Background: Dialysis is in common use to treat patients
with end stage renal failure .However longstanding dialysis
harboring some cellular changes in various body fluids.
This study was conducted in order to detect these changes
in urine.
Objective: The study was conducted to detect cellular
changes in urine of patients with longstanding dialysis.
Method: Fifty-three urine samples were examined
cytologically obtained from patients with longstanding
dialysis during 6 months period. Freshly voided midstream
urine samples were taken . Samples were centrifuged and 2
to 3 drops of sediments were smeared on 2 glass slides and
fixed in 95% ethyl alcohol then stained with Hand E stain
to be evaluated.
Results: Gross physical examination of all urine samples
were neither purulent nor hemorrhagic .Microscopically
there was increased exfoliation of urothelial cells except in
9 cases. No significant cytological atypia were seen in all
urine samples. Excessive exfoliation in the absence of
significant inflammation, hemorrhage and cytological
atypia compared with control group.
Conclusion: The study revealed that some cytological
changes do occur in the urothelial cells of patients with
longstanding dialysis. These changes need further attention
and study to disclose their causes.
The process of coordination and joint cooperation between SAIs and internal auditors in the public sector is considered one of the very important matters in performing efficient audits and are of high quality, especially if this coordination and cooperation is implemented in accordance with international standards, as it leads to avoiding duplication in auditing work. And the distribution of work in a distribution that achieves the objectives of auditing in general and is of general benefit to the economic unit.
The research problem lies in the weakness of the relationship between internal auditing and external auditing as a result of not applying INTOSAI Standard (9150) coordination and joint cooperation
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