Rowlanddam2368
Molecular testing of thyroid FNA has been advocated in the indeterminate categories of The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) 2018. The utility of cytoscrapes of thyroid FNA samples for
V600E and
mutations was evaluated in this pilot study.
Thyroid FNA samples between 2015 and 2018 from TBSRTC categories 3-6 were included. DNA was extracted from one to two representative smears (cytoscrape). Real-time PCR for
V600E and
(
,
, and
) gene mutations was performed. Histopathology correlation was available in 44 cases.
Chi-square test and calculation of sensitivity, specificity, and positive/negative predictive values were performed.
A total of 73 thyroid FNA cases and 11 nodal metastases of papillary thyroid carcinoma (PTC) were evaluated. The DNA yield ranged from 1.9 to 666 ng/μl (mean 128 ng/μl) in 80 cases and was insufficient in four cases. Overall, mutations were seen in 45 (56.25%) cases with
V600E,
,
, and
in 21 (46.7%), 19 (42.2%), 4, and 1 cases, respectively.
V600E mutation was seen in PTC (11/18, 61%), nodal PTC metastases (5/10, 50%), and occasionally in TBSRTC category 3 (1/18, 5.5%).
mutations were seen across all categories and were maximum in the AUS/FLUS group (6/18, 33%).
V600E /RAS testing had an overall sensitivity, specificity, and positive and negative predictive values of 61.7%, 80%, 91.3%, and 38%, respectively, for the detection of malignancy. In indeterminate thyroid nodules, the sensitivity, specificity, PPV, and NPV were 56.2%, 80%, 81.8%, and 53.3%, respectively.
V600E/RAS mutation testing from cytoscrapes are useful as a rule-in test for indeterminate thyroid nodules and provide molecular confirmation in nodal metastases of PTC.
BRAF V600E/RAS mutation testing from cytoscrapes are useful as a rule-in test for indeterminate thyroid nodules and provide molecular confirmation in nodal metastases of PTC.
The unanimous method of screening cervical cancer is a cervical smear stained with Papanicolaou stain. However, in spite of the various modifications, the staining procedure takes 20 min and uses substantial amount of alcohol which is highly priced. The aim of the study was to assess and analyze the quality of staining of cervical smears stained with Rapid Economical Acetic acid Papanicolaou (REAP) as compared to conventional pap stain in order to establish REAP as an alternative to conventional pap stain.
In this prospective study, a total of two smears each were collected from 50 females who visited the gynecology outpatient department. One of the smears was stained with conventional pap and the other with REAP. The conventional pap and REAP smears were evaluated and compared for the quality of staining.
The cervical smears stained with REAP showed optimal cytoplasmic and nuclear staining in 86% and 90% cases, respectively. The cytological findings and diagnosis of REAP stained smears correlated with their corresponding smears stained with conventional pap in 96% of cases. The turnaround time and cost per smear was much low for REAP as compared to conventional pap stain.
The present study was able to establish REAP as an appropriate alternative to conventional pap stain. The staining by REAP was comparable to conventional pap stain.
The present study was able to establish REAP as an appropriate alternative to conventional pap stain. The staining by REAP was comparable to conventional pap stain.
Numerous pathological processes involve synovium and periarticular tissues that are characteristic and in some cases specific to a particular disease. Synovial fluid is a thick, stringy fluid found in the cavity of synovial joint. Examination of the synovium plays a key role in the diagnosis of many joint diseases.
The aim of this study was to study the spectrum of synovial lesions on fine needle aspiration cytology (FNAC) and to compare the cytological diagnosis with histopathological findings.
This retrospective diagnostic analytical study was carried out in the Department of Pathology. Sixty-six patients with suspected synovial lesions referred from other departments who underwent FNAC during 1 year from January 2017 to December 2017 were included in the study. The slides along with records of the patients were retrieved and findings recorded. Histopathological evaluation was performed wherever possible and compared with cytological diagnosis.
Non-neoplastic lesions accounted for 80.3% cases followed by benign tumors (15.2%). Ganglion cyst was the commonest non-neoplastic lesion (60.6%, 40/66), while tenosynovial giant cell tumor was the commonest neoplasm (12.1%, 8/66) observed in our study. Solitary case of synovial sarcoma was also observed. Histopathological evaluation was performed in 14 cases and FNAC had overall diagnostic accuracy of 85.7% in diagnosis of these lesions.
FNAC is a useful tool with high diagnostic accuracy in the evaluation of synovial lesions.
FNAC is a useful tool with high diagnostic accuracy in the evaluation of synovial lesions.
Metastasis to the breast of an extra-mammary origin is very rare. FNAC plays an important role in differentiating non-mammary breast metastasis from primary malignancy. This study aimed to analyze the cytomorphological criteria and its pitfalls in differentiating metastatic lesion of the breast from primary malignancy.
Retrospective analysis of 891 FNACs of the breast was performed for a time span of 3 years. A total of 12 cases were diagnosed on FNAC as secondary neoplasms to the breast. Clinical and radiological data, along with Pap and MGG stained smears of each case were examined and correlated with the histopathology of the primary tumor. Statistical analysis was carried out. All cases of primary breast malignancies were excluded from our study.
