Kuntal Patel
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Utility of the Cell Block Preparation as an Additive Tool to the Conventional Cytological Smears Devanshi Gosai; Kuntal Patel; Ashu Dogra; Jasmin Jasani
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14286

Abstract

Background: For the detection of malignancy in the serous fluids of the body, cytological examination ofthe fluid is very important. It is also of prime importance and seems difficult to differentiate the malignantcells from reactive mesothelial cells during fluid cytology. The cell block preparation is a useful and additivediagnostic tool when cellular features in cytology are inconclusive or suspicious. The aim of the study wasto assess the utilization of the cell technique as an additional tool along with the conventional smears thatwe are using in routine practice.Methods: 200 body (effusion) fluids were examined by the conventional cytological smears as well as bythe cell block technique.Conclusion: The diagnostic yield increases when we use the cell block preparation method along with theconventional smears because the architectural patterns and cell morphology are very well preserved in cellblock as compared to the smears.
A retrospective study on seroprevalence of Transfusion Transmitted Infections in blood donors at Dhiraj Hospital, Vadodara Kuntal Patel; Raxitkumar Suthar; Gunjan Rathod
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14320

Abstract

Background: Transfusion of blood and its components help in saving lives but it can also be a life-threateninghazard. Prevention of transmission of infectious diseases through blood transfusion in developing countriesis difficult, since the resources available are limited.Methods and Material: A retrospective study was undertaken to determine the seroprevalence of TTIamong the blood donors who donated blood to Dhiraj Hospital Blood Bank between January 2015 andDecember 2019.The TTI reports of the donors was obtained from the blood donor data records.Each blood unit was tested by ELISA method for HIV, Hepatitis B and Hepatitis C virus. Syphilis was testedby Rapid Plasma Reagin (RPR) card test. Malaria was tested by antigen rapid diagnostic test.As is the practice in the Blood Bank, all positive samples were subject to repeat test for confirmation, beforethe seropositive blood unit is discardedThe information extracted from the Dhiraj Hospital blood bank database also included donor Id, Age, Sex,Residential address, donation type, donation frequency.Results: The data analysed in the study consisted of a total 20,711 blood donations, of which 2728 (13.1%)were voluntary and 18,288 (86.9%) were replacement donation.The seroprevalence rate of HIV was 0.1, that of HBV was 1.4, HCV 0.1, syphilis was 0.5 and Malaria was0.3 among all the blood donors. The TTIs were more frequently found in replacement donors in comparisonto volunteer donors.Conclusions:Ø The prevalence of TTI is higher in replacement blood donors than voluntary blood donors, hencecollection of blood from replacement donors should be at least reduced, if not totally eliminated.Ø Stringent criteria need to be used for selection of blood donors.Ø Potential Voluntary blood donors need to be identified and motivated to donate blood regularly.