New Zealand Journal of Medical Laboratory Science Is the Offi Cial Publication of the New Zealand Institute of Medical Bernard Chambers
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,661 9ROXPH1XPEHU1RYHPEHU blis sta he E d 1HZ=HDODQG -RXUQDORI i n 1946 0HGLFDO /DERUDWRU\ 6FLHQFH 2IILFLDO3XEOLFDWLRQRIWKH 1HZ=HDODQG,QVWLWXWHRI 0HGLFDO/DERUDWRU\6FLHQFH ,QFRUSRUDWHG HIT range - 07/2012 - Photo: Eric Meola/Gettyimages ©2010 Diagnostica Stago All rights reserved www.epicea.com STic Expert® HIT For suspected Heparin Induced Thrombocytopenia Allows exclusion of HIT when combined with the pretest clinical score IgG specific Unitary test, very easy to use Result available in 10 minutes Editor Rob Siebers, PGCertPH FNZIC FNZIMLS CBiol CSci FSB, University of New Zealand Journal of Otago, Wellington Deputy Editor Terry Taylor, BSc DipMLS MNZIMLS, Southern Community Laboratories, Dunedin Board Members Chris Kendrick, GradDipSc MSc MNZIMLS, Massey University, Palmerston North Michael Legge, PhD MSB FIBMS FNZIMLS FFSc(RCPA), University of Volume 66 Number 3 Otago, Dunedin November 2012 Holly Perry, MAppSc(Hons) DipMLT MNZIMLS, Auckland University of Technology ISSN 1171-0195 Cat Ronayne, BMLSc DipGrad MNZIMLS, University of Otago, Dunedin John Sterling, BSc(Hons) MLett AFRCPA MAIMS FRMS, SA Pathology, TH Pullar Memorial Address Adelaide Pathology: The study of structure and function in health and Ann Thornton, CertMS FNZIMLS, University of Otago, Wellington Tony Woods, BA BSc(Hons) PhD MAIMS FFSc(RCPA), University of diseases South Australia, Adelaide Robin Fraser ................................................................................67-69 Statistical Editor Original article Nevil Pierse, PhD, University of Otago, Wellington Evaluation of the new red cell research parameters on the Sysmex About the Journal XE-5000 The New Zealand Journal of Medical Laboratory Science is the offi cial publication of the New Zealand Institute of Medical Bernard Chambers ............................................................................70-72 Laboratory Science (NZIMLS) who owns the copyright. No parts of this publication may be reproduced in any form without the Case studies written permission of the NZIMLS. The Journal publishes original Fine needle aspiration cytology of unsuspected metastatic primitive articles, technical communications, review articles, case studies and letters to the Editor on all subjects pertaining to the practice of neuroectodermal tumour (PNET): a case report medical laboratory science. The journal is published three times per Sharda Lallu, Sarla Naran, Peter Bethwaite and Diane year in April, August and November. It is circulated to all NZIMLS members and universities and research institutes in New Zealand Kenwright ...................................................................................74-77 and overseas. Current circulation is about 2,200 copies per issue. Printed by Keyprint Printing Ltd, Auckland, New Zealand. Laboratory detection of Neisseria meningitides – a case report Brief instructions to authors Submit all material electronically to the Editor (rob.siebers@otago. Aus Molan ...................................................................................78-80 ac.nz or [email protected]. Comprehensive instructions Special article to authors can be found on the NZIMLS web site (www.nzimls. org.nz). With your submission include the author form in which Registration/APC vs NZIMLS/CPD each author’s contribution to the study is stated together with any Sharon Tozer ...............................................................................82-83 possible confl icts of interest. This information will be published with the accepted manuscript. The authors are responsible for the Reports scientifi c content and views. Opinions expressed in the Journal are Abstracts of oral and poster presentations at the Annual Scientifi c not necessarily those of the Editors, Editorial Board or Council of the NZIMLS. meeting of the NZIMLS, Wellington, August 2012 ..................84-95 Indexing The Journal is open access (www.nzimls.org.nz) and is abstracted Minutes of the NZIMLS AGM, Wellington, August, 2012 ........98-99 by the Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, EBSCO, Biosis Citation Index, Scopus, Google Scholarly and Thomson Gale. The Journal is a member of the World NZIMLS 2013 Calendar ..................................................................107 Association of Medical Editors (www.wame.org) Subscription Regular features Enquiries regarding subscription and address changes should be addressed to the NZIMLS at PO Box 505, Rangiora, New Zealand. Advertisers in this issue ...................................................................66 Ph: +64 3 313 4761; Email: [email protected] Barry Edwards/Rod Kennedy Scholarship ....................................106 