scholarly journals The Role Of The Second and Third Liquid Cytology in The First Liquid Cytology Negative Findings in The Diagnosis of Malignant Pleural Liquids

Author(s):  
Şeyma Özden
Keyword(s):  
Author(s):  
Austin Michael ◽  
Sarah Carnochan

Chapter 8 summarizes the core practice research principles identified in Practice Research in the Human Services: A University-Agency Partnership Model. The first set of principles relates to learning from the experiences of others, and includes understanding the context of practice research, the role of persistent communications, and the process of disseminating results. The second set of principles focuses on knowing how to implement practice research by utilizing specialized skills, balancing the dynamics of practice and research, and engaging in collaborative teamwork. The third set of principles relates to managing complexities by coping with the tensions and ongoing change associated with practice research, responding to negative findings, and engaging service users. The last set of principles focuses on the process of sharing practice research with the practitioners who are most able to integrate it into their practice. The chapter concludes with a discussion of rigor, relevance, and theory in practice research.


1980 ◽  
Vol 5 (2) ◽  
pp. 240-254 ◽  
Author(s):  
Chris T. Wright ◽  
Arnold Meadow ◽  
Stephen I. Abramowitz ◽  
Christine V. Davidson

Diagnostic impressions formed by 26 clinicians after intake interviews with 200 randomly assigned outpatients at a community mental health center were analyzed by assessor discipline and sex and by patient sex and age level. Professional status was positively related to diagnostic severity among male assessors—nurses, social workers, psychologists, and psychiatrists made increasingly higher proportions of psychotic diagnoses. Female therapists were less likely than their male counterparts to render psychotic diagnoses. This finding was most robust for doctoral interviewers, especially psychologists, and for patients who were female or under 30. Results are discussed in relation to the need for a model of the diagnostic process that allows for the role of practitioner attributes. Previous largely negative findings may have had their source in the failure of contrived analogue procedures to evoke emotions in the rater comparable in intensity to those aroused in the real-life encounter.


2020 ◽  
pp. 001391652090648 ◽  
Author(s):  
Matthew H. E. M. Browning ◽  
Fatemeh Saeidi-Rizi ◽  
Olivia McAnirlin ◽  
Hyunseo Yoon ◽  
Yue Pei

We review the methods and findings of experiments that have examined the effects of exposure to simulated natural landscapes on human health and cognitive performance. Keyword searches of PubMed, Scopus, and Web of Science resulted in the inclusion of 175 experiments in 148 research articles. that were published/in press by December 31, 2018. We report how often landscape features and human factors are controlled for within these experiments, thereby—for the first time—recording specifically what elements of “nature” and the built/social environment are used when testing the benefits of green space and blue space exposure. We also document all the simulation methods that are used (e.g., duration, number of exposures, senses engaged, and devices used). Next, to determine what methodological decisions influence study findings, we compare positive versus mixed/null or negative findings across 14 potential moderators. Only study quality and outcome measure influence findings; experiments without control groups or randomized treatments reported more positive findings than expected. Experiments studying perceived restoration also reported more positive findings than expected—remarkably, 95% of such experiments reported simulated nature was indeed restorative. We discuss the possibility that these findings may indicate publication bias in favor of overreporting the salutory impacts of natural landscapes. We conclude our review with a synthesis of best practices for future research studies.


2009 ◽  
Vol 1 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Andreas Kiriakopoulos ◽  
Dimitrios Linos

Abstract Background Assessment of the accuracy and the role of surgeon-performed ultrasound in comparison to expert radiology-performed ultrasound, sestamibi scanning and histologic findings. Methods From January 2006 to December 2007 we prospectively evaluated forty-two consecutive patients undergoing parathyroidectomy for primary hyperparathyroidism. One surgeon who was unaware of the preoperative imaging studies did all ultrasound examinations just prior to skin incision. The correlations between surgeon-performed ultrasound, radiology-expert ultrasound, sestamibi scanning and histologic findings were assessed. Results There were thirty-eight females (mean age: 55.9 years, range: 13-83) and four males (mean age: 41 years, range: 42-77) with biochemical evidence of primary hyperparathyroidism. Single gland disease (SGD) was histologically confirmed in thirty-six cases (85.7%) and multigland disease (MGD) in six cases (14.3%). Concordant preoperative U/S and sestamibi findings were found in thirty- four cases in SGD patients: surgeon performed U/S and expert radiology U/S were equally correct in all of these cases. In the rest two discordant cases in SGD patients, radiologist U/S was wrong in both cases, whereas sestamibi and surgeon U/S had no false results. Multigland disease had been predicted by negative findings in preoperative U/S and sestamibi in four patients and by finding more than one enlarged parathyroid glands in two patients. Surgeon U/S gave one false result in the former subgroup of MGD patients, although correctly identified multiple gland enlargements in the latter subgroup. Conclusions This study shows that surgeon-performed ultrasound compares favourably and even exceeds radiology U/S. Since this positive predictive result applies especially in SGD, intraoperative U/S had been added in the standards of care of patients with primary hyperparathyroidism in our institution


