OBJECTIVE In the past, accurate diagnosis of lymphoma was challenging since there were multiple competing classification systems that caused confusion and debate. After establishment of the World Health Organization lymphoma classification, lymphomas still remain a diagnostic challenge among general pathologists. The purpose of this study was to examine whether the discordance among centers has...

PURPOSE To define the impact of discordant Gleason sum (GS) between prostate biopsy (Pbx) tissue and radical prostatectomy (RP) specimen among men initially diagnosed with Gleason 6 or 7 prostate adenocarcinoma. MATERIALS AND METHODS We evaluated patients diagnosed with GS 6 or 7 and treated primarily with RP. We defined the frequency of GS discordance between Pbx and RP pathology reports. We...

BACKGROUND Immunologic tests such as the tuberculin skin test (TST) and QuantiFERON®-TB Gold In-Tube test (QFT-GIT) are designed to detect Mycobacterium tuberculosis infection, both latent M. tuberculosis infection (LTBI) and infection manifesting as active tuberculosis disease (TB). These tests need high specificity to minimize unnecessary treatment and high sensitivity to allow maximum detect...

Abstract Studies report that subjective and objective sleep parameters often do not agree with each other. This study examined if discordance between measures are associated cognition. Participants from the Midlife in United States (n=627) provided (self-report) (actigraphy) duration quality. Discordance was assessed by absolute difference z-scores variable. Cognitive function measured Brief Te...

in today’s highly competitive manufacturing environment, an effective supplier selection process is very important for the success of any business organization. selection of the best supplier is always a difficult task for the purchasing manager. suppliers have varied strengths and weaknesses which require careful assessment by the purchasing manager before selecting and ranking them. any suppl...

Total knee replacement (TKR) is one of the most common operations in orthopaedic surgery worldwide. Despite its scientific reputation as mainly successful, only 81% to 89% of patients are satisfied with the final result. Our understanding of this discordance between patient and surgeon satisfaction is limited. In our experience, focus on five major factors can improve patient satisfaction rates...