ratios (aHR) of HIV VL rebound for the various independent variables. Statistical significance was set at P<0.05. Results: We evaluated 230,465 adults and children receiving ART and having at least one viral load test between 2011 and 2020. The median time between ART initiation and having a VL sample was 55 months (interquartile range: 25-92). The aHR for having HIV VL rebound were: 0.79 for females (95%CI:0.77-0.80, P<0.001) compared to males, 0.95 (95%CI: 0.94-0.98, P<0.001) for patients from rural compared to urban areas and 0.57 (95%CI:0.56-0.58, P<0.001) for routine compared to targeted VL tests. There was a decreasing trend in the aHR of patients having HIV VL rebound with increasing age. Conclusion: This is the first national analysis of Malawi HIV VL data from LIMS. Our findings show the need to take into account the geographic and demographic characteristics of the patients in order to persistently suppress HIV VL and consequently achieve 95% HIV VL suppression by 2030.

Laboratory Management for Cytopathology Fellows: Our Institution’s Curriculum

Introduction/Objective The cytopathology laboratory is one of the most highly regulated clinical laboratories. The Accreditation Council for Graduate Medical Education (ACGME) milestones include competencies in laboratory management. Additionally, many cytology fellows will be involved in laboratory management after finishing training. Therefore, it is imperative to incorporate formal laboratory management training for cytology fellows. Our cytopathology department implemented a formal laboratory management curriculum this year, with emphasis placed on the milestones (1.0 and 2.0) provided by the ACGME. Methods/Case Report The curriculum is divided into seven modules extending throughout the fellowship year (August-April). The modules include hand-off communication, process improvement, laboratory accreditation (introduction, intermediate, advanced) and error management (introduction, intermediate). Each module has two components: self-study of assigned reading materials and online courses, followed by an interactive session with faculty and/or laboratory personnel. Several engaging, high-quality resources are used including Institute for Healthcare Improvement Open School, modules from professional organizations, PubMed articles, National Quality Forum, departmental committees and mock inspections. Each module is followed by an interactive session to review policies, procedures and/or checklists. The fellows also spend time in the cytology laboratory preparation area and participate in Quality Improvement meetings. Results (if a Case Study enter NA) The fellowship director discusses the educational expectations at the start of each module. Evidence of compliance is demonstrated by uploading all of the completed assignments to MedHub (a web- based training management system) at the end of the module. All of the modules include self-assessment questions that are reviewed by the fellowship director. Conclusion Our cytopathology laboratory introduced a structured laboratory management curriculum. This curriculum fulfills some of the laboratory management competencies put forth in the ACGME milestones. This curriculum will also help to prepare fellows to confidently participate in cytology laboratory management as they enter the workforce.