Events during September 2023

A case study into iron deficiency polycythaemia diagnosis, looking at the pathology and how this relates to the results we see and investigations to confirm diagnosis.

The aim of this presentation is to explain the growing importance of the use of cytopathology cell blocks in the diagnostic process and how this has evolved over recent years. In the past they were used as an 'extra' to the traditional Papanicolaou and Romanowsky stains whereas now they have an essential role in providing material for ancillary testing - immunocytochemistry and molecular studies.

The variety of methods of cell block preparation will be covered and why it is important that a department choses what method, or methods, are best suited to what is required from the finished result.

Electron microscopy is essential for the diagnosis of a range of medical renal disorders, and its use is detecting immune deposits and basement membranes changes in native kideny biopsies will be familiar to many biomedical scientists and pathologists. EM is also used in the assessment of renal transplant biopsies.

In cases of recurrent disease the features are similar to those seen in native kidneys, but there are also specific features only seen in the transplant setting. This talk will focus on the utility of EM in renal transplant biopsies, demonstrating examples from relevant cases.

A person's immune response to previous antigen exposure is one of the most useful measures of how well their immune system is functioning. Vaccination provides a controlled and standardised exposure to an antigen, with the ability to assess immune responses prior to and after exposure. Different vaccine types can be used to explore different aspects of immune function.

Traditionally, antibody levels have been used to interrogate these responses, and it is possible to explore the quality of the antibody response and also cellular responses. A wide variability in the response to vaccination in healthy individuals can complicate interpretation of vaccine responses in patients with recurrent infections. Protection from infection is multifactorial, and while our ability to assess vaccine responses is improving, this alone is often not enough to assess an individual's immunity.

Generation X,Y,Z: Ageism in the workplace and its impact on service delivery

In 2022 the unthinkable happened - NHSBT was forced to declare an Amber Alert for red cells in England. But does that tell the whole story? This presentation will briefly examine the build-up to the shortage declaration but also consider its impact, provide evidence of the response within hospitals and consider the opportunities for future change in practices.

Networks – how Greater Manchester is making it work for them

Delegates will:

Gain an appreciation of the diversity and range of tumour types that can be assessed using Mohs.
Comprehend the complexity of technical requirements to ensure cases are dealt with effectively.
Recognise unusual findings and be able to adjust the investigative procedures in a 'live' setting
Appreciate tumour pattern recognition in Mohs cases

Clostridioides difficile is responsible for the eponymous C. difficile infection (CDI). Faecal microbiota transplant (FMT), a NICE recommended treatment for recurrent CDI, is effective but logistic and safety concerns remain.

With the advent of non-donor derived products, the presentation will outline the principles and evidence related to correcting gut dysbiosis and explore whether there is a need for current or expanded FMT services in the future.

This presentation will provide an update Update to the clinical use of lipids and the laboratory role in lipid disorders.