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1.
It is widely believed that assays of platelet activation are susceptible to preanalytical variables related to blood draw technique. We assessed platelet activation by whole blood flow cytometry and investigated the effects of: (1) drawing blood into vacuum tubes or manually aspirated syringes, and (2) discarding the first drawn blood sample (discard tube). Platelet P-selectin expression and platelet-monocyte complexes were measured by flow cytometry under both basal conditions and following stimulation with 0.1, 1, or 10 µM ADP. Bland-Altman plots demonstrated agreement between results for vacuum tube and syringe-aspirated samples with an a priori-defined clinically relevant agreement limit of 5%. Agreement of results was also observed between discard tube and second draw samples for both vacuum-driven and manually aspirated blood. We conclude that a vacuum tube or a manually-aspirated syringe can be used when assessing platelet activation by flow cytometry and that there is no need for a discard tube. 相似文献
2.
Francis I. Baffour Michael R. Moynagh Patrick W. Eiken Brian T. Welch A. Nicholas Kurup Thomas D. Atwell Grant D. Schmit 《Journal of vascular and interventional radiology : JVIR》2019,30(1):82-86
Purpose
To retrospectively evaluate effectiveness and safety of percutaneous CT-guided rib biopsy.Materials and Methods
CT-guided core rib biopsies were performed in 249 consecutive patients between January 2002 and June 2016. Mean patient age was 64.8 years ± 13.8. Additional patient demographics, rib lesion characteristics, and procedural techniques were reviewed. Diagnostic yield was assessed, and complications were classified using SIR criteria.Results
Mean maximal diameter of 249 rib lesions was 2.7 cm ± 1.8, and 107 (43%) rib lesions had an associated extraosseous soft tissue component. Of rib lesions, 172 (69%) were lytic, 75 (30%) were sclerotic, and 2 (1%) were identifiable only with positron emission tomography/CT correlation. Specimens from 241 (96.8%) biopsies were adequate for pathologic diagnosis, whereas 8 (3.2%) were nondiagnostic. Of diagnostic biopsies, 168 (69.7%) were positive for malignancy; 73 (30.3%) revealed benign etiologies. There was a significant difference in diagnostic biopsy rate depending on size of the rib lesion (mean 2.8 cm ± 1.8 for diagnostic biopsies vs mean 1.3 cm ± 0.5 for nondiagnostic biopsies; P = .007). Of rib lesions, 170 (99%) lytic lesions and 69 (92%) sclerotic lesions yielded diagnostic biopsies; diagnostic biopsy rate was significantly higher for lytic lesions than sclerotic lesions (P = .01). There were 14 (5.6%) minor complications and no major complications.Conclusions
Percutaneous CT-guided core rib biopsy resulted in high diagnostic yield and low complications. Diagnostic biopsy rates were higher with larger lesion size and lytic rib lesions. 相似文献3.
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Sandra A. McDonald Yuwei Fan William R. Welch Daniel W. Cramer Rebecca C. Stearns Liam Sheedy 《Ultrastructural pathology》2019,43(1):13-27
Perineal talc use is associated with ovarian carcinoma in many case-control studies. Such talc may migrate to pelvic organs and regional lymph nodes, with both clinical and legal significance. Our goal was to differentiate talc in pelvic lymph nodes due to exposure, versus contamination with talc in the laboratory. We studied 22 lymph nodes from ovarian tumor patients, some of which had documented talc exposure, to quantify talc using digestion of tissue taken from paraffin blocks and scanning electron microscopy/energy dispersive X-ray analysis (SEM/EDX). Talc particles correlated significantly with surface contamination assessments using polarized light microscopy. After adjusting for surface contamination, talc burdens in nodes correlated strongly with perineal talc use. In a separate group of lymph nodes, birefringent particles within the same plane of focus as the tissues in histological sections were highly correlated with talc particles within the tissue by in situ SEM/EDX (r = 0.80; p < 0.0001). We conclude that since talc can be a surface contaminant from tissue collection/preparation, digestion measurements may be influenced by contamination. Instead, because they preserve anatomic landmarks and permit identification of particles in cells and tissues, polarized light microscopy and in situ SEM/EDX are recommended to assess talc in lymph nodes. 相似文献
6.
Bonnie L. Van Lunen Stephanie H. Clines Tyler Reems Lindsey E. Eberman Dorice A. Hankemeier Cailee E. Welch Bacon 《Journal of Athletic Training》2021,56(3):220
ContextThe doctor of athletic training (DAT) degree has recently been introduced into academe. Limited literature exists regarding how individuals with this degree can become part of an athletic training faculty.ObjectiveTo identify department chairs'' perceptions of the DAT degree and determine whether they viewed the degree as viable when hiring new faculty within a postbaccalaureate professional athletic training program.DesignCross-sectional study.SettingOnline survey instrument.Patients or Other ParticipantsA total of 376 department chairs who had oversight of Commission on Accreditation of Athletic Training Education athletic training programs were invited to participate. Of these, 190 individuals (50.5%) accessed the survey, and 151 of the 190 department chairs (79.5%) completed all parts of the survey.Main Outcome Measure(s)A web-based survey instrument consisted of several demographic questions and 4-point Likert-scale items related to perceptions of the DAT degree. Independent variables were degree qualifications, advanced degree requirements, institutional control, student enrollment, current faculty with a clinical doctorate, and institutional degree-granting classification. The dependent variables were the department chairs'' responses to the survey items.ResultsMore than 80% of department chairs were moderately or extremely familiar with the concept of an advanced practice doctoral degree, and 64% believed it would be extremely to moderately beneficial to hire someone with this degree in the athletic training program. Furthermore, 67% of department chairs were very likely or likely to hire someone with a DAT degree and expected they would do so in the next 5 years. Characteristics associated with higher perception scores were lower institutional student enrollment, having more current faculty with an advanced practice doctoral degree, and a lower institutional degree-granting classification.ConclusionsDepartment chairs recognized the DAT degree as a viable degree qualification for teaching in professional athletic training programs. Future researchers should examine the need for athletic trainers with the DAT degree in clinical practice settings. 相似文献
7.
Early impact of the ICD‐10‐CM transition on selected health outcomes in 13 electronic health care databases in the United States 下载免费PDF全文
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Anterior cervical plate (ACP) failure is rarely addressed in the literature. In this retrospective, observational, longitudinal,
cohort study, the objectives were to (1) identify incidences of in vivo biomechanical failure in commercially available, US
Food and Drug Administration-approved ACP systems, (2) describe modes of failure, (3) suggest structural explanations for
system failure, and (4) discuss complications and treatment of patients with failed ACP systems. Investigators retrospectively
identified patients who underwent anterior cervical procedures followed by use of ACP as a fusion adjunct and showed evidence
of ACP failure on plain radiographs. Components of the ACP system that led to failure were identified and examined. A total
of 240 patients received ACP supplementation of anterior cervical fusion constructs during the 9.5-y study period. Evidence
of ACP failure was noted in 7 patients (3.3%), and an eighth patient was referred for evaluation after ACP failure. Screw-plate
interface failure occurred in all 8 cases. The biomechanical method by which the bone screw head was secured into the vertebral
body, or against the ACP, the use of hybrid systems, the surgical technique selected, and host factors were used to determine
the rate of failure. Concern for esophageal or other tissue injury often necessitated ACP removal. Screw-plate interface failure,
which was found to be the most common mode of biomechanical ACP failure, may occur in hybrid constructs and in systems that
do not create a rigid interface between the screw head and the ACP. Surgical technique and patient host factors may also influence
the rate of biomechanical construct failure. 相似文献
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