In 10 out of 12 cases, primary malignancies were identified as Plasma cell myeloma (one case), B-acute lymphoblastic leukemia (two cases), acute myeloid leukemia (one case); chronic myeloid leukemia (one case), Burkitt's lymphoma of the ovary (one case), Diffuse large B-cell lymphoma (one case), esophageal squamous cell carcinoma (one case), spindle cell sarcoma (one case) and squamous cell carcinoma of the cervix (one case). The remaining two cases in our study were misdiagnosed on cytology as metastasis and turned out to be breast primaries on histopathology.
Our case series highlights the importance of FNAC to differentiate secondary lesions from primary breast malignancy and thus helps to avoid unnecessary surgery to the patient. It emphasizes on the need to keep in mind the possibility of metastatic breast neoplasms in the presence of unusual cytological features on FNAC.
Our case series highlights the importance of FNAC to differentiate secondary lesions from primary breast malignancy and thus helps to avoid unnecessary surgery to the patient. It emphasizes on the need to keep in mind the possibility of metastatic breast neoplasms in the presence of unusual cytological features on FNAC.Fire hazards and infectious diseases result in great threats to public safety and human health, thus developing multi-functional materials to deal with these issues is critical and yet has remained challenging to date. In this work, we report a facile and eco-friendly synthetic approach for the preparation of calcium alginate/silver chloride (CA/AgCl) nanocomposites with dual functions of excellent flame-retardant and antibacterial activity. Multi characterization techniques and antibacterial assays were performed to investigate the flame-retardant and antibacterial properties of the CA/AgCl nanocomposites. The obtained results show that the CA/AgCl nanocomposites exhibited much higher limiting oxygen index value (> 60%) than that of CA (48%) with a UL-94 rating of V-0. Moreover, CA/AgCl particularly displayed an efficiently smoke-suppressive feature by achieving a total smoke release value of 2.7 m2/m2, which was reduced by 91%, compared to CA. The antibacterial rates of the CA/AgCl nanocomposites against E. coli and S. aureus were measured to be 99.67% and 99.77%, respectively, while CA showed quite weak antibacterial rates. In addition, the flame-retardant and antibacterial mechanisms were analyzed and proposed based on the experimental data. This study provides a novel nanocomposite material with both flame-retardant and antibacterial properties which show promising application prospects in the fields of decorative materials and textile industry.COVID-19 is one of the most impactful pandemics in recent history, not only in terms of direct casualties but also regarding socio-economic impact. The goal of our study is to investigate the degree of synchronization between the number of confirmed cases in specific countries, on one hand, and how/at which stage these countries adapted their air transportation operations, on the other hand. We investigate the global air transportation system as a network of countries whose edges represent the existence of direct flights. Aggregated analysis of this country network and its evolving dynamics leads to novel insights regarding the synchronization with the number of confirmed cases; finding that most country borders were likely closed too late. We believe and hope that our analysis leads to a more efficient/effective prevention and control of future epidemics.Covid-19 seriously impacts and endangers lives of millions worldwide. To fight the spread of the virus, governments have taken various restricting measures including stay at home orders. Ultimately, the home delivery volume increased significantly, which still bears the risk of human-human infection during the final delivery. From a logisticians perspective, autonomous delivery vehicles (ADVs), which are a contactless delivery solution, have the potential to radically change the way groceries are delivered to customer homes and help to stop the spread of the virus. However, to date, research on user acceptance of ADVs is rare. This paper theoretically extends the Unified Theory of Acceptance and Use of Technology (UTAUT2) including gender as a moderator. Selleck StemRegenin 1 The study is based on quantitative data collected in Germany through an online questionnaire (n = 501). link2 Data were analysed using structural equation modelling. The results indicate that trust in technology, price sensitivity, innovativeness, performance expectancy, hedonic motivation, social influence, and perceived risk determine behavioural intention. link3 However, some constructs are only significant for women. The findings of this paper have theoretical, managerial and policy contributions and implications within the areas of last-mile delivery and technology acceptance.Optimal economic evaluation is pivotal in prioritising the implementation of non-pharmaceutical and pharmaceutical interventions in the control of diseases. Governments, decision-makers and policy-makers broadly need information about the effectiveness of a control intervention concerning its cost-benefit to evaluate whether a control intervention offers the best value for money. The outbreak of COVID-19 in December 2019, and the eventual spread to other parts of the world, have pushed governments and health authorities to take drastic socioeconomic, sociocultural and sociopolitical measures to curb the spread of the virus, SARS-CoV-2. To help policy-makers, health authorities and governments, we propose a Susceptible, Exposed, Asymptomatic, Quarantined asymptomatic, Severely infected, Hospitalized, Recovered, Recovered asymptomatic, Deceased, and Protective susceptible (individuals who observe health protocols) compartmental structure to describe the dynamics of COVID-19. We fit the model to real data from Ghana and Egypt to estimate model parameters using standard incidence rate.