Advertising Fellowship of the NZIMLS ...............................................................99 Advertisement bookings and inquiries should be addressed to the NZIMLS Executive Offi ce. Email: [email protected] In this issue ......................................................................................66 Instructions to authors ....................................................................65 The Journal is proudly printed on FSC Certifi ed Mixed Source pulp from well - managed and legally harvested forests. Journal questionnaire .....................................................................96 Pacifi c Way column ................................................................104-105 Special Interest Groups ..........................................................100-103 NZ J Med Lab Science 2012 65 Inside this issue Each year the NZIMLS Council invites a prominent medical In this issue are two case studies. The fi rst one from Sharda Lallu laboratory scientist or pathologist to deliver the TH Pullar and colleagues from Wellington Hospital reports a case of primitive Memorial Address at the Annual Scientifi c Meeting. Dr TH (Thos) neuroectodermal tumour of the tongue. Histologic appearance, Pullar, a pathologist, was for many years involved in building up and ultrastructural and immunohistochemical fi ndings confi rmed laboratory standards, and with the training and welfare of medical the diagnosis. laboratory scientists. This year the TH Pullar Memorial Address was given by Robin Frazer, Emeritus Professor at the University of The second case study, by Aus Molan from Palmerston North Otago Christchurch. His address “Pathology: the study of structure Hospital, was a case of bacterial mengititis in which conventional and function in health and diseases” is in this issue. Gram stain and culture methods failed to identify the causative agent (Neisseria meningitides) that was subsequently identifi ed Bernard Chambers from Middlemore Hospital, Auckland was a past by a PCR method. This illustrates the importance of molecular recipient of the NZIMLS Barry Edwards and Rod Kennedy Scholarship methods for the rapid diagnosis of bacterial meningitis. and attended the Institute of Biomedical Sciences Congress in the UK in 2011 where he presented a study “Evaluation of the new There is often a lot of confusion between registration and red cell research parameters on the Sysmex XE-5000” which is membership, and renewing your Annual Practising Certifi cate published in this issue. The Sysmex XE-5000 analyser includes four (APC) and renewing your membership and/or CPD enrolment with new red cell research parameters. The aim of his study was, among the NZIMLS. In this issue Sharon Tozer from the NZIMLS Executive other, to establish reference intervals for these four parameters Offi ce clarifi es that the Medical Sciences Council of New Zealand and look at their values in different anaemic populations. He found (MSCNZ), not the NZIMLS, registers medical laboratory scientists that these new parameters correlated better with MCV and MCH and technicians and issues the APC; while the NZIMLS provides the results from the analyser than CellaVision estimates. He concluded CPD programme and offers membership. She also provides a chart that the %LScRBC and %Micro R were useful for predicating setting out the main functions of the MSCNZ and NZIMLS and what restricted erythropoiesis in iron defi ciency and thalassaemia and benefi ts membership of the NZIMLS provides. that the %LScRBC may provide extra information for clinicians in determining renal patients with functional iron defi ciency. Advertisers in this issue Auckland University of Technology .................... outside back cover Beckman Coulter .....................................................inside back cover Canterbury Health Laboratories. .................................................... 66 CSC ................................................................................................... 97 Leica Microsystems .......................................................................... 73 Stago .......................................................................inside front cover ThermoFisher Scientifi c ...........................................................77 & 95 Vital Diagnostics ..............................................................................81 NZ J Med Lab Science 2012 66 T.H. Pullar Memorial Address. Pathology: the study of structure and function in health and diseases Robin Fraser Dr T.H. “Thos” Pullar, the champion and friend of New Zealand ultrastructure, as determined by electron microscopy. For example, medical laboratory scientists and technologists would no doubt abnormalities of the fenestrated endothelium lining of the liver have received great support from Christchurch Pathology,