2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Sumbal Bhatti ◽  
Laith Evans ◽  
Bhaskar Kumar

Abstract Background The British Society of Gastroenterology (BSG) guidelines on the management of acute idiopathic pancreatitis (AIP) state the incidence of idiopathic cases to be no more than 30%. However, before a firm diagnosis of AIP is made, Endoscopic Ultrasound (EUS) may be used to determine occult causes. This approach may help prevent recurrent attacks which may evolve into chronic pancreatitis. Methods Retrospective analysis over a one-year period of cases of AIP in a tertiary referral center was performed to see the incidence of AIP and the role of EUS. Patients with an identifiable cause for pancreatitis were excluded, leaving only those who had received a diagnosis of AIP and the diagnostic value of EUS was examined. Results Of the 101 patients diagnosed with AIP, 19% (n = 19) underwent an EUS succesfully. 79% (n = 15) had no underlying cause of pancreatitis identified on EUS. In the remaining 21% of cases (n = 4), microlithiasis, ductal stones, and pus requiring drainage were common findings. Of these patents, only 1 was referred for surgery. In the patient group with negative findings on EUS, 4% were unaffected, 2% were refered for surgery, 2% died and 7% had recurrent episodes of pancreatitis. Conclusions The results of this study show that EUS is a valuable modality in patients with suspected AIP, with a positive diagnostic rate of 21%. Therefore, we propose EUS needs to be included in the investigative pathway of all suspected AIP. Although EUS is a relatively scarce resource, further research is required to establish guidelines for the investigation of suspected AIP.


2021 ◽  
Author(s):  
Stephen G Waller

ABSTRACT Introduction The role of health problems and programs to address problems in keeping the peace has not been scientifically analyzed. We sought to mitigate this gap in knowledge. Methods We examined hundreds of conflicts in a robust international database (NAVCO 2.0) for the presence of health programs by conflict parties and were unable to demonstrate a significant statistical correlation between the presence of a health program and peace. Using this analysis and a comprehensive international database of health conditions (the Global Burden of Disease), we obtained Institutional Review Board approval and undertook a matched case-control analysis. We identified 14 countries with new-onset conflict as our cases and 52 similar countries without conflict during the same year as our controls. We calculated the association between conflict status and the prevalence of 254 different health conditions among the case and control nations. Results None of the 254 health conditions had changes in prevalence that correlated with the conflict status of that nation. None of those common health conditions is therefore a predictive “leading indicator” of conflict in this study. Conclusions Without such an association or causal link, the role of health programs in peacekeeping and “stability operations” remains ambiguous. Negative findings do not mean that there is no connection between health programs and peace, and further study should be done. Our results have implications for the value of global health engagement missions.


2020 ◽  
Vol 04 (2) ◽  
pp. 39-49
Author(s):  
Jwan Abid ◽  
Israa Abid Al-Karim ◽  
Waleed Rajab

One of the commonest symptomatology in gynecological outpatient clinics is chronic pelvic pain, it accounts for 10% of gynecologist’s general clinics patients. The study aimed to To evaluate the role of laparoscopy in evaluation of CPP, and its correlation with clinical examination and vaginal ultrasound examination. The present prospective study was done in the Department of Obstetrics and Gynecology Salah Al-Deen general hospital in Tikrit city from 1stApril- 31st August 2020. The study sample consists of 30 patients with chronic pelvic pain, according to the ACOG criteria, with a convenient sampling method. The data collection done through: a designed closed and open-ended questionnaire, physical examination, transvaginal ultrasound & laparoscopic examination for the 30 patients for evaluation of chronic pelvic pain. By laparoscopic examination (90%) of patients had positive findings, pelvic examination identified (89%) of them correctly. Those with negative findings in laparoscopy was (10%) of patient, (33.3%) of them were diagnosed as negative by pelvic examination, there were miss diagnosis in (67%) of the negative patient and (11.1%) of positive diagnosed patient, this was a statically significant relation. Sensitivity of TVS was 85%, versus 89% for the pelvic examination. Specificity for TVS, and pelvic examination was (100%), (33%) respectively. Accuracy of the test for TVS, and pelvic examination was (87%), (83%) respectively. Exploratory laparoscopy provides a definitive diagnosis in 90% of women complaining of unexplained CPP. The surgical treatment of these lesions improves painful symptomatology in 70% of women.


JAMA ◽  
1966 ◽  
Vol 195 (12) ◽  
pp. 1005-1009 ◽  
Author(s):  
D. J. Fernbach
Keyword(s):  

JAMA ◽  
1966 ◽  
Vol 195 (3) ◽  
pp. 167-172 ◽  
Author(s):  
T. E. Van Metre

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